So wo ba no kotodwe mu yɛ no yaw? So ebetumi aba sɛ ɛyɛ Sinding-Larsen-Johansson Syndrome?

So wo ba ani gye agumadi ho? So ɛte sɛ nea onnya akwamma da biara a ɔde betu mmirika, ahuruw, na wabɔ agoru? Sɛ abofra a ɔyɛ nnam saa no te ne kotodwe mu yaw mpofirim a, ɛyɛ ade a ɛfata sɛ wo sɛ ɔwofo no bɛte ehu nka kɛse. Titiriw sɛ ɛyɛ ɛyaw wɔ kotodwe no ase a, ebetumi ayɛ tebea bi a wɔfrɛ no Sinding-Larsen-Johansson Syndrome , a yɛreka ho asɛm nnɛ no. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne Sinding-Larsen-Johansson Yare no?

Sɛ yɛbɛka no tiawa a, Sinding-Larsson-Johansson syndrome (SLJ) yɛ tebea a ɛma wo ba kotodwe (patella) yɛ ntini a ɛyɛ den a wɔfrɛ no patellar tendon a ɛka kotodwe no ne ne nan dompe (tibia) bom. Ne titiriw no, ɔhaw no ba baabi a saa ntini yi bata kotodwe no ase awiei no. Eyi nso yɛ tebea bi a wɔfrɛ no osteochondritis , a ɛyɛ ɔhaw a ɛba mmofra nnompe a ɛrenyin mu.

Susuw ho hwɛ, wo ba no nnompe da so ara nyin. Titiriw wɔ nkwaa te sɛ kotodwe mu no, afã horow bi wɔ hɔ a wɔfrɛ no "nnyin mprɛte." Eyinom na ɛboa ma nnompe no nyin. Wɔ SLJ mu no, nea ɛba ne sɛ nyin mprɛte a ɛwɔ patella no dua a ɛwɔ fam no sɛe.

Wɔtaa hu saa tebea yi wɔ mmofra a wɔadi fi mfe 10 kosi 14 a wodi agoru anaasɛ wɔyɛ nnam kɛse no mu. Nea enti a ɛte saa ne sɛ mmofra nipadua nyin ntɛmntɛm wɔ saa mfe yi mu, na wɔde wɔn ho hyɛ agumadi mu nso kɛse.

Dɛn nti na eyi ba? Dɛn ne nea enti a ɛte saa?

Nea ɛde eyi ba titiriw ne kotodwe a wɔde di dwuma boro so . Fa no sɛ patellar tendon no yɛ rɔba a wɔde abɔ mu. Ɛkura nkotodwe ne asen dompe no bom na ɛboa ma wɔkeka wɔn ho yiye. Sɛ mmofra tu mmirika, wohuruw, anaa wɔbɔ wɔn nan (sɛ nhwɛso no, bere a wɔrebɔ bɔɔl) a, ntini akɛse a ɛwɔ wɔn asen anim (quadriceps ntini) no yɛ adwuma. Sɛ saa ntini ahorow yi twetwe a, wɔde twe a emu yɛ den fa kotodwe no so fa patellar tendon no mu.

Sɛ saa twe a wɔtwe yi kɔ so, mpɛn pii, na wɔsan yɛ no mpɛn pii , ebetumi ama microtraumas aba baabi a ntini no bata kotodwe no ho. Saa apirakuru nketenkete yi boaboa ano na awiei koraa no ɛde SLJ ba.

Sɛ nhwɛso no, fa no sɛ wo babea no ka sukuu netball kuw no ho. Ɔde nnɔnhwerew pii sua ade da biara, ohuruw na otu mmirika, efisɛ akansi bi reba. Anaasɛ wo babarima no bɔ kriket, otu mmirika ntɛmntɛm na ɔbɔ bɔɔl, na ɔde emu duru to ne nkotodwe so bere a ɔrebɔ bat no. Saa dwumadi ahorow yi betumi ama SLJ aba.

