Yu pikin in hip de at? Yu tink se i de limp? Lɛ wi lan bɔt di sik we dɛn kɔl Legg-Calve-Perthes!

Yu smɔl pikin dɔn bigin fɔ slip wantɛm wantɛm? Ɔ in hip de at? Sɔntɛnde, wi nɔ kin pe atɛnshɔn tumɔs pan dɛn smɔl smɔl tin ya. Bɔt if dɛn sik ya kɔntinyu, i impɔtant fɔ wɔri smɔl. Bikɔs dɛn tin ya kin bi sayn fɔ wan sik we nɔ kin apin so ɔltɛm na di hip we pikin dɛn kin kɔl Legg-Calve-Perthes disease . So, lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

Wetin na di sik we dɛn kɔl Legg-Calve-Perthes?

fכ sכmtεm, dis na kכndyushכn we de afekt di hip jכint na pikin dεm we ol bitwin 2 εn 12. wi hip jכint de mek wit wan pat we lεk bכl na di tכp pat pan di thigh bon (we wi kכl di `femoral head`) εn wan pat we lεk sכket na di hip bon. I tan lɛk bɔl we fit insay kɔp. So, wetin kin apin na di sik we dɛn kɔl Legg-Calve-Perthes na dat di blɔd we de go na da pat de we tan lɛk bɔl na di shɔl bon kin ridyus ɔ stɔp fɔ sɔm tɛm .

Tink bɔt am, ɔl pat na wi bɔdi nid blɔd fɔ mek i kɔntinyu fɔ liv. Na frɔm blɔd wi kin gɛt ɔksijɛn ɛn tin dɛn we de mek wi gɛt tin fɔ it. So, we di blɔd flɔ stɔp dis we, di tisu na da bon de kin bigin fɔ day smɔl smɔl. dis dεn kכl am `avaskul nεkrכsis` כ `כstionekrכsis` insay mεdikal. Bɔt afta sɔm tɛm, di blɔd kin bigin fɔ flɔ bak. Dɔn di bon pat we dɔn pwɛl kin bigin fɔ mek insɛf fayn. Bɔt sɔntɛnde, di bon we dɛn jɔs dɔn mek nɔ kin gro di sem shep lɛk aw i bin de gro. Na dat na di prɔblɛm we de ya.

dis sik de pan wan grup fכ sik dεm we dεn kכl `osteochondroses`. insay dεn tin ya, di εnd we de gro na wan bon de dכn εn rimodεl. I kin bigin wantɛm wantɛm, ɛn i nɔ kin no ɛni rizin. Dis sik kin kam pan sɔm stej dɛm, ɛn di ɔl prɔses kin tek sɔm ia. Aw dis kin afɛkt yu pikin kin dipen pan aw di bon chenj. Bɔt if dɛn trit dɛn di rayt we, bɔku pikin dɛn kin wɛl fayn fayn wan.

Dɛn kin kɔl dis sik bak wit sɔm ɔda nem dɛm:

• Pɛt sik
• Di sik we dɛn kɔl Perthes syndrome
• Legg Calve we de na di bɔdi
• Leg-Pɛts we dɛn kɔl
• Kalv-Pɛtɛs
• Coxa plana (flat hip) we de na di bɔdi.

Aw Pɛtɛs sik nɔ kin bɔku? Udat kin gɛt am?

Ɔlsay na di wɔl, dis sik kin ambɔg lɛk wan pan ɛvri 12,000 pikin dɛn . Bɔy pikin dɛn kin gɛt am fayv tɛm pas gyal pikin dɛn.

We i kam pan di ej, i kin apin mɔ pan pikin dɛn we ol bitwin 5 ɛn 7. Bɔt i kin kam pan pikin dɛn we ol lɛk 2 ia ɔ we ol lɛk 12 ia.

Yu tink se di sik we dɛn kɔl Legg-Calve-Perthes kin de sote go?

dεn kכl dis dijenεreshכn εn bil bak na di ed fכ di pikin in fכs. Dis prɔses kin tek sɔm ia. So, di sik na fɔ shɔt tɛm nɔmɔ. Bɔt i kin mek di bon chenj fɔ ɔltɛm .

