Ðe klo le veve sem na viwòa? Ðe wòate ŋu anye Sinding-Larsen-Johansson ƒe Dɔlélea?

Ðe viwòa lɔ̃a kamedefefea? Ðe wòdze abe mɔkeke aɖeke menɔa esi gbeɖe be wòaƒu du, ati kpo, ahafe oa? Ne ɖevi si doa vevie nu alea ƒe klo le vevem zi ɖeka la, esɔ be wò dzila navɔ̃ ŋutɔ. Vevietɔ ne enye vevesese le klo ƒe akpa si le anyime la, ate ŋu anye dɔléle aɖe si woyɔna be Sinding-Larsen-Johansson Syndrome , si ŋu míele nu ƒom tsoe egbea. Mègatsi dzi o, mina míaƒo nu tso esia ŋu tsitotsito.

Nukae nye Sinding-Larsen-Johansson ƒe Dɔlélea?

Kpuie ko la, Sinding-Larsson-Johansson ƒe dɔléle (SLJ) nye nɔnɔme si me viwò ƒe klo ƒe akɔta (patella) nye lãkusi sesẽ aɖe si woyɔna be patellar tendon si doa ka kple klo kple afɔkpodzi ƒe ƒu (tibia). Etɔxɛe la, kuxia dzɔna le afisi lãkusi sia léna ɖe klo ƒe akpa si le ete ŋu. Esia hã nye nɔnɔme aɖe si woyɔna be osteochondritis , si nye kuxi si dzɔna ɖe ɖeviwo ƒe ƒu siwo le tsitsim me.

Bu eŋu kpɔ, viwòa ƒe ƒuwo gale tsitsim. Vevietɔ le ƒunukpeƒewo abe klo ene me la, akpa aɖewo li siwo woyɔna be "tsitsi ƒe agbawo." Esiawoe kpena ɖe ƒuawo ŋu wotsina. Le SLJ me la, nusi dzɔnae nye be tsitsi ƒe agbalẽ si le patella ƒe ati si le ete la gblẽna.

Wokpɔa nɔnɔme sia zi geɖe le ɖevi siwo xɔ tso ƒe 10 va ɖo ƒe 14 siwo ƒoa kamedefefe alo doa vevie nu ŋutɔ la ŋu. Esia le alea elabena ɖeviwo ƒe ŋutilã tsina kabakaba le ƒe sia me, eye woƒoa wo ɖokui ɖe kamedefefewo hã me vevie.

Nukatae esia dzɔna ɖo? Nukawoe nye susu siwo tae?

Nusi koŋ gbɔ esia tsonae nye klo zazã fũu akpa . Bu patellar tendon ŋu be enye rababa. Eléa klo kple afɔkpodzi ƒe ƒu ɖe wo nɔewo ŋu eye wòkpena ɖe wo ŋu woʋãna nyuie. Ne ɖeviwo le du ƒum, le ti kpom, alo le afɔ ƒom (le kpɔɖeŋu me, ne wole bɔl ƒom) la, lãmeka gã siwo le woƒe ata ƒe ŋgɔgbe (lãmeka eneawo) la wɔa dɔ. Ne lãmeka siawo ƒo ɖe wo nɔewo ŋu la, wohea kloa sesĩe to afɔkpodzi ƒe lãkusi me.

Ne hehe sia yi edzi, enuenu, eye wògbugbɔna , ate ŋu ahe nuvevi suesuesuewo vɛ le afisi lãkusia léna ɖe kloa ŋu le. Abi sue siawo ƒoa ƒu eye mlɔeba wova zua SLJ.

Le kpɔɖeŋu me, tsɔe be viwònyɔnuvi le sukua ƒe netball-ha me. Esrɔ̃a kame gaƒoƒo geɖe gbesiagbe, ti kpo heƒua du, elabena hoʋiʋli aɖe gbɔna. Alo viwòŋutsu ƒoa kriket, ƒua du sesĩe heƒoa bɔl, eye wòdea kpekpeme eƒe klowo dzi ne ele bat ƒom. Dɔwɔwɔ siawo ƒomevi ate ŋu ahe SLJ vɛ.

Le goawo katã me la, SLJ ate ŋu atso nusiwo le abe:

• Duƒuƒu zi geɖe.
• Titri yi dzi enuenu.
• Afɔkpodzidada ƒe kamedefefewo (abe bɔlƒoƒo, karat ene).
• Dɔ ɖesiaɖe si dea ŋusẽ geɖe si nɔa anyi ɖaa ɖe afɔwo kple klowo dzi.

