Mary Allen
ʻO ka hōʻoia ʻana o ka hip dysplasia he mea weliweli ia i nā mea nona nā ʻīlio no ka mea hiki ke piʻi ka mālama ʻana.
I loko o ka hip dysplasia (HD), ʻaʻole kūlike ke poʻo femoral poepoe i kona hoa, ka acetabulum. Hana ʻia kēia ma muli o ka hohonu ʻole o ka pā. No ka mea, ʻaʻole i pili pono nā ʻāpana ʻelua o ka hui, ʻoi aku ka palupalu o ka hui ma mua o kahi hui olakino. Ke alakaʻi nei kēia i nā waimaka liʻiliʻi o ka capsule hui, nā ligaments a puni, a me nā abrasions liʻiliʻi o ka cartilage. E ʻeha mau ka ʻāmi, e hiki ai i ka ʻeha mua.
ʻOi aku ka lōʻihi o ke kūlana, ʻoi aku ka koʻikoʻi o nā loli o ka hui. A laila ho'āʻo ke kino e hoʻopaʻa i ka hui paʻa ʻole ma o nā kaʻina hana hoʻoponopono iwi. Kapa ʻia kēia mau iwi i ka osteoarthritis. I ka pae hope loa, holoi ʻia ka cartilage, a ʻaʻole ʻike ʻia ke ʻano anatomical o ka hui.
Pili loa nā ʻīlio ʻīlio nui i ka hip dysplasia
ʻO nā ʻīlio ʻīlio i hoʻopilikia pinepine ʻia e HD he mau ʻano nui e like me Labradors, Shepherds, Boxers, Golden Retrievers, a me Bernese Mountain Dogs. Eia naʻe, ma ke kumu, hiki i ka maʻi ke loaʻa i kekahi ʻīlio.
I loko o ka hip dysplasia koʻikoʻi, hoʻomaka ka hoʻololi hui ʻana ma mua o ʻehā mahina o ka makahiki i loko o ka ʻīlio. Loaʻa ka pae hope ma kahi o ʻelua mau makahiki. Inā hana nui ka ʻīlio ʻōpio me ka hip dysplasia i nā haʻuki, hiki ke hōʻino koke ʻia nā ami no ka mea ʻaʻole lawa ka ʻiʻo o nā ʻīlio ʻōpio e hoʻopaʻa i ka pūhaka.
Pehea e ʻike ai i ka Hip Dysplasia
ʻO nā hōʻailona maʻamau o ka hip dysplasia he makemake ʻole a pilikia paha me ka ʻīlio ke kū i luna, piʻi i ke alapiʻi, a me ka hele lōʻihi. ʻO ka lele ʻana he hōʻailona hoʻi o nā pilikia ʻūhā. I ka holo ʻana, lele ka ʻīlio ma lalo o ke kino me nā wāwae hope ʻelua i ka manawa like, ma kahi o ka hoʻohana ʻana iā lākou. Hōʻike kekahi mau ʻīlio i ka hele ʻana e like me ka luli ʻana o nā pūhaka o ke kumu hoʻohālike. Hiki ke ʻike ʻia nā ʻīlio ʻē aʻe i ka lolo.
Eia naʻe, ʻaʻole i loaʻa i kēlā me kēia ʻīlio kēia mau hōʻailona. Inā he ʻīlio nui kāu, pono ʻoe e kamaʻilio me kāu kauka lapaʻau e pili ana i ke ʻano o ka manawa mua i loaʻa ai ʻoe i ke kano.
Hiki ke loaʻa i kahi hōʻailona hilinaʻi mai ke kauka lapaʻau nāna e hana i kahi X-ray i hoʻonohonoho pono ʻia ma lalo o ka anesthesia. I ka wā mua, ʻaʻole hoʻololi pinepine ʻia nā hono i ka radiographically. A laila e loaʻa i kāu kauā holoholona i kahi hōʻailona hoʻokahi mai nā mea i kapa ʻia ʻo distraction records. Hoʻopiʻi ʻia nā sekela kiʻekiʻe i kāu ʻīlio a ana ke kauka holoholona i ka wehe ʻana o nā ami ʻūhā ma kahi x-ray. He ʻeha loa kēia ʻano hoʻopaʻa leo no kāu holoholona ala a no laila ʻaʻole hiki ke hana a loiloi ʻia me ka ʻole o ka maʻi maʻi.
Nā Koho Lapaʻau ʻokoʻa no Hip Dysplasia
Ma muli o ke koʻikoʻi o ka hip dysplasia a me ka makahiki o ka holoholona, hiki i nā lāʻau lapaʻau like ʻole.
A hiki i ka malama ʻelima o ke ola, hiki i ka hoʻopau ʻana i ka pā ulu (juvenile pubic symphysis) ke hoʻololi i ke ala o ka ulu ʻana o ka pelvic scapula a me ka uhi maikaʻi ʻana o ke poʻo femoral. He maʻalahi ke kaʻina hana a ʻoluʻolu koke nā ʻīlio ma hope o ke ʻoki ʻana.
Hiki ke hiki i ka osteotomy pelvic triple a pālua mai ke ono a hiki i ka malama umi o ke ola. ʻElua a ʻekolu mau wahi a hoʻoponopono ʻia me ka hoʻohana ʻana i nā papa. ʻOi aku ka paʻakikī o ka hana ma mua o ka epiphysiodesis akā loaʻa ka pahuhopu like.
ʻO kēia mau hana ʻelua e pale i ka loaʻa ʻana o ka osteoarthritis hui, ka mea nui ma ka hoʻoulu ʻana i ka ulu pelvic kūpono. Eia nō naʻe, inā loaʻa i kahi ʻīlio ʻōpio nā hoʻololi hui, ʻo ka hoʻololi ʻana i ke kūlana o ke pelvis ʻoiaʻiʻo ʻaʻohe hopena.
Hiki ke Uku Piha na Hui Hip Artificial
I loko o nā ʻīlio makua, hiki ke hoʻohana i ka hui pūhaka hana (total hip replacement, TEP). He pipiʻi loa kēia hana, hoʻopau manawa, a pilikia. Eia nō naʻe, inā kūleʻa, hāʻawi ka lapaʻau i ka ʻīlio i kahi kūlana kiʻekiʻe o ke ola, no ka mea hiki iā ia ke hoʻohana i ka hui me ka ʻeha ʻole a me ka ʻole o ke kaʻina i kona ola ʻana.
No laila ʻaʻole pono nā mea nona nā ʻīlio e uku wale no nā koina o ka hana, paipai mākou e lawe i ka ʻinikua no ka hana ʻana i nā ʻīlio. Akā e makaʻala: ʻaʻole nui nā mea hoʻolako e uhi i nā kumukūʻai no ka ʻoki dysplasia hip.
Hiki ke mālama ʻia ʻo HD ma ke ʻano conservative, ʻo ia hoʻi, me ka ʻole o ka ʻoki ʻana. ʻO ka hapa nui o ka hui pū ʻana o nā mea hōʻeha ʻeha a me ka lāʻau lapaʻau kino e hoʻohana ʻia e mālama i nā ami ʻūhā i kūpaʻa a ʻeha ʻole e like me ka hiki.