Naupang tleirawl zingah Slipped Capital Femoral Epiphysis (SCFE) a awm - Nu leh pate u, hei hi in hre em?

I fa, a tlangpuiin kum 11 leh 16 inkar chu a ke chu tlem a hrual ang maiin, a ke chu a hrual chhuak nghal mai ang tih han ngaihtuah teh. A nih loh leh inkhelh laiin, "Mommy, ka khup a na" a ti fo thin. Nu leh pa angin, "Aw... he naupang hi a lo puitling tawh a, chu chu a ni ngei ang," tiin kan ngaihtuah fo thin. Mahse, ke natna zawng zawng, ke na zawng zawng ngaihthah mai mai chu thil tha a ni lo. A chhan chu Slipped Capital Femoral Epiphysis , emaw keini doctor-te’n kan tih angin SCFE an tih natna chhinchhiahna a nih theih avangin. Hei hi natna khirh tak, ngaihven vat ngai a ni. Chuvangin vawiinah hian SCFE hi eng nge a nih, engvanga lo awm nge, eng nge kan tih tur tih te han sawi ila.

A awlsam zawngin, he hip slippage (SCFE) hi eng nge ni?

He hming hi hlauhawm leh buaithlak deuhin ri mah se, a awlsam zawngin i sawi ang u.

Kan ke chunglam ruh sei ber leh chak ber chu ke ruh, a nih loh leh damdawi lam hawi chuan Femur . He thigh bone chung lamah hian ball ang maia zungbun a awm a. Hei hi Capital Femoral Epiphysis kan ti a . Ice cream cone chunga ice cream ball ang maiin han ngaihtuah teh. He ball hi kan hip socket-a thu a, kan inher, kan ben leh kan kal theih nan min pui thin a ni.

Naupang a naupan lai, chu chu taksa a lo thang chak em em lai hian he ruh ball ang chi leh ruh sei lam dang zawng zawng inkarah hian "growth plate" a awm a ni. Hei hian ruh a lo thang lian thei a ni. Mahse he growth plate hi cartilage atanga siam a nih avangin ruh puitling angin a chak lo. Tlem a chak lo deuh a ni.

SCFE an tih dinhmunah chuan ball ang maia ruh lu chu he growth plate chak lo tak atang hian a chhuak leh chhuk a, ice cream cone ang maiin, femur dang atanga hla takah a tlan chhuak a. Hei hian ball chu hip bone socket-ah a in fit tha lo a ni. Hei hian naupang chu kal harsa a ti thei a, natna a nei thei a, a ke a ti na thei bawk.

He SCFE condition hi chi hnih a awm a, chungte chu:

Doctor-te chuan he natna hi a nasat dan leh naupangin a tawrh nuam loh dan a zirin chi hnih lian takah an ṭhen a. An pahnih inthlauhna hriat a pawimawh hle a, hei hian enkawlna chi leh a hmanhmawhthlakna a hril a ni.

Naupangah hian eng symptoms nge kan hmuh theih?

SCFE, a bik takin Stable SCFE hi a tir lamah chuan hriat harsa deuh a ni thei. Symptoms hi a lo lang zawi zawi hle. Hip pakhatah a intan a, a dang ah a darh thei bawk. Nu leh pa kan nih angin heng symptoms te hi kan hriat chian a ngai a ni.

Engvangin nge naupangte chungah hetiang hian a thlen? A chhan leh a hlauhawmna

SCFE hi a chhan pakhat chauh a awm lo a, mahse doctor-te chuan a chhan lian tak tak leh a thlentu risk factor engemaw zat an hmuchhuak a ni.

• Obesity: Hei hi SCFE tana risk factor pawimawh ber leh chak ber a ni. SCFE vei naupang tam zawk hian an kum a zirin body mass index (BMI) sang tak an nei a. A awlsam zawngin, taksa rihna a san chuan growth plate chak lo tak chungah pressure a sang chho zel a ni. Hetiang pressure hi tuar theih loh a nih chuan ruh lu chu a hlip duh zawk a ni.
• Growth spurts: Hetiang dinhmun hi a lo thang chak hle a, chutih lai chuan naupang taksa chu a lo thang lian nghal zung zung a, a lo thang chak zawk bawk. Hemi chhung hian growth plate hi a thawk nasa hle a, mahse a chak lo bawk.
• Hormone inthlak danglamna: Puitling lai leh thau lutuk vangin naupang taksaa hormone level a inthlak thin. Heng hormone inthlak danglamna hian ruh thanna leh chakna a nghawng thei a, growth plate a tichak lo zual thei a ni. Endocrine disorder thenkhat pawhin he hlauhawmna hi a tipung thei bawk.
• Chhungkaw chanchin (Genes): Chhungkaw zinga mi tu emaw, chu chu nu emaw, pa emaw, unaupa emaw chuan SCFE a vei tawh a nih chuan naupang pawhin a vei theihna tur hlauhawmna tlemte a awm.
• Hliam tenau te:A châng chuan, tlu emaw, hip-a vuak emaw ang chi thil hian he slipping hian dinhmun awmsa chu a ti ṭan thei a, a tichhe thei bawk.

