Sisiphi isifo seLegg-Calvé-Perthes kunye nokuba sinyangwa njani

Umxholo

• Iimpawu eziphambili
• Indlela yokuchonga
• Unyango lwenziwa njani
• Abantwana ukuya kwiminyaka emi-4
• Ngaphezulu kweminyaka emi-4

Isifo iLegg-Calvé-Perthes, esibizwa ngokuba sisifo i-Perthes, sisifo esinqabileyo esixhaphake kakhulu kubantwana abangamadoda abaphakathi kweminyaka emi-4 neli-8 esibonakala ngokuhla kwegazi kummandla we-hip ngexesha lokukhula komntwana, ikakhulu kwindawo apho amathambo adibana khona intloko yethambo lomlenze, i-femur.

Isifo seLegg-Calvé-Perthes siyazikhawulela, njengoko ithambo liziphilisa ngokuhamba kwexesha ngenxa yokubuyiselwa kokuhamba kwegazi, kodwa linokushiya i-sequelae. Ngayiphi na imeko, kubalulekile ukuba ukuxilongwa kwenziwe kwangoko ukunqanda ukusilela kwethambo kunye nokwandisa umngcipheko we-hip arthritis ebudaleni.

Iimpawu eziphambili

Ezona mpawu zibonakalisa isifo seLegg-Calvé-Perthes zezi:

• Kunzima ukuhamba;
• Ubuhlungu be-hip obuqhubekayo, obunokubangela ukukhubazeka komzimba;
• Iintlungu ezibandayo kunye nezibi zinokubakho, kodwa oku kunqabile, kusenza ukuba kube nzima ukuxilongwa kwangoko.
• Ubunzima bokuhambisa umlenze;
• Uluhlu olulinganiselweyo lokuhamba nomlenze.

Kwiimeko ezininzi, ezi mpawu zichaphazela kuphela umlenze omnye kunye nelinye icala lomlenze, kodwa kukho abanye abantwana abanokuthi isifo sibonakalise kuwo omabini amacala kwaye, ke, iimpawu zinokubonakala kwimilenze yomibini, zibizwa ngokuba ngamazwe amabini.

Indlela yokuchonga

Ukongeza kuvavanyo lweempawu zomntwana kunye nembali, ugqirha wabantwana unokubeka umntwana kwizikhundla ezahlukileyo ukuzama ukuqonda ukuba ziphi na iintlungu eziqatha kwaye ngaloo ndlela zichonge unobangela weentlungu zenyonga.

Uvavanyo oluqhele ukucelwa yiradiography, i-ultrasound kunye nescrafigraphy. Ukongeza, imaging yamagnetic resonance inokwenziwa ukuze kwenziwe uxilongo lokwahlulahlula kwe-synovitis yexeshana, isifo sephepha, isifo esosulelayo okanye isifo samathambo, izicubu zethambo, i-epiphyseal dysplasia, hypothyroidism kunye nesifo seGaucher.

Unyango lwenziwa njani

Eyona njongo iphambili yonyango kukugcina isinqe sigxile kunye nokuhamba kakuhle kuyo yonke inkqubo yesifo ukunqanda ukukhubazeka kwe-hip.

Esi sifo sithathwa njengesokuzikhawulela, siphucule ngokuzenzekelayo. Nangona kunjalo, kubalulekile ukuba ugqirha wamathambo abonise ukwehla okanye ukurhoxa kwesigulana kwimizamo yemizamo ye-hip kunye nokwenza ukulandelelana. Ukuhambahamba, kuyacetyiswa ukuba umntu asebenzise iintonga okanye umsila wenkomo, esi sisixhobo samathambo esigcina umlenze ongezantsi ochaphazelekayo, ugcina idolo liguquka ngentambo ebotshelelwe esinqeni naseqolo.

I-Physiotherapy ibonakalisiwe kunyango lwe-Legg-Calvé-Perthes, kunye neeseshoni zokuphucula ukuhamba kwemilenze, ukunciphisa iintlungu, ukuthintela i-atrophy yemisipha kunye nokuthintela ukusikelwa umda kokuhamba. Kwiimeko ezinzima kakhulu, xa kukho utshintsho olukhulu kwi-femur, kunokucetyiswa utyando.

Unyango lunokwahluka ngokobudala bomntwana, inqanaba lokonakaliswa kwentloko ye-femur kunye nenqanaba lesi sifo ngexesha lokuqonda isifo. Ukuba kukho utshintsho olukhulu esinqeni nasentloko ye-femur, kubaluleke kakhulu ukuba unyango oluthile luqaliswe ukuthintela iingxaki ebudaleni.

Ke, unyango lwe-Legg-Calvé-Perthes lungahlulwa ngolu hlobo lulandelayo:

Abantwana ukuya kwiminyaka emi-4

Phambi kweminyaka yobudala be-4, amathambo akwinqanaba lokukhula kunye nophuhliso, ukuze ixesha elininzi liguqukele kwimeko yesiqhelo ngaphandle kohlobo lonyango olwenziwayo.

Ngexesha lolu hlobo lonyango, kubalulekile ukuba nodliwanondlebe rhoqo nogqirha wabantwana kunye nogqirha wamazinyo ukujonga ukuba ithambo liyaphola ngokuchanekileyo okanye ukuba kukho ukuwohloka, kuyimfuneko ukuphinda ujonge uhlobo lonyango.

Ezinye izinto zinokuba nefuthe kwiziphumo zokugqibela zonyango, ezinje ngesondo, ubudala bokuba kufunyaniswe isifo, ubungakanani besifo, ixesha lonyango, ubunzima bomzimba kwaye ukuba kukho ukuhamba kwenyonga.

Ngaphezulu kweminyaka emi-4

Ngokubanzi, emva kweminyaka emi-4 amathambo sele ephuhlisiwe kwaye enobume bokugqibela phantse. Kwezi meko, ugqirha wabantwana uhlala ecebisa ukuba kwenziwe utyando ukuze ulungelelanise ngokudibeneyo okanye ususe ithambo elingaphezulu elinokubakho entlokweni ye-femur, ngenxa yamanxeba ashiyekileyo ngokwaphuka, umzekelo.

Ukongeza, kwiimeko ezibi kakhulu, apho bekukho ukukhubazeka, kunokuba yimfuneko ukubuyisela umlenze kunye nokufakelwa, ukuze kuphele ngokusisigxina ingxaki kwaye kuvunyelwe umntwana ukuba akhule ngokuchanekileyo kwaye abe nomgangatho wobomi obulungileyo. .