Ingaba umntwana wakho uneentlungu zedolo? Isenokuba sisifo sika-Osgood-Schlatter!

Ngaba umntwana wakho ukhalaza ngeentlungu zedolo? Ngaba ukhalaza ngokuba iintlungu ziya zisiba mandundu xa edlala, ebaleka, okanye etsiba? Ukuba kunjalo, kusenokuba kungenxa yemeko ebizwa ngokuba yi-Osgood -Schlatter Disease. Ungakhathazeki, masithethe ngayo ngokweenkcukacha.

Iyintoni kanye kanye le meko ka-Osgood-Schlatter?

Ngamafutshane, i-Osgood-Schlatter yimeko eyenzeka kwi-growth plate , ekwi-low down the knee, phezulu kwe-shin bone. Ngoku usenokuba uzibuza ukuba yintoni le-growth plate. Cinga ngayo, xa sisebancinci, amalungu ethu akhula abe made kwaye abe made. Le yindawo ekhethekileyo enceda amathambo akhule. Le yinxalenye ekufutshane nesiphelo sethambo, eyenziwe ngento efana ne -cartilage . Le nxalenye kulapho ukukhula kwethambo kwenzeka khona. Nangona kunjalo, le-growth plate ibuthathaka kancinci kunezinye iindawo zethambo, ngoko ke inokonakala ngokulula. Le meko ye-Osgood-Schlatter idla ngokuba ngcono xa umntwana eyeka ukukhula, kwaye ayibangeli iingxaki zexesha elide.

Ngubani ofumana oku rhoqo?

Isifo se-Osgood-Schlatter sixhaphake kakhulu kubantwana abaphakathi kweminyaka eli-9 neli-16. Abafana banokuba naso, kodwa namantombazana anokuba naso, ingakumbi ukuba adlala imidlalo. Isizathu esiphambili soku kukuba abantwana bakhula ngokukhawuleza ngeli xesha, elibizwa ngokuba yi-"growth spurt." Kwakhona, abantwana abakhutheleyo, ababalekayo, nabatsibayo, ingakumbi abo badlala imidlalo efana nebhola ekhatywayo, ibasketball, i-volleyball, i-gymnastics, i-long jump, kunye ne-high jump, banokuba naso esi sifo. Oku kungenxa yokuba le midlalo ibeka uxinzelelo olukhulu emadolweni.

Kutheni oku kusenzeka? Zithini izizathu?

Kulungile, masibone ukuba kutheni oku kusenzeka. Xa umntwana wakho ebaleka, etsiba, okanye egoba amadolo akhe , isihlunu esikhulu ethangeni elingaphezulu kwedolo (sisithi yi-"Quadriceps" muscle) siyasebenza. Esi sihlunu sidlula kwi-kneecap size sinamathele phezulu kwepatella, ipleyiti yokukhula esithethe ngayo ngaphambili, nge-tendon eqinileyo. Esi sihlunu sibizwa ngokuba yi-"Patellar Tendon".

Ngoko ke, xa umntwana ebaleka okanye etsiba rhoqo, le misipha ye-"Quadriceps" iyafinyela ize itsale ipleyiti yokukhula ngaloo misipha. Xa olu hlobo lokutsala luphindaphindwa, loo pleyiti yokukhula ebuthathaka iqala ukwenzakala nokudumba kancinci kancinci. Yiloo nto ibangela ukuba kubekho ukudumba okanye iqhuma elincinci kuloo ndawo.

Ingakumbi eyomntwanaNgexesha lokukhula ngokukhawuleza, amathambo akhula ngokukhawuleza, kodwa izihlunu kunye nemisipha zisenokungakhuli ngesantya esifanayo. Imisipha iyaqina ize ibeke uxinzelelo olungakumbi kwipleyiti yokukhula. Yiyo loo nto isifo se-Osgood-Schlatter sixhaphake kakhulu ngeli xesha.

Ngaba umntwana wakho unazo ezi mpawu?

