These 5 high-risk factors that easily lead to femoral head necrosis, the coup is very simple!

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There is a close relationship between femoral head necrosis and systemic lupus erythematos.

6%~52% 15%

 

We all know that the use of glucocorticoids is a major factor in femoral head necrosis, but it is not the only factor

Glucocorticoid use is a significant but not the only factor in femoral head necrosis

 

 

anemia

anemia

 

Necrosis of the femoral head is also called avascular necrosis of the femoral he.

 

From this, we can know that insufficient blood supply is one of the mechanisms leading to femoral head necrosi.

Insufficiency of blood supply is one of the mechanisms leading to necrosis of the femoral head

 

Tips

Tips

 

Prevention of anemia can also prevent necrosis of the femoral head to a certain exte.

Prevention of anemia can also prevent necrosis of the femoral head to a certain exte.

The initial dose of hormone therapy is greater than 60 mg/d

The initial dose of hormone therapy is greater than 60 mg/d

 

High-dose glucocorticoid therapy is a definite risk factor for aseptic head necrosis, but the exact dose is uncerta.

 

At the same time, the study also pointed out [4] that femoral head necrosis occurred between 1 month and 30 months of hormone therapy, so it can be speculated that, on the premise of excluding other high-risk factors, if there is no femoral head necrosis within 3 years of hormone therapy, then The risk of femoral head necrosis in the future is also very l.

 

Tips

Tips

 

For those whose initial dose of hormone is greater than 60 mg/d, it is recommended to increase the frequency of examination for femoral head necrosis within 3 years before

For those whose initial dose of hormone is greater than 60 mg/d, it is recommended to increase the frequency of examination for femoral head necrosis within 3 years before

 

Sudden withdrawal of hormones

Sudden withdrawal of hormones

 

When the hormone is stopped too quickly, it is easy to cause the lupus disease to recur, and symptoms such as depression, vomiting, fever, and nausea may also occur [

Disturbance of the immune system, thereby aggravating inflammation of blood vessels, and finally leading to necrosis of the femoral head

 

Tips

Tips

 

Hormone withdrawal has attracted much attention from Butterfly Frien.

 

Hyperlipidemia

Hyperlipidemia

 

When blood lipids increase, fat in bone tissue accumulates and blood flow decreases, resulting in an increase in serum free fatty acids and prostaglandins, causing vasculitis, making blood in a hypercoagulable state, and easily forming microthrombi and fat emboli, thereby blocking blood vesse.

 

Tips

Tips

 

Diet should pay attention to control fat intake , eat light diet, eat less greasy fried barbecue fo.

Diet should pay attention to control fat intake , eat light diet, eat less greasy fried barbecue fo.

immune factor

immune factor

 

Studies have shown that vasculitis caused by autoantibodies and immune complexes is the direct cause of osteonecros.

 

Tips

Tips

 

Anti-SSB antibody, anti-double-stranded DNA and complement C4 levels are laboratory indicators for the diagnosis of lupus, and they are also high-risk factors for femoral head necrosis, indicating that lupus disease itself can also easily lead to femoral head necros.

It is recommended that butterfly friends standardize treatment, follow doctor's advice, and control lupus activities as soon as possible, which can also effectively prevent femoral head necros.

Anti-SSB antibody, anti-double-stranded DNA and complement C4 levels are laboratory indicators for the diagnosis of lupus, and they are also high-risk factors for femoral head necrosis, indicating that lupus disease itself can also easily lead to femoral head necros.

It is recommended that butterfly friends standardize treatment, follow doctor's advice, and control lupus activities as soon as possible, which can also effectively prevent femoral head necros.

Anti-SSB antibody, anti-double-stranded DNA and complement C4 levels are laboratory indicators for the diagnosis of lupus, and they are also high-risk factors for femoral head necrosis, indicating that lupus disease itself can also easily lead to femoral head necros.

It is recommended that butterfly friends standardize treatment, follow doctor's advice, and control lupus activities as soon as possible, which can also effectively prevent femoral head necros.

 

How is femoral head necrosis diagnosed?

How is femoral head necrosis diagnosed?

 

When the butterfly friends have hip pain, groin, buttocks, thighs, and hip joint internal rotation activities are limited and painful, they need to be alert to femoral head necrosis, and it is recommended to go to an orthopaedic department for diagnos.

orthopedics

 

The main diagnostic methods are X-ray examination, MRI examination (ie, magnetic resonance imaging examination, this examination item does not produce ionizing radiation, butterfly friends do not worry too much), radionuclide bone scan, CT scan [
The specific method is subject to the doctor's recommendation at the time of consultati.

X-ray examination, MRI examination (that is, magnetic resonance imaging examination, this examination item will not produce ionizing radiation, butterfly friends do not worry too much), radionuclide bone scan, CT scan

 

 

Femoral head necrosis should pay attention to what?

Femoral head necrosis should pay attention to what?

 

If the butterfly friends really show signs of necrosis of the femoral head, it is recommended that daily exercise should be moderate and not too viole.

In addition, you can try to take the elevator as much as possible and avoid going up and down the stairs , so as not to increase the pressure on the hip joi.

In the diet, pay attention to supplement calcium and vitamin D , and eat less high-oil, high-salt, and high-fat foo.

Exercise moderately and try to take the elevator as much as possible, avoid going up and down the stairs to supplement calcium and vitamin D high oil, high salt, high fat

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