Mwana wenyu ane makumbo akakotama here? Ngatidzidzei nezvechirwere chaBlount!

Amai naBaba, makamboona here kuti kana mwana wenyu achangotanga kufamba, kana kuti paanomhanya nekutamba, makumbo ake anokotama mukati, sebhii "C"? Zvakajairika kuti vacheche vave nemakumbo akakotama zvishoma. Asi, hazviwanzoitika saizvozvo. Dzimwe nguva, ichi chingava chirwere chinonzi Blount's Disease , chinhu chinofanira kufungwa nezvacho. Saka nhasi, tichataura nezvazvo zvakadzama, sekunge shamwari yenyu iri kukuudzai nezvazvo.

Chii chaizvo chinonzi chirwere chaBlount?

Zvichitaurwa zviri nyore, chirwere chaBlount chirwere chinokanganisa kukura kwetibia , pfupa gobvu riri pasi pebvi, muvana. Chinonziwo tibia vara . Kumagumo emapfupa edu kune zvikamu zvakakosha zvinonzi magrowth plates . Maplate iwayo ndiwo anoita kuti mapfupa edu akure, uye tinokura tichireba. Muchirwere chaBlount, growth plate iri mukati metibia haikure zvakanaka. Ipapo gumbo rinotanga kukotama mukati uye rinokombama.

Zvakajairika kuti vacheche vadiki, kunyanya kusvika pagore, vave nemakumbo akakotama zvishoma (tinoadaidza kuti "makumbo ebhora"). Pavanotanga kufamba, kukotama uku kunonyangarika zvishoma nezvishoma uye makumbo avo anotwasuka pazera remakore maviri. Zvisinei, mwana ane chirwere cheBlount haarasikirwi nekukotama uku mumakumbo avo. Kunogona kuwedzera kuoneka mwana paanokura.

Chii chakasiyana pakati pekukotama kwemakumbo kwakajairika nechirwere cheBlount?

Kunyangwe izvi zviviri zvingaita sezvakafanana pakutanga, pane musiyano mukuru.

• Kukotama kwemuviri: Izvi zvinowanzoitika kuvana vadiki. Kana vangotanga kufamba, kazhinji vane makore maviri, kukotama uku kwemakumbo kunongoerekana kwatwasuka . Izvi hazvidi kurapwa kwakakosha.
• Chirwere cheBlount: Ichi chirwere apo gumbo riri pasi pebvi rinokotama mukati . Kukotama uku kunonyanya kuoneka. Izvi hazvinyanyi kuva nani mwana paanokura, uye zvinogona kutowedzera kuipa .

Iye zvino wava kunzwisisa musiyano, handiti? Hapana chikonzero chekutya makumbo emwana mudiki akakombama zvishoma. Asi kana zvikaramba zvakadaro, kana kuti zvichiita sezviri kuwedzera kuipa, unofanira kuona chiremba.

Ndiani anogona kubatwa nechirwere chaBlount? Ndiani ari panjodzi huru yekubatwa nacho?

Kunyange zvazvo mwana wese achigona kubatwa nechirwere chaBlount, vamwe vanhu vari panjodzi huru.

• Zera: Zviratidzo zvinowanzoonekwa muvana vanopfuura gore rimwe chete, kazhinji pakati pemakore 1 ne3. Izvi zvinonzi Blount's yekutanga . Dzimwe nguva, chirwere ichi chinogona kuonekwa mukuyaruka kana kunyange pazera rekukura. Izvi zvinonzi Blount's yekupedzisira .
• Kurema kwemuviri: Vana vakafuta zvakanyanya , kana kuti vanofuta nekukurumidza, vari panjodzi huru yekubata chirwere ichi.
• Kufamba nekukurumidza: Dzimwe ongororo dzakawana kuti vana vanotanga kufamba vasati vasvitsa mwedzi gumi nemiviri vari panjodziwo.

Asi yeukai, chirwere chaBlount chirwere chisingawanzoitiki . Zvinonzi chinokanganisa vanhu vari pasi pe1%.

