Ukuguqulwa kwesifo kuyisifo lapho igazi elinikezwa khona likhubazekile, okubangela ukuthi i-necrosis yayo engeyona igciwane. Akuthinti kuphela izicubu zethambo, kodwa futhi ama-joints, izitsha nemisipha. Lesi sifo empeleni sisinye sezimo ezivame kakhulu ze-osteochondropathy.
Ukuqeda izifo - izimbangela
Kuze kube manje, akukho nhlobo into eyenza ukuthi lesi sifo sibonakale. Ochwepheshe bakholelwa ukuthi lokhu kuyi-pathology ye-polyethological. I-necrosis ye-aseptic yekhanda le-femur iyenzeka uma kunesimo esiyingxenye yokuzalwa kwesifo esinjalo. Ngaphezu kwalokho, lesi sifo sitholakale uma kunokuphazamiseka kwezinqubo zokusebenzisa umzimba emzimbeni kanye nomthelela wezinto ezimbi ezivela ngaphandle.
Indlela eyenza i-Legg-Calve-Perthes isifo ezinganeni ibhekwa njengezici:
- ukwephulwa kwezinqubo zemithi, kubandakanya amaminerali, abambe iqhaza ekusungulweni kwamathambo;
- umonakalo owenziwe ngomshini (ukulimaza, ukwelula nokunye);
- Ukuvuvukala okwenzeka ezinhlokweni ze-hip ku-infections ezincane noma ezigciwane;
- ukuhluleka kwe-hormonal ekukhuleni.
Lesi sifo sithinta phakathi kweminyaka engama-3 no-12. Kubafana, lesi sifo sitholwa izikhathi ezinhlanu kaningi kunamantombazane. Abantu abalandelayo basengozini enkulu:
- i- rickets ehlupheka;
- buthakathaka (evame ukugula);
- ababhemayo (izingane ezinabantwana abanomkhuba omubi);
- nokungondleki.
I-Perthes 'isifo ezinganeni - izimpawu
Ngokuvamile lesi sifo sihlangabezana nokunqotshwa komuntu oyedwa, futhi kanengi kangako - ngezizwe ezimbili. Esikhathini sokuqala lesi sifo sinamandla. Ngaphezu kwalokho, i-Perthes 'isifo ezinganeni ingase ihambisane nezimpawu ezilandelayo:
- ukuphanga;
- izinzwa ezibuhlungu ezivela lapho zihamba;
- ubuthakathaka bemisipha ye-gluteal;
- ukuvuvukala emathangeni;
- ukujuluka okukhulu ;
- ukwehla kwenhliziyo;
- ukugubha kwezinyawo;
- ukwephulwa kwe-gait.
Izigaba zesifo sePerthes
Lesi sifo simelelwe izigaba ezinhlanu. I-necrosis ye-aseptic yenhloko yesifazane, izigaba zayo ezinezici zayo siqu, ichazwa kanje:
- Ifomu elilindile - izinhlungu ezincane emkhakheni wezingxube ze-hip, ukuhlunga ngezikhathi ezithile.
- Ukuvezwa kwesiteji - kuncishiswa kancane kwesitho.
- Isigaba sokuhlukaniswa - inhloko ye-hip iba yindlala, futhi izicubu zethambo ziqala ukuchithwa.
- Isiteji sokubuyisela - ukushintshwa kwezicubu ezixhumene namathambo.
- Ifomu lokugcina - ukususwa kwezicubu ezixhumeneyo kwenzeka. Ukuhamba kulahlekile.
Ukubhekana nokugula - ukuxilongwa
Ngaphambi kokuba uqale ukwelapha lesi sifo, udinga ukuhlolwa okuphelele. Isekelwe ekuhlolweni kwe-X-ray kokuhlanganiswa kwe-hip ethintekile. Le nqubo ikuvumela ukuba ubone ukuthi ubude be-deformation buyini futhi ubeke ngokunembile isigaba se-lesion. Uma ukuxilongwa kokuqala kwe-aseptic necrosis yenhloko yesifazane, kuyisifiso sokwenza i-x-ray ngezilinganiso eziningana. Lokhu kuzovumela udokotela ukuthola ulwazi olugcwele mayelana nendawo ethintekile.
Izifundo ezilandelayo zisiza ukuxilonga isifo se-Perthes:
- I-CT;
- i-arthroscopy;
- I-Ultrasound.
Ukuqeda isifo ezinganeni - ukwelashwa
Ngaphansi kokunciphisa kwekhanda le-hip, kulula ukululama. Ukuhlukumeza isifo, ukwelashwa kwakhe kudinga indlela ehlangene, akupheli ukukhubazeka. Ukwelapha kunika umgomo - ukugcina ukuma kwekhanda le-tibia. Ingane ingahamba esikoleni sempilo ekhaya, esibhedlela noma endaweni yokuhlalisa. Uma i-aseptic necrosis yekhanda lesifazane isitholwa, ukwelashwa kuboniswa yizici ezilandelayo:
- ukuqedela ukulayishwa kokuphumula okuhlangene okuhlangene, ukunyakaza kwamathanga;
- sigqoke izicathulo zamathambo;
- uphumule emibhedeni ekhethekile;
- inkathi yokwelapha udaka.