Dis sik kin mek wi gɛt prɔblɛm tumara bambay?

Yɛs, i sɔri fɔ no se sɔntɛnde i kin ebul. If di bɔl na di shɔp bon tu misshep, i nɔ kin fit fayn fayn wan insay di sɔkɛt na di hip jɔyn. Pan ɔl we di tritmɛnt kin kɔrɛkt dis bɔku bɔku wan, if dis nɔ alaynɛshɔn kɔntinyu, i kin mek di pikin gɛt prɔblɛm wit di hip jɔyn dɛn we i de gro, lɛk at at sik as tɛm de go .

Wetin na di sayn dɛm fɔ di sik we dɛn kɔl Legg-Calve-Perthes?

De sayn dɛm fɔ dis sik nɔr kin apin wan tɛm. Dɛn kin divɛlɔp smɔl smɔl. Sɔntɛnde, fɔs, yu nɔ kin ivin imajin wetin de apin.

Di sayn dɛm wae yu kin si na di fɔs tɛm:

• Limp: I kin tan lɛk se di pikin de drɛg wan leg ɔ i nɔ kin izi fɔ am fɔ waka. Dɛn kin du dis fɔ ridyus di wet na di hip we di sik afɛkt. Bɔku tɛm, di limp na di fɔs sayn fɔ mek yu fil pen. Sɔntɛm di pikin nɔ ivin no wetin mek i de slip. Imajin, yu bɔy pikin, Sadeep, nɔ de rɔn ɛn ple igen lɛk aw i bin de du trade, ɛn i tan lɛk se i de drɛg wan leg we i de waka. I nɔ ivin se i de at fɔs. Na so i kin bigin.
• Hip pen: If yu pikin gɛt pen, i go mɔs bi se na di fɔs tɛm we di sik de kam. Na da tɛm de di blɔd we de go na di bon kin go dɔŋ ɛn di bon kin bigin fɔ pwɛl. Dis pen kin bɔku we yu de ɛksesaiz, rɔn, ɛn ple.
• Pen we dɛn kin rifer: Sɔm pikin dɛn kin fil pen na dɛn ni, dɛn shɔl, dɛn bɛlɛ, ɔ dɛn bɛlɛ instead fɔ fil pen na dɛn hip.
• Leg kramp: Wan pen we de tayt ɛn kramp kin apin na di leg mɔsul dɛn we gɛt kɔnekshɔn to di hip jɔyn.

Di sayn dɛm wae kin kam leta:

• Trendelenburg gait: Dis na wan patikyula we aw yu de waka we yu kin si we prɔblɛm de wit di hip jɔyn. biכs di hip mכsul dεm wik, di pεlvis na di sayd we di sik afekt de tilt dכn we di pikin de waka.
• di joyn muvmεnt sכmtεm: i kin at fכ di pikin fכ rכt di hip. di ebul fכ tכn di tכŋ dεm na do εn di kכn dεm insay kin rεdכks.
• di mכsul dεm we de atrofi: di mכsul dεm na di pikin in tכŋ εn in bכtכm kin dכn dכn εn i kin tan lεk tכn.
• Difrɛns we di leg lɔng: Wan leg kin tan lɛk se i shɔt pas di ɔda wan.

Wetin kin mek pɔsin gɛt di sik we dɛn kɔl Legg-Calve-Perthes?

wi bin dכn se dis sik de kכz fכ sכm tεm we di bכdi de dכn כ sכt fכ gi di ed fכ di fכs (ischemia). Bikɔs bon kin gɛt ɔksijɛn ɛn tin dɛn we de insay di blɔd, we i lɔs blɔd, di bon tisu kin bigin fɔ day ɛn brok. dis dεn kכl am `avaskulεr nεkrכsis` כ `כstionekrכsis`.

Bɔku tɛm, we blɔd vesel blok ɔ smɔl, i kin apin wan pan tu we dɛn. I kin blok frɔm insay, bikɔs ɔf wan at sik ɔ blɔd klɔt, ɔ i kin blok frɔm do, bikɔs ɔf swel. Bɔt di wan dɛn we de stɔdi bɔt dis stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis blɔd we de kam dɔŋ na di sik we dɛn kɔl Legg-Calve-Perthes. I kin apin fɔ difrɛn rizin dɛn pan difrɛn pikin dɛn.

