He aha te mate a Legg-Calve-Perthes? Tohutohu, Take, me te Maimoatanga

Ko te mate a Legg-Calve-Perthes tētahi āhuatanga o te hope tamariki e mutu ana te rere o te toto ki te pōro o te hononga hope. Ka pā te mutunga o te rere toto ki te kōiwi o te femoral head (te pōro o te wheua huha o tō tamaiti) ka pakaru, ka hanga ano i te wa roa.

Ahakoa ka rongo pea tenei he wehi, ka taea e te nuinga o ngā tamariki e pangia ana e tēnei āhuatanga te ora noa, te ora mahi me te tiaki tika. Ko te tikanga ka pā tēnei mate ki ngā tamariki kei waenganui i ngā tau 4 me te 10, ā, me te manawanui me te huarahi maimoatanga tika, ka ora pai te hononga hope.

He aha ngā tohu o te mate a Legg-Calve-Perthes?

Ko te tohu tuatahi tino noa ko te kopikopiko e haere ana, e kore ana, kāore he whara marama, kāore hoki he hinga. Ka tīmata pea tō tamaiti te kopikopiko i muri i te mahi tinana, i te mutunga o te rā roa, engari ka pai i te ata.

Ko ēnei ngā tohu ka kite pea koe i te whakawhānui o te āhuatanga:

• Te kopikopiko e kitea ana i te wa roa
• Te mamae o te hope, te hope, te huha e ngawari ana i te tīmatanga
• Te mamae o te turi (ka raru pea tēnei na te mea kei te hope te raruraru)
• Te ngoikore, te iti o te nekehanga o te hope
• Te mamae e kino ake ana me te mahi, e pai ake ana me te okioki
• Tetahi waewae e poto ake ana i tetahi
• Te ngoikore o te uaua, te ngaro o te uaua i te huha

Ko te mea raru mō tēnei āhuatanga ko te whakawhānui haere o ngā tohu. Kāore pea tō tamaiti e whakaatu nui ki te mamae i te tīmatanga, koia te take ko te kopikopiko te tohu tuatahi e hiahia ana ki te aro.

He aha ngā take o te mate a Legg-Calve-Perthes?

Kāore i te mōhiotia te take tika o te mate a Legg-Calve-Perthes, engari e mōhio ana tātou ka puta ina mutu te rere o te toto ki te femoral head. Whakaarohia he mutu poto te mana ki taua wāhi kōiwi.

He maha ngā take ka āwhina ki tēnei whakamutunga o te rere o te toto:

• Te koretake o te toto e aukati ana i ngā oko toto iti
• Te whara ki ngā oko toto mai i ngā whara iti
• Ngā take ira e pā ana ki te whanaketanga o te oko toto
• Te mumura e whakaraha ana i ngā oko toto i te hope
• Ngā awe o te homoni i ngā wā tipu

I etahi wā, ka piki pea te tūponotanga o etahi āhuatanga. Ko ēnei ngā mate toto penei i te mate toto pē, te whakamahinga o te steroid, me ētahi atu āhuatanga e pā ana ki te rere o te toto. Heoi, ko te nuinga o ngā tamariki e pangia ana e te mate a Legg-Calve-Perthes he hauora.

Ko te mea nui kia mārama ko ēnei kāore i te mahi he nāu, nā tō tamaiti rānei. Kāore i te puta mai i te nui o te mahi, i te whara motuhake, i tetahi mea ka taea te aukati i te nuinga o ngā take.

Nōhea te haere ki te taote mō te mate a Legg-Calve-Perthes?

Me whakapiri atu koe ki te taote o tō tamaiti ki te kite koe i te kopikopiko roa e roa atu ana i ngā rā torutoru, ina koa ki te kāore he whara marama. Ahakoa kāore tō tamaiti e kōrero ana mō te mamae, me whakamātau te kopikopiko kāore i te marama.

Rapua te awhina hauora wawe ki te pāngia tō tamaiti e:

• Te kopikopiko e kino haere ana
• Te mamae o te hope, te hope, te turi e āwangawanga ana i ngā mahi o ia rā
• Te uaua ki te whakanoho taumaha ki tetahi waewae
• Te raruraru ki ngā mahi penei i te piki i ngā kaupae, te whakatika mai i te moenga
• Te ngoikore marama i te hononga hope

Ka taea e te taumata whakamātautau me te maimoatanga te whakarereke nui ki te hua roa o tō tamaiti. Kaua e manukanuka ki te tino tupato. He pai tonu te tirotiro i ēnei tohu i mua atu i muri mai.

