Ngaba ukhathazekile ngobude bomntwana wakho? Masifunde ngqo ngezi 'Growth Plates'!

Akukho nto inomdla ngaphezu kokubukela umntwana wakho ekhula, akunjalo? Bakhula beba bade imihla ngemihla. Emva kwako konke oku kukho into emangalisayo nebaluleke kakhulu: la 'maqonga okukhula'. Namhlanje, siza kuthetha ngokuba ziyintoni, indlela ezisebenza ngayo, kunye nokuba zibaluleke kangakanani kuphuhliso olusempilweni lwabantwana bethu.

Zithini iiGrowth Plates? Kulula kakhulu!

Kanye njengokuba isityalo esincinci sikhula kancinci kancinci sibe ngumthi omkhulu, amathambo abantwana bethu nawo akhula kancinci kancinci abe made kwaye aqine. Indawo ekhethekileyo enceda la mathambo akhule, ingakumbi ngobude, ibizwa ngokuba yi-'Growth Plates'. Ezi zifana 'neendawo zokukhula' eziphelweni zamathambo. Ngokuchanekileyo, ezi ziindawo apho izicubu ezintsha zamathambo zikhula khona kubantwana nakubantu abakwishumi elivisayo.

Ezi plate zokukhula zenziwe ngethishu ekhethekileyo ebizwa ngokuba yi-cartilage . I-cartilage ifana nerabha, ithambile kancinci, kwaye igudile. Cinezela impumlo yakho, uze ucinezele indlebe yakho... Yiyo loo nto i-cartilage iyiyo. Ithambo elitsha liqala njenge-cartilage, kwaye emva koko libeka i-calcium kancinci kancinci kwaye libe yithambo eliqinileyo.

Ngoku makhe sibone ukuba ezi plate zokukhula zixhaphake phi. Zifumaneka kakhulu kufutshane neziphelo zamathambo amade emzimbeni wethu. Amathambo amade ngamathambo amade kunokuba abanzi. Umzekelo:

• Ithambo lakho lethanga, okanye i-femur , lelona thambo lide emzimbeni.
• Amathambo amabini asezantsi komlenze yi -tibia (ithambo lesifuba) kunye ne-fibula (ithambo lesifuba) , afumaneka ngaphantsi kwedolo.
• Amathambo akwingalo, oko kukuthi, amathambo aphakathi kwengqiniba nesandla, abizwa ngokuba yiRadius kunye neUlna .
• Ezi plate zokukhula zikhona nakwithambo elincinci elide leminwe kunye neenzwane (ii-metacarpals, ii-metatarsals, ii-phalanges).

Ngamafutshane, la maqonga okukhula ayimfuneko kwaye ayimfuneko ukuze umntwana akhule abe mde kwaye amalungu akhe ande.

Ngoko ke kwenzeka ntoni ngokwenene kwezi plate zokukhula?

Kulungile, ngoku uyazi ukuba zeziphi ii-growth plates kwaye ziphi na. Ngoku makhe sibone ukuba zenzani ngokwenene, kwaye zichaphazela njani ubude babantwana bethu.

Iipleyiti zokukhula zezona ndlela ziphambili zokukhula kwamathambo ethu. Ngokwesiqhelo, kukho iipleyiti ezimbini zokukhula kwithambo elide, elinye likufutshane nentla yethambo nelinye likufutshane nezantsi. Ezi pleyiti zokukhula zezona zongeza ubude obutsha kwithambo, kwaye ngandlela ithile, zonyusa ububanzi balo . Njengezakhiwo zomgangatho, ezi pleyiti zokukhula ziyandisa ithambo.

Nantsi indlela eyenzeka ngayo: Iiseli ze-cartilage (ii-chondrocytes) kwi-growth plate ziyaqhubeka nokwahlukana, zenze iiseli ezintsha ze-cartilage. Ezi seli zintsha ze-cartilage ziyakhula kancinci kancinci, emva koko ziba ngamathambo aqinileyo ngokusebenzisa i-calcium deposition (ossification). Le nkqubo iyaqhubeka, yiyo loo nto umntwana ekhula kancinci kancinci. Inxalenye ephakathi yethambo iyakhula, kwaye imo yeziphelo zethambo nayo iyatshintsha kwezi plate zokukhula.

Kodwa oku akwenzeki rhoqo. Emva kokuba umntwana efikelele kwiminyaka ethile, i-cartilage kwezi plate zokukhula iguquka ibe yithambo eliqinileyo, kwaye ilahlekelwa 'ngamandla okukhula'. Yiloo nto siyibiza ngokuba yi-'closed growth plate' . Ngokuchanekileyo, xa iplate yokukhula iguquka ibe yithambo eliqinileyo, iba 'yi-epiphyseal closure'. Nje ukuba iplate yokukhula ivale, elo thambo lithile liyayeka ukukhula. Oko kukuthi, ukuphakama komntwana kuyayeka ukukhula apho.

Awusoloko ukhula ube mde... Ngoko ke ezi plate zokukhula zivalwa nini?

