Koj tus menyuam yaus lub duav puas mob? Tej zaum nws yog Slipped Capital Femoral Epiphysis (SCFE)!

Koj tus menyuam yav tas los khiav ib ncig zoo li tus npauj npaim uas nyiam ua si, puas yog? Tab sis tam sim no nws zoo li nws txhais ceg me ntsis thaum nws taug kev, lossis nws lub duav mob, tej zaum nws lub hauv caug mob? Tsis txhob tsis quav ntsej txog tej yam no ua "kev mob nkeeg xwb." Vim tias cov no yuav yog cov tsos mob ntawm qhov teeb meem ntawm lub duav uas peb yuav tham txog hnub no hu ua Slipped Capital Femoral Epiphysis (SCFE) . Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Dab tsi yog Slipped Capital Femoral Epiphysis (SCFE)?

Hais yooj yim xwb, qhov no yog ib qho mob uas tshwm sim rau cov menyuam yaus, tshwj xeeb tshaj yog thaum lawv loj hlob sai (uas peb hu ua hnub nyoog laus ). Koj tus menyuam lub pob txha ncej puab (lub pob txha loj uas peb hu ua "femur"), muaj ib feem zoo li pob nyob rau sab saum toj ntawm nws, qhov chaw uas nws haum rau hauv lub duav. Qhov no hu ua "epiphysis". Yog li, hauv SCFE, qhov tshwm sim yog tias qhov zoo li pob ntawm "femur" plam me ntsis ntawm lub caj dab ntawm "femur". Nws zoo li lub khob mis nyuj khov rau ntawm lub khob mis nyuj khov tau tilted me ntsis rau ib sab. Thaum nws plam zoo li no, nws tsis haum rau hauv lub duav, uas ua rau muaj teeb meem thaum tus menyuam taug kev thiab khiav.

Tam sim no tej zaum koj yuav xav paub tias, "Vim li cas qhov no thiaj tshwm sim?" Peb cov menyuam loj hlob siab dua txij li thaum lawv tseem hluas heev, ntawm ib qho chaw tshwj xeeb ntawm qhov kawg ntawm lawv cov pob txha ntev (zoo li pob txha ncej puab). Qhov no yog qhov peb hu ua 'phaj loj hlob'. Xav txog nws zoo li ib ceg ntoo uas loj hlob tas li. Tab sis qhov '(phaj loj hlob)' no, ua ntej cov pob txha hauv lub cev ntawm tus menyuam raug tsim tag nrho, muaj cov qauv mos mos zoo li pob txha mos. Nws zoo li jelly. Vim yog cov qauv mos mos no, qee zaum '(epiphysis)', qhov zoo li pob ntawm pob txha ncej puab, sim plam tawm ntawm '(phaj loj hlob)'.

Cov pob txha caj qaum loj (capital femoral epiphysis), uas nyob rau sab saum toj ntawm pob txha ncej puab, feem ntau yuav plam, vim tias thaj chaw no yog qhov hnyav feem ntau ntawm lub cev sab saud ntawm tus menyuam. Yog li, qhov hnyav ntawm tus menyuam thiab kev loj hlob sai yog ob qho tseem ceeb uas cuam tshuam rau qhov mob no.

Tus mob SCFE no ua rau ceg qaug zog thiab mob ntawm lub duav mus rau lub hauv caug. Feem ntau, nws pib qeeb qeeb, yam tsis muaj lus ceeb toom. Nws yuav pib ntawm ib lub duav thiab tom qab ntawd kis mus rau lwm qhov. Nws tuaj yeem hnyav zuj zus raws sijhawm, thiab lwm yam teeb meem tuaj yeem tshwm sim. Yog li ntawd, tus menyuam yuav tsum tau phais kom kho qhov no, thiab nws yog qhov zoo tshaj plaws los ua nws sai li sai tau.

Dab tsi yog 'Ruaj khov' thiab 'Tsis Ruaj Khoov' SCFE?

Cov kws kho mob faib qhov mob SCFE no ua ob hom: ruaj khov thiab tsis ruaj khov.

• SCFE Ruaj Khov: Feem ntau cov menyuam yaus muaj hom no. Nws maj mam loj hlob. Hauv qhov no, tus menyuam tuaj yeem taug kev nrog qhov hnyav ntawm lub duav, tab sis tej zaum yuav mob.
• SCFE tsis ruaj khov:Hauv qhov no, lub taub hau ntawm pob txha tau plam heev. Qhov no ua rau mob heev, thiab koj tsis tuaj yeem taug kev nrog koj qhov hnyav ntawm lub duav. Feem ntau, nws plam heev, zoo li hauv qhov xwm txheej tam sim ntawd. Tus mob SCFE "tsis ruaj khov" no xav tau kev kho mob ceev.

