Isifo seLegg-Calve-Perthes

Isifo seLegg-Calve-Perthes senzeka xa ibhola yethambo lethanga esinqeni lingafumani gazi laneleyo, libangele ukuba ithambo life.

Isifo seLegg-Calve-Perthes sihlala senzeka kubafana abaneminyaka emi-4 ukuya kweli-10 ubudala. Kukho iingcamango ezininzi malunga nesizathu sesi sifo, kodwa kuncinci okwaziwayo.

Ngaphandle kwegazi elaneleyo kuloo ndawo, ithambo liyafa. Ibhola ye-hip iyawa kwaye icabalele. Rhoqo, inye kuphela inyonga echaphazelekayo, nangona inokwenzeka kumacala omabini.

Ubonelelo ngegazi lubuya ngaphezulu kweenyanga ezininzi, luzisa iiseli zethambo ezintsha. Ezi seli zintsha ngokuthe ngcembe zithatha indawo yethambo elifileyo ngaphezu kweminyaka emi-2 ukuya kwemi-3.

Uphawu lokuqala luhlala luqhwalela, oluhlala lungabi nantlungu. Ngamanye amaxesha kunokubakho iintlungu eziphakathi ezizayo nezidlulayo.

Ezinye iimpawu zingabandakanya:

• Ukuqina kwe-Hip okuthintela intshukumo ye-hip
• Intlungu yedolo
• Uluhlu olunomda lokuhamba
• Intlungu okanye iintlungu zethambo ezingahambiyo
• Ukunciphisa umlenze, okanye imilenze yobude obungalinganiyo
• Ukuphulukana nemisipha kwithanga eliphezulu

Ngexesha lovavanyo lomzimba, umboneleli wokhathalelo lwempilo uya kujonga ilahleko yokunyakaza kwe-hip kunye nokuqhwalela okuqhelekileyo. I-x-ray ye-hip okanye i-pelvis x-ray ingabonisa iimpawu zesifo seLegg-Calve-Perthes. Ukuvavanywa kweMRI kunokufuneka.

Injongo yonyango kukugcina ibhola yethambo lethanga ngaphakathi kwesokethi. Umboneleli unokubiza esi siqulatho. Isizathu sokwenza oku kukuqinisekisa ukuba inyonga iyaqhubeka nokuba noluhlu oluhle lokuhamba.

Isicwangciso sonyango sinokubandakanya:

• Ithuba elifutshane lokulala ukuze uncede kwiintlungu eziqatha
• Ukunciphisa umda kubunzima obubekwe emlenzeni ngokuthintela imisebenzi enjengokubaleka
• Unyango lomzimba ukunceda ukugcina imilenze yomlenze kunye nethambo yomelele
• Ukuthatha amayeza okulwa nokudumba, njenge-ibuprofen, ukunciphisa ukuqina kwilungu le-hip
• Ukunxiba isamente okanye izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukunceda ngesiqulatho
• Usebenzisa iintonga zokuhamba okanye isihambahamba

Utyando lunokufuneka ukuba olunye unyango alusebenzi. Amanqanaba ogqirha ukusuka ekwandiseni umsipha we-groin ukuya kuqhaqho olukhulu lwe-hip, olubizwa ngokuba yi-osteotomy, ukubuyisela kwakhona i-pelvis. Uhlobo oluchanekileyo lotyando luxhomekeke kubunzima bengxaki kunye nokumila kwebhola yelungu lomlenze.

Kubalulekile ukuba umntwana aqhubeke nokundwendwela rhoqo umboneleli kunye nengcali yamathambo.

Imbonakalo ixhomekeke kubudala bomntwana kunye nobunzima besifo.

Abantwana abangaphantsi kweminyaka emi-6 ubudala abafumana unyango kunokwenzeka ukuba baphele bebambene ngesiqhelo. Abantwana abadala kuneminyaka eyi-6 kunokwenzeka ukuba baphele ngokudityaniswa kwamalungu e-hip, nangona unyango, kwaye kamva banokuphuhlisa isifo samathambo kuloo mbumba.

Biza ukuqeshwa kunye nomboneleli wakho ukuba umntwana uvelisa naziphi na iimpawu zesi sifo.

Coxa plana; Ukunyanga isifo

• Ukunikezelwa kwegazi kwithambo

IKanale ST. I-Osteochondrosis okanye i-epiphysitis kunye nolunye uthando olwahlukileyo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 32.

UDeeney VF, uArnold J. Orthopedics. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 22.