Ke hopohopo nei ʻoe no ke kiʻekiʻe o kāu keiki? E aʻo pono kākou e pili ana i kēia mau 'Growth Plates'!

ʻAʻohe mea ʻoi aku ka pīhoihoi ma mua o ka nānā ʻana i kāu keiki liʻiliʻi e ulu ana, ʻeā? Ke ulu nei lākou i ke kiʻekiʻe a me ka nui i kēlā me kēia lā. Ma hope o kēia mau mea a pau he mea kupaianaha a koʻikoʻi loa: kēia mau 'papa ulu'. I kēia lā, e kamaʻilio mākou e pili ana i ko lākou ʻano, pehea lākou e hana ai, a me ko lākou koʻikoʻi i ka ulu olakino o kā mākou mau keiki.

He aha nā Papa Hoʻoulu? He mea maʻalahi loa ia!

E like me ka ulu mālie ʻana o kahi mea kanu liʻiliʻi i lāʻau nui, e ulu mālie ana nā iwi o kā mākou mau keiki i ka lōʻihi a me ka ikaika. ʻO kahi kūikawā e kōkua ai i kēia mau iwi e ulu, ʻoi aku ka lōʻihi, ua kapa ʻia ʻo 'Growth Plates'. Ua like kēia me nā 'growth zones' ma nā wēlau o nā iwi. I ka pololei, ʻo ia nā wahi e ulu ai nā ʻiʻo iwi hou i nā keiki a me nā ʻōpio.

Hana ʻia kēia mau papa ulu me kahi ʻiʻo kūikawā i kapa ʻia ʻo cartilage . Ua like ke cartilage me ka laholio, he palupalu iki, a laumania. E hoʻopā i kou ihu, a laila e hoʻopā i kou pepeiao... ʻO ia ke ʻano o ke cartilage. Hoʻomaka ka iwi hou ma ke ʻano he cartilage, a laila waiho mālie ia i ka calcium a lilo i iwi ikaika.

I kēia manawa, e nānā kākou i kahi i ʻike nui ʻia ai kēia mau papa ulu. Aia lākou ma kahi kokoke i nā wēlau o nā iwi lōʻihi i loko o ko kākou kino. ʻO nā iwi lōʻihi nā iwi i ʻoi aku ka lōʻihi ma mua o ko lākou laulā. Eia kekahi laʻana:

• ʻO kou iwi ʻūhā, a i ʻole femur , ka iwi lōʻihi loa o ke kino.
• ʻO nā iwi ʻelua o ka wāwae lalo ʻo ka tibia (iwi shin) a me ka fibula (iwi shin) , aia ma lalo o ke kuli.
• ʻO nā iwi ma ka lima poʻohiwi, ʻo ia hoʻi, nā iwi ma waena o ke kuʻekuʻe lima a me ka pulima lima, ua kapa ʻia ʻo Radius a me Ulna .
• Aia kēia mau papa ulu i nā iwi liʻiliʻi lōʻihi o nā manamana lima a me nā manamana wāwae (metacarpals, metatarsals, phalanges).

I ka ʻōlelo maʻalahi, he mea nui kēia mau papa ulu no ke keiki e ulu aʻe a no ka hoʻolōʻihi ʻana i kona mau lālā.

No laila he aha ka mea e hana maoli ai i kēia mau papa ulu?

ʻAe, i kēia manawa ua ʻike ʻoe i nā papa ulu a me ko lākou wahi. I kēia manawa e nānā kākou i ka hana maoli o kēia mau mea, a pehea lākou e hoʻopilikia ai i ke kiʻekiʻe o kā mākou mau keiki.

ʻO nā papa ulu kahi ala nui e ulu ai ko kākou mau iwi. ʻO ka maʻamau, aia ʻelua mau papa ulu i loko o ka iwi lōʻihi, hoʻokahi kokoke i ka piko o ka iwi a hoʻokahi kokoke i lalo. ʻO kēia mau papa ulu ka mea e hoʻohui i ka lōʻihi hou i ka iwi, a i kekahi ʻano, e hoʻonui i kona laulā . E like me ke kūkulu ʻana i nā papahele, hoʻolōʻihi kēia mau papa ulu i ka iwi.

