Chirwere cheLegg-Calve-Perthes Chii? Zviratidzo, Zvinokonzera, & Kurapa

Chirwere cheLegg-Calve-Perthes chirwere chechidumbu chevana apo ropa rinopinda muhuro yechidumbu rinomira kwenguva pfupi. Izvi zvinokonzera kuti tishu yemupfupa mumusoro wefemoral (chikamu chebhora rechidumbu chemwanakomana wako) chiparare wozopedzisira wazvivakazve nekufamba kwenguva.

Kunyangwe izvi zvinganzwa zvichitya, vana vazhinji vane chirwere ichi vanogona kurarama hupenyu hunowanzoita, hunoshanda nekuchengetedzwa kwakakodzera. Chirwere ichi chinowanzoita vana vane makore pakati pe4 ne10, uye nekutsungirira nekurapa kwakakodzera, chikamu chechidumbu chinowanzoporesa zvakanaka.

Zviratidzo zveChirwere cheLegg-Calve-Perthes Ndezvipi?

Chiratidzo chekutanga chinowanzoitika ndechekuremara kunouya nekufamba, kazhinji pasina kukuvara kwakajeka kana kuwira. Mwanakomana wako angatanga kukotama mushure mekuita zvemuviri kana kupera kwezuva refu, asi anotaridzika zvakanaka mangwanani.

Aya ndiwo maratidzo aunogona kuona sezvo chirwere ichi chichikura:

• Kuremara kunowedzera kuoneka nekufamba kwenguva
• Kurwadziwa kwechidumbu, groin, kana gumbo rinogona kunge rakanyanya pakutanga
• Kurwadziwa kwemabvi (izvo zvinogona kusanganisa sezvo dambudziko riri muchidumbu chaicho)
• Kushaya simba kana kuderedzwa kwekuita kwechidumbu
• Kurwadziwa kunowedzera nekuita uye kunowedzera nekuzorora
• Gumbo rimwe richiratidzika ripfupi pane rimwe
• Kushaya simba kwemhasuru kana kupera kwemhasuru mugumbo

Chinhu chinonyengera nezvechirwere ichi ndechekuti zviratidzo zvinowanzoitika zvishoma nezvishoma. Mwanakomana wako angasazongorwadziwa zvakanyanya pakutanga, ndosaka kuremara kuri chiratidzo chekutanga chekuti chimwe chinhu chinoda kutarisirwa.

Chii Chinokonzera Chirwere cheLegg-Calve-Perthes?

Chikonzero chaicho cheChirwere cheLegg-Calve-Perthes hachizivikanwi, asi tinoziva kuti chinoitika kana ropa rinopinda mumusoro wefemoral richikanganiswa. Funga nezvazvo sekudzimwa kwenguva pfupi kwemagetsi kune iyo nzvimbo chaiyo yemupfupa.

Zvinhu zvakati wandei zvinogona kuita kuti ropa rirambe richikanganiswa:

• Kuita kwakashata kweropa kunovhara midziyo midiki yeropa
• Kukuvara kwemidziyo yeropa kubva pakukuvara kwakawanda kwakawanda
• Zvinhu zvemagariro anokanganisa kukura kwemidziyo yeropa
• Kutemwa kwemidziyo yeropa muchidumbu
• Kuita kwehomoni panguva yekukura

Muitiro wakawanda, mamiriro ezvinhu akati anogona kuwedzera njodzi. Izvi zvinosanganisira matambudziko eropa senge chirwere che sickle cell, kushandiswa kwe steroid, kana mamwe mamiriro anokanganisa kuyerera kweropa. Nekudaro, vana vazhinji vanowana Chirwere cheLegg-Calve-Perthes vane hutano zvachose.

Chinhu chakakosha kunzwisisa ndechekuti izvi hazvisi chimwe chinhu chawakaita iwe kana mwanakomana wako. Hazvikonzerwi nekushanda kwakanyanya, kukuvara kwakakosha, kana chimwe chinhu chinogona kudzivirirwa mumamiriro mazhinji.

Rini Unofanira Kuona Chiremba NezveChirwere cheLegg-Calve-Perthes?

Unofanira kubata nachiremba wemwanakomana wako kana ukaona kuremara kunogara kwenguva yakareba kupfuura mazuva mashoma, kunyanya kana pasina kukuvara kwakajeka. Kunyangwe mwanakomana wako asingarwadziwi, kuremara kusina tsananguro kunoda kuongororwa nevanachiremba.