Ngaphezu kwalokho, isifo se-Perthes esinezikhukhula ezinzima kakhulu sihlinzeka ngemithi elandelayo:
- izidakamizwa ezithuthukisa ukugeleza kwegazi (Trental, Pentoxifylline);
- imikhiqizo yezokwelapha ngezenzo zokuvuselela (Wobenzym, Methyluracil);
- izidakamizwa ezingekho-steroid ezilwa nokuvuvukala (Ibufen, Neurofen);
- izithasiselo eziphilayo eziphilayo (amavithamini A, D ne- calcium ).
Ukubhubhisa nge-Perthes isifo
Ukubaluleka kwale nqubo kunzima ukugcizelela. I-massage inemiphumela elandelayo:
- unikeza ukuma okufunayo kumisipha;
- ukwandisa ukugeleza kwegazi emathisini atrophied;
- kuvame ukucubungula izinqubo zamathambo ezindawo ezithintekile.
Ukuhlukumeza isifo kubantwana kuhilela ukwenza massage enjalo:
- sishaya isifunda esibucayi;
- ukucindezela, okwenziwa ngasemngceleni wesundu;
- ukubhoboza imisipha.
Phakathi nenqubo, ingane ingamlala eceleni, isisu noma emuva. Kufanele aphumule imisipha ngangokunokwenzeka. Uma i-osteochondropathy yekhanda le-femur ihambisana nobuhlungu obunzima, zonke izinto eziphathekayo ngesikhathi sokuphunga kufanele zenziwe kalula. Izingcindezi noma ezinye izinto ezijulile kuleli cala azamukeleki. Ingane akufanele izwe kabi.
Ukuqeda isifo - LFK
Inhloso eyinhloko yokuzivocavoca okunjalo ukusheshisa inqubo yokuvuselela. Lezi zifundo zisiza ukubuyisela ithoni yomzimba. Ngaphezu kwalokho, banomthelela omuhle esimweni sengqondo sesiguli, okubambe iqhaza ekwenzeni inqubo yokutakula. Uma i-osteochondropathy yekhanda lezinsikazi ezinganeni litholakala esiteji sokuqala, ukusebenzisa i-therapy kunconywa izinyanga ezingu-2-3. Ngenkathi yokugula okuphuthumayo, kuthatha iminyaka engu-1.5-2.
Isifo se-Leggy-Calve-Perthes asibandakanyi izivivinyo ezilandelayo:
- Ukuqhuma;
- ama-squats;
- ukuphakamisa izisindo;
- ukuhamba ngezindawo ezide.
Kufeza isifo - ukusebenza
Uma ukwelashwa okulondoloziwe kungaphumelelanga, udokotela angayeluleka ukungenelela kokuhlinzwa. Ukusebenza kwenziwa ngesikhathi sesigaba eside. Kuyenziwa kuphela kulabo abagulayo abafinyelele eminyakeni yobudala eyisithupha. Uma ngenxa ye-pathology ukunciphisa umsizi kubonakala, ngesikhathi sokusebenza ukuhlanganiswa okonakalisiwe kubuyiselwa esikhundleni sawo sokuqala. Ukuze uyilungise, i-plaster cast isetshenziswa. Isiguli sidinga ukugqoka amaviki angu-4-8. Ngalesi sikhathi, ukujoyina "kusetshenziselwa" endaweni yayo.
Ngisho nalapho i-Legg-Calvet-Perthes isifo, isiguli kufanele sigweme ukulayisha amajoyina ase-hip. Ngaphezu kwalokho, udinga ukufaka eceleni ukuhlala isikhathi eside ezinyaweni zakho. Phakathi nesikhathi sokuvuselela futhi ngemva kwalo, imisebenzi enjalo ivunyelwe:
- ukuhamba ngebhayisikili;
- ukuvivinya umzimba;
- ukubhukuda.
Ukuphelelisa izifo - imiphumela
Uma ukutholakala kwegazi kutholakala esigabeni sokuqala futhi ukwelashwa kuqaliswa ngesikhathi, lesi sifo singanqotshwa ngokuphelele. Ngefomu elinganakiwe, lesi sifo siholela ekukhubazekeni. I-necrosis ye-aseptic yekhanda le-femour ezinganeni ligcwele imiphumela elandelayo:
- i-osteoarthritis;
- ukwephulwa kwemali;
- ukuzondla impilo yonke;
- i-muscle hypotrophy.