Di tin dɛn we kin mek pɔsin gɛt prɔblɛm

Risach dɔn sho se lɛk af pan di pikin dɛn we gɛt dis sik kin gɛt wan sik we de mek dɛn blɔd klɔt . Wan ɔda tin we dɛn kin tɔk na dat, di sik kin kam bikɔs ɔf wan bad bad injuri ɔ we i kin gɛt strɛch injury ɔltɛm, we kin mek di blɔd nɔ flɔ to di bon. dεn tink bak se lεk 10% pan di kes dεm de lεnk to wan inhεrit jin mכtεshכn.

Na sɔm tin dɛn we kin mek yu pikin gɛt mɔ sik we dɛn kɔl Legg-Calve-Perthes:

• Dilay we di bon dɛn de gro.
• Di wet we dɛn bɔn we dɛn bɔn smɔl.
• Di ayt we dɔn go dɔŋ (we yu kɔmpia am wit di ej).
• Di tin dɛn we nɔ de na di tit.
• Fɔ de na wan lɔw ikɔmik lɛvɛl.
• We pɔsin de smok we i de smok.
• Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt.
• HIV infɛkshɔn.
• Fɔ du tin lɛk spɔt ɔ jimnastik (dis na sɔntin we pipul dɛn kin agyu bɔt, nɔto fɔ ɔlman).
• Inhεrit mכtεshכn dεm na di jin `COL2A1`.

Impɔtant: Nɔto ɔl pikin go gɛt dis sik pan ɔl we i gɛt dɛn tin ya we kin mek i gɛt dis sik. I pɔsibul bak fɔ mek yu gɛt am ivin if yu nɔ gɛt ɛni wan pan dɛn tin ya. I impɔtant fɔ no bɔt dɛn tin ya ɛn go to dɔktɔ wantɛm wantɛm if ɛni sayn de sho se yu gɛt dis sik.

Aw dis sik go afɛkt mi pikin?

di tεm we di sik de aktif Legg-Calve-Perthes, di ed fכ di fεmur na yu pikin in hip jכint de gεt dijεnεreshכn (brεk dכwn) εn afta dat i de rimodεl (ribild). Dis degeneration phase kin tek lɛk wan ia . di rimodεlin εn fכmeshכn fεz kin tek lεk tu to fayv ia .

Sɔm pikin dɛn kin gɛt mɔ bon tisu dɛn we kin pwɛl pas ɔda wan dɛn. Dis kin bi bikɔs dɛn nɔ gɛt blɔd (ischemia) kin rili bad, ɔ bikɔs i dɔn de fɔ lɔng tɛm. Ɔ, if di bon dɔn ɔlrɛdi wik ɛn dɛn put bɔku wet pan am, i kin pwɛl mɔ. pan sכm pikin dεm, di rawnd ed na di fεmur kin kכlaps εn flat. Dɔn i nɔ kin fit fayn fayn wan insay di sɔkɛtɛ na di hip jɔyn.

We di bon bigin fɔ gro bak, i kin gɛt chans fɔ gro bak lɛk aw i bin de fɔs. Bɔt nɔto ɔl pikin dɛn bon dɛn kin gro bak di sem we. Sɔm shɔl bon dɛn nɔ kin ɛva kam bak to dɛn fɔs saiz ɛn shep. Sɔm kin ivin gro big pas di sɔkɛt na di hip jɔyn. Yu dɔktɔ go tray fɔ inflɔws dɛn rizɔlt ya ɛn mek dɛn kam nia di nɔmal as i pɔsibul.

Sɔm pikin dɛn kin nid fɔ mek dɛn hip nɔ muv insay wan kast fɔ shɔt tɛm. Ɔda wan dɛn kin nid fɔ gɛt ɔpreshɔn. Dɛn tritmɛnt ya kin ɛp di bon fɔ gro bak fayn fayn wan. Pikin dɛn we dɛn hip jɔyn nɔ de wɛl kin kɔntinyu fɔ gɛt di sayn dɛn. Hip dysplasia kin mek yu gɛt prɔblɛm lɛk at at sik tumara bambay.