Tsvaga rubatsiro rwechiremba nekukurumidza kana mwanakomana wako akawana:

• Kuremara kunowedzera kuipa
• Kurwadziwa kwechidumbu, groin, kana bvi kunokanganisa mabasa ezuva nezuva
• Kunetseka kuisa uremu pagumbo rimwe
• Kunetseka nemabasa senge kukwira matanho kana kubuda mubhedha
• Kushaya simba kwakajeka muchidumbu

Kuongororwa nekukurumidza nekurapa kunogona kuita musiyano mukuru muhupenyu hwemwanakomana wako hurefu. Usazvidya mwoyo nezvekuva wakangwarira zvakanyanya. Zvakanaka nguva dzose kuongororwa izvi zviratidzo nekukurumidza pane gare gare.

Zvinhu Zvinowedzera Njodzi yeChirwere cheLegg-Calve-Perthes Ndezvipi?

Zvinhu zvakati wandei zvinoita kuti vana vamwe vave nemukana mukuru wekuwana chirwere ichi, kunyangwe kuva nezvinhu zvinowedzera njodzi hazvirevi kuti mwanakomana wako achawana chirwere ichocho. Kunzwisisa izvi kunogona kukubatsira kuziva zvekutarisa.

Zvinhu zvinowanzoita njodzi zvinosanganisira:

• Zera: Zvinowanzoitika pakati pemakore 4 ne10, nekuwanda kwakanyanya pakore 6
• Rudzi: Vakomana vane mukana we4 kusvika ku5 wekuwana chirwere kupfuura vasikana
• Rudzi: Zvinowanzoitika kuvana veCaucasian
• Nhoroondo yemhuri: Kuva nehama dzine chirwere ichi kunowedzera njodzi zvishoma
• Ukuru duku hwezera
• Zera remupfupa rakaoma pane zera rechinyorwa
• Kurema kwakaderera pakuumbwa

Zvimwe zvinhu zvakatipoteredza nezvehutano zvinogonawo kutamba basa, kunyangwe izvi zvisingawanzoitiki. Izvi zvinosanganisira kuiswa kumoto wechipiri, mishonga yakati, kana matambudziko ekugwamba kweropa.

Yeuka kuti vana vazhinji vane zvinhu zvinowedzera njodzi havambofi vakawana chirwere ichi. Izvi zvinhu zvinongobatsira vanachiremba kunzwisisa kuti ndiani angave nemukana mukuru.

Matambudziko Anogona Kuitika eChirwere cheLegg-Calve-Perthes Ndezvipi?

Kunyangwe vana vazhinji vanoporesa zvakanaka nekurapa kwakakodzera, zvakajairika kuzvibvunza nezvemigumisiro yenguva refu. Mashoko akanaka ndeakuti matambudziko akakomba haawanzoitiki, kunyanya nekuongororwa nekukurumidza nekutarisirwa kwakakodzera.

Matambudziko anogona kuitika anosanganisira:

• Arthritis yechidumbu gare gare muhupenyu hwemunhu mukuru (kunyangwe izvi zvingasazoitika kwemakumi emakore)
• Kuchinja kwenguva refu muchimiro chechidumbu
• Kusiyana kureba kwemigumbo kunogara kwenguva refu muhupenyu hwemunhu mukuru
• Kuderedzwa kwekuita kwechidumbu chakabatwa
• Kuda kuvhiya kwechidumbu muhupenyu hwemunhu mukuru (mumamiriro ezvinhu akakomba)

Njodzi yematambudziko inonyanya kuenderana nezana ramwana wako kana chirwere ichi chatanga uye kuti chikamu chiduku chemusoro wefemoral chakabatwa. Vana vakadzikira pazera pavakaongororwa vanowanzova nemhedzisiro yakanaka nekuti mapfupa avo ane nguva yakawanda uye kugona kugadzirisa nekurapa.

Nyanzvi yako yeorthopedic ichaongorora mwanakomana wako zvakanyanya panguva yekurapa kuderedza njodzi yeiyi matambudziko. Vana vazhinji vane Chirwere cheLegg-Calve-Perthes vanokura kuti vave vakuru vanoshanda vane matambudziko mashoma kana kuti asina matambudziko ehupenyu hwenguva refu.

Chirwere cheLegg-Calve-Perthes Chinoongororwa Sei?

Kuongorora Chirwere cheLegg-Calve-Perthes kunotanga nachiremba wako achiteerera zvinokunetsa uye achiongorora kufamba kwemwanakomana wako nekutamba. Vachaongorora kurwadziwa, kushaya simba, uye chero musiyano murefu rwegumbo.

Maitiro ekuongorora anowanzo sanganisira bvunzo dzakawanda dzekuona mifananidzo:

1. X-rays yezvikamu zviviri zvechidumbu kuenzanisa divi rakabatwa nedivi rakanaka
2. MRI scan kuti uwane mifananidzo yakadzama yetishu dzakapfava nekuyerera kweropa
3. Bone scan (haidiwi kazhinji) kuongorora ropa rinopinda mupfupa
4. X-rays dzekuongorora nekufamba kwenguva kuti uongorore kufambira mberi kwechirwere

Chiremba wako anogonawo kuraira bvunzo dzeropa kuti abvise mamwe mamiriro anogona kukonzera zviratidzo zvakafanana. Kuongororwa kunowanzosimbiswa nekuchinja kweX-ray, kunyangwe pakutanga kwechirwere, X-rays inogona kutaridzika yakajairika.

