Mwana wenyu ari kurwadziwa nemabvi here? Zvingava here kuti chirwere ichi chinonzi Sinding-Larsen-Johansson Syndrome?

Mwana wako anoda kutamba mitambo here? Zvinoita sekuti haambofi awana zuva rekuzorora rekumhanya, kusvetuka, uye kutamba here? Kana mwana akadaro achishanda akangoerekana arwadziwa nemabvi, zvakajairika kuti iwe semubereki unzwe kutya kukuru. Kunyanya kana kuri kurwadziwa kwepazasi pebvi, kungave kuri chirwere chinonzi Sinding-Larsen-Johansson Syndrome , chatiri kutaura nezvacho nhasi. Usazvidya moyo, ngatitaurei nezvazvo zvakadzama.

Chii chinonzi Sinding-Larsen-Johansson Syndrome?

Zvichitaurwa zviri nyore, Sinding-Larsson-Johansson syndrome (SLJ) chirwere apo chivharo chebvi remwana wako (patella) chiri nyama yakaoma inonzi patellar tendon inobatanidza chivharo chebvi nefupa remusana (tibia). Dambudziko rinowanzoitika apo chivharo ichi chinonamatira pasi pechivharo chebvi. Ichi chirwere chinonziwo osteochondritis , chinova dambudziko rinowanikwa mumapfupa evana ari kukura.

Funga nezvazvo, mapfupa emwana wako achiri kukura. Kunyanya mumajoini akaita sebvi, kune zvikamu zvinonzi "growth plates." Izvi ndizvo zvinobatsira kukura kwemapfupa. MuSLJ, chinoitika ndechekuti growth plate, iri pamucheto wepasi wepatella, inokuvara.

Dambudziko iri rinowanzoonekwa muvana vari pakati pemakore gumi nemana vanotamba mitambo kana kuti vanoshingaira zvakanyanya. Izvi zvinokonzerwa nekuti miviri yevana inokura nekukurumidza pazera iri, uye vanobatanidzwawo mumitambo.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Chikonzero chikuru cheizvi kushandiswa zvakanyanya kwebvi . Funga nezve tendon yepatellar sebhandi rerabha. Inobata chivharo chebvi nepfupa remusana pamwe chete uye inovabatsira kufamba zvakanaka. Vana pavanomhanya, kusvetuka, kana kukava (semuenzaniso, pavanenge vachitamba nhabvu), tsandanyama huru dziri pamberi pezvidya zvavo (tsandanyama dzequadriceps) dzinoshanda. Kana tsandanyama idzi dzakabatana, simba guru rinodhonzwa pachivharo chebvi kuburikidza ne tendon yepatellar.

Kana kudhonzwa uku kukaramba kuchienderera mberi, kuchidzokororwa, uye kuchidzokororwa , kunogona kukonzera microtraumas apo tendon inonamatira pabvi. Maronda madiki aya anoungana uye pakupedzisira anozotungamira kuSLJ.

Semuenzaniso, fungidzira kuti mwanasikana wako ari muchikwata chebhora renhabvu rechikoro. Anodzidzira kwemaawa akawanda zuva nezuva, achisvetuka nekumhanya, nekuti kune mutambo uri kuuya. Kana kuti mwanakomana wako anotamba cricket, anomhanya nekukurumidza uye anobowla, uye anoisa huremu pamabvi ake paanorova bhora. Mhando idzi dzemitambo dzinogona kukonzera SLJ.

Kazhinji, SLJ inogona kukonzerwa nezvinhu zvakaita se:

• Kumhanya kazhinji.
• Kusvetuka-svetuka kakawanda.
• Mitambo yekukakavara (senge nhabvu, karate).
• Chero chiito chipi zvacho chinoramba chichishandisa simba rakawanda pamakumbo nemabvi.

Ndeupi musiyano uripo pakati pechirwere cheSLJ nechirwere cheOsgood-Schlatter?

Ungave wakambonzwawo nezvechirwere cheOsgood-Schlatter. Zviviri izvi zvakafanana zvikuru. Zvose zvinokonzerwa nekukuvara kwetsinga yepatellar muvana vari kukura vari kushanda. Zvinokonzera, zviratidzo, uye kunyange marapirwo akafanana zvikuru.

Musiyano mukuru ndepapi pakakuvara tendon.

• MuSinding-Larsson-Johansson syndrome (SLJ), kukuvara kunoitika pamusoro petendon, ndiko kuti, panotangira tendon pabvi (patella).
• Muchirwere cheOsgood-Schlatter, kukuvara kunoitika kuchikamu chezasi chetendon, ndiko kuti, apo tendon inonamatira papfupa reshin (tibia).

