Isifo sesifo siyisifo apho igazi linikezela khona, elibangela ukuba i-necrosis engeyiyo isifo. Akuchaphazeli nje kuphela izicubu zethambo, kodwa zidibanisa, iinqanawa kunye neentsholongwane. Esi sifo, eqinisweni, sinye yeendlela eziqhelekileyo ze-osteochondropathy.
Izifo - izizathu
Kuza kubekho namhlanje, akukho nto enye ebangela ukuba kuvele eso sifo. Iingcali zikholelwa ukuba le yi-polyethological pathology. I-necrosis ye-Aseptic yentloko ye-femur iyenzeka ukuba kukho i-inheritance factor to the development of such a disease. Ukongezelela, esi sifo sifumaneka ukuba kukho ukuphazamiseka kwiinkqubo zokuxilonga emzimbeni kunye nempembelelo yezinto ezimbi ezivela ngaphandle.
Indlela eyenza i-Legg-Calve-Perthes isifo kubantwana ithathwa njengezinto ezinjalo:
- ukuphulwa kweenkqubo zetekisi, kubandakanywa amaminerali, athatha inxaxheba kwi-bone formation;
- umonakalo womatshini (ukutyumza, ukunweba kunye nokunye);
- Izibilini zivela kwiintloko ze-hip kwii-microbial okanye izifo zentsholongwane;
- ukungaphumeleli kwe-hormonal ebusheni.
Esi sifo sichaphazela phakathi kweminyaka engama-3 no-12. Ngamakhwenkwe, isifo sifumaneka ngamaxesha amahlanu ngokuphindaphindiweyo kunamantombazana. Abantu abalandelayo basengozini enkulu:
- zeleka;
- buthathaka (edla ngokugula);
- ababhemayo (abantwana abazali babo banalo mkhuba omubi);
- nokungondleki.
Isifo se-Perthes kubantwana - iimpawu
Ngokusoloko isifo sifana nokutshatyalaliswa komntu omnye, kwaye kaninzi kangako - kunye namazwe ngamazwe. Kwinqanaba lokuqala lesi sifo sinobuchule. Ukongezelela, Isifo se-Perthes kubantwana singahamba kunye neempawu ezilandelayo:
- baqhwala;
- ukuvakalelwa okubuhlungu xa kuhamba;
- ubuthathaka bemizimba;
- ukuvuvukala kumalungu;
- khulisa;
- izinga lentliziyo elinciphileyo;
- ukuxubha kweenyawo;
- ukuphula umthetho.
Izigaba zesifo sePerthes
Esi sifo simelelwe ngamanyathelo amahlanu. I-necrosis ye-Aseptic yentloko ye-femur, enezigaba ezinempawu zayo, ichazwa ngale ndlela:
- Ifom ye-latent - iintlungu ezincinci kwintsimi ye-hip joints, ukukhawuleza ngezikhathi ezithile.
- Isiteyimu sokunyusa - kukho ukunciphisa umlenze.
- Isigaba sokuqhekeka - intloko ye-hip iyaba yicala, kwaye amathambo amathambo aqala ukuchithwa.
- Isiteji sokubuyisela - ukutshintshwa kweethambo ezisisigxina.
- Ifom yokugqibela - ukususwa kwezicubu ezinxibelelwano zenzeka. Ukuhamba kulahlekile.
Iingxaki zezifo - ukuxilongwa
Ngaphambi kokuba uqale ukunyanga eso sifo, kufuneka ufumane uvavanyo olupheleleyo. Isekelwe ekuhloleni kwe-X-ray ye-joint hip echaphazelekayo. Le nkqubo ikuvumela ukuba ufumanise umgangatho we-deformation kwaye uqinisekise ngokuchanekileyo isigaba sesilonda. Ukuba ukuxilongwa kokuqala kwe-aseptic necrosis yentloko ye-femur, kuyinqweneleka ukwenza i-x-ray kwiziqendu ezininzi. Oku kuya kuvumela ugqirha ukuba afumane ulwazi olupheleleyo malunga nommandla ochaphazelekayo.
Ezi zilandelayo zifundo zikunceda ukuxilonga isifo sePhethe:
- CT;
- i-arthroscopy;
- Ultrasound.
I-Perthes isifo kubantwana - unyango
Ngaphantsi kohlengahlengiso lwentloko ye-hip, kulula ukuyifumana. I-Perthes sifo, unyango lwawo lufuna indlela edibeneyo, ayipheli ngokukhubazeka. Ulwaphulo lunikela injongo - ukugcina umlo weentloko ze-tibia. Umntwana unako ukuhamba ngekhondo lokuphila kakuhle ekhaya, esibhedlele okanye kwindawo yokuhlalisa. Ukuba i-aseptic necrosis yekhanda lentloko yesifo se-femoral ifunyaniswa, unyango lumelelwe ngolu hlobo:
- ukugqiba ukukhulula ukuphumla kokulala, ukuhamba kwintonga;
- ukugqoka izicathulo zamathambo;
- ukuphumla kwiibhedi ezizodwa;
- kwindlela yokwenza udaka.
