Yu yɔŋ pikin in hip de at? I kin bi Slip Kapital Fimɔral Ɛpifisis (SCFE)!

Yu pikin bin de rɔn rawnd lɛk bɔtaflay we de ple, nɔto so? Bɔt naw i tan lɛk se i de limp smɔl we i de waka, ɔ in hip de at, sɔntɛm ivin in ni de at? Nɔ dismis dɛn tin ya as "jɔs na bɔdi sik." Bikɔs dɛn tin ya kin bi sayn dɛm fɔ wan hip prɔblɛm we wi go tɔk bɔt tide we dɛn kɔl Slipped Capital Femoral Epiphysis (SCFE) . Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na di ɛksaktɔli Slip Kapital Fɛmɔral Ɛpifisis (SCFE)?

Fɔ tɔk am simpul wan, dis na sik we kin apin to yɔŋ pikin dɛn, mɔ we dɛn de gro spurt (we wi kin kɔl puberty ). yu pikin in thigh bon (di big bon we wi kכl ``femur''), gεt pat we lεk bכl na di tכp pan am, usay i fit insay di hip sכket. dis dεn kכl am di ``epiphysis''. so, insay SCFE, wetin de apin na di pat we lεk bכl pan di ``femur'' de slip sכmtεm kכmכt na di nεk fכ di ``femur''. I tan lɛk se dɛn tilt di ayskrim kɔn we de na ayskrim kɔn smɔl to wan say. we i slip lεk dis, i nכ de fit fayn fayn wan na di hip sכkεt, we de mek prכblεm we di pikin de waka εn rכn.

Naw yu go de wɔnda se, "Wetin mek dis kin apin?" wi pikin dεm de gro tכŋ frכm we dεn rili yכng, na wan spεshal say na di εnd pan dεn lכng bon dεm (lεk di tכŋ bon). Dis na wetin wi kin kɔl ‘growth plate’. Tink bɔt am lɛk tik in branch we de kɔntinyu fɔ gro. bכt dis `(growth plate)`, bifo di bon dεm na pikin in bכdi fulכp, i gεt sכft tεkscha lεk kכtilaj. I tan lɛk jeli. biכs fכ dis sכft tεkschur, sכmtεm di `(epiphysis)`, dat pat we lεk bכl pan di tכŋ bon, de tray fכ slip kכmכt na di `(growth plet)`.

di kapital fimoral epiphysis we de na di tכp pat pan di thigh bon kin slip pasmak, biכs dis εria de bia di mכtalman in wet fכ di pikin in כp bכdi. So, di pikin in wet ɛn di we aw i de gro kwik kwik wan na di tu men tin dɛn we kin afɛkt dis sik.

Dis SCFE kɔndishɔn kin mek pɔsin nɔ ebul fɔ waka ɛn i kin mek i fil pen frɔm di hip to di ni. Bɔku tɛm, i kin bigin smɔl smɔl, ɛn dɛn nɔ kin wɔn pɔsin. I kin bigin na wan hip ɛn afta dat i kin skata to di ɔda wan. I kin wɔs as tɛm de go, ɛn ɔda prɔblɛm dɛn kin apin. So, di pikin go nid ɔpreshɔn fɔ kɔrɛkt dis, ɛn i bɛtɛ fɔ du am kwik kwik wan.

Wetin na ‘Stebul’ ɛn ‘Ɔnstabul’ SCFE?

Dɔktɔ dɛn kin sheb dis SCFE kɔndishɔn to tu kayn: stebul ɛn nɔ stebul.

• Stebul SCFE: Bɔku pikin dɛn gɛt dis kayn. I de divɛlɔp smɔl smɔl. If na so i bi, di pikin kin waka wit wet na in hip, bɔt i kin fil pen.
• SCFE we nɔ stebul:Insay dis kes, di ed fɔ di bon dɔn slip bad bad wan. Dis kin mek yu fil pen bad bad wan, ɛn yu nɔ kin ivin ebul fɔ waka wit yu wet na yu hip. Bɔku tɛm, i kin slip bad bad wan, lɛk se na aksidɛnt apin wantɛm wantɛm. Dis ``unstable`` SCFE kondishɔn nid fɔ gɛt imejensi tritmɛnt.

