I-synovitis enetyhefu

I-toxic synovitis yimeko echaphazela abantwana ebangela iintlungu zenyonga kunye nokuqhwalela.

I-synovitis enetyhefu yenzeka ebantwaneni ngaphambi kokufikisa. Ihlala ichaphazela abantwana ukusuka kwiminyaka emi-3 ukuya kweli-10 ubudala. Luhlobo lokudumba kwesinqe. Isizathu sayo asaziwa. Amakhwenkwe achaphazeleka rhoqo kunamantombazana.

Iimpawu zingabandakanya:

• Intlungu ye-Hip (kwicala elinye kuphela)
• Qhwalela
• Intlungu yethanga, ngaphambili nangaphakathi kwethanga
• Intlungu yedolo
• Umkhuhlane ophantsi, ngaphantsi kwe-101 ° F (38.33 ° C)

Ngaphandle kokungahambi kakuhle kwenyonga, umntwana akabonakali egula.

I-synovitis enetyhefu ifunyaniswa xa ezinye iimeko ezinzima kakhulu zikhutshiwe, ezinje:

• I-septic hip (usulelo lwenqa)
• Imali etyibilikisiweyo ye-epiphysis yokomfazi (ukwahlulwa kwebhola yelungu lomlenze kwithambo lethanga, okanye ubufazi)
• Isifo seLegg-Calve-Perthes (ukuphazamiseka okwenzekayo xa ibhola yethambo lethanga esinqeni lingafumani gazi laneleyo, elibangela ukuba ithambo life)

Uvavanyo olusetyenziselwa ukufumanisa isifo se-synovitis sinetyhefu kubandakanya:

• I-Ultrasound yenyonga
• X-ray okhalweni
• I-ESR
• Iprotheni esebenzayo yeC (CRP)
• Gcwalisa ubalo lwegazi (CBC)

Olunye uvavanyo olunokuthi lwenziwe ukulawula ezinye izizathu zentlungu ye-hip:

• Ukuphefumlelwa kolwelo kwilunga lomlenze
• Ukuskena amathambo
• IMRI

Unyango luhlala lubandakanya ukunciphisa umda ukwenza ukuba umntwana akhululeke. Kodwa, akukho bungozi ngemisebenzi yesiqhelo. Umboneleli ngononophelo lwempilo unokuyalela amayeza angasebenziyo okulwa nokudumba (i-NSAIDs) ukunciphisa iintlungu.

Ubuhlungu be-hip buhamba phakathi kweentsuku ezi-7 ukuya kwezi-10.

I-synovitis enetyhefu ihamba yodwa. Akukho zilindelo zexesha elide.

Biza ixesha lokubonana nomnikezeli womntwana wakho ukuba:

• Umntwana wakho unentlungu engachazwanga ye-hip okanye i-limp, kunye okanye ngaphandle komkhuhlane
• Umntwana wakho ufunyaniswe ene-synovitis enetyhefu kwaye iintlungu zenyonga zihlala ixesha elide kuneentsuku ezili-10, iintlungu ziya zisiba mandundu, okanye umkhuhlane omkhulu uqhubeka.

I-Synovitis - inetyhefu; I-synovitis emfutshane

Sankar WN, Winell JJ, Phondo BD, Wells L. Isinqe. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 698.

Imvumi NG. Uvavanyo lwabantwana abanezikhalazo ze-rheumatologic. Ku: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, ii-eds. Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 105.