Kuwana kuongororwa kwakakwana kunogona kutora nguva nekuti chirwere ichi chinofambira mberi kuburikidza nematanho akasiyana. Chiremba wako anoda kuona mwanakomana wako kuti aite zvekutarisa kuti aone kuti chirwere ichi chiri kufambira sei.

Kurapa kweChirwere cheLegg-Calve-Perthes Chii?

Kurapa kweChirwere cheLegg-Calve-Perthes kunotarisa pakudzivirira chikamu chechidumbu nepo pfupa richipora uye richizvivakazve zvakasikwa. Chinangwa ndechekuchengeta chikamu chebhora rechidumbu chakatenderera uye chakanaka munzvimbo yacho panguva yekurapa uku.

Sarudzo dzekurapa dzinosiyana zvichienderana nezana ramwana wako uye kukomba kwechirwere ichi:

• Kucherechedza nekuongorora nguva dzose zvemamiriro ezvinhu akapfava
• Kuchinja kwemabasa kuderedza kumanikidza pachidumbu
• Kurapa kwemuviri kuchengetedza kunyanya uye simba rechidumbu
• Mabhandeji kana makasi kuchengetedza chikamu chechidumbu munzvimbo yakakodzera
• Mishonga inorwisa kuzvimba kubvisa kurwadziwa
• Kuopereta mumamiriro ezvinhu akakomba kuti uwedzere nzvimbo yechidumbu

Maitiro ekurapa ari nyore, anowanzoenda kwemakore 2 kusvika ku4 kuti pfupa rivakazve zvizere. Panguva ino, mwanakomana wako achafanira kuongororwa nguva dzose neX-rays kuti aone kufambira mberi.

Nyanzvi yako yeorthopedic ichaita chirongwa chekurapa chakagadzirirwa zvinodiwa nemwanakomana wako. Maitiro anogona kuchinja sezvo chirwere ichi chichifambira mberi kuburikidza nematanho ayo akasiyana ekurapa.

Maitiro ekutarisira kumba panguva yeChirwere cheLegg-Calve-Perthes?

Kutsigira mwanakomana wako kumba kunotamba basa rinokosha mukupora kwavo uye hutano hwavo hwese. Maitiro ako anofanira kuenzanisa kuchengetedza chikamu chechidumbu chiri kurapa nepo uchichengeta zviitiko zvevana vemwanakomana wako sezvinobvira.

Aya ndiwo mativi makuru ekutarisira kumba:

• Kurudzira mabasa asingakonzere kukuvara senge kushambira, izvo zvakanaka pakuchengetedza hutano
• Batsira mwanakomana wako kutevera mirairo yekushanda pasina kuita kuti anzwe akaganhurirwa zvakanyanya
• Iva nechokwadi chekuti anotora mishonga yakanyorwa sezvakarayirwa
• Tsigira maekisesaizi ekurapa kwemuviri kumba
• Tarisa zviratidzo zvekukura kurwadziwa kana kunetseka kufamba
• Chengetedza kutaurirana kwakavhurika nezvemanzwiro avo emuviri nepfungwa

Mabasa ekuganhurira panguva yekurapa anosanganisira kumhanya, kukwira, mitambo yekubata, uye mabasa anokonzera kumanikidza kwakanyanya pachidumbu. Nekudaro, mwanakomana wako anogona kazhinji kubatanidzwa mune mamwe mabasa nekuchinja kwakati.

Kutsigira kwepfungwa kwakakosha sezvo kutarisira kwemuviri. Chirwere ichi chinogona kunetsa vana vanoshanda vanoda kamwe kamwe kudzora mabasa avo. Vimbisa mwanakomana wako kuti izvi ndezvechinguva uye kuti achakwanisa kudzoka kumabasa ake aunofarira kana kurapa kwapera.

Unofanira Kugadzirira Sei Kune Chiremba Chako?

Kuva wakagadzirira zvakanaka kune zvikwata zvako kunobatsira kuve nechokwadi chekuti unowana kutarisirwa kwakakwana kwemwanakomana wako. Uya nerondedzero yemibvunzo nezvinokunetsa kuitira kuti usakanganwa chimwe chinhu chakakosha panguva yekushanya.