Ewe, sonke siyazi ukuba asisoloko sikhula sibe bade. Kwiminyaka ethile, ubude bethu buyayeka ukukhula. Isizathu esiphambili saloo nto kukuba la maqonga okukhula ayavaleka.

Amanqanaba okukhula adla ngokuqala ukuvala ngexesha lokufikisa . Oko kukuthi, ekupheleni kwexesha lokuvuthwa ngokwesondo. Oku kunokwahluka kancinci kumantombazana nakubafana. Oku kungenxa yempembelelo yeehomoni.

• Kumantombazana , iipleyiti zokukhula kwazo zihlala zivaliwe phakathi kweminyaka eli-13 neli-15. Oko kwenzeka emva kweminyaka embalwa beqalile ukuya exesheni. Ihomoni i-estrogen iyayichaphazela le nto.
• Kumakhwenkwe , oku kwenzeka kamva kancinci, ngesiqhelo phakathi kweminyaka eli-15 neli-17. Ihomoni ye-testosterone idlala indima koku.

Kubalulekile: Le mida yobudala ayifani kuye wonke umntu. Abanye abantwana banokufikelela kweli nqanaba libalulekileyo kwangethuba, ngelixa abanye banokufikelela kulo kamva. Liyahluka ukusuka kumntwana ukuya komnye. Kwakhona, izinto ezifana nemfuza, isondlo, kunye nempilo iyonke zinokuchaphazela oku. Ngoko ke, ungakhathazeki ukuba umntwana wakho mde kunabahlobo bakhe kwangethuba okanye kamva. Ukuba unamathandabuzo, kungcono ukufuna ingcebiso kagqirha.

Ngoko ke, xa la maqonga okukhula evala, amathambo awasande, ngoko ke ukukhula kobude kuyayeka ngokupheleleyo. Ngoko ke akukho sizathu sokucinga, 'Owu, akwaba bendimde kancinci,' kuba yinkqubo yendalo.

Ngamanye amaxesha kuvela iingxaki... Ziziphi iingxaki ezinokwenzeka ngeeGrowth Plates?

Nangona iipleyiti zokukhula zibaluleke kakhulu ekukhuleni kwabantwana bethu, ngamanye amaxesha banokujongana neengxaki ezincinci. Uyazi ukuba yintoni? Ipleyiti yokukhula ayikabi lithambo elakhiwe ngokupheleleyo. Yindawo eyenziwe nge-cartilage eguquka kancinci ibe lithambo.Ngoko ke, la maqonga okukhula abuthathaka kancinci kunethambo eliqinileyo ngokupheleleyo, nto leyo ethetha ukuba anokwenzakala lula.

Cinga ngayo njengendlu engakhiwanga kakuhle kodwa iplasta isasebenza. Ingashukuma kwaye yonakale lula, akunjalo? Yiyo loo nto la ma-growth plates anjalo. Athambile kunezinye iindawo zethambo, ngoko ke anokonakala ukuba abetheka nzima okanye ajijeke.

Ingxaki ephambili enokwenzeka ngezi plate zokukhula kukwaphuka kweplate zokukhula .

Zithini kanye kanye iiGrowth Plate Fractures?

Igama lisitsho, akunjalo? 'Ukuqhekeka kwepleyiti yokukhula' kukuqhekeka okwenzeka kwipleyiti yokukhula esithethe ngayo, indawo ye-cartilage apho ithambo linwebeka khona. Kufana nokuqhekeka kwethambo, kodwa oku kwenzeka kuloo ndawo yepleyiti yokukhula.

Olu hlobo lwezaphuko luxhaphake kakhulu ebantwaneni:

• Amathambo eenxalenye zeminwe (ii-phalanges)
• Amathambo engalo (esasibiza ngokuba yi (Radius) kunye ne (Ulna))
• Amathambo omlenze ongezantsi (iTibia) kunye (neFibula)
• Ezi zinokwenzeka nakwisihlahleni nasemaqakaleni.

Oku kwenzeka rhoqo xa abantwana bewa ngelixa bedlala, besenza ingozi ngelixa bedlala imidlalo (umz., ibhola ekhatywayo, ibhola yomnyazi, ijimnastiki), okanye befumana isibetho esinzima. Ngamanye amaxesha, iipleyiti zokukhula zinokonakala ngenxa yoxinzelelo oluphindaphindayo ixesha elide.

Iindaba ezimnandi! Uninzi lwexesha, ukwaphuka kwepleyiti yokukhula kuyaphola kakuhle. Ukuba oogqirha benza uxilongo oluchanekileyo baze banike unyango olufunekayo (umz., i-cast, mhlawumbi utyando), kuya kuphiliswa ngaphandle kokuchaphazela ukukhula kwamathambo kwixesha elizayo. Nangona kunjalo, kwiimeko ezingaqhelekanga, ukwaphuka okukhulu, ingakumbi oko kudlula kwipleyiti yokukhula, kunokuba nefuthe elincinci ekukhuleni kwamathambo kwixesha elizayo. Umzekelo, ithambo linokutsalwa kancinci okanye linokudodobala kancinci. Yiyo loo nto kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza ukuba ukrokrela ukuba ipleyiti yokukhula yonakele.

