Omwana wo alina obulumi mu kugulu? Kyandiba nti bulwadde bwa Sinding-Larsen-Johansson Syndrome?

Omwana wo ayagala nnyo okuzannya emizannyo? Kirabika talina lunaku lw’awummula kudduka, kubuuka, n’okuzannya? Singa omwana akola ennyo bw’atyo afuna obulumi mu kugulu mu bwangu, kya bulijjo ggwe ng’omuzadde okuwulira ng’otya nnyo. Naddala bwe kiba nga kiruma mu kitundu ekya wansi eky’okugulu, kiyinza okuba embeera eyitibwa Sinding-Larsen-Johansson Syndrome , gye twogerako leero. Tofaayo, ka twogere ku nsonga eno mu bujjuvu.

Obulwadde bwa Sinding-Larsen-Johansson kye ki?

Mu ngeri ennyangu, obulwadde bwa Sinding-Larsson-Johansson syndrome (SLJ) mbeera ng’okugulu kw’omwana wo (patella) kitundu ekikaluba ekiyitibwa patellar tendon ekigatta enkovu y’okugulu n’eggumba ly’omugongo (tibia). Okusingira ddala, obuzibu bubaawo ng’omusuwa guno gwekwata ku nkomerero eya wansi ey’okugulu. Eno era mbeera eyitibwa osteochondritis , ekizibu ekibeera mu magumba g’abaana agakula.

Lowooza ku kino, amagumba g’omwana wo gakyakula. Naddala mu binywa ng'okugulu, waliwo ebitundu ebiyitibwa "growth plates." Bino bye biyamba amagumba okukula. Mu SLJ, ekibaawo kwe kuba nti ekipande ky’okukula, ekisangibwa ku kikondo ekya wansi ekya patella, kyonoonese.

Embeera eno esinga kulabibwa mu baana abali wakati w’emyaka 10 ne 14 abazannya emizannyo oba abakola ennyo. Kino kiri bwe kityo kubanga emibiri gy’abaana gikula mangu ku myaka gino, era nabo beenyigira nnyo mu mizannyo.

Lwaki kino kibaawo? Ensonga ze ziruwa?

Ekisinga okuvaako kino kwe kukozesa ennyo okugulu . Lowooza ku patellar tendon nga kapiira. Kikwata eggumba ly’okugulu n’ekisambi ne kiziyamba okutambula obulungi. Abaana bwe badduka, bwe babuuka oba bwe bakuba ebikonde (okugeza, nga bazannya omupiira), ebinywa ebinene ebiri mu maaso g’ebisambi byabwe (ebinywa by’omugongo (quadriceps muscles)) bikola. Ebinywa bino bwe bikonziba, okusika okw’amaanyi kusiigibwa ku kifuba ky’okugulu okuyita mu musuwa gw’okugulu.

Okusika kuno bwe kugenda mu maaso, okuddiŋŋana, n’okuddiŋŋana , kuyinza okuleeta microtraumas omusuwa we gwekwata ku kneecap. Obuvune buno obutonotono bukuŋŋaanyizibwa era okukkakkana nga buvaako SLJ.

Ng’ekyokulabirako, teebereza nti muwala wo ali ku ttiimu y’essomero ey’omupiira gw’akatimba. Yeegezaamu okumala essaawa eziwera buli lunaku, ng’abuuka n’okudduka, kubanga waliwo empaka ezijja. Oba mutabani wo azannya cricket, adduka sipiidi n’okukuba ebbakuli, n’okussa obuzito ku maviivi ng’akuba omuggo. Emirimu egy’ekika kino giyinza okuleeta SLJ.

Okutwaliza awamu, SLJ eyinza okuva ku bintu nga:

• Okudduka emirundi mingi.
• Okubuuka waggulu emirundi mingi.
• Emizannyo gy’okukuba ebikonde (nga omupiira, karate).
• Omulimu gwonna oguteeka amaanyi mangi agawangaala ku magulu n’amaviivi.

Njawulo ki eriwo wakati w’obulwadde bwa SLJ n’obulwadde bwa Osgood-Schlatter?

Oyinza n’okuwulira ku bulwadde bwa Osgood-Schlatter. Ebibiri bino bifaanagana nnyo. Zombi ziva ku kwonooneka kw’omusuwa gw’omugongo mu baana abakola, abakula. Ebivaako, obubonero, era n’obujjanjabi bufaanagana nnyo.

Enjawulo enkulu eriwo omusuwa we gwonoonese.

• Mu bulwadde bwa Sinding-Larsson-Johansson syndrome (SLJ), okwonooneka kubaawo waggulu ku musuwa, kwe kugamba, omusuwa we gutandikira ku kugulu (patella).
• Mu bulwadde bwa Osgood-Schlatter, okwonooneka kubaawo mu kitundu ekya wansi eky’omusuwa, kwe kugamba, omusuwa we gwekwata ku ggumba ly’omugongo (tibia).

Kiyinza okuba ekizibu okumanya enjawulo eriwo wakati w’ebintu bino byombi. Amawulire amalungi gali nti zombi zijjanjabwa n’eddagala eriwummuza n’eriziyiza okuzimba, kale obujjanjabi bufaanagana nnyo. Omusawo ajja kukebera omwana wo akubuulire oba SLJ oba Osgood-Schlatter.

Ani asinga okukulaakulanya kino?

Nga bwe twagambye emabegako, SLJ esinga kubeera mu baana abali wakati w’emyaka 10 ne 14 , naddala abo abazannya emizannyo. Waliwo ensonga lwaki emyaka gino givaako. Wano abaana we baba bayita mu kukula. Amagumba, ebinywa n’emisuwa byonna bwe biba nga bikyuka mangu mu kiseera kye kimu, ennyondo ng’amaviivi zisobola okuteekebwa ku situleesi ey’enjawulo.

Okunoonyereza okumu kulaga nti abaana abalina obulwadde bw’okusannyalala kw’obwongo balina akabi katono ak’okulwala SLJ.

Era kituuka ku bantu abakulu?

SLJ tetera kubaawo nnyo mu bantu abakulu. Mu butuufu, bw'oba olina emyaka egisukka mu 15 era ng'olina obubonero buno, kiyinza okuba embeera endala, gamba nga "Jumper's Knee" (patellar tendinopathy). Waliwo ebintu ebirala bingi ebivaako okugulu okulumwa abantu abakulu. N’olwekyo, bw’oba ​​olina obulumi obupya naddala ng’omaze okukola emirimu egy’amaanyi, kirungi okugenda ew’omusawo.

Embeera eno ya bulijjo etya?

SLJ is a very common condition , era etera okuvaako obulumi bw’okugulu, naddala mu baana abato abakola.

Kino kikola ki ku mubiri gw’omwana?

Kino kiyinza okumuluma ennyo omwana. Wabula SLJ terina kikosa kyonna kya bbanga ddene ku bulamu bw'omwana oba okumulemesa okukola emirimu gy'anyumirwa . Omwana ajja kwetaaga okuwummula n’okwewala omuzannyo oba emirimu egyavaako embeera eno okutuusa ng’omusuwa gw’omugongo guwonye, ​​ekiyinza okutwala wiiki eziwera okutuuka ku myezi egiwerako. Kyokka bwe ziwona, zisobola okudda mu mirimu gyazo egya bulijjo nga tezirina kye zikola okumala ebbanga eddene.

Bubonero ki obulaga kino?

Obubonero obukulu obw’obulwadde bwa Sinding-Larsson-Johansson bwe buno:

• Obulumi obw’amaanyi wansi ddala w’okugulu kw’omwana, waggulu ddala w’ekisambi. Kano ke kabonero akakulu.
• Okuzimba.
• Obugonvu okwetoloola okugulu.
• Kifuuka kizibu okufukamira okugulu mu ngeri eya bulijjo.

Omwana wo bw’aba afuna obubonero buno naddala nga muzannyi wa mizannyo, olina okulowooza ku SLJ.

Omusawo akizuula atya kino?

Bw’otwala omwana wo ew’omusawo, ajja kusooka kukebera kugulu n’ekisambi ky’omwana. Ajja kubuuza ebibuuzo nga ddi obulumi lwe bwatandika n’engeri gye bweyongera.

Okugatta ku ekyo, ebigezo ebimu eby’okukuba ebifaananyi biyinza okukolebwa okukakasa embeera ya SLJ n’okukebera obuvune obulala (nga okumenya).

Ebigezo bino bye biruwa?

• X-ray: X-ray esobola okukozesebwa okukebera oba waliwo okumenya mu kugulu, mu kisambi oba amagumba amalala. Era esobola okukebera oba waliwo okumenya situleesi naddala mu bannabyamizannyo.
• MRI (Magnetic Resonance Imaging): MRI esobola okulaga ekifaananyi ekijjuvu eky’okugulu n’ebitundu ebiriraanyewo. Era esobola okukebera oba omusuwa gwa patellar tendon gugonvu olw’obuvune.
• Ultrasound: Okukebera ultrasound kuyinza okutunuulira engeri omusaayi gye guyitamu mu binywa n’ebitundu ebiyunga okwetooloola okugulu.

Oluvannyuma lw’okukeberebwa kuno, omusawo ajja kusobola okumanya mu butuufu oba omwana wo alina SLJ oba ekintu ekirala kyonna.

