Ngaba umntwana wakho uyakuthanda ukudlala imidlalo? Okanye ngaba ukwiminyaka apho anokubaleka khona aze adlale? Ngaba ngamanye amaxesha uthi izinto ezinje, "Mama, idolo lam libuhlungu," okanye "Andikwazi ukugoba ingqiniba yam?" Uninzi lwexesha, siyalibala nje, sicinga ukuba yimvuthuluka nje encinci. Kodwa ukuba olu hlobo lwentlungu yamalungu luyaqhubeka, lunokubangelwa yimeko esingazivanga kangako ngayo, i-Osteochondritis Dissecans, okanye i-OCD ngamafutshane. Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, akukho nto yokoyika. Masithethe ngayo ngokulula.
Yintoni i-Osteochondritis Dissecans (OCD)?
Ngamafutshane, i-Osteochondritis Dissecans (OCD) yimeko echaphazela amalungu ethu, okanye amalungu e-synovial. Ixhaphake kakhulu ebantwaneni, kubantu abakwishumi elivisayo, nakubantu abadala abaselula.
Uyazi, ilungu lilapho amathambo amabini emzimbeni wethu adibana khona. Kwi-OCD, ukuhanjiswa kwegazi ukuya esiphelweni selinye lala mathambo kwilungu kuyanqunyulwa. Kanye njengokuba isebe lomthi loma lize libe buthathaka xa lingafumani manzi, xa lingafumani gazi, loo nxalenye yethambo nayo iyathamba ize ibe buthathaka.
Ekuhambeni kwexesha, eli thambo libuthathaka liyafa lize lihlukane nethambo eliphambili. Ngamanye amaxesha, kunye neli thambo, iqhekeza le-cartilage (izicubu ezigudileyo ezigubungela iziphelo zamathambo) eliyijikelezileyo nalo liyaphuma. Kusala uphawu oluncinci olufana nenxeba apho ithambo kunye ne-cartilage ziphume khona.
Ngoku kwenzeka ntoni kweli thambo lincinci elikhululekileyo? Ngamanye amaxesha linokuhlala apho likhululeke khona. Okanye, lingadada ngaphakathi kwilungu. Xa oku kusenzeka, ilungu liba lingazinzi, kwaye lingaqala ukubuhlungu. Okumangalisayo kukuba, le meko ingathatha iinyanga, kwaneminyaka, ukuba ivele, ngoko usenokungaziboni naziphi na iimpawu kwizigaba zokuqala.
I-OCD idla ngokuchaphazela amalungu alandelayo:
- Amadolo (abonakala kakhulu emadolweni)
- Iingqiniba
- Iqatha
- Amagxa
- Amathambo esinqe
Nangona kunjalo, le meko ibonakala kakhulu edolweni, kwicala elingaphantsi, elingaphakathi lethambo lethanga (i-femur). Ngokwezonyango, ibizwa ngokuba yi-"medial femoral condyle".
Kukho iintlobo ezimbini eziphambili ze-OCD.
Oogqirha bahlula i-OCD ibe ziintlobo ezimbini eziphambili, kwaye kubalulekile ukwazi umahluko phakathi kwezi zimbini.
| Uhlobo lwe-OCD | Inkcazo |
|---|---|
| IiDissecans ze-Osteochondritis ezingaqhelekanga | Olu lolona hlobo luxhaphakileyo. Luvela kwilungu elinye kuphela. Kudla ngokuba nzima ukufumana unobangela othile woku. Oko kukuthi, yimeko eyenzeka ngokungacwangciswanga. |
| IiDissecans ze-Osteochondritis zoSapho | Oku kunqabile kakhulu. Njengoko igama lisitsho, le yimeko yemfuza edluliselwa kwizizukulwana ngezizukulwana. Ingadluliselwa kumzali ukuya emntwaneni. Umntu onolu hlobo unokuba namalungu amaninzi achaphazeleka ubomi bakhe bonke. Akwaba mafutshane kwaye anomngcipheko omkhulu wokuba ne-osteoarthritis (ukuphelelwa ngamandla kwamalungu) kwasebuncinaneni kunokwesiqhelo. |
Ziziphi iimpawu ze-OCD?