Chirwere chaBlount chinokanganisa sei muviri wemwana?

Dambudziko iri rinoita kuti pfupa remwana remusana (tibia) risakure zvakanaka, zvichiita kuti gumbo rikotame mukati. Panzvimbo pekuti zvigunwe zvitarise mberi, zvinotendeukira mukati. Gumbo rinokombama sebhii "C".

Kana izvi zvikarapwa zvakanaka, chirwere chacho chinogona kutowedzera kuipa.

• Kukombama kwegumbo kunogona kuwedzera, zvichiita kuti zvisakwanise kufamba .
• Zvingave zvakaoma kuita zvinhu zvakaita sekutamba nekurovedza muviri zvinosanganisira kushandisa makumbo ako.
• Kukuvara kwetsinga kunogona kuitika mumakumbo.
• Matambudziko akadai searthritis mumabvi anogona kukonzera marwadzo.

Fungidzira, mwana wako mudiki anoda kumhanya, kusvetuka nekutamba, asi musiyano uyu mumakumbo ake unomudzivisa kuita izvozvo akasununguka. Zvinosuwisa sei izvozvo? Ndosaka zvichikosha kuziva izvi uye kutora matanho nekukurumidza.

Ndezvipi zviratidzo zvechirwere chaBlount?

Chiratidzo chikuru kukotama kwegumbo pasi pebvi . Zvimwe zviratidzo zvinosanganisira:

• Gumbo racho rinoita serakakombama mukati sebhii "C".
• Kukombama uku kunogona kuitwa mugumbo rimwe chete kana mumakumbo ese ari maviri.
• Zvigunwe netsoka dzemakumbo zvakatariswa mukati pane kutarisa mberi.

Vana vadiki havawanzo rwadziwa nekuda kwegumbo iri rakakotama. Zvisinei, vechidiki vanogona kurwadziwa nemabvi . Marwadzo aya anogona kuwedzera, kunyanya kana vachitamba, vachimhanya, kana kusvetuka.

Kana chirwere chacho chikanyanya, zviratidzo zvinotevera zvinoonekwa:

• Arthritis yemabvi
• Kuomerwa nekufamba
• Kukuvara kwemajoini netsinga

Chii chinokonzera chirwere chaBlount? Chinokonzerwa nenhaka here?

Chikonzero chaicho chechirwere chaBlount hachisati chawanikwa .

Zvisinei, zvimwe zvidzidzo zvinoratidza kuti, sezvambotaurwa, njodzi iyi yakanyanya muvana vanotanga kufamba vasati vasvitsa mwedzi gumi nemiviri uye kune avo vanokurumidza kuwedzera uremu vachiri vadiki.

Dzimwe ongororo dzinoratidza kuti inogona kunge iri majini . Kureva kuti, dzimwe nguva inogarwa nhaka.Pane mukana wekuti pane chisina kumira zvakanaka. Dambudziko riripo pano nderekuti mapureti ekukura ari mukati mefemur haakure zvakanaka. Jini rinobva kuvabereki rinogona kukonzera kusakwana kwemapureti aya.

Chiremba anoziva sei kuti ichi chirwere chaBlount?

Kana zvichifungidzirwa kuti makumbo emwana wenyu akakotama, chiremba anotanga aongorora muviri wake zvakakwana . Zvadaro, vacharaira kuti mwana apiwe X-ray . X-ray iyi inowanzotorwa kubva pagumbo kusvika pahudyu.

Kubva pamifananidzo yeX-ray, chiremba anogona kuona kuti mapfupa emwana ari kukura sei uye kuti chii chiri kukonzera kuti gumbo rikotame mukati.

Dambudziko iri rinowanzoonekwa kana mwana ava nemakore maviri . Izvi zvinokonzerwa nekuti, sezvambotaurwa, kukotama kwemakumbo kwakajairika pazera iri. Kana kukotama kwemakumbo kuchiripo mushure memakore maviri, chiremba achafungidzira chirwere cheBlount uye oita bvunzo kuti chisimbiswe.

Ndeipi mishonga yekurapa chirwere chaBlount?

