Isifo seLegg-Calve-Perthes

Isifo seLegg-Calve-Perthes senzeka lapho ibhola lethambo lethanga enqulwini lingatholi igazi elanele, okwenza ukuthi ithambo life.

Isifo seLegg-Calve-Perthes ngokuvamile senzeka kubafana abaneminyaka engu-4 kuye kwengu-10 ubudala. Kunemibono eminingi mayelana nembangela yalesi sifo, kepha kuncane okwaziwayo.

Ngaphandle kwegazi elanele endaweni, ithambo liyafa. Ibhola lesinqe liyawa futhi libe yicaba. Imvamisa, kuthinteka inyonga eyodwa kuphela, yize ingenzeka ezinhlangothini zombili.

Ukunikezwa kwegazi kubuya ngaphezu kwezinyanga ezimbalwa, kuletha amangqamuzana amasha amathambo. Amaseli amasha kancane kancane angena esikhundleni sethambo elifile ngaphezu kweminyaka emibili kuya kwengu-3.

Uphawu lokuqala luvame ukuxhuga, okuvame ukuthi kungabi buhlungu. Kwesinye isikhathi kungahle kube nobuhlungu obuncane obuza futhi budlule.

Ezinye izimpawu zingafaka:

• Ukuqina kwe-Hip okunciphisa umkhawulo wokunyakaza kwe-hip
• Ubuhlungu emadolweni
• Ububanzi obunomkhawulo bokunyakaza
• Ubuhlungu bamathanga noma obuhlungu obungapheli
• Ukunciphisa umlenze, noma imilenze yobude obungalingani
• Ukulahleka kwemisipha ethangeni eliphezulu

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wezokunakekelwa kwempilo uzobheka ukulahleka kokunyakaza kwe-hip kanye nokuxhuga okujwayelekile. I-x x ray noma i-pelvis x-ray ingakhombisa izimpawu zesifo seLegg-Calve-Perthes. Kungadingeka i-MRI scan.

Umgomo wokwelashwa ukugcina ibhola lethambo lethanga ngaphakathi kwesokhethi. Umhlinzeki angabiza lokhu okuqukethwe. Isizathu sokwenza lokhu ukuqinisekisa ukuthi inyonga iyaqhubeka nokuba nobubanzi obuhle bokunyakaza.

Uhlelo lokwelashwa lungahle lubandakanye:

• Isikhathi esifushane sokuphumula kombhede ukusiza ngobuhlungu obukhulu
• Ukunciphisa inani lesisindo elibekwe emlenzeni ngokukhawulela imisebenzi efana nokugijima
• Ukwelashwa ngokomzimba ukusiza ukugcina izicubu zomlenze nezinyonga ziqinile
• Ukuthatha umuthi olwa nokuvuvukala, njenge-ibuprofen, ukuqeda ukuqina kwelungu le-hip
• Ukugqoka ukhonkolo noma umkaki wokusiza ukusiza ngokuqukethwe
• Kusetshenziswa izinduku noma isihambahamba

Ukuhlinzwa kungadingeka uma ezinye izindlela zokwelapha zingasebenzi. Izindlela zokuhlinza zisuka ekwandiseni imisipha ye-groin ziye ekuhlinzweni okukhulu kwe-hip, okubizwa nge-osteotomy, ukubumba kabusha i-pelvis. Uhlobo oluqondile lokuhlinzwa luxhomeke ebucayi benkinga kanye nokuma kwebhola lejoyinti le-hip.

Kubalulekile ukuthi ingane ivakashelwe njalo ngumhlinzeki kanye nochwepheshe wamathambo.

I-Outlook incike eminyakeni yobudala bengane nobukhulu besifo.

Izingane ezineminyaka engaphansi kwengu-6 ezithola ukwelashwa zinamathuba amaningi okuthi zigcine ngokuhlangana okujwayelekile kwe-hip. Izingane ezineminyaka engaphezu kwengu-6 zinamathuba amaningi okuthi zigcine ngokuhlangana okhalweni okhubazekile, yize zelashwa, futhi kamuva zingakhula nesifo sokuqaqamba kwamalunga kulelojoyinti.

Shayela i-aphoyintimenti nomhlinzeki wakho uma ingane iba nezimpawu zalesi sifo.

Coxa plana; Isifo sePerthes

• Ukunikezwa kwegazi emathanjeni

ICanale ST. I-Osteochondrosis noma i-epiphysitis nezinye izinto ezihlukile. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 32.

UDeeney VF, u-Arnold J. Orthopedics. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.