Kei te mamae te hope o tāu tamaiti? Kei te ngoikore ia? Me ako tātou mō te mate Legg-Calve-Perthes!

Kua tīmata ohorere te toitoi o tāu tamaiti ? Kei te mamae rānei tōna hope? I ētahi wā, kāore pea tātou e aro nui ki ēnei mea iti. Heoi, ki te mau tonu ēnei tohu, he mea nui kia āwangawanga. Nā te mea he tohu pea ēnei o tētahi mate hope onge i roto i ngā tamariki e kiia nei ko te mate Legg-Calve-Perthes . Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā, me pēhea?

He aha te mate Legg-Calve-Perthes?

He whakarāpopototanga noa iho tēnei, he āhuatanga e pā ana ki te hononga hope o ngā tamariki i waenga i te 2 me te 12 tau te pakeke. Ko te hononga hope he mea hanga mai i tētahi wāhanga rite ki te pōro kei te tihi o te wheua huha (e kiia nei ko te 'upoko femur') me tētahi wāhanga rite ki te kōhao i roto i te wheua hope. He rite ki te pōro e uru ana ki roto i tētahi kapu. Nō reira, ko te mea ka tupu i roto i te mate Legg-Calve-Perthes ko te whakahekenga, te whakamutu rānei i te rere o te toto ki taua wāhanga rite ki te pōro o te wheua huha mō tētahi wā poto .

Whakaarohia, e hiahia ana te toto ki ia wāhanga o tō tātou tinana kia ora ai. Mai i te toto ka whiwhi tātou i te hāora me ngā matūkai. Nō reira, ina mutu te rere o te toto i tēnei ara, ka tīmata te mate haere o te kiko o taua wheua. Ka kiia tēnei ko te 'avascular necrosis' ko te 'osteonecrosis' rānei i roto i te rongoā. Heoi, i muri i tētahi wā, ka tīmata anō te rere o te toto. Kātahi ka tīmata te wāhanga wheua kua pakaru ki te whakatika i a ia anō. Heoi, i ētahi wā, kāore pea te wheua hou i te tipu i te āhua o mua. Koinei te raruraru i konei.

Kei roto tēnei mate i tētahi rōpū mate e kiia nei ko te 'osteochondrosis'. I roto i ēnei mate, ka heke te kounga me te hanga anō o te pito e tipu ana o te wheua. Ka tīmata ohorere, kāore he take e taea te tautuhi. Ka whanake te mate i roto i ētahi wāhanga, ā, ka roa pea te tukanga katoa mō ētahi tau. Ko te nui o te pānga o tēnei ki tāu tamaiti kei te whānuitanga o te huringa o te wheua. Heoi, mā te maimoatanga tika, ka taea e te nuinga o ngā tamariki te ora pai.

E mōhiotia ana hoki tēnei mate e ētahi atu ingoa:

• Te mate Perthes
• Te mate Perthes
• Legg Calve
• Legg-Perthes
• Calve-Perthes
• Coxa plana (hope papatahi)

He aha te onge o te mate Perthes? Ko wai te hunga e pāngia ana e tēnei mate?

Ao whānui, tata ki te kotahi i roto i te 12,000 ngā tamariki e pāngia ana e te mate. E rima ngā wā ka nui ake te tūponotanga ka pāngia ngā tama i ngā kōtiro.

Mō te pakeke, he mea tino noa tēnei i roto i ngā tamariki i waenga i te 5 me te 7 tau te pakeke. Heoi, ka taea te whanake i roto i ngā tamariki mai i te 2 tau te pakeke, tae atu ki te 12 tau te pakeke.

He mate tūturu te mate Legg-Calve-Perthes?

Ka kiia tēnei he pirau me te hanga anō i te pane o te wheua o te tamaiti. He maha ngā tau e pau ana ki tēnei tukanga. Nō reira, he wā poto noa iho te mate. Heoi, ka taea e ia te whakaputa i ngā huringa tuturu ki te āhua o te wheua.

Ka taea e tēnei mate te whakararuraru i ngā raruraru ā muri ake nei?

Āe, heoi anō, i ētahi wā ka taea. Mēnā he tino hē te āhua o te pōro o te wheua huha, tērā pea kāore e uru tika ki roto i te hononga o te hononga hope. Ahakoa ka taea e te maimoatanga te whakatika i tēnei ki te whānuitanga nui, ki te mau tonu tēnei hē, ka arahi pea ki ngā raruraru hononga hope i te tipu o te tamaiti, pērā i te mate rumatiki i roto i te wā .

He aha ngā tohu o te mate Legg-Calve-Perthes?

Kāore ngā tohu o tēnei mate e puta katoa i te wā kotahi. Ka āta puta haere. I ētahi wā, i te tīmatanga, kāore e taea te whakaaro he aha te mea e tupu ana.

