Avascular necrosis daga kashi. Avascular necrosis na femoral shugaban

Avascular necrosis na femoral kai lalacewa ta hanyar illa jini ya kwarara a cikin jijiyoyin bugun gini tsarin samar da shafin. Irin mamaki suna saboda matsawa ko torsion a kananan thrombus jijiya occlusion ko rauni. Next, dauki mukalli, abin da avascular necrosis na femoral kai.

m dalilai

Tsawo vasospasm kuma Ya ƙãra jini danko, venous stasis da kuma tashin hankali na outflow muhimmanci rage ikon da shugaban cinya kashi. A wannan batun, da ciki matsa lamba ƙaruwa, ischemia tasowa. Wannan tsokani take hakkin inji Properties na kashi nama. A sakamakon haka, voids suna kafa. A tsawon lokaci, da kashi fara deform, da articular guringuntsi aka hallaka, shi ne peeled kashe.

Pathology Features

Necrosis (avascular) kashi sami quite sau da yawa. Advantageously, da Pathology da aka cuta a maza masu shekaru 20 zuwa shekaru 45 da haihuwa. Har ila yau kamu da avascular necrosis na femoral kai a yara shekaru 2 zuwa shekaru 12. A daidai wannan lokaci da boys samun rashin lafiya mafi sau da yawa. Alamun cewa bi avascular necrosis, a wasu lokuta quite wuya a bambance. Da shi da ɗan wuya yin wani cikakken ganewar asali. A musamman, ãyõyin avascular necrosis ne kusan indistinguishable daga manifestations na pathological tsari a cikin hip hadin gwiwa.

ci gaban matsayi

Avascular necrosis aka tasowa quite hanzari. A rana ta uku da haƙuri ji numfashi ba zafi tsanani ƙaruwa. Idan ka yi kokarin tashi, yayin da tafiya akwai zafi a cikin makwancin gwaiwa yankin. Ta kuma bayyana a gefe da kuma gaban cinya da gwiwa ba. A da yawa marasa lafiya, da zafi na iya zama m, kuma m. Yana iya wuce dare da safe sa'o'i subside. Lokacin da motsi a load tsokane zafi a cikin ƙananan baya ko buttock. Motsi da iyakancewa ba, da ya faru na lameness kamata nan da nan faɗakar da mutum kuma ya zama wani dalilin da sauri game da wani gwani.

Avascular necrosis na femoral kai: Sanadin

A cewar kwararru da yawa, ci gaban Pathology taimaka wa shafe tsawon ci barasa a cikin manyan yawa. Har ila yau, sa necrosis iya zama dogon lokacin da magani corticosteroids a high allurai. Daga cikin mafi m dalilai haifar da yanayin, ya kamata kuma a lura raunin: samu karaya, sprains, bruises. Necrosis (avascular) ƙasũsuwa iya fara saboda saba gajiya, danniya, wani tunanin iri. Asusu lokuta inda Pathology ya samo asali a sakamakon kullum ko m pancreatitis. Kamar yadda za a yi aiki da kuma daukan hotuna zuwa radiation a high allurai a matsayin sa factor. Pathology iya bi sickle cell anemia, osteomyelitis. A likita yi, akwai irin wannan abu a matsayin idiopathic necrosis. Ana amfani da lokacin da ba shi yiwuwa domin sanin abin da daidai tsokani Pathology.

bincikowa da

Avascular necrosis ya kamata a gane shi a farkon yiwu. A wannan yanayin, wata ila ya yi ba tare da tiyata. Duk da haka, kamar yadda mai mulkin, da Pathology aka kamu quite marigayi. Wannan shi ne saboda gaskiyar cewa bayyanar zafi a cikin hip haƙuri aka aiko zuwa ga X-ray jarrabawa. A cikin hotunan mataki na farko da cutar ba a gano. Take hakkin zama a bayyane a kan x-ray 'yan watanni baya. Gane necrosis (avascular) ƙasũsuwa a matakin farko shi ne zai yiwu, ta hanyar MRI ko CT. Kada ku ba da wani cikakken sakamakon bincike na jini da kuma duban dan tayi. Kamar yadda bincike hanyoyin amfani scanning da kuma ji na ciki matsin lamba daga cikin kashi.

Akayi cuta ci gaba

Yadda progresses avascular necrosis na femoral kai? pathological mataki ne kamar haka:

• Take hakkin jijiyoyin bugun gini aiki. A wannan mataki don kauce wa tsalle nauyi canja wurin shafe tsawon tsaye a daya tabo gudu. Marasa lafiya da aka rika hutawa da shakatawa. Jiyya a wannan mataki ya kamata a da nufin maido da jini ya kwarara a cikin femoral kai, kazalika a nama farfadowa. A haƙuri bada shawarar musamman darussan domin rigakafin tsoka atrophy. A wannan mataki da gwani na iya bayar da shawarar yarda da vasodilator kwayoyi. Magunguna zai taimaka wajen kawar da stagnation da kuma mayar da tsarin da shugaban saboda da daidaita jini wurare dabam dabam da kuma kawar da spasms. Tasiri a cikin wannan hali, ba-steroidal anti-kumburi kwayoyi rubuta novocaine kawancen girudoterapija, tausa. Kuma ya shafi decompression Babba trochanter ko kashi na femoral kai.
• Nakasawa da karaya na lalace abu. A wannan mataki, masu amfani tafiya a wani jinkirin taki for 30-50 minti horo a kan wani keken motsa jiki, da kuma yin iyo a cikin tẽku ruwa. Magunguna da shawarar da kwayoyi, bayar da tasu gudunmuwar da maido da kashi da nama da kuma vasodilators. An nada a matsayin hirudotherapy, tausa, decompression.
• Osteoarthritis na hip hadin gwiwa. A wannan mataki da cutar bada shawarar a yi gymnastics, tausa. Daga shirye-shirye artisan iya sanya hondroprotektory da vasodilators.

A kwanan baya ne alama lameness da wani gagarumin rage daga shafa reshe. Kamar yadda shi ne musamman suna bayyana a lokacin da haƙuri ne a kwance matsayi. Kan bango na Pathology progresses da atrophy na tsokoki: kyallen takarda fara ji ƙyama da kuma ji ƙyama a size.

Avascular necrosis na femoral kai: jiyya da NSAIDs

The fi so shirye-shirye na wannan kungiya ya hada da irin nufin a matsayin "Diclofenac", "Indomethacin" "ketoprofen" "piroxicam" "Phenylbutazone" "meloxicam" "nimulid" "Celebrex" kuma su Kalam. Wadannan magunguna taimaka wajen rage zafi. Ya kamata a lura cewa NSAIDs ba warkar da necrosis (avascular) kashi. Duk da haka, wadannan magunguna zai iya kawo ga mãsu haƙuri shi ne isa moriya sosai. Sanya a dace hanya, da kwayoyi hana reflex tsoka spasm da ya bayyana a mayar da martani ga wuce zafi. Shakatawa na zaruruwa taimaka wajen mayar da jini wurare dabam dabam a cikin shafa yankin. Duk da haka, NSAIDs zai iya zama haɗari ga mãsu haƙuri. Gaskiyar cewa bayan da aikace-aikace na magunguna mutum daina ji zafi da load ya shafa yankin, kazalika da da lafiya. Wannan, bi da bi, na taimaka wa m halakar da kai kashi. A dangane da wannan, da mãsu haƙuri dole ne a tuna da cewa, duk da babu zafi, ya shafa yankin da ya kamata a kiyaye shi daga danniya.

vasodilators

Wannan category hada da irin wannan kwayoyi a matsayin "Trental" ( "Pentosifillin", "Agapurin") da kuma "Teonikol" (nicotinate ksantinola). Su ne quite tasiri a avascular necrosis. Wadannan magunguna taimaka wajen kawar da stagnation a wurare dabam dabam. A da liyafar kara dawo da kashi tsokoki na shugaban. Wannan ya zama mai yiwuwa saboda jijiya jini halin yanzu karfafawa da kuma kawar da spasm na kananan jini. Daga cikin ƙarin abũbuwan amfãni daga vasodilator kwayoyi za a iya ambata su kusan cikakkar lafiya. A lokacin da ka bi likita ta shawarwari da kuma gudanar a warkewa allurai, suna da kusan babu contraindications da illa. Su aka ba wajabta m tsokar zuciya infarction a kwarara, kazalika da marasa lafiya da suke yi kwanan nan sha wahala a hemorrhagic bugun jini. Lokacin da samun vasodilators marasa lafiya sau da yawa fuskanci wani ji zafi, da suke fuskanta reddens. Wannan shi ne quite al'ada a irin haka. Saboda shi kawai aiki vasodilatation. Shan magunguna a cikin wannan category ne da za'ayi sau biyu a shekara, a Darussan zaunanniya 2-3 watanni.

Yana nufin inganta nama gyara

Wannan category kamata hada da irin kwayoyi a matsayin "Alli d3 forte", "Alpha d3 TEVA", "Osteomag", "Oksidevit" da sauransu. Wadannan kayan aikin suna da amfani a Pathology. Vitamins D inganta alli sha. Saboda wannan da abun ciki da aka ƙwarai karu. Wannan, bi da bi, ya hana a baya tukar tumbi da alli daga kashi a cikin jini. A wannan fili accumulates a cikin kwarangwal abubuwa. A musamman, ta maida hankali ne ta ƙara a cikin kashi nama na femoral kai. Gwaji taimako a Pathology kawo calcitonin. Wadannan sun hada da, musamman, sun hada da kayayyakin aiki, kamar "Sibakaltsin", "Alostin", "Miakaltsik" da sauransu. Wadannan kwayoyi ta da kashi samuwar kuma kawar da zafi. Godiya zuwa ga amfani ƙwarai rage da kuma stabilizes da alli outflow osteoblast aiki ( "gini" Kwayoyin).

Don ƙarin bayani,

Avascular necrosis na femoral kai (ICD-10: M91.1) yana da wani sunan. Shi ya Legg-Calve-Perthes cuta. Mafi na kowa Pathology a Ingila. A cikin wannan kasar rajista 1 hali ta 1800 mazaunan.