Akukho nto intsha ukuba umntwana wakho awe ngelixa edlala, okanye enzekalise ingalo okanye umlenze ngelixa ebaleka. Ngokwesiqhelo, sicinga ngayo njengokukrweleka okuncinci okanye ukukrweleka, kodwa ngamanye amaxesha kunokuba yinto enzulu ngakumbi. Amathambo abantwana, ngakumbi, anendawo ebuthathaka echaphazela ukukhula kwawo. Oku sikubiza ngokuba 'yi-growth plate' . Namhlanje, sithetha ngomonakalo kule ndawo, oko kukuthi, ukwaphuka kwethambo. Oku kwaziwa ngokwezonyango njengeSalter -Harris Fracture .
Yintoni ipleyiti yokukhula?
Ngamafutshane, ipleyiti yokukhula yindawo ekhethekileyo eyenziwe nge-cartilage eziphelweni zamathambo amade omntwana (njengalawo asezingalweni nasemilenzeni). Cinga ngayo njengesebe lomthi elikhula. Le ndawo kulapho amathambo omntwana akhula khona kancinci kancinci aze akhule abe nobukhulu kunye nemilo echanekileyo. Xa ukukhula komntwana kugqityiwe, oko kukuthi, xa efikelela ebusheni, le cartilage iyaqina kancinci kancinci ize ibe yithambo eliqhelekileyo.
Ezi plate zokukhula zibonakala kakhulu kwezi:
- Kwithambo lengalo engentla
- Amathambo amabini engalweni engezantsi (i-radius kunye ne-ulna)
- Emathanjeni esandla
- Kwithambo lethanga
Ekubeni le ndawo ibaluleke kakhulu ekukhuleni komntwana, ngokuqinisekileyo simele sixhalabele nawuphi na umonakalo owenzeka kule ndawo.
Ngaba kukho iintlobo zezaphuko zikaSalter-Harris?
Ewe, oogqirha bahlulahlula la maqhekeza abe ziintlobo ezintlanu eziphambili, kuxhomekeke kwindlela aqala ngayo. Akufuneki wazi okuninzi ngale nto, kodwa kulungile ukwazi okuncinci ngayo ukuze kube lula ukuyiqonda xa ugqirha ekuchazela.
| Uhlobo lokuqhekeka | Icacisiwe ngokulula |
|---|---|
| Uhlobo 1 | Ipleyiti yokukhula iyahlukana ngokupheleleyo, ngokungathi ityibilika esiphelweni sethambo. |
| Uhlobo 2 | Ukuqhekeka okwenzeka kwi-growth plate kufikelela kwinxalenye ephakathi (i-shaft) yethambo. Olu hlobo luxhaphake kakhulu ebantwaneni. |
| Uhlobo 3 | Ukuqhekeka kubangela ukuba iqhekeza lepleyiti yokukhula kunye neqhekeza lesiphelo sethambo lahlukane. Oku kuxhaphake kakhulu kubantwana abancinci, xa ipleyiti yokukhula iqala ukuqina . |
| Uhlobo 4 | Oku kufana nohlobo lwesithathu, kodwa kuqatha ngakumbi. Ukwaphuka kudlulela kwipleyiti yokukhula, kuchaphazela iziphelo zethambo kunye nombindi wethambo. |
| Uhlobo 5 | Uxinzelelo olugqithisileyo emathanjeni lubangela ukuba ipleyiti yokukhula ityumke ize ityumke. Le yimeko engaqhelekanga kodwa imbi kakhulu. |
Ndingazi njani ukuba into efana nale yenzeke kumntwana wam? (Iimpawu)
Ukuba ubona ezi mpawu emva kokuba umntwana ewile, xhalaba.
- Intlungu yamathambo: Umntwana uyakhala ngenxa yentlungu xa indawo eyonzakeleyo ichukunyiswa.
- Ukudumba: Indawo eyonzakeleyo idumbile.
- Inkangeleko engaqhelekanga: Ingalo okanye umlenze ubonakala unwebekile, ugobile, okanye ungaqhelekanga.