Ungazi njani ngokuqinisekileyo ukuba umntwana wakho unesifo se-Osgood-Schlatter? Nazi ezinye iimpawu ekufuneka uziqaphele:

• Intlungu engaphantsi kwedolo, ngaphezulu kwedolo: Ngokuchanekileyo, le ntlungu yenzeka kwindawo evakala ngathi yiqhuma elincinci xa uchukunyiswa ngesandla sakho, ngaphantsi nje kwedolo. Ngamanye amaxesha eli qhuma linokuba likhulu kancinci kwaye libonakale.
• Ukudumba nokuthamba kwindawo: Ukuba uchukumisa iqhuma, ungaqaphela ukuba umntwana uneentlungu.
• Intlungu iyanda xa usenza umsebenzi: Le ntlungu iyanda kakhulu xa ubaleka, utsiba, unyuka izinyuko, unyuka iintaba, okanye uguqa ngamadolo. Intlungu isenokuqhubeka nokuba sele ugqibile ukudlala.
• Ngamanye amaxesha ukuqhwalela: Ukuba intlungu inzima, umntwana usenokuhamba eqhwalela, ingakumbi ngexesha lokudlala okanye emva koko.
• Ukwenzeka kwidolo elinye okanye omabini: Le meko inokuchaphazela idolo elinye kuphela, okanye inokwenzeka kuwo omabini amadolo ngaxeshanye. Ngokwesiqhelo, malunga ne-20-30% yabantwana bayayifumana kumacala omabini amadolo.
• Ukwanda kancinci kancinci kwentlungu: Oku akuyonto eyenzeka ngaxeshanye. Ngokwesiqhelo, intlungu iyanda kancinci kancinci, kangangeeveki okanye iinyanga.

Khawucinge nje, unyana wakho uChamath ukwiqela lekhilikithi lesikolo. Xa ebuya ekhaya emva kokuziqhelanisa, uhlala esithi, "Mama, idolo lam libuhlungu," ingakumbi xa echukumisa indawo engaphantsi kwedolo. Emva kwexesha elithile, ubona ukuba lidumbile kancinci. Libuhlungu kakhulu xa ebaleka aze adlale ibhola. Yiloo nto eyenzekayo kweli tyala.

Ugqirha uyibona njani le nto?

Xa usisa umntwana wakho kugqirha, ugqirha uza kuqala akubuze wena nomntwana wakho ngentlungu, ukuba yenzeka kangaphi, zeziphi izinto ezenziwa ngumntwana wakho, kunye nokuba kukho na ukwenzakala edolweni ngaphambili.

Ugqirha uza kuhlola idolo lomntwana. Baza kuva indawo ebuhlungu, bakhangele ukuba akukho ukudumba, baze bajonge indlela idolo eligoba nelithe nkqo ngayo, kunye nendlela umntwana ahamba ngayo. Ngamanye amaxesha umntwana unokucelwa ukuba enze izinto ezifana nokutsiba okanye ahlale emadolweni ukuze abone ukuba intlungu isekhona na.

Uninzi lwexesha, ugqirha unokuxilonga isifo se-Osgood-Schlatter ngokusekelwe kwezi mpawu kunye novavanyo. Ngokwesiqhelo, kwenziwa i-X-ray.)` ayiyomfuneko. Nangona kunjalo, ukuba ugqirha urhanela ukuba kukho imeko enzulu ngakumbi, efana nokuqhekeka, usulelo, okanye ithumba, okanye ukuba iimpawu aziqhelekanga, unokuyalela ukuba kwenziwe i-``(X-ray)```.

Zithini iindlela zokunyanga oku? Izinto onokuzenza ekhaya

Iindaba ezimnandi zezokuba isifo sika-Osgood-Schlatter sinokunyangeka ngokupheleleyo ngokuhamba kwexesha . Xa umntwana eyeka ukukhula kwaye ipleyiti yokukhula iba yithambo eliqinileyo, intlungu iya kuphela yodwa. Kodwa kude kube ngoko, kukho izinto esinokuzenza ukulawula intlungu kunye nokumthuthuzela umntwana.

Eyona nto ibalulekileyo kukunyamezela. Le ayisiyonto eza kuphola ngosuku olunye okanye ezimbini. Intlungu ingaphela emva kweenyanga eziliqela, mhlawumbi unyaka omnye okanye emibini.