Aw dɛn kin no bɔt di sik we dɛn kɔl Legg-Calve-Perthes?

Di fɔs tin we dɔktɔ kin du na fɔ chɛk yu pikin gud gud wan . Dɔn, dɛn kin tek ɛkstrem rayt fɔ luk yu pikin in bon dɛn. X-ray kin sho if Pɛtɛs sik de, us stej i de, ɛn aw i bad. Sɔntɛnde, di dɔktɔ kin se bak fɔ mek dɛn du MRI (Magnetic Resonance Imaging) skan fɔ mek dɛn ebul fɔ luk am mɔ.

Wetin na di tritmɛnt fɔ di sik we dɛn kɔl Legg-Calve-Perthes?

Di tritmɛnt dipen pan aw di sik tranga, di stej we i de, ɛn di ej we di pikin gɛt. yɔŋ pikin dɛn kin bɛtɛ if dɛn nɔ du bɛtɛ tin bikɔs dɛn bon dɛn kin gro kwik kwik wan. Pikin dɛn we dɔn big kin nid mɔ tritmɛnt. Wan tim fɔ dɔktɔ dɛn go wok togɛda fɔ mek wan tritmɛnt plan we go fayn fɔ yu pikin.

Dis tritmɛnt plan kin inklud:

• Fɔ rɛst di hip we di sik afɛkt ɛn fɔ mek i nɔ ebul fɔ bia di wet: Di pikin kin nid fɔ stɔp ɔ stɔp fɔ waka fɔ sɔm tɛm, ɔ i kin nid fɔ yuz sɔpɔt lɛk krach.
• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID): Dɛn wan ya na ɔva-di-kɔnta mɛrɛsin fɔ mɛn pen ɛn anti-inflammatory mɛrɛsin (lɛk aspirin ɛn ibuprofen). Dɛn kin ɛp fɔ kɔntrol di pen ɛn swel na di hip jɔyn.
• Fizik tritmɛnt: Wan dɔktɔ we de mɛn yu pikin go tich yu pikin spɛshal ɛksesaiz fɔ ɛp in hip fɔ kam bak to nɔmal. Yu kin nid bak fɔ ɛp yu pikin fɔ praktis dɛn ɛgzampul ya.
• Trakshɔn: Dis kin min fɔ yuz ɔtpidik trakshɔn divays fɔ pul di hip jɔyn jisnɔ insay in ples. Dɛn kin du dis tritmɛnt fɔ sɔm dez.
• Plasta kas ɔ bres:We di bon de shep bak, yu dɔktɔ kin se yu fɔ yuz kɔst ɔ bres fɔ mek di bon kɔntinyu fɔ de fayn fayn wan na di sɔkɛtɛ na di hip jɔyn. Dis go ɛp di bon fɔ gro bak insay in rayt shep as i de gro kɔmɔt na di sɔkɛt.
• Ɔpreshɔn: Sɔm pikin dɛn kin nid ɔpreshɔn fɔ shep di bon bak ɛn fiks am na in ples na di jɔyn. Dɛn kɔl dis ɔsteotomy. Ɔda wan dɛn kin nid ɔpreshɔn fɔ mek di hip sɔkɛt lɔng ɔ shep bak, we dɛn kɔl atrɔplasti.

Aw dɛn kin mɛn di sik we dɛn kɔl Legg-Calve-Perthes?

If yu pikin gɛt di sik we dɛn kɔl Legg-Calve-Perthes, yu go gɛt fɔ du wit mɛrɛsin we kin las fɔ sɔm ia, wit difrɛn stej dɛn. Dis go afɛkt di pikin in pikin tɛm to sɔm mak – sɔm smɔl, sɔm mɔ. Bɔt we ɔl dis dɔn, bɔku pikin dɛn kin ebul fɔ kɔntinyu fɔ du dɛn nɔmal tin dɛn we dɛn nɔ kin ebul fɔ du ɔ dɛn nɔ kin gɛt ɛni sayn we dɛn kin kɔntinyu fɔ gɛt.

