Isifo Perthes

izifo Perthes - isifo eliqhelekileyo zobuntwana. Iqala kakhulu cwaka kwaye kade kakhulu. Ngoko ke maxa wambi izifo eshiyekileyo ifunyanwa ngexesha xa akunakwenzeka ukulungisa eminye imiphumo.

Luphawulwa izifo Perthes ebantwaneni ekutshatyalalisweni intloko ye yifemur. Isifo iqhelekileyo emakhwenkweni abaneminyaka eyi-6 ukuya kweli-10. Amantombazana begula kakhulu rhoqo. Phakathi zonke izifo inkqubo musculoskeletal, kuyinto eqhelekileyo - 3% yamatyala.

isifo Perthes. izizathu

I ngqo unobangela sifo ayikaqondwa kahle. Yaye oogqirha bathi ngokuchanileyo ikheswa Factor, leyo predisposes ukuya sifo akunakwenzeka kwaphela. Noko ke, esona sizathu uthathwa kwegazi kwi entlanganweni. Kuye, yena, kungabangela:

• zonke iintlobo zosulelo kwaye iingxaki zabo,
• uxinezeleko High phezu omzimba. Oku kuyinyani ngakumbi xa umzimba buthathaka,
• nokuphazamiseka zophuhliso amalungu ngemvelo zamafa,
• ukulimala ndibanisela ndawo womlenze, nanamhla;
• ukubakhona kwezifo ezinxulumene ukutya.

isifo Perthes. iimpawu

Iimpawu yokuqala sifo lungabonakaliswa okwanamhlanje kakhulu. Kubonakala ekuqhwaleleni lula. Noko ke, ngokukhawuleza shwaka, kodwa emva komzuzwana kuyabuya. Singoyisa intlungu kwamalunga. Nakuba kunjalo, kaninzi baye libanike kwamadolo. Ngoko ke, abantwana akhalaze kabi ngexesha siyihambayo kwi entlanganweni emadolweni.

Ekuhambeni kwexesha, oku kuphungula isixa zihlunu ethangeni, yaye waphawula aziphelelanga flexion kunye nokwandiswa ngokuhlangeneyo. Kakade ke, ngokuhambisana alale, iimpawu ezinjalo shwaka. Xa unyango imvambilini kusenokwenzeka ukuba ubude mlenze lifinyele.

Yona imeko jikelele umntwana, oko awehlelwa. Ubushushu usoloko eziqhelekileyo, akukho ubuthathaka, yaye iimvavanyo igazi akukho lutshintsho umzimba ukubonisa.

isifo

Ukuba isifo iqale, ubude bayo phakathi 6 iminyaka. Ukuba kokuqala kwangethuba unyango, koko zingachaphazeli ukoyisa esi sifo, kwaye inga iminyaka emi-2. Esi sifo Amanqanaba eziliqela ukuba ichazwe ngokucacileyo:

1. Necrosis, xa intloko ithambo femoral siyabutyaka kwaye iqalisa ukuba baye balahlekelwe ifomu yayo yesiqhelo.
2. Zaphuka. Kweli nqanaba intloko ngokumila Planar kwaye atywinwe.
3. Formation ngamaqhekeza ithambo encinane. Ngeli xesha, ithambo Ude umkhwa ukuba ayeke ekukhuleni kwayo. Maxa wambi nkqu kwenzeka dislocation.
4. Ukubuyiselwa lesakhiwo. Noko ke, ithambo intloko idla zikhubazekile.
5. Imiphumela. Xa isifo kade kunye nonyango lwesifo Perthes iphuhlisa samathambo ohamba ubomi babantu.

isifo Perthes. ekuxilongweni

A indima enkulu ukubatshabalalisa sifo idlala unesifo kwi zigaba zokuqala zesi sifo. Ngoko ke, kamsinya nje ukubonakala ubuncinane enye uphawu sifo, kufuneka ubuze nangoko a podiatrist. Kakade ke, atyunjwe iinkqubo ukuqinisekisa uxilongo presumptive. Phakathi kakhulu ngempumelelo - X-ray, ultrasound kunye radiodiagnosis.

isifo Perthes. unyango

Kukho iindlela ezininzi ukuphelisa izifo Perthes '. Ukhetho lokuqala - i ngokonga. Eqala wokuqhuba ngokupheleleyo umntwana kweqondo asezantsi. Ukuze wenze oku, kufuneka kuqala ukuthobela alale, uze kubhenela uncedo iintonga nee isixhobo akhethekileyo ekuthiwa isibiyeli esiphindwe kabini. Ukuba isigulane sifumana intlungu, yasiveza nokuba udaka. Ngelo xesha isigulana ithatha komeleza amayeza kunye neevithamini, kwakunye neendlela zokuphucula kwegazi. Qiniseka ephulule kwenziwa, kwaye ke kwakufuneka umzimba.

Kwimeko apho iingxaki ngokwenza utyando. Nangona kunjalo, apho unyango ngexesha ugqirha joint femoral kuguquka kancinci kuphela kwaye akuyiphazamisi ebomini kamva.