Kodi kusiyana Perthes matenda ana?

matenda Perthes ana umakhala ndi matenda ngati imene pali chisokonezo zosakhalitsa kotunga magazi kwa fupa femoral. Pambuyo pakalibe otaya yoyenera magazi, minofu anawononga femoral mutu (chofewa ngati siponji ndipo chichereŵechereŵe). Malinga ndi akatswiri, matenda Perthes amapezeka ana a zaka kuchokera anayi pafupifupi zaka 10. N'zochititsa chidwi kuti matenda matenda anyamata ndi za kasanu zambiri, malinga ndi lipoti.

Perthes matenda. zifukwa

Mwatsoka, pa osadziwika pano kuti mfundo zoona chopatsa chitukuko cha matenda. Madokotala ena amanena kuti vuto onse a chimfine pafupipafupi ndi kuvulala. Komanso, pali zambiri kuti chifukwa lagona dislocation kobadwa nako, koma malinga ndi lipoti imodzi yokha ngati chochitika pa miliyoni zotheka.

zizindikiro

Nthawi zambiri achinyamata amene akudwala amadandaula kuwawa mu ntchafu olowa. Onani kuti azunzike umakhala pafupipafupi wotsika. Choncho mipata angathe osiyanasiyana monga masiku angapo miyezi ingapo. matenda Perthes 'ana angasonyeze ngati ululu mbali zina za thupi, ndicho mu groin ndi gluteal malo. Pamene galimoto zambiri kuposa kumatheka.

diagnostics

matenda Perthes 'ana akhoza kudziwa oyenerera pokhapokha mndandanda wa mayesero zina. Mwachitsanzo, achinyamata amene akudwala anatumizidwa X-ray a m'chiuno olowa. Kale mu njira ya mankhwala anakonza, pambuyo chitsimikiziro cha matenda, mungafunike angapo zithunzi kudziwa chithunzi thunzi chokwanira cha matenda.

Perthes matenda. siteji

Pa nthawi, madokotala kusiyanitsa salembedwa magawo anayi a matenda:

• 1 Gawo. Pankhaniyi, wodwalayo sadziwa za matenda awo. Kusinthaku mu dongosolo fupa pamlingo tosaoneka ndi sizingatheke kudziwa waukulu njira yodziwira. Zonse akufotokozera otchedwa subchondral osteonecrosis.
• 2 sitepe. Pali kumverera mavuto ndi zopweteka pang'ono m'dera m'chiuno. Ndiye pali Amakuonerani wovulala. Zone zilipo kusintha structural, malinga ndi akatswiri, kuyambira 10 mpaka 30%.
• 3 sitepe. Wodwala wayamba amadandaula ululu pamene akusuntha, sapita matalala. Mbali imeneyi ya matenda, ambiri anatsimikiza ndi unevenness mawonekedwe a mutu femoral. danga Interarticular zambiri kapena, Tikawonetsetsa m'mbuyo.
• 4 gawo. Olowa pafupifupi wopanda magwiridwe ake, anamva kupweteka m'thupi. Mutu pa mfundo imeneyi inawonongedwa, pali dislocation kapena subluxation. Pankhaniyi, dera chimafotokozera malire a kusintha structural 50 80%.

chithandizo

Ngati chifuwa radiograph anasonyeza zazing'ono zizindikiro za matenda, izo akapatsidwa ndi maganizo okhazikika mwanayo. Apo ayi, ndi zizindikiro zoonekeratu matenda, ntchito zina njira ya mankhwala.

chithandizo nonsurgical

Kuchepetsa ululu komanso ululu mwachindunji mu ntchafu ana ali Kwalamulidwa nonsteroidal odana ndi yotupa mankhwala (mwachitsanzo, "Ibuprofen"). Mankhwalawa kamwedwe Pankhaniyi mwachindunji amadalira mphamvu ya minofu kukonza. Komanso, Inde ulipo wapadera mankhwala thupi thupi tikulimbikitsidwa kuchita kuti mankhwala wathunthu. Pamene mwapang'onopang'ono mapindikidwe anatumizidwa pulasitala bandeji chimene chingathe atagwira mutu femoral mu acetabulum wotchedwa.

chithandizo opaleshoni

opaleshoni amalola kuti abwezeretse kwathunthu malo Napempha kwa mafupa onse m'chiuno olowa yokha. Choncho, mu nkhani iyi, ndi fupa mutu amasuntha inwards pamwamba acetabulum lapansi. Zimenezi chili mwa akapichi wapadera ndi mbale, amene pambuyo nthawi zina kwathunthu kuchotsedwa. The ndondomeko konzanso amadalira bwino ntchito.