Njengoko benditshilo ngaphambili, kusenokungabikho zimpawu kwizigaba zokuqala. Ingakumbi ukuba ithambo elaphukileyo lihlala kwindawo enye lingashukumi, usenokungaziva ntlungu.
Nangona kunjalo, ukuba iimpawu ziyavela, unokuhlangabezana nezinto ezifana nezi:
- Intlungu yamalungu: Olu luphawu oluphambili.
- Ubuthathaka: Ilungu libonakala lingenabomi.
- Ukudumba: Ilungu libonakala lidumbile.
- Ukuqina: Ukuziva ungakwazi ukugoba okanye ukolula ilungu ngokulula.
- Ukuhamba kancinci: Ukungakwazi ukuhambisa ilungu ngokupheleleyo ngendlela eqhelekileyo.
- Ukuva isandi 'sokuklikha': Ukuva isandi 'sokuklikha' xa ushukumisa ilungu.
- Ukuziva ngathi ilungu alizinzanga: Ilungu liziva ngathi 'liyatsiba' ngaphandle kolawulo, okanye ngathi alinamandla.
Amaxesha amaninzi, ezi mpawu ziya zisiba mandundu njengoko iqhekeza lethambo elikhululekileyo lisiya kwezinye iindawo ngaphakathi kwelungu lize libambeke. Kwakhona, le ntlungu kunye nezinye iimpawu zinokukhula xa udlala imidlalo, ujima, okanye wenza umsebenzi obeka ubunzima kwilungu.
Zithini izizathu ze-OCD?
Oogqirha basaphanda nge-OCD eyenzeka ngamaxesha athile. Akukho sizathu sinye sifunyenweyo. Nangona kunjalo, ngenxa yokuba le meko ixhaphakile phakathi kwabadlali, iingcali zikholelwa ukuba uxinzelelo oluphindaphindayo kwilungu lomzimba yimbangela enkulu.
Khawucinge ngomdlali wekhilikithi ebhowula rhoqo aze angabi nazimpembelelo zingako engqinibeni yakhe. Okanye umdlali webhasikithi etsiba rhoqo aze angabi nazimpembelelo zingako edolweni lakhe. Nangona kusenokungabi yingozi enkulu ngaxeshanye, ezi mpembelelo zingako zinokuqokelelana ngokuhamba kwexesha kwaye zonakalise ilungu. Sizibiza ngokuba zii -microtraumas.Ezi microtraumas zinokubangelwa yimisebenzi efana nokubaleka, ukutsiba, kunye nokuphosa into ethile.
I-OCD yosapho ibangelwa kukuguquka kwezakhi zofuzo. Ngokukodwa, ibangelwa kukuguquka kwezakhi zofuzo ekuthiwa yi-'ACAN'. Le gene ye-'ACAN' iyalela umzimba wethu ukuba uvelise iproteni ebizwa ngokuba yi-'aggrecan', esetyenziselwa ukwakha i-cartilage. Ngenxa yokuguquka kwezakhi zofuzo, le protein ye-'aggrecan' iyakha i-cartilage kakubi okanye ngokungacwangciswanga. Yiyo loo nto le meko isenzeka.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Nangona nabani na enokuba ne-OCD, abanye abantu basengozini enkulu.
- Abantu abaphakathi kweminyaka eli-10 nengama-20 ubudala: Eli qela leminyaka lichaphazeleka kakhulu.
- Amadoda: Le meko ixhaphake kakhulu kubafana kunamantombazana.
- Abadlali: Abo bathatha inxaxheba kwimidlalo eyahlukeneyo, ingakumbi abo badlala imidlalo ebeka uxinzelelo olukhulu kumalungu, basengozini enkulu.