Wetin na di sayn dɛm fɔ Slipped Capital Femoral Epiphysis (SCFE)?

Bɔku tɛm, di sayn dɛm fɔ SCFE kin kam wantɛm wantɛm. Sɔntɛm yu ɛn yu pikin nɔ go mɛmba ustɛm dɛn bigin. Na sɔm pan de sayn dɛm wae yu ɛn yu pikin kin gɛt:

• Pen na di hip eria: Dis na di men sayn.
• Grɔn pen: Pen kin kɔmɔt na di insay say na di hip, rayt na di groin.
• Leg pen: Sɔntɛnde di pen kin kɔmɔt na di hip to di ni.
• Ni pen: Nɔ sɔprayz, sɔm pikin dɛn kin kɔmplen bɔt ni pen bikɔs ɔf hip prɔblɛm. Dɔktɔ dɛn kin kɔl dis ``rɛfrɛn pen''.
• Limp ɔ abnɔmal waka: Yu kin tan lɛk se yu de ledɔm na wan say ɔ yu de limp we yu de waka.
• Fɔ fil se yu stif we yu de waka ɛn i de bɔku: Yu kin fil se yu hip tayt, lɛk se i dɔn stɔp afta yu dɔn waka fɔ sɔm tɛm.
• I nɔ izi fɔ put wet pan wan leg.
• I nɔ izi fɔ rɔn, jomp, ɛn bɛn na di hip dɛn.
• I tan lɛk se wan hip ɛn leg dɔn tɔn na do.
• I tan lɛk se wan leg shɔt pas di ɔda wan.

Imajin se yu pikin nɔ lɛk fɔ ple kriket, rɔn, ɔ jomp lɛk aw i bin de du trade. We i waka smɔl, i se, "Mama/Papa, mi leg de at." Ɔ we i go skul, i kin se, "I at fɔ klaym di stej." Ivin smɔl tin dɛn lɛk dɛn tin ya rili impɔtant fɔ tek tɛm tink bɔt.

Wetin na di tin dɛn we kin mek pɔsin gɛt Slipped Capital Femoral Epiphysis (SCFE)?

I at fɔ pinpoint wan singl kɔz fɔ SCFE. as wi bin dכn tכk bכt, di praymar kכz na di bon dεm we de gro we i yכng εn di wik we di ``growth plet'' de wik.

Di tin dɛn we kin afɛkt mɔ:

• Fɔ fat we pikin dɛn fat: Bɔku yɔŋ pikin dɛn we gɛt SCFE gɛt bɔdi mas indeks (BMI) we pas di 95th pasɛntayl fɔ dɛn ej. Dis min se dɛn kin gɛt bɔku bɔku bɔdi smɔl.
• di growth spurts: Dis SCFE kכndyushכn kin apin insay sכt tεm we di pikin de gro kwik kwik wan εn di bon dεm de gro.
• Ɔmon dɛn: We yu pikin de bɔn ɛn we yu fat, dat kin afɛkt di ɔmon dɛn we yu pikin gɛt. dis כmon chenj dεm de afekt di bon dεm we de gro εn trεnk. Sɔm ɛndokrin disɔda, ɔ kɔndishɔn dɛn we gɛt fɔ du wit di ɛndokrin gland dɛn kin involv bak.

Ɔda tin dɛn we kin afɛkt:

• Injuri dɛn:Dis slip kin bigin ɔ mek i wɔs we sɔntin lɛk fɔdɔm ɔ fɔ blo tranga wan na di hip.
• Di hip abnɔmaliti: Sɔntɛnde, we pɔsin bɔn wit di hip jɔyn, lɛk di hip dysplasia, kin put ɛkstra prɛshɔn pan di jɔyn.
• Jɛnɛtik inflɔwɛns: If pɔsin na di famili dɔn gɛt SCFE, di risk fɔ mek di pikin gɛt am kin bɔku smɔl.

