Hudyu yemwana wako mudiki iri kurwadza here? Inogona kunge yakatsvedza Capital Femoral Epiphysis (SCFE)!

Mwana wenyu aimbomhanya-mhanya seshavishavi rinotamba, handiti? Asi iye zvino ava kuita seanokamhina zvishoma paanofamba, kana kuti chiuno chake chinorwadza, pamwe ibvi rake rinorwadzawo? Musatore zvinhu izvi se "chirwere chemuviri chete." Nekuti izvi zvinogona kunge zviri zviratidzo zvedambudziko rechiuno ratichataura nezvaro nhasi rinonzi Slipped Capital Femoral Epiphysis (SCFE) . Musazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.

Chii chaizvo chinonzi Slipped Capital Femoral Epiphysis (SCFE)?

Zvichitaurwa zviri nyore, ichi chirwere chinoitika kuvana vadiki, kunyanya panguva yekukura kwavo (yatinoti kuyaruka ). Pfupa rehudyu remwana wako (pfupa guru ratinoti ``femur''), rine chikamu chakaita sebhora pamusoro paro, parinopinda musokisi yehudyu. Izvi zvinonzi ``epiphysis''. Saka, muSCFE, chinoitika ndechekuti chikamu chakaita sebhora che``femur'' chinotsvedza zvishoma kubva pamutsipa we``femur''. Zvakaita sekuti ice cream cone iri pasokisi ye ice cream yakakotamiswa zvishoma kudivi rimwe chete. Painotsvedza seizvi, haikwane zvakanaka musokisi yehudyu, izvo zvinokonzera matambudziko kana mwana achifamba nekumhanya.

Zvino ungave uchishamisika kuti, "Sei izvi zvichiitika?" Vana vedu vanokura kubva pazera diki, panzvimbo yakakosha pamagumo emapfupa avo marefu (sepfupa rechidya). Izvi ndizvo zvatinodaidza kuti 'growth plate'. Funga nezvazvo sebazi remuti rinoramba richikura. Asi iyi '(growth plate)', mapfupa ari mumuviri wemwana asati aumbwa zvizere, ine magadzirirwo akapfava secartilage. Yakaita sejelly. Nekuda kwemagadzirirwo akapfava aya, dzimwe nguva '(epiphysis)', chikamu chakaita sebhora chepfupa rechidya, chinoedza kubva pa '(growth plate)'.

Chikamu chikuru che femoral epiphysis, chiri pamusoro pebhonzo remuhudyu, chinonyanya kutsvedza, sezvo nzvimbo iyi iriyo ine huremu hwakawanda hwemuviri wepamusoro wemwana. Saka, huremu hwemwana uye kukura nekukurumidza ndizvo zvinhu zviviri zvikuru zvinokanganisa chirwere ichi.

Dambudziko iri reSCFE rinogona kukonzera kuremara nekurwadziwa kubva muchiuno kusvika pabvi. Kazhinji, rinotanga zvishoma nezvishoma, pasina yambiro. Rinogona kutanga muchiuno chimwe chete rozopararira kune chimwe. Rinogona kuwedzera nekufamba kwenguva, uye mamwe matambudziko anogona kuitika. Saka, mwana achada kuvhiyiwa kuti izvi zvigadziriswe, uye zvakanaka kuzviita nekukurumidza.

Chii chinonzi 'Stable' uye 'Unstable' SCFE?

Vanachiremba vanopatsanura chirwere ichi cheSCFE mumhando mbiri: chakagadzikana uye chisina kugadzikana.

• SCFE Yakasimba: Vana vazhinji vane rudzi urwu. Runokura zvishoma nezvishoma. Muchiitiko ichi, mwana anogona kufamba achirema muhudyu, asi panogona kunge paine kurwadziwa.
• SCFE isina kugadzikana:Muchiitiko ichi, musoro wepfupa watsvedza zvakanyanya. Izvi zvinokonzera kurwadziwa kwakanyanya, uye haugone kufamba uchirema pahudyu. Kazhinji, inotsvedza zvakanyanya, sekunge mutsaona isingatarisirwi. Dambudziko iri re "SCFE" rinoda kurapwa nekukurumidza.