He aha ngā take tūponotanga mō te mate a Legg-Calve-Perthes?

He maha ngā take e āhei ai te whanaketanga o tēnei āhuatanga ki ētahi tamariki, ahakoa te mea he tūponotanga, ehara i te tikanga ka pangia tō tamaiti e te mate. Ka taea e te mārama ki ēnei te awhina i a koe ki te mohio ki te mea me titiro.

Ko ēnei ngā take tūponotanga tino noa:

• Tau: Tino noa i waenganui i ngā tau 4 me te 10, me te piki o te puta mai i te tau 6
• Ira tangata: Ko ngā tama e 4 ki te 5 wā te tūponotanga atu i ngā kōhine
• Iwi: Tino noa ki ngā tamariki Pākehā
• Hītori whānau: Ko te whai whānau e pangia ana e te āhuatanga ka piki ake te tūponotanga
• Te iti o te teitei mō te tau
• Te whakaroa o te tau kōiwi i te tau tau
• Te iti o te taumaha whānau

Ka taea hoki e etahi take taiao me te hauora te whai wāhi, ahakoa he iti ake ēnei. Ko ēnei ngā whakahekea ki te paowa tuarua, etahi rongoā, etahi atu mate toto.

Kia mahara ko te nuinga o ngā tamariki e whai take tūponotanga ana kāore e whanake i te āhuatanga. Ka āwhina noa ēnei take i ngā taote ki te mārama ko wai pea ka tino pāngia.

He aha ngā raruraru pea o te mate a Legg-Calve-Perthes?

Ahakoa ka ora pai te nuinga o ngā tamariki me te maimoatanga tika, he mea noa te whakaaro mō ngā pānga roa. Ko te rongo pai ko ngā raruraru kino he iti rawa te noa, ina koa me te taumata whakamātautau wawe me te tiaki tika.

Ka uru pea ngā raruraru ki:

• Te mate pūtiki hope i muri mai i te pakeketanga (ahakoa pea kāore tēnei e puta mo ngā tekau tau)
• Ngā huringa pumau i te āhua o te hononga hope
• Te rerekētanga o te roa o te waewae e mau tonu ana ki te pakeketanga
• Te iti o te nekehanga o te hope e pā ana
• Te hiahia ki te pokanga hope i te pakeketanga (i ngā take kino)

Ko te tūponotanga o ngā raruraru e whakawhirinaki ana ki te tau o tō tamaiti i te tīmatanga o te mate me te nui o te femoral head e pā ana. Ko ngā tamariki e tamariki ana i te whakamātautau ka pai ake te hua na te mea he nui ake te wā me te kaha o o rātou wheua ki te hanga hou me te ora.

Ka tirotiro pono tō tohunga o te wheua i tō tamaiti i te wa o te maimoatanga hei whakaiti i te tūponotanga o ēnei raruraru. Ko te nuinga o ngā tamariki e pangia ana e te mate a Legg-Calve-Perthes ka tupu hei tāngata pakeke mahi me ngā raruraru iti rānei, kāore rānei.

Me pēhea te whakamātautau i te mate a Legg-Calve-Perthes?

Ko te whakamātautau i te mate a Legg-Calve-Perthes ka tīmata mai i tō taote e whakarongo ana ki ō whakaaro me te tirotiro i te nekehanga o te hope o tō tamaiti me te aronga haere. Ka tirotirohia e rātou te mamae, te ngoikore, me ngā rerekētanga o te roa o te waewae.

Ko te tukanga whakamātautau e whakauru ana ki ētahi whakamātautau whakaahua:

1. Ngā X-ray o ngā hope e rua hei whakataurite i te taha e pā ana ki te taha hauora
2. Te tātaritanga MRI hei tiki i ngā whakaahua taipitopito o ngā kiko ngawari me te rere o te toto
3. Te tātaritanga wheua (kaore e hiahiatia)
4. Ngā X-ray whai muri i te wa hei tirotiro i te whakawhānui o te mate

Ka tono pea tō taote i ngā whakamātautau toto hei whakakore i ētahi atu āhuatanga e taea ai te puta mai i ngā tohu rite. Ko te tikanga ka whakauia te whakamātautau mā ngā huringa X-ray, ahakoa i te tīmatanga o te mate, ka rite pea ngā X-ray.