Cov tsos mob ntawm Slipped Capital Femoral Epiphysis (SCFE) yog dab tsi?

Cov tsos mob ntawm SCFE feem ntau tshwm sim sai sai. Koj thiab koj tus menyuam yuav tsis nco qab tias lawv pib thaum twg. Nov yog qee cov tsos mob uas koj thiab koj tus menyuam yuav ntsib:

• Mob hauv thaj tsam lub duav: Qhov no yog cov tsos mob tseem ceeb.
• Mob qhov ncauj: Qhov mob tuaj yeem los ntawm sab hauv ntawm lub duav, txoj cai hauv qhov ncauj.
• Mob ceg: Qee zaum qhov mob tuaj yeem kis tau ntawm lub duav mus rau lub hauv caug.
• Mob hauv caug: Tsis txhob xav tsis thoob, qee tus menyuam yaus yuav yws tias mob hauv caug vim yog teeb meem ntawm lub duav. Cov kws kho mob hu qhov no tias "mob xa mus."
• Kev taug kev tsis zoo lossis kev taug kev tsis zoo: Tej zaum koj yuav zoo li nyo hau rau ib sab lossis taug kev tsis zoo thaum taug kev.
• Kev xav tias nruj thaum taug kev thiab nws nce ntxiv: Koj yuav hnov ​​​​​​qhov nruj hauv koj lub duav, zoo li nws tau daig tom qab taug kev ib pliag.
• Nyuaj siab tso qhov hnyav rau ntawm ib ceg.
• Nyuaj khiav, dhia, thiab khoov ntawm lub duav.
• Ib lub duav thiab ceg zoo li tig mus rau sab nraud.
• Ib ceg zoo li luv dua lwm ceg.

Xav txog seb, koj tus menyuam tsis nyiam ua si cricket, khiav, lossis dhia li yav tas los. Thaum nws taug kev me ntsis, nws hais tias, "Niam/Txiv, kuv ceg mob." Los yog thaum nws mus kawm ntawv, nws hais tias, "Nce ntaiv nyuaj heev." Txawm tias tej yam me me zoo li no los kuj tseem ceeb heev uas yuav tsum xav txog.

Dab tsi yog cov ua rau muaj Slipped Capital Femoral Epiphysis (SCFE)?

Nws nyuaj rau txheeb xyuas ib qho ua rau SCFE. Raws li peb tau tham ua ntej, qhov ua rau tseem ceeb yog kev loj hlob ntawm cov pob txha thaum tseem hluas thiab qhov tsis muaj zog ntawm "phaj loj hlob." Txawm li cas los xij, muaj ntau lwm yam uas tuaj yeem pab txhawb rau qhov no.

Cov yam tseem ceeb tshaj plaws:

• Kev rog dhau thaum yau: Muaj ntau tus menyuam yaus uas muaj SCFE muaj qhov hnyav ntawm lub cev (BMI) siab dua 95th percentile rau lawv lub hnub nyoog. Qhov no txhais tau tias lawv rog dhau me ntsis.
• Kev loj hlob sai: Tus mob SCFE no tuaj yeem tshwm sim thaum lub sijhawm luv luv ntawm kev loj hlob sai thiab pob txha loj hlob hauv tus menyuam.
• Cov Tshuaj Hormones: Ob qho tib si thaum hluas thiab rog dhau tuaj yeem cuam tshuam rau koj tus menyuam cov tshuaj hormones. Cov kev hloov pauv hormonal no cuam tshuam rau kev loj hlob ntawm pob txha thiab lub zog. Qee qhov teeb meem endocrine, lossis cov mob ntsig txog cov qog endocrine, kuj tuaj yeem koom nrog.

Lwm yam uas yuav cuam tshuam rau:

• Kev raug mob:Qhov kev plam no tuaj yeem pib lossis ua rau hnyav dua los ntawm qee yam zoo li kev poob lossis kev ntaus hnyav rau lub duav.
• Kev tsis zoo ntawm lub duav: Qee zaum qhov teeb meem ntawm lub pob qij txha duav uas yug los, xws li lub duav dysplasia, tuaj yeem muab kev nyuaj ntxiv rau lub pob qij txha.
• Kev cuam tshuam los ntawm noob caj noob ces: Yog tias ib tug neeg hauv tsev neeg tau muaj SCFE, qhov kev pheej hmoo ntawm tus menyuam yuav loj hlob me ntsis.

