Ngaba umntwana wakho unengxaki yokuqhekeka kwamathambo apho amathambo akhe akhula khona? Masithethe ngeGrowth Plate Fractures!

Ngaba umntwana wakho uwile ngequbuliso ngelixa edlala? Okanye ubuye ekhaya evela kuqheliselo lwezemidlalo enengalo okanye umlenze obuhlungu? Usenokuba uvile ukuba ngamanye amaxesha abantwana abancinci baphuka amathambo abo, kodwa usenokungazi ngale meko ikhethekileyo ebizwa ngokuba yiGrowth Plate Fractures . Ungakhathazeki, le yinto enokunyangwa ngempumelelo. Makhe sithethe ngayo ngokweenkcukacha.

Zithini ezi plate zokukhula? Kutheni zibalulekile?

Ngamafutshane, iipleyiti zokukhula ziziqwenga ezikhethekileyo ze-cartilage eziphelweni zamathambo amade (njengalawo asezingalo nasemilenzeni) kubantwana abancinci nakubantu abadala. Zicinge njengehlumelo elitsha elikhula esiphelweni sesebe lomthi. Ezi zezona zinto zinceda amathambo akhule, akhule, kwaye akheke ngokufanelekileyo. Xa umntwana ekhulile ngokupheleleyo, oko kuthetha ukuba akasakhuli mde, ezi pleyiti zokukhula zijika zibe ngamathambo aqinileyo kancinci kancinci.

Ezi plate zokukhula zifumaneka ekupheleni kwamathambo ngolu hlobo:

• IHumerus - Eli lithambo elikwingalo engentla.
• I-Radius kunye ne-Ulna - Ezi zifumaneka engalweni yomntwana wakho, ngaphantsi nje kwengqiniba.
• I-Metacarpals - Amathambo amancinci ngaphakathi kwesandla.
• I-Femur - Ithambo elide emzimbeni wethu, elisethangeni.

Ezi zezona ziphambili. Ngoko ke, ukuba kukho into eyenzekayo kwezi plate zokukhula, oko kukuthi, ukuba kukho ukwaphuka, yiloo nto siyibiza ngokuba kukuqhekeka kweplate yokukhula . Ukuba ithambo lomntwana libuhlungu, lidumbile, okanye libonakala lahlukile kwingalo okanye umlenze, okanye libonakala loluliwe, ngokuqinisekileyo kufuneka ubone ugqirha. Ekubeni olu hlobo lwaphuka luthatha iiveki ezininzi ukuphola, kubaluleke kakhulu ukufumana uxilongo kunye nonyango ngokukhawuleza.

Ngaba kukho iintlobo zezaphuko ze-growth plate?

Ewe, oogqirha basebenzisa inkqubo ekhethekileyo yokwahlula la maqhekeza. Ibizwa ngokuba yiSalter-Harris classification . Kukho iintlobo ezintlanu eziphambili:

1. Uhlobo 1: Kulapho i-cartilage ekwi-growth plate yahlukana nesiphelo sethambo, ngokungathi kukho into encamathiselweyo yaze yaphuma.

2. Uhlobo 2: Kolu hlobo, ukwaphuka kwenzeka kwipleyiti yokukhula kwaye kudlulele kwi-shaft yethambo. Olu hlobo luxhaphake kakhulu ebantwaneni.

3. Uhlobo 3: Olu luqhekeko apho iqhekeza lepleyiti yokukhula kunye nesiphelo sethambo elinamathele kuyo ziqhekeka khona. Oku kukhulu kancinci, oko kuthetha ukuba kuxhaphake kakhulu kulutsha, njengoko iipleyiti zabo zokukhula ziguquka kancinci zibe ngamathambo aqinileyo .

4. Uhlobo lwesi-4:Oku kufana nohlobo lwesithathu, kodwa kuqatha ngakumbi. Iqhekeza lepleyiti yokukhula, iqhekeza lesiphelo sethambo, kunye neqhekeza lenxalenye ende yethambo ziyaqhekeka.