Mpɛn pii no, nneɛma te sɛ:

• Mmirikatu a wɔtaa tu.
• Ahuruw a wɔtaa huruw kɔ soro.
• Agumadi a wɔde bɔ akuturuku (te sɛ bɔɔlbɔ, karate).
• Dwumadi biara a ɛde ahoɔden pii a ɛkɔ so daa ba nan ne nkotodwe so.

Nsonsonoe bɛn na ɛda SLJ ne Osgood-Schlatter yare no ntam?

Ebia woate Osgood-Schlatter yare nso ho asɛm. Abien no di nsɛ yiye. Nneɛma abien no nyinaa fi patellar tendon a ɛsɛe wɔ mmofra a wɔyɛ nnam na wɔrenyin mu. Nea ɛde ba, nea ɛkyerɛ, ne ayaresa mpo di nsɛ koraa.

Nsonsonoe titiriw a ɛwɔ mu ne baabi a ntini no asɛe.

• Wɔ Sinding-Larsson-Johansson syndrome (SLJ) mu no, ɔsɛe no ba wɔ ntini no atifi , kyerɛ sɛ, baabi a ntini no fi ase wɔ kotodwe no ano (patella).
• Wɔ Osgood-Schlatter yare mu no, ɛsɛe ntini no fã a ɛwɔ fam , kyerɛ sɛ baabi a ntini no bata shin dompe (tibia) no ho.

Ebetumi ayɛ den sɛ yebehu nsonsonoe a ɛda abien no ntam. Asɛmpa no ne sɛ wɔde ahomegye ne nnuru a ekum ɔyare mmoawa sa abien no nyinaa yare, enti ayaresa ahorow no di nsɛ yiye. Wo duruyɛfoɔ bɛhwɛ wo ba no mu na waka akyerɛ wo sɛ ɛyɛ SLJ anaa Osgood-Schlatter.

Hena na ɛda adi sɛ obenya eyi?

Sɛnea yɛadi kan aka no, SLJ abu so kɛse wɔ mmofra a wɔadi fi mfe 10 kosi 14 mu , titiriw wɔn a wodi agumadi no. Ntease bi wɔ hɔ a enti mfe a wɔadi yi. Eyi ne bere a mmofra refa nkɔso a ɛyɛ hu mu. Sɛ nnompe, ntini, ne ntini nyinaa sakra ntɛmntɛm bere koro mu a, wobetumi de nkwaa te sɛ nkotodwe ahyɛ adwennwen kɛse mu.

Nhwehwɛmu ahorow bi ada no adi sɛ mmofra a wɔwɔ amemene mu yare no wɔ asiane a ɛkɔ soro kakra sɛ wobenya SLJ.

So ɛto mpanyimfo nso?

SLJ ho yɛ na koraa wɔ mpanyimfo mu. Nokwarem no, sɛ woadi boro mfe 15 na wowɔ saa sɛnkyerɛnne ahorow yi a, ɛda adi sɛ ɛbɛyɛ tebea foforo te sɛ "Jumper's Knee" (patellar tendinopathy). Nneɛma afoforo pii wɔ hɔ a ɛma mpanyimfo kotodwe yɛ wɔn yaw. Enti, sɛ wote ɛyaw foforo, titiriw bere a woayɛ apɔw-mu-teɛteɛ a emu yɛ den akyi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Tebea yi abu so dɛn?

SLJ yɛ tebea a abu so yiye , na ɛtaa ma nkotodwe yɛ yaw, titiriw wɔ mmofra nkumaa a wɔyɛ nnam mu.

Nkɛntɛnso bɛn na eyi nya wɔ abofra no nipadua so?

Eyi betumi ayɛ abofra no yaw paa. Nanso SLJ nnya abofra no akwahosan so nkɛntɛnso biara bere tenten anaasɛ esiw wɔn kwan sɛ wɔbɛyɛ dwumadi ahorow a wɔn ani gye ho . Ɛho behia sɛ abofra no home na ɔkwati agumadi anaa dwumadi a ɛde tebea no bae no kosi sɛ patellar tendon no bɛsa, na ebetumi agye adapɛn pii kosi asram pii. Nanso, sɛ wɔsa wɔn yare wie a, wobetumi asan akɔ wɔn dwumadi ahorow a wɔtaa yɛ no mu a ennya nkɛntɛnso biara a ɛtra hɔ kyɛ.

