Ingaba umntwana wakho uneentlungu edolweni? Ngaba mhlawumbi yiSinding-Larsen-Johansson Syndrome?

Ngaba umntwana wakho uyakuthanda ukudlala imidlalo? Ngaba kubonakala ngathi akakaze abe nosuku lokuphumla lokubaleka, ukutsiba, nokudlala? Ukuba umntwana onjalo okhutheleyo uva iintlungu zedolo ngequbuliso, kuyinto eqhelekileyo ukuba njengomzali uzive usoyika kakhulu. Ingakumbi ukuba yintlungu esezantsi kwedolo, isenokuba yimeko ebizwa ngokuba yiSinding-Larsen-Johansson Syndrome , esithetha ngayo namhlanje. Ungakhathazeki, masithethe ngale nto ngokweenkcukacha.

Yintoni uSinding-Larsen-Johansson Syndrome?

Ngamafutshane, i-Sinding-Larsson-Johansson syndrome (SLJ) yimeko apho i-kneecap yomntwana wakho (patella) iyi-tissue eqinileyo ebizwa ngokuba yi-patellar tendon edibanisa i-kneecap ne-shinbone (tibia). Ingxaki iyenzeka ngokukodwa apho le tendon inamathela kwisiphelo esisezantsi se-kneecap. Le yimeko ebizwa ngokuba yi -osteochondritis , ingxaki eyenzeka emathanjeni akhula abantwana.

Cinga nje, amathambo omntwana wakho asakhula. Ingakumbi kumalungu afana nedolo, kukho iindawo ezibizwa ngokuba "zii-growth plates." Ezi zezona zinto zinceda amathambo akhule. Kwi-SLJ, okwenzekayo kukuba i-growth plate, ekwi-inferior pole ye-patella, yonakele.

Le meko idla ngokubonakala kubantwana abaneminyaka ephakathi kwe-10 ne-14 ubudala abadlala imidlalo okanye abakhutheleyo kakhulu. Oku kungenxa yokuba imizimba yabantwana ikhula ngokukhawuleza kule minyaka, kwaye babandakanyeka kakhulu kwimidlalo.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela oku kukusetyenziswa kakhulu kwedolo . Cinga nge-tendon ye-patellar njengebhanti yerabha. Ibamba i-kneecap kunye ne-shinbone kunye kwaye ibanceda ukuba bahambe kakuhle. Xa abantwana bebaleka, betsiba, okanye bekhaba (umzekelo, xa bedlala ibhola ekhatywayo), izihlunu ezinkulu ezingaphambili kwamathanga abo (izihlunu ze-quadriceps) ziyasebenza. Xa ezi zihlunu zifinyela, kutsalwa ngamandla kwi-kneecap nge-tendon ye-patellar.

Xa oku kutsalwa kuqhubeka, kuphindaphindwa, kwaye kuphinda-phinda , kunokubangela ii-microtraumas apho i-tendon inamathela kwi-kneecap. Ezi zingozi zincinci ziyaqokelelana kwaye ekugqibeleni zikhokelela kwi-SLJ.

Umzekelo, khawucinge ukuba intombi yakho ikwiqela lebhola yomnyazi lesikolo. Izilolonga iiyure yonke imihla, itsiba kwaye ibaleka, kuba kukho itumente ezayo. Okanye unyana wakho udlala ikhilikithi, abaleke ngokukhawuleza aze abhowule, aze abeke ubunzima emadolweni akhe xa ebetha ibhethi. Olu hlobo lwemisebenzi lunokubangela i-SLJ.

Ngokubanzi, i-SLJ inokubangelwa zizinto ezifana nezi:

• Ukubaleka rhoqo.
• Ukutsiba rhoqo.
• Imidlalo yokukhaba (njengebhola ekhatywayo, ikarati).
• Nasiphi na isenzo esisoloko sisebenzisa amandla amaninzi emilenzeni nasemadolweni.

Yintoni umahluko phakathi kwesifo se-SLJ kunye nesifo se-Osgood-Schlatter?

Usenokuba ukhe weva nangesifo i-Osgood-Schlatter. Ezi zimbini ziyafana kakhulu. Zombini zibangelwa kukonakala kwe-tendon ye-patellar kubantwana abakhutheleyo nabakhulayo. Izizathu, iimpawu, kunye nonyango ziyafana kakhulu.

Umahluko omkhulu kukuba i-tendon yonakele phi.

• Kwi -Sinding-Larsson-Johansson syndrome (SLJ), umonakalo wenzeka phezulu kwi-tendon, oko kukuthi, apho i-tendon iqala khona kwi-kneecap (patella).
• Kwisifo sika-Osgood-Schlatter, umonakalo uyenzeka kwinxalenye esezantsi ye-tendon, oko kukuthi, apho i-tendon inamathela khona kwithambo le-shin (tibia).