Zvinogona kuoma kuona musiyano pakati pezviviri izvi. Mashoko akanaka ndeekuti zvose zvinorapwa nemishonga yekuzorora uye yekudzivirira kuzvimba, saka kurapwa kwacho kwakafanana zvikuru. Chiremba wako achaongorora mwana wako uye achakuudza kana ari SLJ kana kuti Osgood-Schlatter.

Ndiani ane mukana mukuru wekukura izvi?

Sezvatakambotaura, chirwere cheSLJ chinowanzoonekwa muvana vari pakati pemakore gumi nemana , kunyanya avo vanoita zvemitambo. Pane chikonzero chezera iri. Apa ndipo panosvika nguva yekukura kwevana. Kana mapfupa, tsandanyama, uye tsinga zvese zvichichinja nekukurumidza panguva imwe chete, majoini akaita semabvi anogona kumanikidzwa zvakanyanya.

Dzimwe ongororo dzakaratidza kuti vana vane cerebral palsy vane mukana wakakura wekuva neSLJ.

Zvinoitikawo kuvanhu vakuru here?

Chirwere cheSLJ hachiwanzoitiki muvanhu vakuru. Kutaura zvazviri, kana uine makore anopfuura gumi nemashanu uye uine zviratidzo izvi, zvingangove chimwe chirwere, chakadai se "Jumper's Knee" (patellar tendinopathy). Kune zvimwe zvikonzero zvakawanda zvekurwadziwa kwemabvi muvanhu vakuru. Saka, kana uine kurwadziwa kutsva, kunyanya mushure mekuita mabasa emuviri akaoma, zvakanaka kuona chiremba.

Mamiriro ezvinhu aya akajairika zvakadii?

SLJ chirwere chinowanzoitika , uye ndicho chikonzero chinowanzoita kuti mabvi arwadziwe, kunyanya pakati pevana vadiki vanoshanda.

Izvi zvinokanganisa sei muviri wemwana?

Izvi zvinogona kurwadza mwana zvikuru. Zvisinei , SLJ haina migumisiro yenguva refu pahutano hwemwana kana kumudzivisa kuita mabasa aanofarira . Mwana anofanira kuzorora uye kudzivisa mutambo kana chiitiko chakakonzera chirwere ichi kusvika tendon yapora, izvo zvinogona kutora mavhiki akati wandei kusvika kumwedzi yakati wandei. Zvisinei, kana aporeswa, anogona kudzokera kumabasa ake enguva dzose pasina migumisiro yenguva refu.

Ndezvipi zviratidzo zveizvi?

Zviratidzo zvikuru zveSinding-Larsson-Johansson syndrome ndeizvi:

• Kurwadziwa kwakanyanya pasi pebvi remwana, pamusoro pegumbo remwana. Ichi ndicho chiratidzo chikuru.
• Kuzvimba.
• Kunyorova kwakakomberedza ibvi.
• Zvinova zvakaoma kupfugama ibvi zvakanaka.

Kana mwana wako ari kusangana nezviratidzo izvi, kunyanya kana ari mutambi wemitambo, unofanira kufunga nezveSLJ.

Chiremba anoongorora sei izvi?

Kana mukaenda nemwana wenyu kuna chiremba, iye achatanga aongorora ibvi nechiuno chemwana. Achabvunza mibvunzo yakaita sekuti kurwadziwa kwakatanga riini uye kuti kuri kuwedzera sei.

Pamusoro pezvo, mimwe miedzo yekufungidzira inogona kuitwa kuti isimbise mamiriro eSLJ uye kuti ione kana paine mamwe maronda (akadai sekutyoka).

Miedzo iyi chii?

• X-ray: X-ray inogona kushandiswa kutarisa kana paine mapfupa akatyoka pabvi, tibia, kana mamwe mapfupa. Inogonawo kutarisa kana paine mapfupa akatyoka, ayo anowanzoonekwa pakati pevatambi.
• MRI (Magnetic Resonance Imaging): MRI inogona kupa mufananidzo wakakwana webvi nenzvimbo yakapoteredza. Inogonawo kutarisa kana patellar tendon yakakora nekuda kwekukuvara.
• Ultrasound: Kuongororwa kwe ultrasound kunogona kutarisa kuti ropa rinoyerera sei mutsandanyama nenyama dzinobatana dzakatenderedza ibvi.