Ngā tohu ka kitea i ngā wāhanga tuatahi:

• Te Tōtiti: Tērā pea ka tō te tamaiti i tētahi waewae, ka uaua rānei ki te hikoi. Ka mahia tēnei hei whakaiti i te taumaha o te hope e pāngia ana. He maha ngā wā, ko te tōtiti te tohu tuatahi o te mamae. Kāore pea te tamaiti e mōhio he aha ia e tōtiti ana. Whakaarohia, kāore tāu tama, a Sadeep, e oma ana, e tākaro ana pērā i mua, ā, te āhua nei ka tōia e ia tētahi waewae ina hikoi ia. Kāore ia e kī ana he mamae i te tīmatanga. Koinei te tīmatanga.
• Mamae hope: Ki te mamae tō tamaiti, tera pea kei te tīmatanga o te mate. Koinei te wā ka heke te rere o te toto ki te wheua, ka tīmata te pirau o te wheua. Ka piki ake tēnei mamae i te wā e whakakorikori tinana ana, e oma ana, e tākaro ana hoki.
• Mamae e tukuna ana: Ka pāngia pea ētahi tamariki e te mamae o te turi, te huha, te hope, te puku rānei, kaua ki te mamae o te hope.
• Ngā mamae o te waewae: Tērā pea ka puta he mamae whakawhāiti me te kōpiripiri i ngā uaua o te waewae e hono ana ki te hononga hope.

Ngā tohu ka puta ake i muri mai:

• Te hikoi a Trendelenburg: He tauira hikoi motuhake tēnei e kitea ana ina he raruraru kei te hononga hope. Nā te ngoikore o ngā uaua hope, ka piko te hope i te taha e pāngia ana ki raro ina hikoi te tamaiti.
• Te nekehanga iti o ngā hononga: Tērā pea ka uaua ki te tamaiti te huri i te hope. Tērā pea ka iti haere te kaha ki te huri i ngā huha ki waho, me ngā turi ki roto.
• Te ngoikore o ngā uaua: Tērā pea ka iti haere te rahi o ngā uaua o ngā huha me ngā papa o te tamaiti, ā, ka āhua angiangi.
• Te rerekētanga o te roa o te waewae: Tērā pea ka poto ake tetahi waewae i tetahi atu.

He aha te take o te mate Legg-Calve-Perthes?

Kua kōrero kē mātou ko te take o tēnei mate he whakahekenga, he whakamutu rānei i te rere o te toto ki te pane o te femur mō te wā poto (ischemia). Nā te mea ka whiwhi te wheua i te hāora me ngā matūkai mai i te toto, ina ngaro te toto, ka tīmata te mate me te pakaru o te kiko wheua. Ka kiia tēnei ko te 'avascular necrosis' ko te 'osteonecrosis' rānei.

I te nuinga o te wā, ina āraia, ina whaiti rānei te uaua toto, e rua ngā huarahi ka puta. Ka āraia mai i roto, nā te mate uaua, nā te toto totoka rānei, ka āraia mai rānei i waho, nā te pupuhi. Heoi, kāore anō kia mōhiotia e ngā kairangahau te take o te hekenga o te rere o te toto i roto i te mate Legg-Calve-Perthes. Tērā pea ka puta mō ngā take rerekē i roto i ngā tamariki rerekē.

Ngā āhuatanga mōrearea

E ai ki ngā rangahau, tata ki te haurua o ngā tamariki e pāngia ana e te mate he mate toto totoka . Ko tētahi atu ariā, ko te mate pea i puta mai i te whara whara, i te whara taumahatanga auau rānei, ka ārai i te rere o te toto ki te wheua. E whakaarohia ana hoki e pā ana te 10% o ngā take ki te whakarerekētanga ira tuku iho.

Anei ētahi āhuatanga ka whakapiki ake i te tūponotanga o tāu tamaiti ki te pāngia e te mate Legg-Calve-Perthes:

• Te whakaroa i te tipu o te wheua.
• Te taumaha iti i te whānautanga.
• Te teitei kua heke (e pā ana ki te pakeke).
• Ngā āhuatanga rerekē o ngā niho.
• Te noho i te taumata ōhanga iti.
• Te pānga ki te auahi tuarua.
• Ngā mate toto totoka.
• Te mate HIV.
• Te whai wāhi atu ki ngā mahi pēnei i ngā hākinakina me ngā mahi whakapakari tinana (he mea tautohenga tēnei, ehara i te mea mā te katoa).
• Ngā whakarerekētanga tuku iho i roto i te ira `COL2A1`.

He mea nui: Ehara i te mea ka pāngia ngā tamariki katoa e tēnei mate ahakoa kei a rātou ēnei āhuatanga mōrearea. Tērā pea ka pāngia rātou ahakoa kāore he āhuatanga mōrearea. He mea nui kia mōhio ki ēnei, ā, me rapu tohutohu hauora tonu mēnā ka puta he tohu.