Na us ej grup SCFE de mɔs?

SCFE kin divεlכp bitwin di ej dεm 11 εn 16. di avεrej ej fכ bigin kin bi arawnd 12 ia. I kin apin smɔl pan bɔy pikin dɛn, ɛn i kin kam leta we dɛn dɔn liv. Ɔl togɛda, SCFE nɔto kɔmɔn kɔndishɔn, bɔt na di kɔmɔn hip disɔda we kin afɛkt yɔŋ pikin dɛn. Na lɛk 0.01% pan di yɔŋ pikin dɛm kin afɛkt di sik.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ Slipped Capital Femoral Epiphysis?

we di fimoral ed slip, di we aw yu pikin in wet de sheb de chenj we i de waka. dis de put prεshכn pan pat dεm na di hip jכint we dεn nכ mek fכ bia wet. Dis kin pwɛl di jɔyn smɔl smɔl. Tu men prɔblɛm dɛn we kin apin na:

• di fεmoroacetabular impingement: dis kin apin we di ed fכ di fכs (thigh bon) nכ fit fayn fayn wan insay di sכket (acetabulum) na di hip jכint, we de mek di tu bon dεm de rכb pan wan an. dis frikshכn kin mek yu fil bad bad wan εn i kin pwεl di kכtilaj na di hip jכint.
• avaskul nεkrכsis: If di prεshכn pan di fεmoral ed fכ di hip we dεn sכmtεm tu big, dεn kin kכt di blכd we de go to am. If dat apin, di bon tisu go bigin fɔ day. Dis na siriɔs kɔndishɔn.

Aw dɔktɔ dɛn kin no di sik we dɛn kɔl Slipped Capital Femoral Epiphysis (SCFE)?

di diagnosis de bigin wit we dεn tek di pikin in hip gud gud wan. Di dɔktɔ go aks di pikin bɔt dɛn sik ɛn muv di hip na difrɛn say fɔ si wetin de apin. Dɔn, dɛn go tek ɛkstrem rayt fɔ no if bon spur de. Sɔntɛnde, if dɛn nɔ si am klia wan pan ɛkstrem rayt, bɔku tɛm, MRI skan kin no am.

Wetin na di bɛst tritmɛnt fɔ Slipped Capital Femoral Epiphysis (SCFE)?

Ɔpreshɔn na di tritmɛnt fɔ SCFE ɔltɛm.I rili impɔtant fɔ mek di ed we dɔn slip bak na in ples ɛn mek i stebul. If yu nɔ du dat, i kin slip mɔ ɛn mek yu gɛt di prɔblɛm dɛn we wi bin dɔn tɔk bɔt. Bɔku we dɛn de fɔ du dis, i dipen pan aw di SCFE stebul. Fɔ bɔku yɔŋ pikin dɛn, na wan ɔ tu smɔl smɔl skru dɛn nɔmɔ dɛn nid fɔ du am.

Di men we dɛn fɔ du ɔpreshɔn:

• In situ fikseshɔn: Dis na di standad tritmɛnt fɔ stebul SCFE. Dis involv wan tin we nɔ kin ambɔg bɔku tin we dɛn kɔl atrɔskɔpi, we involv fɔ put kamɛra tru wan smɔl say we dɛn kɔt. Dɛn kin put smɔl skru insay fɔ ol di bon ed na in ples fɔ mek i nɔ slip mɔ.
• Opin ridyushɔn ɛn intanɛnt fikseshɔn: If SCFE nɔ stebul, we min se di fimoral ed dɔn slip tu fa, di ɔspitul kin nid fɔ ridyus di fimoral ed bak insay in ples ɛn fiks am. Dis nid fɔ mek dɛn du ɔpreshɔn we big smɔl.

