I fa naupang hip a na em? Slipped Capital Femoral Epiphysis (SCFE) a ni thei bawk!

I fa chu hnim hring khelhpui ang maiin a tlan kual thin a ni lawm ni? Mahse tunah chuan a kal laiin a limp deuh niin a lang a, a nih loh leh a hip a na, a khup pawh a na mai thei? Heng thilte hi "taksa natna mai" tiin hnawl suh. A chhan chu hengte hi vawiin a kan sawi tur hip problem Slipped Capital Femoral Epiphysis (SCFE) tih chhinchhiahna a ni thei a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Slipped Capital Femoral Epiphysis (SCFE) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, hei hi naupang tê tête zingah a awm a, a bîk takin an lo ṭhan chhoh lai (chu chu puberty kan ti a ni ). I fate ke ruh (ruh lian tak ``femur'' kan tih), a chung lamah ball ang chi a nei a, chutah chuan hip socket-ah a in fit a ni. Hei hi ``epiphysis'' an ti a. Chuvangin, SCFE-ah chuan thil thleng chu, ``femur''-a ball ang chi chu ``femur'' kawr atanga tlem a chhuak a ni. Ice cream cone chunga ice cream cone chu a sir khatah tlem a tilt ang mai a ni. Hetianga a slip chuan hip socket-ah a in fit tha lo a, chu chuan naupang a kal leh tlan laiin harsatna a siam thin.

Tunah chuan, "Engvangin nge hetiang hi a lo awm?" Kan fate hi an naupan lai atang tawhin an sang chho zel a, an ruh sei tak (thigh bone ang chi) tawp lamah hmun bik takah an lo sang chho thin. Hei hi ‘growth plate’ kan tih chu a ni. Thing hnah, a lo thang zel ang maiin han ngaihtuah teh. Mahse he `(growth plate)` hi, naupang taksaa ruhte a lo pian kim hmain, cartilage ang maia soft texture a nei a. Jelly ang mai a ni. Hetianga a soft texture avang hian a chang chuan `(epiphysis)`, chu ball ang maia thigh bone chu `(growth plate)` atanga slip off a tum thin.

A bik takin thigh bone chunglam a awm capital femoral epiphysis hi a slip duh hle a, he hmun hian naupang taksa chunglam rit tam zawk a phur a ni. Chuvangin, naupang rihna leh a than chak lutuk hi he dinhmun tichhetu ber pahnih a ni.

He SCFE condition hian hip atanga khup thlengin lameness leh na a thlen thei a ni. A tam zawkah chuan zawi zawiin a intan a, engmah vaukhânna awm lovin. Hip pakhatah a intan a, a dang ah a darh thei bawk. Hun kal zelah a na zual thei a, harsatna dang pawh a awm thei bawk. Chuvang chuan hei hi siam that tur chuan naute hian zai a ngai dawn a, a rang thei ang bera tih a tha ber.

‘Stable’ leh ‘Unstable’ SCFE te hi eng nge ni?

Doctor-te chuan he SCFE condition hi chi hnih ah an then a, stable leh unstable.

• Stable SCFE: Naupang tam zawk chuan hetiang chi hi an nei thin. Zawi zawiin a lo thang chho zel a. Chutiang a nih chuan naupang chu a hip-ah rit takin a kal thei a, mahse natna a awm thei.
• SCFE nghet lo tak chu:Hetiang a nih chuan ruh lu chu a hlip nasa hle a ni. Hei hian natna nasa tak a thlen a, i rit zawng chu hip-ah dahin i kal thei lo bawk. A tam zawkah chuan a slip nasat em em a, accident nghal mai ang maiin a slip nasa hle. He ``unstable`` SCFE dinhmun hi emergency treatment a ngai a ni.

Slipped Capital Femoral Epiphysis (SCFE) natna lan chhuahna chu engte nge ni?

SCFE symptoms hi a lo lang nghal fo thin. Nang leh i fa hian engtikah nge an intan tih chiang takin i hre lo mai thei. Nang leh i fain i tawn theih tur symptom thenkhat chu hetiang hi a ni:

• Hip area-a na: Hei hi a lan chhuahna ber a ni.
• Groin pain: Natna hi hip chhung lam atanga lo chhuak thei a ni a, groin chhungah chiah a awm thei.
• Ke na: A chang chuan a na hi hip atanga khup thlengin a darh thei.
• Khup na: Mak ti suh, naupang thenkhat chuan hip problem avanga khup na an complain thei. Doctor-te chuan hei hi ``referred pain'' an ti.
• Limping emaw abnormal gait: I kal laiin a sir khatah i innghat emaw, i limping emaw angin i lang thei.
• Kal laiin a nghet lo tih hriat leh a pung: I hip-ah a tight tih i hre thei a, rei vak lo i kal hnua a tlakbuak ang maiin.
• Ke pakhata rit dah harsa.
• Tlan harsa, zuang leh hip-a ben harsa.
• Hip leh ke pakhat chu pawn lam hawiin a lang.
• Ke pakhat chu a dang aiin a tawi zawk niin a lang.

