Ingaba umntwana wakho unemilenze egobileyo? Masifunde ngesifo sikaBlount!

BoMama nooTata, ngaba nikhe naqaphela ukuba xa umntwana wenu eqala ukuhamba, okanye xa ebaleka edlala, imilenze yakhe igoba ngaphakathi, njengonobumba "C"? Kuqhelekile ukuba iintsana zibe nemilenze egobileyo kancinci. Kodwa, akusoloko kusenzeka ngaloo ndlela. Ngamanye amaxesha, oku kungaba yimeko ebizwa ngokuba yiBlount's Disease , into ekufuneka ixhalatyelwe. Ngoko ke namhlanje, siza kuthetha ngayo ngokweenkcukacha, ngokungathi umhlobo wakho ukuxelele ngayo.

Yintoni kanye kanye iBlount's Disease?

Ngamafutshane, isifo sikaBlount sisifo esichaphazela ukukhula kwe-tibia , ithambo elingqindilili elingaphantsi kwedolo, ebantwaneni. Sikwabizwa ngokuba yi -tibia vara . Eziphelweni zamathambo ethu kukho iindawo ezikhethekileyo ezibizwa ngokuba zii-growth plates . Ezo plates zezona zibangela ukuba amathambo ethu akhule, kwaye sikhula sibe bade. Kwisifo sikaBlount, i-growth plate engaphakathi kwe-tibia ayikhuli kakuhle. Emva koko umlenze uqala ukugoba ngaphakathi uze ugobe.

Kuqhelekile ukuba iintsana ezincinci, ingakumbi ezineminyaka engaphantsi konyaka ubudala, zibe nemilenze egobileyo kancinci (siyibiza ngokuba "yimilenze yebhola"). Xa ziqala ukuhamba, oku kugoba kuyanyamalala kancinci kwaye imilenze yazo iqonde xa zineminyaka emibini ubudala. Nangona kunjalo, umntwana onesifo sikaBlount akaphulukani nokugoba emilenzeni yakhe. Kunokuba sobala ngakumbi njengoko umntwana ekhula.

Yintoni umahluko phakathi kokugoba okuqhelekileyo kwemilenze nesifo sikaBlount?

Nangona ezi zimbini zisenokubonakala zifana xa uzijonga ekuqaleni, kukho umahluko omkhulu.

• Ukugoba ngokwemizimba: Oku kuqhelekile kakhulu kwiintsana ezincinci. Xa ziqala ukuhamba, zihlala zimalunga neminyaka emibini ubudala, oku kugoba kwemilenze kuya kuzihambela ngokwako . Oku akudingi nyango lukhethekileyo.
• Isifo sikaBlount: Esi sisifo apho umlenze ongaphantsi kwedolo ugoba ngaphakathi . Oku kugoba kuyabonakala kakhulu. Oku akuphucuki ngokwako njengoko umntwana ekhula, kwaye kunokuba kubi ngakumbi .

Ngoku uyawuqonda umahluko, akunjalo? Akukho mfuneko yokoyika imilenze yomntwana omncinci egobileyo. Kodwa ukuba iyaqhubeka, okanye ibonakala isiya isiba mandundu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ngubani onokuba nesifo sikaBlount? Ngubani osengozini enkulu?

Nangona nawuphi na umntwana enokuba nesifo sikaBlount, abanye abantu basengozini enkulu.

• Ubudala: Iimpawu zihlala zibonakala kubantwana abangaphezu konyaka omnye ubudala, ngokuqhelekileyo phakathi kweminyaka eli-1 neli-3 ubudala. Oku kubizwa ngokuba yiBlount's yasekuqaleni . Ngamanye amaxesha, esi sifo sinokubonakala ebusheni okanye nasemva kwexesha ebomini. Oku kubizwa ngokuba yiBlount's yasekupheleni kwexesha .
• Ubunzima bomzimba: Abantwana abatyebe kakhulu , okanye abatyeba ngokukhawuleza, basengozini enkulu yokuhlaselwa sesi sifo.
• Ukuhamba kwangethuba kakhulu: Ezinye izifundo zifumanise ukuba abantwana abaqala ukuhamba ngaphambi kweenyanga ezili-12 nabo basengozini.

