Enye yezona zinto ziqhelekileyo kwaye zixhaphake kwiminyaka yamuva, iingxaki zamathambo kubantwana zizifo ze-Perthes. Esi sifo se-hip kunye ne-femur, ehambelana nokuphulwa kwe-articalular cartilage kunye nokuphazamiseka kwegazi kwintloko ye-femur, elandelwa yi-necrosis. Phakathi kwe-osteochondropathies yamathambo, isifo sikaPerthes singama-1.9%, kunye nezifo ezidibeneyo-25%.
Ngokuqhelekileyo, isifo sifumaneka kubantwana besilisa abaneminyaka engama-3 kuya kwe-14. Kuthatha ixesha elide - ukususela kwiminyaka emi-3 ukuya kwe-5. Kukho iziphumo ezinokwenzeka zezifo zikaPerthes, ezifana nokuhluthwa kakubi kwentloko yesifuba senkwenkwezi (kubakho kwi-20-25% yezigulane zabantwana), kunye nokuphuhliswa kwe-coxarthrosis ekutshatyalaliswa kwangaphambili, okungabangela ukukhubazeka kwangaphambili.
Iingxaki zePerthes
Kuza kubekho namhlanje, akukho zizathu ezicacileyo zezifo zePherthe. Kodwa phakathi kwezizathu zokubeka, oogqirha babiza oku kulandelayo:
- nzakala;
- izifo ze-catarrhal;
- uxinzelelo oludlulileyo kumalungu, ngokukodwa ukuba umzimba womntwana unobuthakathaka;
- izifo zengxaki;
- ukutshatyalaliswa kokuzalwa komntwana (imeko engavumelekanga);
- ifa.
Izibonakaliso zezifo zePerthes
Iimpawu zokuqala zibuhlungu kunye nokuxhamla, eziye zahlutha ngokuhamba nokuhlala ixesha elide. Ebusuku intlungu iphela, isikhalazo sokuphumla asibuhlungu kakhulu. Umntwana ogulayo ufumana ubunzima obukhulu kakhulu ekuthatheni nasekujikelezeni intamo. Kwimigangatho yokugqibela, isifo sikaPerthes singahamba kunye nokunciphisa isilungu.
Eyona nto inolwazi luyi-diagnosis, i-ultrasound kunye ne-radiografi yamalungu angama-hip (amadolo). Njengomthetho, kuphela enye yezihlanganisi ezichaphazelekayo, zidla ngokuthe tye.
Unyango lwe-Perthes sifo kubantwana
Umgaqo oyintloko wokonyango kukuphuculwa kwegazi kunye nokuphumla kwendawo echaphazelekayo yethambo. Ukuze kuphephe ukuguqulwa kwentloko yesifazane, umntwana unikezwa ukuphumla kombhede, kunye nokwelula umlenze onobuhlungu. Ngokuhamba kwexesha, ukuhamba ngeentonga kuvumelekile usebenzisa izicathulo zomzimba. Kunconywa ukuba uhlaziye kwiintsuku zokuqala zonyango.
Abantwana abanengxaki yesifo sikaPerthes, abazali abaninzi baphathwa kwii-sanatoriums ezizodwa, apho zonke iimeko zenziwa kule njongo kwaye kukho abasebenzi bezonyango kwiprofayili efanelekileyo.
Ukuhlawula ngesifo sePerthes
Ukusetyenziswa kwe-massage kusetyenziswa ngokusisigxina kwiinkatho zengxaki zePerthes. Injongo yalo kukuphucula ukujikeleza kwegazi kunye nokujikeleza kwe-lymph, ukunciphisa intlungu, ukuthintela i-atrophy ye-muscle, ukukhawulezisa inkqubo yokuvuselelwa kweethambo zamathambo nokubuyisela imisebenzi yemoto yombutho.
Ukusasaza kudinga ummandla we-lumbosacral, izibilini zomlenze, izibonda, izilwanyana kunye nemilenze ephantsi. Ukuba i-traction isetyenzisiweyo, kuphela iindawo ezintathu zokugqibela zomlenze ogulayo zikhoyo ukuze zihlaziye. Ngako oko, umlenze onempilo utyumle, kwaye umlenze wolu lucalulo luphantsi nje kokuxilwa lula.
Kwi-massage yomlenze ogulayo, ukunyakaza kusetyenziswa kulandelelwano olulandelayo:
- Ukuqhaqhazela.
- Ukuxubha iminwe e-4.
- Ukwamkela ukungabikho okukhawulezayo.
- Ukuxolela okulula okungekhoyo okanye okuphakathi.
- Kwakhona uyamkela ngokungahambi ngokukhawuleza.
Umlenze wesigulane kufuneka ulinge ukuphatha kuwo onke macala. Ukongezelela, kunceda ukuhlalisa ummandla ojikeleze umthi omkhulu kwaye uzichithe ngokwayo, usebenzisa inqubo yokugaya nge-4 iminwe.
Emva kokuba i-gypsum okanye isandiso isuswe, isidingo sokusunduza umlenze ophilileyo sinyamalalala. Kungcono ukugxila kwimimandla ye-lumbosacral ne-gluteal, kunye nokuhlanganiswa kwe-hip.