Kei te mamae te hope o tāu tamaiti? Tērā pea he Slipped Capital Femoral Epiphysis (SCFE)!

I oma haere tāu tamaiti i mua, pērā i te pūrerehua takaro, tika? Engari ināianei kua ahua ngoikore ia ina hikoi, kua mamae rānei tōna hope, kua mamae rānei tōna turi? Kaua e whakakorea ēnei mea hei "mate tinana noa iho." Nā te mea he tohu pea ēnei o te raruraru hope ka kōrerohia e tātou i tēnei rā e kiia nei ko te Slipped Capital Femoral Epiphysis (SCFE) . Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

He aha rawa te Slipped Capital Femoral Epiphysis (SCFE)?

He whakarāpopototanga noa iho tēnei, he āhuatanga e pā ana ki ngā tamariki nohinohi, inā koa i te wā e tere tipu ana (e kiia nei ko te pakeketanga ). Ko te wheua huha o tāu tamaiti (te wheua nui e kiia nei ko te "femur"), he wāhanga rite ki te pōro kei te tihi, ka uru ki te pū o te hope. Ka kiia tēnei ko te "epiphysis". Nō reira, i roto i te SCFE, ko te mea ka tupu ko te wāhanga rite ki te pōro o te "femur" ka paheke paku atu i te kaki o te "femur". He rite ki te kōne aihikirīmi i runga i te kōne aihikirīmi kua piko paku ki tetahi taha. Ina paheke pēnei, kāore e uru tika ki te pū o te hope, ka puta he raruraru ina hikoi, ina oma te tamaiti.

Tērā pea kei te whakaaro koe, "He aha ai tēnei?" Ka tipu roa ake ā tātou tamariki mai i te tamarikitanga, i tētahi wāhi motuhake i te pito o ō rātou wheua roa (pērā i te wheua huha). Koinei te mea e kiia nei e tātou ko te 'pereti tipu'. Whakaarohia he rite ki te peka o te rākau e tipu tonu ana. Engari ko tēnei 'pereti tipu', i mua i te hanganga katoa o ngā wheua i roto i te tinana o te tamaiti, he ngohengohe te kakano pērā i te kiriuhi. He rite ki te tiēre. Nā tēnei kakano ngohengohe, i ētahi wā ka ngana te '(epiphysis)', te wāhanga poroporo o te wheua huha, ki te paheke atu i te '(pereti tipu)'.

Ko te pito matua o te huha, kei te tihi o te wheua huha, he tino ngāwari ki te paheke, nā te mea ko tēnei wāhi te nuinga o te taumaha o te tinana o runga o te tamaiti. Nō reira, ko te taumaha o te tamaiti me te tere o te tipu ngā mea matua e rua e pā ana ki tēnei āhuatanga.

Ka taea e tēnei āhuatanga SCFE te whakapōrearea me te mamae mai i te hope ki te turi. I te nuinga o te wā, ka tīmata mārire, kāore he whakatūpato. Ka tīmata pea i te kotahi hope, kātahi ka horapa ki tētahi atu. Ka kino haere i roto i te wā, ā, ka puta pea ētahi atu raruraru. Nō reira, me pokanga te tamaiti hei whakatika i tēnei, ā, he pai ake te mahi i te wā e taea ai.

He aha ngā SCFE 'Pūmau' me ngā SCFE 'Kore Pūmau'?

E rua ngā momo o tēnei āhua SCFE e wehea ana e ngā tākuta: he pumau, he kore pumau.

• SCFE Pūmau: He maha ngā tamariki e pāngia ana e tēnei momo. Ka āta whanake haere. I tēnei wā, ka taea e te tamaiti te hikoi me te taumaha i runga i te hope, engari tera pea ka mamae.
• SCFE kore pumau:I tēnei āhuatanga, kua tino paheke te pane o te wheua. Ka tino mamae tēnei, ā, kāore e taea e koe te hikoi me tō taumaha i runga i te hope. I te nuinga o te wā, ka tino paheke, me te mea he aituā ohorere. Me whiwhi maimoatanga ohorere tēnei āhuatanga SCFE "kore pumau".