Hauv pawg hnub nyoog twg uas SCFE feem ntau tshwm sim?

Feem ntau SCFE tshwm sim thaum muaj hnub nyoog 11 thiab 16 xyoo. Lub hnub nyoog nruab nrab uas pib mob feem ntau yog li ntawm 12 xyoos. Nws feem ntau tshwm sim ntau dua rau cov tub hluas, thiab feem ntau nws tshwm sim tom qab hauv lub neej. Zuag qhia tag nrho, SCFE tsis yog ib qho mob uas pom ntau, tab sis nws yog qhov mob pob qij txha feem ntau uas cuam tshuam rau cov menyuam yaus. Kwv yees li 0.01% ntawm cov menyuam yaus raug cuam tshuam los ntawm qhov mob no.

Cov teeb meem uas yuav tshwm sim ntawm Slipped Capital Femoral Epiphysis yog dab tsi?

Thaum lub taub hau ntawm tus pob txha femoral poob, txoj kev uas koj tus menyuam qhov hnyav raug faib hloov thaum lawv taug kev. Qhov no muab kev nyuaj rau cov qhov ntawm lub pob qij txha uas tsis tau tsim los rau kev ris lub cev hnyav. Qhov no tuaj yeem maj mam ua rau lub pob qij txha puas tsuaj. Ob qho teeb meem tseem ceeb uas tuaj yeem tshwm sim yog:

• Femoroacetabular impingement: Qhov no tshwm sim thaum lub taub hau ntawm femur (pob txha ncej puab) tsis haum rau hauv lub qhov (acetabulum) ntawm lub pob qij txha, ua rau ob lub pob txha sib txhuam. Qhov kev sib txhuam no tuaj yeem ua rau mob hnyav thiab puas tsuaj rau cov pob txha mos hauv lub pob qij txha.
• Avascular necrosis: Yog tias qhov kev nyem rau ntawm lub taub hau femoral ntawm lub duav dislocated dhau los ua ntau dhau, cov ntshav mus rau nws tuaj yeem raug txiav tawm. Yog tias qhov ntawd tshwm sim, cov nqaij pob txha yuav pib tuag. Qhov no yog ib qho mob hnyav.

Cov kws kho mob kuaj mob Slipped Capital Femoral Epiphysis (SCFE) li cas?

Kev kuaj mob pib nrog kev kuaj xyuas tus menyuam lub duav kom zoo. Tus kws kho mob yuav nug tus menyuam txog lawv cov tsos mob thiab txav lub duav mus rau ntau qhov kev taw qhia kom pom tias muaj dab tsi tshwm sim. Tom qab ntawd, lawv yuav thaij duab X-ray kom paub tseeb tias muaj pob txha spur. Qee zaum, yog tias nws tsis pom tseeb ntawm X-ray, kev luam theej duab MRI feem ntau tuaj yeem pom nws.

Kev kho mob zoo tshaj plaws rau Slipped Capital Femoral Epiphysis (SCFE) yog dab tsi?

Kev phais mob yeej ib txwm yog kev kho mob rau SCFE.Nws yog ib qho tseem ceeb heev uas yuav tsum tau muab lub taub hau uas plam rov qab rau hauv qhov chaw thiab ua kom nws ruaj khov. Yog tias koj tsis ua, nws tuaj yeem plam ntxiv thiab ua rau muaj teeb meem zoo li peb tau tham txog ua ntej. Muaj ntau txoj hauv kev los ua qhov no, nyob ntawm seb SCFE ruaj khov npaum li cas. Rau feem ntau cov menyuam yaus, kev ua haujlwm yooj yim uas siv ib lossis ob lub ntsia hlau me me yog txhua yam uas xav tau.

Cov txheej txheem phais tseem ceeb:

• Kev kho mob hauv qhov chaw: Qhov no yog kev kho mob tus qauv rau SCFE ruaj khov. Qhov no suav nrog kev phais mob me me hu ua arthroscopy, uas suav nrog kev ntxig lub koob yees duab los ntawm qhov phais me me. Ib lub ntsia hlau me me raug ntxig los tuav lub taub hau pob txha kom ruaj khov kom tiv thaiv nws kom tsis txhob plam ntxiv.
• Kev txo qis qhib thiab kev kho sab hauv: Hauv cov xwm txheej ntawm SCFE tsis ruaj khov, txhais tau tias lub taub hau femoral tau plam dhau lawm, tus kws phais yuav tsum tau txo lub taub hau femoral rov qab rau hauv qhov chaw thiab kho nws. Qhov no yuav tsum tau ua haujlwm loj dua me ntsis.

