Zvinokonzera uye kuongororwa kwezviratidzo zvekurwadziwa kwechiputi muvana
Urombo hwehup hunoshamisa mune zvevana, uye kazhinji, hunokonzerwa nekukuvadzwa. Izvi zvinokuvadza - asi zviri nyore nyore kuona muvana vakwegura nevechiri kuyaruka - zvakanyanya kuoma kuona kana vana, vaduku, kana vana vepachikoro vachikuvadzwa. Vaya vaduku vangave vasingakwanisi kutsanangura kuti vakakuvara, uye vangatora nguva shoma vasati vanyunyutira kurwadziwa kwehudyu, vangave vasingadi kufamba, kana kuti vangava nekukurumidza.
Zvimwe Zvinokonzera Hip Pain muvana
- Kukuvadzwa - Kurwisana nemasumbu uye marwadzo pedyo nejoka rekuputika zvinowanzooneka kunze kwevana vaduku.
- Chirwere cheLegg-Calve-Perthes uye chakaderedza hukuru hwevakadzikadzi epiphysis (ona pasi apa)
- Zvishoma synovitis - Izwi rokuti "synovia" rinoreva kubatana, uye "itis" -kuputika, saka synoviti inoshandura pakuvhiringidza kwekubatana. Chirwere che synovitis muvana chikonzero chinonyanya kuwanda chekurwa kwehaputi muvana vekuchikoro uye vaduku vechechi-vana, umo vana vanowanzova nezviratidzo zvekuchiva, kurwadziwa kwechiuno, kuramba kufamba, asi kwete fivha kana zvimwe zviratidzo. Kunyange zvazvo inowanzoita hutachiona hwehutachiona, chikonzero chaicho hachizivikanwi, uye zviratidzo zvinopera mumazuva mashomanana pasina mushonga.
- Septic arthritis - Chimwe chezvinhu zvisingawanzoitika asi zvakakomba zvekuputika huputi muvana zvinosangana nehutachiona hwehutachiona. Septic hip chirwere muvana chinoreva hutachiona muhutano hwechiuno chinogona kukonzera marwadzo anonzi hip anowanzouya pakarepo, kuramba kufamba, uye kazhinji fivhiri nezvimwe zviratidzo zvinoratidza utachiona. Iyo yakawanda yakawanda yebhakitiriya inokonzera septic arthritis yehudyu muvana ibhakitiriya inonzi Beta B streptococcus.
- Osteomyelitis (bone zvirwere) - Pamusoro pemakumbo emapfupa, zvirwere zvemapfupa nemasumbu dzinonzwa hutano hwechiuno hunogona kukonzera marwadzo emukoko. Sezvo mapfupa emwana ane ropa rakawanda kudarika iro revakuru, mabhakitiriya anowanikwa muropa (akadai saStaph aureus ) anogona kupararira nyore nyore kumapfupa evana kupfuura vanhu vakuru.
- Zvimwe zvinokonzera - Zvimwe zvinokonzera kurwadziwa kweHup muvana zvinogona kusanganisira vana vechirwere rheumatoid arthritis , bone cysts , uye kanzira dzakadai seosteosarcoma uye Ewings sarcoma .
Urombo hwehup muvana vakwegura hunogonawo kusanganisira zvimwe zvechikonzero chekurwa kwehapi kuvanhu vakuru.
Chirwere cheLegg-Calvé-Perthes
Chirwere cheLegg-Calvé-Perthes , dzimwe nguva chinonzi chirwere chePerthes, chinowanzoitika kuvana vari pakati pemakore mana nemakore masere uye anonyanya kufanana nevakomana, zvikuru avo avo vari kushingaira uye avo vashoma kwezera ravo. Vana ava vanowanzova nemarwadzo asina kunaka, asi zvino vanovandudza dzimwe zviratidzo, kusanganisira kurwadziwa kwechiputi uye kupera kwemafambiro kana kuoma kwechibatanidzwa chekuputika. Vanogonawo kuva nemarwadzo mukugomera kwavo kana mabvi.