He natna hi enkawl loh chuan harsatna awm thei

SCFE hi awlsam taka enkawl theih a ni lo. A hun taka hriatchhuah a nih loh a, uluk taka enkawl a nih loh chuan hun rei tak chhung, harsatna lian tham tak a thlen thei a ni.

1. Hip Impingement: Femoral head a slip chuan hip joint chhunga ruh te chu an inhnim tan thin. Hei hian natna nasa tak a thlen a, ruh ruh (cartilage lining) a tichhia a, hun kal zelah ruh natna (arthritis) a thlen thei bawk.

2. Avascular Necrosis: Hei hi harsatna lian ber a ni. Ruh lu chu a slip hla lutuk emaw, SCFE nghet lo takah emaw a awm chuan ruh lu-a thisen petu thisen kalna kawng nalh tak takte chu a chhe thei a ni. Chutiang a nih chuan ruh lama thisen kalna chu a tawp a, ruh tissue chu a thi tan ta a ni. Hei hi natna khirh tak a ni a, nakin lawkah chuan total hip replacement surgery pawh a awm thei bawk.

Engtin nge doctor hian hei hi a hriat chian?

I fa chu doctor hnena i hruai hunah, nang leh i fa chu a natna lan chhuah dan chipchiar takin a zawt hmasa ang. Eng chen nge natna chu a awm tawh tih te, a awm dan te, kal a harsat leh harsat loh te.

Tichuan naupang chu an enfiah leh thin. Naupang chu a kal lai enin, a mut laiin a ke sei zawng tehna a ni a, a hip joint chu a kal dan leh a natna a awm leh awm loh en turin kawng hrang hrangah a ben a, a inher a ni. SCFE vei naupangin a ke chu chunglam hawia a ben chuan pawn lam hawiin a inher chhuak nghal mai thin. Hei hi he natna hriatchhuahna atana chhinchhiahna pawimawh tak a ni.

He taksa enfiahna zawh hian X-ray hmangin a natna hmuhchhuah a ni tih finfiah a ni. Hip joint X-ray-ah chuan femoral head a slip em tih leh eng chen nge a slip tih chiang takin a lang thei. A tlem berah chuan MRI scan pawh tih theih a ni.

Enkawl dan: Surgery tih ngei ngei tur a ni!

SCFE hi hmuhchhuah a nih hnuah chuan enkawlna chu operation tih a ni deuh ber . Damdawi ei leh chawlh hahdam lam a ni lo. Surgery hian thil tum lian tak pahnih a nei a, chungte chu:

1. Ruh lu chu a tlu lehzual loh nan khap rawh.

2. Ruh lu nghet taka vawn reng.

Surgery hi chi hnih lian tak a awm a.

• In Situ Fixation: Hei hi SCFE nghet tak siamna atana hmanraw hman tlanglawn leh hlawhtling ber a ni. Hei hian femur sir lamah incision te tak te siam a ngai a, X-ray guidance hmangin femur lu slipped atang chuan screw chak tak pakhat chauh dahin, femur lu chu femur dang zawng zawngah a nghet tlat a ni. Hei hi a awlsam hle a, a invasive lo hle.
• Open Reduction leh Internal Fixation te chu:Hei hi surgery buaithlak deuh a ni. SCFE nghet lo a awm chuan tih a ni a, chu chu femoral head a slip lutuk tihna a ni. Chutiang a nih chuan surgeon chuan hip joint chu a hawng a ngai a, femoral head chu a hmunah a sawn leh a ngai a, screw pakhat aia tam hmangin a siam that a ngai bawk.

Surgery hnuah eng nge thleng?

Operation zawhah naupang chuan kar 6-8 vel chu kekawrte a hmang a ngai ang a, a ke zai chungah chuan rit engmah a dah lo ang. A natna a reh a, ruh a dam tawh chuan physiotherapist tanpuina lak a pawimawh hle . Amah hian hip joint vel muscle te tichak tur leh joint-a mobility siam that nan exercise a zirtir ang che. Thla 3-6 vel a ngai thei a, a dam kim thei a, infiamna lam a thawk leh thei bawk.