He aha te pānga o tēnei mate ki taku tamaiti?

I te wā e ora tonu ana te mate Legg-Calve-Perthes, ka pakaru te pane o te femur i roto i te hononga hope o tāu tamaiti, kātahi ka hanga anō. Ka roa pea tēnei wāhanga pirau mō te tau . Ka roa pea te wāhanga hanga anō me te hanganga mō te rua ki te rima tau .

He nui ake te kino o te kiko wheua o ētahi tamariki i ētahi atu. Tērā pea nā te mea he kino ake te korenga o te toto (ischemia), nā te mea rānei kua roa te wā e mau ana. Ki te ngoikore kē te wheua, ā, he nui rawa te taumaha e utaina ana ki runga, ka taea te kino atu. Mō ētahi tamariki, ka hinga te pane porowhita o te femur, ka papatahi. Kātahi ka kore e uru tika ki te hononga o te hope.

Ina tīmata te wheua ki te tupu anō, ka whai wāhi ia ki te tupu anō ki tōna āhua taketake. Heoi, kāore ngā wheua katoa o ngā tamariki e tupu anō i te ara kotahi. Kāore ētahi wheua huha e hoki ki tōna rahi me tōna āhua taketake. Ko ētahi ka nui ake i te hononga o te hope. Ka ngana tō tākuta ki te whai i ēnei hua, kia tata ai ki te āhua noa.

Tērā pea me herea ō rātou hope ki roto i te kāpia mō te wā poto. Ko ētahi atu me pokanga. Mā ēnei maimoatanga ka taea te tupu tika o te wheua. Ko ngā tamariki kāore e ora tika ana ō rātou hononga hope, tērā pea ka mau tonu ngā tohu. Ka taea e te hip dysplasia te arahi ki ngā raruraru pērā i te mate rumatiki ā muri ake nei.

Me pēhea te tautuhi i te mate Legg-Calve-Perthes?

Ko te mea tuatahi ka mahia e te tākuta he tirotiro tinana hōhonu i tāu tamaiti. Kātahi ka tangohia he hihi-X hei tirotiro i ngā wheua o tāu tamaiti. Ka taea e ngā hihi-X te whakaatu mēnā kei te mate a Perthes, kei hea te wāhanga, me tōna kaha. I ētahi wā, ka tūtohu pea te tākuta i tētahi matawai MRI (Magnetic Resonance Imaging) hei tirotiro taipitopito ake.

He aha ngā maimoatanga mō te mate Legg-Calve-Perthes?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o te mate, te wāhanga o te mate, me te tau o te tamaiti. Ko te tikanga ka ora ake ngā tamariki nohinohi me te iti o te wawaotanga nā te mea ka tere ake te tipu o ō rātou wheua. Tērā pea me nui ake te maimoatanga mō ngā tamariki pakeke. Ka mahi tahi tētahi rōpū tākuta ki te whakawhanake i tētahi mahere maimoatanga e tika ana mō tāu tamaiti.

Tērā pea kei roto i tēnei mahere maimoatanga:

• Te okioki i te hope e pāngia ana, me te whakawhāiti i te pikaunga taumaha: Me mutu pea te tamaiti, me whakawhāiti rānei i te hikoi mō tētahi wā, me whakamahi rānei i tētahi tautoko pēnei i te tokotoko.
• Ngā rongoā anti-mumura kore-steroidal (NSAID): He rongoā mamae me ngā rongoā anti-mumura ēnei e hokona kore-tohu (pērā i te aspirin me te ibuprofen). Ka taea e rātou te āwhina ki te whakahaere i te mamae me te pupuhi i te hononga hope.
• Whakaora tinana: Mā te kaiwhakaora tinana tāu tamaiti e ako ki ngā mahi whakakori tinana motuhake hei āwhina i te hokinga o te hope ki te āhua noa. Me āwhina pea koe i tāu tamaiti ki te whakaharatau i ēnei mahi.
• Te kume: Ko te whakamahi i tētahi taputapu kume wheua hei kume mārire i te hononga hope ki tōna tūranga. Ka mahia tēnei maimoatanga mō ētahi rā.
• Ngā whakarewa pāreti, ngā tautoko rānei:I a te wheua e hanga hou ana, ka tūtohu pea tō tākuta kia whakamahia he mea whakakikorua, he mea tautoko rānei hei pupuri i te wheua kia mau tonu ki roto i te hononga o te hope. Mā tēnei ka āwhina i te wheua kia hoki ki tōna āhua tika i a ia e tipu ana i waho o te hononga.
• Pokanga: Tērā pea ētahi tamariki me pokanga hei hanga anō i te wheua me te whakau i tōna tūranga ki te hononga. Ka kiia tēnei he osteotomy. Ko ētahi atu me pokanga hei whakaroa, hei hanga anō rānei i te hope, ka kiia he arthroplasty.