Ngaphandle koko, ezinye iimeko zemfuza, iingxaki zehomoni, usulelo, amayeza athile (umz. ukusetyenziswa kwee-steroid ixesha elide), kunye nokungabikho kokutya okunempilo (ingakumbi i-vitamin D kunye ne-calcium) nazo zinokuchaphazela ukusebenza kweepleyiti zokukhula kunye nokukhula kwamathambo. Nangona kunjalo, ezi zinqabile.

Ngaba sifanele silumke ngakumbi ngale nto? Sifanele siye kugqirha nini?

Xa umntwana ewa, kuyinto eqhelekileyo ukuba afumane imivumbo emincinci okanye imikrwelo. Nangona kunjalo, ngamanye amaxesha kunokuba ngaphezu koko, ingakumbi ukuba ipleyiti yokukhula yonakele. Kwiimeko ezinjalo, kufuneka silumke ngakumbi.

Ukuba umntwana wakho unenye yezi mpawu, bonana nogqirha ngokukhawuleza:

• Emva kwengozi, unokufumana iintlungu ezinganyamezelekiyo engalweni okanye emlenzeni, ingakumbi ecaleni kwelungu okanye ekupheleni kwethambo elide.
• Indawo yokwenzakalaUkuba idumbile, ibomvu, kwaye ivakala ishushu xa uyichukumisa.
• Ukuba awukwazi ukusebenzisa ingalo okanye umlenze ngokufanelekileyo , awukwazi ukuthwala ubunzima, okanye unengxaki yokushukumisa ingalo/umlenze.
• Ukuba ingalo okanye umlenze olimeleyo utshintshile kwinkangeleko (umz., ujongeka unwebekile, unesimo esahlukileyo kunesinye icala).
• Ukuba umntwana wakho uhlala ekhalaza ngendawo ebuhlungu, musa ukuyithatha njengento eyenzekileyo ngelixa edlala. Ngamanye amaxesha inokuba kukwenzakala okuncinci.
• Ukuba unamathandabuzo okanye uxhalabile malunga nokukhula komntwana wakho ubude (umzekelo, ukuba babonakala bebafutshane kakhulu kunabanye abaneminyaka efanayo, okanye ukuba ngequbuliso bayayeka ukukhula, okanye ukuba baqaphela ukuba amalungu abo made ngokulinganayo).

Ugqirha angakuhlola ngononophelo, kwaye ukuba kuyimfuneko, athathe i -X-ray ukuze abone ukuba kukho umonakalo kwi-growth plate okanye ezinye iingxaki. Ngamanye amaxesha, iimvavanyo ezifana ne-MRI okanye i-CT scan nazo zinokufuneka. Ukuba unyango luqalwe kwangethuba, iingxaki ezininzi zinokusonjululwa ngaphambi kokuba zibe nkulu, kwaye iingxaki ezizayo zinokuncitshiswa.

Eminye imiyalezo ebalulekileyo omawuyithathe ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono 'i-Growth Plates' esithethe ngayo namhlanje. Umele ukuba uyaqonda ukuba ezi zinto zibaluleke kangakanani ekuphuhliseni abantwana bethu.

Okokugqibela, nazi izinto ekufuneka uzikhumbule:

• Iipleyiti zokukhula ziindawo ezikhethekileyo ze-cartilaginous apho amathambo abantwana kunye nabakwishumi elivisayo akhula khona ngobude. Ngaphandle kwazo, ubude abunakwandiswa.
• Ezi zinto ziyanyamalala kancinci kancinci xa umntu efikisa , zihlala ziphakathi kweminyaka eli-13 ukuya kweli-15 kumantombazana kunye neminyaka eli-15 ukuya kweli-17 kubafana.
• Iipleyiti zokukhula zibuthathaka kancinci kunamathambo aqinileyo, ngoko ke zinokulimala lula. Lumka ngakumbi xa iipleyiti zokukhula zaphukile .
• Uninzi lwexesha, la manxeba aphiliswa kakuhle. Nangona kunjalo, nokuba kunjalo, ingakumbi ukuba kukho intlungu, ukudumba, okanye ubunzima bokusebenzisa ilungu, kubalulekile ukufuna ingcebiso kagqirha. Unyango olukhawulezileyo lunokunceda ukuthintela iingxaki ezizayo.
• Ukuba unenkxalabo malunga nokukhula okanye ubude bomntwana wakho, ungaze woyike ukuthetha nogqirha ngaloo nto. Ukutya okunesondlo, ukulala ngokwaneleyo, kunye nemisebenzi ekhuselekileyo zibaluleke kakhulu ekukhuleni kwamathambo omntwana okunempilo.

Ukubona umntwana wakho ekhula esempilweni kwaye onwabile liphupha labo bonke umama notata. Ukwazi izinto ezincinci ezinje kuya kunceda kakhulu. Uyayazi?

Iipleyiti Zokukhula, Ukukhula Komntwana, Ukukhula Kwamathambo, I-Cartilage, Ukwaphuka Kwamathambo, Ukufikisa