Synovitis e chefo

Toxic synovitis ke boemo bo amang bana bo bakang bohloko ba letheka le ho hlotsa.

Chefo synovitis e hlaha ho bana pele ba kena bohlankaneng kapa boroetsaneng. Hangata e ama bana ba lilemo li 3 ho isa ho tse 10. Ke mofuta oa ho ruruha ha letheka. Sesosa sa eona ha se tsejoe. Bashemane ba ameha khafetsa ho feta banana.

Matšoao a ka kenyelletsa:

• Bohloko ba letheka (ka lehlakoreng le leng feela)
• Hlotsa
• Bohloko ba serope, ka pele le bohareng ba serope
• Bohloko ba lengole
• Feberu e tlaase, e ka tlase ho 101 ° F (38.33 ° C)

Ntle le bohloko ba letheka, hangata ngoana ha a hlahe a kula.

Toxic synovitis e fumanoa ha maemo a mang a tebileng a tlosoa, joalo ka:

• Lefu la septic (tšoaetso ea letheka)
• Capital capital e thellisitsoeng ea bosali epiphysis (karohano ea bolo ea lenonyeletso la letheka le lesapo la serope, kapa femur)
• Legg-Calve-Perthes lefu (boloetse bo hlahang ha bolo ea lesapo la serope lethekeng le sa fumane mali a lekaneng, le baka hore lesapo le shoe)

Liteko tse sebelisitsoeng ho fumana chefo ea synovitis li kenyelletsa:

• Ultrasound ea letheka
• X-ray ea letheka
• ESR
• Protheine ea C-reactive (CRP)
• Palo e felletseng ea mali (CBC)

Liteko tse ling tse ka etsoang ho felisa lisosa tse ling tsa bohloko ba letheka:

• Ho futhumatsa mokelikeli o tsoang lenonyellong la letheka
• Ho hlahloba lesapo
• MRI

Kalafo hangata e kenyelletsa ho fokotsa lintho ho etsa hore ngoana a phutholohe. Empa, ha ho kotsi ka mesebetsi e tloaelehileng. Mofani oa tlhokomelo ea bophelo a ka fana ka litlhare tse khahlanong le ho ruruha (li-NSAID) ho fokotsa bohloko.

Bohloko ba letheka bo fela pele ho matsatsi a 7 ho isa ho a 10.

Chefo synovitis e tloha ka boeona. Ha ho na mathata a lebelloang a nako e telele.

Bitsa tumellano ea kopano le mofani oa ngoana oa hau haeba:

• Ngoana oa hau o na le bohloko ba letheka bo sa hlaloseheng kapa o hlotsa, a na le feberu kapa ntle le eona
• Ngoana oa hau o fumanoe a na le synovitis e chefo mme bohloko ba letheka bo nka nako e telele ho feta matsatsi a 10, bohloko bo ntse bo mpefala, kapa feberu e phahameng e ba teng

Synovitis - chefo; Nakoana ea synovitis

Sankar WN, Winell JJ, Horn BD, Wells L. Letheka. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 698.

Sebini NG. Teko ea bana ba nang le litletlebo tsa rheumatologic. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 105.