SLJ ejjanjabwa etya?

Obujjanjabi obukulu era obusinga obulungi ku bulwadde bwa Sinding-Larsson-Johansson kwe kuwummula n’okugolola ebinywa by’omugongo mu maaso g’ekisambi . Okutuusa ng’omusuwa gw’omwana ogw’omugongo guwonye, ​​ajja kwetaaga okulekera awo okuzannya omuzannyo oba emizannyo egyavaako obuvune.

Abaana abasinga bajja kwetaaga okwewala emizannyo okumala wiiki ntono okutuuka ku myezi mitono. Obuwanvu bw’obudde businziira ku buzibu bw’obuvune mu kiseera ky’obuvune. Omwana bw’agenda atereera, ayinza okukyusa n’agenda mu mirimu emirala egitassa situleesi ntono ku kugulu (gamba ng’okuwuga) mu kifo ky’omuzannyo gwe baali bazannya.

Bino bye bimu ku bintu by’oyinza okukola okukendeeza ku bulumi n’okuzimba mu bbanga ettono:

• Okusiiga ice: Teeka ice ezizingiddwa mu lugoye ku kitundu ekiruma mu kugulu kwo okumala eddakiika 15-20 emirundi egiwerako olunaku.
• Eddagala eriweweeza ku bulumi: Ku magezi g’abasawo, osobola okumira eddagala lya NSAID (Non-Steroidal Anti-Inflammatory Drugs) nga ibuprofen. Bino bikendeeza ku bulumi n’okuzimba.

Mugaso:Bulijjo yogerako n’omusawo w’omwana wo nga tonnatandika, kuyimiriza oba okukyusa mu ddoozi ya ddagala lyonna. Towa mwana wo ddagala lya NSAID okumala ennaku ezisukka mu 10 nga tolina lukusa lwa musawo.

Okulongoosa kinaaba kyetaagisa?

Si kya bulijjo nnyo omwana okwetaaga okulongoosebwa okujjanjaba obulwadde bwa Sinding-Larsson-Johansson. Ne mu mbeera ezisinga okuba ez’amaanyi, abasawo batera okukuwa amagezi ku bujjanjabi obulala, obutaliimu nnyo, gamba ng’okujjanjaba omubiri, nga tebannaba kuwa magezi kulongoosa mwana oba muvubuka.

Oluusi, abantu abakulu abazuuliddwa nga balina SLJ bayinza okwetaaga okukeberebwa amaviivi okuddaabiriza omusuwa gwabwe ogw’omugongo.

Eddagala lya NSAID lirina ebizibu ebivaamu?

Yee, eddagala eriweweeza ku bulwadde bwa NSAID liyinza okuleeta ebizibu ebimu. Y’ensonga lwaki zirina okukozesebwa ng’omusawo bw’akulagidde. Ebimu ku bizibu ebivaamu mulimu:

• Okuvaamu omusaayi.
• Amabwa mu lubuto.
• Obulumi mu lubuto.
• Ebizibu ebiva mu nkola y’okugaaya emmere.

Omwana anaawulira mangu atya ng’amaze okujjanjabibwa?

Bw’omira eddagala lya NSAID, obulumi butera okukka era omwana n’atandika okutereera mu ssaawa nga emu. Bwe kityo bwe kiri ne ku ice.

Kyokka, okukendeeza ku bulumi kuno tekitegeeza nti omusuwa gw’omwana ogw’omugongo guwonye ddala . Okuwummula n’okwewala emirimu egyavaako embeera ya SLJ bye bintu ebisinga obukulu mu bujjanjabi bw’omwana.

Goberera ddala ebiragiro by’omusawo. Okusinziira ku mbeera y’omwana wo, omusawo ajja kukubuulira ebbanga lye kinaatwala okuwona.

Nnyinza ntya okukendeeza ku bulabe bw’omwana wange okufuna SLJ?

Osobola okuyamba okuziyiza omusuwa gw’omwana wo ogw’omugongo okwonooneka mu kusooka. Emu ku ngeri esinga okukola kino kwe kuwa omwana wo obudde obumala okuwummula n’okudda engulu wakati wa sizoni z’emizannyo.

Abaana n’abavubuka bangi kati abazuulibwa n’obulwadde bwa SLJ okusinga bwe kyali kibadde. Ensonga enkulu lwaki kino kiri bwe kityo eri nti batendekebwa oba bazannya omuzannyo gwe gumu omwaka gwonna (nga bakuguse mu muzannyo gumu) . Abaana bangi bwe bagezaako okukuguka mu muzannyo oba omulimu gumu, emibiri gyabwe tegifuna budde bumala kuwummula n’okudda engulu. Okwekuuma si SLJ yokka, wabula n’obuzibu obulala bwonna, kirungi okutangira abaana okukuguka mu muzannyo gumu okutuusa mu myaka gyabwe egy’obutiini.

