Avascular necrosis repfupa. Avascular necrosis of femoral musoro

Avascular necrosis of femoral musoro anokonzerwa havachanyatsogoni ropa riyerere ari vascular ino unokupai nzvimbo. Kwakadaro mananara inokonzerwa compression kana torsion panguva diki thrombus tsinga occlusion kana kunotevera. Next, kunyatsotarisisa, chii avascular necrosis ari femoral musoro.

sembura zvinhu

Refu vasospasm ikawanda ropa viscosity, venous stasis uye kuvhiringidza water drainage yekudyidzana kanganisa simba musoro yehudyu mapfupa. Panyaya iyi, dzomunyika kumanikidzwa kuwedzera, ischemia hwapedyo. Izvi chinokurwadzai kutyora zvemaziso ehupfumi pfupa tishu. Somugumisiro, voids vari aumba. Nokufamba kwenguva, pfupa anotanga deform, ari articular shwashwa raparadzwa, zviri akasvuura kure.

zvokurwara Features

Necrosis (avascular) pfupa kuwanikwa kazhinji. Advantageously, kuti zvokurwara kunokwanisa kuonekwa nevanhu makore 20 kusvika 45 makore. Also nechirwere avascular necrosis of femoral musoro muvana vane makore 2 kusvika 12 makore. Panguva iyoyowo vakomana vanorwara kakawanda. Zviratidzo pematanho avascular necrosis, mune zvimwe zviitiko zvakaoma chaizvo kusiyanisa. Zviri zvishoma zvakaoma kuti kuongororwa zvakarurama. Zvikurukuru, zviratidzo avascular necrosis iri rinenge indistinguishable kubva zvinoratidza pathological kwacho hudyu rwakashodoka.

kunoita chinzvimbo

Avascular necrosis iri kukura nokukurumidza zvikuru. Pazuva rechitatu murwere anonzwa zvisingatsungiririki kurwadziwa umbirimi inowedzerawo. Kana ukaedza kumira, apo tichifamba kune marwadzo ari muhudyu nzvimbo. Iye anowanikawo kurutivi uye pamberi nebandauko uye ibvi anopa. Varwere vakawanda, marwadzo kunogona kunetesa uye kugara. It agare usiku uye mangwanani maawa kuserera. Kana unomutsa mutoro kutsamwisa kurwadziwa rezasi shure kana buttock. Mufambo kukamurwa, panowanikwa lameness hwobva pasvika vanhu munhu uye ave chikonzero nokukurumidza zvivabatsire kune nyanzvi.

Avascular necrosis of femoral musoro: Zvinokonzera

Maererano nevaongorori vakawanda, kukura zvokurwara chinowedzera kwenguva refu yaunodya doro akawanda. Anokonzerawo necrosis anogona refu kurapwa corticosteroids pamatunhu mishonga. Pakati zvikuru nevanhu zvinhu anokonzera mamiriro, inofanira kuonawo kukuvara: mitswe, sprains, mavanga. Necrosis (avascular) mapfupa vangatanga nokuda zvatinosiita kuneta, kushushikana, Mupfungwa. Nhoroondo zviitiko apo zvokurwara akaita rakavapo pamusana chirwere kana rikwanise pfungwa nomuviri zvemwana asati. Sezvo anogona kuita uye kugara nemwaranzi pamatunhu mishonga somunhu unotokonya chinhu. Zvokurwara anogona kuenda rinopinza muchitokisi kupererwa, osteomyelitis. In okurapa, pane chinhu chakadai idiopathic necrosis. Rinoshandiswa kana hazvibviri kuziva chii chaizvo kushatirisa zvokurwara.

Diagnostics

Avascular necrosis inofanira kuonekwa mangwanani sezvinobvira. Muchiitiko chino, zvichida kuita pasina kuvhiyiwa. Zvisinei, somunhu ushe, zvokurwara kunokwanisa kuonekwa kudoka. Izvi imhaka yokuti nechitarisiko marwadzo ari muhudyu murwere rwunotumirwa X-ray kuzviongorora. In mifananidzo padariro rokutanga chirwere haina dzakaonekwa. Kutyora anova zvinoonekwa pamusoro X-ray kwapera mwedzi mishomanana. Ziva necrosis (avascular) mapfupa kwokutanga matanho runobvira achishandisa MRI kana CT. Rega kupa mugumisiro yakarurama kuongorora ropa uye Ultrasound. Sezvo chirwere dzakashandiswa kushanda pakuvheneka uye nokuyerwa dzomunyika aomerwa mafupa.

Zvokukura chirwere kukura

Sei mberi avascular necrosis pamusoro femoral musoro? pathological Danho ndeinotevera:

• Kutyora vascular ushande. Panguva iyi kudzivisa akasvetuka Zviidzo uchatamisa refu amire imwe gwapa run. Varwere vaiudzwa kuti vazorore uye yokutandara. Treatment Panguva iyi inofanira zvainanga kudzorera ropa riyerere ari femoral musoro, uyewo mune tishu patsva. Murwere inokurudzirwa anokosha muviri kuti kudzivirira tsandanyama atrophy. Panguva iyi nyanzvi ringavakurudzira kubvuma vasodilator zvinodhaka. Medicines kuchabatsira kubvisa kurega kunotanga uye kudzorera sechivako musoro nokuda normalization ropa kuparadzirwa uye kubvisa kurwadza kwacho. Vanobudirira iyi, asiri steroidal Anti-anogumbura zvinodhaka kutaipa novocaine blockade girudoterapija, masaja. Zvinoshandawo decompression pamusoro trochanter mukuru kana pfupa kubva femoral musoro.
• Deformation uye pakakuvara ari hunenge chinhu. Panguva iyi, zvinobatsira kufamba pane zvishoma kumhanya kwemaminitsi 30-50 Kurovedza pamusoro mira bhasikoro, uye kushambira mugungwa mvura. Of mishonga vanorumbidzwa zvinodhaka, kuita kuti kudzorerwa pfupa rinenge uye vasodilators. Vakagadzwa sezvo hirudotherapy, masaja, decompression.
• Osteoarthritis of hudyu rwakashodoka. Panguva iyi hosha inokurudzirwa kuti jimunasitikisi, masaja. Kubva gadziriro Artisan anogona basa hondroprotektory uye vasodilators.

At musi papera segwapa lameness uye chinokosha kupfupikisa njodzi richiripo. Sezvo zviri kunyanya kuoneka kana murwere ari chinjikira chinzvimbo. Against pakanyorwa zvokurwara mberi kuti atrophy pakati tsandanyama: munyama dzinotanga ndizvipete uye ndizvipete ukuru.

Avascular necrosis of femoral musoro: kurapwa pamwe NSAIDs

Nzvimbo kugadzirirwa boka iri kunofanira kusanganisira nzira dzakadai se "Diclofenac", "Indomethacin" "ketoprofen" "piroxicam" "Phenylbutazone" "meloxicam" "nimulid" "Celebrex" uye avo nomukaka. mishonga izvi kubatsira kuderedza marwadzo. Zvinofanira kucherechedzwa kuti NSAIDs hairape necrosis (avascular) mafupa. Zvisinei, mishonga izvi zvinogona kuunza murwere zvakakwana zvaioneka zvikomborero. Tanzi nenguva nenzira, mishonga kudzivirira dzepanguva tsandanyama spasm kuti anozviratidza kupindura sabvumika marwadzo. Kutandara pamusoro fibers inobatsira kudzorera ropa kuparadzirwa Munzvimbo. Zvisinei, NSAIDs kungava nengozi kuti murwere. Chokwadi chokuti pashure kushanda mishonga munhu hunoguma kunzwa marwadzo uye vapinze zvakakanganisa nzvimbo uyewo utano. Izviwo, zvinoita kuti nokukurumidza kuparadzwa musoro mapfupa. Maererano neizvi, murwere zvinofanira kuyeukwa kuti, pasinei pasina marwadzo, njodzi yacho inofanira kuchengetedzwa kubva mupfungwa.

vasodilators

chikamu ichi zvinosanganisira mishonga yakadai se "Trental" ( "Pentosifillin", "Agapurin") uye "Teonikol" (nicotinate ksantinola). Ndivo zvikuru kubudirira avascular necrosis. mishonga izvi kubatsira kubvisa kurega kunotanga riparadzirwe. At kugamuchirwa kwavo wakakurumidza kuzoita pfupa munyama musoro. Izvi zvinova zvinogoneka nokuda arterial ropa kuitika Kudzikamiswa uye kubviswa spasm zviduku tsinga. Pakati mamwe zvakanakira vasodilator mishonga anogona kutaurwa nenjodzi anenge neMhedziso. Kana uchitevera chiremba kunenge uye chinotarisirwa panguva kuchirapa mishonga, havana kusvika hapana contraindications uye marwadzo. Vakanga haungopiwi chakasimba myocardial infarction iri kuerera, uyewo varwere vanenge vachangobva akatambura Hemorrhagic sitiroko. Kana kugamuchira vasodilators varwere vanowanzoodzwa kunzwa kupisa, vanotarisana reddens. Izvi zvakajairika muzviitiko izvozvo. Nokuda zvinongoreva kushingaira vasodilatation. Mishonga iri muchikwata ichi rinoitwa kaviri pagore namapoka inogara 2-3 mwedzi.

Zvinoreva kusimudzira tishu kugadzira

chikamu ichi chinofanira kusanganisira mishonga yakadai se "karusiyamu D3 forte", "Alpha D3 din email", "Osteomag", "Oksidevit" uye vamwe. Ezvemutauro izvi zvinobatsira chaizvo zvokurwara. Mavhitaminzi D tiwedzere karusiyamu Absorção de Água. Nokuda kwaizvozvi zvirimo ichiwedzerwa kwazvo. Izviwo, kunotadzisa kuti neizvi excretion calcium kubva pfupa kupinda ropa. In remubatanidzwa ichi rinoungana iri skeletal okunze. Zvikurukuru, ayo wevasungwa yakawanda pfupa rinenge riri femoral musoro. rubatsiro nouchapupu zvokurwara kuuya calcitonin. Izvi zvinosanganisira, zvikurukuru, anosanganisira munowanika "Sibakaltsin", "Alostin", "Miakaltsik" uye vamwe. zvinodhaka izvi zvinoita pfupa inotungamirwa uye kubvisa kurwadziwa. Nemhaka zvavo kushandisa kunoderedza zvikuru uye nechokumusoro kuti karusiyamu water drainage osteoblast basa ( "chivakwa" masero).

Kuti uwane mamwe mashoko,

Avascular necrosis of femoral musoro (ICD-10: M91.1) ane rimwe zita. Ndiye Legg-dzichibereka-Perthes chirwere. The inonyanya zvokurwara muEngland. Munyika vakanyorwa 1 nyaya pa 1800 nevagari.