Avascular necrosis o ka iwi. Avascular necrosis o ka femoral poo

Avascular necrosis o ka femoral poʻo, kena ae la ia e hoʻopōʻino koko i loko o ka vascular'ōnaehana haawi i ka paena. Oiaʻike manaʻo i aie i ka mīkini'opihia paha torsion i ka poe liilii, thrombus artery occlusion paha trauma. Next, lawe i ka pilina nana, i ka mea a ka avascular necrosis o ka femoral poo.

ano hoomainoino aʻe

Hooloihi ae i vasospasm a mahuahua ke koko (viscosity), venous stasis a me ka hana maʻamau o ka outflow me ka nui loa hihia hoʻi i loko o ka mana o ke poo o ka uha iwi. Ma keia manao, o ka maloko puʻe, piʻi pū, ischemia e hoʻomōhala ai. Kēia hoʻonāukiukiʻana mai o kekahi mea ku ei ÿano waiwai o ka iwi'aʻaʻa. E like me ka hopena, voids i hana. Over manawa, ka iwi hoʻomaka e ino, ka articular cartilage ua luku, ka mea, ua ihi aku.

pathology Hiʻona

Necrosis (avascular) iwi loaʻa he pinepine. Advantageously, ka pathology ua diagnosed i loko o nā kānaka kahiko, 20 a hiki i 45 makahiki. Kekahi diagnosed me avascular necrosis o ka femoral poo i loko o nā kamaliʻi elemakule 2 i 12 makahiki. I ka Ia manawa i nā keiki e maʻi hou pinepine. Symptoms e pili ana i ke avascular necrosis, ma kekahi manawa kokoke paʻakikī e differentiate. He iki paʻakikī e e i pololeiʻike. I ka pau, na hoailona o ka avascular necrosis Ua kokoke indistinguishable, mai na hoikeana o ka pathological kaʻina hana i loko o ka hip-ami.

Holomua you

Avascular necrosis ua ulu hala loa hikiwawe loa. Ma ke kolu o ka lā i ka hoʻomanawanui Kahalaopuna unbearable eha pinepine ', piʻi pū. Ka wā e ho'āʻo e ku mai, oiai e hele ana malaila meaʻeha ma ka groin wahi. Ua i ikeia ma kaʻaoʻao a me ke alo o ka uha, a iho i hāʻawi mai. Ma na mea he nui nā mea maʻi, i kaʻeha hiki e a no ka maluhiluhi a me ka ikaika. Ua hiki hope ka po a me ke kakahiaka, hola, e emi iho. I ka hele i ka haawe hoonaukiukiʻeha ma ka lalo hoʻi paha lakou kikala. Ka hoʻoneʻe i kaupalena ', ka hanana o lameness lakou e ike koke Alert i ke kanaka a lilo i kumu o ke ake kōkua i ka hoʻomalu.

Avascular necrosis o ka femoral poo: 'ehaʻeha ka

E like me ia he nui akamai, i ka ulu ana o ka pathology ka poʻea pau i hooloihi ae iʻai ana o ka waiʻona i loko o nui mea. No hoi i necrosis lilo i lōʻihi-makahiki lapaʻau corticosteroids ma kiʻekiʻe nā māhele. Mawaena o ka loa hanohano aʻe e kauoha ana i keʻano, ka mea e e hoʻomaopopo i nā palapū: fractures, sprains, paopao koke mai oia. Necrosis (avascular) iwi i hoʻomaka aie i ka mau luhi, stress, 'ehaʻeha o ke kanana nei. Moʻokāki hihia kahi pathology i Hawaiʻi me ka hopena o ka maʻi a me ka huʻi pancreatitis. E like me ka hiki hana a me ka waiū i ka pāhawewe ma kiʻekiʻe nā māhele like me ka hoonaukiuki ololi. Pathology e pu pahikakiwi ke kelepona hele anaemia, osteomyelitis. I ka 'inikua hana, he mea e like me ka mea i idiopathic necrosis. Ua Ua hoʻohana 'ia ka wā he mea hiki ole i ka hoʻoholo' ana i ka mea pono i hoʻonāukiuki aku i ka pathology.