Nazi izinto onokuzenza:

• Ukuphumla kunye nokunciphisa imisebenzi: Le yeyona nto ibalulekileyo. Kufuneka umsuse umntwana wakho okwethutyana kuyo nayiphi na imisebenzi ebangela intlungu. Oku kuthetha ukuyeka ukubaleka, ukutsiba, kunye neminye imisebenzi ebeka uxinzelelo emadolweni. Ukumvumela ukuba adlale ngentlungu kuya kwenza izinto zibe mbi ngakumbi. Kufuneka umenze umntwana wakho aqonde ukuba oku kungokwexeshana nje. Nje ukuba intlungu iphele, ungaqala ukudlala kwakhona kancinci kancinci.
• Umkhenkce: Faka umkhenkce kwindawo ebuhlungu nedumbileyo imizuzu eli-15-20 izihlandlo ezininzi ngemini. Musa ukufaka umkhenkce ngqo eluswini, wusonge ngelaphu. Kulungile ngakumbi ukufaka umkhenkce kwangoko emva kokudlala.
• Iintlungu: Isithomalalisi sentlungu esifana ne-`( Paracetamol )` sinokunikwa ngengcebiso kagqirha. Ngamanye amaxesha ugqirha angacebisa neyeza elilwa nokuvuvukala elifana ne-`(Ibuprofen). Musa ukunika naliphi na iyeza ngaphandle kwengcebiso kagqirha.
• Ukuzilolonga nokomeleza: Ukuzilolonga nokomeleza imisipha ye-quadriceps kunye ne-hamstrings kunokunceda kakhulu. Oku kwandisa ukuguquguquka kwemisipha kwaye kunciphisa uxinzelelo kwimisipha. Nangona kunjalo, oku kufuneka kwenziwe xa kungekho ntlungu. Kungcono ukubona ingcali ye-physiotherapist kwaye ufunde imithambo efanelekileyo yoku.
• Inkxaso/intambo yedolo: Abanye abantwana bafumanisa ukuba intambo ekhethekileyo okanye inkxaso enxitywa phantsi kwedolo inceda ekunciphiseni iintlungu. Oku kunceda ekunciphiseni uxinzelelo kwi-tendon ye-patellar kwaye kunciphisa impembelelo kwipleyiti yokukhula. Buza ugqirha wakho ngale nto.
• Yiba nomonde: Njengoko bekutshiwo ngaphambili, oku kuthatha ixesha. Iintlungu zingaphakama apha naphaya kangangeenyanga, mhlawumbi unyaka okanye emibini, ingakumbi ukuba umsebenzi uyanda. Eyona nto ibalulekileyo kukuba nomonde kwaye ulinde umntwana wakho akhule.

Ngaba oku kungathintelwa ukuba kungenzeki kwakhona?

Kunzima ukuthintela ngokupheleleyo isifo se-Osgood-Schlatter, njengoko sinxulumene nokukhula komntwana. Nangona kunjalo, kukho izinto onokuzenza ukunceda ukulawula iintlungu nokunciphisa ukuvela kweentlungu rhoqo:

• Ukuzifudumeza ngaphambi kokudlala nokuzola emva kokudlala: Oku kubaluleke kakhulu. Kufuneka ulungiselele izihlunu zakho kunye nemisipha yakho ukuze wenze lo msebenzi. Beka bucala ubuncinane imizuzu emi-5 ukuya kweli-10 yokwenza oku.
• Ukolula rhoqo: Ukolula izihlunu ezingaphambili kwethanga (`(Quadriceps)`) kunye nomva wethanga (`(Hamstrings)`) rhoqo kubalulekile. Oku kwandisa ukuguquguquka kwezihlunu kwaye kunciphisa uxinzelelo kwimisipha.
• Yandisa uqeqesho lwakho kancinci kancinci: Akulunganga ukunyusa ngequbuliso ubungakanani boqeqesho okanye ubukhali. Ufanele ulwandise kancinci kancinci nangendlela ecwangcisiweyo. Kungcono ungalwandisi ixesha okanye ubukhali boqeqesho lwakho ngaphezu kwe-10% ngeveki.
• Izihlangu ezifanelekileyo: Kubalulekile ukunxiba izihlangu zemidlalo ezisemgangathweni ezinceda ekunciphiseni uxinzelelo emadolweni ngelixa udlala imidlalo. Kuphephe ukunxiba izihlangu ezindala.
• Mamela umzimba wakho: Ukuba uziva iintlungu, musa ukuzityeshela uze uqhubeke nokudlala. Iintlungu luphawu oluvela emzimbeni wakho, kufuneka uziphulaphule uze uphumle. Isaci esithi "Akukho ntlungu, akukho nzuzo" asisebenzi kule meko.