Ka roa pea te whakamātautau tika na te mea ka whakawhānui te āhuatanga i ngā wāhanga rerekē. Ka hiahia pea tō taote ki te kite i tō tamaiti mō ngā haerenga whai muri hei aroturuki i te whanaketanga o te āhuatanga.

He aha te maimoatanga mō te mate a Legg-Calve-Perthes?

Ko te maimoatanga mō te mate a Legg-Calve-Perthes e aro ana ki te tiaki i te hononga hope i te wa e ora ana te kōiwi me te hanga hou. Ko te whāinga ko te pupuri i te pōro o te hononga hope kia porowhita, kia pai te tuunga i roto i te kokonga i tēnei tukanga ora.

Ka rerekē ngā whiringa maimoatanga i runga i te tau o tō tamaiti me te kino o te āhuatanga:

• Te tirotiro me te aroturuki noa mō ngā take ngawari
• Te whakarereke i te mahi hei whakaiti i te ahotea ki te hope
• Te rongoā tinana hei pupuri i te ngawari me te kaha o te hope
• Ngā parekura, ngā kāreti hei pupuri i te hope i te tuunga tika
• Ngā rongoā anti-mumura mō te whakaora i te mamae
• Te pokanga i ngā take kino ake hei whakapai ake i te tuunga o te hope

He tukanga ora puhoi, ko te tikanga ka roa i te 2 ki te 4 tau te hanga hou o te kōiwi. I tēnei wā, ka hiahia tō tamaiti ki ngā tirotiro noa me ngā X-ray hei aroturuki i te whakawhānui.

Ka hanga e tō tohunga wheua tētahi mahere maimoatanga e rite ana ki ngā hiahia o tō tamaiti. Ka taea te whakarereke i te huarahi i te whakawhānui o te āhuatanga i ona wāhanga ora rerekē.

Me pēhea te whakarato i te tiaki kāinga i te wa o te mate a Legg-Calve-Perthes?

Ko te tautoko i tō tamaiti i te kāinga he wāhi nui ki tōna ora me tōna oranga whānui. Me taurite tō huarahi ki te tiaki i te hope e ora ana i te pupuri i ngā wheako tamariki noa o tō tamaiti.

Ko ēnei ngā āhuatanga matua o te tiaki kāinga:

• Whakatenatenahia ngā mahi iti-pānga penei i te kauhoe, he mea pai tēnei mō te pupuri i te hauora
• Awhina i tō tamaiti ki te whai i ngā herenga mahi kāore e tino whakawhāiti i a rātou
• Kia mau ki te tango i ngā rongoā kua tohua
• Tautoko i ngā whakangungu rongoā tinana i te kāinga
• Tirohia ngā tohu o te mamae nui ake, te uaua ki te haere
• Pupuri i te kōrero whakatuwhera mō te āhua o o rātou ngākau me o rātou wairua

Ko ngā mahi hei whakaiti i te wa e maimoatia ana ko te rere, te pūkae, ngā hākinakina hononga, me ngā mahi e tino ahotea ana ki te hononga hope. Heoi, ka taea e tō tamaiti te whai wāhi ki ētahi atu mahi me ētahi whakarerekētanga.

Ko te tautoko hinengaro he mea nui ano ko te tiaki tinana. Ka taea e tēnei āhuatanga te whakararuraru mō ngā tamariki mahi e hiahia ana kia whakaiti i ō rātou mahi. Whakamārama atu ki tō tamaiti he mea poto tēnei, ka taea e rātou te hoki ki ō rātou mahi tino pai i te wa e ora ana.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō ō hui ka āwhina i te whakarite kia whiwhi koe i te tiaki whānui rawa mō tō tamaiti. Kawe mai tētahi rārangi o ngā pātai me ngā āwangawanga kia kaua e wareware i tetahi mea nui i te wā o te haerenga.