Kodwa khumbula, isifo sikaBlount sisifo esingaqhelekanga . Kuthiwa sichaphazela ngaphantsi kwe-1% yabemi.

Isifo sikaBlount siwuchaphazela njani umzimba womntwana?

Le meko ibangela ukuba ithambo lomntwana elisezantsi (i-tibia) lingakhuli kakuhle, nto leyo ebangela ukuba umlenze ugobe ngaphakathi. Endaweni yokuba iinzwane zijonge phambili, zijika zingene ngaphakathi. Umlenze ujika ube yigophe njengonobumba "C".

Ukuba oku akuphathwanga kakuhle, imeko inokuba mandundu.

• Ukugoba komlenze kunokwanda, nto leyo enokwenza kube nzima ukuhamba .
• Kunokuba nzima ukwenza izinto ezinje ngokudlala nokuzilolonga eziquka ukusebenzisa imilenze yakho.
• Ukonakala kwemithambo-luvo kunokwenzeka emilenzeni.
• Iimeko ezifana ne -arthritis edolweni zinokubangela iintlungu.

Khawucinge nje, umntwana wakho omncinci uthanda ukubaleka nokutsiba nokudlala, kodwa lo mahluko kwimilenze yakhe uyamthintela ekwenzeni oko ngokukhululekileyo. Kubuhlungu kangakanani oko? Yiyo loo nto kubalulekile ukuqaphela oku kwaye uthathe inyathelo ngokukhawuleza.

Zithini iimpawu zesifo sikaBlount?

Uphawu oluphambili kukugoba komlenze ngaphantsi kwedolo . Ezinye iimpawu ziquka:

• Umlenze ubonakala ngathi ugobile ngaphakathi njengonobumba "C".
• Olu gobo lunokuba kumlenze omnye kuphela okanye kwimilenze yomibini.
• Iinzwane neenyawo zemilenze zijongiswe ngaphakathi endaweni yokujonga ngqo phambili.

Abantwana abancinci abaqhelekanga ukuziva iintlungu ngenxa yalo mlenze ugobileyo. Nangona kunjalo, ulutsha lunokuba neentlungu zamadolo . Ezi ntlungu zinokwanda, ingakumbi xa udlala, ubaleka, okanye utsiba.

Ukuba isifo siba sibi kakhulu, iimpawu ezifana nezi:

• I-arthritis yedolo
• Ubunzima bokuhamba
• Umonakalo wamalungu kunye nemithambo-luvo

Yintoni ebangela isifo sikaBlount? Ingaba sisifo sofuzo?

Unobangela ochanekileyo wesifo sikaBlount awukafunyanwa .

Nangona kunjalo, ezinye izifundo zibonisa ukuba, njengoko bekutshiwo ngaphambili, le ngozi iphezulu kubantwana abaqala ukuhamba ngaphambi kweenyanga ezili-12 nakwabo batyeba ngokukhawuleza besebancinci.

Ezinye izifundo zibonisa ukuba isenokuba yimfuza . Oko kukuthi, ngamanye amaxesha iba yimfuza.Kukho ithuba lokuba kukho into engalunganga. Ingxaki apha kukuba ii-growth plates ezingaphakathi kwi-femur azikhuli kakuhle. I-gene ezuzwe kubazali bomntu inokubangela isiphene kwezi-growth plates.

Ugqirha uyazi njani ngokuqinisekileyo ukuba esi sisifo sikaBlount?

Ukuba kurhanelwa ukuba imilenze yomntwana wakho igobile, ugqirha uya kuqala enze uvavanyo olucokisekileyo lomzimba . Emva koko, baya kuyalela i-X-ray yemilenze yomntwana. Le X-ray idla ngokuthathwa ukusuka eqatheni ukuya esinqeni.

Ngokusebenzisa imifanekiso ye-X-ray, ugqirha unokufumanisa ngqo indlela amathambo omntwana akhula ngayo kunye nento ebangela ukuba umlenze ugobe ngaphakathi.

Le meko idla ngokufunyaniswa emva kokuba umntwana eneminyaka emibini ubudala . Oku kungenxa yokuba, njengoko bekutshiwo ngaphambili, ukugoba kwemilenze okuqhelekileyo kuyinto eqhelekileyo xa sele ekhulile. Ukuba ukugoba kwemilenze kusabonakala emva kweminyaka emibini, ugqirha uya kurhanela isifo sikaBlount aze enze uvavanyo lokuqinisekisa oko.

