He aha te mea te mate Perthes rerekētanga i roto i ngā tamariki?

Perthes mate i roto i te tamariki titau te mate taua i roto i nei i reira ko te ngangau rangitahi o supply toto ki te wheua femoral. I muri i te ngaro o te rere toto tika, whakangaromia kiko upoko femoral (tu'ūlutui me wheua ngohe). E ai ki te tohunga, puta mate Perthes i roto i ngā tamariki te pakeke i wha ki e pā ana ki te 10 nga tau. Ko reira taa'eraa e tenei mate e pāngia i roto i mau tamaroa ko e pā ana ki e rima nga wa atu maha, kia rite ki ngā pūrongo.

mate Perthes. take

Kia aroha mai, i mohiotia hakari ki te āhuatanga pono e arahi ki te whanaketanga o tenei mate. Ētahi taote mea e te tetahi he katoa o maremare auau me whara. Ano, i reira he kōrero e takoto te take i roto i te raruraru congenital, engari rite ki ngā pūrongo, kotahi anake hui pērā ia miriona taea.

tohu

Nuinga o ngā wā, amuamu tūroro taitamariki o mamae i roto i te tahi hip. Kia mōhio e faaite te hūhi i te auau āhua iti. Na e taea āputa ngā i te torutoru nga ra ki o nga marama i te tokorua. mate Perthes 'i roto i ngā tamariki e taea te whakaatu rite te mamae i roto i te tahi atu wahi o te tinana, ara, i roto i nga wāhi kopu, me te gluteal. A, no te peia atu pinepine atu i te whakarei i te reira.

tātaringa

mate Perthes 'i roto i ngā tamariki e taea te tautuhi i taau anake i muri i te raupapa o ngā whakamātautau atu. Hei tauira, whakaritea tūroro taitamariki X-ray o te tahi huha. Kua i te akoranga o te maimoatanga whakaritea, i muri i te haamauraa o te tātaritanga, kia hiahia koe i te torutoru ake whakapakoko ki te whakatau i te pikitia tino o te mate.

mate Perthes. atamira

I te kau, tākuta te wehewehe i raro herenga wha wāhanga o tenei mate:

• 1 Stage. I roto i tenei take, e kore whakaaro e pā ana ki to ratou mate i te manawanui. Tenei huringa i roto i te hanganga wheua i runga i te tauine mōkitokito ko ngā taea ki te whakatau i te tikanga tātaritanga matua. Ngā wā whakawhanake pera-ka karanga osteonecrosis subchondral.
• taahiraa 2. He he he mana'o o hūhi, me te mamae iti i roto i te rohe hip. Na reira whati maitai. Rohe wātea huringa hanganga, kia rite ki ngā tohunga, mai i te 10 ki te 30%.
• taahiraa 3. tīmata te manawanui ki te amuamu o te mamae, ka neke, e kore e e haere hohe. Ko tēnei wāhanga o te mate, Kei te te tikanga whakaritea e te āhua pāhiwihiwi o te matenga femoral. E faarahi wāhi Interarticular ranei, hei kōrero, e holomui.
• atamira 4. he tata kowaiwai o tona taumahinga te tahi, ua mamae tonu. Ko te upoko i tenei wāhi te tino whakangaromia, i reira te mea he raruraru subluxation ranei. I roto i tenei take, i te rohe tautuhia e te rohe o ngā rerekētanga hanganga i 50 ki te 80%.

maimoatanga

Ki te whakakitea te radiograph pouaka iti tohu o te mate, kua whakaritea he mātakitaki tūturu o te tamaiti. Te kore, ki tohu kitea o te mate, te tono etahi tikanga o te therapy.

maimoatanga nonsurgical

Ki te whakaiti i te hūhi me te mamae tika i roto i te tamariki hip e whakaritea nonsteroidal drugs anti-inflammatory (hei tauira, "Ibuprofen"). Te talena maimoatanga i roto i tenei take, ko te tika ti'aturi i runga i te kaha o te kiko hanga. I tua atu, whakaritea te akoranga kei te he therapy motuhake tinana, tūtohutia mahi te ki te mahi ki runga ki te rongoa oti. A, no te ahu whakamua deformation whakaritea takai te raima i te mea nehenehe o te pupuri i te matenga femoral i roto i te acetabulum pera i huaina.

maimoatanga hāparapara

Ko te mahi e āhei ki a koutou whakahokia tino te wāhi e hiahiatia ana o wheua katoa i roto i te tahi hip iho. Na, i roto i tenei take, neke te matenga wheua whekau runga ake te acetabulum. whakaritea ana tēnei tūranga e te tikanga o raka motuhake me mau api, e i muri i te tetahi wa e tino nekehia. Ko ti'aturi i runga i te angitu o te mahi te tukanga whakanohonoho.