Usati wasvika pachikwata chako,unganidza ruzivo urwu:

• Paunotanga kuona zviratidzo uye maitiro avo akachinja sei
• Mishonga iripo uye kurapwa kwakapfuura kwakamboedzwa
• Nhoroondo yemhuri yematambudziko echigumbu kana mapfupa
• Danho rekuita remwanakomana wako uye chero miganho yavakawana
• Mibvunzo nezve sarudzo dzekurapa, miganho yekushanda, uye tarisiro yenguva refu

Usazengurira kubvunza nezve chero chinhu chinokunetsa, kubva kumibvunzo yekutarisira kwezuva nezuva kusvika kutarisiro yenguva refu. Kunzwisisa mamiriro emwanakomana wako zvizere kunokubatsira kupa rutsigiro rwakanyanya kumba.

Zvakakoshawo kugadzirira mwanakomana wako kune chiremba nekutsanangura zvingaitika mumazwi akakodzera emakore. Izvi zvinogona kubatsira kuderedza kunetseka kwavo nezvekushanya kwavanachiremba.

Chii Chinonyanya Kukosha NezveChirwere cheLegg-Calve-Perthes?

Chirwere cheLegg-Calve-Perthes, kunyangwe chichiitya, chirwere icho vana vazhinji vanoporesa zvakanaka nekuchengetedzwa kwakakodzera nekutsungirira. Chinhu chikuru ndechekuongororwa nekukurumidza nekutevera chirongwa chako chekurapa zvakasimba, kunyangwe kufambira mberi kuchiratidzika kuri nyore.

Yeuka kuti kurapa kunotora nguva, kazhinji makore 2 kusvika ku4, asi vana vazhinji vanoramba vachirarama hupenyu hunoshanda, hunowanzoita. Mwana wako akadiki kana akaongororwa, mukana wavo wekupora zvizere pasina matambudziko ehupenyu hwenguva refu.

Rambai makabatana nechikwata chenyu chekurapa, tevedzerai mirairo yekushanda, uye kupa rutsigiro rwakawanda rwepfungwa kumwanakomana wako panguva ino yakaoma. Nekurapa kwakakodzera nekutarisira kwako kwerudo, mwanakomana wako anogona kupfuura chirwere ichi uye kudzoka kumabasa ese aunofarira.

Mibvunzo InowanzoBvunzwa NezveChirwere cheLegg-Calve-Perthes

Mwanakomana wangu achakwanisa kutamba mitambo zvakare here?

Vana vazhinji vanogona kudzoka kumitambo uye mabasa azere kana chikamu chechidumbu chapora zvizere, izvo zvinowanzoenda kwemakore 2 kusvika ku4. Chiremba wako achakudzivisa kana zvakachengeteka kudzoka zvishoma nezvishoma kumabasa anoda zvakanyanya. Vashandi vazhinji vekare vanoramba vachitamba mitambo inokwikwidzana uye vanorarama hupenyu hunoshanda kwazvo.

Chirwere ichi chinogona kuendeswa kubva kuvabereki kuenda kuvana here?

Kunyangwe paine chikamu chidiki chemagariro, Chirwere cheLegg-Calve-Perthes hachina kuendeswa zvakananga kubva kuvabereki kuenda kuvana. Kuva nemunhu wemhuri ane chirwere ichi kunowedzera njodzi zvishoma, asi vana vazhinji vanowana chirwere ichi vasina nhoroondo yemhuri yeiyi chirwere.

Zvikamu zviviri zvechidumbu zvinogona kubatwa panguva imwe chete here?

Hongu, kunyangwe izvi zvichiitika mu10-15% chete yezviitiko. Kana zvikamu zviviri zvechidumbu zvakabatwa, kazhinji hazviwane chirwere ichi panguva imwe chete. Zvakanyanya, kana chikamu chechipiri chechidumbu chikabatwa, chinoitika mwedzi kana makore mushure mekutanga.

Mwanakomana wangu achada kuganhurira mabasa avo kwenguva yakareba sei?

Miganho yekushanda inowanzoenda panguva yekurapa, izvo zvinogona kuva makore 2 kusvika ku4 zvichienderana nezana ramwana wako nekukomba kwemamiriro avo. Chiremba wako achagadzirisa miganho sezvo kurapa kuchifambira mberi, kutanga nemabasa asingakonzere kukuvara uye pakupedzisira kubvumira kubatanidzwa kwazara mumitambo.

Chii chinoitika kana chirwere ichi chisingarapwi?

Pasina kurapwa kwakakodzera, musoro wefemoral ungasapora muchimiro chakatenderera, izvo zvinogona kukonzera matambudziko echigumbu muhupenyu hwemunhu mukuru kusanganisira arthritis uye kuda kuvhiya kwechidumbu. Nekurapa kwakakodzera, vana vazhinji vanodzivisa aya matambudziko ehupenyu hwenguva refu uye vanochengeta basa rakanaka rechidumbu muhupenyu hwavo hwese.