Kurapa nechirwere chirwere umo ropa rinopa muhudyu rakakundikana, izvo zvinoita kuti risina kupararira necrosis. Iyo inobata kwete chete mapfupa emapfupa, asiwo majoini, midziyo nemitsipa. Izvi zvirwere, chaizvoizvo, ndeimwe yenzira dzakajairika dze osteochondropathy.
Kuita zvirwere - zvinokonzera
Kusvika iye zvino, hapana chimwe chinhu chinokonzera kubuda kwechirwere ichi. Nyanzvi dzinofunga kuti iyi ihutachiona hwepolethological. Aseptic necrosis yemusoro wemukadzi inokonzerwa kana kune imwe nzvimbo yakagadzirirwa nhaka yekukura kwechirwere chakadaro. Mukuwedzera, chirwere ichi chinoratidzwa apo pane kushungurudzika mumagadzirirwo emagetsi mumuviri uye kukanganisa kwezvinhu zvisina kunaka kubva kunze.
Iyo nzira inokonzera chirwere cheLegg-Calve-Perthes muvana inofungidzirwa sezvinhu zvakadai:
- kukanganisa kwemagetsi, kusanganisira minerals, iyo inobatanidzwa mumapfupa ekugadzira;
- kuparara kwemagetsi (kuputsika, kutambanudza nezvakadaro);
- Kuvhiringidzika kunowanikwa mumisoro yepachiuno mumatachiona emakiromita kana mavairwere;
- hormonal kusakwana mukuyaruka.
Ichi chirwere chinosangana pakati pemakore 3 ne12. Muvakomana, chirwere ichi chinowanikwa kanomwe kazhinji pane vasikana. Vanhu vanotevera vari pangozi yakakura:
- vakatambura rickets ;
- kuora mwoyo (kazhinji kurwara);
- vasingachaputi (vana vane vabereki vane tsika iyi yakaipa);
- nekushaya zvokudya zvinovaka muviri.
Perthes 'chirwere muvana - zviratidzo
Kazhinji kacho chirwere chinosangana nekukundwa kumwe chete, uye kakawanda kazhinji - pamwe chete. Pakutanga chirwere chacho hachina kumira. Uyezve, chirwere chePerthes muvana chinogona kuendeswa nezviratidzo zvinotevera:
- lameness;
- kunzwa kunorwadza kunokonzerwa kana uchifamba;
- kushaya simba kwekutenderera kwekugwinya;
- kuzvimba muzvibatanidzwa;
- kuwedzera kutuka ;
- kuderera kwepfungwa yemwoyo;
- kukakavara kwetsoka;
- kupesana kwezvakaitwa.
Zvikamu zve chirwere chePerthes
Ichi chirwere chinomirirwa nezvikamu zvishanu. Aseptic necrosis yemusoro wevakadzi, vane zvikamu zvine maitiro avo, zvinotsanangurwa sezvizvi:
- Chimiro chinoputika - marwadzo maduku mumunda wezviputi zvechiuno, periodic limping.
- Kushandura nzvimbo - kune kupfupika kwemuviri.
- Kuparadzaniswa kwemukoko - musoro wekudzika unopera, uye mapfupa emapfupa anotanga kupera.
- Kudzorera chikwata - kushandiswa kwepafu-cartilaginous connective tishu.
- Chimiro chekupedzisira - kusvibiswa kwezvibvumirano zvinobatana zvinoitika. Kufamba kwakarasika.
Kuita zvirwere - kuongororwa
Usati watanga kurapa chirwere ichi, unofanirwa kuongororwa zvakakwana. Inotarisana ne-X-ray kuongorora kwekubatanidzwa kwechiuno. Iyi nzira inokubvumira kuziva chiyero chekushandura uye kunyatsogadzirisa denderedzwa rechionda. Kana chirongwa chekuongorora chirwere cheaseptic necrosis chemusoro wemukadzi, chinodikanwa kuita x-ray mune zvimwe zviitiko. Izvi zvichaita kuti chiremba awane ruzivo rwakakwana pamusoro penharaunda yakakanganiswa.
Zvidzidzo zvinotevera zvinobatsirawo kuongorora chirwere chePerthes:
- CT;
- arthroscopy;
- Ultrasound.
