Busy … It is not appropriate to describe novice treasure mom anymore
Busy to adapt to new characters, learn to feed knowledge, busy playing "Miao Miao" for your baby …
But busy, hip ultrasound examination, you must also take your baby to do it
If you find congenital hip dislocation
Three months after birth are the best time for treatment
Wear a cure for more than 90%
Once you miss it, you need painful surgery
It may also need to change the fake joint!
It’s not scary
Moms quickly act!
Congenital hip dislocation is also known as developing hip joint dysplasia. It is a common disease in children’s limbs developmental deformities. The incidence rate in my country is about 2.66 ‰.
In popular terms, congenital hip dislocation refers to a series of diseases that occur in hip joints, that is, the ugly bone shaft in the development of pregnancy and the development of the infant period, which leads to abnormal anatomy structure of the hip joint.The main manifestations are dysplasia (the acetabular acetabular is relatively steep), semi -dislocated (the femoral head is out) and a full dislocation (the femoral head is completely removed).
The harm of congenital hip dislocation is that the child can sway like a duckling after walking.There are also some children walking normally, but in the adolescents, hip pain will occur, it is difficult to walk, and surgery must be made to correct the deformity.In severe cases, joint disability will seriously affect daily life and work. Surgical replacement is required to replace fake joints, and the cost of treatment is expensive.
Within three months after birth, there is a golden period for treatment, with a cure rate of more than 90%
The occurrence of congenital hip dislocation cannot be prevented before giving birth, so early screening is important.What needs to be planned is early diagnosis and early treatment, simple and effective.Within three months after birth, you only need to wear a roller, and the cure success rate can reach more than 90%.
The screening method within 6 months after the baby is born is hip ultrasound, and X -rays need to be shot greater than 6 months.
Important time nodes that need to be followed:
6 weeks after birth: Ultrasound examination can be treated after diagnosis
Within 3 months after birth: the golden period of treatment
3 months to 6 months after birth: ultrasonic examination is more accurate
There are signs since pregnancy
Congenital hip dislocation has a certain genetic, with a genetic rate of about 12%to 30%, and girls have a greater inheritance than boys.However, there are also about 80%of the parents of children who are sick. Therefore, all newborns should conduct hip B -ultrasound screening.
During pregnancy: In addition to genetic factors, expectant mothers may also cause the baby’s hip dislocation during pregnancy.
1. Decrease in fetal movement: The movement of the baby’s impact on the uterine wall in the uterus and kicking the leg is fetal movement.After 4 months of pregnancy, you can obviously feel the baby’s activity. If the 12 -hour fetal movement is less than 20 times, it is abnormal.
2. Fetal position incorrect: The probability of a babies born in the hip position is 10 times higher than the first production.
3. Decrease amniotic fluid: amniotic fluid refers to the liquid in the amn go goopero during pregnancy.A certain capacity of amniotic fluid can provide a large scope of activity for the fetus, so that the fetus does proper breathing and limb activity in the uterine cavity, preventing joint fixation, limb deformity, and fetal limbs, which is conducive to the development of the fetus.During the full moon pregnancy, the amount of amniotic fluid is 800 to 1000ml, and the amount of amniotic fluid is called too little amniotic fluid when <300ml.
4. Bao Ma ligament relaxation: In the late pregnancy, the increase in estrogen secretion of Baoma will relax the pelvis, which is conducive to childbirth, and also relaxes correspondingly in the uterine fetal ligament, and is more likely to occur in hip joints in the newborn period.
Five sixty -sixths of the children’s children
The most common manifestation of infant hip joint dislocation is that the length of the legs is different, the strength is different, the exterior is limited, the hip -stroke leg pattern is asymmetric or the hip joints have no sound, the whole body joint is too soft. At this timeIs there a problem with the hip joint?If the above situation occurs, the screening should be performed immediately.
Both legs are different and the leg lines are asymmetric
Babies can detect whether there is a problem with the hip joint through the B -ultrasound inspection of the hip joint in the hospital for a visit to the hospital about 42 days after birth.The B -ultrasound is not harmful to the child. It only takes a few minutes to check the check process, and the mothers can rest assured.Early treatment costs less, and the treatment effect will be better. Don’t worry about the trouble of later malformations.It would be too late to find the problem after the baby started walking.Babies after one year of age are likely to need surgery, and the possibility of cure will be reduced.
In our country, more than 5 children with congenital hip joint are more than 5 girls.The incidence of hip dislocation of the female baby is about 5 times to 8 times that of the male baby, so the parents of the female baby should pay more attention.
Compared to surgery, is it not fragrant to wear it?
When there is a problem with the results of the B -ultrasound, the doctor will recommend that parents take their babies to the designated hospital for further examination.After checking the diagnosis again, parents need to bring their babies to a specialist hospital, such as pediatric orthopedics of Beijing Jishuitan Hospital for treatment.
Wear the baby
After early discovery, treatment is relatively simple. Wear the baby to keep the hip joint of the baby in the outer booth. This position allows the baby’s hip joint to have a good growth and development environment. After a period of time, the baby’s hip joint will beWith normal development, this disease will be cured, and the possibility of recurrence will be very small in the future.
However, parents should be reminded that even if doctors say that the hip joints have returned to normal, they must be reviewed regularly to prevent recurrence.
Author ｜ Zhang Hong, a professor at the Fourth Medical Center of the General Hospital of the PLA
Ren Ningtao, Fourth Medical Center of the General Hospital of the Liberation Army
Review expert ｜ National Health Science Popularization Expert Library Expert
Liu Peilai, chief physician of Qilu Hospital of Shandong University
Planning ｜ Fang Tong
Edit ｜ Mu Huanyu