Ngaihtuah teh, i fa chu a hma angin cricket khelh te, tlan te, leh zuang te chu a ngaihven tawh lo. Tlem a kal chuan, "Mom/Dad, ka ke a na" a ti thin. A nih loh leh sikul a kal chuan, "Stairs chhoh a harsa khawp mai," a ti thin. Hetiang thil tenau te pawh hi ngaihtuah a pawimawh hle.

Slipped Capital Femoral Epiphysis (SCFE) hi engte nge a chhan?

SCFE thlen chhan pakhat chauh hriat chian a harsa hle. Kan sawi tawh ang khan a chhan ber chu kum naupan laia ruh lo thang lian leh ``growth plate'' chak lohna a ni.Mahse, hei hi a thlen thei thil dang engemaw zat a awm bawk.

Thil nghawng nei lian ber berte:

• Naupang thau lutuk: SCFE vei naupang tê tam tak chuan an kum a zirin 95th percentile aia sang body mass index (BMI) an nei a. Hei hian an thau lutuk tihna a ni.
• Growth spurts: He SCFE condition hi naupang a lo thang chak leh ruh a lo sei chakna hun rei lote chhungin a awm thei a ni.
• Hormone: Puitling leh thau lutuk hian i fa hormone level a nghawng thei a ni. Heng hormone inthlak danglamna hian ruh thanna leh chakna a nghawng a ni. Endocrine disorder thenkhat, a nih loh leh endocrine glands nena inzawm condition thenkhat pawh a awm thei bawk.

Thil dangte nghawng thei:

• Hliam tuar: 1.1.He slippage hi tlu emaw, hip-a vuak na tak emaw ang chi thil avanga intan emaw, a zual emaw pawh a ni thei.
• Hip abnormalities: A châng chuan hip joint-a pianpui chhiatna, hip dysplasia ang chi hian ruh chu extra pressure a siam thei a ni.
• Genetic influence: Chhungkaw zinga mi tu emaw chuan SCFE a vei tawh a nih chuan naupangin a vei theihna chance a sang deuh hlek a ni.

Kum eng group-ah nge SCFE hi a tam ber?

SCFE hi kum 11 leh 16 inkar vel a ni tlangpui a, a lo awm tan kum zat chu kum 12 vel a ni tlangpui. Tlemte chuan mipa naupangah a tam zawk a, nakin lawkah a lo thang lian tlangpui. A pum puiin SCFE hi natna tlanglawn tak a ni lo a, mahse naupang tê tête hip disorder vei tam ber a ni. Naupang tê zinga 0.01% vel chu he natna hian a vei a ni .

Slipped Capital Femoral Epiphysis avanga harsatna awm thei te chu engte nge ni?

Femoral head a slip chuan i fate rihna sem dan chu an kal laiin a danglam thin. Hei hian hip joint hmun thenkhat, rit phur thei tura siam ni lote chu pressure a siam a ni. Hei hian zawi zawiin ruh a tichhe thei a ni. Harsatna lian ber pahnih awm thei chu:

• Femoroacetabular impingement: Hei hi femur (thigh bone) lu chu hip joint socket (acetabulum)-ah a in fit tha lo a, chu chuan ruh pahnih chu a inhnim pil tir a ni. He friction hian natna nasa tak a thlen thei a, hip joint-a cartilage pawh a tichhia thei bawk.
• Avascular necrosis: Hip dislocated femoral head-a pressure a san lutuk chuan a thisen supply chu tihtawp theih a ni. Chutiang a nih chuan ruh tissue chu a thi tan ang. Hei hi dinhmun pawi tak a ni.

Doctor-te hian engtin nge Slipped Capital Femoral Epiphysis (SCFE) hi an hriat theih?

Diagnosis chu naupang hip uluk taka enfiah atanga tan a ni. Doctor chuan naupang chu an symptoms a zawt ang a, hip chu kawng hrang hrangah a sawn ang a, eng nge thleng tih a en ang. Tichuan, X-ray hmangin ruh spur a awm leh awm loh an finfiah ang. A châng chuan X-ray-a chiang taka hmuh theih a nih loh chuan MRI scan-in a hriat theih tlangpui.

Slipped Capital Femoral Epiphysis (SCFE) enkawlna tha ber chu eng nge ni?

Surgery hi SCFE enkawlna a ni fo thin.Lu slip tawh chu a hmunah dah leh a, stabilize a pawimawh hle. I tih loh chuan a slip lehzual thei a, a hmaa kan sawi tawh ang khan harsatna a thlen thei bawk. Chutianga tih theih dan kawng hrang hrang a awm a, chu chu SCFE a nghet dan azirin a ni. Naupang tê tê tam zâwk tân chuan, screw te tak te pakhat emaw, pahnih emaw hmanga operation awlsam tak chu a ngai vek a ni.

Surgery tih dan tlangpui: 1.1.

• In situ fixation: Hei hi SCFE nghet tak neih theihna tur standard treatment a ni. Hei hian minimally invasive procedure arthroscopy tih a huam a, chu chu incision te tak te hmangin camera dah a ni. Ruh lu chu a hlip lehzual loh nan a hmunah vawn tlat turin screw te tak te an dah a.
• Open reduction leh internal fixation: SCFE nghet lo, chu chu femoral head a slip lutuk tihna a nih chuan, surgeon chuan femoral head chu a hmunah a tihhniam leh a, a siam that leh a ngai mai thei. Hei hian operation lian deuh deuh a ngai a ni.

Operation hnuah i fa chu chawlh hahdam a ngai ang a, thla hnih atanga thla thum vel chu rehabilitation exercise a tih a ngai ang . A tirah chuan an hip-ah rit dah lovin, kekawrte hmang lovin an kal thei dawn a ni. Hip natna nei lovin an hman theih tawh chuan hip-a chakna leh inthlak danglamna an neih leh theih nan physical therapist-in exercise bik an tih a ngai dawn a ni.

SCFE condition hi a mah chauhin a dam thei em?

Chu chu a rinawm loh hle. A châng chuan doctor-te chuan SCFE natna thar, na lo tak chu a takin a lo reh tawh tih an hmu ṭhin a, mahse a rinawm loh. A nghawng thei thil tam tak a awm a. Chutiang a san chhoh nghal lai chuan ruh chu a chak lo va, a hlip a, chutah chuan ruh thar a lo than chhoh zel chuan a lo dam leh mai thei bawk. Mahse a tam zawkah chuan SCFE i hmuhchhuah meuh chuan chu hun chu a liam tawh mai thei. Chuvang chuan Doctor-in a hrilh angin inenkawlna zawng hi a tha ber.

Slipped Capital Femoral Epiphysis (SCFE) enkawl hnua a dinhmun hi engtin nge a awm?

Doctor-in SCFE a hmuhchhuah a, a enkawl hma chuan a rah chhuah a tha zawk. Femoral lu a tlak lutuk hmaa stable SCFE enkawl hian hip joint hun rei tak a tihchhiat loh nan a veng thei a ni. Tin, operation pawh a awlsam zawk a, a dam hun pawh a tawi zawk bawk. Naupang tam zawk chuan damna famkim an nei thin.

Unstable SCFE hi a tam lo hle a, accident nen pawh a inzawm fo bawk. Mahse, femoroacetabular impingement leh avascular necrosis ang chi harsatna a thlen theihna a sang zawk a ni. Heng harsatnate hi operation zau zawk a ngai thei – hip joint a inflamed a nih chuan joint replacement surgery pawh a ngai thei a, chu chu arthritis ang chi hi a ni.

Slipped Capital Femoral Epiphysis hi a natna hriat chian loh tak a ni. Nu leh pa leh doctor thenkhatin an ngaihthah theih a ni. Mahse, i fa naupang chuan chhan hriat loha ke na a complain a nih chuan "a ke ruh na" tih mai mai suh. Thil thenkhat chu a dam theih nan leh a na zual loh nan enkawl a ngai thin.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atanga thu pawimawh tak tak thenkhat hriat reng turin ka pui ang che:

• I fa naupang (a bik takin kum 11-16 inkar) chuan hip, groin, thigh, or knee pain , a nih loh leh limping anga a lan fo chuan ngaihthah suh.
• Doctor pan nghal rawh, a bîk takin i fa chu a thau lutuk emaw, a lo ṭhan chhoh thut laiin heng chhinchhiahnate hi a lantîr emaw a nih chuan .
• SCFE hi operation hmanga enkawl theih a ni . Enkawlna tan hma chuan a rah a tha zawk a, harsatna a awm tlem zawk bawk.
• I fa chu "rilru na" mai nia in lama dah mai ai chuan specialist medical advice lak a pawimawh hle. Hei hi "growing pains" emaw taksa natna mai emaw a ni lo.

I fa chu dam thuai turin duhsakna hlanin! He thu hi in tan a tangkai ngei ka beisei.

` SCFE, Slipped Capital Femoral Epiphysis, Hip na, Naupang tê tê natna, Limping, Ruh than, Surgery