Kunokuba nzima ukubona umahluko phakathi kwezi zimbini. Iindaba ezimnandi zezokuba zombini zinyangwa ngamayeza okuphumla kunye namayeza okulwa nokuvuvukala, ngoko ke unyango lufana kakhulu. Ugqirha wakho uza kumxilonga umntwana wakho aze akuxelele ukuba ngaba yi-SLJ okanye yi-Osgood-Schlatter.

Ngubani onokuthi aphuhlise oku ngakumbi?

Njengoko besitshilo ngaphambili, i-SLJ ixhaphake kakhulu kubantwana abaphakathi kweminyaka eli-10 neli-14 ubudala , ingakumbi abo badlala imidlalo. Kukho isizathu solu luhlu lweminyaka. Kulapho abantwana bekhula ngokukhawuleza. Xa amathambo, izihlunu, kunye nemisipha zitshintsha ngokukhawuleza ngaxeshanye, amalungu afana namadolo anokubekwa phantsi koxinzelelo olongezelelweyo.

Ezinye izifundo zibonise ukuba abantwana abane -cerebral palsy basengozini enkulu kancinci yokuba ne-SLJ.

Ngaba kuyenzeka nakubantu abadala?

I-SLJ ayiqhelekanga kubantu abadala. Enyanisweni, ukuba uneminyaka engaphezu kwe-15 ubudala kwaye unezi mpawu, kusenokwenzeka ukuba yenye imeko, efana ne-"Jumper's Knee" (patellar tendinopathy). Zininzi ezinye izizathu zentlungu yamadolo kubantu abadala. Ke ngoko, ukuba unentlungu entsha, ngakumbi emva kokusebenza nzima komzimba, kungcono ukubona ugqirha.

Ixhaphake kangakanani le meko?

I-SLJ yimeko eqhelekileyo kakhulu , kwaye yimbangela eqhelekileyo yentlungu yamadolo, ingakumbi kubantwana abancinci abakhutheleyo.

Oku kunafuthe lini emzimbeni womntwana?

Oku kunokuba buhlungu kakhulu kumntwana. Nangona kunjalo , i-SLJ ayinayo nayiphi na imiphumo yexesha elide kwimpilo yomntwana okanye imthintele ekwenzeni imisebenzi ayithandayo . Umntwana kuya kufuneka aphumle kwaye aphephe umdlalo okanye umsebenzi obangele le meko de i-patellar tendon iphole, nto leyo engathatha iiveki ezininzi ukuya kwiinyanga ezininzi. Nangona kunjalo, xa sele iphilile, inokubuyela kwimisebenzi yayo yesiqhelo ngaphandle kwemiphumo yexesha elide.

Zithini iimpawu zoku?

Iimpawu eziphambili zeSinding-Larsson-Johansson syndrome zezi:

• Intlungu ebukhali ngaphantsi kwedolo lomntwana, ngaphezulu nje kwe-shin. Olu luphawu oluphambili.
• Ukudumba.
• Ububele obujikeleze idolo.
• Kuba nzima ukugoba idolo ngokuqhelekileyo.

Ukuba umntwana wakho ufumana ezi mpawu, ingakumbi ukuba ungumdlali wezemidlalo, kuya kufuneka ucinge nge-SLJ.

Ugqirha uyixilonga njani le nto?

Xa usisa umntwana wakho kugqirha, uza kuqala enze uvavanyo lomzimba lwedolo neqakala lomntwana. Uza kubuza imibuzo efana nokuba intlungu iqale nini kwaye iba mandundu njani.

Ukongeza, ezinye iimvavanyo zomfanekiso zinokwenziwa ukuqinisekisa imeko ye-SLJ kunye nokujonga ezinye iingozi (ezifana nokuqhekeka).

Zithini ezi mvavanyo?

• I-X-reyi: I-X-reyi ingasetyenziselwa ukujonga ukwaphuka kwamathambo kwi-kneecap, kwi-tibia, okanye kwamanye amathambo. Ingajonga nokwaphuka koxinzelelo, okuxhaphake kakhulu phakathi kwabadlali.
• I-MRI (Magnetic Resonance Imaging): I-MRI inokubonelela ngomfanekiso opheleleyo wedolo kunye nendawo ejikelezileyo. Ingajonga nokuqina kwe-tendon ye-patellar ngenxa yokwenzakala.
• I-Ultrasound: Uvavanyo lwe-ultrasound lunokujonga indlela igazi elihamba ngayo kwiimisipha nakwizicubu ezinxibelelanayo ezijikeleze idolo.