Kuita zvirwere muvana - kurapwa
Izvo zvishoma kudonhedzwa kwemukoko weputika, zviri nyore kuti uwanezve. Zvinotapira chirwere, uyo mushonga unoda nzira yakabatanidzwa, haisi kurega nekuremara. Therapy inopa chinangwa-kuchengetedza maitiro emusoro wetibia. Mwana anogona kuenda mumugwagwa wepamusoro pamba, muchipatara kana mune sanatorium. Kana aseptic necrosis yemusoro wechikadzi ichionekwa, kurapwa kunomiririrwa nezvinhu zvinotevera:
- kupedzisa kusunungura kwekubatana kwebato pamwe chete, kubhururuka pamabhondi;
- kupfeka shangu dzemafupa;
- zorora pamabhedha chaiwo;
- iyo yeyodhaka yeodhaka.
Mukuwedzera, chirwere chePerthes nechirwere chinoputika chichipa mishonga inotevera:
- zvinodhaka zvinowedzera kuwedzerwa kweropa (Trental, Pentoxifylline);
- mishonga yemishonga ine chirongwa chekudzokazve (Wobenzym, Methyluracil);
- anti-inflammatory non-steroid drugs (Ibufen, Neurofen);
- biologically anoshanda additives (vitamini A, D uye calcium ).
Kushambadza nechirwere chePerthes
Kubatsira kwemuitiro uyu kwakaoma kufungisisa. Massage ine zvinotevera:
- inopa chimiro chaidiwa kumisungo;
- kunowedzera kubuda kweropa mumatukisi akabatwa;
- zvinowanzoita zvirongwa zvemagetsi mumagariro akaoma.
Perthes 'chirwere muvana chinosanganisira kuita kuunganidza kwakadaro:
- inoparadza nzvimbo inobwinya;
- kufema, kuitwa pamucheto wesundu;
- kunyorera misumbu.
Panguva yekufamba, mwana anogona kurara pamativi ake, mudumbu kana kumashure. Anofanirwa kuporesa musuru zvakanyanya. Kana iyo osteochondropathy yemusoro wemukadzi inosangana nemarwadzo akaoma, zvose zvinoshandiswa panguva yekuraira zvinofanira kuitwa nyore nyore. Zvinetso kana mamwe maitiro akadzika munyaya ino haabvumirwi. Mwana wacho haafaniri kunetseka.
Kutenda nechirwere - LFK
Chinangwa chikuru chekudzidzira kwakadaro ndechokukurumidza kuita chirongwa chekudzoka. Izvi zvinobatsira kubatsira kudzorera inzwi romuviri. Mukuwedzera, vanove nemigumisiro yakanaka pamamiriro ekufunga kwemurwere, izvo zvinowedzerawo kugadzirisa chirongwa. Kana iyo osteochondropathy yemusoro wechikadzi muvana inowanikwa mune imwe nguva yekutanga, kurapa kurapa kunorudzirwa kwemwedzi 2-3. Nehutachiona hwechirwere, zvinotora makore 1.5-2.
Chirwere cheLiggy-Calve-Perthes chinosanganisa zviratidzo zvinotevera:
- Jumping;
- squats;
- kusimudzira zvisikwa;
- achifamba pamusoro pemarefu.
Kuita zvirwere - kushanda
Kana chirwere chekuchengetedza chisina kubudirira, chiremba anogona kukurudzira kupindira kwekuvhiya. Kuvhiya kunoitwa panguva yechirefu chechirwere chacho. Izvo zvinoitwa chete kune avo varwere vakasvika kusvika makore matanhatu. Kana pamusana pekudzivirira kupfupisa kwemisumbu yakabuda, panguva yekushanda sangano rakakanganiswa rinodzorerwa kunzvimbo yayo yepakutanga. Kuti uigadzire, purasita yakagadzirwa inoshandiswa. Murwere anoda kuupfeka kwevhiki 4-8. Panguva ino, sangano "rinoshandiswa" panzvimbo yayo.
Kunyange kana chirwere cheLegg-Calvet-Perthes chichidzoka, murwere anofanira kurega kuisa zvigunwe zvechiuno. Mukuwedzera, unofanirwa kuisa kunze kwekugara kwenguva refu pamakumbo ako. Munguva yekuvandudza nguva uye shure kwayo, mabasa akadaro anobvumirwa:
- bhasikoro kukwira;
- therapeutic gymnastics;
- kushambira.
Kuita zvirwere - migumisiro
Kana hutachiona hunoonekwa pachigamba chekutanga uye chirwere chinotanga nenguva, chirwere chinogona kukundwa zvachose. Mune fomu isina hanya, urwere hunotungamirira kukuremara. Aseptic necrosis yemusoro wemukadzikadzi muvana yakazara nemigumisiro inotevera:
- osteoarthritis;
- kukanganisa kwe gait;
- vanorarama nokusingaperi;
- tsvina hypotrophy.