Izimbangela nokuhlolwa kwezimpawu zobuhlungu be-hip kubantwana
Ubuhlungu be-Hip buyinto evamile kubantwana, futhi kaningi, kubangelwa ukulimala. Lezi zilimazana - kuyilapho zilula ukuthola kalula ezinganeni ezindala nezintsha-zilukhuni kakhulu ukubona lapho izingane, izinsana, noma izingane zasenkulisa zilimala. Lezi zingane ezincane zingase zingakwazi ukuchaza ukuthi zalimala, futhi zingathatha isikhathi esithile ngaphambi kokukhononda ngosizi lwe-hip, zingase zingathandi ukuhamba, noma zingase zikhule.
Ezinye izimbangela ze-Hip Pain ku-Kids
- Ukulimala - Ukuhlukunyezwa kwama-fractures kanye nemisipha kanye ne-sprains eduze kwe-joint hip ngokuvamile kubonakala ngaphandle kwabancane.
- Isifo se-Legg-Calve-Perthes futhi sanciphisa inkunzi ye-epiphysis (bheka ngezansi)
- Synovitis esheshayo - Igama elithi "synovia" libhekisela ekuhlanganyeleni, futhi "itis" - ukuvuvukala, ngakho-ke i-synovitis ihumusha ukuvuvukala okuhlangene. I-synovitis esheshayo ezinganeni iyimbangela evamile kakhulu yokuhlunguphazwa kwe-hip ezikoleni zasenkulisa futhi ezincane ezineminyaka esikoleni, lapho izingane zivame ukuba nezibonakaliso zokuphunga, ubuhlungu be-hip, ukwenqaba ukuhamba, kodwa akukho mkhuhlane noma ezinye izimpawu. Nakuba ngokuvamile kulandela ukutheleleka kwegciwane, imbangela yangempela ayaziwa, kanti izimpawu ziyahamba ngezinsuku ezimbalwa ngaphandle kokwelapha.
- I-arthritis ye-Septic - Esinye sezimbangela ezingavamile kakhulu kodwa ezingathí sina zokuhlukunyezwa kwe-hip ezinganeni yi-septic (ukutheleleka okuhlobene nokutheleleka) i-arthritis. Isifo se-hiptic esikhwameni sezingane sibhekisela ekutheleleni ekuhlanganyeleni kwe-hip okungabangela ubuhlungu be-hip obuvame ukungena ngokuzumayo, ukwenqaba ukuhamba, futhi ngokuvamile umkhuhlane kanye nezinye izimpawu ezibonisa ukutheleleka. Isizathu esivame kakhulu sebhaktheriya esibangela isifo se-septic sezinsana ezinganeni ibhaktheriya ebizwa ngokuthi i-Group B streptococcus.
- I-osteomyelitis (amathambo amathanga) - Ngaphandle kwe-arthritis ye-septic, ukutheleleka kwamathambo nemisipha kuzwa ukuthi ukuhlangana kwe-hip kungabangela ubuhlungu be-hip. Njengoba amathambo ezingane anegazi elikhulu kunelabantu abadala, amabhaktheriya avela egazini (njengeStaph aureus ) angasakazeka kalula emathanjeni ezinsana kunabantu abadala.
- Ezinye izimbangela - Izimbangela ezengeziwe zobuhlungu be-hip ezinganeni zingabandakanya i- arthritis ye-rheumatoid ye-juvenile , ama-cysts amathanga , namanqamu anjenge- osteosarcoma ne- Ewings sarcoma .
Ubuhlungu be-Hip ezinganeni ezindala zingase zihlanganise ezinye zezimbangela zobuhlungu be-hip kubantu abadala.
Isifo se-Legg-Calvé-Perthes
Isifo se-Legg-Calvé-Perthes , ngezinye izikhathi esibizwa ngokuthi yi-Perthes kuphela, ngokuvamile sivela ezinganeni eziphakathi kweminyaka engamashumi amane nesishiyagalombili ubudala futhi zivame kakhulu kubafana, ikakhulukazi labo abakhuthele kakhulu futhi abangakapheli iminyaka yabo. Lezi zinsuku zivame ukuba nezinhlanzi ezingenabuhlungu, kodwa zenze ezinye izimpawu, kuhlanganise nobuhlungu be-hip nokunciphisa ukunyakaza noma ukuqina kohlangothini lwe-hip. Bangase babe nobuhlungu ekuguleni kwabo noma emadolweni.