- Imbali yosapho: Ukuba umntu kusapho lwakho (abazali, abantakwenu noodadewabo) une-OCD, nawe usengozini yokuba nayo.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Ukuba i-OCD ayinyangwa kakuhle, iimpawu zinokuba mandundu ngokuhamba kwexesha. Ekugqibeleni, unokuba nentlungu engapheliyo okanye i-osteoarthritis . Abantu abane-OCD yosapho basengozini enkulu yokufumana i-osteoarthritis kwangethuba kakhulu kuneminyaka eqhelekileyo (malunga neminyaka engama-50 ubudala). Ngoko ke oku akuyonto ifanele ithathwe lula.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Uza kukubuza izinto ezifana nokuba intlungu iqale nini, lixesha lini losuku, kunye nokuba intlungu iza emva kwesenzo esithile na.
Emva koko, ilungu elichaphazelekileyo liyahlolwa. Ubungakanani bokuhamba buyalinganiswa kwaye buthelekiswe nelungu eliphilileyo.
Okulandelayo, banokuyalela iimvavanyo zokujonga imifanekiso, ezifana ne-X-ray okanye i-MRI (Magnetic Resonance Imaging) , ukuqinisekisa ukuxilongwa. Ukuba kukho ukurhanelwa kwe-OCD yosapho, banokukuthumela kuvavanyo lwemfuza ukuqinisekisa oko.
Zithini iindlela zonyango zoku?
Kukho iinjongo ezimbini eziphambili zokunyanga i-OCD. Enye kukunceda amalungu aphile. Enye kukubuyisela igazi elifunekayo kwithambo elichaphazelekayo. Iindlela zonyango zinokwahlulwa zibe zezi: ezingezizo ezotyando kunye nezotyando.
Unyango olungelulo utyando
Amaxesha amaninzi, ingakumbi kubantwana nakubantu abancinci, olu lolona nyango lokuqala olucetyiswa ngoogqirha.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukuphumla | Le yeyona nto ibalulekileyo. Eyona ndlela ilungileyo yokuphiliswa kukuyeka ukubeka uxinzelelo olungakumbi kwilungu. Kusenokufuneka uyeke ukudlala imidlalo, ukubaleka, okanye ukutsiba inyanga okanye ezimbini. |
| Amayeza | Ugqirha wakho unokukunika amayeza okudambisa iintlungu, anjengee -NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) , ukunciphisa ukudumba kunye nentlungu. Kodwa khumbula, musa ukuthatha amayeza okudambisa iintlungu rhoqo kangangeentsuku ezingaphezu kwe-10 ngaphandle kwengcebiso kagqirha. |
| Ukungakwazi ukuhamba kwelungu | Kusenokufuneka unxibe i-brace, i-splint, okanye i-cast ukuze i-joint ihlale ihleli ide iphole. Ukuba idolo okanye iqatha lakho lichaphazelekile, ungaxelelwa ukuba usebenzise iintonga zokunciphisa ubunzima kulo. |
| Ulungiso lwenyama | Ingcali yezonyango iza kukunceda uqinise izihlunu ezijikeleze ilungu kwaye ikufundise imithambo kunye nokolula ukuze ubuyisele intshukumo kwilungu. |
Ngaba utyando luza kufuneka?
Ukuba iimpawu zakho zinzima emva kweenyanga ezininzi zonyango olungelulo utyando, ugqirha wakho unokucebisa utyando. Ugqirha angenza into efana nale:
- Kwenziwa umngxuma omncinci kakhulu kwithambo kunye ne-cartilage echaphazelekayo. Oku kukhuthaza umzimba ukuba unike igazi elitsha kwindawo leyo, eliya kuthi liphole ngokukhawuleza.
- Ukubopha kwakhona iziqwenga zamathambo kunye ne-cartilage eziqhekekileyo kusetyenziswa iiphini kunye nezikrufu.