- Ukungakwazi ukusebenzisa: Umntwana akakwazi ukushukuma okanye ukusebenzisa ingalo okanye umlenze olimeleyo.
- Umbala oluhlaza okwesibhakabhaka/omfusa: Igazi lingene ngaphantsi kolusu, libonisa inkangeleko ebuhlungu.
- Uvakalelo xa uchukumisa: Umntwana uziva iintlungu nokuba indawo leyo ichukunyisiwe.
Umntwana omncinci kakhulu usenokungakwazi ukukuxelela ngqo ukuba wonzakele nini. Ukuba umntwana wakho ngequbuliso uyeka ukusebenzisa ingalo okanye umlenze, ubambe ingalo okanye umlenze owonzakeleyo kufutshane nomzimba wakhe, okanye uyaqhwalela xa ehamba, qaphela oku.
Kutheni abantwana befumana olu hlobo lwamathambo?
Isizathu esiphambili soku ziingozi.
- Ukuwa: Ukuwa xa udlala, ukhwele ibhayisekile, ukhwela imithi, njl.
- Iingozi zemidlalo: Iingozi ezenzeka xa kudlalwa imidlalo efana nekhilikithi, ibhola ekhatywayo, ibasketball, kunye nejimnastiki.
- Iingozi zezithuthi.
Ukongeza, ukuziqeqesha kakhulu kumdlalo ofanayo ixesha elide, ingakumbi ngaphambi kokuba umzimba womntwana ukhule ngokupheleleyo, kunokubangela uxinzelelo oluqhubekayo kwiipleyiti zokukhula, nto leyo ekhokelela kwezi ntlobo zokwaphuka.
Ngubani osengozini enkulu yokuba nale meko?
Nangona oku kunokwenzeka nakuwuphi na umntwana, umngcipheko uphezulu kancinci kwabanye.
- Ulutsha: Ezi zifo zaphukileyo zixhaphake kakhulu kweli qela leminyaka.
- Abafana: Abafana banamathuba aphindwe kabini okuba nale meko kunamantombazana. Oku kungenxa yokuba amantombazana akhula ngokukhawuleza, kwaye iipleyiti zawo zokukhula ziqina zibe ngamathambo aqinileyo ngokukhawuleza.
- Abadlali: Abantwana abadlala imidlalo yokutsiba nokubaleka rhoqo (i-basketball, i-gymnastics, i-skiing) basengozini enkulu.
Ngaba oku kungaba nefuthe lexesha elide?
Iindaba ezimnandi zezokuba uninzi lwexesha, ukuba unyango lunyangwa ngokuchanekileyo nangokukhawuleza, akukho miphumo inokwenzeka ixesha elide. Eyona nto ibalulekileyo kukubona ugqirha uze uqale unyango kwiveki emva kwengozi.
Nangona kunjalo, kunqabile kakhulu, ingakumbi xa kuqhekeka kakhulu (Uhlobo 4, 5) okanye ukuba unyango lulibaziseka, ezinye iingxaki zinokubakho.
- UMalunion: Ithambo elaphukileyo alilunganga kakuhle.
- Ukungadibani: Ithambo eliqhekekileyo alihambelani kakuhle.
- Ukulibaziseka kokukhula: Ithambo elonakeleyo linokukhula kancinci. Umzekelo, loo ngalo okanye umlenze usenokuba mfutshane kancinci kunomnye. Kwimeko enjalo, kunokufuneka utyando ukuthintela oku.
Ugqirha uyifumanisa njani le nto kanye kanye?
Xa usisa umntwana wakho kugqirha, uza kuqala amhlole umntwana ngononophelo. Baza kujonga ukwenzakala, ukudumba, kunye nentlungu. Baza kuthelekisa nengalo okanye umlenze ophilileyo. Ugqirha uza kukubuza imibuzo efana nokuba yenzeke njani ingozi kunye nokuba waqala nini ukufumana iimpawu.
Emva koko, kwenziwa iimvavanyo ezininzi ukujonga imeko yethambo.
- I-X-reyi: Oku kunokubona ukwaphuka rhoqo.
