Necrosis aseptic nke isi femoral

N'ihi mmetụta nke ihe dị iche iche, mbibi nke anụ pelvic na isi na ụbụrụ femoral. Ọ na-esonyere usoro nke degenerative-dystrophic, nke osteophytes (nsị) na-amalite na arthrosis. Ọrịa a, mkparịta ụka na-adịghị ahụ anya nke isi nke femur, dịka ọkpụkpụ nke anụ ahụ si anwụ, nwere ike iduga nnukwu nsogbu, ruo nkwarụ.

Ihe kpatara necrosis na-ahụ maka isi nke aka ekpe ma ọ bụ aka nri femur

Ihe omuma ihe omuma nke anu aru di iche iche na - amalite mgbe enwere otutu ihe dika edeputara n'okpuru:

• nnweta nke corticosteroids ;
• mmerụ ahụ na-ekpuchi ọkpụkpụ hip;
• mmebi nke usoro mgbanwe;
• na-ekpughe na radiation radiation;
• ịṅụbiga mmanya ókè;
• ọrịa sickle-cell anaemia;
• pancreatitis;
• ọrịa ọkpụkpụ;
• arụ ọrụ mkpuchi hip;
• ọrịa nke usoro vascular.

Ọ bụrụ na ịnweghị ike ikpebi ihe kpatara ọrịa ahụ, a na-ewere ya dị ka nkiopathic.

Mgbaàmà nke necrosis na-ahụ maka nke femoral n'isi

Ihe mgbaàmà kachasị nke ọrịa ahụ:

• atrophy nke ahụ dị arọ na akwara úkwù;
• ọrịa mgbu;
• nyefee ọtụtụ n'ime ibu ahụ ụkwụ aka;
• mbelata aka nke nkwonkwo.

Nakwa, usoro nke necrosis na-ahụ maka isi nke femur na-adabere na ya, e nwere nanị mmadụ anọ n'ime ha:

1. N'oge mbụ nke ọrịa ahụ na-arị elu, mmadụ na-enwe oké ihe mgbu, nke gosipụtara na ọ na-arụ ọrụ ike ma nwee ike ịlaghachi azụ ahụ. N'otu oge ahụ, mgbagwoju anya nke mmegharị na nkwonkwo ahụ, a na-ekesa ahụ ahụ n'ụzọ ọbụla na ụkwụ abụọ.
2. Ihe omimi nke abuo bu nke enwere ihe mgbu nke ahu, nke na-adighi aka. Dika nke a na-eme, ọga nke nkwonkwo na-ebelata, onye ọrịa na-agba mbọ ibudata ụkwụ ahụ merụrụ ahụ, nke na-eme ka atrophy dị ukwuu nke akwara hip.
3. Ogo nke atọ na-esonyere akwa mgbu, nke na-apụta ọbụna n'okpuru obere ibu. N'ihi nke a, ọrụ ọgbụgba nke nkwonkwo ahụ na-arịwanye elu, akara aka na atrophy nke uru ahụ ọ bụghị naanị nke apata ụkwụ, kamakwa nke ncha. Mgbe ụfọdụ, mkpụmkpụ ụkwụ ahụ dị mkpụmkpụ.
4. Na nkeji nke anọ, usoro ọgwụgwọ na-eme ka ọ bụrụ mbibi zuru oke nke anụ ahụ, mmadụ apụghị ịkwaga n'enweghị enyemaka ma ọ bụ mmegharị pụrụ iche.

X-ray na necrosis na-adịghị ahụkebe nke isi femoral

Ihe nyocha X-ray bụ usoro nyocha nke ziri ezi na nke ziri ezi.

Foto ndị ahụ na-egosi n'ụzọ doro anya na ebe nkedo nke na-adịghị ahụkebe ma ọ bụ ọkpụkpụ ọkpụkpụ nọ na nkwonkwo femoral, isi na-enweghị isi, na-agbanwe dịka oghere dị na femur, osteophytes n'ụbụrụ. Site na X-ray, ị nwere ike ịchọpụta nke ọma ọrịa ahụ.

Usoro ihe nyocha ọzọ:

• Podography;
• mmụba nke nkwado na njem ije;
• MRI;
• nkọwa nke nrụgide intraosseous.

Ọgwụgwọ na ịdọ aka ná ntị ịdọ aka ná ntị nke necrosis nke na-ahụ maka femoral n'isi

Otu obibia na-agwọta ọrịa ahụ a na-atụle bụ:

1. Gymnastics ọgwụ na nlekọta na usoro orthopedic usoro. A na-egosipụta nrụgide na-enweghị atụ na nkwonkwo emetụtara.
2. Ndozi ije. Egwuregwu ọkụ eletrik dị iche iche a tụrụ aro.
3. Ngwọta ọgwụ ọjọọ. (Kurantil), ndị na-eme ihe mgbu (Ibuprofen), chondroprotectors (Rumalon, Mukartrin), ndị nchịkwa calcium metabolism (Alfacalcidol na Xidiphon).
4. Mgbagha mkparịta ụka na-agbanye na mgbochi ogologo oge (ntinye aka na Novokain, Kurantil).
5. Ọrịa na-ahụkarị. A na-eji vitgens na-ekpo ọkụ.

Ihe dị mkpa na physiotherapy maka necrosis na-ahụ maka isi nke femur - laser, magnetik, EHF.

Ọ bụrụ na usoro ọgwụgwọ akọwapụtara adịghị arụ ọrụ, a na-ahọpụta ịwa ahụaka:

• ọkpụkpụ osteotomy;
• isi nke femoral isi nke ụdị subchondral.