- Ukutshintsha izicwili ezonakeleyo ngethambo elifakwe kwelinye ilungu lomzimba wakho okanye ithambo elifakwe kumntu ofanelekileyo.
Uhlobo lotyando olufunekayo luya kuxhomekeka ekubeni i-OCD ikuphi, umonakalo ungakanani, kwaye isiqwenga esikhululekileyo sihambe kangakanani. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Ngaba oku kuza kunyanga ngokwako?
Lo ngumbuzo olungileyo. Ngenxa yokuba amathambo abantwana kunye nabantu abadala abancinci abane-osteochondritis dissecans asakhula, imeko isenokuphela ngokwayo ngokuphumla nexesha.
Kodwa, musa ukuthatha umngcipheko ngamalunga omntwana wakho kuba nje ebuhlungu. Ukuba umntwana wakho unentlungu yamalungu ixesha elingaphezu kweveki, musa ukulinda nje unethemba lokuba iza kulunga ngokwayo. Ngokuqinisekileyo bonana nogqirha.
Kuba xa ugqirha efumanisa le meko ngokukhawuleza aze aqalise unyango, umngcipheko weengxaki kwixesha elizayo uyancitshiswa.
Kuza kuthatha ixesha elingakanani ukuba ngcono? Ngaba oku kuya kuyichaphazela ikamva?
Kuthatha abantu abaninzi iinyanga ezininzi ukuba baphile ngokupheleleyo. Ugqirha wakho uza kukuxelela ukuba zeziphi izithambo kunye nemisebenzi onokuyenza nongenakuyenza ngexesha lokuchacha kwakho.
Kudla ngokuthatha malunga neenyanga ezimbini ukuze uphile emva kotyando. Emva koko, kuya kufuneka wenze unyango lomzimba kangangeenyanga eziliqela ukuze ubuyisele amandla akho alahlekileyo kunye nokuhambahamba.
Ngokuphathelele ikamva labantwana nabantu abancinci, iziphumo ezihlala ixesha elide azinakwenzeka emva konyango olufanelekileyo. Nangona kunjalo, ukuze kuthintelwe umonakalo wamalungu kwixesha elizayo, kunokufuneka ukuba kutshintshwe umdlalo okanye kumiswe ezinye iintshukumo eziphindaphindayo. Umzekelo, umntwana one-OCD engqinibeni unokukwazi ukudlala ikhilikithi kwakhona emva kokuba ephilile, kodwa unokucetyiswa ukuba ayeke ukuphosa.
Abantu abadala basengozini enkulu yokufumana i-osteoarthritis kwilungu elichaphazelekayo kwaye banokuthi bafune utyando.
Ndifanele ndimbone nini ugqirha?
Ukuba wena okanye umntwana wakho unentlungu yamalungu ehlala ixesha elingaphezu kweveki, qiniseka ukuba ubona ugqirha.
Kwakhona, ukuba unengozi ekuthintelayo ukuba ushukumise ilungu okanye ukuba unentlungu eqatha, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Osteochondritis Dissecans (OCD) yimeko ebangelwa kukungabikho kwegazi eliya kwithambo elikwilungu. Ixhaphake kakhulu ebantwaneni nakubantu abadala abancinci abadlala imidlalo.
- Iimpawu eziphambili ziintlungu, ukudumba, kunye nokuqina kwamalungu afana namadolo, iingqiniba, kunye namaqatha.
- Unyango oluphambili loku kukuphumla. Kubalulekile ukuphepha ukufaka uxinzelelo kwilungu elichaphazelekileyo.
- Ukuba umntwana uqhubeka ekhalaza ngentlungu yamalungu, musa ukuyithatha njenge "ntlungu yokukhula." Qiniseka ukuba ucela ingcebiso kagqirha.
- Ngokuchongwa ngexesha elifanelekileyo kunye nonyango olufanelekileyo, uninzi lwabantwana lunokuchacha ngokupheleleyo ngaphandle kwemiphumo yexesha elide.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho