Izizathu kunye neemvavanyo zokubonakalisa iimpawu zentlungu ebantwaneni
Ubuhlungu be-Hip buyinto eqhelekileyo eqhelekileyo kubantwana, kwaye ngokuqhelekileyo, kubangelwa kukulimala. Ezi nzakala - ngelixa zilula ukuba zifumaneke kubantwana abadala nakwishumi elivisayo - kunzima ukufumana xa iintsana, iintsana, okanye abantwana abafundela esikolweni bazilimaza. Aba bantwana abancinci abanako ukuchazela ukuba balimele, kwaye bangathatha ixesha elide ngaphambi kokukhalaza ngentlungu ye-hip, abanokungahambi ukuhamba, okanye bahlakulele.
Ezinye izizathu zentlungu ye-Hip in Kids
- Ukulimala - Iifractures kunye ne-muscle strains kunye ne-sprains kufuphi ne-joint hip zidla ngokucacileyo ngaphandle kwabancinane.
- Isifo se-Legg-Calve-Perthes kwaye sithintela i-epiphysis ye-femin capital (jonga ngezantsi)
- I-synovitis emfutshane - Igama elithi "synovia" libhekisela ekuhlanganyeleni, kwaye "itis" - ukuvuvukala, ngoko i-synovitis iguqulela ukuvuvukala kokubambisana. I-synovitis encinane ebantwini yimbangela eqhelekileyo yentlungu ye-hip ezikolweni zasesekondleni kunye nabantwana abasesikolweni abancinci, apho abantwana bahlala bephethe iimpawu zokuqhaqhazela, ukuphuka kwe-hip, ukwenqaba ukuhamba, kodwa akukho mkhuhlane okanye ezinye iimpawu. Nangona ihlala ilandela ukusuleleka kwintsholongwane ye-viral, isizathu esingaziwayo, kwaye iimpawu ziyahamba ezinsukwini ezimbalwa ngaphandle kwonyango.
- I-Septic isifo samathambo - Esinye sezizathu ezingavamile kodwa ezinzulu zokwenza ubuhlungu be-hip kubantwana bubuncwane (isifo esithintekayo). Isifo sesisu se-Septic kubantwana sibhekisela kwintsholongwane engxenyeni ye-hip engabangela intlungu ye-hip edla ngokukhawuleza, ukungavumi ukuhamba, kwaye kaninzi imfiva kunye nezinye iimpawu ezibonisa ukusuleleka. Iyona nto ibangela ibhakteria ebangela isifo samathambo esinqabileyo kwiintsana ibhaktheriya ebizwa ngokuba yiCandelo B streptococcus.
- I-Osteomyelitis (izifo zethambo) - Ukongeza kwi-septic arthritis, izifo zamathambo kunye nezihlunu ziyava ukuba ukuhlanganiswa kwe-hip kungabangela ubuhlungu be-hip. Ekubeni amathambo abantwana aphethe igazi elikhulu kunelo badala, ibhaktheriya ekhoyo egazini (njengeStaph aureus ) inokusasazeka ngokulula kumathambo yabantwana kunabantu abadala.
- Ezinye izizathu - Izizathu ezongezelelweyo zokubandezeleka kwe-hip kubantwana zingabandakanya i-arthritis ye-rheumatoid , i- cysts yamathambo , kunye nee-cancer ezifana ne- osteosarcoma kunye ne- Ewings sarcoma .
Ubuhlungu be-Hip kubantwana abadala bungaquka ezinye zezizathu zokubandezeleka kwe-hip kubantu abadala.
Isifo seLegg-Calvé-Perthes
Isifo seLegg-Calvé-Perthes , ngamanye amaxesha esibizwa ngokuba yi-Perthes isifo, ngokuqhelekileyo sivela kubantwana phakathi kweminyaka emine nesibhozo ubudala kwaye ixhaphake kubafana, ngakumbi abo banomdla kakhulu kwaye banako ukufikelela kwiminyaka yabo. La bantwana bahlala benesifo esingenabuhlungu, kodwa emva koko bavelise ezinye iimpawu, kuquka ukutyeba kwe-hip kunye nokunciphisa uluhlu lwesinyanzelo okanye ukuqina komxube we-hip. Basenokuba neentlungu kwi-groin yabo okanye ngamadolo.
Isifo se-Legg-Calvé-Perthes sisimo se-osteonecrosis okanye i-avascular necrosis yekhanda lesifazane, okuyiyona nto ephezulu kwintsimbi yomlenze ehambelana nomxube we-hip, kwaye ngokuqhelekileyo ibonakala kwi-x-ray yesiqhelo. Kuyenzeka xa ukuphuma kwegazi ukuya kwi-hip kunye kunye nethambo elijikelezileyo liphazamiseka okwesikhashana kwezinye izizathu ezingaziwa.
Unyango lunokubandakanya unyango lwezonyango kumaxesha amancinci, ukuthintelwa kwemisebenzi enamandla, kunye nokuhlinzwa ngenxa yamatyala amaninzi.
I-Slipped Capital Femoral Epiphysis
I-slipped capital capital epiphysis ixhaphaza kakhulu imakhwenkwe ephakathi kweminyaka eyi-10 no-16, ngokuqhelekileyo abo banesisindo.
Kuyenzeka xa intamo ye-femur ihamba ngekhadi lokukhula kude nekhanda lentloko ye-femoral ehlala ehlangene. Oku kuya kubonakala kwi x-ray, eyona ndlela eqhelekileyo yokufumanisa le meko.
Izibonakaliso zokutshatyalaliswa kwenkunzi ye-epiphysis ye-femoral ingabandakanya i-knee, ukubola, intamo, okanye intlungu ye-hip, ukuqina komlenze, ukuxhamla, kwaye xa ihamba ngakumbi, umntwana akanako ukuhamba konke.
Ukucocwa kwengxowa-mali ye-female epiphysis iphathwa ngokuhlinzwa, egcina i-femur endaweni kwaye igcine ingasaphumi.
Uvavanyo lwe-Hip Pain
Xa umntwana ephuza intlungu, nangona kunezinto ezininzi ezinobungozi ezingenabungozi, abanye banokubaluleka ngakumbi, ngakumbi ukuba abafumaneki ngokukhawuleza.
Ukuncedisa uncedo ekuxilweni, iimvavanyo zingaquka:
- I-Hip (i-pelvis) x-ray
- Gcwalisa inani legazi (CBC) ngokungafani
- Ireyiti ye-sedimentation ye-Erythrocyte (ESR)
- Iprotheyini esebenzayo yeC (CRP)
- Iphaneli yeRumatoid (i-rheumatoid factor, ANA)
- Ngegazi
Ezinye iimvavanyo zentlungu ye-hip zingabandakanya i-ultrasound, i-imagination magontic resonance (MRI) okanye i-tomography (CT) ye-hip okanye i-scan scan. Izifundo ziqhubeka zikhangele iindlela zokuchonga ngokuchanekileyo intlungu ye-hip kubantwana ngaphandle kokungabikho kwemimiselo engabalulekanga.
Xa i-arthritis ye-septic ikhunjulwa, inqweno ye-hip ingenziwa kwakhona ukuze ubone ukuba ugqirha unokufumana utyholongwane olusuka ngaphandle kwe-hip kunye nenaliti.
Imithombo:
UGeorgiadis, A., no-I. Zaltz. Yayinciphisa i-epiphysis ye-femoral capital: indlela yokuvavanya ngokuhlaziywa nokuhlaziywa kwonyango. Iiklinikhi zezilwanyana zaseNyakatho Melika . 2014. 61 (6): 1119-35.
Plumb, J., Mallin, M., no R. Bolte. Indima ye-ultrasound kwinqanaba lokuphonononga kwesebe eliphuthumayo ye-hip yezilwanyana ezibuhlungu. Uncedo lwezengxamisekileyo lwezilwanyana . 2015. 31 (1): 54-8.
Sarwar, Z., DeFlorio, R., kunye noT. Catanzano. Ukucingwa kweentlungu zengqondo ezingenangqondo ezingabonakaliyo kubantwana: indlela yokwenza izinto ezininzi ngokubhekiselele ekunciphiseni ukunyuka kweemitha zonyango. Iisemina kwi-Ultrasound, CT kunye noM MR . 2014. 35 (4): 394-408.