lapaʻau '

Avascular necrosis E e hōʻike 'ia kakahiaka nui i hiki. Ma keia hihia, ao ao i ka hana me kaʻoki kino. Eia naʻe, e like me ka rula, o ka pathology ua diagnosed loa lohi. Keia mea aie a hiki i ka nui, e hoike ana i ke ano o ka eha ma ka Hip hoʻomanawanui ua hoouna mai ai i ka X-Ray ninaninau. Ma nā kiʻi i ka mua ke kahua o ka maʻi ua ole 'akomi i. 'Aʻe i hiki i ka m-Ray he mau mahina ma hope. E kuhikuhi i necrosis (avascular) iwi i loko o ka loiloi mua kahua o ka hoʻonaʻauao mea hiki ma ka mea o MRI paha HI. Mai haawi aku i ka pololei hopena Ka Ikepili o ke koko a me ka ultrasound. Like PalekanaEND_LINK ano hoʻohana kaʻimiʻana a me ka ana o ka kipi puʻe o ka iwi.

Kahua o ka hoʻonaʻauao o ka maʻi ulu

Pehea progresses avascular necrosis o ka femoral poo? pathological ke kahua e like penei:

• 'Aʻe' ana o vascular kuleana pili i. Ma keia kahua e pale aku Lele paona hoolilo hooloihi ae i ku i loko o kekahi kina holo. Hoʻomanawanui iki mai i ka manao e hoomaha a me ka hoʻomaha. Lapaʻau ma keia kahua E e pahuna ma ka hoihoi hou ana i ke koko kahe ana ma ka femoral poo, e like me ka pono me ka'aʻaʻa e noho. Ke hoomanawanui Ua pono kūikawā kino no ka Kāohiʻana o ke Muscle atrophy. Ma keia ke kahua o ka hoʻomalu i waiho aku ae o ka vasodilator ai '. Laau, e kōkua e hoʻopau stagnation, a hoihoi aku i ka 'ole o ka poo aie a hiki i ka normalization o ke koko holo, a hoʻopau spasms. Mana i loko o keia hihia, ole-steroidal Anati-hoʻoʻino ai 'kikokiko i novocaine blockade girudoterapija, lomilomi. I pili decompression o ka nui trochanter paha iwi o ka femoral poo.
• Deformation a me fracture o ka pōʻino, ua make mau ukana. Ma keia kahua, e pono keia mau mea hele ma ka kali iki mai no 30-50 minuke aʻo ma kekahi wahi Bike, a me ka 'auʻau' ana ma o ka wai kai. O na laau paipai ai ', ka hoʻopukaʻana i ka hoihoi hou ia ana o ka iwi'aʻaʻa a me vasodilators. Pau i hoomakaukauiaʻi e like me hirudotherapy, lomilomi, decompression.
• Osteoarthritis o ka hip-ami. Ma keia ke kahua o ka maʻi ua waiho ia gymnastics, lomilomi. Mai hoomakaukau artisan ke hāʻawi aku hondroprotektory a me vasodilators.

Ma ka hope ka lā o na hiohiona lameness, a me ka nui hua'ōleloʻo o ka loli ana o ka lala. E like me ka oi loa akaka no ia i ka hoʻomanawanui i loko o ka papamoe kūlana. E kū'ē i ke kāʻei kua o ka pathology progresses ka atrophy o nāʻiʻo: nā'aʻaʻa hoʻomaka e emi a emi ka nui.