Dɛn ne eyi ho sɛnkyerɛnne?

Sinding-Larsson-Johansson yare no ho sɛnkyerɛnne atitiriw ne:

• Ɛyaw a ano yɛ den a ɛba abofra no kotodwe ase pɛɛ, wɔ ne nan ase pɛɛ. Eyi ne sɛnkyerɛnne titiriw no.
• Rehono.
• Kotodwe no ho a ɛyɛ mmerɛw.
• Ɛbɛyɛ den sɛ wobɛkotow kotodwe no sɛnea ɛsɛ.

Sɛ wo ba no rehu saa sɛnkyerɛnne ahorow yi, titiriw sɛ ɔyɛ agumadifo a, ɛsɛ sɛ wususuw SLJ ho.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wode wo ba no kɔ oduruyɛfo nkyɛn a, obedi kan ayɛ abofra no kotodwe ne n’asen ho nipadua mu nhwehwɛmu. Obebisa nsɛm te sɛ bere a ɛyaw no fii ase ne sɛnea ɛreyɛ kɛse.

Bio nso, wobetumi ayɛ mfoninitwa nhwehwɛmu ahorow bi de asi SLJ tebea no so dua na wɔahwɛ sɛ ebia wɔapirapira afoforo (te sɛ akisikuru).

Dɛn ne sɔhwɛ ahorow yi?

• X-ray: Wobetumi de X-ray ahwɛ sɛ nkotodwe, asen, anaa nnompe afoforo mu abubu anaa. Ebetumi ahwɛ nso sɛ ebia adwennwen mu akisikuru a abu so titiriw wɔ agumadifo mu no anaa.
• MRI (Magnetic Resonance Imaging): MRI betumi ama wɔahu kotodwe no ne mmeae a atwa ho ahyia no ho mfonini a edi mũ. Ebetumi nso ahwɛ sɛ patellar tendon no ayɛ kɛse esiane opira nti anaa.
• Ultrasound: Ultrasound nhwehwɛmu betumi ahwɛ sɛnea mogya fa ntini ne ntini a ɛka bom a atwa kotodwe no ho ahyia no mu.

Sɛ woyɛ nhwehwɛmu ahorow yi wie a, oduruyɛfo no betumi ahu no yiye sɛ ebia wo ba no wɔ SLJ anaa biribi foforo.

Ɔkwan bɛn so na wɔsa SLJ?

Ayaresa titiriw a eye sen biara a wɔde sa Sinding-Larsson-Johansson yare no ne ahomegye ne ntini anan a ɛwɔ asen no anim a wɔtrɛw mu . Enkosi sɛ abofra no patellar tendon no bɛsa no, ebehia sɛ ogyae agumadi anaa agodie a ɛde opira no bae no.

Ɛho behia sɛ mmofra dodow no ara twe wɔn ho fi agumadi ho adapɛn kakraa bi kosi asram kakraa bi. Bere tenten no gyina sɛnea opira no mu yɛ den bere a opira no so. Bere a abofra no ho retɔ no no, ebia wobetumi adan akɔ nneɛma afoforo a ɛmma adwennwen pii mma ne kotodwe so (te sɛ asuguare) mmom sen agumadi a na wɔredi no so.

Nneɛma bi a wubetumi ayɛ de atew ɛyaw ne ɔfe so wɔ bere tiaa bi mu ni:

• Nsukyenee a wode gu so: Fa nsukyenee a wɔde ntama abɔ wo kotodwe no so simma 15-20 mpɛn pii da biara.
• Nnuru a wɔde kum ɛyaw: Sɛ nnuruyɛfo de afotu ma wo a, wubetumi anom NSAID (Non-Steroidal Anti-Inflammatory Drugs) te sɛ ibuprofen. Eyinom brɛ ɛyaw ne ɔfe ase.

Ɛhia:Bere nyinaa wo ne wo ba no duruyɛfo nkasa ansa na woafi ase, agyae, anaa woasesa aduru biara dodow. Mfa NSAID mma wo ba bɛboro nnafua 10 a wo duruyɛfo no mpene so.