Ndezvipi zviratidzo zveSlipped Capital Femoral Epiphysis (SCFE)?

Zviratidzo zveSCFE zvinowanzoerekana zvaitika. Iwe nemwana wako mungasayeuka kuti zvakatanga riini chaizvo. Heano mamwe ezviratidzo zvaungaona iwe nemwana wako:

• Kurwadziwa muhudyu: Ichi ndicho chiratidzo chikuru.
• Kurwadziwa kwehudyu: Kurwadziwa kunogona kubva mukati mehudyu, muhudyu chaimo.
• Kurwadziwa kwegumbo: Dzimwe nguva kurwadziwa kunogona kupararira kubva muhudyu kusvika pabvi.
• Kurwadziwa kwebvi: Usashamisika, vamwe vana vanogona kunyunyuta nezvekurwadziwa kwebvi nekuda kwedambudziko rehudyu. Vanachiremba vanoti izvi "kurwadziwa kunotumirwa kune mumwe munhu".
• Kukamhina kana kufamba zvisina kujairika: Unogona kuita sewakakotama parutivi kana kukamhina paunenge uchifamba.
• Kunzwa kuomarara paunenge uchifamba uye kuchiwedzera: Unganzwa kuomarara muhudyu mako, sekunge kuri kuvharika mushure mekufamba kwenguva.
• Kuomerwa nekuisa huremu pagumbo rimwe chete.
• Kuomerwa nekumhanya, kusvetuka, uye kukotama muchiuno.
• Chiuno chimwe negumbo zvinoita sekunge zvakatariswa kunze.
• Gumbo rimwe rinoita seripfupi pane rimwe.

Fungidzira, mwana wako haachafariri kutamba cricket, kumhanya, kana kusvetuka sezvaaimboita. Paanenge achifamba zvishoma, anoti, "Amai/Baba, gumbo rangu rinorwadza." Kana kuti paanoenda kuchikoro, anoti, "Zvakaoma kukwira masitepisi." Kunyangwe zvinhu zvidiki zvakaita seizvi zvakakosha kufunga nezvazvo.

Ndezvipi zvinokonzera Slipped Capital Femoral Epiphysis (SCFE)?

Zvakaoma kuziva chikonzero chimwe chete chinokonzera SCFE. Sezvatakambokurukura, chikonzero chikuru kukura kwemapfupa achiri mudiki uye kusasimba kwe "growth plate." Zvisinei, kune zvimwe zvinhu zvakawanda zvinogona kukonzera izvi.

Zvinhu zvine simba guru:

• Kufuta kwevana: Vana vazhinji vadiki vane SCFE vane body mass index (BMI) iri pamusoro pe95th percentile yezera ravo. Izvi zvinoreva kuti vakafuta zvishoma.
• Kukura nekukurumidza: Chirwere ichi cheSCFE chinogona kuitika munguva pfupi yekukura nekukurumidza uye kukura kwemapfupa mumwana.
• Mahormone: Kuyaruka nekufutisa zvinogona kukanganisa huwandu hwemahormone emwana wako. Kuchinja kwemahormone uku kunokanganisa kukura kwemapfupa nesimba. Zvimwe zvirwere zve endocrine, kana kuti zvirwere zvine chekuita nema endocrine glands, zvinogonawo kubatanidzwa.

Zvimwe zvinhu zvinogona kukanganisa:

• Kukuvara:Kutsvedza uku kunogona kutanga kana kuwedzerwa nechimwe chinhu chakaita sekudonha kana kurohwa kwakasimba kwehudyu.
• Kusarongeka kwehudyu: Dzimwe nguva dambudziko rekuzvarwa naro muhudyu, senge hip dysplasia, rinogona kuwedzera kumanikidzwa pahudyu.
• Kukanganiswa kwemajini: Kana mumwe munhu mumhuri akambova neSCFE, njodzi yekuti mwana aibatwe nayo yakakwira zvishoma.

