Ese umwana wawe arwaye kuvunika aho amagufwa ye arimo gukura? Reka tuvuge ku kuvura kwa Growth Plate!

Ese umwana wawe yaguye mu buryo butunguranye ubwo yakinaga? Cyangwa yavuye mu myitozo ya siporo afite ububabare ku kuboko cyangwa ukuguru? Ushobora kuba warumvise ko hari igihe abana bato bavunika amagufwa, ariko ushobora kuba utazi iyi ndwara yihariye yitwa Growth Plate Fractures . Ntugahangayike, iki ni ikintu gishobora kuvurwa neza. Reka tubiganireho birambuye.

Izi nganda zikuramo ni izihe? Kuki ari ingenzi?

Mu magambo make, ibipimo by'imikurire ni uduce twihariye twa karitsiye ku mpera z'amagufwa maremare (nk'ayo mu maboko no ku maguru) ku bana bato n'abantu bakuru. Tekereza ko ari imimero mishya ikura ku mpera y'ishami ry'igiti. Ibi nibyo bifasha amagufwa gukura, gukura no kurema neza. Iyo umwana akuze neza, bivuze ko atagikura cyane, ibi bice by'imikurire bigenda bihinduka amagufwa akomeye .

Izi nganda zikura ku mpera z'amagufwa ziteye gutya:

• Humerus - Iri ni igufwa riri mu kuboko ko hejuru.
• Uduce tw'imbere n'uturemangingo - Ibi biba biri mu kuboko k'umwana wawe, munsi gato y'inkokora.
• Metacarpal - Amagufwa mato imbere mu kuboko.
• Femur - Igufwa rirerire mu mubiri wacu, riherereye mu itako.

Ibi ni byo by'ingenzi. Rero, niba hari ikintu kibaye kuri izi plates zo gukuraho, ni ukuvuga niba hari aho zavunitse, ni byo twita breakdown ya plate yo gukuraho . Niba igufwa ry'umwana ribabara, ribyimbye, cyangwa risa n'iritandukanye n'ukuboko cyangwa ukuguru, cyangwa risa n'irirambuye, ugomba kujya kwa muganga. Kubera ko ubwo bwoko bw'imvune bufata ibyumweru byinshi kugira ngo bukire, ni ngombwa cyane kubona isuzuma no kuvurwa vuba.

Ese hari ubwoko bw'ivunika ry'igice cy'inyuma cy'inyuma?

Yego, abaganga bakoresha uburyo bwihariye bwo gushyira mu byiciro izi mvune. Byitwa Salter-Harris classification . Hari ubwoko butanu bw'ingenzi:

1. Ubwoko bwa 1: Iki ni igihe agahu kari ku gice cyo gukuraho igufwa gatandukanye n'inyuma yaryo, nk'aho hari ikintu cyashyizwemo kole hanyuma kikavaho.

2. Ubwoko bwa 2: Muri ubu bwoko, kuvunika biba mu gice cyo gukuraho igufwa, bigakwira no mu gice cyo hagati cy'igufwa. Ubu bwoko bukunze kugaragara cyane mu bana.

3. Ubwoko bwa 3: Iki ni ikivune aho igice cy'igice cy'igufwa gifatana nacyo gicika. Iki ni kinini gato, bivuze ko gikunze kugaragara mu bangavu, kuko igice cy'igufwa ryabo gihinduka amagufwa akomeye buhoro buhoro.

4. Ubwoko bwa 4:Ibi bisa n'ubwoko bwa 3, ariko birakomeye gato. Igice cy'aho igufwa rikurira, igice cy'igufwa, n'igice cy'igice kirekire cy'igufwa biravunitse.

5. Ubwoko bwa 5: Ibi biterwa no gukanda igufwa, bigatera kwangirika kw'igice cyo gukuraho. Ubu ni bwo bwoko budakunze kugaragara kandi bushobora kuba bukomeye kurushaho.

Uku gushyira mu byiciro ni ingenzi ku baganga kugira ngo bafate icyemezo cy'ubwoko bw'ubuvuzi bagomba gutanga, igihe bizatwara kugira ngo gukira, ndetse n'ingorane zishobora kuvuka mu gihe kizaza.

Uku kuvunika kw'imitsi yo mu gitereko cy'izuba bikunze kugaragara gute?

Gucika kw'amagufwa mu gihe cy'igufwa ni kimwe mu bikomere bikunze kugaragara ku bana. Bigize kimwe cya gatatu cy'imvune zose ku bana. Kubwibyo, ni ngombwa kubimenya.

Ni ibihe bimenyetso by'uko igice cy'inyuma cy'inyuma cyacitse?