Vovototo kae le SLJ kple Osgood-Schlatter ƒe dɔlélea dome?

Ðewohĩ èse Osgood-Schlatter ƒe dɔlélea hã kpɔ. Wo ame evea ɖi wo nɔewo ŋutɔ. Wo ame evea siaa tsoa patellar tendon ƒe gbegblẽ le ɖevi siwo le dɔ wɔm, siwo le tsitsim me gbɔ. Nusiwo gbɔ wòtso, eƒe dzesiwo, kple atikewɔwɔ gɔ̃ hã ɖi wo nɔewo ŋutɔ.

Vovototo vevitɔe nye afisi lãkusia gblẽ le.

• Le Sinding-Larsson-Johansson ƒe dɔléle (SLJ) me la, nusiwo gblẽ la dzɔna le lãkusia tame , si fia be afisi lãkusia dzea egɔme tso klo ƒe ta (patella).
• Le Osgood-Schlatter dɔlélea me la, nu gblẽna le lãkusia ƒe akpa si le anyime , si nye afisi lãkusia léna ɖe afɔkpodziƒu (tibia) ŋu le.

Ate ŋu asesẽ be míade dzesi vovototo si le wo ame evea dome. Nya nyuiae nye be wotsɔa gbɔɖeme kple atike siwo tsia dzodzodzoetsitsi nu daa dɔ na wo ame evea siaa, eyata atikewɔwɔawo ɖi wo nɔewo ŋutɔ. Wò ɖɔkta ado viwòa kpɔ eye wòagblɔ na wò nenye be SLJ alo Osgood-Schlatter ye.

Amekae ate ŋu axɔ nusia wu?

Abe alesi míegblɔe va yi ene la, SLJ bɔ ɖe ɖevi siwo xɔ tso ƒe 10 va ɖo ƒe 14 me wu , vevietɔ amesiwo ƒoa kamedefefe. Susu aɖe li si tae woxɔ ƒe sia. Esiae nye ɣeyiɣi si me ɖeviwo le tsitsi ƒe ʋuʋu me tom. Ne ƒuwo, lãmekawo, kple lãkusiwo katã le tɔtrɔm kabakaba le ɣeyiɣi ɖeka me la, woate ŋu atsɔ ƒunukpeƒewo abe klowo ene ade nuteɖeamedzi geɖe wu me.

Numekuku aɖewo ɖee fia be ɖevi siwo ŋu ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie le la ate ŋu axɔ SLJ vie.

Ðe wòdzɔna ɖe ame tsitsiwo hã dzia?

SLJ mebɔ kura le ame tsitsiwo me o. Le nyateƒe me la, ne èxɔ wu ƒe 15 eye dzesi siawo le ŋuwò la, anɔ eme be anye nɔnɔme bubu, abe "Jumper's Knee" (patellar tendinopathy) ene. Nu bubu geɖewo hã li siwo gbɔ klo ƒe vevesese tsona le ame tsitsiwo me. Eyata ne vevesese yeye aɖe le ŋuwò, vevietɔ le kamedede sesẽ megbe la, anyo wu be nàyi ɖɔkta gbɔ.

Aleke gbegbee nɔnɔme sia bɔe?

SLJ nye nɔnɔme si bɔ ŋutɔ , eye wònye nusi gbɔ klo ƒe vevesese tsona zi geɖe, vevietɔ le ɖevi sue siwo le dɔ dzi vevie dome.

Ŋusẽ kae esia kpɔna ɖe ɖevia ƒe ŋutilã dzi?

Esia ate ŋu ave ɖevia vevie. Gake SLJ mekpɔa ŋusẽ aɖeke ɖe ɖevia ƒe lãmesẽ dzi ɣeyiɣi didi o alo xea mɔ na wo be woagawɔ dɔwɔna siwo doa dzidzɔ na wo o . Ahiã be ɖevia nagbɔ ɖe eme ahaƒo asa na kamedefefe alo dɔwɔna si he nɔnɔmea vɛ vaseɖe esime afɔkpodzi ƒe lãkusia nahaya, si ate ŋu axɔ kwasiɖa geɖe va ɖo ɣleti geɖe. Gake ne woda gbe le wo ŋu ko la, woate ŋu atrɔ ayi woƒe dɔwɔna siwo wowɔna ɖaa dzi evɔ womakpɔ ŋusẽ aɖeke ɖe wo dzi ɣeyiɣi didi o.

