Ingaba amadolo omntwana wakho ahlala ebuhlungu? Isenokuba sisifo sika-Osgood-Schlatter!

Ngaba umntwana wakho uyakuthanda ukudlala imidlalo? Ngaba unomdla wokubaleka nokutsiba? Ukuba umntwana wakho ukhalaza ngeentlungu zedolo, ingakumbi ngaphantsi kwedolo, kusenokwenzeka ukuba kungenxa yeSifo se-Osgood-Schlatter. Eli gama livakala liyoyikisa kancinci, akunjalo? Kodwa akukho nto yokoyika. Masithethe ngayo ngokulula.

Yintoni isifo se-Osgood-Schlatter?

Ngamafutshane, isifo se-Osgood-Schlatter kukudumba nokudumba kwepleyiti yokukhula, ekwindawo ephezulu yethambo, ngaphantsi kwedolo ebantwaneni. Cinga ngayo, amathambo abantwana bethu ayakhula njengoko ekhula. Ngaseziphelweni zala mathambo, kukho iindawo ezikhethekileyo ezenziwe nge-cartilage ethambileyo. Yiloo nto siyibiza ngokuba yi-growth plates. Ezi pleyiti zokukhula zezona zinegalelo elikhulu ekuphakameni komntwana kunye nobude bamathambo. Zibuthathaka kancinci kunamathambo aqhelekileyo, ngoko ke zinokonakala lula.

Isifo se-Osgood-Schlatter sisifo apho imisipha (ingakumbi i-patellar tendon, edibanisa nemisipha ye-quadriceps ngaphambili kwethanga) enamathela kwipleyiti yokukhula phezulu kwethambo le-shin (eyaziwa ngokwezonyango njenge-tibial tuberosity) engaphantsi kwedolo ivuvukala. Oku kunokuvakala ngathi yiqhuma elincinci.

Into ebalulekileyo kukuba le meko idla ngokuphela ngokupheleleyo njengoko umntwana ekhula kwaye ayibangeli iingxaki ezinkulu zexesha elide.

Zithini iimpawu zoku? Uzibona njani?

Ukuba umntwana wakho unesifo se-Osgood-Schlatter, usenokuthi:

• Intlungu engaphantsi kwedolo: Olu luphawu oluphambili. Intlungu ibakho ngaphantsi kwedolo, phezulu kwedolo.
• Ukudumba: Indawo yentlungu isenokudumba kancinci. Ngamanye amaxesha ingavakala ngathi yiqhuma elincinci elinokubanjwa esandleni.
• Ukuthamba: Ukuba uchukumisa okanye ucinezela iqhuma, liya kumenzakalisa umntwana.
• Intlungu iyanda xa usenza umsebenzi: Intlungu iyanda xa usenza imisebenzi ebeka ubunzima edolweni, efana nokubaleka, ukutsiba, ukunyuka izinyuko, okanye ukunyuka intaba. Isenokuba buhlungu okwethutyana emva kokuba ugqibile ukudlala.
• Kusenokwenzeka ukuba uqhwalela: Ukuba intlungu inzima kakhulu, umntwana usenokuqhwalela kancinci xa ehamba.
• Kwidolo elinye okanye omabini: Le meko inokwenzeka kwidolo elinye okanye kuwo omabini amadolo.

Khawuthelekelele intombi okanye unyana wakho ekwiqela lebhola yomnyazi yesikolo, okanye edlala ikhilikithi. Xa bebuya kuqeqesho, bathi, "Mama/Tata, idolo lam libuhlungu." Xa ulijonga, libonakala lidumbile phantsi kwedolo. Ukuba ubeka isandla sakho kulo, bathi, "Ouch!". Bathi libuhlungu kakhulu xa bebaleka bedlala. Ukuba ukhe waba namava anje, kusenokwenzeka ukuba ngu-Osgood-Schlatter.

Kutheni oku kusenzeka? Zithini izizathu?