Me pēhea te rongoā i te mate Legg-Calve-Perthes?

Mena kei te pāngia tāu tamaiti e te mate Legg-Calve-Perthes, ka pāngia koe e tētahi haerenga hauora e roa pea mō ngā tau maha, me ngā wāhanga rerekē. Ka pā tēnei ki te tamarikitanga o te tamaiti ki tētahi taumata – ko ētahi he iti ake, ko ētahi he nui ake. Heoi, i te mutunga o ēnei mea katoa, ka taea e te nuinga o ngā tamariki te haere tonu me ā rātou mahi noa me te kore he herenga, he tohumate tonu rānei.

Kia maumahara, ki te mea kei raro iho i te 7 tau te pakeke o tāu tamaiti, he nui ake te tūponotanga ka ora katoa ia mā te whakamahi i ngā maimoatanga ātaahua. Ki te mea kua neke atu i te 7 tau te pakeke, he nui ake te tūponotanga ka hiahiatia he pokanga. Ki te kore ia e whiwhi maimoatanga tika i te wā tika, ā, ka noho pēpepe tonu te wheua hope, ka pāngia pea ia e te osteoarthritis hope i a ia e pakeke haere ana.

Ka taea te ārai i te mate Perthes?

Kāore, kāore. Kāore anō kia kitea he huarahi hei ārai i te mate Perthes i tēnei wā.

He aha ngā mea me pātai atu e au ki taku tākuta mō te mate Perthes?

Mena kei te pāngia tāu tamaiti e te mate Legg-Calve-Perthes, he maha āu pātai mō te maimoatanga me ngā mea hei tumanakohia mai i te whakaoranga. Ka whakapau kaha tō tākuta ki te whakamārama i ngā taipitopito mō tāu tamaiti.

Ka taea e koe te pātai i ngā pātai penei:

• "E te tākuta, kei tehea wāhanga te mate o taku tamaiti ināianei?"
• "Kia pēhea te kino o tēnei āhuatanga?"
• "Me pēhea tātou e whakarerekē ai i te āhua noho o te tamaiti me ngā kēmu e takarohia ana e ia?"
• "He aha ngā āhuatanga i tō whakaaro i pā ki tēnei āhuatanga?"
• "He aha ngā tohu, ngā huringa rānei me tirotiro e tātou i te wā e rongoatia ana?"
• "Me pēhea taku whakaako i taku tamaiti mō tēnei mea, me aha ia?"

I te mea he mate ohorere a Legg-Calve-Perthes, he mea noa te maha o ngā pātai. Kia whakamāramahia e tō tākuta te āhua o tāu tamaiti, ka mōhio koe ki ngā mea ka puta. Ko te mahi e whai ake nei ko te whakamārama i tēnei ki tāu tamaiti i roto i te huarahi e mārama ai rātou.

He maha ngā take hei harikoa. Kāore te nuinga o ngā tamariki e tino pāngia e te mamae i muri i te tīmatanga o te maimoatanga. Tērā pea he iti noa iho ō rātou herenga, engari he wā poto noa iho. Tērā pea me whai momo rongoā wheua rātou. Engari i te mutunga, he tino tūpono ka ora katoa rātou.

Karere Tangohia ki te Kāinga

Tērā pea ka mataku koe ki te rongo mō te mate Legg-Calve-Perthes. Heoi, ko te mea nui ko te mōhio wawe ki tēnei mate.

• Kia mōhio ki ngā tohu tōmua: Ki te mea kei te totitoti tāu tamaiti, kei te kī rānei kei te mamae tōna hope, kaua e wareware noa, engari me rapu tohutohu hauora.
• He mea nui te maimoatanga tika: Me whai i ngā tohutohu a te tākuta. Tērā pea ka roa te wā e rongoatia ai, ā, ka mamae pea, engari he mea nui ēnei mō te oranga o te tamaiti ā muri ake nei.
• Tautokohia tāu tamaiti: Me aroha koe, me manaaki koe, me kaha hoki tō hinengaro i tēnei wā. Tērā pea ka pouri rātou ina kore e taea e rātou te tākaro, te oma, te peke rānei. Kia mārama, kia noho hoki ki te taha o rātou i tēnei wā.
• Kia mau te tumanako: Ko te nuinga o ngā tamariki ka ora katoa mai i tēnei mate, ā, ka ora noa i te ao. Nō reira, he mea nui kia noho pai.

Mena he pātai anō āu mō tēnei, kaua e whakamā ki te pātai atu ki tō tākuta. Ka koa rātou ki te āwhina i a koe.

` Legg-Calve-Perthes, mate Perthes, mamae hope, mate o ngā tamariki, mate wheua, totitoti, hauora o ngā tamariki