Kurapa chirwere cheBlount hakuna kufanana kune wese munhu. Kunosiyana zvichienderana nezera remwana uye kuoma kwechirwere chacho . Kune nzira mbiri huru dzekurapa.

1. Kupfeka chishongo chesimbi

Izvi zvinosanganisira kupfeka chishongo chakakosha, kana kuti brace , chinotangira pahudyu hwemwana kusvika kutsoka. Izvi zvinowanzoitirwa vana vari pasi pemakore matatu . Chishongo ichi hachifanirwe kupfekwa zuva rese, asi vanachiremba vanokurudzira kuchipfeka husiku chete kana wakarara kwegore . Izvi zvinoruramisa gumbo zvishoma nezvishoma.

2. Kuvhiyiwa

Dzimwe nguva, kunyanya kana mwana ava nemakore anopfuura mana ekuberekwa kana gumbo rikasatwasuka zvakanaka kunyangwe mushure mekupfeka simbi yekusimbisa muviri, chiremba anogona kukurudzira kuvhiyiwa .

Kuvhiyiwa uku kunonzi osteotomy . Zvichitaurwa zviri nyore, kunosanganisira kucheka pfupa, kuritwasanudza, uye kurigadzirisa. Kune nzira dzakasiyana-siyana dzinoshandiswa pakuita izvi:

• Kugadzirisa pfupa nekushandisa mastaple kana mapini .
• Kushandisa nzira inonzi tension band plating .
• Kururamisa gumbo nekubvisa chidimbu chepfupa kubva papfupa remakumbo rakakuvara (tibia) kana kuwedzera chidimbu chitsva chepfupa .

Kunyangwe kuvhiyiwa uku kungaita sekunge kuri nyaya hombe, kunogona kukosha zvikuru kune ramangwana remwana uye kugadzirisa gumbo nemazvo.

Nzira yekutarisira mwana mushure mekuvhiyiwa?

Zvakakosha zvikuru kutarisira mwana wako mushure mekuvhiyiwa.

• Chengeta ronda rakachena: Unofanira kugara uchitarisa nzvimbo yekuvhiyiwa kuti uone kana paine hutachiona . Geza ronda wozora mushonga sezvakarairwa nachiremba wako.
• Usaremedza gumbo: Hazvina kunaka kuisa huremu pagumbo rakavhiyiwa kwemavhiki matanhatu kusvika masere . Kana ukarema, pfupa rinogona kusapora zvakanaka uye rinogona kubuda zvakare. Chiremba wako achakuudza kuti unofanira kushandisa madondoro kwenguva yakareba sei.

Pane nzira yekudzivirira chirwere ichi kuti chisaitike here?

Zvinosuwisa kuti hapana nzira chaiyo yekudzivirira chirwere chaBlount.

Zvisinei, pane zvinhu zvishoma zvaunogona kuita kuti mapfupa emwana wako akure akasimba uye ane hutano:

• Idya chikafu chine mwero.
• Kuita kuti mwana aite maekisesaizi nguva dzose .
• Kana zvichidikanwa, ipai vhitamini D kana calcium sezvakarairwa nachiremba.
• Kuchengeta huremu hwakanaka hunoenderana nezera remwana.

Yeuka, usati wapa mwana wako mavhitamini kana zvimwe zvinovaka muviri, unofanira kubvunza chiremba kuti uve nechokwadi chekuti hazvina njodzi.

Chii chandingatarisira kana mwana wangu aine chirwere cheBlount?

Kufanotaura kuti mwana ane chirwere cheBlount acharwara kunoenderana nezera remwana panguva yekuongororwa uye kuoma kwechirwere chacho .

• Vana vari pasi pemakore mana vanogona kutarisira kupora kwakanaka kana chirwere chikaonekwa nekukurumidza uye kurapwa kwacho kwatanga.
• Zvisinei, kana chirwere ichi chikaonekwa kunonoka kana kuti chikasarapwa zvakanaka, kukombama kwegumbo kunogona kuipa, zvichikonzera kukuvara kukuru kwemajoini uye zvichiita kuti kufamba kuome .