He aha ngā tohu o te Slipped Capital Femoral Epiphysis (SCFE)?

He maha ngā wā ka puta ohorere mai ngā tohu o te SCFE. Tērā pea kāore kōrua ko tāu tamaiti e mahara tonu ana i te wā i tīmata ai. Anei ētahi o ngā tohu ka pā ki a kōrua ko tāu tamaiti:

• Te mamae i te hope: Koinei te tohu matua.
• Mamae o te hope: Ka puta te mamae mai i te taha o roto o te hope, i roto tonu i te hope.
• Mamae waewae: I ētahi wā ka horapa te mamae mai i te hope ki te turi.
• Mamae turi: Kaua e miharo, tera pea ētahi tamariki e amuamu ana mō te mamae turi nā te raruraru hope. Ka karangahia tēnei e ngā tākuta ko te "mamae e pā ana".
• Te hīkoi toitoi, te hīkoi rerekē rānei: Tērā pea kei te piko koe ki tetahi taha, kei te toitoi rānei i a koe e hīkoi ana.
• Te mārō o te hope i te hikoi, me te piki haere: Tērā pea ka mārō tō hope, me te mea nei kei te mau tonu i muri i te hikoi mō tētahi wā.
• Te uaua ki te whakatakoto i te taumaha ki runga i te waewae kotahi.
• He uaua ki te oma, ki te peke, me te piko i ngā hope.
• Te āhua nei kei te anga whakaroto tetahi hope me tetahi waewae.
• Te āhua nei he poto ake tetahi waewae i tetahi atu.

Whakaarohia, kāore tō tamaiti i te tino hiahia ki te tākaro kirikiti, ki te oma, ki te pekepeke rānei pērā i mua. Ina hikoi paku ia, ka mea ia, "E Māmā/E Pāpā, e mamae ana tōku waewae." Ina haere rānei ia ki te kura, ka mea ia, "He uaua ki te piki i ngā arawhata." Ahakoa ngā mea iti pēnei, he mea nui kia whakaarohia.

He aha ngā take o te Slipped Capital Femoral Epiphysis (SCFE)?

He uaua ki te tohu i tētahi take kotahi mō te SCFE. E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take ko te tipu o ngā wheua i te wā taitamariki me te ngoikore o te "pereti tipu". Heoi, he maha atu anō ngā āhuatanga ka whai wāhi ki tēnei.

Ngā āhuatanga tino whai mana:

• Momona o te tamarikitanga: He maha ngā tamariki nohinohi e pāngia ana e te SCFE, he nui ake i te 95 ōrau te taupū papatipu tinana (BMI) mō ō rātou tau. Ko te tikanga he paku taumaha rawa rātou.
• Ngā tere tipu: Ka puta pea tēnei āhuatanga SCFE i roto i tētahi wā poto o te tipu tere me te tupu o te wheua i roto i te tamaiti.
• Ngā homoni: Ka pāngia pea ngā taumata homoni o tāu tamaiti e te pakeketanga me te momona. Ka pāngia hoki te tipu me te kaha o te wheua e ēnei huringa homoni. Tērā pea ka pāngia hoki ētahi mate endocrine, ngā āhuatanga rānei e pā ana ki ngā repe endocrine.

Ētahi atu āhuatanga ka pā ki:

• Ngā whara:Ka tīmata pea tēnei paheke, ka kino rawa atu rānei mā te hinganga, te whiu kaha rānei ki te hope.
• Ngā rerekētanga o te hope: I ētahi wā, ka nui ake te pēhanga o te hononga hope nā te mate whānautanga o te hononga hope, pērā i te hip dysplasia.
• Te awe ira: Mena kua pāngia tetahi o te whānau e te SCFE, he paku teitei ake te mōrearea o te tamaiti ki te pāngia e taua mate.

