Necrosis Avascular o wheua. necrosis Avascular o te matenga femoral

necrosis Avascular o te matenga femoral meinga e rere te toto waimaero i roto i te pūnaha iaia tuku i te pae. E tika ana ki te kōpeketanga torsion ranei i occlusion thrombus iatuku iti ngaukino ranei taua tītohunga. Next, tango i te titiro, he aha te necrosis avascular o te matenga femoral.

āhuatanga whakahōhā

vasospasm auroa, me te nui haere pokey toto, stasis venous me te ngangau o te matamua tino waimaero te mana o te matenga o te wheua huha. I roto i tenei whakaaro, i te piki pēhanga ā, whakawhanake ischemia. whakaoho ana tēnei ofatiraa āhuatanga pūkaha o wheua kiko. Ka rite ki te hua, e hanga e feāvaaki. Neke atu i te wa, ka tīmata te wheua ki deform, whakangaromia te wheua ngohe articular te, kua tihorea reira atu.

Āhuatanga māuiuitanga

kitea Necrosis (avascular) wheua tino pinepine. Pai io, pāngia te māuiuitanga e i roto i nga tangata pakeke 20 ki te 45 tau. Hoki pāngia ki necrosis avascular o te matenga femoral i roto i ngā tamariki 2 ki te 12 tau te pakeke. I te wa ano whiwhi mate nga tamariki ake pinepine. Tohu e tahi necrosis avascular, i roto i ētahi wā rawa uaua ki te rerekëtanga. Ko reira ahua uaua ki te hanga i te tātaritanga tika. I roto i ngā, tohu o necrosis avascular ko tata indistinguishable i te mau faaiteraa o te tukanga pathological i roto i te tahi hip.

tūnga haereraa

Kei te whakawhanake rawa tere necrosis Avascular. I te toru o nga ra mana'o te manawanui piki mamae kaha fuu. A, no te tamata koe ki te tu ki runga, i te haere ana i reira he mamae i roto i te rohe kopu. Ia puta hoki i te taha me te mua o te huha, a homai turi. I roto i te tūroro maha, ka taea e te mamae e fakaongosia, me te tamau. Kia muri te reira i haora te po, me te ata ki te iti. A, no te neke i te mamae whakapataritari kawenga i roto i te raro hoki whakapūioio ranei. Nekeneke fakangatangata, kia mōhio tonu te takanga o totitoti, te tangata me te riro i te tuku arä take ki te mātanga.

necrosis Avascular o te matenga femoral: Take

E ai ki ngā tohunga maha, te whanaketanga o te māuiuitanga whai wāhi ki te rōpū auroa o te waipiro i roto i ngā rahinga nui. meinga ano kia meinga necrosis corticosteroids maimoatanga wā roa-i roto i te pota tiketike. I roto i te āhuatanga tino rongonui ai te huru, ano kia tuhia te reira wharanga: piere, te takoki, karawarawa. kia timata Necrosis (avascular) wheua e tika ana ki te rohirohi, te ahotea, riaka aronganui mua. Pūkete take i reira kua tipu māuiuitanga rite ki te hua o te pancreatitis ma'i whakapeka ranei. Ka rite ki taea mahi me te rongo ki te radiation i roto i pota tiketike rite te take whakapataritari. kia whai tahi hoki māuiuitanga haeana pūtau toronaihi, te tapû. I roto i te mahi hauora, i reira te mea he mea pēnei i necrosis idiopathic. Kei te whakamahia te reira i te mea e taea ki te whakatau he aha rite whakapataritari te māuiuitanga.

tātaringa

kia tāutuhia necrosis Avascular rite wawe rite taea. I roto i tenei take, ki te pea meatia kahore pokanga. Heoi, ka rite ki te tikanga, pāngia te māuiuitanga te tino mutunga. Ko e tika ana ki te meka i tonoa te te ahua o te mamae i roto i te manawanui hip ki te whakamātautau X-ray tenei. I roto i te pikitia e kore e kitea te wāhanga tuatahi o te mate. riro kitea i runga i x-ray takahi i te marama torutoru i muri mai. Te tāutu necrosis (avascular) wheua i roto i te wāhanga tuatahi he taea i te tikanga o MRI CT ranei. Kaua e hoatu he tātaritanga hua tika o te toto, me te ultrasound. Ka rite ki whakamahia ngā tikanga tātaritanga matawai me te ine o te pēhanga ā-o te wheua.

Ngā wāhanga o te whanaketanga mate

Kia pehea te kauneke necrosis avascular o te matenga femoral? pathological atamira kei rite whai:

• Tūkinotanga o te mahi iaia. I tenei wā ki te karo i te whakawhiti pauna hūpeke tu auroa i roto i te kotahi oma wahi. i tohutohu tūroro ki te okioki me te whakangā. kia Treatment i tenei wā e hāngai ana i te whakaora i rere toto i roto i te matenga femoral, me te i roto i te kiko houtanga. Ko te manawanui e mahi motuhake tūtohutia mo te ārai o te uaua atrophy. I tenei wā, kia tūtohu te mātanga whakaaetanga o raau taero vasodilator. e tauturu i te rongoa ki te whakakore i stagnation me te whakahoki i te hanganga o te upoko e tika ana ki te māori o te tohanga toto, me te whakakore mamae. Whai hua i roto i tenei take, te patopato kore-steroidal taero anti-inflammatory novocaine pā girudoterapija, mirimiri. Ka pā hoki decompression o te trochanter nui wheua ranei o te matenga femoral.
• Deformation me whati o te tūemi pakaru. I tenei wā, he haere pai i te tere puhoi mō te whakangungu 30-50 meneti i runga i te pahikara tū,, me te kaukau i roto i te wai moana. O ngā rongoā taero tūtohutia, whai wāhi ki te faaho'iraa mai o te wheua kikokiko me vasodilators. E whakaritea rite hirudotherapy, mirimiri, decompression.
• Osteoarthritis o te tahi huha. I tenei wā kua tūtohutia te mate ki taka porepore, mirimiri. Mai i taka e taea kaimahi tautapa hondroprotektory me vasodilators.

I te rā i muri mai ko te totitoti, tohua me te shortening nui o te alangá pāngia. Ka rite ki te mea tino kitea, ka ko te manawanui i roto i te tūnga whakapae. Ki te whakamārama o te māuiuitanga kauneke te atrophy o uaua: timata kopa ki te holomui a holomui i roto i te rahi.

necrosis Avascular o te matenga femoral: maimoatanga ki NSAIDs

kia whakauru te whakatakataka pai o tenei rōpū pērā tikanga rite "Diclofenac", "Indomethacin" "ketoprofen" "piroxicam" "Phenylbutazone" "meloxicam" "nimulid" "Celebrex" me ratou pärönaki. Ēnei rongoā te āwhina whakaiti i te mamae. Me kï reira e kore NSAIDs e whakaora necrosis (avascular) wheua. Heoi, ka taea e enei rongoa kawea ki te manawanui ko te rawaka painga sino. Whakaritea i roto i te wā, te ārai i te raau taero spasm uaua pūpū e puta i roto i te whakautu i te mamae fuu ki. Whakangā o muka āwhina ki te whakahoki tohanga toto i roto i te wāhi kua pā. Heoi, kia kino hoki te manawanui NSAIDs. Ko te take i muri i te tono o rongoā mutu te tangata ki te ite i te mamae, me te uta i te wāhi kua pā me te hauora. Tenei, i roto i te tahuri, whai wāhi ki te whakangaromanga tere o te wheua matenga. I roto i te hononga ki tenei, me e maharatia te manawanui e, ahakoa te ngaro o te mamae, kia tiakina te wāhi kua pā i te ahotea.

vasodilators

Tenei kāwai ngā taua raau taero rite "Trental" ( "Pentosifillin", "Agapurin") me "Teonikol" (ksantinola nicotinate). E tino whai hua i roto i te necrosis avascular ratou. tauturu i ēnei rongoā ki te whakakore stagnation i roto i te tohanga. I to ratou fariiraa whakatere whakaora o te kopa wheua o te upoko. riro taea tenei e tika ana ki te matua toto stabilization nāianei, me te whakakorenga o te spasm o oko toto iti. I roto i nga painga atu o raau taero vasodilator kia whakahuatia to ratou haumaru tata pūmau. A, no te whai koe tūtohutanga o te tākuta, ka whakahaere i pota haumanu, i ratou tata kahore contraindications me ngā pānga taha. e kore ratou i whakaritea mo te infarction whakapeka myocardial i roto i te rere, me te tūroro e tata kua tukua te patunga i hemorrhagic. A, no te maha wheako te whiwhi vasodilators tūroro i te mana'o o te wera, fehangahangai ratou reddens. Ko tino noa i roto i ngā take pēnei i tenei. Nā ki reira vasodilatation kaha noa. kawea tango rongoā i roto i tēnei kāwai te i roto i rua i te tau i roto i ngā akoranga tonu 2-3 marama.

Te tikanga ki te whakatairanga kiko hanga

Me uru tēnei kāwai taua raau taero rite "forte konupūmā D3", "Arepa D3 Teva", "Osteomag", "Oksidevit" me etahi atu. He tino whai hua i roto i te māuiuitanga ēnei taputapu. D whakarei huaora konupūmā absorption. No te mea o tenei te tino nui haere ki te ihirangi. Tenei, i roto i te tahuri, ārai te excretion whakamuri o te konupūmā i wheua ki te toto. I roto i tenei pūhui piki i roto i te huānga kōhiwi. I roto i ngā, nui haere tona kukū te i roto i te kiko wheua o te matenga femoral. āwhina nui i roto i te māuiuitanga kawea calcitonin. Ko ētahi o ēnei, i roto i ngā, ngā taputapu pērā i "Sibakaltsin", "Alostin", "Miakaltsik" me etahi atu. Enei taero whakaongaonga wheua hanganga me te whakakore i te mamae. Ngā mihi ki to ratou whakamahinga nui te whakaiti me stabilizes te mahi osteoblast konupūmā matamua ( "hanga" pūtau).

Mō ētahi atu pārongo,

necrosis Avascular o te matenga femoral (ICD-10: M91.1) he ingoa tetahi. Ko ia mate Tāpiri-tihorea ana-Perthes. Ko te māuiuitanga tino noa i roto i Ingarangi. I roto i tenei whenua rēhita 1 take ia 1800 tangata.