So ɛho behia sɛ wɔyɛ oprehyɛn?

Ɛntaa mma koraa sɛ abofra behia oprehyɛn de asa Sinding-Larsson-Johansson yare no. Wɔ tebea a emu yɛ den sen biara mpo mu no, nnuruyɛfo taa kamfo ayaresa afoforo a ɛnyɛ den pii te sɛ nipadua mu ayaresa kyerɛ ansa na wɔakamfo oprehyɛn ama abofra anaa aberante.

Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ mpanyimfo a wɔahu sɛ wɔwɔ SLJ no kotodwe mu ntini mu nhwehwɛmu na ama wɔasiesie wɔn patellar tendon.

So NSAID ahorow no wɔ nsunsuanso bɔne?

Yiw, NSAID ahorow betumi de ɔhaw ahorow bi aba. Ɛno nti na ɛsɛ sɛ wode di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo no. Nneɛma bɔne a efi mu ba no bi ne:

• Mogya a ɛretu.
• Yafunu mu akisikuru.
• Yafunu mu yaw.
• Nsɛnnennen a ɛba wɔ aduan mu nhyehyɛe mu.

Abofra no ho bɛtɔ no ntɛm dɛn wɔ ayaresa akyi?

Sɛ wɔnom NSAID a, ɛyaw no brɛ ase na abofra no fi ase te nka wɔ bɛyɛ dɔnhwerew biako mu. Saa ara na ɛte wɔ nsukyenee ho.

Nanso, ɛyaw a wɔtew so yi nkyerɛ sɛ abofra no akyi ntini no asa koraa . Ahomegye ne dwumadi a ɛde SLJ tebea no bae no a wɔbɛkwati ne abofra no ayaresa no afã horow a ɛho hia sen biara.

Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Ɛdenam wo ba no tebea so no, oduruyɛfo no bɛkyerɛ wo bere tenten a ebegye ansa na ne ho atɔ no.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ me ba benya SLJ no so?

Wubetumi aboa ma wo ba no patellar tendon no ansɛe wɔ nea edi kan no mu. Akwan a eye sen biara a wobɛfa so ayɛ eyi no biako ne sɛ wobɛma wo ba no ahomegye bere a ɛdɔɔso na ne ho atɔ no wɔ agumadi bere ntam.

Mprempren wɔrehu sɛ mmofra ne mmerante ne mmabaa pii anya SLJ sen bere biara. Ade titiriw nti a ɛte saa ne sɛ wɔtete wɔn ho anaasɛ wodi agumadi koro no ara afe mũ no nyinaa (titiriw wɔ agumadi biako mu) . Sɛ mmofra pii bɔ mmɔden sɛ wɔbɛyɛ wɔn ho titiriw wɔ agumadi anaa dwumadi biako mu a, wɔn nipadua nnya bere a ɛdɔɔso mfa nnye n’ahome na wɔn ho ntɔ wɔn. Sɛnea ɛbɛyɛ na wɔabɔ wɔn ho ban afi ɛnyɛ SLJ nkutoo ho, na mmom ɔhaw afoforo nyinaa ho no, eye sɛ wobesiw mmofra kwan sɛ wɔnyɛ agumadi biako ho adwuma titiriw kosi wɔn mmabunbere awiei.

Dɛn na ɛsɛ sɛ woyɛ na ama woanya ahobammɔ afi SLJ ho?

Ɔkwan a eye sen biara a wobɛfa so asiw Sinding-Larsson-Johansson yare no ano ne sɛ wobɛtrɛw quadriceps ntini no mu daa . Dodow a wo ba no nan yɛ mmerɛw no, dodow no ara na ɛremma ne ntini ahorow no so tew.

Mpɛn pii no, ɛyɛ papa sɛ wubedi anammɔn yi akyi na ama nhyɛso a ɛwɔ patellar tendon no so no so atew:

• Ntrɛwmu a wɔtrɛw mu ansa na wɔadi agumadi ne bere a wɔadi agoru akyi.
• Ahomegye ne ahomegye a wogye.
• "Agorudi a ɛfa ɛyaw no mu" nyɛ adwene pa da! Sɛ wote ɛyaw nka a, ɛsɛ sɛ wugyae na wohome.