I tēhea rōpū tau te nuinga o te wā ka pāngia e te SCFE?

Ko te SCFE ka puta i waenga i te 11 me te 16 tau te pakeke. Ko te tau toharite ka tīmata ko te 12 tau te pakeke. He paku noa ake te kitea i roto i ngā tama, ā, ka puta ake i muri mai i te pakeketanga. I te nuinga o te wā, ehara te SCFE i te mate noa, engari koinei te mate hope tino noa e pā ana ki ngā tamariki nohinohi. Tata ki te 0.01% o ngā tamariki nohinohi ka pāngia e te mate.

He aha ngā raruraru ka pā mai i te Slipped Capital Femoral Epiphysis?

Ina paheke te pane o te huha, ka rerekē te tohatoha o te taumaha o tāu tamaiti ina hikoi rātou. Ka pēhia ngā wāhanga o te hononga hope kāore i hangaia hei pikau i te taumaha. Ka taea e tēnei te kino haere i te hononga. E rua ngā raruraru matua ka puta ko:

• Te pānga o te femoroacetabular: Ka puta tēnei ina kore te pane o te femur (wheua huha) e uru tika ki roto i te pū (acetabulum) o te hononga hope, ka mirimiri ngā wheua e rua tetahi ki tetahi. Ka taea e tēnei waku te whakararu i te mamae nui me te kino ki te kiriuhi i roto i te hononga hope.
• Te mate pūkahukahu kore toto: Ki te nui rawa te pēhanga ki te pane o te hope kua motuhia, ka taea te motu i te rere o te toto ki reira. Ki te tupu tēnā, ka tīmata te mate o te kiko wheua. He mate kino tēnei.

Me pēhea te tautuhi a ngā tākuta i te Slipped Capital Femoral Epiphysis (SCFE)?

Ka tīmata te tātaritanga mā te tirotiro hōhonu i te hope o te tamaiti. Ka pātai te tākuta ki te tamaiti mō ōna tohu, ka nekehia te hope ki ngā taha rerekē kia kite ai he aha te mea e tupu ana. Kātahi ka tangohia he hihi-X hei whakaū i te aroaro o te whēkau wheua. I ētahi wā, ki te kore e kitea mārama i runga i te hihi-X, ka taea e te matawai MRI te kite.

He aha te maimoatanga pai rawa atu mō te Slipped Capital Femoral Epiphysis (SCFE)?

Ko te pokanga te rongoā tonu mō te SCFE.He mea tino nui kia whakahokia te pane kua paheke ki tōna tūranga tika, kia pumau ai. Ki te kore, ka paheke atu pea, ā, ka puta ngā raruraru i kōrerotia i mua ake nei. He maha ngā huarahi hei mahi i tēnei, i runga i te pumau o te SCFE. Mō te nuinga o ngā tamariki nohinohi, he mahi māmā noa iho mā te whakamahi i tētahi, i ētahi tīwiri iti rānei e rua.

Ngā tikanga pokanga matua:

• Te whakapiripiri ā-tūnga: Koinei te maimoatanga paerewa mō te SCFE pumau. Kei roto i tēnei he tikanga iti rawa te whakaekenga e kiia nei ko te arthroscopy, arā, ko te whakauru i tētahi kāmera mā roto i tētahi tapahi iti. Ka whakaurua he tīwiri iti hei pupuri i te pane o te wheua kia kore ai e paheke haere.
• Te whakaiti tuwhera me te whakapiri ā-roto: Mēnā he SCFE kāore i te pumau, arā, kua paheke rawa te pane o te huha, me whakaiti ā-ringa pea e te taote te pane o te huha ki tōna tūranga tika, kātahi ka whakatika. Me nui ake te mahi i tēnei.

