Legg-Calve-Perthes chirwere

Chirwere cheLegg-Calve-Perthes chinoitika kana bhora repafupa rehudyu muchiuno risingawane ropa rakaringana, zvichikonzera kuti bhonzo rife.

Legg-Calve-Perthes chirwere chinowanzoitika muvakomana makore mana kusvika gumi. Kune akawanda mazano pamusoro pechikonzero chechirwere ichi, asi zvishoma zvinozivikanwa.

Pasina ropa rakakwana kunharaunda, bhonzo rinofa. Bhora rehudyu rinodonha robva raita sandara. Kazhinji kazhinji, chiuno chimwe chete chinokanganiswa, kunyangwe chichiitika kumativi ese.

Ropa rinodzoka kwemwedzi yakati wandei, richiunza matsva maseru emapfupa. Maseru matsva anotsiva pfupa rakafa pamusoro pemakore maviri kusvika matatu.

Chiratidzo chekutanga kazhinji chinokamhina, icho chinowanzo kusarwadza. Dzimwe nguva panogona kuve nekurwadziwa kunyoro kunouya nekuenda.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuomarara kwehudyu kunotadzisa kufamba kwehudyu
• Mabvi kurwadziwa
• Yakatemerwa renji yekufamba
• Kurwadziwa kwehudyu kana kugomera kusingaendi
• Kupfupisa kwegumbo, kana makumbo ehurefu hwakaenzana
• Tsandanyama kurasikirwa mune chepamusoro chidya

Munguva yekuongorora kwepanyama, mupi wezvehutano anotarisa kurasikirwa mukufamba kwechiuno uye akajairika kukamhina. Iyo hip x-ray kana pelvis x-ray inogona kuratidza zviratidzo zveLegg-Calve-Perthes chirwere. MRI scan inogona kudikanwa.

Chinangwa chekurapa ndechekuchengetedza bhora repfupa rechidya mukati mehomwe. Iye mupi anogona kudaidza ichi chine. Icho chikonzero chekuita izvi ndechekuti uve nechokwadi chekuti hudyu inoramba iine yakanaka mhando yekufamba.

Chirongwa chekurapa chinogona kusanganisira:

• Nguva pfupi yekuzorora kwemubhedha kubatsira kurwadziwa kwakanyanya
• Kudzikamisa huwandu hwehuremu hwakaiswa pagumbo nekumisa zviitiko zvakaita sekumhanya
• Kurapa kwepanyama kubatsira kuchengetedza gumbo uye mhasuru dzakasimba
• Kutora mushonga unorwisa-kupisa, senge ibuprofen, kubvisa kuomarara mumubatanidzwa wechiuno
• Kupfeka cast kana brace kubatsira neacontainment
• Kushandisa madondoro kana kufamba

Kuvhiya kunogona kudikanwa kana mamwe marapirwo asingashande. Kuvhiya kunosiyana kubva pakureba gonzo remhasuru kusvika pakuvhiya kukuru kwechiuno, kunodaidzwa kunzi osteotomy, kugadzirisazve pelvis. Iyo chaiyo mhando yekuvhiya inoenderana nekuoma kwedambudziko uye chimiro chebhora remubatanidzwa wehudyu.

Izvo zvakakosha kuti mwana ave nekugara achiteverwa-kuenda kushanya nemupi mupi uye nyanzvi yemapfupa.

Maonero anoenderana nezera remwana uye kuomarara kwechirwere.

Vana vari pasi pemakore matanhatu ekuberekwa vanogamuchira kurapwa vanogona kupedzisira vaine mubatanidzwa wechiuno wechiuno. Vana vakura kupfuura zera ramatanhatu vanogona kupedzisira vaine hurema hwehudyu, zvisinei nekurapwa, uye vangazogadzira arthritis mune iwo mubatanidzwa.

Shevedza musangano kuti ubonane nemupi wako kana mwana akagadzira chero zviratidzo zvechirwere ichi.

Coxa plana; Perthes chirwere

• Ropa rinopa kune pfupa

Kanale ST. Osteochondrosis kana epiphysitis uye zvimwe zvakasarudzika zvido. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 32.

Deeney VF, Arnold J. Orthopedics. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.