Muboka ripi rezera iro SCFE inonyanya kuwanikwa?

SCFE inowanzo tanga pakati pemakore gumi nerimwe negumi nematanhatu. Avhareji yezera rekutanga kwayo inowanzova makore gumi nemaviri. Inowanzo itika muvakomana, uye inowanzo itika gare gare muhupenyu. Kazhinji, SCFE haisi chirwere chinowanzoitika, asi ndiyo chirwere chehudyu chinowanzo itika kuvana vadiki. Inenge 0.01% yevana vadiki vanobatwa nechirwere ichi.

Ndezvipi zvinetso zvinogona kuitika neSlipped Capital Femoral Epiphysis?

Kana musoro wemukadzi ukatsvedza, kupararira kwehuremu hwemwana wako kunochinja paanofamba. Izvi zvinoisa kumanikidzwa pazvikamu zvehudyu zvisina kugadzirwa kuti zvireme. Izvi zvinogona kukuvadza zvishoma nezvishoma jointi. Matambudziko maviri makuru anogona kuitika ndeaya:

• Kubatwa kweFemoroacetabular: Izvi zvinoitika kana musoro wefemur (pfupa rechidya) usingakwane zvakanaka muchikamu (acetabulum) chejoini rehudyu, zvichiita kuti mapfupa maviri aya akwizane. Kukweshana uku kunogona kukonzera kurwadziwa kwakanyanya uye kukuvara kwekatsi iri mujoini rehudyu.
• Kubuda kweropa muhudyu: Kana kumanikidzwa kwemusoro wechiuno wehudyu yakatyoka kukakura zvakanyanya, ropa rinogona kuvharwa. Kana izvozvo zvikaitika, mapfupa anotanga kufa. Ichi chirwere chakakomba.

Vanachiremba vanoongorora sei chirwere cheSlipped Capital Femoral Epiphysis (SCFE)?

Kuongorora chirwere kunotanga nekunyatsoongorora hudyu yemwana. Chiremba achabvunza mwana nezvezviratidzo zvake uye ofambisa hudyu nenzira dzakasiyana kuti aone zviri kuitika. Zvadaro, vachatora X-rays kuti vaone kuti pane pfupa rakaita serinoputika. Dzimwe nguva, kana risingaonekwe zvakanaka paX-ray, MRI scan inogona kuiona.

Ndeipi nzira yakanakisisa yekurapa Slipped Capital Femoral Epiphysis (SCFE)?

Kuvhiyiwa ndiko kurapwa kweSCFE nguva dzose.Zvakakosha kuti musoro wakatsvedza udzoserwe panzvimbo yawo woudzikamisa. Kana ukasadaro, unogona kutsvedza zvakanyanya wokonzera matambudziko atakataura nezvawo kare. Kune nzira dzakawanda dzekuita izvi, zvichienderana nekuti SCFE yakagadzikana sei. Kune vana vazhinji vadiki, kuvhiyiwa kuri nyore kunosanganisira sikuruu diki imwe kana mbiri ndiko chete kunodiwa.

Nzira huru dzekuvhiya:

• Kugadziriswa kwenzvimbo: Uku ndiko kurapwa kwakajairika kweSCFE yakagadzikana. Izvi zvinosanganisira nzira isinganyanyi kupindira inonzi arthroscopy, iyo inosanganisira kuisa kamera nepaburi diki. Skuruu diki inoiswa kuti ibatisise musoro wepfupa kuti usatsvedzerere mberi.
• Kudzikiswa kwemuviri kwakavhurika uye kugadzika kwemukati: Kana paine SCFE isina kugadzikana, zvichireva kuti musoro wefemoral wanyura zvakanyanya, chiremba angangoda kuderedza musoro wefemoral nemaoko oudzorera panzvimbo yawo ougadzirisa. Izvi zvinoda kuvhiyiwa kwakakura zvishoma.