- I-MRI okanye i-CT scan: Ngamanye amaxesha ezi mvavanyo zinokufuneka ukuze kukhangelwe ukwaphuka okanye umonakalo kwizicubu ezingqongileyo ezingabonakaliyo ngokucacileyo kwi-X-ray.
Iphathwa njani?
Eyona ndlela ixhaphakileyo nephumelelayo yokwenza oku kukubeka isamente, efana nePlaster of Paris (POP) okanye iFiberglass.Oku kuya kuyibamba ithambo elaphukileyo endaweni yalo kwaye kulikhusele lide liphole. Ugqirha wakho uya kukuchazela ukuba loluphi uhlobo lwesamente umntwana wakho aludingayo, ukuba kufuneka libe ngakanani endaweni yalo, kunye nendlela yokulinyamekela. Isamente idla ngokunxitywa malunga neeveki ezi-4-6.
Kwabo baphuke kakhulu (amabanga 3, 4, okanye 5), utyando lunokufuneka. Nangona kunjalo, oku kunqabile kakhulu. Kwimeko enjalo, ugqirha uphinda atshintshe amathambo aze asebenzise izixhobo zokulungisa amathambo ezifana nezikrufu, iiphini, okanye iipleyiti ukuze azibambe endaweni yazo. Oku kubizwa ngokuba yi-"Internal Fixation." Emva kokuba ithambo liphilile, ngamanye amaxesha kufuneka olunye utyando oluncinci ukuze kususwe izixhobo.
Ndifanele ndimse nini umntwana wam kugqirha ngoko nangoko?
Ukuba umntwana wakho uwe kakhulu okanye wenzakele, bona ugqirha ngokukhawuleza. Ingakumbi ukuba unesikrokro sokuba umntwana wakho uphuke ithambo, mse kwi-ETU yesibhedlele esikufutshane (iYunithi yoNyango oluNgxamisekileyo) .
Ukuba unenye yezi mpawu zilandelayo, musa ukulibazisa:
- Ukuba kukho intlungu enzima .
- Ukuba awukwazi nokuhambisa ingalo okanye umlenze.
- Ukuba ingalo okanye umlenze ucacile kwaye ujongeka unesimo esingaqhelekanga .
- Ukuba ithambo eliphukileyo libonakala ngesikhumba .
- Ukuba idumbile kakhulu .
- Ukuba ezi mpawu zihamba nokubonakala okubuhlungu ngequbuliso okanye utshintsho kumbala wolusu .
Khumbula, ukuvumela umntwana wakho ukuba abaleke, atsibe, okanye adlale kwakhona ngaphambi kokuba ithambo liphole ngokupheleleyo kwandisa umngcipheko weengxaki. Ngoko ke mgcine ephumle de ugqirha wakho akuxelele ukuba wenze njalo.
Kuqhelekile ukuba abazali boyike xa umntwana wabo enzakele. Kodwa la maqhekeza e-growth plate aphantse aphinde atshintshe ukuba afunyaniswe kwaye anyangwa kwangethuba. Ixesha libaluleke kakhulu. Ukuba uneengxaki, eyona nto ingcono onokuyenza kukusa umntwana wakho kugqirha ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Iipleyiti zokukhula ezisekupheleni kwamathambo amade abantwana ziindawo zenkqubo yabo yamathambo ezibuthathaka kancinci kwaye zonakala lula.
- Ukuba umntwana ufumana iintlungu, ukudumba, okanye ukuqina kwengalo okanye umlenze emva kokuwa, musa ukucinga ukuba kukudumba nje kwaye ngokuqinisekileyo bonana nogqirha.
- Ngokuchonga nokunyanga loo ngxaki yokwaphuka ngokukhawuleza, impembelelo enokubakho ekuphuhlisweni kwamathambo omntwana kwixesha elizayo ingancitshiswa.
- Uninzi lwabantwana luyachacha ngokupheleleyo ngaphandle kweengxaki zexesha elide emva konyango olufanelekileyo.
- Kubaluleke kakhulu ukulandela iingcebiso zonyango de umntwana wakho avunyelwe ukuba abuyele kwimidlalo okanye kwimisebenzi yesiqhelo.
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