Kodi mwana wanu nthawi zambiri amanena kuti, "Amayi, bondo langa limawawa" akabwera kunyumba kuchokera kumasewera? Kodi amamva kupweteka mukakhudza kutsogolo kwa mwendo wake, makamaka pansi pa bondo? Kodi pali chotupa kapena kutupa pang'ono m'derali? Ngakhale izi zingamveke zoopsa pang'ono, nthawi zambiri zimakhala vuto losakhala lalikulu lomwe limachitika mwana akamakula mofulumira. Lero, tiyeni tikambirane za matenda a Osgood-Schlatter.
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Mwachidule, kodi matenda a Osgood-Schlatter ndi chiyani?
Iyi si "matenda" oopsa kwenikweni. Ndi kutupa kowawa kwa bondo. Makamaka, ululu umachitika pamalo pomwe chipewa cha bondo (patella) chimalumikizana ndi fupa la shin (tibia) pansi pake. Matendawa amapezeka kwambiri mwa ana panthawi yomwe akukula mofulumira, pafupifupi zaka 11-14.
Taganizirani izi, mwana akamakula mofulumira, mafupa ake, minofu, ndi minyewa yonse ikukula mofulumira. Minofu imeneyi imakhala yovuta kumva panthawiyi. Choncho ngati mwana akuchita masewera olimbitsa thupi omwe amaphatikizapo kuthamanga ndi kulumpha, kupanikizika kosalekeza pa bondo kungayambitse kutupa ndi kupweteka kwa malo okhudzidwawo. Anthu ena amatcha izi "kupweteka kwa kukula."
Chofunika kwambiri, izi sizimawononga mawondo kapena mafupa a mwana kwamuyaya . Vutoli limatha pafupifupi mwana akakula mokwanira.
Kodi zizindikiro za vutoli ndi ziti?
Ngati mwana wanu ali ndi vutoli, akhoza kukumana ndi chimodzi mwa zizindikiro zotsatirazi. Izi zitha kuchitika pa bondo limodzi kapena onse awiri.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka kwa bondo | Ululuwu umachitika makamaka pansi pa chivundikiro cha bondo, pamwamba pa chivundikiro cha bondo. Ululuwu umakula kwambiri mukamathamanga, kudumpha, kapena kugwada. |
| Kutupa ndi kufiira | Malo opweteka akhoza kutupa, nthawi zina kufiira, ndipo amamva kutentha akakhudza. |
| Kuzindikira kukhudza | Ndikakanikiza malo otupa ndi chala changa, ndimamva kupweteka kwambiri. |
| Chifundo chaching'ono, cholimba | Pakhoza kukhala chotupa chaching'ono pa fupa (tibial tubercle) pansi pa bondo. Ichi ndiye chifukwa chachikulu cha ululu. |
| Kulimba kwa minofu ya ntchafu | Minofu yayikulu yomwe ili kutsogolo kwa ntchafu (minofu ya quadriceps) ingakhale yolimba. |
N’chifukwa chiyani izi zikuchitikadi?
Kuti timvetse izi, tiyenera kuona momwe bondo la mwana limagwirira ntchito.
Mwachidule, mwana akamapinda kapena kuwongolera bondo lake, minofu ya quadriceps ndiyo minofu yayikulu yomwe imagwira ntchito. Minofu imeneyi imalumikizidwa ku chivundikiro cha bondo ndi tendon yolimba, yonga bandeji, yomwe imadutsa pamwamba pa chivundikiro cha bondo ndikulumikizana ndi chotupa chaching'ono pamwamba pa fupa la shin (tibia) chotchedwa tibial tubercle.
Pansi pa mafupa awa, ana akukula, pali malo ofewa komanso okulirapo omwe sanayambe kulimba mokwanira. Timatcha malo okulirapo .
Tsopano ganizirani zomwe zimachitika mwana akapitiriza kuchita zinthu monga kuthamanga, kulumpha, ndi kukwera masitepe. Minofu ya quadriceps imakoka nthawi zonse pa mtsempha umenewo. Mphamvu ya kukoka kumeneko imamveka mwachindunji pa mbale yokulirapo yofewa. Pamene kupsinjika kumeneku kumagwiritsidwa ntchito mobwerezabwereza , dera limenelo limatupa ndipo limakhala lopweteka. Izi zimatchedwa Matenda a Osgood-Schlatter.
Ndani amene ali pachiwopsezo chachikulu?
- Ana azaka zapakati pa 11-14: Apa ndi pamene thupi limakula mofulumira kwambiri.