Ngaba yinto ekufuneka ndiyoyike? Ndingaya nini kugqirha?

Abazali abaninzi bayoyika oku, becinga, "Hayi, idolo lomntwana wam lonzakele kakhulu." Kodwa u-Osgood-Schlatter ayisiyongxaki imbi kakhulu, ehlala ixesha elide. Njengoko bekutshiwo ngaphambili, idla ngokuba ngcono ngokwayo xa umntwana ekhule ngokupheleleyo. Kwiimeko ezininzi, akukho monakalo usisigxina. Mhlawumbi elo qhuma lincinci phantsi kwe-kneecap liya kuhlala okwethutyana, kodwa alibuhlungu, yingxaki nje yobuhle.

Nangona kunjalo, kwiimeko ezinjalo, ngokuqinisekileyo kufuneka ubone ugqirha:

• Ukuba intlungu inzima kakhulu, ukuba umntwana akakwazi ukuyinyamezela, ukuba akakwazi ukwenza imisebenzi eqhelekileyo.
• Ukuba intlungu ayipheli emva kweeveki ezimbini ukuya kwezintathu zonyango lwasekhaya (ukuphumla, umkhenkce) okanye ukuba iba mandundu.
• Ukuba umntwana uhamba eqhwalela kwaye engakwazi ukuthwala ubunzima edolweni.
• Ukuba ukudumba kugqithisile, idolo libomvu, kwaye kukho ubushushu (ezi zisenokuba ziimpawu zosulelo).
• Ukuba intlungu ikhona ebusuku, oko kukuthi, ukuba intlungu iyenzeka nokuba umntwana uphumle, ukuba intlungu inzima ngokwaneleyo ukuba ivuse umntwana ebuthongweni.
• Ukuba uneentlungu zedolo kunye nezinye iimpawu ezinje ngomkhuhlane, iintlungu zomzimba, kunye nokwehla kobunzima.

Ngamaxesha anje, kubalulekile ukubona ugqirha ukuze kuqinisekiswe ukuba yi-Osgood-Schlatter okanye yenye imeko.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono imeko yeSifo se-Osgood-Schlatter esithethe ngaso.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule zezi:

• I-Osgood-Schlatter yimeko ebangela iintlungu edolweni echaphazela abantwana abasakhulayo nabakhutheleyo .
• Oku kubangelwa luxinzelelo kunye nokulimala okuncinci kwipleyiti yokukhula, ebekwe ngaphezulu kwe-tibia, ngaphantsi kwedolo.
• Iimpawu eziphambili ziintlungu ezingaphantsi kwedolo, ukudumba, kunye nentlungu eyandayo xa usebenza.
• Ukuphumla, umkhenkce, kunye nokuphepha imisebenzi ebangela iintlungu zezona ndlela ziphambili zonyango. Unyango lwe-physiotherapy nalo lubaluleke kakhulu.
• Le meko ayinzima kangako kwaye iza kuphucuka ngokwayo njengoko umntwana ekhula.
• Nangona kunjalo, ukuba iintlungu zinzima, azipheli, okanye ukuba kukho ezinye iimpawu ezingaqhelekanga , qiniseka ukuba ubona ugqirha.

Ngoko ke, ukuba umntwana wakho naye unezi mpawu, musa ukoyika, mnike ukuphumla okufunekayo, kwaye ucele ingcebiso kugqirha ngaphambi kokuba ujongane nale meko. Eyona nto ibalulekileyo kukwenza umntwana akuqonde oku kwaye abe nomonde.