Penei ka hana ʻana: Ke hoʻomau nei nā pūnaewele cartilage (chondrocytes) i loko o ka papa ulu e māhelehele, e hana ana i nā pūnaewele cartilage hou. Hoʻomāhuahua mālie kēia mau pūnaewele cartilage hou, a laila lilo lākou i mau iwi ikaika ma o ka waiho ʻana o ka calcium (ossification). Ke hoʻomau nei kēia kaʻina hana, ʻo ia ke kumu e piʻi mālie ai ke kiʻekiʻe o ke keiki. Hoʻolōʻihi ka ʻaoʻao waena o ka iwi, a loli pū ke ʻano o nā wēlau o ka iwi ma kēia mau papa ulu.

Akā, ʻaʻole kēia e hana mau ʻia. Ma hope o ka hiki ʻana o ke keiki i kekahi mau makahiki, e lilo loa ke cartilage i loko o kēia mau papa ulu i iwi paʻa, a nalowale lākou i ko lākou 'hiki ke ulu'. ʻO ia ka mea a mākou e kapa nei he 'papa ulu pani' . I ka pololei, ke lilo loa kahi papa ulu i iwi paʻa, lilo ia i 'pani epiphyseal'. Ke pani ʻia kahi papa ulu, e pau ka ulu ʻana o kēlā iwi. ʻO ia hoʻi, e pau ke kiʻekiʻe o ke keiki i ka ulu ʻana ma laila.

ʻAʻole ʻoe e ulu mau i ke kiʻekiʻe... No laila, i ka manawa hea e pani ai kēia mau papa ulu?

ʻAe, ua ʻike mākou a pau ʻaʻole mākou e ulu mau i ke kiʻekiʻe. I kekahi makahiki, e pau ana ko mākou kiʻekiʻe i ka ulu ʻana. ʻO ke kumu nui o ia mea, ʻo ia ka pani ʻana o kēia mau papa ulu.

Hoʻomaka pinepine nā papa ulu e pani i ka wā ʻōpio . ʻO ia hoʻi, ma ka hopena o ka wā oʻo ʻana i ka moekolohe. He ʻokoʻa iki paha kēia no nā kaikamahine a me nā keikikāne. ʻO ke kumu nui o kēia ma muli o ka mana o nā hormones.

• I nā kaikamahine , pani pinepine ʻia kā lākou mau papa ulu ma waena o nā makahiki 13 a me 15. He mau makahiki kēlā ma hope o ko lākou hoʻomaka ʻana i ka menstruation. Hoʻopilikia ka hormone estrogen i kēia.
• No nā keikikāne , hana ʻia kēia ma hope iki aku, ma waena o nā makahiki 15 a me 17. He kuleana ko ka hormone testosterone i kēia.

He mea nui: ʻAʻole like kēia mau palena makahiki no kēlā me kēia kanaka. Hiki i kekahi mau keiki ke hōʻea i kēia pae ma mua iki, aʻo kekahi poʻe e hōʻea iki ma hope. He ʻokoʻa ia mai kekahi keiki a i kekahi keiki. Eia kekahi, hiki i nā mea e like me ka genetics, ka meaʻai, a me ke olakino holoʻokoʻa ke hoʻopilikia i kēia. No laila, mai hopohopo inā ʻoi aku ke kiʻekiʻe o kāu keiki ma mua o kā lākou mau hoaaloha ma mua a ma hope paha. Inā kānalua, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau.

No laila, i ka wā e pani ai kēia mau papa ulu, ʻaʻole e lōʻihi hou nā iwi, no laila ua aneane pau ka ulu ʻana o ke kiʻekiʻe. No laila, ʻaʻohe kumu o ka noʻonoʻo ʻana, 'Auē, makemake wau e kiʻekiʻe iki aʻe au,' no ka mea, he hana kūlohelohe ia.

I kekahi manawa kū mai nā pilikia... He aha nā pilikia e hiki mai ana me nā Papa Ulu?

ʻOiai he mea nui nā papa ulu no ka ulu ʻana o kā kākou mau keiki, hiki iā lākou ke kū i nā pilikia liʻiliʻi i kekahi manawa. ʻIke anei ʻoe i ke aha? ʻAʻole i hoʻokumu piha ʻia ka papa ulu. He wahi ia i hana ʻia me ke cartilage e loli mālie ana i iwi.No laila, ʻoi aku ka nāwaliwali o kēia mau papa ulu ma mua o ka iwi paʻa loa, ʻo ia hoʻi, ʻoi aku ka maʻalahi o ka ʻeha.

