ʻĀpala synovitis

ʻO ka Synovitis Toxic kahi ʻano e pili ana i nā keiki e hōʻeha i ka ʻeha o ka pūhaka a me ka ʻopa ʻana.

Hana ʻia ka synovitis Toxic i nā keiki ma mua o ka ʻōpio. Hoʻololi pinepine ia i nā keiki mai 3 a 10 mau makahiki. ʻO kahi ʻano o ka hoʻāhu o ka ʻūhā. ʻAʻole ʻike ʻia kāna kumu. Hoʻopili pinepine nā keikikāne ma mua o nā kaikamahine.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha hip (ma kekahi ʻaoʻao wale nō)
• Limp
• ʻEha ʻū, ma mua a i ka waena o ka ʻūhā
• ʻEha kukuli
• ʻO ke kuni haʻahaʻa haʻahaʻa, ma lalo o 101 ° F (38.33 ° C)

Ma waho aʻe o ka hōʻoluʻolu o ka pūhaka, ʻaʻole ʻike pinepine ʻia ke keiki he maʻi.

ʻIke ʻia ka lāʻau Synovitis Toxic ke hoʻopau ʻia nā kūlana koʻikoʻi ʻē aʻe, e like me:

• Septic hip (maʻi o ka'ūhā)
• ʻO ka epiphysis femoral kapeke i paheʻe (ka hoʻokaʻawale ʻana i ke kinipōpō o ka hui pūhaka mai ka iwi o ka ʻūhā, a i ʻole femur)
• ʻO ka maʻi Legg-Calve-Perthes (ʻo ka maʻi i loaʻa ke loaʻa ʻole ke koko i ka pōpō o ka iwi ʻūhā, e make ana ka iwi)

Nā hoʻāʻo i hoʻohana ʻia e ʻike pono i ka synovitis ʻona e komo pū:

• Ultrasound o ka uha
• X-kukū o ka ʻūhā
• ESR
• C-reactive protein (CRP)
• Helu piha koko (CBC)

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia e kāpae i nā kumu ʻē aʻe o ka ʻeha hip:

• Aspiration o ka loli mai ka hui pūhaka
• ʻImi iwi
• MRI

Hoʻokomo pinepine ka mālama ʻana i ka hana ʻana i mea e hōʻoluʻolu ai ke keiki. Akā, ʻaʻohe mea weliweli me nā hana maʻamau. Kauoha paha ka mea mālama ola i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e hōʻemi i ka ʻeha.

Hele ka ʻeha uha ma waena o 7 a 10 mau lā.

Hele aku i ka synovitis ʻona. ʻAʻohe hopohopo wā lōʻihi e manaʻo ʻia.

Kāhea i kahi manawa me kāu kahu o kāu keiki inā:

• ʻAʻole i wehewehe ʻia kāu keiki i ka ʻeha o ka pūhaka a i ʻole ka palapū, me a me ka ʻole o ke kuni
• Ua ʻike ʻia kāu keiki me ka synovitis ʻona a ʻoi aku ka lōʻihi o ka ʻeha o ka pūhaka ma mua o 10 mau lā, ʻoi aku ka ʻeha o ka ʻeha, a i ʻole e ulu ka fiva kiʻekiʻe.

Synovitis - ʻawahia; Synovitis kuewa

ʻO Sankar WN, ʻo Winell JJ, ʻo Horn BD, ʻo Wells L. The hip. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 698.

Singer NG. Ka loiloi ʻana i nā keiki me nā hoʻopiʻi rheumatologic. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 105.