Mushure mekuongororwa uku, chiremba achakwanisa kuziva zvechokwadi kana mwana wako aine chirwere cheSLJ kana chimwe chinhu.

SLJ inorapwa sei?

Mushonga mukuru uye wakanakisa weSinding-Larsson-Johansson syndrome kuzorora nekutambanudza tsandanyama dzemakumbo dziri pamberi pechidya . Kusvikira tendon yemwana yapora, anofanira kurega kutamba mutambo kana mitambo yakakonzera kukuvara.

Vana vazhinji vachafanira kusaita mitambo kwemavhiki mashoma kusvika kumwedzi mishoma. Nguva inotarisirwa inoenderana nekuoma kwekukuvara panguva yekukuvara. Mwana paanopora, anogona kukwanisa kuita zvimwe zvinhu zvinoderedza kushushikana pamabvi (sekushambira) panzvimbo pemutambo waaitamba.

Heano mamwe maitiro aungaita kuderedza marwadzo nekuzvimba munguva pfupi:

• Kuisa chando: Isa chando chakaputirwa nejira panzvimbo inorwadza yebvi rako kwemaminitsi gumi nemashanu kusvika makumi maviri kakawanda pazuva.
• Mishonga inouraya marwadzo: Kana wapihwa mazano nachiremba, unogona kutora mishonga yeNSAIDs (Non-Steroidal Anti-Inflammatory Drugs) yakaita seibuprofen. Iyi mishonga inoderedza marwadzo nekuzvimba.

Zvakakosha:Gara uchitaura nachiremba wemwana wako usati watanga, warega, kana kuchinja mushonga. Usape mwana wako mishonga yeNSAID kwemazuva anopfuura gumi usina mvumo yachiremba wako.

Kuvhiyiwa kuchadiwa here?

Kashoma kuti mwana ade kuvhiyiwa kuti arapwe chirwere cheSinding-Larsson-Johansson. Kunyangwe muzviitiko zvakakomba, vanachiremba vanowanzo kurudzira mamwe marapirwo asinganyanyi kupindira mumuviri, akadai sekurapa nemuviri, vasati vaudza mwana kana munhu wechidiki kuti avhiyiwe.

Dzimwe nguva, vanhu vakuru vanoonekwa vaine SLJ vangangoda kuongororwa mabvi kuti vagadzirise tendon yavo yepatellar.

Ko NSAIDs dzine migumisiro yakaipa here?

Ehe, mishonga yeNSAID inogona kukonzera mamwe matambudziko. Ndosaka ichifanira kushandiswa chete sezvakarairwa nachiremba wako. Mimwe yemigumisiro yacho inosanganisira:

• Kubuda ropa.
• Maronda emudumbu.
• Kurwadziwa kwemudumbu.
• Matambudziko ekugaya chikafu.

Mwana anonzwa zviri nani nekukurumidza sei mushure mekurapwa?

Pakutora mishonga yeNSAIDs, kurwadziwa kunowanzo derera uye mwana anotanga kunzwa zviri nani mukati meinenge awa imwe chete. Ndizvo zvimwe chetewo nechando.

Zvisinei, kunyaradza marwadzo uku hazvirevi kuti tendon yemwana yapora zvachose . Zorora uye usaite zvakakonzera chirwere cheSLJ ndizvo zvinonyanya kukosha pakurapwa kwemwana.

Tevedzera mirairo yachiremba nemazvo. Zvichienderana nemamiriro emwana wako, chiremba achakuudza kuti zvinotora nguva yakareba sei kuti apore.

Ndingaderedza sei njodzi yekuti mwana wangu awane chirwere cheSLJ?

Unogona kubatsira kudzivirira kuti tendon yemwana wako isakuvara pakutanga. Imwe yenzira dzakanakisisa dzekuita izvi ndeyekupa mwana wako zororo rakakwana uye nguva yekupora pakati pemwaka yemitambo.

Vana vakawanda nevechidiki vari kuonekwa vaine chirwere cheSLJ kupfuura kare. Chikonzero chikuru cheizvi ndechekuti vanodzidzisa kana kutamba mutambo mumwe chete gore rose (vachinyanya kutamba mutambo mumwe chete) . Kana vana vazhinji vachiedza kuita mutambo mumwe chete kana chimwe chiitiko, miviri yavo haiwani nguva yakakwana yekuzorora nekupora. Kuti vazvidzivirire kubva kuSLJ chete, asi kune mamwe matambudziko ese, zvakanaka kudzivirira vana kuti vasanyanya kuita mutambo mumwe chete kusvika vava kusvika pazera remakore ekuyaruka.