Niba umwana wawe afite ikibazo cyo kuvunika kw'igice cyo hejuru cy'umubiri (growth plate), ushobora kubona ibimenyetso nk'ibi:

• Ububabare: Hashobora kubaho ububabare bukabije, cyane cyane hejuru cyangwa mu gace k'igufwa.
• Amaguru asa n'atandukanye: Ukuboko cyangwa ukuguru kwakomeretse bishobora kugaragara nk'aho byarambuye, binamye, cyangwa bitameze neza.
• Kudashobora kwimuka: Ushobora kudashobora kunama, kugorora, cyangwa gushyira uburemere ku gice cyakomeretse.
• Kubyimba: Ahantu hakomeretse hashobora kubyimba.
• Guhinduka ibara cyangwa gukomereka: Hari igihe ibikomere bishobora guhinduka ubururu cyangwa umuhengeri.
• Ububabare: Ushobora kumva ububabare iyo ukoze ku mwana.

Tekereza umuhungu wawe avuye gukina cricket akavuga ko ukuboko kwe kubabara, ntashobora kukwimura, kandi kwabyimbye gato. Muri icyo gihe, bishobora kuba ari ukuvunika kw'ikirenge.

Umwana muto ashobora kutabasha kukubwira igihe yakomeretse. Muri icyo gihe, ushobora kubona ibintu nk'ibi:

• Mu buryo butunguranye, ikoreshwa ry'ukuboko cyangwa ukuguru riragabanuka.
• Ukuboko/ukuguru kwakomeretse bifatwa hafi y'umubiri kandi bikarindwa.
• Bararira, barataka cyane, kandi bakanga ko bakoraho.
• Aracumbagira iyo agenda.

Nubona ikintu nk'iki, ntugapfushe umwanya ujye kwa muganga.

Ni izihe mpamvu zitera uku kuvunika kw'imitsi yo mu gitereko?

Akenshi, izi mvune ziterwa n'ihungabana ritunguranye . Urugero:

• Gugwa: Urugero nko kugwa ku giti, kugwa uri gukina, cyangwa kugwa ku madarajya.
• Impanuka zo mu muhanda: Impanuka ziba mu muhanda.
• Impanuka za siporo: Impanuka zibaho mu gihe cyo gukina siporo nka cricket, umupira w'amaguru, na netball.

Urugero, umuhungu wa Nisal yaguye mu buryo butunguranye ubwo yirukaga ku kibuga cy'imikino. Akaguru ke katangiye kubabara cyane. Ubwo yajyaga kwa muganga ni bwo yamenye ko ari ukuvunika kw'ikiyiko.

Kandi nanone,Gutoza umwana siporo irenze urugero, cyane cyane mbere y’uko umubiri we ukura neza, bishobora gutera imihangayiko ihoraho ku gice cyo gukura, ibi bikaba byamuviramo kuvunika. Kubwibyo, si byiza ko umwana akina siporo imwe umwaka wose kugeza umubiri we ukura neza. Kuruhuka nabyo ni ingenzi cyane.

Ni nde uri mu kaga gakomeye ko kwangirika kw'imitsi yo mu gitereko?

Nubwo umwana uwo ari we wese ashobora kugira ibyago byo guhura n’impanuka nk’iyi, hari abana bafite ibyago byinshi kurushaho:

• Ingimbi n'abangavu: Ibi biruhuko bikunze kugaragara cyane mu bana bari hagati y'imyaka 13-17.
• Abahungu: Abahungu bafite amahirwe abiri y’uko bavunika ugereranyije n’abakobwa . Ibi biterwa nuko abakobwa muri rusange bakura vuba, kandi amagufwa yabo agakomera vuba. Abahungu nabo ni abantu barushaho kwihuta no gukora cyane.
• Abakinnyi: Abana bakina siporo zirimo gusimbuka (urugero: basketball, gymnastics, skiing, volleyball) bari mu kaga gakomeye, kimwe n'abana bakina siporo zo gukubitanaho nk'umupira w'amaguru na hockey.
• Abana bakora imyitozo ngororamubiri: Uretse siporo zo ku ishuri, izi mpanuka zishobora no kuba ku bana bakora ibikorwa nko gusiganwa ku maguru, gutembera no ku magare.

Ni izihe ngorane zishobora guterwa n'ikiyiko cyacitse?