Sɛ wo ba no wɔ SLJ a, dɛn na wobɛhwɛ kwan?

Sɛ wohu sɛ wo ba no anya SLJ a, hwɛ kwan sɛ ɔbɛtwe ne ho afi agumadi ne apɔw-mu-teɛteɛ a emu yɛ den ho kakra . SLJ yɛ bere tiaa mu tebea, nanso egye bere ansa na ntini no asa.

Eyi bɛkɔ so akosi ahe?

Bere tenten a Sinding-Larsson-Johansson yare no di no gyina sɛnea abofra no akyi ntini no sɛe mfiase no so. Ɛyaw ne ɔfe betumi ano abrɛ ase wɔ nna anaa adapɛn kakraa bi mu. Nanso, ebia ɛho behia sɛ mmofra twe wɔn ho fi agumadi ho asram pii na amma wɔansɛe wɔn kotodwe bere tenten.

Abofra no betumi akɔ sukuu?

Ɛho nhia sɛ wo ba no gyae sukuukɔ bere a ɔrenya ahoɔden afi SLJ mu no. Sɛnea ɛbɛyɛ a worenhyɛ kotodwe no so kosi sɛ ɛbɛsa no, bisa wo ba no oduruyɛfo sɛ ɛsɛ sɛ ogye n’ahome wɔ apɔw-mu-teɛteɛ (PE/PT) adesua ahorow mu anaa .

Dɛn ne tebea yi ho anidaso?

Sinding-Larsson-Johansson yare no yɛ bere tiaa mu tebea . Nanso, ebetumi ayɛ den ama mmofra sɛ wobegyae agumadi bi a wɔn ani gye ho no kakra. Hwɛ sɛ wo ba no te nea ɛsɛ sɛ ɔyɛ de boa ne nipadua ma n’ahome, ne ho tɔ no, na ɛsa no yare, ne nea enti a ɛsɛ sɛ ɔtwe ne ho fi agumadi anaa dwumadi a ɛde ne SLJ tebea no bae no ho bere tiaa bi no ase.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wo ba no kotodwe mu yaw foforo, titiriw sɛ ɛho ahonhon ka ho a, kɔ oduruyɛfo nkyɛn ntɛm ara . Oduruyɛfo no betumi aboa wo ma woahu nea ɛde wo ba no yaw, sɛ́ ɛyɛ SLJ anaa biribi a emu yɛ den kɛse, te sɛ nea abubu.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wo ne wo ba kɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi:

• Sɔhwɛ bɛn na ɛsɛ sɛ me ba no yɛ?
• Bere tenten ahe na ɛsɛ sɛ abofra gyae agodie ?
• So eyi yɛ Sinding-Larsson-Johansson yare anaa Osgood-Schlatter yare?
• Ntrɛwmu bɛn na ɛwɔ hɔ a ebetumi aboa ma wɔasiw Sinding-Larsson-Johansson yare no ano daakye?

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Ɛyɛ ade a ɛfata sɛ ɔwofo bɛte ehu nka bere a abofra bi te yaw no. Titiriw bere a ɛfa nkwaa a opira ho no, nea ebefi mu aba bere tenten no ho dadwen wɔ hɔ.

Asɛmpa no ne sɛ Sinding-Larsen-Johansson Syndrome yɛ bere tiaa mu tebea a ɛrenka abofra no nkotodwe daakye.

Sɛ ɛsɛ sɛ wo ba no hwere agumadi a n’ani gye ho bere bi mpo a, hwɛ hu sɛ ɛfata efisɛ ɛyɛ ne ho a ɔbɛsan anya no fã. Sɛ wo ba no home yiye na odi wo duruyɛfo akwankyerɛ akyi a, ne ho bɛtɔ no ntɛm na wasan ayɛ nneɛma a n’ani gye ho no!

` Sinding-Larsen-Johansson Syndrome, kotodwe mu yaw, mmofra kotodwe mu yare, agumadi mu opira, patellar tendon, herniated disc, Osgood-Schlatter