Nukae nye esia ƒe dzesiwo?

Sinding-Larsson-Johansson ƒe dɔlélea ƒe dzesi vevitɔwoe nye:

• Vevesese sesẽ aɖe si le ɖevia ƒe klo te tututu, le afɔkpodzi tame tututu. Esiae nye dzesi vevitɔ.
• Tete.
• Kloa ƒe vivisese.
• Eva sesẽna be woabɔbɔ kloa le mɔ si sɔ nu.

Ne viwòa le dzesi siawo kpɔm, vevietɔ ne kamedefefewɔlae wònye la, ele be nàbu SLJ ŋu.

Aleke ɖɔkta awɔ anya esia?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, awɔ ŋutilãmedɔdada le ɖevia ƒe klo kple akɔta ŋu gbã. Abia nyawo abe ɣeyiɣi si me vevesesea dze egɔme kple alesi wòle sesẽm ɖe edzii ene.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ nɔnɔmetatawo dodokpɔ aɖewo atsɔ aɖo kpe SLJ ƒe nɔnɔme dzi eye woakpɔe ɖa be abi bubuwo hã le ame ŋu (abe lãmekawo ƒe gbagbã ene).

Nukawoe nye dodokpɔ siawo?

• X-ray: Woate ŋu azã X-ray atsɔ akpɔe ɖa be klo, afɔkpodzi, alo ƒu bubuwo gbã hã. Ate ŋu akpɔe hã be nuteɖeamedzi ƒe gbagbã, si bɔ vevietɔ le kamedefefewɔlawo dome hã.
• MRI (Magnetic Resonance Imaging): MRI ate ŋu ana woakpɔ klo kple nuto siwo ƒo xlãe ƒe nɔnɔmetata bliboe. Ate ŋu akpɔe hã be patellar tendon la le kpekpem le abixɔxɔ ta hã.
• Ultrasound: Ultrasound dodokpɔ ate ŋu akpɔ alesi ʋu toa lãmekawo kple kadodoŋusẽ siwo ƒo xlã kloa me.

Le dodokpɔ siawo megbe la, ɖɔkta ate ŋu anyae kple kakaɖedzi nenye be SLJ alo nu bubu aɖe le viwòa ŋu.

Aleke wowɔa atike na SLJ?

Sinding-Larsson-Johansson ƒe dɔlélea dada vevitɔ kple nyuitɔ kekeakee nye ɖiɖiɖeme kple akɔta ƒe lãmeka siwo le ata ƒe ŋgɔgbe ƒe keke . Vaseɖe esime ɖevia ƒe afɔkpodzi ƒe lãkusi nahaya la, ahiã be wòadzudzɔ kamedefefe alo fefe siwo na wòxɔ abi la wɔwɔ.

Ahiã be ɖevi akpa gãtɔ nate ɖa le kamedefefewo ŋu kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo. Ɣeyiɣi didi si wòaxɔ la nɔ te ɖe abi si wòxɔ le ɣeyiɣi si me wòxɔ abi dzi. Ne ɖevia le hayahayam la, woate ŋu atrɔ ɖe nuwɔna bubu siwo meɖea nuteɖeamedzi boo aɖeke le klo dzi o (abe tsiƒuƒu ene) ŋu ɖe kamedefefe si wɔm wole teƒe.

Nu aɖewo siwo nàte ŋu awɔ atsɔ aɖe vevesese kple abi dzi akpɔtɔ le ɣeyiɣi kpui aɖe me lae nye esi:

• Tsikpe sisi: Da tsikpe si woxatsa ɖe avɔ me ɖe wò klo ƒe akpa si le veve sem la dzi aɖabaƒoƒo 15-20 zi geɖe gbesiagbe.
• Vevesesenutsitikewo: Le atikewɔlawo ƒe aɖaŋuɖoɖo nu la, àte ŋu ano NSAID (Non-Steroidal Anti-Inflammatory Drugs) abe ibuprofen ene. Esiawo ɖea vevesese kple vuvu dzi kpɔtɔna.

Le veviẽ:Ƒo nu kple viwòa ƒe ɖɔkta ɣesiaɣi hafi nàdze atike ɖesiaɖe zazã gɔme, adzudzɔe, alo atrɔ eƒe agbɔsɔsɔme. Mègana NSAID viwòa wu ŋkeke 10 wò ɖɔkta ƒe mɔɖeɖe manɔmee o.