Isizathu esiphambili soku kukubaUkukhula ngokukhawuleza ebantwaneni. Ngeli xesha, amathambo abantwana akhula ngokukhawuleza kakhulu. Kodwa ngamanye amaxesha izihlunu kunye nemisipha ayikhuli ngokukhawuleza.

Iqela elikhulu lemisipha elingaphambili kwethanga (umsipha we-``Quadriceps``) lidlula kwi-kneecap kwaye linamathele kwi-growth plate (``Tibial Tuberosity``) phezulu kwethambo le-shin nge-tendon (``Patellar Tendon``). Xa umntwana ebaleka, etsiba, okanye egoba idolo, le msipha ye-``Quadriceps`` iyafinyela. Emva koko, kwenziwa ukutsalwa kwi-growth plate ngaloo msipha.

Njengoko amathambo omntwana ekhula ngokukhawuleza, ezi zihlunu kunye nemisipha ziyaqina. Emva koko, xa idolo lifumana uxinzelelo oluphindaphindayo, njengakwimidlalo, uxinzelelo kuloo pleyiti yokukhula luyanda, nto leyo ebangela ukuba licinezelwe, lidumbe, kwaye libe buhlungu.

Ukuthi ngqo:

• Ibhola yomnyazi
• Ibhola yevoli
• Ibhola ekhatywayo
• Ijimnastiki
• Imidlalo yezemidlalo efana nokutsiba okude kunye nokutsiba okuphezulu

Le meko ixhaphakile kubantwana abadlala imidlalo.

Ngubani onokuthi abe nale meko? (Izinto ezibangela umngcipheko)

Isifo se-Osgood-Schlatter sibonakala kakhulu kwi:

• Ngamaxesha okukhula ngokukhawuleza: Amakhwenkwe akhula ngokukhawuleza phakathi kweminyaka eli-10-15, kunye namantombazana akhula ngokukhawuleza phakathi kweminyaka eli-8-13. Kulapho ke kunokwenzeka ukuba akhule khona.
• Abantwana abakhutheleyo nabanemidlalo: Abantwana abadlala imidlalo equka ukubaleka, ukutsiba, nokutshintsha iindlela ngokukhawuleza basengozini enkulu.
• Kwabafana: Nangona le meko ixhaphake kakhulu kubafana kunamantombazana, umsantsa uyancipha njengoko amantombazana ngoku nawo ebandakanyeka kwezemidlalo.

Ugqirha uyibona njani le nto?

Kwiimeko ezininzi, ugqirha unokwazi ukubona ukuba esi sisifo se-Osgood-Schlatter ngokuphulaphula iimpawu zomntwana wakho aze azihlole.

Ugqirha wenza izinto ezinje:

• Buza umntwana ngentlungu, ukuba sele idlule ixesha elingakanani, kwaye xa isiya iba mandundu.
• Bayayiva indawo enamaqhuqhuva phantsi kwedolo, bayicinezele, baze babone ukuba akukho ntlungu okanye ukudumba.
• Bacela umntwana ukuba abaleke, atsibe, okanye aguqe ngamadolo ukuze babone ukuba kuyabuhlungu na.
• Ijonga ukuqina kwemisipha yamathanga (iiQuadriceps, iiHamstrings).

Akunyanzelekanga ukuba i-X-ray ithathwe. Nangona kunjalo, ugqirha wakho unokuyalela i-X-ray kuphela xa ecinga ukuba kukho imeko embi kakhulu (efana nokuphuka kwethambo, usulelo, okanye, ngokungaqhelekanga, ithumba). Ngoko ke ungakhathazeki ukuba bathi abayidingi i-X-ray.

Zithini iindlela zonyango? Simele senze ntoni?

Iindaba ezimnandi zezokuba isifo se-Osgood-Schlatter asisoloko sifuna unyango oluthile nolubanzi. Injongo ephambili kukunciphisa iintlungu nokudumba kunye nokubonelela ngentuthuzelo kumntwana.