Afta dɛn dɔn du di ɔpreshɔn, yu pikin go nid fɔ rɛst ɛn du ɛksashɔn fɔ mek i gɛt wɛlbɔdi fɔ lɛk tu to tri mɔnt so . Fɔs, dɛn go ebul fɔ waka we dɛn nɔ put wet na dɛn hip ɛn yuz stik. Wae dεn kin yus di hip witout pen, dεn go nid fכ du spεshal εksεsayz dεm we fizik tεrapist gi fכ gεt trεnk εn fleksibul na di hip.

SCFE kondishɔn kin wɛl fɔ insɛf?

Dat na tin we nɔ go izi fɔ du. Sɔmtɛm, dɔktɔ dɛn dɔn si kes dɛm wae nyu, mild SCFE kɔndishɔn dɔn sɔlv fɔ insɛf, bɔt i nɔr kin bi. Bɔku tin dɛn de we kin afɛkt am. Sɔntɛm, insay da ayt de we i de go ɔp wantɛm wantɛm, di bon go dɔn wik ɛn slip, dɔn i go dɔn wɛl insɛf as nyu bon dɛn de gro. Bɔt bɔku tɛm, bay di tɛm we yu diskɔba SCFE, dat tɛm kin dɔn pas. So, i bɛtɛ fɔ mek yu go to tritmɛnt lɛk aw yu dɔktɔ tɛl yu fɔ du.

Aw di kɔndishɔn afta tritmɛnt fɔ Slipped Capital Femoral Epiphysis (SCFE) de?

Di kwik we dɔktɔ no ɛn trit SCFE, na di mɔ i go fayn. fכ trit stebul SCFE bifo di fεmoral ed dכn slip tu fa kin mek di hip jכint nכ damej fכ lכng tεm. Dɔn bak, di ɔpreshɔn kin simpul ɛn di tɛm fɔ wɛl kin shɔt. Bɔku pikin dɛn kin wɛl bak.

SCFE we nɔ stebul nɔ kin bɔku, ɛn bɔku tɛm i kin gɛt fɔ du wit aksidɛnt. כltu, i de sho se i gεt hכy risk fכ komplikεshכn dεm lεk fεmoroacetabular impingement εn avascular nεkrכsis. Dɛn kɔmplikeshɔn ya kin nid fɔ gɛt mɔ ɔpreshɔn – ivin ɔpreshɔn fɔ riples di jɔyn if di hip jɔyn inflam, lɛk at at.

Slip Kapital Femoral Epiphysis na wan kכndyushכn we dεn nכ no bכku. Mama ɛn papa ɛn sɔm dɔktɔ dɛn kin fɔgɛt bɔt am. Bɔt if yu yɔŋ pikin de kɔmplen bɔt in leg pen fɔ no rizin, nɔ jɔs tink se na "anklɛ we de at." Sɔm sik dɛn kin nid tritmɛnt fɔ mek dɛn wɛl ɛn stɔp dɛn fɔ wɔs.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so lɛ a ɛp yu fɔ mɛmba sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• If yu yɔŋ pikin (especially bitwin 11-16 ia) kin kɔmplen bɔku tɛm bɔt hip, groin, thigh, ɔ nie pen , ɔ i tan lɛk se i de limp , nɔ ignore am.
• Go to dɔktɔ wantɛm wantɛm, mɔ if yu pikin fat smɔl ɔ i sho dɛn sayn ya we i de gro wantɛm wantɛm .
• SCFE na wan sik we dɛn kin trit wit ɔpreshɔn . Di kwik we dɛn bigin fɔ trit, na di mɔ di tin dɛn we go apin to am go bɛtɛ ɛn di prɔblɛm dɛn we go mit am nɔ go bɔku.
• I rili impɔtant fɔ go to spɛshal dɔktɔ advays pas fɔ jɔs kip yu pikin na os tink se na jɔs "trot we de at". Dis nɔto "grɔw pen" ɔ jɔs na bɔdi pen.

Wi de wish yu pikin fɔ wɛl kwik kwik wan! A op se dis infɔmeshɔn go ɛp yu.

` SCFE, Slipped Capital Femoral Epiphysis, Hip pen, Sik dɛm fɔ yɔŋ pikin dɛm, Limp, Bon growth, Ɔpreshɔn