Ðe wòahiã be woawɔ dɔ na amea?

Ƒã ŋutɔ be wòahiã be woawɔ dɔ na ɖevi be woatsɔ ada Sinding-Larsson-Johansson ƒe dɔlélea. Le dɔléle sesẽtɔ kekeake gɔ̃ hã me la, zi geɖe la, ɖɔktawo kafua atike bubu siwo mewɔa nuvevi ame boo o, abe kamedede ene, hafi kafua amekoko na ɖevi alo sɔhɛ.

Ɣeaɖewoɣi la, ahiã be woawɔ klo ƒe ƒunukpeƒetetedɔ na ame tsitsi siwo ŋu wokpɔ be SLJ le la be woaɖɔ woƒe afɔkpodzi ƒe lãkusi ɖo.

Ðe NSAID-tikewo gblẽa nu le ame ŋua?

Ẽ, NSAID-tikewo ate ŋu ahe nugbegblẽ aɖewo vɛ. Esia tae wòle be nàzã wo abe alesi wò ɖɔkta gblɔe ene ko. Nusiwo wògblẽna le ame ŋu dometɔ aɖewoe nye:

• Ʋu si le dodom.
• Dɔgbo me abi.
• Dɔgbo ƒe vevesese.
• Nuɖuɖumeŋusẽ ƒe kuxiwo.

Aleke gbegbee ɖevia ƒe lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Ne ɖevia le NSAID zãm la, zi geɖe la, vevesesea nu fa eye ɖevia tea eƒe lãme sẽ le abe gaƒoƒo ɖeka ene me. Nenema kee wòle le tsikpe hã gome.

Gake vevesesenutsitike sia mefia be ɖevia ƒe afɔkpodzi ƒe lãkusi haya keŋkeŋ o . Gbɔɖeme kple asaƒoƒo na dɔwɔna si he SLJ ƒe nɔnɔmea vɛ nye ɖevia ƒe atikewɔwɔ ƒe akpa vevitɔwo.

Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Le viwòa ƒe nɔnɔme nu la, ɖɔkta agblɔ ɣeyiɣi didi si wòaxɔ hafi wòahaya.

Aleke mawɔ aɖe afɔku si le vinye ƒe SLJ xɔxɔ me dzi akpɔtɔ?

Àte ŋu akpe asi ɖe viwòa ƒe afɔkpodzi ƒe lãkusi ŋu be wòagagblẽ le gɔmedzedzea me o. Mɔ nyuitɔ siwo dzi nàto awɔ esia dometɔ ɖekae nye be nàna viwòa nagbɔ ɖe eme vie ahahaya le kamedefefewɔɣiwo dome.

Fifia wole ekpɔm be SLJ le ɖevi kple sɔhɛ geɖe wu tsã. Susu vevi aɖe si tae nye be wonaa hehe wo alo ƒoa kamedefefe ɖeka le ƒe bliboa me (vevietɔ le kamedefefe ɖeka me) . Ne ɖevi geɖe dze agbagba be yewoabi ɖe kamedefefe alo nuwɔna aɖe me la, woƒe ŋutilã mekpɔa ɣeyiɣi si sɔ be wòaɖi ɖe eme ahahaya o. Be woakpɔ wo ɖokui ta tso menye SLJ ɖeɖeko me o, ke boŋ tso dɔléle bubuwo katã me la, anyo wu be woaxe mɔ na ɖeviwo be woagawɔ kamedefefe ɖeka koŋ o vaseɖe woƒe ƒewuiwo ƒe nuwuwu.

Nukae wòle be nàwɔ be nànɔ dedie tso SLJ si me?

Mɔ nyuitɔ si dzi woato axe mɔ ɖe Sinding-Larsson-Johansson ƒe dɔlélea nue nye be woakeke akɔta ƒe lãmekawo edziedzi . Zi alesi viwòa ƒe afɔwo te ŋu trɔna ɖe nɔnɔmewo ŋui la, zi nenemae nuteɖeamedzi manɔ woƒe lãkusiwo ŋu o.

Le goawo katã me la, anyo be nàwɔ ɖe afɔɖeɖe siawo dzi atsɔ aɖe nyaƒoɖeamenu si le patellar tendon dzi dzi akpɔtɔ:

• Kekeɖenudɔwɔwɔ do ŋgɔ na kamedefefe kple emegbe.
• Gbɔɖeme kple ɖiɖiɖeme.
• "Fefe to vevesesea me" menye susu nyui aɖeke gbeɖe o! Ne èle veve sem la, ele be nàtɔ agbɔ ɖe eme.