Nazi ezinye izinto onokuzenza:

1.Utshintsho lokuphumla kunye nomsebenzi:

• Le yeyona nto ibalulekileyo . Kufuneka unciphise okanye uyeke imidlalo okanye imisebenzi yomntwana eyonyusa intlungu okwethutyana. Akunyanzelekanga ukuba uhlale ebhedini ngokupheleleyo, kodwa kufuneka uhlale kude nezinto ezibangela intlungu okwethutyana.
• Xa intlungu iphelile, ungaqhubeka nemisebenzi yakho kancinci kancinci. Nangona kunjalo, ayisiyongcinga ilungileyo ukunxiba izinto ezinzima ngaxeshanye.

2. Ukusetyenziswa kweqhwa:

• Faka umkhenkce kwindawo ebuhlungu nedumbileyo imizuzu eli-15-20, amaxesha ama-3-4 ngemini. Musa ukufaka umkhenkce ngqo eluswini, kodwa wusonge ngelaphu. Kukwangumbono olungileyo ukufaka umkhenkce emva kokuba ugqibile ukudlala.

3. Izithomalalisi zentlungu:

• Ukuba iintlungu azinyamezeleki, ungacela ugqirha wakho okanye ikhemisti ukuba akunike amayeza okubulala iintlungu afana neParacetamol okanye i-Ibuprofen. Kodwa ayingombono ulungileyo ukuzinika ezi rhoqo. Zinike kuphela njengoko ugqirha wakho ekuxelela.

4. Ukuzilolonga nokolula umzimba:

• Kubaluleke kakhulu ukwenza umthambo wokuzolula kwi-quadriceps kunye ne-hamstrings. Xa ezi zihlunu ziguquguquka ngakumbi, uxinzelelo kwi-growth plate luyancipha.
• Ungenza nemithambo yokuqinisa izihlunu ukuze uqinise ezi zihlunu.
• Kungcono ukufuna uncedo kwingcali ye-physiotherapist ukuze ufunde ngokuchanekileyo indlela yokwenza le mithambo.

5. Iintambo zokukhusela okanye iiPads:

• Ngamanye amaxesha, ukusebenzisa intambo ekhethekileyo okanye idolo elinxitywa phantsi kwedolo, phezu kwe-tendon ye-patellar, kunokunceda ukunciphisa iintlungu. Oku kunceda ukunciphisa uxinzelelo kwipleyiti yokukhula ngexesha lemidlalo.

6. Ngamanye amaxesha ukungasebenzi okwethutyana (Ukungasebenzi - Akuvamile):

• Amaxesha amaninzi, ukuba iintlungu zinzima kakhulu, ugqirha unokucebisa ukuba kusetyenziswe iintonga okanye kufakwe iplasta yeParis (cast) emlenzeni. Nangona kunjalo, oku akufuneki kwiimeko ezininzi.

Khumbula, isitshixo kwezi ndlela zonyango kukumamela umzimba womntwana wakho. Ukuba kuvela intlungu, yeka loo msebenzi. Musa ukuzinyanzela ukuba wenze nantoni na xa uneentlungu.

Kuza kuthatha ixesha elingakanani ukuba oku kuphiliswe?

Oku kuyahluka kumntu nomntu. Intlungu ingahlala kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. Kwabanye abantwana, intlungu ingaphela emva kweentsuku ezimbalwa ize ibuye xa bephinda besenza imisebenzi yabo.

Into ebalulekileyo kukuba le ntlungu ingafika ize idlule ide ipleyiti yokukhula komntwana iguquke ngokupheleleyo ibe yithambo ize iyeke ukukhula (ngesiqhelo imalunga neminyaka eli-14-18 ubudala). Kodwa iqhuma elisemathanjeni lisenokuba lisakhona. Akusoloko kuyingxaki kwaye akubuhlungu.

Ngaba oku kungabangela iingxaki zexesha elide?