I mua i tō hui, kohikohia ēnei mōhiohio:

• I te wā i kite tuatahi ai koe i ngā tohu me te āhua o te whakarerekē
• Ngā rongoā o nāianei me ngā maimoatanga kua whakamātauhia
• Te hītori whānau o ngā raruraru hope, kōiwi
• Te taumata mahi o tō tamaiti me ngā whakawhāiti i pāngia e rātou
• Ngā pātai mō ngā whiringa maimoatanga, ngā herenga mahi, me te tirohanga roa

Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe, mai i ngā pātai tiaki o ia rā ki te whakatau roa. Ko te mārama ki te āhuatanga o tō tamaiti ka āwhina i a koe ki te whakarato i te tautoko pai rawa atu i te kāinga.

He mea whai hua hoki te whakarite i tō tamaiti mō te hui mā te whakamārama i ngā mea ka puta i ngā kupu e tika ana mō te tau. Ka taea e tēnei te whakaiti i ō rātou manukanuka mō ngā haerenga hauora.

He aha te mea nui mō te mate a Legg-Calve-Perthes?

Ko te mate a Legg-Calve-Perthes, ahakoa he āwangawanga, he āhuatanga e ora pai ana te nuinga o ngā tamariki mai i te tiaki me te manawanui. Ko te matua ko te whakamātautau wawe me te whai tonu i tō mahere maimoatanga, ahakoa te puhoi o te whakawhānui.

Kia mahara ka roa te ora, ko te tikanga he 2 ki te 4 tau, engari ka haere te nuinga o ngā tamariki ki te ora mahi, noa. Ko te iti o te tau o tō tamaiti i te whakamātautau, ka pai ake ōna tupono mō te ora katoa kāore he raruraru roa.

Noho hono atu ki tō rōpū hauora, whai i ngā aratohu mahi, me te whakarato i te tautoko hinengaro nui mō tō tamaiti i tēnei wā wero. Me te maimoatanga tika me tō aroha, ka taea e tō tamaiti te wikitoria i tēnei āhuatanga me te hoki ki ngā mahi katoa e pai ana rātou.

Ngā pātai e ui pinepinetia ana mō te mate a Legg-Calve-Perthes

Ka taea e taku tamaiti te takaro hākinakina ano?

Ka taea e te nuinga o ngā tamariki te hoki ki ngā hākinakina me te mahi katoa i te wa kua ora katoa tō rātou hope, ko te tikanga he 2 ki te 4 tau. Ka whakamōhio atu tō taote ki a koe i te wa e ora ana te hoki ki ngā mahi nui ake. Ka haere te nuinga o ngā tuuroro o mua ki te takaro hākinakina whakataetae me te ora tino mahi.

He mate whakatūpato tēnei?

Ahakoa pea he iti te wāhanga ira, ehara te mate a Legg-Calve-Perthes i te whakatūpato tika mai i ngā mātua ki ngā tamariki. Ko te whai whānau e pangia ana e te āhuatanga ka piki ake te tūponotanga, engari ko te nuinga o ngā tamariki e whanake ana kāore he hītori whānau o te mate.

Ka taea te pānga o ngā hope e rua i te wā kotahi?

Ae, ahakoa ka puta tēnei i te 10-15% noa iho o ngā take. Ina pāngia ngā hope e rua, kāore pea e whanake i te āhuatanga i te wā kotahi. Ko te tikanga, ki te uru atu tētahi hope tuarua, ka puta i muri i ngā marama, ngā tau rānei i muri i te hope tuatahi.

E hia te roa o te whakawhāiti i ngā mahi a taku tamaiti?

Ko te tikanga ka roa ngā herenga mahi i te wa e ora ana, ka taea te 2 ki te 4 tau i runga i te tau o tō tamaiti me te kino o tōna āhuatanga. Ka whakawhāiti haere tō taote i ngā herenga i te whakawhānui o te ora, te tīmatanga me ngā mahi iti-pānga, me te tuku i te whai wāhi katoa ki ngā hākinakina.

He aha te mea ka puta ki te kore e maimoatia te āhuatanga?

Me te kore he maimoatanga tika, pea kāore te femoral head e ora i te āhua porowhita, ka āhei ai te puta mai i ngā raruraru hope i te pakeketanga tae atu ki te mate pūtiki me te hiahia ki te pokanga hope. Me te maimoatanga tika, ka karo te nuinga o ngā tamariki i ēnei raruraru roa me te pupuri i te mahi hauora o te hope i o rātou oranga.