I muri i te pokanga, me okioki tāu tamaiti, me mahi hoki i ngā mahi whakaora mō te rua ki te toru marama pea . I te tīmatanga, ka taea e rātou te hikoi me te kore e pikau i te taumaha ki te hope, me te kore hoki e whakamahi i ngā tokotoko. Kia taea e rātou te whakamahi i te hope me te kore mamae, me mahi rātou i ngā mahi motuhake e hoatu ana e te kaiwhakaora tinana hei whakahoki mai i te kaha me te ngāwari o te hope.

Ka taea e te mate SCFE te ora ko ia anake?

Kāore rawa e tino tūpono. I ētahi wā, kua kite ngā tākuta i ngā kēhi kua memeha noa iho tētahi mate SCFE hou, ngawari, engari kāore pea. He maha ngā āhuatanga ka pā ki tēnei. I taua pikinga ohorere o te teitei, tera pea kua ngoikore te wheua, kua paheke, ā, kua ora anō i a ia anō i te mea ka puta he wheua hou. Engari i te nuinga o te wā, i te wā ka kitea e koe te SCFE, kua pahemo pea taua wā. Nō reira, he pai ake te rapu maimoatanga e ai ki ngā tohutohu a tō tākuta.

Kei te pēhea te āhua i muri i te maimoatanga mō te Slipped Capital Femoral Epiphysis (SCFE)?

Ko te wawe o te tākuta ki te tātaritanga me te rongoā i te SCFE, ko te pai ake o te hua. Mā te rongoā i te SCFE pumau i mua i te paheke rawa o te pane o te femur ka ārai i te kino roa ki te hononga hope. Waihoki, he māmā ake te pokanga, ā, he poto ake te wā whakaora. Ka ora katoa te nuinga o ngā tamariki.

Kāore i te tino kitea te SCFE kore pumau, ā, he maha ngā wā ka honoa ki tētahi aituā. Heoi, he nui ake te tūponotanga o ngā raruraru pēnei i te femoroacetabular impingement me te avascular necrosis. Tērā pea ka hiahiatia he pokanga whānui ake mō ēnei raruraru – tae atu ki te pokanga whakakapinga hononga mēnā ka mumura te hononga hope, pēnei i te rumatiki.

He mate kāore i te tino mōhiotia te Slipped Capital Femoral Epiphysis. Tērā pea ka warewarehia e ngā mātua me ētahi tākuta. Heoi, ki te amuamu tāu tamaiti mō te mamae o te waewae, kāore he take e kitea ana, kaua e whakaaro noa he "pona waewae mamae". Me rongoā ētahi mate kia ora ai, kia kore ai e kino haere.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, me āwhina koe e au kia maumahara ki ētahi o ngā kōrero nui kua kōrerohia e tātou:

• Mena he maha ngā amuamu a tāu tamaiti (ina koa i waenga i te 11-16 tau te pakeke) mō te mamae o te hope, te hope, te huha, te turi rānei , te āhua nei kei te totitoti ia , kaua e warewaretia.
• Me toro atu ki te tākuta tonu, ina koa mēnā he taumaha rawa tō tamaiti, he whakaatu rānei i ēnei tohu i te wā e tere tipu ana .
• He mate te SCFE ka taea te rongoā mā te pokanga . Mā te tere o te tīmatanga o te maimoatanga, ka pai ake ngā putanga me te iti ake o ngā raruraru.
• He mea tino nui te rapu tohutohu hauora motuhake, kaua e noho noa i tāu tamaiti ki te kāinga me te whakaaro he "mamae korokoro" noa iho. Ehara tēnei i te "mamae tipu" ehara hoki i te mamae tinana.

Ngā mihi nui ki a koe kia tere te ora o tāu tamaiti! Ko tāku tumanako ka whai hua ēnei mōhiohio ki a koe.

SCFE , Te Paheke o te Upoko o te Femur, Te Mamae o te Hope, Ngā Mate o ngā Tamariki Nohinohi, Te Toitoi, Te Tupu o te Wheua, Te Pokanga