E noʻonoʻo e like me kahi hale i kūkulu hapa ʻia me ka palaki e kau mau ana. Hiki ke neʻe maʻalahi a hōʻino ʻia, ʻeā? Pēlā ke ʻano o kēia mau papa ulu. ʻOi aku ko lākou palupalu ma mua o nā ʻāpana ʻē aʻe o ka iwi, no laila hiki ke hōʻino ʻia inā paʻi ʻia a wili ʻia paha me ka ikaika.

ʻO ka pilikia nui e hiki ke kū mai me kēia mau papa ulu, ʻo ia ka haki ʻana o nā papa ulu .

He aha maoli nā Growth Plate Fractures?

Manaʻo ʻia ia e ka inoa, ʻeā? ʻO ka 'growth plate fracture' he haki ia e kū mai ana ma ka ulu ʻana o ka papa a mākou i kamaʻilio ai, ʻo ia hoʻi ka ʻāpana cartilage kahi e hoʻolōʻihi ai ka iwi. Ua like ia me ka iwi e haki ana, akā, hana ʻia kēia ma ia wahi ulu kikoʻī.

ʻO kēia ʻano haki ka mea maʻamau i nā keiki:

• ʻO nā iwi o nā hono manamana lima (phalanges)
• ʻO nā iwi o ka lima poʻohiwi (a mākou i kapa aku ai ʻo (Radius) a me (Ulna))
• ʻO nā iwi o ka wāwae lalo (Tibia) a me (Fibula)
• Hiki i kēia mau mea ke hana a puni ka pulima a me ka kuʻekuʻe wāwae.

ʻO ka maʻamau, hana ʻia kēia mau mea ke hāʻule nā ​​keiki i ka wā e pāʻani ana, loaʻa kahi ulia i ka wā e pāʻani ana i nā haʻuki (e like me ka pôpeku, basketball, gymnastics), a i ʻole e loaʻa i kahi hahau ikaika. I kekahi manawa, hiki ke hōʻino ʻia nā papa ulu e ke kaumaha pinepine i kahi manawa lōʻihi.

Nūhou maikaʻi! I ka hapa nui o ka manawa, hoʻōla maikaʻi nā haki o ka papa ulu. Inā hana nā kauka i kahi hōʻailona pololei a hāʻawi i ka lāʻau lapaʻau e pono ai (e laʻa, he hoʻolei, malia paha ke ʻoki ʻana), e hoʻōla lākou me ka ʻole o ka hoʻopilikia ʻana i ka ulu ʻana o ka iwi i ka wā e hiki mai ana. Eia nō naʻe, i nā hihia kakaikahi, hiki i nā haki koʻikoʻi, ʻoiai nā mea e hele ana ma o ka papa ulu, ke loaʻa kahi hopena liʻiliʻi i ka ulu ʻana o ka iwi i ka wā e hiki mai ana. No ka laʻana, hiki ke kīkoʻo iki ʻia ka iwi a i ʻole e ʻūlū iki ʻia. ʻO ia ke kumu he mea nui e ʻimi koke i ke kōkua lapaʻau inā manaʻo ʻoe ua hōʻino ʻia kahi papa ulu.

Ma waho aʻe o kēlā, hiki i kekahi mau kūlana hoʻoilina, nā pilikia hormonal, nā maʻi, kekahi mau lāʻau lapaʻau (e like me ka hoʻohana ʻana i nā steroid i ka manawa lōʻihi), a me nā hemahema meaʻai (ʻoi aku ka huaora D a me ka calcium) ke hoʻopilikia i ka hana o nā papa ulu a me ka ulu ʻana o ka iwi. Eia nō naʻe, he mea kakaikahi kēia mau mea.

Pono anei kākou e akahele iki aʻe e pili ana i kēia? Āhea kākou e ʻike ai i ke kauka?

Ke hāʻule ke keiki, he mea maʻamau ka loaʻa ʻana o kahi palapū liʻiliʻi a i ʻole kahi ʻōpala. Eia nō naʻe, i kekahi manawa hiki ke ʻoi aku ma mua o kēlā, ʻoiai inā ua hōʻino ʻia kahi papa ulu. I ia mau hihia, pono mākou e akahele iki.

