Yintoni isifo umahluko Perthes ebantwaneni?

isifo Perthes kubantwana ithetha sifo apho kukho ukuphazamiseka ethutyana igazi ukuya ithambo femoral. Emva kokuba ukungabikho yokumpompoza kwegazi olufanelekileyo, izicwili wabatshabalalisa intloko femoral (nomsi- kunye intlala). Ngokutsho kweengcali, isifo Perthes kwenzeka abantwana abaneminyaka ukusuka ezine ukuya kwiminyaka emalunga ne-10. Kuyaphawuleka ukuba esi sifo banesifo emakhwenkweni lumalunga izihlandlo ezihlanu rhoqo, njengoko iingxelo.

isifo Perthes. izizathu

Ngelishwa, xa engaziwayo nizise imiba oyinyaniso ezikhokelela kuphuhliso kwesi sifo. Abanye oogqirha bathi lonke nandzu njengomkhuhlane rhoqo kunye nokwenzakala. Kwakhona, kukho ulwazi isizathu ubuxoki dislocation enaso, kodwa ngokutsho iingxelo, kuphela isiganeko lowo million ngalinye kunokwenzeka.

iimpawu

Kaninzi, izigulane abaselula ezikhala intlungu joint hip. Qaphela ukuba ukuqaleka liba njalo kakhulu. Ngoko izikhewu ekungabonini ukusuka kwiintsuku ezimbalwa ukuya ezimbalwa kweenyanga. isifo Perthes 'ebantwaneni ngazo njengoko intlungu kwamanye amalungu omzimba, oko kukuthi, kwimimandla nasemiphakathweni kunye gluteal. Xa uqhuba kaninzi ngaphezu kokuba kwandiswa.

ekuxilongweni

isifo Perthes 'yabantwana ukuchonga abaqeqeshiweyo kuphela emva uthotho lweemvavanyo ezongezelelweyo. Umzekelo, izigulane abaselula eyabelwe X-ray welungu kasikrobana. Sele ngethuba unyango olucwangcisiweyo, emva kokuqinisekiswa kwesifo, ungafuna imifanekiso embalwa ngakumbi ukumisela umfanekiso opheleleyo sifo.

isifo Perthes. isigaba

Okwangoku, oogqirha bahlule kwemiqathango izigaba ezine kule sifo:

• 1 Inqanaba. Kulo mzekelo, isigulana alazi malunga nesifo zabo. Olu tshintsho kwi amathambo kwisikali ngemikroskopu cishe kungenakwenzeka ukuba ukujonga iindlela eziphambili diagnostic. Buhlala phambili-ebizwa ngokuba osteonecrosis subchondral.
• inyathelo lesi-2. Kukho imvakalelo ukungakhululeki, kunye neentlungu kancinane kwindawo hip. Ngoko kukho yokuvelayo zaphuka. Zone utshintsho ezikhoyo kwisakhiwo, ngokutsho kwiingcali, ukusuka-10 ukuya kuma-30%.
• inyathelo 3. Isigulane iqala ukukhalaza intlungu xa uhambisa, oko musa ukuya aleleyo. Eli nqanaba esi sifo, jikelele kumiselwa imilo angalinganiyo lwentloko femoral. indawo Interarticular uyakhula okanye, icala, lincipha.
• Isigaba 4. Ilunga phantse akanalo ukusebenza kwayo, waziva ubuhlungu. Intloko kule ngongoma ibhuqiwe ngokupheleleyo, kukho dislocation okanye subluxation. Kulo mzekelo, indawo echazwa yi imida utshintsho kwisakhiwo ukususela kuma-50 ukuya kuma-80%.

unyango

Ukuba radiograph esifubeni wabonisa ezincinane kweempawu zesi sifo, kuya yabelwe waphawula isigxina umntwana. Kungenjalo, kunye iimpawu zesi sifo, sebenzisa ezinye iindlela unyango.

unyango ahlinzwe

Ukunciphisa ukungaphatheki kunye neentlungu ngqo kwi amatakane hip ezimiselweyo amachiza nonsteroidal anti-ukudumba (umzekelo, "ibuprofen"). Irejimeni yonyango kulo mzekelo kuxhomekeke ngqo kwi ngobunzulu ukulungiswa kwithishyu. Ukongeza, le khosi unikwe unyango ekhethekileyo emzimbeni, umthambo Kucetyiswa ukuba enze ukuya lunyango epheleleyo. Xa phambili deformation eyabelwe ukutyabeka umhlabelo ezinako engabambe yona iNtloko femoral ngaphakathi acetabulum ukuze ngokuba.

unyango ngotyando

Umsebenzi ikuvumela ukuba ubuyisele ngokupheleleyo indawo ezinqwenelekayo onke amathambo kwi hip joint ngokwayo. Ngoko ke, kulo mzekelo, intloko ithambo ihambisa ngaphakathi ngaphezu kwe acetabulum. Esi sikhundla omiswe ngendlela nezitshixo ezizodwa kunye amacwecwe, emva kwexesha elithile kususwe ngokupheleleyo. Kwinkqubo yokubuyisela kwisimo kuxhomekeke impumelelo nokusebenza.