Uyini isifo umehluko Perthes ezinganeni?

isifo Perthes ezinganeni kusho leso sifo lapho kukhona ukuphazamiseka kwesikhashana kwegazi ithambo femoral. Ngemva ukungabi khona kahle ukugeleza kwegazi, izicubu abhubhisa ikhanda femoral (sithambile futhi uqwanga). Ngokusho kochwepheshe, Perthes isifo kwenzeka ezinganeni ezineminyaka esuka ezine kuya eminyakeni engaba ngu-10. Kuyaphawuleka ukuthi lesi sifo sitholakale umuntu abafana imayelana kahlanu kaningi, ngokusho kwemibiko.

Perthes isifo. izizathu

Ngeshwa, ngalesi engaziwa khona ngezinto kweqiniso ukuthi kungaholela ekwakhiweni kwalesi sifo. Abanye odokotela bathi bonke iphutha imikhuhlane njalo futhi ukulimala. Futhi, kukhona ulwazi isizathu itholakala dislocation azalwa naso, kodwa ngokusho kwemibiko, eyodwa kuphela sehlo ngamunye million kungenzeka.

izimpawu

Ngokuvamile, seziguli ezisencane esekhala ubuhlungu emalungeni hip. Qaphela ukuthi ukuqaleka uveta imvamisa iphansana. Ngakho izikhala kungaba lisukela izinsuku ezimbalwa kwezinyanga ezimbalwa. isifo Perthes 'ezinganeni engaveza njengoba ubuhlungu kwezinye izingxenye zomzimba, okuyilezi, imbilapho kanye gluteal izindawo. Lapho ushayela kaningi kunalokho buyathuthuka.

ukuhlola

isifo Perthes 'ezinganeni singakwazi ukubona abaqeqeshiwe kuphela emva kokuxilongwa ezengeziwe. Ngokwesibonelo, seziguli ezisencane babelwe-X-ray of the joint hip. Kakade ngokuhamba ukuphathwa kuhlelwe, ngemva isiqinisekiso uphethwe, kungase kudingeke izithombe ezimbalwa ukuze ukucacisa kahle zakhe isithombe esiphelele lesi sifo.

Perthes isifo. esigabeni

Okwamanje, odokotela ukuhlukanisa kunemibandela izigaba ezine yalesi sifo:

• 1st Stage. Kulokhu, isiguli alazi mayelana izifo zabo. Lolu shintsho e isakhiwo ithambo kwi encane ebonakala ngesibonakhulu kuyinto cishe akunakwenzeka ukuthola ukuthi izindlela main zokuxilonga. Ngokungaguquguquki kukhulisa okuthiwa osteonecrosis subchondral.
• Isinyathelo 2. Kukhona umuzwa ukungakhululeki, futhi ubuhlungu kancane endaweni hip. Bese kuba khona Impression ukwa. Zone izinguquko ezihlelekile etholakalayo, ngokusho kongoti, ezisukela 10 kuya ku-30%.
• Isinyathelo 3rd. Isiguli uqala esekhala ubuhlungu lapho ezihambayo, abangahambi ithule. Lokhu nesigaba lesi sifo, ngokuvamile kunqunywa ukuma bokungafani ikhanda femoral. isikhala Interarticular ikhulisa noma, Ngakolunye uhlangothi, zincipha.
• esigabeni 4. Joint cishe elingenalo ukusebenza walo, wezwa ubuhlungu njalo. Inhloko okwamanje libhujiswa ngokuphelele, kukhona dislocation noma subluxation. Kulokhu, esifundeni kuchazwe imingcele izinguquko ezihlelekile kusuka 50 kuya 80%.

ukwelashwa

Uma radiograph esifubeni yabonisa ezincane izimpawu zesifo, kunikezelwe observation unomphela ingane. Kungenjalo, ne izimpawu ezisobala kakhulu lesi sifo, ukusebenzisa ezinye izindlela zokwelapha izici.

ukwelashwa nonsurgical

Ukuze wehlise ubuhlungu nobuhlungu ngqo izingane hip kuyabekwa izidakamizwa nonsteroidal eqeda ukuvuvukala (isibonelo, "ibuprofen"). Isimiso ukwelashwa kulokhu encike ngqo kwi ukushuba izicubu ukukhanda. Ngaphezu kwalokho, Yiqiniso inikezwa yokwelapha ezikhethekile ezingokomzimba, umsebenzi Kunconywa ukwenza kuze kube ikhambi eliphelele. Lapho okuqhubekayo ukusonteka babelwe usimende ngebhandeshi olukwaziyo ubambe ikhanda femoral ngaphakathi acetabulum kangaka okuthiwa.

ukwelashwa kuhlinzwa

Ukusebenza ikuvumela ukubuyisa ngokugcwele indawo wayefisa wonke amathambo emalungeni hip uqobo. Ngakho, kulesi simo, inhloko ithambo ihamba ngaphakathi ngenhla le acetabulum. Lesi sikhundla iqinile esebenzisa imishudo akhethekile amapuleti, okuyinto emva kwesikhathi esithize ziyasuswa ngokuphelele. Inqubo nokuvuselelwa luncike ekuphumeleleni kwalo msebenzi.