Tom qab phais lawm, koj tus menyuam yuav tsum tau so thiab ua cov kev tawm dag zog kho kom rov zoo li qub li ob mus rau peb lub hlis . Thaum xub thawj, lawv yuav taug kev tau yam tsis tas muab qhov hnyav rau ntawm lub duav thiab siv cov pas nrig. Thaum lawv siv tau lub duav yam tsis mob, lawv yuav tsum tau ua cov kev tawm dag zog tshwj xeeb uas tus kws kho lub cev muab kom rov qab muaj zog thiab yoog tau hauv lub duav.

Tus mob SCFE puas kho tau nws tus kheej?

Qhov ntawd tsis tshua muaj tshwm sim. Qee zaum, cov kws kho mob tau pom cov rooj plaub uas tus mob SCFE tshiab, tsis hnyav heev tau ploj mus yam tsis tau npaj tseg, tab sis nws tsis tshua muaj tshwm sim. Muaj ntau yam uas tuaj yeem cuam tshuam rau nws. Tej zaum, thaum lub sijhawm nce siab sai sai, cov pob txha yuav qaug zog thiab plam, thiab tom qab ntawd nws yuav kho nws tus kheej thaum cov pob txha tshiab loj hlob tuaj. Tab sis feem ntau, thaum koj pom SCFE, lub sijhawm ntawd yuav dhau mus. Yog li ntawd, nws yog qhov zoo tshaj plaws los nrhiav kev kho mob raws li koj tus kws kho mob qhia.

Tom qab kho mob Slipped Capital Femoral Epiphysis (SCFE) lawm, koj tus mob zoo li cas lawm?

Tus kws kho mob kuaj mob thiab kho SCFE sai npaum li cas, qhov tshwm sim zoo dua. Kev kho SCFE ruaj khov ua ntej lub taub hau femoral poob deb dhau tuaj yeem tiv thaiv kev puas tsuaj mus sij hawm ntev rau lub pob qij txha. Tsis tas li ntawd, kev phais yooj yim dua thiab lub sijhawm rov zoo luv dua. Feem ntau cov menyuam yaus rov zoo tag nrho.

Qhov mob SCFE tsis ruaj khov tsis tshua muaj, thiab feem ntau cuam tshuam nrog kev sib tsoo. Txawm li cas los xij, nws cuam tshuam nrog kev pheej hmoo siab dua ntawm cov teeb meem xws li femoroacetabular impingement thiab avascular necrosis. Cov teeb meem no yuav xav tau kev phais mob ntau dua - txawm tias kev phais hloov pob qij txha yog tias pob qij txha ntawm lub duav o, xws li mob pob qij txha.

Kab mob Slipped Capital Femoral Epiphysis yog ib yam mob uas tsis tshua muaj neeg paub. Cov niam txiv thiab qee tus kws kho mob yuav tsis quav ntsej txog nws. Txawm li cas los xij, yog tias koj tus menyuam yaus yws tias mob ceg yam tsis muaj laj thawj pom tseeb, tsis txhob xav tias nws yog "mob pob luj taws." Qee yam mob yuav tsum tau kho kom zoo thiab tiv thaiv lawv kom tsis txhob hnyav zuj zus.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia kuv pab koj nco qab qee qhov tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• Yog tias koj tus menyuam yaus (tshwj xeeb tshaj yog hnub nyoog ntawm 11-16) feem ntau yws txog mob lub duav, qhov chaw mos, lub duav, lossis lub hauv caug , lossis zoo li nws ceg tawv , tsis txhob tsis quav ntsej nws.
• Mus ntsib kws kho mob tam sim ntawd, tshwj xeeb yog tias koj tus menyuam rog dhau me ntsis lossis muaj cov tsos mob no thaum lub sijhawm loj hlob sai .
• SCFE yog ib yam mob uas kho tau los ntawm kev phais . Kev kho mob sai dua, qhov tshwm sim zoo dua thiab muaj teeb meem tsawg dua.
• Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab los ntawm kws kho mob tshwj xeeb es tsis txhob cia koj tus menyuam nyob hauv tsev xav tias nws tsuas yog "mob caj pas" xwb. Qhov no tsis yog "mob thaum loj hlob" lossis tsuas yog mob lub cev xwb.

Vam tias koj tus menyuam yuav zoo sai sai! Vam tias cov ntaub ntawv no yuav pab tau koj.

` SCFE, Slipped Capital Femoral Epiphysis, Mob duav, Cov kab mob ntawm cov menyuam yaus, Limb ceg, Kev loj hlob ntawm pob txha, Kev phais