5. Uhlobo lwesi-5: Oku kubangelwa kukucinezelwa kwethambo, nto leyo ebangela umonakalo kwipleyiti yokukhula. Olu lolona hlobo lungaqhelekanga kwaye lunokuba yingozi ngakumbi.

Olu hlobo lolwahlulo lubalulekile koogqirha ukuze bagqibe ukuba loluphi uhlobo lonyango abafanele balunike, ixesha elingakanani eliza kuthatha ukuze umntu aphile, kunye neengxaki ezinokuvela kwixesha elizayo.

Ziqheleke kangakanani ezi zifo zokuqhekeka kwepleyiti yokukhula?

Ukuqhekeka kwepleyiti yokukhula yenye yezona zinto zixhaphakileyo emathanjeni ebantwaneni. Zibangela malunga nesinye kwisithathu sazo zonke iiqhekeko zamathambo ebantwaneni. Ngoko ke, kubalulekile ukuqaphela oku.

Zithini iimpawu zokuqhambuka kwepleyiti yokukhula?

Ukuba umntwana wakho uphuke i-growth plate, unokubona iimpawu ezifana nezi:

• Intlungu: Kunokubakho iintlungu eziqatha, ngakumbi phezu okanye kwindawo yethambo.
• Imilenze nemilenze zibonakala zahlukile: Ingalo okanye umlenze olimeleyo unokubonakala ngathi woluliwe, ugobile, okanye ukhubazekile ngandlela ithile.
• Ukungakwazi ukuhamba: Usenokungakwazi ukugoba, ukulungisa, okanye ukubeka ubunzima kwindawo eyonzakeleyo.
• Ukudumba: Indawo eyonzakeleyo ingadumba.
• Ukutshintsha kombala okanye ukukrwela: Ngamanye amaxesha ukukrwela kusenokujika kube luhlaza okwesibhakabhaka okanye kube mfusa.
• Ukuthamba: Umntwana usenokuva iintlungu xa echukunyiswa .

Khawuthelekelele unyana wakho ebuya ekudlaleni ikhilikithi aze athi isandla sakhe sibuhlungu, akakwazi ukusishukumisa, kwaye sidumbile kancinci. Kwimeko enjalo, isenokuba kukwaphuka kwepleyiti yokukhula.

Umntwana omncinci usenokungakwazi ukukuxelela xa enzakele. Ngelo xesha, unokubona izinto ezinje:

• Ngequbuliso, ukusetyenziswa kwengalo okanye umlenze kuyancitshiswa.
• Ingalo/umlenze olimeleyo ubanjwe kufutshane nomzimba kwaye ukhuselekile.
• Bayakhala, bayakhala, kwaye abavumi ukuchukunyiswa.
• Uyaqhwalela xa ehamba.

Ukuba ubona into efana nale, musa ukuchitha ixesha uye kugqirha.

Zithini izizathu zokuqhekeka kwezi plate zokukhula?

Uninzi lwexesha, la maqhekeza abangelwa kukwenzakala ngesiquphe . Umzekelo:

• Ukuwa: Okufana nokuwa emthini, ukuwa ngelixa udlala, okanye ukuwa phantsi kwezinyuko.
• Iingozi zendlela: Iingozi ezenzeka xa usesendleleni.
• Iingozi zemidlalo: Iingozi ezenzeka xa kudlalwa imidlalo efana nekhilikithi, ibhola ekhatywayo, kunye nebhola yomnyazi.

Umzekelo, unyana kaNisal watyibilika ngequbuliso waza wawa ngelixa wayebaleka kwindawo yokudlala. Iqatha lakhe laqala ukuba buhlungu kakhulu. Kuphela xa waya esibhedlele apho wafumanisa ukuba yayikukuqhekeka kwepleyiti yokukhula.

Kwaye kwakhona,Ukuziqeqesha kakhulu umdlalo ofanayo, ingakumbi ngaphambi kokuba umzimba womntwana ukhule ngokupheleleyo, kunokubangela uxinzelelo oluphindaphindeneyo kwiindawo zokukhula, nto leyo enokubangela olu hlobo lokuqhekeka. Ngenxa yoko, akulunganga ukuba umntwana adlale umdlalo ofanayo unyaka wonke de umzimba wakhe ukhule ngokupheleleyo. Ukuphumla nako kubaluleke kakhulu.

Ngubani osengozini enkulu yokuba nezi zifo zokwaphuka kwepleyiti yokukhula?

Nangona nawuphi na umntwana enokuba semngciphekweni wolu hlobo lwengozi, abanye abantwana basengozini enkulu kancinci:

• Ulutsha: Ezi khefu zibonakala kakhulu kubantwana abaneminyaka eli-13 ukuya kweli-17 ubudala.
• Abafana: Abafana banamathuba aphindwe kabini okuba nezi zifo zamathambo kunamantombazana . Oku kungenxa yokuba amantombazana akhula ngokukhawuleza, kwaye amathambo awo aqina ngokukhawuleza. Abafana nabo bakhawuleza kwaye bayasebenza.
• Abadlali bezemidlalo: Abantwana abadlala imidlalo equka ukutsiba (umz., ibhola yomnyazi, ijimnastiki, ukuskiya, i-volleyball) basengozini enkulu, njengokuba kunjalo nabantwana abadlala imidlalo yokudibanisa umzimba efana nebhola ekhatywayo kunye nehoki.
• Abantwana abakhutheleyo ngokwasemzimbeni: Ukongeza kwimidlalo yesikolo, ezi ngozi zinokwenzeka nakubantu abenza imisebenzi efana nokutyibiliza ngebhodi, ukuhamba intaba, kunye nokukhwela ibhayisekile.

Ziziphi iingxaki ezinokubakho xa ipleyiti yokukhula yaphukile?

Ixesha elininzi, ukuba ifunyenwe kwaye inyangwa ngokukhawuleza (kwiveki emva kokwenzakala), la maqhekeza e-growth plate awabangeli iingxaki ezinkulu. Nangona kunjalo, ngamanye amaxesha oku kulandelayo kunokwenzeka:

• I-Malunion: Iziqwenga zamathambo eziqhekekileyo azihambelani kakuhle, kodwa zidibana.
• Ukungavumelani: Ukungaphumeleli kwamathambo aphukileyo ukuphola kakuhle, okanye ukungapholi kwaphela.
• Ukukhula okungalindelekanga: Oku kunqabile kakhulu . Nangona kunjalo, ukuba waphukile kakhulu (ingakumbi uHlobo lwesi-5), kunokuchaphazela ukukhula kwelo thambo kwixesha elizayo. Oku kuthetha ukuba ithambo linokuba lifutshane okanye lincinci kunelinye icala. Kunokufuneka utyando ukuthintela oku.

Kungoko ke kubalulekile ukubona ugqirha nokuba unamathandabuzo amancinci .

Ifunyanwa njani into yokuba i-growth plate fracture yaphukile?

Ugqirha uxilonga olu hlobo lokwaphuka ngokuhlola umntwana (uvavanyo lomzimba) aze enze uvavanyo olukhethekileyo (uvavanyo lomfanekiso).

Okokuqala, ugqirha uza kuyihlola ngononophelo indawo eyonzakeleyo, abuze umntwana ngeempawu zakhe, ajonge ukuba imilenze yakhe ishukuma kangakanani, aze ayithelekise nengalo/umlenze ongazange wonzakale.

Kubaluleke kakhulu ukuxelela ugqirha zonke iinkcukacha ozaziyo – into ebeyenza umntwana ngaphambi kwengozi, xa wawuqala ukuqonda ukuba kukho ingxaki, kunye nokuba umntwana waqala nini ukuva iintlungu.

Luhlobo luni lovavanyo oluqhutywayo?