Mɛmba se if yu pikin nɔ rich 7 ia yet, i go mɔs bi se i go wɛl ful wan wit kɔnsavayv tritmɛnt. If dɛn dɔn pas 7 ia, i go mɔs bi se dɛn go nid ɔpreshɔn. If dɛn nɔ gɛt di rayt tritmɛnt di rayt tɛm, ɛn di hip bon stil de fɔm, dɛn kin gɛt hip ɔstiɔ-arayt as dɛn de ol.

Yu tink se dɛn go ebul fɔ protɛkt di sik we dɛn kɔl Pɛtis?

Bɔt i sɔri fɔ no se, nɔto so. Naw, dɛn nɔr no we fɔ mek dɛn nɔ gɛt Pɛtis sik.

Wetin a fɔ aks mi dɔktɔ bɔt Pɛt sik?

If yu pikin gɛt Legg-Calve-Perthes sik, yu go gɛt bɔku kwɛstyɔn bɔt tritmɛnt ɛn wetin fɔ ɛkspɛkt frɔm di wɛl bɔdi. Yu dɔktɔ go du in bɛst fɔ ɛksplen di ditel dɛn bɔt yu pikin.

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Dɔkta, us stej mi pikin in sik de insay naw?"
• "Aw bad dis situeshɔn bi?"
• "Aw wi go chenj di pikin in layf ɛn di gem dɛn we i de ple?"
• "Us tin yu tink se go dɔn inflɔws dis sityueshɔn?"
• "Us simptom ɔ chenj wi fɔ luk fɔ we wi de trit?"
• "Aw a fɔ tich mi pikin bɔt dis, wetin i fɔ ɛkspɛkt?"

Bikɔs Legg-Calve-Perthes na wan sik we pɔsin kin gɛt wantɛm wantɛm, i nɔmal fɔ gɛt bɔku kwɛstyɔn. We yu dɔktɔ dɔn ɛksplen yu pikin in sik, yu go gɛt rough aidia bɔt wetin fɔ ɛkspɛkt. Di nɛks tin we yu fɔ du na fɔ ɛksplen am to yu pikin di we we i go ɔndastand.

Bɔku rizin dɛn de we mek wi fɔ gladi. Bɔrku pikin dɛn nɔr kin gɛt bɔrku diskɔmfɔt afta dɛn dɔn bigin fɔ trit dɛn. Sɔntɛm dɛn kin gɛt sɔm tin dɛn we dɛn nɔ ebul fɔ du, bɔt bɔku tɛm na fɔ shɔt tɛm nɔmɔ. Dɛn kin nid sɔm kayn ɔtpidik tritmɛnt. Bɔt as tɛm de go, i go mɔs bi se dɛn go wɛl ful wan.

Mɛsej we dɛn kin kɛr go na os

Yu kin frayd smɔl fɔ yɛri bɔt Legg-Calve-Perthes sik. Bɔt di tin we impɔtant pas ɔl na fɔ no bɔt am kwik kwik wan.

• No di fɔs sayn dɛm: If yu pikin de limp ɔ se in hip de at, nɔ jɔs ignore am ɛn go to dɔktɔ.
• Di rayt tritmɛnt impɔtant: Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan. Di tritmɛnt kin tek sɔm tɛm ɛn i kin mek i fil pen, bɔt dɛn nid fɔ mek di pikin gɛt wɛlbɔdi tumara bambay.
• Sɔpɔt yu pikin: Yu pikin nid yu fɔ lɛk am, kia fɔ am, ɛn gɛt trɛnk fɔ tink bɔt dis tɛm. Dɛn kin fil bad we dɛn nɔ ebul fɔ ple, rɔn, ɔ jomp. Bi ɔndastandin ɛn de fɔ dɛn insay dis tɛm.
• Stay op: Bɔrku pikin dɛn kin wɛl kpatakpata frɔm dis sik ɛn liv nɔrmal layf. So, i impɔtant fɔ de tink gud wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shem fɔ aks yu dɔktɔ. Dɛn go gladi fɔ ɛp yu.

` Legg-Calve-Perthes, Perthes sik, hip pen, pikin dɛn sik, bon sik, limp, pikin dɛn wɛlbɔdi