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    Baby care

    With the birth of each child mothers have many questions on the care of the newborn by month. And rightly so! After all, the child's health from the conception up to the age of reason is completely dependent on their parents. Being in your tummy, the child was under heavy guard placenta, which protects it from viruses and infections.

    Baby care

    Hygienic care of the newborn child - this is where should now start your day. After the first few months your baby will be an intense period of adaptation to the environment, and daily hygiene to help the child overcome his painful.

    Baby care

    You, every day, wake up, go to the bathroom, wash my face, brush your teeth. A young child, as well as you need their morning toilet. This is not only personal care, and prevention of various skin diseases. Before you start spending your child morning toilet, wash your hands. Put the baby on the changing table, after covering it with a clean diaper. Unswathe child. Carefully inspect the skin folds.

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Conservative medication of congenital dislocation of the hip in little ones under 3 years. For the treatment of hip dysplasia without displacement and displaced femoral head offer different types of pillows, pants, stirrups, tires, appliances and other devices. All of them are designed for is to keep the legs in the position of the child rearing and ensure they function. In little ones, the first 2 - 3 m. With suspected hip dysplasia or dislocation of the presence of clinical symptoms is not required radiological confirmation of the diagnosis, since in any case it is required to use the same treatment and preventive measures - raising the legs with soft pads (wide swaddling, pillow Frejka, etc.), using gymnastics otvodyasche-circular motion in the joint, massage gluteal muscles. To treat children with dysplasia dilution method suitable diaper pins, "pants" Becker, pillows Frejka, stirrups Pavlik, elastic tires. At this age, is absolutely unacceptable use of rigid structures, ie, Sheen, preventing limb movements committed child. The combination of the best of freedom of movements - the best principle of treating babies with dysplasia, subluxation and dislocation of the hip. The baby must be in abductor pad around the clock to complete disappearance adduktsionnoy contracture (2 - 3 wk). Kind of accessories for early therapy of various forms of hip dysplasia. A - Pavlik stirrups b - Bus CITO. So the child sometimes several minutes a day free from it, increase the residence time of a infant without the bandages, and 3 - 4 m. Specified item is worn while sleeping. Control radiograph decides on termination or continuation of medication. In the presence of dislocation for its follow-up care is recommended to apply the most functionally adequate methods - stirrups Pavlik Gnevkovskogo apparatus, bus Mirzoyeva and other devices for months. If a 5 - 6 month reduction is not reached, go to therapy in a hospital, where the reduction is accomplished by dislocation DC traction. The same tactic is used and belated detection of congenital dislocation of the hip (from the end of the first six months of life to 2 - 2, 5 years). Pre-stretching of the facial skin produced by adhesive bandages (zinc-gelatine paste) or plaster. The kid is placed on a board across the bed. Attached to the bed longitudinally arc form frame, fitted with blocks. Extension is made within 22 - 20 days vertically (the so-called overhead) with a cargo of 2 - 3 kg. If spontaneous repositioning in these cases does not, then it is performed by hand, without the must for anesthesia. With no capacity on additionally medical therapy is discarded. Later the reduction is normally a plaster bandage at 1, 5 - 2 months without fixing the knee in the position of the Lorenz I (flexion at the hip joint at an angle of 90 and full breeding hips). Then bandage type Volkova or stirrups Pavlik Gnevkovskogo apparatus, bus Gizycko - Volkov Mirzoyeva and others, and in their absence - bandage-spreader, a gypsum liner imposed on bent knees and held together with a spacer in the position of the feet abduction and internal rotation (position Lange), who after 1, 5 - 2 m. To do the swap. During this period, the patient gets a massage gluteal muscles, physiotherapy. Dressings and tires removed during class physical treatment, physiotherapy and massage. At 1, 5 - 2 months to put on only for the duration of sleep. The baby is allowed to ride a bicycle with pedals apart, giving the position of hip abduction while driving. Walking is allowed later 8 - 12 months after medication in the absence of phenomena dystrophy in the femoral head. Normalization of hip dysplasia with early treatment is for 3 - 6 months, 95 - 88% of babies. Gained in recent years experience in the medication of congenital dislocation of the hip demonstrated the ability to recover the form and function of the joint is almost 90% of babies in the first m. Of life. The apply of functional methods of reduction, especially by transdermal continuous traction, showed a significant reduction in complications compared with simultaneous reduction under general anesthesia, which in any case must not be used. It is not appropriate to apply for the therapy of big hip dislocation in children older than one year stirrups Pavlik, various bus and instruments that do not provide traction on the axis, how in these cases, the head is constantly under pressure from the iliac bone, which often leads to its deformation, lost time, favorable for the reduction. Unsuccessful outcomes reduction, usually associated with the age of the patient, severity of disease (children aged 2 - 3 years, initially high dislocation of the hip, excessive anteversion and valgus neck, spastic and artrogripoznye sprains, etc.), as well as to a defect treatment. Especially harmful repeated reduction and forcible reduction under anesthesia. Patients with congenital dislocation of the hip after the age of the year is divided into the following groups: small children who did not have any treatment, unsuccessfully treated with various methods, and little ones with residual subluxation and degeneration or their consequences later a bloodless reduction. All these children require especial medication and individual therapy choice. Nevpravimye sprains should be subjected to surgical treatment and not to be subjected to test all known methods of closed reduction. For the current trends in the therapy of congenital dislocation of the hip is characterized by failure in severe cases of obviously doomed to failure attempts at closed reduction of operational benefits, moreover how the rejection of repeated reduction, combination and bloodless operative medication methods. In babies up to 3 years to conduct a mild reduction by traction, short-term immobilization (4 - 8 sennight), functional therapy, and follow the additional surgery to remove residual defects of the joint.

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birth, child, infant worry, kid worry, mama, mamma, worry