Ugqirha uza kusebenzisa olunye okanye ngaphezulu kwezi vavanyo ukujonga amathambo kunye nezicubu ezingqongileyo:

• Ii-X-reyi: Le yeyona isetyenziswa kakhulu.
• I-Magnetic Resonance Imaging (MRI): Ngamanye amaxesha oku kuyafuneka ukuze kubonwe ipleyiti yokukhula echanekileyo.
• Iiskeni zeComputed Tomography (CT): Oku kusetyenziswa nakwezinye iimeko ezinzima.

Zinyangwa njani ii-growth plate fractures?

Uninzi lwamathambo aqhekekileyo kwipleyiti yokukhula anyangwa nge-cast, eyi-plaster cast (immobilization). I-cast igcina ithambo elaphukileyo lisendaweni yalo kwaye ilinceda ukuba liphile kakuhle. Ugqirha wakho uza kukuxelela ukuba luhlobo luni lwe-cast umntwana wakho aludingayo kunye nendlela yokuyinyamekela.

Ngaba utyando luyimfuneko?

Utyando alufuneki rhoqo kolu hlobo lokuqhekeka. Utyando ludla ngokufuneka kolu hlobo lokuqhekeka olunzima (Uhlobo 3, 4, okanye 5). Ukuba umntwana wakho udinga utyando, ugqirha uza kwenza into ebizwa ngokuba yi -internal fixation . Oku kuthetha ukuba iziqwenga zamathambo aphukileyo zibekwe endaweni yazo aze asebenzise izikrufu, iiphini, okanye iingcingo ukubamba ithambo lihlangane ngaphakathi lide liphole. Emva kokuba ithambo lipholile, unokufuna olunye utyando oluncinci ukususa iiphini okanye iingcingo. Ugqirha wakho okanye ugqirha uza kukuchazela konke oku.

Kudla ngokuthatha ixesha elingakanani ukuphiliswa?

Uninzi lwabantwana kuya kufuneka banxibe isamente kangangenyanga (iiveki ezine ukuya kwezintandathu) emva kokuqhekeka kwepleyiti yokukhula. Ukuba ukwaphuka kukhulu okanye ukuba kwenziwe utyando, kungathatha ixesha elide.

Ugqirha wakho angakuxelela ukuba kuza kuthatha ixesha elingakanani ukuphola, kuxhomekeke ekubeni umntwana wakho waphuke liphi ithambo kwaye ukuba laphuke kangakanani.

Ngaba olu hlobo lokuqhekeka kwepleyiti yokukhula lungathintelwa?

Enyanisweni, uninzi lwale miphuko ibangelwa ziingozi, ngoko ke kunzima ukuyithintela ngokupheleleyo. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wokuba umntwana wakho enzekele:

Xa udlala imidlalo okanye usenza eminye imisebenzi yomzimba, qaphela ezi zinto zilandelayo:

• Qinisekisa ukuba unxibe izixhobo zokuzikhusela ezifanelekileyo (umz. iiphedi, iihelmethi xa udlala ikhilikithi).
• Ukuba kukho into ebuhlungu, nokuba udlala okanye emva kokuba ugqibile, xelela umntwana wakho ukuba "angadlali ngentlungu."
• Phumla umzimba wakho uze uphile emva komsebenzi onzima.
• Zolula uze uzifudumeze ngaphambi kokuba udlale imidlalo okanye uzilolonge.
• Zipholise uze uzolule xa ugqiba umsebenzi wakho.

Landela la macebiso aqhelekileyo ukuze wonke umntu kusapho akhuseleke:

• Ngalo lonke ixesha ndingena emotweniNxiba ibhanti yesihlalo.
• Jonga ukuba kukho izinto ezishiyekileyo emnyango ezinokubangela ukuba umntu atyibilike aze awe, uze uzisuse.
• Xa uphakamisa into eluphahleni , sebenzisa izixhobo ezifanelekileyo (umz., ileli). Ungaze uvumele abantwana bakhwele ezitulweni okanye etafileni.

Yintoni endimele ndiyilindele ukuba umntwana wam uphuke i-growth plate?