Mushure mekurapwa, pane mukana mudiki wekuti makumbo akakotama adzoke zvakare kuvana vadiki nevakuru. Zvisinei, kana chirwere ichi chikaonekwa uye chikarapwa nekukurumidza, njodzi yacho ishoma kwazvo.

Chirwere chaBlount chinotora nguva yakareba sei?

Kana chirwere ichi chikarapwa, chinogona kugara kweupenyu hwese uye chinogona kutowedzera kukura kwemwana paanokura.

Mushure mekurapwa, zvichienderana nekuoma kwemamiriro emwana, kungave mushure menguva yekupora kubva pakuvhiyiwa kana mushure mekupfeka brace kweinenge gore, kukombama kwegumbo kuchawedzera zvakanyanya .

Zvisinei, sezvambotaurwa, pane mukana mudiki wekuti chirwere ichi chidzoke zvakare, saka chiremba anokurudzira kuti utore mwana wako kuti anoongororwa nguva nenguva uye utarise kuti kurapwa kwacho kwabudirira here.

Inguvai yaunofanira kuona chiremba?

Kana ukaona zvinhu izvi nezvemwana wako, edza kuona chiremba:

• Kunyangwe mwana atanga kufamba, kana mushure memakore maviri , kukombama kwemakumbo hakutwasanuki ega.
• Kana mwana achirwadziwa pamwe chete nemakumbo akakombama.
• Mwana wacho anonetseka nekufamba.Kana zvichinzwika seizvi, kana kuti kana usingakwanise kuisa uremu pagumbo/makumbo ako.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Paunoenda kunoona chiremba, zvakanaka kubvunza mibvunzo yakaita seiyi:

• Mwana wangu achada kushandisa madondoro kwenguva yakareba sei mushure mekuvhiyiwa?
• Mwana wangu anogona kutamba mitambo ane chirwere ichi here?
• Kana achinetseka nekufamba, chiremba anokurudzira here kuti ashandise michina yekubatsira kufamba ?
• Kana mwana wangu achida kupfeka chifukidziro chekudzivirira pamuviri, anofanira kutanga kuchishandisa riini uye kwenguva yakareba sei?

Yeukai, zvakajairika kuti vacheche vave nemakumbo akakotama zvishoma, uye izvi zvinopera zvega kana vatanga kufamba kana kuti vava nemakore maviri. Zvisinei, kana ukaona kuti makumbo emwana wako haasi kutwasuka, kana kuti kukotama kuri kuwedzera kuipa, iva nechokwadi chekuona chiremba. Kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kudzivirira kukotama kuti kusanyanya kuipa uye kudzivirira matambudziko akadai searthritis.

Pakupedzisira, zvinhu zvishoma zvekurangarira

Saka, ndinovimba kuti wava kunzwisisa zviri nani chirwere cheBlount, chatataura nezvacho nhasi.

Chinhu chinonyanya kukosha ndechekusatya kana ukaona makumbo emwana akakotama, asi kuedza kunzwisisa kana zviri zvakajairika kana kuti chimwe chinhu chekunetseka nacho.

• Kukotama kwemuviri kwakajairika muvacheche vadiki uye kazhinji kunopera kwega pazera remakore maviri.
• Muchirwere chaBlount, kukotama kwegumbo kwakanyanya, hakugadzirisiki kwega, uye kunogona kuwedzera kuipa.
• Kana muine kusava nechokwadi, edzai kuona chiremba wevana kana chiremba wemapfupa .
• Kuongororwa kwechirwere nekukurumidza uye kurapwa ndiyo nzira yakanakisisa yekuona kuti mwana achava neutano hwakanaka mune ramangwana.

Hapana mufaro unopfuura kuona mwana wako ari mutano uye achifara. Saka, zvakakosha zvikuru kuziva zvinhu zvakadaro.

` Chirwere chaBlount, makumbo akakotama, mapfupa evana, tibia vara, makumbo akakotama, hutano hwevana, Chirwere chaBlount, mapundu ekukura, kukura kwemapfupa