Ixesha elininzi, isifo se-Osgood-Schlatter asibangeli iingxaki ezihlala ixesha elide. Sidla ngokuphela ngokupheleleyo njengoko umntwana ekhula.

Nangona kunjalo, ukubonakala kwamathambo phantsi kwedolo kusenokuqhubeka kwabanye abantu abadala. Ngokuqhelekileyo akubuhlungu kwaye akuphazamisi imisebenzi.

Kunqabile kakhulu (oku kunqabile kakhulu), iqhekeza elincinci laloo pleyiti yokukhula alinakuphiliswa kakuhle kwaye libangele iintlungu xa umntu emdala. Ukuba oko kuyenzeka, kunokufuneka wenze utyando oluncinci. Nangona kunjalo, oku kunqabile kakhulu, ngoko ungakhathazeki kakhulu ngako.

Ngaba oku kungathintelwa?

Nangona ingenakuthintelwa ngokupheleleyo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho:

• Ukuzifudumeza nokuzipholisa ngokufanelekileyo: Kubalulekile ukuzifudumeza ngaphambi kokuba uqale nawuphi na umdlalo nokuzipholisa emva komdlalo.
• Ukolula rhoqo: Ukolula rhoqo izihlunu , ingakumbi umphambili wethanga (`(Quadriceps)`) kunye nomva wethanga (`(Hamstrings)`), kunokunceda ukugcina ukuguquguquka kwazo.
• Yandisa uqeqesho lwakho kancinci kancinci: Musa ukunyusa ngequbuliso ubunzima okanye ubude boqeqesho lwakho. Yandisa kancinci kancinci.
• Izihlangu ezifanelekileyo: Kubalulekile ukunxiba izihlangu ezifanelekileyo kwezemidlalo nezilungele iinyawo.
• Kuphephe ukumqeqesha ngokugqithisileyo: Kwakhona qiniseka ukuba umntwana wakho uphumla ngokwaneleyo.

Ndifanele ndimbone nini ugqirha?

Kwiimeko ezinjalo, ngokuqinisekileyo kufuneka ubone ugqirha:

• Ukuba intlungu inzima kangangokuba umntwana akanakuyinyamezela.
• Ukuba intlungu ayipheli emva konyango lwasekhaya (icing, rest).
• Ukuba intlungu yenza kube nzima kumntwana ukwenza imisebenzi yemihla ngemihla okanye ukuya esikolweni.
• Ukuba kukho ukudumba okukhulu, ukuba bomvu, okanye ukufudumala edolweni (ezi zisenokuba ziimpawu zosulelo).
• Ukuba umntwana unomkhuhlane.
• Fumanisa ukuba ngaba oku ngu-Osgood-Schlatter ngokwenene, okanye yingxaki ethile.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Isifo se-Osgood-Schlatter sisifo sexesha elifutshane esixhaphakileyo kubantwana abakhutheleyo nabakhulayo. Nangona igama lisenokuvakala lisoyikisa, asilosifo sibi kakhulu.

• Oku kunxulumene nophuhliso lomntwana.
• Eyona nto iphambili kukulawula iintlungu nokudumba.
• Ukuphumla, umkhenkce, kunye nokuzilolonga zezona ndlela ziphambili zonyango.
• Uninzi lwexesha, oku kuyaphela ngokupheleleyo xa umntwana eyeka ukukhula.
• Iingxaki zexesha elide azifane zenzeke.

Ngoko ke, ukuba umntwana wakho unezi mpawu, musa ukoyika kwaye udibane nogqirha ukuze akucebise. Nika umntwana wakho inkxaso kunye nenkuthazo ayidingayo. Kungekudala, umntwana wakho uza kuqalisa ukudlala kwakhona!

"Isifo sika-Osgood-Schlatter, Intlungu yedolo, Intlungu yedolo ebantwaneni, i-Growth Plateau, Ukulimala kwezemidlalo, Isifo sika-Osgood-Schlatter, Ukudumba kwedolo