Akenshi, iyo bigaragaye kandi bigavurwa vuba (mu cyumweru kimwe nyuma y’imvune), uku kuvunika kw’imitsi yo mu gitereko ntabwo bitera ingorane zikomeye. Ariko, rimwe na rimwe ibi bikurikira bishobora kubaho:

• Malunion: Uduce tw'amagufwa twavunitse ntabwo duhura neza, ahubwo duhurira hamwe.
• Kudahuza: Kunanirwa kw'ibice by'amagufwa byavunitse gukira neza, cyangwa kutabikira na gato.
• Gukura nabi: Ibi ni gake cyane . Ariko, niba wavunitse bikomeye (cyane cyane ubwoko bwa 5), ​​bishobora kugira ingaruka ku mikurire y'iryo gufwa mu gihe kizaza. Ibi bivuze ko igufwa rishobora kuba rigufi cyangwa rito ugereranije n'uruhande rumwe. Hashobora kuba ngombwa kubagwa kugira ngo ibi hirindwe.

Niyo mpamvu ari ngombwa kubonana na muganga nubwo waba ufite gushidikanya na gato .

Ni gute umuntu avunika igice cy'inyuma cy'umusatsi (growth plate vune)?

Umuganga asuzuma ubwo bwoko bw'imvune asuzuma umwana (isuzuma ry'umubiri) kandi agakorera ibizamini byihariye (ibizamini byo gushushanya).

Ubwa mbere, umuganga azasuzuma neza agace kakomeretse, abaza umwana ibimenyetso bye, arebe uko urugingo rugenda, hanyuma agereranye n'ukundi kuboko/ukuguru kutakomeretse.

Ni ngombwa cyane kubwira muganga amakuru yose uzi - icyo umwana yakoraga mbere y'impanuka, igihe wabonaga ko hari ikibazo, n'igihe umwana yatangiye kumva ububabare.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Muganga azakoresha kimwe cyangwa byinshi muri ibi bizamini kugira ngo arebe amagufwa n'ingingo zikikije:

• Imirasire ya X: Iyi ni yo ikoreshwa cyane.
• Ishusho ya Magnetic Resonance (MRI): Hari igihe ibi biba bikenewe kugira ngo harebwe neza uko igipimo cy'ikura giteye.
• Gupima Tomografia (CT) hakoreshejwe ikoranabuhanga: Ibi binakoreshwa mu bihe bimwe na bimwe bigoye.

Ni gute kuvunika kw'imitsi yo mu gitereko cy'izuba bivurwa?

Imvune nyinshi zo mu gice cyo gukuraho uruhu zivurwa hakoreshejwe plaster cast (immobilization). Iyo cast igumana igufwa ryavunitse mu mwanya waryo kandi ikamufasha gukira neza. Muganga wawe azakubwira ubwoko bw'ingufu umwana wawe akeneye n'uko yakwitabwaho.

Ese kubagwa ni ngombwa?

Kubagwa ntabwo ari ngombwa cyane kuri ubwo bwoko bw'imvune. Ubusanzwe kubagwa birakenewe ku mvune zikomeye cyane (ubwoko bwa 3, 4, cyangwa 5). Niba umwana wawe akeneye kubagwa, umuganga azakora ikintu cyitwa fixation y'imbere . Ibi bivuze ko ibice by'amagufwa byavunitse bishyirwa mu mwanya wabyo hanyuma agakoresha vis, imigozi, cyangwa insinga kugira ngo afatanye igufwa imbere kugeza rikize. Nyuma y'uko igufwa rikize, ushobora gukenera kubagwa bundi buryo buke kugira ngo ukureho imigozi cyangwa insinga. Muganga wawe cyangwa umuganga wawe azagusobanurira ibi byose.

Ubusanzwe bifata igihe kingana iki kugira ngo umuntu akire?

Abana benshi bazakenera kwambara icyuma gikingira igituza mu gihe cy'ukwezi kumwe (ibyumweru bine kugeza kuri bitandatu) nyuma yo kuvunika kw'igice cy'inyuma cy'inyuma. Iyo kuvunika gukomeye cyane cyangwa niba harakozwe abaganga, bishobora gufata igihe kirekire.

Muganga wawe ashobora kukubwira neza igihe bizatwara kugira ngo akire, bitewe n'igufwa umwana wawe yavunitse n'uburyo yavunitse bikomeye.

Ese ubu bwoko bw'ivunika ry'igice cy'inyuma cy'umusatsi bushobora kwirindwa?

Mu by’ukuri, inyinshi muri izi mvune ziterwa n’impanuka, bityo biragoye kuzirinda burundu. Ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo gukomereka k’umwana wawe:

Mu gihe ukina siporo cyangwa ugakora indi mirimo ngororamubiri, menya ibi bikurikira:

• Menya neza ko wambaye ibikoresho byo kwirinda bikwiye (urugero: amapeti, ingofero mu gihe ukina cricket).
• Niba hari ikintu kibabaza, haba mu gihe ukina cyangwa umaze kurangiza, bwira umwana wawe "kudakina ububabare."
• Ha umubiri wawe ikiruhuko kandi wongere ukire nyuma yo gukora imirimo ivunanye.
• Kurambura no kwishyushya mbere yo gukina siporo cyangwa imyitozo ngororamubiri.
• Komeza ukarambure igihe urangije igikorwa cyawe.