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Ma hope o kahi ulia, hiki iā ʻoe ke loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui ma ka lima a i ʻole ka wāwae, ʻoiai a puni kahi hono a ma ka hopena o kahi iwi lōʻihi.
• Kahi o ka ʻehaInā pehu, ʻulaʻula, a wela ke pā.
• Inā ʻaʻole hiki iā ʻoe ke hoʻohana pono i ka lima a i ʻole ka wāwae , ʻaʻole hiki ke hāpai i ke kaumaha, a i ʻole pilikia ka hoʻoneʻe ʻana i kēlā lima/wāwae.
• Inā ua loli ke ʻano o ka lima a i ʻole ka wāwae i ʻeha (e.g., ke nānā aku nei i waho, he ʻokoʻa ke ʻano mai kēlā ʻaoʻao aku).
• Inā hoʻomau kāu keiki i ka hoʻopiʻi ʻana no kahi ʻeha, mai hoʻokuʻu iā ia me he mea lā i hana ʻia i ka wā e pāʻani ana. I kekahi manawa he ʻeha liʻiliʻi paha ia.
• Inā he kānalua a hopohopo paha kāu e pili ana i ka ulu ʻana o ke kiʻekiʻe o kāu keiki (no ka laʻana, inā ʻike ʻia lākou he pōkole loa ma mua o nā poʻe ʻē aʻe o ka makahiki like, a inā paha e oki koke lākou i ka ulu ʻana, a inā paha e ʻike lākou ua lōʻihi like ʻole ko lākou mau lālā).

Hiki i ke kauka ke nānā pono iā ʻoe, a inā pono, e lawe i kahi X-ray e hoʻoholo ai inā he hōʻino i kahi papa ulu a i ʻole nā ​​​​pilikia ʻē aʻe. I kekahi manawa, pono paha nā hoʻokolohua e like me ka MRI a i ʻole CT scan. Inā hoʻomaka mua ka lāʻau lapaʻau, hiki ke hoʻoponopono ʻia nā pilikia he nui ma mua o ko lākou lilo ʻana i mea koʻikoʻi, a hiki ke hoʻemi ʻia nā pilikia e hiki mai ana.

ʻO kekahi mau leka koʻikoʻi e lawe ʻia i ka home

ʻAe, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i nā 'Growth Plates' a mākou i kamaʻilio ai i kēia lā. Ua maopopo paha iā ʻoe ke koʻikoʻi o kēia mau mea no ka ulu ʻana o kā kākou mau keiki.

ʻO ka mea hope loa, eia kekahi mau mea e hoʻomanaʻo ai:

• He mau wahi cartilaginous kūikawā nā papa ulu kahi e ulu ai nā iwi o nā keiki a me nā ʻōpio i ka lōʻihi. Me ka ʻole o lākou, ʻaʻole hiki ke hoʻonui ʻia ke kiʻekiʻe.
• Nalowale mālie kēia mau mea me ka wā ʻōpio , ma waena o nā makahiki 13-15 no nā kaikamahine a me 15-17 no nā keikikāne.
• ʻOi aku ka nāwaliwali o nā papa ulu ma mua o nā iwi ikaika, no laila hiki ke hōʻeha maʻalahi ʻia. E makaʻala loa i nā haki o ka papa ulu .
• I ka hapa nui o ka manawa, ho'ōla maikaʻi kēia mau haki. Eia nō naʻe, i kēlā me kēia hihia, ʻoiai inā he ʻeha, pehu, a paʻakikī paha ka hoʻohana ʻana i ke hono, he mea nui e ʻimi i ke aʻo lapaʻau. Hiki i ka lāʻau lapaʻau koke ke kōkua i ka pale ʻana i nā pilikia e hiki mai ana.
• Inā he mau hopohopo kāu e pili ana i ka ulu ʻana a i ʻole ke kiʻekiʻe o kāu keiki, mai makaʻu e kamaʻilio me ke kauka e pili ana i ia mea. He mea nui loa ka ʻai kaulike, ka hiamoe kūpono, a me nā hana palekana no ka ulu ʻana o ka iwi olakino o ke keiki.

ʻO ka ʻike ʻana i kāu keiki e ulu olakino a hauʻoli ka moeʻuhane o nā makuahine a me nā makuakāne āpau. ʻO ka ʻike ʻana i nā mea liʻiliʻi e like me kēia e kōkua nui ia. Ua maopopo?

Nā Papa Ulu, Ulu ʻana o ke Keiki, Ulu ʻana o ka Iwi, ʻAʻa iwi, Haʻihaʻi Iwi, ʻŌpio