Ziziphi iindlela zonyango zesifo sikaBlount?

Unyango lwesifo sikaBlount alufani kuwo wonke umntu. Luyahluka ngokuxhomekeke kubudala bomntwana kunye nobunzima besifo . Kukho iindlela ezimbini eziphambili zonyango.

1. Ukunxiba i-brace

Oku kuquka ukunxiba i-brace ekhethekileyo, okanye i-brace , eqala ethangeni lomntwana ukuya ezinyaweni. Oku kudla ngokwenziwa kubantwana abangaphantsi kweminyaka emithathu ubudala . Le brace ayisoloko ifuneka ukuba inxitywe imini yonke, kodwa oogqirha bacebisa ukuba inxitywe ebusuku kuphela xa ulele malunga nonyaka . Oku kuyawulungisa umlenze kancinci kancinci.

2. Ukuba notyando

Ngamanye amaxesha, ingakumbi ukuba umntwana uneminyaka engaphezu kwemine ubudala okanye ukuba umlenze awuhambi kakuhle nokuba sele enxibe i-brace, ugqirha unokucebisa ukuba kwenziwe utyando .

Olu tyando lubizwa ngokuba yi-osteotomy . Ngamafutshane, lubandakanya ukusika ithambo, ukulilungisa, nokulilungisa. Kukho iindlela ezahlukeneyo ezisetyenziswayo koku:

• Ukulungisa ithambo ngee -staples okanye ii-pins .
• Ukusebenzisa indlela ebizwa ngokuba yi -tension band plating .
• Ukolula umlenze ngokususa iqhekeza lethambo kwithambo lesifuba elonakeleyo (tibia) okanye ukongeza iqhekeza lethambo elitsha .

Nangona olu tyando lusenokubonakala ngathi luyinto enkulu, lunokuba lubaluleke kakhulu kwikamva lomntwana kunye nokulungisa umlenze ngendlela efanelekileyo.

Indlela yokunyamekela umntwana emva kotyando?

Kubaluleke kakhulu ukunyamekela umntwana wakho emva kotyando.

• Gcina inxeba licocekile: Kufuneka usoloko uhlola indawo yotyando ukuba ayinaso isifo na . Coca inxeba uze ulisebenzise amayeza njengoko ugqirha wakho eyalele.
• Musa ukutyeba emlenzeni: Akuyongcinga ilungileyo ukutyeba emlenzeni oye wenziwa utyando kangangeeveki ezi-6 ukuya kwezi-8 . Ukuba utyeba kuwo, ithambo lisenokungaphili kakuhle kwaye lisenokuphuma kwakhona. Ugqirha wakho uza kukuxelela ukuba kufuneka usebenzise ixesha elingakanani iintonga.

Ngaba ikho indlela yokuthintela ukuba esi sifo singabikho?

Ngelishwa, akukho ndlela icacileyo yokuthintela isifo sikaBlount.

Nangona kunjalo, kukho izinto ezimbalwa onokuzenza ukunceda amathambo omntwana wakho akhule esempilweni kwaye eqinile:

• Yitya ukutya okunesondlo esifanelekileyo.
• Ukwenza umntwana aqhelise rhoqo .
• Ukuba kuyimfuneko, nika i-vitamin D okanye i-calcium njengoko kuyalelwe ngugqirha.
• Ukugcina ubunzima obusempilweni bufanele iminyaka yomntwana.

Khumbula, ngaphambi kokuba umntwana wakho anike iivithamini okanye ezinye izongezo zesondlo, ngokuqinisekileyo kufuneka ubonane nogqirha ukuqinisekisa ukuba zikhuselekile.

Yintoni endinokuyilindela ukuba umntwana wam unesifo sikaBlount?

Uqikelelo lomntwana onesifo sikaBlount luxhomekeke kubudala bomntwana xa exilongwa kunye nobunzima besifo .

• Abantwana abangaphantsi kweminyaka emine ubudala banokulindela ukuchacha okuhle kakhulu ukuba isifo sichongiwe kwangethuba kwaye unyango luqala.
• Nangona kunjalo, ukuba isifo sifunyenwe emva kwexesha okanye asinyangwanga kakuhle, ukugoba komlenze kunokuba mandundu, kubangele umonakalo omkhulu wamalungu kwaye kube nzima ukuhamba .