Kurikiza izi nama rusange kugira ngo buri wese mu muryango agire umutekano:

• Igihe cyose ninjira mu modokaAmbara umukandara w'imodoka.
• Reba niba hari ibintu byasigaye ku muryango bishobora gutuma umuntu agwa, hanyuma ubikureho.
• Mu gihe uterura ikintu ugikuye ku gisenge , koresha ibikoresho bikwiye (urugero: urwego). Ntukigere ureka abana bazamuka ku ntebe cyangwa ku meza.

Ni iki nkwiye kwitega mu gihe umwana wanjye yavunitse igice cyo hejuru cy'umuyoboro w'imfuruka?

Imvune nyinshi zo mu gice cy’isekuru zikira neza nta ngorane cyangwa ingaruka z’igihe kirekire ku buzima bw’umwana n’imikurire ye. Uburyo bwiza bwo kugabanya ibyago byo kumererwa nabi ni ukumenya indwara vuba bishoboka (mu cyumweru kimwe nyuma y’uko imvune ibaye).

Baza muganga wawe igihe umwana wawe ashobora kongera gutangira gukina, kwiruka no gusimbuka. Iyo wongeye gushyira igitutu ku gice cyo gukura mbere yuko gikira neza, hari amahirwe menshi yo kugira ibibazo (harimo no kongera kuvunika mu gace kamwe).

Ni ryari ngomba kujya kwa muganga?

Niba umwana wawe agize ikibazo gikomeye, nko kugwa bikomeye cyangwa impanuka y'imodoka , hita ubonana na muganga.

Niba utekereza ko umwana wawe yavunitse igufwa, cyangwa niba afite kimwe muri ibi bimenyetso , jya kwa muganga wita ku bibazo byihutirwa (ETU) ako kanya:

• Ububabare bukomeye.
• Kudashobora kwimura igice cy'umubiri.
• Igice cy'umubiri gisa nkaho cyahinduye isura, cyararambuye, cyangwa cyavuye aho giherereye .
• Uruhu ruracucumuka kandi igufwa riragaragara.
• Kubyimba gukabije.
• Ibi bimenyetso bishobora guherekezwa n'uduheri dushya cyangwa impinduka mu ibara ry'uruhu .

Ni ibihe bibazo ngomba kubaza muganga?

• Ese umwana wanjye yavunitse igice cyo hejuru cyangwa ikindi gikomere?
• Ni ubuhe bwoko bw'ivunika ry'igice cy'inyuma cy'umusatsi afite?
• Ese umwana wanjye azakenera kubagwa?
• Umwana wanjye azamara igihe kingana iki yambaye icyuma gikingira igituza?
• Ni ryari umwana wanjye azashobora gusubira mu bikorwa bisanzwe no mu mikino?

Ni ibisanzwe kugira ubwoba iyo umwana agize impanuka, cyane cyane iyo ari ukugwa cyangwa impanuka utashoboraga gukumira. Nubwo kuvunika kw'igice cy'inyuma cy'umwana bishobora kuba bikomeye cyane, abana benshi barakira neza kandi bakongera gukora imirimo yabo.

Igihe ni ingenzi cyane mu kuvura imvune y’igice cy’igufwa. Niba utekereza ko umwana wawe yavunitse igice cy’igufwa (cyangwa ikindi gikomere icyo ari cyo cyose), gana muganga vuba bishoboka. Uko muganga asuzuma vuba ikibazo agashyira umwana wawe ifu, ni ko azakira vuba kandi agasubira mu mirimo ye isanzwe.

Incamake (Ubutumwa bwo kujyana mu rugo)

Hanyuma, ibice by'imikurire y'abana ni ingenzi cyane mu mikurire y'amagufwa yabo. Ingaruka mbi kuri bo, niGucika kw'imitsi yo mu gitereko cy'umusatsi ni ibintu bisanzwe, ariko nta kintu na kimwe cyo guhangayikishwa nacyo. Ikintu cy'ingenzi ni ukujya kwa muganga ukimara gukeka impanuka cyangwa ukabona ibimenyetso. Guvurwa vuba bishobora gufasha umwana wawe gukira bitabangamiye iterambere rye ry'ejo hazaza. Guhora witaye ku mutekano w'umwana wawe bizafasha kugabanya impanuka.

` kuvunika kw'igice cy'igufwa, kuvunika kw'igice cy'igufwa, kuvunika kw'amagufwa mu bana, Salter-Harris, cast, ubuzima bw'abana, kuvunika kw'amagufwa