Kiki ky’osaanidde okukola okusobola obutakwatibwa SLJ?

Engeri esinga obulungi ey’okuziyiza obulwadde bwa Sinding-Larsson-Johansson kwe kugolola ebinywa by’omugongo ebina buli kiseera . Amagulu g’omwana wo gye gakoma okukyukakyuka, gye gakoma okukendeera ku situleesi ku misuwa gye.

Okutwaliza awamu, kirungi okugoberera emitendera gino okukendeeza ku puleesa ku musuwa gw’omugongo:

• Okugolola nga tonnazannya mizannyo n’oluvannyuma lw’okuzannya.
• Okuwummula n’okuwummulamu.
• "Okuzannya okuyita mu bulumi" si kirowoozo kirungi n'akatono! Bw’owulira obulumi, olina okuyimirira n’owummula.

Kiki ky’osuubira singa omwana wo alina SLJ?

Singa omwana wo azuulibwa nti alina obulwadde bwa SLJ, subira nti ajja kuba wala nnyo emizannyo n’okukola emirimu gy’omubiri egy’amaanyi okumala akaseera . SLJ mbeera ya kaseera buseera, naye kitwala obudde omusuwa okuwona.

Kino kinaamala bbanga ki?

Obulwadde bwa Sinding-Larsson-Johansson bwe bumala ebbanga ki kisinziira ku buzibu bw’okwonooneka okusooka ku musuwa gw’omwana ogw’omugongo. Obulumi n’okuzimba biyinza okukka mu nnaku oba wiiki ntono. Kyokka abaana bayinza okwetaaga okwewala emizannyo okumala emyezi egiwerako okutangira okugulu okwonooneka okumala ebbanga eddene.

Omwana asobola okugenda ku ssomero?

Omwana wo teyeetaaga kulekera awo kugenda ku ssomero ng’atereera okuva mu SLJ. Okwewala okussa akazito ku kugulu okutuusa lwe kuwona, buuza omusawo w’omwana wo oba yeetaaga okuwummulako mu bibiina by’okutendeka omubiri (PE/PT) .

Embeera eno etunuuliddwa etya?

Obulwadde bwa Sinding-Larsson-Johansson mbeera ya kaseera buseera . Kyokka kiyinza okuba ekizibu abaana okulekera awo okuzannya omuzannyo gwe baagala okumala akaseera. Kakasa nti omwana wo ategeera ky’alina okukola okuyamba omubiri gwe okuwummula, okudda engulu, n’okuwona, n’ensonga lwaki yeetaaga okwewala omuzannyo oba omulimu ogwamuleetera embeera ya SLJ okumala akaseera.

Ddi lw’osaanidde okulaba omusawo?

Omwana wo bw’aba alumwa okugulu okupya naddala nga kuwerekerwako okuzimba, laba omusawo amangu ago . Omusawo asobola okukuyamba okuzuula ekivaako omwana wo obulumi, oba SLJ oba ekintu ekisingako obubi, ng’okumenya.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’ogenda ew’omusawo n’omwana wo, tewerabira okubuuza ebibuuzo bino:

• Omwana wange alina kukeberebwa ki?
• Omwana alina okulekera awo okuzannya okumala bbanga ki ?
• Buno bulwadde bwa Sinding-Larsson-Johansson oba bulwadde bwa Osgood-Schlatter?
• Biki ebiwanvuwa ebiyinza okuyamba okuziyiza obulwadde bwa Sinding-Larsson-Johansson mu biseera eby’omu maaso?

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Kya bulijjo omuzadde okuwulira ng’atidde ng’omwana ali mu bulumi. Naddala bwe kizingiramu okulumwa ekiwanga, wabaawo okweraliikirira ku biyinza okuvaamu okumala ebbanga eddene.

Amawulire amalungi gali nti obulwadde bwa Sinding-Larsen-Johansson Syndrome mbeera ya kaseera buseera era tegenda kukosa maviivi ga mwana mu biseera eby’omu maaso.

Omwana wo ne bw’aba alina okusubwa sizoni y’omuzannyo gw’ayagala ennyo, kakasa nti gugwana kubanga kitundu ku kudda engulu kwe. Bw’owummudde obulungi n’ogoberera ebiragiro by’omusawo, omwana ajja kuwona mangu n’adda mu kukola ebintu by’ayagala!

` Sinding-Larsen-Johansson Syndrome, okulumwa okugulu, obuzibu mu kugulu kw’abaana, obuvune mu mizannyo, omusuwa gw’omugongo, herniated disc, Osgood-Schlatter