He aha ka ka okoa Perthes maʻi i loko o nā keiki?

Perthes mai i na keiki hoʻohuʻu ia i ka maʻi i loko o a he mea he pokole mai ka pioloke o ke koko na lako i ka femoral iwi. Ma hope iho o ka nalo ana o ka pono koko pele,'aʻaʻa luku femoral poo (a naele a me ka cartilage). E like me ka poe akamai, Perthes maʻi ia lŘlŘ i loko o nā keiki elemakule mai ka eha a hiki i kahi o 10 makahiki. He noteworthy i keia maʻi ua diagnosed i loko o nā keikikāne mea e pili ana i elima mau manawa hou pinepine, e like me ka hoike.

Perthes maʻi. kumu

Eia naʻe, ma keia i ike ole i ka kumumea oiaio e alakai ai i ka ulu ana o keia maʻi. Kekahi kauka i aku nei au ia a pau i ka hewa o ka pinepine ke anu a me nā palapū. Nō hoʻi, he mea 'ike i ke kumu moe i loko o congenital dislocation, akā, e like me ka hoike, wale i kekahi ka hanana no miliona hiki.

symptoms

Loa pinepine, ui hoʻomanawanui iki mai ohumu o kaʻeha i loko o ka hip-ami. E noke i ka discomfort hoike mai ai ia i ka kŘpa a haʻahaʻa alapine (frequency). No laila, i wāhiʻia make i mai i kekahi mau lā a hiki i kekahi mau o ka mahina. Perthes 'maʻi i loko o nā keiki ke hoike i kaʻeha ma nā māhele o ke kino,ʻo ia, ma ka groin a me ka gluteal mau mea. I ka oi pinepine kipaku ma mua o ka mea, ua hoʻokāʻoi '.

lapaʻau '

Perthes 'maʻi i loko o nā keiki ke kuhikuhi palapala hōʻoia wale nō ma hope o ka moʻo o nā ho'āʻo ma. No ka laʻana, opiopio hoʻomanawanui iki mai ia X-Ray o ka hip-ami. Ua i loko o ka papa o ka n ieaie? Lapaʻau, ma hope o hōʻoiaʻiʻo nō o kaʻike,, oe e pono i kekahi mau hou kiʻi, e hooholo i ka piha kiʻi o ka maʻi.

Perthes maʻi. ke kahua me

Ma ka manawa, kauka maopopo conditionally eha kahua o ka hoʻonaʻauao o keia maʻi:

• 1st ke kahua. Ma keia hihia, i ka hoʻomanawanui i aole lakou i ike e pili ana i kā lākou mau maʻi. Kēia loli i loko o ka iwi 'ole ma o ka microscopic unahiʻole, i mea kokoke ole e hooholo i ka papa kuhikuhiE PalekanaEND_LINK ki ina hana like. Kūpono e hoʻomōhala ana i laila,-kapaia subchondral osteonecrosis.
• 2nd mua. Aia He He manao o ka discomfort, a hōʻemi iki kaʻeha i loko o ka hip-kahi. A laila, ma laila manaʻo fracture. ? Aie? Loaʻa mall loli, e like me ka poe akamai, HEN, mai 10 a hiki i 30%.
• 3rd mua. Ke hoomanawanui hoʻomaka e hoʻopiʻi o ka eha ia neʻe, i mai, mai hele moe ko. Kēia kahua o ka maʻi, ua nui nānā 'ia e ka unevenness kinona o ka femoral poo. Interarticular makahiki Hoʻonui i ka pono ole, conversely, hooho ae.
• 4th ke kahua. Ke ami Uaʻaneʻane devoid o kona functionality, ikeia ikaika kaʻeha. Ke poo ma keia wahi ua pau luku, aia no he dislocation paha subluxation. Ma keia hihia, ai ka māhele 'āina i ho'ākāka' ia ma ka palena o mall loli mai 50 a hiki i 80%.

lapaʻau

Inā ka pahu radiograph hoike nīnūnē na hoailona o ka maʻi, ka mea, ua ia i mālama 'kilo o ke keiki. I ole ia, me ka maopopo symptoms o ka maʻi, pili i kekahi mau ki ina hana like o ka Inc.

nonsurgical lapaʻau

E emi i ka discomfort a me ka eha ana ma ka Hip keiki i hoakaka ia nonsteroidal Anati-hoʻoʻino ai '(no ka laʻana, "Ibuprofen"). Ka iapaau ana regimen ma keia hihia mea pololei e kaukaʻi ma o ka nui o ka'aʻaʻa? Aiiio. Eia hou, i ka hana ana ua ia he kūikawā physical Inc, hoʻokō 'ua? Aeiiaiaoaony e hana mai ai i ka piha daimonio. Ka wā e holumua ai deformation ia puna lole wili i mea hiki ke malama i ka femoral poʻo i loko o ka acetabulum no laila, i kapaʻia.

ʻoki lāʻau lapaʻau lapaʻau

Ka hana e leie aku oe e hoopau ai i ke hoʻihoʻi i ka makemake wahi o nā iwi i loko o ka Hip ami iho. No laila, i loko o keia hihia, i ka iwi poʻo kolo ana naʻau ma luna o ka acetabulum. Kēia kūlana ua paa ma ke kumu o kūikawā hoʻopaʻa i a me ka papa, a ma hope o ka kekahi manawa e pau wehe. Ke hoʻopulapula kaʻina Ua kalele iho ma luna o ka pomaikai o ka hana.