Chii chaunofanira kuita kuti ugare wakachengeteka kubva kuSLJ?

Nzira yakanakisisa yekudzivirira chirwere cheSinding-Larsson-Johansson ndeyekutambanudza tsandanyama dzemakumbo emwana wako nguva nenguva . Makumbo emwana wako paanochinjika, anoderedza kushushikana kwaanoita pamitsipa yake.

Kazhinji, zvakanaka kutevera matanho aya kuderedza kumanikidzwa kwetendon yepatellar:

• Kutambanudza muviri usati watamba mitambo uye wapedza.
• Kuzorora uye kuzorora.
• "Kutamba nekurwadziwa" haisi pfungwa yakanaka! Kana uchinzwa kurwadziwa, unofanira kumira wozorora.

Chii chaunotarisira kana mwana wako aine chirwere cheSLJ?

Kana mwana wako akaonekwa aine chirwere cheSLJ, tarisira kuti asaite mitambo kana kuita mabasa emuviri anorema kwenguva yakati . SLJ chirwere chenguva pfupi, asi zvinotora nguva kuti tendon ipore.

Izvi zvichagara kwenguva yakareba sei?

Kuti chirwere cheSinding-Larsson-Johansson chinotora nguva yakareba sei zvichienderana nekuoma kwekukuvara kwekutanga kwetsinga yemwana. Marwadzo nekuzvimba zvinogona kuderera mukati memazuva mashoma kana mavhiki. Zvisinei, vana vangangoda kusaita mitambo kwemwedzi yakati wandei kudzivirira kukuvara kwenguva refu kwebvi.

Mwana anogona kuenda kuchikoro here?

Mwana wako haafanire kurega kuenda kuchikoro paanenge achipora kubva kuSLJ. Kuti usaise kumanikidzwa pabvi kusvika raparara, bvunza chiremba wemwana wako kana achida kuzorora kubva muzvidzidzo zvekurovedza muviri (PE/PT) .

Chii chiri kutarisira mamiriro ezvinhu aya?

Chirwere cheSinding-Larsson-Johansson chirwere chenguva pfupi . Zvisinei, zvinogona kuoma kuti vana varege kutamba mutambo wavanoda kwenguva yakati. Iva nechokwadi chekuti mwana wako anonzwisisa zvaanofanira kuita kuti abatsire muviri wake kuzorora, kupora, uye kupora, uye kuti nei achifanira kugara kure nemutambo kana chiitiko chakakonzera chirwere chake cheSLJ kwenguva yakati.

Unofanira kuona chiremba rini?

Kana mwana wako aine kurwadziwa kutsva kwebvi, kunyanya kana kuchiperekedzwa nekuzvimba, enda kuna chiremba nekukasika . Chiremba anogona kukubatsira kuona chiri kukonzera kurwadziwa kwemwana wako, kungava SLJ kana chimwe chinhu chakakomba, sekutyoka.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Paunoenda kuna chiremba nemwana wako, usakanganwa kubvunza mibvunzo iyi:

• Ndezvipi bvunzo dzinofanira kuitwa nemwana wangu?
• Mwana anofanira kurega kutamba kwenguva yakareba sei?
• Ichi chirwere cheSinding-Larsson-Johansson kana kuti chirwere cheOsgood-Schlatter here?
• Ndezvipi zvimwe zvinhu zvinogona kubatsira kudzivirira Sinding-Larsson-Johansson syndrome mune ramangwana?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti mubereki anzwe kutya kana mwana achirwadziwa. Kunyanya kana zvichisanganisira kukuvara kwemajoini, pane kunetseka nezvemigumisiro yenguva refu.

Mashoko akanaka ndeekuti Sinding-Larsen-Johansson Syndrome chirwere chenguva pfupi chisingazokanganisi mabvi emwana mune ramangwana.

Kunyangwe mwana wako akapotsa mwaka wemutambo waanofarira, iva nechokwadi chekuti unokosha nekuti chikamu chekupora kwake. Nekuzorora zvakakwana uye kutevedzera mirairo yachiremba wako, mwana wako achapora nekukurumidza uye otangazve kuita zvinhu zvaanoda!

` Sinding-Larsen-Johansson Syndrome, kurwadziwa kwemabvi, matambudziko emabvi evana, kukuvara kwemitambo, patellar tendon, herniated disc, Osgood-Schlatter