Perthes isifo

Perthes isifo - isifo lalivamile ebuntwaneni. Iqala ngempela buthule futhi kancane kakhulu. Ngakho ngezinye izikhathi ukugula kutholwa ngesikhathi lapho akunakwenzeka ukulungisa ngeminye yemiphumela.

Libhekene Perthes isifo ezinganeni ukubhujiswa inhloko ka kunawo wonke. Lesi sifo ezivamile kubafana abaneminyaka engu-6 kuya ku-10. Girls bagule kancane kaningi. Phakathi kwazo zonke izifo of the system zemisipha, kuvamile impela - 3% of amacala.

Perthes isifo. izizathu

I ngqo imbangela isifo ayikaqondwa kahle. Futhi odokotela bathi ukuhlukanisa ngokunembile Factor, okuyinto predisposes ukuba leso sifo singaqali engenakwenzeka. Nokho, isizathu esiyinhloko kubhekwa kahle kwegazi emalungeni. Kuye, yena, kungaholela:

• zonke izinhlobo izifo nezinkinga zempilo yabo,
• ukucindezeleka ephezulu emalungeni. Lokhu kuyiqiniso ikakhulukazi uma umzimba iba buthakathaka,
• iziyaluyalu zokuthuthuka emalungeni ubunjalo ngofuzo,
• ukulimala kwezindlu zephalamende zombili kule ndawo hop,
• khona yizifo ezihlobene nokungabikho umzimba.

Perthes isifo. izimpawu

Izimpawu zokuqala zalesi sifo ungaboniswa wavuma kakhulu. Kubonakala izinyonga lula. Nokho, ngokushesha ubalekela, kodwa ngemva kwesikhashana kuyabuya. Onganqoba ubuhlungu emalungeni. Noma kunjalo, ngokuvamile ukunikeza e kwedolo. Ngakho-ke, abantwana esekhala ukungakhululeki ngesikhathi uhamba ungaphakathi joint kwedolo.

Ngokuhamba kwesikhathi, kunciphisa inani le-imisipha ethangeni, futhi waphawula akuphelele flexion nokwelulwa ngokuhlanganyela. Yiqiniso, kuhambisana embhedeni ukuphumula, izimpawu ezinjalo zinyamalale. Lapho ukwelashwa kwesikhathi kungenzeka ukuthi ubude esitho encishisiwe.

Kepha isimo jikelele umntwana, awusebenzi ahlupheke. Amazinga uhlale evamile, lobo buthakathaka, kanye nokuhlolwa kwegazi Awekho izinguquko emzimbeni alibonisi.

lesi sifo

Uma lesi sifo saqala, ubude bayo kungase kube azungeze 6 iminyaka. Uma kokuqaliswa ngesikhathi esifanele ukwelashwa ke kungaphazamiseki ukuba banqobe lesi sifo, futhi kungaba iminyaka engu-2. Lesi sifo has izigaba eziningana ukuthi kuchazwe ngokucacile:

1. Necrosis, lapho ikhanda wethambo femoral ehlala nekucala kancane kancane balahlekelwa injalo evamile.
2. Ukwa. Kulesigaba ikhanda has simise Planar futhi ivaliwe.
3. Kumiswa izinsalela elincane. Phakathi nale nkathi, ithambo ngisho enokuthambekela siyeke ekukhuleni kwayo. Ngezinye izikhathi ngisho kwenzeka dislocation.
4. Ukubuyiselwa isakhiwo. Nokho, bone head ngokuvamile zikhubazekile.
5. Imiphumela. Ngezinye ukuxilongwa sekwephuzile futhi ekwelapheni Perthes isifo eba sokuqaqamba kwamalunga obuhambisana ukuphila komuntu.

Perthes isifo. ukuhlola

A indima enkulu ukususa lesi sifo udlala ukuxilongwa nasezigabeni zokuqala zalesi sifo. Ngakho-ke, njengoba nje Kutholwe okungenani oyedwa uphawu lesi sifo, udinga ngokushesha uthintane udokotela wezinyawo. Yiqiniso, aqokwe izinqubo ukuthi uqinisekise uphethwe presumptive. Phakathi ephumelela kunazo --X-ray, ultrasound futhi radiodiagnosis.

Perthes isifo. ukwelashwa

Kunezindlela eziningana ukuqeda isifo Perthes '. Inketho kuqala - a olandelanayo. Ucabanga osenyameni egcwele ingane wemikhawulo aphansi. Ukuze wenze lokhu, kuzomele uqale athobele embhedeni ukuphumula, bese iphendukele ngosizo izinduku idivayisi ekhethekile okuthiwa umkaki. Uma isiguli sibe buhlungu, ke ziwumthwalo ngisho ukhonkolo. Ngesikhathi esifanayo isiguli ithatha eqinisa nemithi namavithamini, kanye izindlela nokujikeleza kwegazi. Qiniseka uhlikihla wenziwa, bese kudingeka umzimba.

Esimeni ngenxa yezinkinga asesebenzisa ukuhlinzwa. Nokho, ukwelashwa esifike ngesikhathi udokotela ngokuhlanganyela femoral iyahlanekezeleka kancane kuphela izindleko futhi kungangqubuzani kamuva ekuphileni.