Mushure mekuvhiyiwa, mwana wako achafanira kuzorora uye kuita maekisesaizi ekuvandudza muviri kwemwedzi miviri kusvika mitatu . Pakutanga, achakwanisa kufamba asingaremeri chiuno uye kushandisa madondoro. Kana angokwanisa kushandisa chiuno asingarwadziwe, achafanira kuita maekisesaizi anopiwa nachiremba wezvemuviri kuti awane simba uye kuchinjika muchiuno.

Ko chirwere cheSCFE chinogona kupora chega here?

Izvozvo hazvigoneke. Dzimwe nguva, vanachiremba vakaona zviitiko apo chirwere chitsva cheSCFE chakangoerekana chapera, asi hazvigoneke. Pane zvinhu zvakawanda zvinogona kuchikanganisa. Pamwe, panguva yekuwedzera kwehurefu, pfupa rinogona kunge rapera simba uye ratsvedza, uye rinogona kunge rapora pacharo sezvo mapfupa matsva achikura. Asi kazhinji, paunozowana SCFE, nguva iyoyo inogona kunge yapfuura. Saka, zvakanaka kutsvaga kurapwa sezvakarairwa nachiremba wako.

Mamiriro ezvinhu akaita sei mushure mekurapwa kweSlipped Capital Femoral Epiphysis (SCFE)?

Kana chiremba akakurumidza kuongorora chirwere cheSCFE, mhedzisiro yacho inova nani. Kurapa chirwere cheSCFE chisina kukuvadzwa musoro wefemu usati wanyura zvakanyanya kunogona kudzivirira kukuvara kwenguva refu kwejoini rehudyu. Uyewo, kuvhiyiwa kuri nyore uye nguva yekupora ipfupi. Vana vazhinji vanopora zvizere.

SCFE isina kugadzikana haiwanzoitiki, uye inowanzobatanidzwa netsaona. Zvisinei, inobatanidzwa nenjodzi yakakura yezvinetso zvakaita sekumanikidzwa kwefemoroacetabular uye avascular necrosis. Matambudziko aya angada kuvhiyiwa kwakawanda - kunyangwe kuvhiyiwa kwekutsiva majoini kana joini yechiuno ikazvimba, senge arthritis.

Chirwere cheSlipped Capital Femoral Epiphysis chirwere chisingazivikanwe zvakanyanya. Chinogona kufuratirwa nevabereki nevamwe vanachiremba. Zvisinei, kana mwana wako mudiki achinyunyuta nezvekurwadziwa kwegumbo pasina chikonzero chakajeka, usangofungidzira kuti "gumbo rinorwadza." Mamwe mamiriro ezvinhu anoda kurapwa kuti apore uye arege kuipa.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, regai ndikubatsirei kurangarira zvimwe zvezvinhu zvakakosha kubva pane zvatataura nezvazvo:

• Kana mwana wako mudiki (kunyanya ari pakati pemakore 11-16) achigara achinyunyuta nezvekurwadziwa kwehudyu, chiuno, chidya, kana ibvi , kana kuti achiita seari kukamhina , usazviregeredza.
• Enda kuna chiremba nekukasika, kunyanya kana mwana wako akafuta zvishoma kana kuti akaratidza zviratidzo izvi panguva yekukura kamwe kamwe .
• SCFE chirwere chinogona kurapwa nekuvhiyiwa . Kurapwa kunotanga nekukurumidza, mhedzisiro yacho inova nani uye matambudziko acho anoderera.
• Zvakakosha kutsvaga rubatsiro rwechiremba wevanachiremba pane kungochengeta mwana kumba uchifunga kuti inyaya yekurwara chete. Izvi hazvisi "kurwadziwa kwekukura" kana kuti kurwadziwa kwemuviri chete.

Ndinoshuvira mwana wenyu kuti apore nekukurumidza! Ndinovimba ruzivo urwu ruchakubatsirai.

` SCFE, Slipped Capital Femoral Epiphysis, Kurwadziwa kwehudyu, Zvirwere zvevana vadiki, Kukamhina, Kukura kwemapfupa, Kuvhiyiwa