Avascular necrosis o ka femoral poo: lapaʻau me NSAIDs

Ka pahuhopu i ka hoomakaukau ana o keia pae e hoʻohui i na kumu e like "Diclofenac", "Indomethacin" "ketoprofen" "piroxicam" "Phenylbutazone" "meloxicam" "nimulid" "Celebrex" a me kā lākou nā mea loaʻa. Mau lapaʻauʻia kōkua ho'ēmi i ka eha. It E e kaulana i NSAIDs mai ole ke hoola ia necrosis (avascular) iwi. Eia naʻe, i kēia mau laau ke lawe mai i ka hoʻomanawanui Ua lawa tangible pomaikai. Hāʻawi i loko o ka 'eleu kūpono, na ai'ʻole reflex Muscle spasm e 'ōili mai ana ma muli o ka unbearable eha. Hoʻomaha o ka olona, kōkua, e hoihoi koko holo i loko o ka hoʻohuli ai i nā wahi. Eia naʻe, NSAIDs i e weliweli i ka hoʻomanawanui. Ka mea i ma hope o ka noi o ka lapaʻauʻia kekahi kanaka ekolu pohaku e haha aku i kaʻeha a me ke kiʻi i ka hoʻohuli ai i nā wahi like me ola. Kēia, ma ka huli, ka poʻea pau i ka kokololio ka make ana o ka iwi poʻo. Ma pili ana me keia, pono e hoomanao i ka hoomanawanui ana, hoʻowahāwahā i ka wa e kaawale aku o ka eha, e e hoomaluia ka hoʻohuli ai i nā wahi mai stress.

vasodilators

Kēia waeʻano nā mea ai 'like "Trental" ( "Pentosifillin", "Agapurin") a me "Teonikol" (nicotinate ksantinola). Ka mea, i loa mana i loko o avascular necrosis. Mau lapaʻauʻia kōkua e hoʻopau stagnation i loko o ka holo. Ma kā lākou? Eaia hōʻeleu i ke ola o ka iwi nā'aʻaʻa o ke poo. Kēia i hiki no i ka arterial kokoʻikena noaaeeecaoee a me ka hoʻopau o ka spasm o ka poe liilii, na moku koko. Mawaena o na nā pono o ka vasodilator ai ' i ke'ōleloʻia lākou aneane loa maluhia. A hiki akuʻoe ma hope o ka kauka mau koi, a lawelawe ma pākōlea nā māhele, ka mea i kokoke ole contraindications a me kaʻaoʻao 'ole. Ka mea, i ole hoakaka no huʻi myocardial infarction i loko o ka pele, a me nā mea maʻi i i nei, waiho wale aku i ka hemorrhagic hahau. I ka loaa ana vasodilators nā mea maʻi pinepine 'ike i ka manao o ka wela, e alo reddens. He mea nō maʻamau i loko o ia hihia. Ma muli o ia mea, eʻeleu vasodilatation. Lawe lapaau i loko o kēia waeʻano ua lawe mai i na manawa elua o ka makahiki ma ka papa me ka loihi 2-3 mahina.

O ia hoʻi, e paipai'aʻaʻa? Aiiio

Kēia waeʻano e hoʻohui i na ai 'like "pōhaku D3 forte", "Alpha D3 TEVA", "Osteomag", "Oksidevit" a me na mea e ae. Mau hana, ua nui pono keia mau mea i loko pathology. Nā wikamina D ka hōʻoi 'kalipuna omo. No ka mea, o keia ka maʻiʻo ua nui mahuahua. Kēia, ma ka huli, ua ālai 'ka aʻe excretion o ke kalipuna mai ka iwi i loko o ke koko. Ma keia i huiia accumulates i loko o ka skeletal hehee wale. Ma kekahi, ua mahuahua kona lehulehu i loko o ka iwi'aʻaʻa o ka femoral poo. Lula 'kōkua ma ka pathology lawe mai calcitonin. Mau nā, ma ka nui, nā mea hana e like me "Sibakaltsin", "Alostin", "Miakaltsik" a me na mea e ae. Mau ai 'hoʻoulu iwi ho okumu, a hoʻopau i ka eha. Mahalo i ko lakou pomaikai nui ho'ēmi i kā a stabilizes ke kalipuna outflow osteoblast hope ( "hale" aeee).

No ka 'ike hou aku,

Avascular necrosis o ka femoral poo (ICD-10: M91.1) i kekahi inoa. Ua i aku la ia Legg-Calve-Perthes maʻi. Ka loa, he pono ole pathology maʻEnelani. Ma keia aina helu 1 hihia no 1800 poʻe e noho ana.