Musiyano Perthes chirwere kuvana?

chirwere Perthes mune vana kunoreva chirwere chakadaro umo mune pfupi rikavapo ropa Kusasvika femoral pfupa. Pashure kusavapo ropa aibuda zvakakodzera, zvinyama akaparadza femoral musoro (chirambe chakapfava uye shwashwa). Maererano nenyanzvi, Perthes chirwere rinowanikwa mune vana vane makore kubvira mana anenge 10 makore. Zvinokosha kucherechedza kuti chirwere ichi chiri chirwere muna vakomana anenge kashanu kazhinji, maererano mishumo.

Perthes chirwere. zvikonzero

Zvinosuruvarisa Pari asingazivikanwi wechokwadi zvinhu zvinoita kuti kukura chirwere ichi. Vamwe vanachiremba vanoti zvose mhaka iri kugara chikosoro uye kukuvara. Uyewo, pane ruzivo kuti chikonzero nhema vachiberekwa dislocation, asi maererano nemishumo, chete chiitiko mumwe wakadai miriyoni paavhareji zvichibvira.

zviratidzo

Kakawanda, varwere vaduku chokunyunyuta pamusoro marwadzo ari muhudyu rwakashodoka. Cherechedza kuti kusagadzikana kuratidza vade maitikiro. Saka Makwanza ingabva mashomanana kuti vaviri mwedzi. chirwere Perthes 'Vana vanogona kuratidza sezvo marwadzo mune dzimwe nhengo dzomuviri, kureva, ari muhudyu uye gluteal munzvimbo. Kana uchityaira kakawanda kupfuura kunosimudzirwa.

Diagnostics

chirwere Perthes 'Vana vanogona kuziva chete vakakodzera pashure akatevedzana dzokuwedzera nemiedzo. Somuenzaniso, varwere vechiduku basa X-ray yacho hudyu rwakashodoka. Atova weboka vakaronga kurapwa, pashure nokusimbisa nechirwere, ungada mifananidzo mashomanana kuti kuona mufananidzo rakazara chirwere.

Perthes chirwere. siteji

Panguva iyoyo, vanachiremba kusiyanisa conditionally muzvikamu zvina chirwere ichi:

• 1st Stage. Panyaya iyi, murwere haana pfungwa nezvechirwere chavo. Izvi Kuchinja pfupa mamiriro pasi nemaziso pamwero zvisingaiti kuona huru chirwere nzira. Dzinogara anovandudza anonzi subchondral osteonecrosis.
• 2nd danho. Pane kunzwa kusanzwa, uye zvishomanana kurwadziwa hudyu nzvimbo. Ipapo kundiona kutsemuka. Zone iripo STRUCTURAL kuchinja, maererano nenyanzvi, kubvira 10 kusvika 30%.
• 3rd danho. Murwere anotanga chokunyunyuta kurwadziwa kana uchifamba, kuti murege kupinda wakaderera. Danho iri chirwere, unowanzoonekwa pakutsvaga unevenness Maumbirwe femoral musoro. Interarticular nzvimbo anowedzera kana, Ukuwo, todzokera.
• 4th Danho. The vagari zvachose isina zvayo functionality, akanzwa kugara kurwadziwa. The musoro panguva iyi yaparadzwa zvachose, pane dislocation kana subluxation. Panyaya iyi, nharaunda kunorondedzerwa miganhu STRUCTURAL kuchinja kubva 50 kusvika 80%.

mabatiro

Kana chipfuva radiograph vakaratidza zviduku zviratidzo chirwere, zviri basa zvachose pakuongorora mwana. Zvikasadaro, nezviratidzo pachena nehosha, kushandisa dzimwe nzira yokurapa.

nonsurgical kurapwa

Kuderedza kunetseka uye marwadzo zvakananga hudyu vana vari ushandiswe nonsteroidal Anti-anogumbura mishonga (somuenzaniso, "Ibuprofen"). Marapirwo zvaiitwa hazvisi zvakananga novimba kusimba tishu kugadziriswa. Mukuwedzera, kosi yacho basa muviri kurapa chaiyo, maekisesaizi inokurudzirwa kuita kuti mushonga wakakwana. Kana mberi deformation basa varinamire bhandiji iyo inokwanisa wakabata femoral musoro mukati acetabulum rinonzi saizvozvo.

kuvhiya kurapwa

The oparesheni unokubvumira zvakazara nokudzosazve aida nzvimbo mapfupa ose ari muhudyu vadyi pachayo. Saka pane izvi, pfupa musoro kunoita poura pamusoro ari acetabulum. nzvimbo iyi wakaiswa pachishandiswa anokosha nekiyi uye mahwendefa, pashure imwe nguva vanobviswa zvachose. The vapore kwacho kunobva pakuti kubudirira kwomudzimu.