Emva konyango, kukho ithuba elincinci lokuba imilenze egobileyo ibuyele ebantwaneni abancinci nakubantu abadala. Nangona kunjalo, ukuba isifo sifunyenwe kwaye sinyangwa kwangethuba, umngcipheko uphantsi kakhulu.

Isifo sikaBlount sihlala ixesha elingakanani?

Ukuba esi sifo asinyangwa, sinokuhlala ubomi bonke kwaye sinokuba mandundu njengoko umntwana ekhula.

Emva konyango, kuxhomekeke kubukhali bemeko yomntwana, nokuba emva kwexesha lokuchacha emva kotyando okanye emva kokunxiba i-brace malunga nonyaka, ukugoba komlenze kuya kuphucuka kakhulu .

Nangona kunjalo, njengoko bekutshiwo ngaphambili, kukho umngcipheko omncinci wokuphinda kwenzeke isifo, ngoko ke ugqirha ucebisa ukuba umse umntwana wakho rhoqo ukuze ahlolwe kwaye ajonge ukuba unyango luphumelele na.

Linini ixesha ekufuneka ubone ugqirha ngalo?

Ukuba ubona ezi zinto ngomntwana wakho, qiniseka ukuba ubona ugqirha:

• Kwanasemva kokuba umntwana eqale ukuhamba, okanye emva kweminyaka emibini , ukugoba kwemilenze akuzilungisi ngokwako.
• Ukuba umntwana unentlungu kunye nemilenze egobileyo.
• Umntwana unengxaki yokuhamba.Ukuba kuvakala ngathi, okanye ukuba awukwazi ukufaka ubunzima emlenzeni/emilenzeni yakho.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Umntwana wam uza kufuna ukusebenzisa iintonga ixesha elingakanani emva kotyando?
• Ngaba umntwana wam angadlala imidlalo enale meko?
• Ukuba unengxaki yokuhamba, ngaba ugqirha umcebisa ukuba asebenzise izixhobo zokuncedisa ukuhamba ?
• Ukuba umntwana wam kufuneka anxibe i-brace, kufuneka aqale nini ukuyinxiba kwaye ixesha elingakanani?

Khumbula, kuqhelekile ukuba iintsana zibe nemilenze egobileyo kancinci, kwaye oku kuya kuphela xa ziqala ukuhamba okanye zimalunga neminyaka emibini ubudala. Nangona kunjalo, ukuba uqaphela ukuba imilenze yomntwana wakho ayilungi, okanye ukuba ukugoba kuya kuba mandundu, qiniseka ukuba ubona ugqirha. Ukuxilongwa kwangoko kunye nonyango kunokunceda ukuyeka ukugoba ukuba mandundu kwaye kuthintele iingxaki ezifana ne-arthritis.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono iBlount's Disease, esithethe ngayo namhlanje.

Eyona nto ibalulekileyo kukungabi naxhala xa ubona imilenze yomntwana igobile, kodwa kukuzama ukuqonda ukuba ingaba yinto eqhelekileyo okanye yinto ekufuneka ixhalatyelwe.

• Ukugoba komzimba kuqhelekile kwiintsana ezincinci kwaye kudla ngokuziphelela xa zineminyaka emi-2 ubudala.
• Kwisifo sikaBlount, ukugoba komlenze kuba nzima, akuphucuki ngokwako, kwaye kunokuba mandundu ngakumbi.
• Ukuba unamathandabuzo, ngokuqinisekileyo bonana nogqirha wabantwana okanye ugqirha wamathambo .
• Ukuxilongwa kwangoko kunye nonyango yeyona ndlela ilungileyo yokuqinisekisa impilo-ntle yomntwana kwixesha elizayo.

Akukho vuyo lungaphezu kokubona umntwana wakho ephilile kwaye onwabile. Ngoko ke, kubaluleke kakhulu ukuqaphela izinto ezinjalo.

Isifo sikaBlount , imilenze egobileyo, amathambo abantwana, i-tibia vara, imilenze egobileyo, impilo yabantwana, Isifo sikaBlount, iipleyiti zokukhula, ukukhula kwamathambo