Emva kwezi mvavanyo, ugqirha uya kukwazi ukuxelela ngokuqinisekileyo ukuba umntwana wakho une-SLJ okanye enye into.

Iphathwa njani i-SLJ?

Unyango oluphambili nolungcono lweSinding-Larsson-Johansson syndrome kukuphumla nokolula izihlunu ze-quadriceps ezingaphambili kwethanga . Ide iphole i-tendon yomntwana, kuya kufuneka ayeke ukudlala umdlalo okanye imidlalo ebangele ukwenzakala.

Uninzi lwabantwana kuya kufuneka bahlale kude nemidlalo kangangeeveki ezimbalwa ukuya kwiinyanga ezimbalwa. Ubude bexesha buxhomekeke kubukhulu bokwenzakala ngexesha lokwenzakala. Njengoko umntwana echacha, banokukwazi ukutshintshela kwezinye izinto ezibeka uxinzelelo oluncinci edolweni (njengokudada) endaweni yomdlalo ababewudlala.

Nazi ezinye izinto onokuzenza ukunciphisa iintlungu nokudumba okwethutyana:

• Ukufaka umkhenkce: Beka umkhenkce ugqunywe ngelaphu kwindawo ebuhlungu edolweni lakho imizuzu eli-15-20 amaxesha amaninzi ngemini.
• Iipilisi zokunciphisa iintlungu: Ngokucetyiswa ngugqirha, ungathatha ii-NSAID (Amayeza angengo-Steroidal Anti-Inflammatory Drugs) ezifana ne-ibuprofen. Ezi zinciphisa iintlungu nokudumba.

Kubalulekile:Soloko uthetha nogqirha womntwana wakho ngaphambi kokuba aqalise, ayeke, okanye atshintshe umthamo walo naliphi na iyeza. Musa ukunika umntwana wakho ii-NSAIDs iintsuku ezingaphezu kwe-10 ngaphandle kwemvume kagqirha wakho.

Ngaba utyando luza kufuneka?

Kunqabile kakhulu ukuba umntwana adinge utyando lokunyanga isifo sikaSinding-Larsson-Johansson. Kwanakwiimeko ezinzima kakhulu, oogqirha badla ngokucebisa ezinye iindlela zonyango ezingangenisi mandla, njengonyango lomzimba, ngaphambi kokuba bacebise utyando kumntwana okanye kumntu oselula.

Ngamanye amaxesha, abantu abadala abafunyaniswe bene-SLJ banokufuna ukwenziwa i-knee arthroscopy ukuze kulungiswe i-patellar tendon yabo.

Ngaba ii-NSAID zineziphumo ebezingalindelekanga?

Ewe, ii-NSAID zinokubangela ezinye iziphumo ebezingalindelekanga. Yiyo loo nto kufuneka zisetyenziswe kuphela njengoko kuyalelwe ngugqirha wakho. Ezinye zeziphumo ebezingalindelekanga ziquka:

• Ukopha.
• Izilonda zesisu.
• Intlungu yesisu.
• Iingxaki zenkqubo yokugaya ukutya.

Umntwana uza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Xa usebenzisa ii-NSAIDs, iintlungu zihlala ziphela aze umntwana aqale ukuziva ngcono kwisithuba esingangeyure. Kunjalo nangomkhenkce.

Nangona kunjalo, oku kunciphisa iintlungu akuthethi ukuba i-tendon ye-patellar yomntwana ipholile ngokupheleleyo . Ukuphumla nokuphepha umsebenzi obangele imeko ye-SLJ zezona zinto zibalulekileyo kunyango lomntwana.

Landela imiyalelo kagqirha ngokuchanekileyo. Ngokuxhomekeke kwimeko yomntwana wakho, ugqirha uza kukuxelela ukuba kuza kuthatha ixesha elingakanani ukuba aphile.

Ndingawunciphisa njani umngcipheko wokuba umntwana wam afumane i-SLJ?

Unokunceda ekuthinteleni ukuba i-tendon ye-patellar yomntwana wakho ingonakali kwasekuqaleni. Enye yeendlela ezilungileyo zokwenza oku kukunika umntwana wakho ukuphumla okwaneleyo kunye nexesha lokuphola phakathi kwexesha lemidlalo.

Abantwana abaninzi kunye nabantu abancinci ngoku bafunyanwa bene-SLJ kunangaphambili. Isizathu esiphambili soku kukuba baqeqesha okanye badlala umdlalo ofanayo unyaka wonke (begxile kumdlalo omnye) . Xa abantwana abaninzi bezama ukugxininisa kumdlalo omnye okanye umsebenzi, imizimba yabo ayifumani xesha laneleyo lokuphumla nokuchacha. Ukuze bazikhusele kungekuphela nje kwi-SLJ, kodwa nakwezinye izifo, kungcono ukuthintela abantwana ekubeni bagxile kumdlalo omnye de babe neminyaka elishumi elivisayo.

