Chimwe chezvakawanda uye chinowanzoshamisika mumakore achangopfuura, matambudziko emapfupa muvana ndiPerthes 'chirwere. Ichi chirwere chekubatana kwechiuno uye chikadzi, icho chinosanganiswa nekuputsa kwekudyisa articular cartilage uye isina kukwana ropa kune musoro wemukadzi, inoteverwa necrosis. Pakati peosteochondropathies yepafupa, Perthes 'chirwere chinokwana kusvika ku9,9%, uye pakati pezvirwere zvekubatana - 25%.
Kazhinji kacho, chirwere ichi chinowanikwa muvana vanhurume vane makore 3 kusvika ku14. Zvinotora nguva yakareba kwenguva refu-kubva pamakore matatu kusvika kumashanu. Pane zviitiko zvinogoneka zvePerthes 'chirwere, zvakadai sekudengenyeka kukuru kwemusoro wemudzimai wesin bone (kunoitika mu20-25% yevatana vana), uye mune ramangwana - kukura kwe deforming coxarthrosis, iyo inogona kukonzera kuremara kwokutanga.
Zvinokonzera chirwere chePerthes
Kusvika iye zvino, hapana zvizivikanwa zvakajeka zvePerthes 'chirwere. Asi pakati pezvikonzero zvinokonzera, vanachiremba vanoshevedza zvinotevera:
- kukuvadzwa;
- catarrhal zvirwere;
- kudzvinyirira zvakanyanya pamajoini, kunyanya kana muviri wemwana wakaneta;
- Matambudziko emagetsi;
- congenital dislocation (very rare case);
- nhaka.
Zviratidzo zvePerthes chirwere
Zviratidzo zvepakutanga zvinorwadza uye zvisingabatsiri, izvo zvinowedzera nekufamba uye nekumira kwenguva refu. Pausiku kurwadziwa kunonyangarika, chirevo chekuzorora hachisi chinorwadza. Mwana anorwara anoona kusuruvara kukuru kubva pakutora uye kutenderera chidya. Muchikamu chekupedzisira, chirwere chaPerthes chinogona kuendeswa nekuchepeta kwechimiro.
Icho chinonyanya kuzivikanwa ndeyekudzivirira majekesa, ultrasound uye radiography yezviputi zvechiuno (mabvi). Semitemo, imwe chete yezvibatanidzwa inobatwa, kazhinji kacho yakarurama.
Kurapa kwechirwere chePerthes muvana
Nheyo huru yekurapa ndiko kuwedzerwa kwekupa ropa nekuzorora kune nzvimbo yakakanganiswa yefupa. Kuti urege kudzivisa zvemusoro wemudzimai, mwana anogoverwa mubhedha wezororo, uyewo kutambanudza kwegumbo rakakomba. Nokufamba kwenguva, kufamba pamakwenzi kunobvumirwa kushandisa shangu dzemajoka. Inokurudzirwa kuitisa kubva mumazuva ekutanga ekurapwa.
Vana vanotambura nechirwere chePerthes, vabereki vazhinji vanobatwa muzvipatara zvakasiyana-siyana, uko zvinhu zvose zvakasikwa nokuda kwechinangwa ichi uye kune vashandi vezvehutano hwehutano hwakakodzera.
Kushambadza nechirwere chePerthes
Kuita masasa kunoshandiswa zvakasimba mukuoma kwakaoma kwePerthes chirwere. Chinangwa chayo ndechekuvandudza kupararira kweropa uye lymph circulation, kubvisa marwadzo, kudzivirira atrophy yemisungo, kukurumidza kuita zvirongwa zvekugadziriswa kwemapfupa emapfupa uye kudzorera motokari mabasa ejoka.
Kuchengetedza kunoda nzvimbo ye lumbosacral, majoka ekuputika, zvigunwe, zviuno nemakumbo akadzika. Kana kutengesa kushandiswa, chete nzvimbo dzekupedzisira zvitatu zvegumbo rinorwara dzinowanikwa pakukwiza. Nokudaro, gumbo rakanaka rinosungirirwa zvakanyanya, uye gumbo panotambanudza rinongorarirwa nyore nyore.
Mumusasa wegumbo rinorwara, kufamba kunoshandiswa mune zvinotevera:
- Bracing stroking.
- Kubvisa 4 minwe mumhepo.
- Kubvuma kwete stroking.
- Zviri nyore zvisingabvi mukati-kati kana kupindirana kwepakati kupfugama.
- Zvakare kugumbatira kusagadzikana kwepakati.
Mutsipa wechirwere unofanira kuedzwa kutora kubva kumativi ose. Mukuwedzera, zvinobatsira kuisa muviri panzvimbo dzakapoteredza kupfira kukuru uye kupfira mate, uchishandisa nzira yekukuya yevhu neminwe 4.
Mushure mokunge gypsum kana kuwedzerwa zvabviswa, zvinodiwa kushambadza gumbo rakanaka rinopera. Zviri nani kutarisa kune lumbosacral uye nzvimbo dzinobwinya, pamwe chete nehuputi hwechiuno.