Nukae nàkpɔ mɔ na ne SLJ le viwòa ŋu?

Ne wokpɔ be SLJ le viwòa ŋu la, kpɔ mɔ be wòate ɖa le kamedefefewo kple kamedede sesẽwo ŋu hena ɣeyiɣi aɖe . SLJ nye nɔnɔme si nɔa anyi ɣeyiɣi kpui aɖe, gake exɔa ɣeyiɣi hafi lãkusia hayana.

Ɣeyiɣi didi kae esia anɔ anyi?

Ɣeyiɣi didi si Sinding-Larsson-Johansson ƒe dɔlélea nɔa te ɖe alesi gbegbe ɖevia ƒe afɔkpodzi ƒe lãkusi gblẽe le gɔmedzedzea me dzi. Vevesese kple abi ate ŋu aɖiɖi le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe. Gake ate ŋu ahiã be ɖeviwo nate ɖa le kamedefefewo ŋu ɣleti geɖe be woagagblẽ kloa ɣeyiɣi didi o.

Ðe ɖevia ate ŋu ayi sukua?

Mehiã be viwòa nadzudzɔ sukudede esime wòle hayahayam tso SLJ me o. Be nàƒo asa na nyaƒoɖeamenu ɖe ​​klo dzi vaseɖe esime wòahaya la, bia viwò ƒe ɖɔkta ne ehiã be woagbɔ ɖe eme le kamedede (PE/PT) ƒe klasswo me .

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Sinding-Larsson-Johansson ƒe dɔlélea nye dɔléle si nɔa anyi ɣeyiɣi kpui aɖe . Ke hã, ate ŋu asesẽ na ɖeviwo be woadzudzɔ kamedefefe aɖe si wolɔ̃a wɔwɔ hena ɣeyiɣi aɖe. Kpɔ egbɔ be viwòa se nusi wòle be wòawɔ be wòakpe ɖe eƒe ŋutilã ŋu wòagbɔ ɖe eme, ahaya, eye wòada gbe le eɖokui ŋu, kple nusita wòle be wòate ɖa le kamedefefe alo dɔwɔna si he eƒe SLJ nɔnɔmea vɛ gbɔ hena ɣeyiɣi aɖe la gɔme.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne klo yeye aɖe le viwòa ŋu, vevietɔ ne eƒo ƒu la, yi ɖɔkta gbɔ enumake . Ðɔktaa ate ŋu akpe ɖe ŋuwò nànya nusi le viwòa ƒe vevesese hem vɛ, eɖanye SLJ alo nane si nu sẽ wu, abe eƒe gbagbã ene o.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ kple viwòa la, mègaŋlɔ be be yeabia nya siawo o:

• Dodokpɔ kawoe wòle be woawɔ na vinyea?
• Ɣeyiɣi didi kae wòle be ɖevi nadzudzɔ fefe ?
• Sinding-Larsson-Johansson ƒe dɔléleae nye esia loo alo Osgood-Schlatter ƒe dɔlélea?
• Kekeɖenu kawoe li siwo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe Sinding-Larsson-Johansson ƒe dɔlélea nu le etsɔme?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be dzila navɔ̃ ne ɖevi le veve sem. Vevietɔ ne elɔ ƒunukpeƒe ƒe abixɔxɔ ɖe eme la, wotsia dzi ɖe nusiwo wòagblẽ le ame ŋu ɣeyiɣi didi ŋu.

Nya nyuiae nye be Sinding-Larsen-Johansson ƒe Dɔlélea nye ɣeyiɣi kpui aɖe ƒe dɔléle si makpɔ ŋusẽ ɖe ɖevia ƒe klowo dzi le etsɔme o.

Ne ele be viwòa nato kamedefefe si wòlɔ̃na wu ƒe ɣeyiɣi aɖe me gɔ̃ hã la, kpɔ egbɔ be eɖe vi elabena enye eƒe hayahaya ƒe akpa aɖe. Ne viwòa gbɔ ɖe eme nyuie eye wòwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi la, ahaya kaba eye wòagadze nu siwo wòlɔ̃na la wɔwɔ gɔme!

` Sinding-Larsen-Johansson Dɔléle, klo ƒe vevesese, ɖeviwo ƒe klo ƒe dɔléle, kamedefefe ƒe abixɔxɔ, patellar tendon, herniated disc, Osgood-Schlatter