Legg-Calve-Perthes cuta

Cutar Legg-Calve-Perthes na faruwa ne lokacin ƙwallan ƙashin cinya a ƙugu ba ya samun isasshen jini, wanda ke sa ƙashin ya mutu.

Cutar Legg-Calve-Perthes yawanci tana faruwa ne ga yara maza shekaru 4 zuwa 10. Akwai ra'ayoyi da yawa game da dalilin wannan cuta, amma kaɗan an san ainihin.

Ba tare da isasshen jini ga yankin ba, ƙashin ya mutu. Ballwallan ƙugu ya faɗi ya zama lebur. Mafi sau da yawa, ƙwanƙwasa ɗaya kawai ke shafar, kodayake yana iya faruwa a ɓangarorin biyu.

Ruwan jini ya dawo sama da watanni da yawa, yana kawo sabbin ƙwayoyin ƙashi. Sabbin kwayoyin halitta a hankali zasu maye gurbin mushen kashi sama da shekaru 2 zuwa 3.

Alamar farko ita ce yawan rauni, wanda yawanci ba shi da zafi. Wani lokaci za a iya samun ɗan raunin ciwo mai zuwa da wucewa.

Sauran cututtuka na iya haɗawa da:

• Arfin hip wanda ke iyakance motsi na hip
• Ciwo gwiwa
• Iyakantaccen motsi
• Cinya ko ciwon mara wanda ba zai tafi ba
• Gaggawar kafa, ko kafafu na rashin daidaito
• Rashin tsoka a cinya ta sama

Yayin gwajin jiki, mai ba da sabis na kiwon lafiya zai nemi asara a cikin motsi na hanji da raunin hankula. A ray x-ray ko pelvis x-ray na iya nuna alamun cutar Legg-Calve-Perthes. Ana iya buƙatar hoton MRI.

Manufar magani ita ce kiyaye ƙwallar cinyar cinya a cikin soket. Mai samarwa na iya kiran wannan ƙunshin bayanan. Dalilin yin haka shi ne don tabbatar hip ya ci gaba da samun kyakkyawan motsi.

Tsarin magani zai iya ƙunsar:

• Restan gajeren lokacin hutawa don taimakawa tare da ciwo mai tsanani
• Iyakance nauyin da aka dora a kafa ta hanyar takaita ayyukan kamar gudu
• Jiki na jiki don taimakawa ci gaba da ƙafafu da tsokoki na hip
• Yin shan maganin kashe kumburi, kamar su ibuprofen, don taimakawa taurin cikin hadin gwiwa
• Sanya simintin gyare-gyare ko takalmin gyaran kafa don taimakawa tare da kamewa
• Amfani da sanduna ko mai tafiya

Ana iya buƙatar aikin tiyata idan sauran jiyya basa aiki. Yin aikin tiyata ya faro ne daga tsawan tsoka zuwa babban tiyata na hanji, wanda ake kira osteotomy, don sake gyara ƙashin ƙugu. Ainihin nau'in aikin tiyata ya dogara da tsananin matsalar da siffar ƙwalwar haɗin gwiwa.

Yana da mahimmanci ga yaro ya riƙa bibiyar kai tsaye tare da mai bayarwa da kuma ƙwararren likitan kashi.

Outlook ya dogara da shekarun yaro da kuma tsananin cutar.

Yaran da ke ƙasa da shekaru 6 waɗanda ke karɓar magani suna iya ƙarewa da haɗin gwiwa na al'ada. Yaran da suka wuce shekaru 6 suna iya ƙarewa tare da haɗin gwiwa na nakasassu, duk da magani, kuma daga baya na iya haifar da cututtukan zuciya a cikin haɗin gwiwa.

Kira don alƙawari tare da mai ba da sabis idan yaro ya sami alamun alamun wannan cuta.

Coxa plana; Perthes cuta

• Samun jini zuwa kashi

Canale ST. Osteochondrosis ko epiphysitis da sauran so iri-iri. A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 32.

Deeney VF, Arnold J. Orthopedics. A cikin: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 22.