Whakaarohia tāu tamaiti, i waenganui i te 11 me te 16 tau te pakeke, ka tīmata te hikoi me te piko, me te mea kei te tōia tōna waewae. E kī tonu ana rānei ia, "Māmā, e mamae ana tōku turi" i a ia e tākaro ana. He maha tonu tā tātou whakaaro hei mātua, "Āe... kei te tipu ake tēnei tamaiti, koinā pea." Engari ehara i te mea pai kia wareware noa i ia piko, i ia mamae o te waewae. Nā te mea he tohu pea tēnei o tētahi mate e kiia nei ko te Slipped Capital Femoral Epiphysis , ko te SCFE rānei e kiia nei e mātou ngā tākuta. He mate kino tēnei e hiahia ana kia arohia tonutia. Nō reira, i tēnei rā, me kōrero tātou mō te aha te SCFE, te take e puta ai, me ngā mea me mahi e tātou.
He aha te paheke o te hope (SCFE)?
Ahakoa te ahua whakamataku, te ahua uaua hoki o tēnei ingoa, kia māmā noa iho.
Ko te wheua roa rawa atu, kaha rawa atu hoki o te waewae o runga ko te wheua huha, arā, ko te Femur i roto i ngā kupu hauora. Kei te tihi o tēnei wheua huha he wāhanga porowhita, rite tonu ki te pōro. Ka kiia tēnei e mātou ko te Capital Femoral Epiphysis . Whakaarohia he rite ki te pōro aihikirīmi i runga i te koeko aihikirīmi. Ko tēnei pōro te mea e noho ana i roto i te pona o tō tātou hope, ā, ka āwhina i a tātou ki te tahuri, ki te piko, me te hikoi.
I te wā e tamariki ana te tamaiti, arā, i te wā e tere tipu ana te tinana, he "pereti tipu" kei waenganui i te wāhanga poroporo o tēnei wheua me te toenga o te wāhanga roa o te wheua. Koinei te mea e āwhina ana i te tipu o te wheua. Engari nā te mea he mea hanga tēnei pereti tipu ki te kiriuhi, kāore i te kaha pērā i te wheua kua tino pakeke. He ngoikore ake.
I roto i tētahi āhuatanga e kiia nei ko te SCFE , ka paheke te pane o te wheua poroporo ki waho, ki raro hoki i roto i tēnei pereti tipu ngoikore, pērā i te kōne aihikirīmi, kia matara atu i te toenga o te femur. Nā tēnei ka kore e uru tika te poroporo ki roto i te kōhao o te wheua hope. Ka uaua pea te hikoi o te tamaiti, ka mamae, ka ngoikore hoki.
Ko te mea nui ko te hiahia kia whakatikatikaina tēnei āhuatanga mā te pokanga, nō reira he mea tino nui te kitea wawe.
E rua ngā momo matua o tēnei āhua SCFE:
E wehea ana tēnei mate e ngā tākuta kia rua ngā momo matua i runga i tōna kaha me te mamae e pā ana ki te tamaiti. He mea tino nui kia mōhio ki te rerekētanga i waenga i ngā mea e rua, nā te mea ka whakatau i te momo maimoatanga me tōna tere.
| Momo SCFE | Te tikanga me ngā āhuatanga |
|---|---|
| SCFE pumau | Koinei te momo tino noa. I konei, ka āta paheke te pane o te wheua, ka āta haere, i roto i ngā wiki, i ngā marama rānei . Ahakoa te mamae o te tamaiti, ka taea e ia te hikoi me te uaua ki te whakatakoto i te taumaha ki runga i taua waewae. He maha ngā wā, ka hikoi te tamaiti me te ngoikore. Ka haere mai, ka haere atu te mamae. |
| SCFE kore pumau | He tino mate kino, he mate whāwhā hoki tēnei. I konei, ka paheke whakarere te pane o te wheua. Ka nui te mamae ka pā mai. Kāore e taea e te tamaiti te whakatakoto i tōna waewae ki te whenua, te whakatakoto rānei i te taumaha ki tērā taha. He āhuatanga ohorere hauora tēnei. Me tere te haere ki te hōhipera me te rongoā. |
He aha ngā tohu ka kitea i roto i te tamaiti?
He uaua pea te kite i te SCFE, inā koa ko te SCFE pumau i te tīmatanga. Ka pōturi te puta o ngā tohu. Tērā pea ka tīmata i te hope kotahi, kātahi ka horapa ki tērā atu. Hei mātua, me mōhio tātou ki ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Te toitoi | Koinei te tohu matua, te tohu tino kitea. Tērā pea ka tōia tetahi waewae o te tamaiti i a ia e hikoi ana. |
| Te mamae i te rohe hope, te uma, te huha rānei | Ka amuamu pea te tamaiti mō te mamae o te hope, te hope, te huha o roto rānei. |
| Mamae turi | He tohu tino nui tēnei, he tohu whakapohehe hoki mō te tini o te tangata. Ahakoa kei te hope te raruraru, tera pea ka mamae te turi nā ngā hononga io. Ki te tirohia te turi, ā, kāore he raruraru, ka tino whakapae te tākuta kei te hope anō hoki. |
| Waewae i puta | Ina hikoi, ina takoto rānei te tamaiti, tera pea te āhua nei kua anga whakararo te waewae me te waewae e pāngia ana. |
| He poto ake te āhua o tētahi waewae i tētahi atu. | Ina nekehia te wheua hope, tera pea te āhua he poto ake taua waewae i tera atu waewae. |
| Te pakari o ngā hononga me te iti o te nekehanga | Ka uaua te piko me te huri i te hononga hope. Ka uaua hoki te oma, te peke, me te mahi tere. |
He aha tēnei ka pā ki ngā tamariki? Ngā take me ngā āhuatanga mōrearea
Kāore he take kotahi o te SCFE, engari kua tautuhia e ngā tākuta he maha ngā tino take me ngā āhuatanga mōrearea e whai wāhi ana ki tēnei.
- Momona: Koinei te mea tino nui, tino kaha hoki mō te SCFE. He nui te taupū papatipu tinana (BMI) o te nuinga o ngā tamariki whai SCFE mō ō rātou tau. He māmā noa iho, i te pikinga o te taumaha o te tinana, ka piki ake te pēhanga ki runga i te pereti tipu ngoikore. Ina kore e taea te whakamanawanui i tēnei pēhanga, ka nui ake te tūponotanga ka paheke te pane o te wheua.
- Te tere o te tipu: Ka kitea tēnei āhuatanga i ngā wā e tere ana te tipu, ina tere haere te tipu o te tinana o te tamaiti, ka teitei ake hoki. I tēnei wā, ka tino kaha te tipu o te pereti, engari ka ngoikore anō hoki.
- Ngā huringa homoni: I te wā o te pakeketanga, ā, nā te momona, ka huri ngā taumata homoni i roto i te tinana o te tamaiti. Ka pā pea ēnei huringa homoni ki te tipu me te kaha o ngā wheua, ka ngoikore ake te pereti tipu. Ka taea hoki e ētahi mate endocrine te whakanui ake i tēnei mōrearea.
- Hītori whānau (Ira): Mena kua pāngia tetahi o te whānau, arā, te whaea, te pāpā, teina rānei, e te tuakana/teina, e te teina rānei, he iti noa te tūponotanga ka pāngia hoki te tamaiti e taua mate.
- Ngā Whara Iti:I ētahi wā, mā te hinganga, te whiunga rānei ki te hope ka tīmata ai te paheke, ka kino ake rānei te āhua o te mate.
Ngā raruraru ka puta mai mēnā kāore tēnei mate e rongoatia
Ehara te SCFE i te mea e taea te rongoā ngāwari. Ki te kore e kitea i te wā tika, ā, ki te kore e rongoātia tika, ka arahi pea ki ngā raruraru nui, roa.
1. Te Tukinga o te Hope: Ina paheke te pane o te femur, ka tīmata ngā wheua o te hononga hope ki te mirimiri tetahi ki tetahi. Ka puta he mamae nui, ka pakaru te arai kiriuhi o te hononga, ā, ka arahi pea ki te mate rumatiki i roto i te wā.
2. Te Mate Korokoro o te Wāhanga: Koinei te raruraru tino kino. Mēnā ka paheke rawa te pane o te wheua, ka pāngia rānei ngā oko toto ngāwari e tuku toto ana ki te pane o te wheua. Mēnā ka tupu tēnei, ka mutu te tuku toto ki te wheua, ā, ka tīmata te mate o te kiko o te wheua. He āhuatanga tino mamae tēnei, ā, ka taea te arahi ki te pokanga whakakapinga hope katoa a muri ake nei.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haria tāu tamaiti ki te tākuta, ka pātai tuatahi ia ki a kōrua ko tāu tamaiti mō ngā tohumate. Kia pēhea te roa o te mamae, he aha te āhua, me te uaua rānei ki te hikoi.
Kātahi ka tirotirohia te tamaiti. Ka mātakihia te tamaiti i a ia e hikoi ana, ka inehia te roa o ōna waewae i a ia e takoto ana, ā, ka pikohia te hononga hope, ka hurihia ki ngā taha rerekē hei tirotiro i tōna nekehanga me te mea kei te mamae. Ina piko te waewae o te tamaiti whai SCFE ki runga, ka huri aunoa ki waho. He tohu nui tēnei hei tautuhi i tēnei mate.
Whai muri i tēnei whakamātautau tinana, ka mahia he hihi-X hei whakaū i te mate. Ka taea e te hihi-X o te hononga hope te whakaatu mārama mēnā kua paheke te pane o te femur me te tawhiti kua paheke. I ētahi wā onge, ka taea hoki te mahi i te matawai MRI.
Ngā tikanga maimoatanga: He mea whakahau te pokanga!
Kia kitea te SCFE, ko te nuinga o te wā he pokanga hei rongoā . Ehara i te mea he tango rongoā me te okioki. E rua ngā whāinga matua o te pokanga:
1. Āraia te paheke haere o te pane o te wheua.
2. Te pupuri i te pumau o te pane o te wheua.
E rua ngā momo pokanga matua.
- Te Whakatikatika In Situ: Koinei te tikanga tino noa, tino angitu hoki mō te SCFE pumau. Ko te tikanga tēnei he tapahi iti i te taha o te femur, ā, mā te whakamahi i te arataki hihi-X, ka whakaurua he tīwiri kaha kotahi mā roto i te pane paheke o te femur, hei whakau i te pane o te femur ki te toenga o te femur. He tikanga tino māmā tēnei, he iti noa te whakaekenga.
- Te Whakaiti Tuwhera me te Whakatikatika ā-Roto:He pokanga uaua ake tēnei. Ka mahia tēnei i roto i ngā take o te SCFE kāore i te pumau, arā, kua paheke rawa te pane o te huha. I tēnei take, me whakatuwhera e te taote pokanga te hononga hope, me nuku anō te pane o te huha ki tōna tūranga, ā, me whakau ki ngā tīwiri neke atu i te kotahi.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me whakamahi te tamaiti i ngā tokotoko mō te 6-8 wiki pea, ā, kaua e whakararu i te waewae kua pokaina. Kia mutu te mamae, kia ora hoki te wheua, he mea nui kia rapu awhina i tētahi kaiwhakaora tinana . Māna koe e ako ki ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i te hononga hope, hei whakahoki mai i te nekehanga o te hononga. Tērā pea ka roa te 3-6 marama ki te ora katoa, ā, ka tīmata anō ngā mahi hākinakina.
Kaua e whakaaro ka ora noa iho tēnei mate. He onge noa iho. Kia puta mai ngā tohu, he iti rawa te tūponotanga ka ora noa te wheua. Nō reira, ki te mea he ruarua ōu, me toro atu ki te tākuta tonu.
Karere Tangohia ki te Kāinga
- Ki te mea he taiohi (11-16 tau te pakeke) e ngoikore ana, e amuamu pinepine ana rānei mō te mamae o te hope, te hope, te turi rānei, kaua e kīia he "mamae tipu".
- Ko te momona te tino take mōrearea o te SCFE. He mea tino nui te whakahaere i te taumaha o tāu tamaiti.
- Whakaarohia te SCFE he āhuatanga ohorere hauora . Mā te wawe o te tātaritanga me te rongoā, ka nui ake te tūponotanga ka ārai i ngā raruraru nui (te mate rumatiki, te mate wheua) ka puta ake ā muri ake nei.
- Ko te pokanga anake te rongoā angitu mō tēnei. Mā te pokanga i te wā tika, ka taea e te tamaiti te ora katoa me te hoki ki te oranga noa.
- Mena kei tō tamaiti ēnei tohu, me toro atu koe ki tō tākuta whānau tonu atu kia tukuna atu koe ki tētahi taote pokanga wheua.
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