Kodi Legg-Calvé-Perthes matenda ndi momwe angachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe mungadziwire
• Momwe mankhwalawa amachitikira
• Ana mpaka zaka 4
• Zaka zoposa 4

Matenda a Legg-Calvé-Perthes, omwe amatchedwanso matenda a Perthes, ndi matenda osowa kwambiri omwe amapezeka kwambiri mwa ana achimuna azaka zapakati pa 4 ndi 8 omwe amadziwika ndi kuchepa kwa magazi m'chiuno mwanayo akukula, makamaka pamalo pomwe mafupa amalumikizana ndi mutu wa fupa la mwendo, chikazi.

Matenda a Legg-Calvé-Perthes amadziyimira pawokha, chifukwa fupa limadzichiritsa lokha pakapita nthawi chifukwa chobwezeretsa magazi, koma limatha kusiya sequelae. Mulimonsemo, nkofunika kuti matendawa apangidwe msanga kuti apewe kufooka kwa mafupa ndikuwonjezera chiopsezo cha nyamakazi m'chiwopsezo atakula.

Zizindikiro zazikulu

Zizindikiro zodziwika kwambiri za matenda a Legg-Calvé-Perthes ndi awa:

• Kuvuta kuyenda;
• Kupweteka kwanthawi zonse m'chiuno, komwe kumatha kubweretsa kulemala;
• Zowawa zowawa komanso zopweteka zimatha kupezeka, koma izi ndizochepa, zomwe zimapangitsa kuti matendawa azikhala ovuta.
• Zovuta kusuntha mwendo;
• Kuyenda kocheperako ndi mwendo.

Nthaŵi zambiri, zizindikirozi zimangokhudza mwendo umodzi ndi mbali imodzi ya mchiuno, koma pali ana ena omwe matendawa amatha kuwonekera mbali zonse ziwiri, chifukwa chake, zizindikilo zimatha kuoneka pamapazi onse awiri, kutchedwa mbali ziwiri.

Momwe mungadziwire

Kuphatikiza pakuwunika zomwe mwana ali nazo komanso mbiri yake, adotolo amathanso kuyika mwanayo m'malo osiyanasiyana kuti ayesetse kumvetsetsa nthawi yomwe ululuwo ndiwovuta kwambiri motero kuti adziwe chomwe chimayambitsa kupweteka kwa m'chiuno.

Mayeso omwe amafunsidwa ndi radiography, ultrasound ndi scintigraphy. Kuphatikiza apo, kujambula kwa maginito kumatha kuchitidwa kuti kusiyanitsa kwa matenda opatsirana a synovitis, mafupa a chifuwa chachikulu, matenda opatsirana kapena nyamakazi, zotupa m'mafupa, epiphyseal dysplasia, hypothyroidism ndi matenda a Gaucher.

Momwe mankhwalawa amachitikira

Cholinga chachikulu cha mankhwalawa ndikuti chiuno chizikhala chokhazikika komanso kuti ziziyenda bwino nthawi yonse yamatendawa kuti zisawonongeke m'chiuno.

Matendawa amadziwika kuti ndi odziletsa, amangochita zokha. Komabe, ndikofunikira kuti wamankhwala awonetse kuchepa kapena kuchotsedwa kwa wodwalayo pazoyeserera m'chiuno ndikuchita zotsatirazi. Kuyenda mozungulira, ndikulimbikitsidwa kuti munthuyo agwiritse ndodo kapena lanyard, chomwe ndi chida cha mafupa chomwe chimagwira chiwalo chakumunsi chomwe chakhudzidwa, kuti bondo lisinthike pogwiritsa ntchito lamba womangika m'chiuno ndi akakolo.

Physiotherapy imawonetsedwa nthawi yonse yothana ndi matenda a Legg-Calvé-Perthes, ndimagawo olimbikitsira kuyenda kwa mwendo, kuchepetsa ululu, kupewa kupindika kwa minofu ndikupewa kuchepa kwa mayendedwe. Pazovuta kwambiri, pakakhala kusintha kwakukulu mu femur, opaleshoni ingalimbikitsidwe.

Chithandizo chimatha kusiyanasiyana kutengera msinkhu wa mwana, kuchuluka kwa kuwonongeka kwa mutu wa femur ndi gawo la matendawa nthawi yodziwika. Ngati pali kusintha kwakukulu m'chiuno ndi mutu wa chikazi, ndikofunikira kwambiri kuti mankhwala ena ayambike kupewa mavuto atakula.

Chifukwa chake, chithandizo cha matenda a Legg-Calvé-Perthes atha kugawidwa motere:

Ana mpaka zaka 4

Asanakwanitse zaka 4, mafupawo amakhala mgulu lokula ndikukula, kotero kuti nthawi zambiri amasintha kukhala achilengedwe popanda chithandizo chilichonse.

Munthawi zamankhwala izi, ndikofunikira kuyankhulana pafupipafupi ndi dokotala wa ana komanso ndi dokotala wa mafupa a ana kuti muwone ngati fupa likuchira bwino kapena ngati likuwonjezeka, ndikofunikira kuti muwunikenso mtundu wa mankhwala.

Zinthu zina zimatha kukhudza zotsatira zomaliza za chithandizocho, monga kugonana, zaka zomwe adapezeka ndi matendawa, kukula kwa matendawa, nthawi yamankhwala amayamba, kulemera kwa thupi komanso ngati pali kuyenda mchiuno.

Zaka zoposa 4

Nthawi zambiri, pambuyo pa zaka 4 mafupa amakhala atakula kale ndipo ali ndi mawonekedwe omaliza. Pakadali pano, dokotala wa ana amalimbikitsa kuchitidwa opareshoni kuti musinthe cholumikizira kapena kuchotsa fupa lowonjezera lomwe lingakhalepo pamutu pa chikazi, chifukwa cha zipsera zomwe zidasweka, mwachitsanzo.

Kuphatikiza apo, pamavuto ovuta kwambiri, momwe munali kupunduka, pangafunike kusintha cholumikizira mchiuno ndi bandala, kuti athane ndi vutoli ndikulola mwanayo kukula bwino ndikukhala ndi moyo wabwino. .