Yintoni omele uyenze ukuze uhlale ukhuselekile kwi-SLJ?

Eyona ndlela ilungileyo yokuthintela isifo sikaSinding-Larsson-Johansson kukuzolula rhoqo izihlunu ze-quadriceps . Okukhona imilenze yomntwana wakho iguquguquka, kokukhona ingcinezelo ayibekayo kwimisipha yakhe.

Ngokubanzi, licebo elihle ukulandela la manyathelo ukunciphisa uxinzelelo kwi-tendon ye-patellar:

• Ukuzolula umzimba ngaphambi nasemva kokudlala imidlalo.
• Ukuphumla nokuthatha ikhefu.
• "Ukudlala ngentlungu" ayilocebo lilungileyo! Ukuba uziva intlungu, kufuneka uyeke uphumle.

Yintoni onokuyilindela ukuba umntwana wakho une-SLJ?

Ukuba umntwana wakho ufunyaniswe ene-SLJ, lindela ukuba ahlale kude nemidlalo kunye nemisebenzi yomzimba enzima okwethutyana . I-SLJ yimeko yexeshana, kodwa kuthatha ixesha ukuba imisipha iphole.

Oku kuza kuhlala ixesha elingakanani?

Ixesha elithathayo isifo iSinding-Larsson-Johansson syndrome lixhomekeke kubukhulu bomonakalo wokuqala kwi-tendon ye-patellar yomntwana. Intlungu nokudumba kunokuphela kwiintsuku okanye iiveki ezimbalwa. Nangona kunjalo, abantwana banokufuna ukuhlala kude nemidlalo kangangeenyanga ezininzi ukuthintela umonakalo wexesha elide edolweni.

Ngaba umntwana angaya esikolweni?

Umntwana wakho akufuneki ayeke ukuya esikolweni ngelixa esaphila kwi-SLJ. Ukuze ungafaki uxinzelelo edolweni de liphole, buza ugqirha womntwana wakho ukuba ufuna ukuphumla kwiiklasi zemfundo yomzimba (PE/PT) .

Iyintoni ikamva lale meko?

Isifo iSinding-Larsson-Johansson sisifo sexeshana . Nangona kunjalo, kunokuba nzima ukuba abantwana bayeke ukudlala umdlalo abawuthandayo okwethutyana. Qinisekisa ukuba umntwana wakho uyaqonda oko kufuneka akwenze ukunceda umzimba wakhe uphumle, uphile, kwaye uphile, kunye nesizathu sokuba kufuneka ahlale kude nomdlalo okanye umsebenzi obangele imeko yakhe ye-SLJ okwethutyana.

Ufanele uye nini kugqirha?

Ukuba umntwana wakho unentlungu entsha edolweni, ingakumbi ukuba ihamba nokudumba, bonana nogqirha ngoko nangoko . Ugqirha angakunceda ubone ukuba yintoni ebangela intlungu yomntwana wakho, nokuba yi-SLJ okanye into enzulu ngakumbi, njengokuqhekeka.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha nomntwana wakho, ungalibali ukubuza le mibuzo:

• Zeziphi iimvavanyo umntwana wam afanele azenze?
• Umntwana ufanele ayeke ukudlala ixesha elingakanani?
• Ingaba esi sifo yiSinding-Larsson-Johansson okanye sisifo se-Osgood-Schlatter?
• Ziziphi iindlela ezikhoyo ezinokunceda ekuthinteleni iSinding-Larsson-Johansson syndrome kwixesha elizayo?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba umzali azive esoyika xa umntwana ebuhlungu. Ingakumbi xa kusenzeka ukwenzakala kwamalungu, kukho inkxalabo malunga nemiphumo yexesha elide.

Iindaba ezimnandi zezokuba iSinding-Larsen-Johansson Syndrome yimeko yexeshana engasayi kuchaphazela amadolo omntwana kwixesha elizayo.

Nokuba umntwana wakho kufuneka aphoswe lixesha lomdlalo awuthandayo, qiniseka ukuba uyakufanelekela oko kuba yinxalenye yokuchacha kwakhe. Ngokuphumla ngokwaneleyo nokulandela imiyalelo kagqirha wakho, umntwana wakho uya kuchacha ngokukhawuleza aze abuyele ekwenzeni izinto azithandayo!

Isifo sikaSinding-Larsen-Johansson, iintlungu zedolo, iingxaki zedolo zabantwana, ukwenzakala kwezemidlalo, i-patellar tendon, i-herniated disc, i-Osgood-Schlatter