Siyini isifo seLegg-Calvé-Perthes nokuthi siselashwa kanjani

-Delile

• Izimpawu eziyinhloko
• Ungayixilonga kanjani
• Yelashwa kanjani
• Izingane kuze kube yiminyaka engu-4
• Iminyaka engaphezu kwengu-4

Isifo iLegg-Calvé-Perthes, esibizwa nangokuthi isifo sePerthes, yisifo esingajwayelekile esivame kakhulu ezinganeni zesilisa ezineminyaka ephakathi kuka-4 no-8 esibonakala ngokuncipha kokugeleza kwegazi esifundeni sesinqe ngesikhathi sokukhula kwengane, ikakhulu endaweni lapho amathambo exhuma khona inhloko yethambo lomlenze, i-femur.

Isifo seLegg-Calvé-Perthes siyazikhawulela, njengoba ithambo liziphilisa ngokuhamba kwesikhathi ngenxa yokubuyiselwa kokugeleza kwegazi lasendaweni, kepha lingashiya i-sequelae. Kunoma ikuphi, kubalulekile ukuthi ukuxilongwa kwenziwe kusenesikhathi ukugwema ukukhubazeka kwamathambo futhi kwandise ubungozi bokuqaqamba kwamathambo lapho usumdala.

Izimpawu eziyinhloko

Izimpawu eziphawuleka kakhulu zesifo iLegg-Calvé-Perthes yilezi:

• Kunzima ukuhamba;
• Ubuhlungu be-hip njalo, obungaholela ekukhubazekeni komzimba;
• Ubuhlungu obunzima nobunzima bungaba khona, kepha lokhu akuvamile, okwenza ukuxilongwa kusenesikhathi kube nzima.
• Kunzima ukuhambisa umlenze;
• Ububanzi obunomkhawulo bokunyakaza ngomlenze.

Ezimweni eziningi, lezi zimpawu zithinta kuphela umlenze owodwa nohlangothi olulodwa lwesinqe, kepha kunezingane ezithile lapho lesi sifo singaveza khona ezinhlangothini zombili, ngakho-ke, izimpawu zingavela emilenzeni yomibili, zibizwa ngokuthi zingamazwe amabili.

Ungayixilonga kanjani

Ngaphezu kokuhlola izimpawu nomlando wengane, udokotela wezingane angabeka ingane nasezikhundleni ezahlukahlukene ukuze izame ukuqonda ukuthi ubuhlungu bukhulu kangakanani futhi ngaleyo ndlela ithole imbangela yobuhlungu be-hip.

Izivivinyo ezivame ukucelwa i-radiography, i-ultrasound kanye ne-scintigraphy. Ngaphezu kwalokho, imaging resonance imaging ingenziwa ukwenza ukuxilongwa okwehlukile kwe-synovitis yesikhashana, isifo sofuba samathambo, isifo samathambo esithathelwanayo noma samathambo, izicubu zamathambo, i-epiphyseal dysplasia eminingi, i-hypothyroidism kanye nesifo seGaucher.

Yelashwa kanjani

Inhloso enkulu yokwelashwa ukugcina okhalweni kugxile nasekuhambeni okuhle kuyo yonke inqubo yesifo ukugwema ukukhubazeka kwe-hip.

Lesi sifo sithathwa njengesokuzinqanda, sithuthuka ngokuzenzekelayo. Kodwa-ke, kubalulekile ukuthi udokotela wamathambo akhombise ukwehla noma ukuhoxa kwesiguli emisebenzini yomzamo we-hip nokwenza ukulandelwa. Ukuhambahamba, kunconywa ukuthi umuntu asebenzise izinduku noma imisila yenkomo, okungumshini wamathambo ophethe isitho esingezansi esithintekile, ugcine idolo ligobekile ngentambo eboshwe okhalweni nasemaqakaleni.

I-Physiotherapy ikhonjiswa kulo lonke ukwelashwa kwesifo seLegg-Calvé-Perthes, ngezikhathi zokuthuthukisa ukunyakaza komlenze, ukuqeda izinhlungu, ukuvimbela i-muscle atrophy nokugwema ukukhawulelwa kokuhamba. Ezimweni ezinzima kakhulu, lapho kunezinguquko ezinkulu kwi-femur, kungahle kunconywe ukuhlinzwa.

Ukwelashwa kungahluka ngokuya ngeminyaka yengane, izinga lokulimala ekhanda lesifazane kanye nesigaba sesifo ngesikhathi sokuxilongwa. Uma kunezinguquko ezinkulu enqulwini nasekhanda lesifazane, kubaluleke kakhulu ukuthi ukwelashwa okuthile kuqalwe ukugwema izingqinamba lapho usumdala.

Ngakho-ke, ukwelashwa kwesifo iLegg-Calvé-Perthes kungahlukaniswa ngale ndlela elandelayo:

Izingane kuze kube yiminyaka engu-4

Ngaphambi kweminyaka yobudala engama-4, amathambo asesigabeni sokukhula nentuthuko, ukuze isikhathi esiningi siguquke siye kokujwayelekile ngaphandle kohlobo oluthile lokwelashwa olwenziwayo.

Phakathi kwalezi zinhlobo zokwelashwa, kubalulekile ukubonisana njalo nodokotela wezingane kanye nodokotela wamathambo wezingane ukuze uhlole ukuthi ithambo liphulukisa kahle yini noma kukhona ukuwohloka, kuyadingeka ukuhlola kabusha indlela yokwelashwa.

Ezinye izinto zingaba nomthelela emphumeleni wokugcina wokwelashwa, njengocansi, iminyaka lapho kwatholakala khona ukuxilongwa, ubukhulu besifo, isikhathi sokwelashwa, isisindo somzimba futhi uma kukhona ukunyakaza kwe-hip.

Iminyaka engaphezu kwengu-4

Ngokuvamile, ngemuva kweminyaka yobudala engama-4 amathambo asevele ethuthukile futhi enomumo wawo wokugcina. Kulezi zimo, udokotela wezingane uvame ukuncoma ukuthi ahlinzwe ukuze aqondise kabusha ijoyini noma asuse ithambo eleqile elingaba khona ekhanda le-femur, ngenxa yezibazi ezishiywe yizintambo, isibonelo.

Ngaphezu kwalokho, ezimweni ezinzima kakhulu, lapho kwakukhona khona ukukhubazeka, kungadingeka ukuthi esikhundleni sokujoyina kwe-hip kufakwe i-prosthesis, ukuze kuqedwe unomphela inkinga futhi kuvunyelwe ingane ukuthi ikhule kahle futhi ibe nekhwalithi enhle yokuphila. .