Ukongezelela, isifo sika-Perthe nesifo sokuqhaqhaqatha esiqatha sinikezela ngamachiza alandelayo:
- iziyobisi eziphucula ukuhamba kwegazi (Trental, Pentoxifylline);
- iimveliso zonyango kunye nesenzo sokuvuselela (Wobenzym, Methyluracil);
- izidakamizwa ezingekho-steroid ezichasayo (Ibufen, Neurofen);
- izithako ze-biological (active vitamins A, D kunye ne calcium ).
Ukuhlawula ngesifo sePerthes
Ubuncedo balo mgaqo kunzima ukugqithisa. Ukusilalisa kuneempembelelo ezilandelayo:
- unikeza isimo esifanelekileyo kwimisipha;
- ukwandisa ukuhamba kwegazi kumathambo aphihliweyo;
- iyaqhelanisa iinkqubo zeendlela ezichaphazelekayo.
Isifo se-Perthes kubantwana sichaza ukwenza ukusilalisa okunjalo:
- ukubetha ummandla oqhayisayo;
- ukucinywa, kwenziwa ngasentla kwentendelezo;
- ukuxolela izihlunu.
Ngethuba le nkqubo, umntwana unokulala ngecala, isisu okanye umva. Ufanele ukhulule izihlunu kangangoko kunokwenzeka. Ukuba i-osteochondropathy yentloko yesibini ihamba neentlungu ezinzima, zonke iindlela zokuxubusha kufuneka zenziwe lula. Uxinzelelo okanye ezinye iindlela ezinzulu kule meko azamkelekanga. Umntwana akufanele ahlaziye.
I-Perthes isifo - i-LFK
Injongo ephambili yokuzivocavoca okunjalo kukukhawulezisa inkqubo yokubuyisela. Ezi zibonisa uncedo lokubuyisela ithoni yomzimba. Ukongezelela, zinefuthe elihle kwiimeko zesimo sengqondo somguli, nto leyo leyo inegalelo kwinkqubo yokubuyisela. Ukuba i-osteochondropathy yekhanda lentloko kubantwana ifunyaniswa kwisigaba sokuqala, ukusebenzisa unyango kukhuthazwa iinyanga ezi-2-3. Ngendlela ephumayo yokugula, kuthatha iminyaka eyi-1.5-2.
Isifo se-Leggy-Calve-Perthes asibandakanyi oku kulandelayo:
- Ukuhlahlela;
- i sikwere;
- ukuphakamisa izisindo;
- uhamba ngeendlela ezide.
Iintlawulo zesifo
Ukuba unyango olulondolozayo aluphumelelanga, ugqirha unokucebisa uncedo lokuphaphaza. Ukusebenza kwenziwa ngeli nqanaba elide lesi sifo. Yenzelwe kuphela loo gulane efikelele kwiminyaka emithandathu. Ukuba ngenxa yokukhubazeka ukunciphisa imisipha yabonakala, ngexesha lokusebenza umxube obonakalisiweyo ubuyiselwa kwindawo yawo yokuqala. Ukuyilungisa, i-plaster cast is used. Isigulane sifuna ukusigqoka iiveki ezi-4-8. Ngeli xesha, umdibaniselwano "usetyenziswa" kwindawo yawo.
Nangona xa i-Legg-Calvet-Perthes isifo, iigulane kufuneka ziyeke ukulayisha izihlanganisi zomlenze. Ukongeza, kufuneka ukhuphe ngaphandle kokuhlala ixesha elide kwiinyawo zakho. Ngexesha lokuvuselela kwaye emva kwalo, imisebenzi enjalo ivumelekile:
- ukuhamba ngebhayisiki;
- gymnastics yokwelapha;
- kubhukuda.
Iziphumo zesifo - iziphumo
Ukuba i-pathology ifunyenwe kwinqanaba lokuqala kwaye unyango luqaliswa ngexesha, isifo sinokutshatyalaliswa ngokupheleleyo. Ngefomu ehoywa, ukugula kukukhokelela ekukhubazekeni. I-necrosis ye-Aseptic yentloko ye-femour kubantwana ifumaneke nemiphumo elandelayo:
- osteoarthritis;
- ukuphulwa komthetho;
- utyeshela ubomi;
- hypotrophy muscle.