Isifo se-Legg-Calvé-Perthes yisimo se-osteonecrosis noma i-necrosis ye-avascular yekhanda lesifazane, okuyinto ephakeme yethanga lomlenze elihambisana nengxenyana ye-hip, futhi ngokuvamile engabonakala kwi-x-ray evamile. Kuyenzeka lapho ukugeleza kwegazi kuya ehlangothini lwe-hip kanye nethambo elizungezile liphazanyiswa okwesikhashana ngenxa yesizathu esingaziwa.
Ukwelashwa kungabandakanya ukwelashwa ngokomzimba kwamacala amancane, ukuvinjelwa kwemisebenzi enamandla, nokuhlinzwa kwamacala aqinile kakhulu.
I-Slipped Capital Femoral Epiphysis
Ukunciphisa i-capital femoral epiphysis ngokuvamile kuthinta abafana abaneminyaka engama-10 kuya ku-16, ngokuvamile labo abakhuluphele ngokweqile.
Kuyenzeka lapho intamo ye-femur igxila epulazini lokukhula kude nekhanda le-femal elisehlangothini le-hip. Lokhu kungabonakala ku-x-ray, okuyindlela ejwayelekile yokuxilonga lesi simo.
Izimpawu zokuthi i-capital epidhysis ye-capital ehlisiwe ingabandakanya ubuhlungu bendondo, ubuhlungu, ithanga, noma ubuhlungu be-hip, ukuqina kobuqili, ukuqhaqhazela, futhi njengoba kuqhubeka nakakhulu, ingane ingase ingakwazi ukuhamba nhlobo.
Ukunciphisa i-capital femoral epiphysis kuphathwa ngokuhlinzwa, okuyinto egcina i-femur endaweni futhi igcine ingahlali.
Uvivinyo lwe-Hip Pain
Uma ingane inomunyu we-hip, noma ngabe kunezimbangela eziningi ezingenabungozi, ezinye zingase zibi kakhulu, ikakhulukazi uma zingatholakali ukuthi ziphuthumayo.
Ukusiza usizo ekuxilongweni, ukuhlolwa kungabandakanya:
- Ama-hi (ama-pelvis) ama-x-rays
- Gcwalisa inani legazi (CBC) elihlukile
- Isilinganiso sedimentation ye-Erythrocyte (ESR)
- Iprotheyini esebenzayo ye-C (CRP)
- Iphaneli ye-Rheumatoid (i-rheumatoid factor, ANA)
- Isiko legazi
Ezinye izivivinyo zobuhlungu be-hip zingase zihlanganise i-ultrasound, i-imagery resonance imaging (MRI) noma i-computed tomography (CT) ye-hip noma i-scan scan. Izifundo ziyaqhubeka zibheke izindlela zokuthola ngokucophelela ubuhlungu be-hip ezinganeni ngaphandle kokuvezwa kwemisebe engadingekile.
Uma isifo samathambo se-septic sikholelwa, ukufisa i-hip kungenziwa futhi ukuze ubone ukuthi udokotela angathola yini i-pus kusukela ekutheleleni ngaphandle kwe-hip ehlangene nenaliti.
Imithombo:
UGeorgiadis, A., no-I. Zaltz. Ukunciphisa i-capital femoral epiphysis: indlela yokuhlola ngokubuyekezwa nokuvuselelwa kokwelashwa. Imitholampilo yabantwana baseNyakatho Melika . 2014. 61 (6): 1119-35.
Plumb, J., Mallin, M., no R. Bolte. Indima ye-ultrasound ekuhloleni komnyango ophuthumayo we-hip yezingane ezibuhlungu kakhulu. Ukwelashwa Okuphuthumayo Kwezingane . 2015. 31 (1): 54-8.
USarwar, Z., DeFlorio, R., noT. Catanzano. Ukucabangela ubuhlungu obunzima bokuqhwala kwe-hip ezinganeni: indlela yokuxhumana nge-multimodality ukunakekelwa kokunciphisa ukushiswa kwemisebe yezokwelapha. Ama-Seminar ku-Ultrasound, CT kanye noM MR . 2014. 35 (4): 394-408.