Chirwere cheLegg-Calvé-Perthes chimiro che osteonecrosis kana kuti avascular necrosis yemusoro wevakadzi, iyo ndiyo yakakwirira yegumbo pfupa rinopindirana muchibatanidzwa chechiuno, uye iyo inowanzoonekwa muitiro x-ray. Izvo zvinoitika apo ropa rinoyerera kusvika kujoka rekuputika uye pfupa rakapoteredza rinokanganisa kwenguva kwechimwe chikonzero chisingazivikanwi chisingazivikanwi.
Kurapa kunogona kusanganisira kurapwa kwemaitiro emakumbo maduku, kuregererwa kwemabasa makuru, nekuvhiyiwa kwezviitiko zvakanyanya.
Slipped Capital Femoral Epiphysis
Yakaputira hukuru hwevakadzikadzi epiphysis kazhinji inobata vakomana pakati pezera remakore gumi nemakumi matanhatu, kazhinji avo avo vanopfuura kuwandisa.
Izvo zvinoitika kana mutsi wechechi inobhururuka ichienda pamubatanidzwa wekukura kubva kumusoro wemudzimai uyo achiri muchibato chechiuno. Izvi zvinowanzoonekwa pane x-ray, iyo ndiyo nzira yekufananidzira nayo chirwere ichi.
Zviratidzo zvekudzivirira hukuru hwevakadzikadzi epiphysis zvinogona kusanganisira mabvi, kugomera, gumbo, kana kurwadziwa kwechikafu, kusuruvara kwechiuno, kuora mwoyo, uye sezvo ichiwedzera, mwana angasazokwanisa kufamba zvachose.
Yakaputira hukuru hwevakadzikadzi epiphysis inobatwa nekuvhiyiwa, iyo inobata femur munzvimbo uye inoichengeta kubva pakusvetuka zvakare.
Miedzo ye Hip Hipin
Kana mwana ane hupuka huputi, kunyange zvazvo kune dzakawanda zvinokonzera zvinokonzera izvo zvisingakuvadzi, zvimwe zvinogona kuva zvakanyanya kuipa, kunyanya kana zvisingawanikwi zvakakurumidza.
Kuti ubatsirwe rubatsiro mukuongororwa, miedzo inogona kusanganisira:
- Hip (pelvis) x-rays
- Kuzara ropa kuwanda (CBC) yakasiyana
- Erythrocyte sedimentation rate (ESR)
- C-reactive protein (CRP)
- Rheumatoid panel (rheumatoid factor, ANA)
- Ropa tsika
Mimwe miedzo yekurwadziwa kwechiputi inogona kusanganisira ultrasound, magnetic resonance imaging (MRI) kana kuti computed tomography (CT) yehudyu kana bone. Dzidzo dziri kuramba dzichitsvaga nzira dzekunyatsoongorora marwadzo ekuputika muvana pasina kudikanwa kwemairasi.
Apo septic arthritis inofungidzirwa, hip aspiration inogonawo kuitwa kuti aone kana chiremba aigona kuwana pus kubva kuhutachiona kunze kwechiuno chekuputika nemutsono.
Sources:
Georgiadis, A., naI. Zaltz. Yakaputira huwandu hwevakadzikadzi epiphysis: sei kuongorora nekuongorora nekuvandudzwa kwemishonga. Matanho Emakirini eNorth America . 2014. 61 (6): 1119-35.
Plumb, J., Mallin, M., naRo. Bolte. Basa re ultrasound muchirongwa chekutsvaga kwedhipatimendi chechirwere chinotambudza chirwere chechipembenene. Pediatric Emergency Care . 2015. 31 (1): 54-8.
Sarwar, Z., DeFlorio, R., uye T. Catanzano. Kufananidza kusinganzwisisiki kwehuputi hwehupano hwevana muhutano: nzira yehutano hwehutano nekucherechedza kuderedzwa kwehuwandu hwehutano hwehutano. Seminari mu Ultrasound, CT uye MR . 2014. 35 (4): 394-408.