- Ana omwe amasewera masewera: Chiwopsezochi chimakhala chachikulu makamaka kwa ana omwe amasewera masewera omwe amaphatikizapo kuthamanga, kulumpha, komanso kusintha mwadzidzidzi njira.
- Mpira wa basketball
- Volleyball
- Mpira /Mpira)
- Masewera
Kodi mwapeza bwanji izi, Dokotala?
Mukapita ndi mwana wanu kwa dokotala, choyamba adzakufunsani za masewera omwe mwanayo amasewera, momwe ululu unayambira, komanso nthawi yomwe wakhalapo.
Kenako bondo la mwanayo limafufuzidwa.
- Mmonke akukankhira pamalo opweteka.
- Mwanayo amapemphedwa kuyenda, kugwada, kapena kulumpha pang'ono.
- Kulimba kwa minofu kumayesedwa mwa kukupemphani kuti mupinde ndi kuwongola mawondo anu.
Nthawi zambiri, kuyezetsa thupi kumatha kuzindikira vutoli. Nthawi zina, X-ray ingapangidwe ngati pali kukayikiridwa kuti pali vuto lina la mafupa.
Kodi chimachiritsidwa bwanji? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Mankhwala abwino kwambiri a izi ndi kupuma . Matendawa nthawi zambiri amatenga milungu ingapo mpaka mwezi umodzi kapena iwiri kuti achire. Panthawi imeneyi, ndikofunikira kutsatira malangizo a dokotala kutengera momwe mwanayo alili.
1. Kupuma: Muyenera kusiya kwathunthu masewera kapena zochita zomwe zinayambitsa ululu. Musayambenso kusewera mpaka dokotala wanu atakuuzani. Ngati muyambanso kusewera ngakhale ululu utachepa, mutha kukulitsa vutoli.
2. Kuzizira: Ikani paketi ya ayezi (yokulungidwa mu thaulo) pamalo opweteka kwa mphindi 10-15 kangapo patsiku. Izi zichepetsa kutupa ndi ululu.
3. Mankhwala ochepetsa ululu: Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs) monga ibuprofen angagwiritsidwe ntchito kwa nthawi yochepa, monga momwe dokotala wanu wanenera. Musapatse mwana wanu mankhwala ochepetsa ululu popanda kufunsa dokotala wanu.
4. Kuchiza ndi Maseŵera Olimbitsa Thupi: Ana ena angafunike thandizo la katswiri wothandiza anthu kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi olimbitsa thupi komanso kulimbitsa minofu kumbuyo kwa ntchafu ndi mwendo kungathandize kuchepetsa kupanikizika kwa bondo.
Chofunika kwambiri ndi kuleza mtima. Zingakhale zomvetsa chisoni kuona mwana wanu akuphonya masewera kapena nthawi yochita masewera olimbitsa thupi, koma kupatsa bondo nthawi yokwanira kuti achire bwino ndiye njira yabwino kwambiri yomwe mungapangire mtsogolo.
Kodi vutoli lingapewedwe?
Ngakhale kuti sizingatheke kupeweratu, zotsatirazi zingathandize kuchepetsa chiopsezo:
- Kuchita masewera olimbitsa thupi moyenera: Ndikofunikira kutenthetsa thupi bwino musanayambe masewera aliwonse komanso kuziziritsa ndi kutambasula thupi mutatha masewerawo.
- Osasewera ndi ululu: Ngati mwana wanu akumva kupweteka pa bondo lake, musamulole kuti apitirize kusewera, nati, "Sikoyenera kuda nkhawa." Ululu ndi chizindikiro chochokera m'thupi.
- Mpumulo: Ndikofunikira kupatsa thupi mpumulo wokwanira kuti lipezenso mphamvu panthawi yochita masewera olimbitsa thupi.
Ngati ululu wa bondo wa mwana wanu sunathe pambuyo pa masiku angapo opuma, kapena ngati ukubwereranso, onetsetsani kuti mwaonana ndi dokotala.
Uthenga Wopita Nawo Kunyumba
- Matenda a Osgood-Schlatter ndi matenda ofala a bondo omwe amakhudza ana ali achinyamata, makamaka omwe amachita masewera. Si matenda oopsa.
- Chifukwa chachikulu cha izi ndi kupanikizika mobwerezabwereza pa bondo (kugwiritsa ntchito mopitirira muyeso).
- Chithandizo chachikulu ndi kupuma. Muyenera kupewa kotheratu zinthu zomwe zimayambitsa ululu.
- Vutoli nthawi zambiri limatha kwathunthu mwana akakula mokwanira.
- Ngati mwana wanu akumva kupweteka kwa bondo, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni chithandizo choyenera komanso upangiri.
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