Uninzi lweziphako ze-growth plate ziyaphola kakuhle ngaphandle kweengxaki okanye iziphumo zexesha elide kwimpilo nophuhliso lomntwana. Eyona ndlela ilungileyo yokunciphisa umngcipheko weengxaki kukufumana uxilongo ngokukhawuleza (kwiveki emva kokwenzakala).

Buza ugqirha wakho ukuba umntwana wakho angaqalisa nini ukudlala, ukubaleka, nokutsiba kwakhona. Ukuba ubeka uxinzelelo kwipleyiti yokukhula kwakhona ngaphambi kokuba iphile ngokupheleleyo, kukho amathuba aphezulu okuba kubekho iingxaki (kuquka ukuphinda kuqhekeke indawo efanayo).

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho ufumene isiganeko esibuhlungu, njengokuwa kakhulu okanye ingozi yemoto , bonana nogqirha ngokukhawuleza.

Ukuba ucinga ukuba umntwana wakho uphuke ithambo, okanye ukuba unezinye zezi mpawu zilandelayo , yiya kwiSebe leNgxamiseko (ETU) ngoko nangoko:

• Intlungu ebuhlungu.
• Ukungakwazi ukuhambisa inxalenye yomzimba.
• Inxalenye yomzimba ibonakala ngathi itshintshile inkangeleko, yoluliwe, okanye isusiwe kwindawo yayo .
• Ulusu luhlatyiwe kwaye ithambo liyabonakala.
• Ukudumba okukhulu.
• Ezi mpawu zinokuhamba nokukrweleka okutsha okanye utshintsho kumbala wolusu .

Ndingayibuza yiphi imibuzo ugqirha?

• Ngaba umntwana wam uphuke i-growth plate okanye wenzakele kwenye into?
• Luhlobo luni lokwaphuka kwepleyiti yokukhula analo?
• Ngaba umntwana wam uza kufuna utyando?
• Kuza kuthatha ixesha elingakanani umntwana wam enxibe isamente?
• Umntwana wam uza kukwazi nini ukubuyela kwimisebenzi yesiqhelo nemidlalo?

Kuqhelekile ukuziva usoyika xa umntwana efumana ingozi, ingakumbi ukuba kukuwa okanye ingozi ongenakukwazi ukuyithintela. Nangona ukwaphuka kwepleyiti yokukhula kunokuba kubi kakhulu, uninzi lwabantwana luyaphila kakuhle kwaye luyakwazi ukwenza imisebenzi yalo kwakhona.

Ixesha libaluleke kakhulu xa unyanga ukwaphuka kwepleyiti yokukhula. Ukuba ucinga ukuba umntwana wakho uqhekezeke yipleyiti yokukhula (okanye naluphi na olunye umonzakalo wethambo), bona ugqirha ngokukhawuleza. Okukhona ugqirha efumanisa imeko ngokukhawuleza aze afake i-cast kumntwana wakho, kokukhona uya kukwazi ukuchacha ngokukhawuleza aze abuyele kwimisebenzi yakhe yesiqhelo.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Okokugqibela, iipleyiti zokukhula kwamathambo abantwana ziyinxalenye ebaluleke kakhulu ekukhuleni kwamathambo abo. Iingozi kwezi zinto, oko kukuthiUkuqhekeka kweGrowth Plate kuqhelekile, kodwa akukho nto ibalulekileyo yokuxhalaba ngayo. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza xa ukrokrela ingozi okanye uqaphela iimpawu. Unyango olukhawulezileyo lunokunceda umntwana wakho ukuba aphile kwakhona ngaphandle kokonakalisa uphuhliso lwakhe lwexesha elizayo. Ukuhlala uqaphela ukhuseleko lomntwana wakho kuya kunceda ekunciphiseni iingozi.

Ukuqhekeka kwepleyiti yokukhula , ukuqhekeka kwepleyiti yokukhula, ukuqhekeka kwamathambo ebantwaneni, uSalter-Harris, i-cast, impilo yabantwana, ukuqhekeka kwamathambo