Khawuthelekelele umntwana wakho, oqhele ukuba phakathi kweminyaka eli-11 neli-16 ubudala, ngequbuliso uqala ukuhamba eqhwalela, ngokungathi urhuqa umlenze wakhe kancinci. Okanye uqhubeka esithi, "Mama, idolo lam libuhlungu" ngelixa edlala. Sihlala sicinga njengabazali, "Owu... lo mntwana uyakhula, yiloo nto kufuneka ibe yiyo." Kodwa ayingombono ulungileyo ukungawunaki wonke uqhwalela, yonke intlungu yomlenze. Kuba inokuba luphawu lwemeko ebizwa ngokuba yiSlipped Capital Femoral Epiphysis , okanye i-SCFE njengoko oogqirha besibiza njalo. Le yimeko enzulu efuna ingqalelo ekhawulezileyo. Ke namhlanje, masithethe ngokuba yintoni i-SCFE, kutheni isenzeka, kunye nento esifanele siyenze.
Ngamafutshane, yintoni le nto yokutyibilika kwesinqe (SCFE)?
Nangona eli gama lisenokuvakala lisoyikisa kwaye liyinkimbinkimbi, masiligcine lilula.
Ithambo elide nelinamandla kumlenze wethu ongasentla yithambo lethanga, okanye ngokwezonyango, iFemur . Phezulu kweli thambo lethanga kukho inxalenye engqukuva efana nebhola. Siyibiza ngokuba yiCapital Femoral Epiphysis . Cinga ngayo njengebhola ye-ayisikhrim ekwikhowuni ye-ayisikhrim. Le bhola yileyo ihleli kwisokethi yethu yesinqe kwaye isinceda sijike, sigobe, kwaye sihambe.
Xa umntwana esemncinci, oko kukuthi, xa umzimba ukhula ngokukhawuleza, kukho "ipleyiti yokukhula" phakathi kwenxalenye efana nebhola yale thambo kunye nenxalenye ende yethambo. Yiyo le nto inceda ithambo ukuba likhule. Kodwa ngenxa yokuba le pleyiti yokukhula yenziwe nge-cartilage, ayinamandla njengethambo elikhule ngokupheleleyo. Ibuthathaka kancinci.
Kwimeko ebizwa ngokuba yi -SCFE , intloko yethambo efana nebhola iyaphuma ize yehle ngepleyiti yokukhula ebuthathaka, njenge-ayisikhrim cone, kude nenxalenye ye-femur. Oku kubangela ukuba ibhola ingangeni kakuhle kwi-socket yethambo lesinqe. Oku kunokubangela ukuba umntwana abe nobunzima bokuhamba, azive iintlungu, aze aqhwalele.
Eyona nto ibalulekileyo kukuba le meko isoloko ifuna ukulungiswa ngotyando, ngoko ke ukubonwa kwangethuba kubaluleke kakhulu.
Kukho iintlobo ezimbini eziphambili zale meko ye-SCFE:
Oogqirha bahlula le meko ibe ziintlobo ezimbini eziphambili ngokusekwe kubukhali bayo kunye nokungonwabi umntwana akufumanayo. Kubaluleke kakhulu ukwazi umahluko phakathi kwezi zimbini, njengoko oku kumisela uhlobo lonyango kunye nokungxamiseka kwalo.
| Uhlobo lwe-SCFE | Intsingiselo kunye neempawu |
|---|---|
| I-SCFE eZinzileyo (i-SCFE eZinzileyo) | Olu lolona hlobo luxhaphakileyo. Apha, intloko yethambo ityibilika kancinci kancinci, kancinci kancinci, kwiiveki okanye kwiinyanga . Nangona umntwana eneentlungu, unokuhamba nzima ukubeka ubunzima kuloo mlenze. Amaxesha amaninzi, umntwana uhamba eqhwalela. Iintlungu zinokufika ziphele. |
| I-SCFE engaqinisekanga | Le yimeko enzima kakhulu nengxamisekileyo. Apha, intloko yethambo ngequbuliso iyatyibilika ngokwaneleyo. Oku kubangela iintlungu eziqatha . Umntwana akakwazi ukubeka loo mlenze emhlabeni okanye ukubeka ubunzima kwelinye icala. Le yimeko engxamisekileyo yezonyango. Kufuneka ukulaliswa esibhedlele ngokukhawuleza kunye nonyango. |
Ziziphi iimpawu esinokuzibona kumntwana?
I-SCFE, ingakumbi i-Stable SCFE, inokuba nzima ukuyibona ekuqaleni. Iimpawu ziqala kancinci kakhulu. Isenokuqala kwelinye isinqe ize isasazeke kwelinye. Njengabazali, kufuneka sizazi ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuqhwalela | Olu lolona phawu luphambili noluqhelekileyo. Umntwana usenokubonakala erhuqa umlenze omnye xa ehamba. |
| Intlungu kwindawo yesinqe, emqolo, okanye ethangeni | Umntwana usenokukhalaza ngentlungu esinqeni, esinqeni, okanye ethangeni elingaphakathi. |
| Intlungu Yamadolo | Olu luphawu olubaluleke kakhulu nolukhohlisayo kubantu abaninzi. Nokuba ingxaki ikwisinqe, intlungu inokuvakala edolweni ngenxa yokunxibelelana kwemithambo-luvo. Ukuba idolo lihlolwe kwaye akukho ngxaki, ugqirha ngokuqinisekileyo uya kukrokrela nesinqe. |
| Umlenze uphumile | Xa umntwana ehamba okanye elele phantsi, umlenze nonyawo oluchaphazelekileyo lunokubonakala ngathi lujongiswe ngaphandle. |
| Umlenze omnye ubonakala umfutshane kunomnye. | Xa i-femur isusiwe, loo mlenze unokubonakala umfutshane kancinci kunomnye umlenze. |
| Ukuqina kwamalungu kunye nokunyakaza okulinganiselweyo | Kuba nzima ukugoba nokujikelezisa isinqe. Kuba nzima ukubaleka, ukutsiba, nokusebenza ngokukhawuleza. |
Kutheni oku kusenzeka ebantwaneni? Izizathu kunye nezinto ezibangela umngcipheko
Akukho sizathu sinye se-SCFE, kodwa oogqirha bachonge izizathu ezininzi eziphambili kunye nezinto ezinobungozi ezibangela oko.
- Ukutyeba kakhulu: Le yeyona nto ibalulekileyo nenamandla kwi-SCFE. Uninzi lwabantwana abane-SCFE bane-body mass index ephezulu (BMI) ngokweminyaka yabo. Ngamafutshane, njengoko ubunzima bomzimba busanda, uxinzelelo kwipleyiti yokukhula ebuthathaka luyanda. Xa olu xinzelelo lungenakunyamezelwa, intloko yamathambo inokuba lula ukutyibilika.
- Ukukhula ngokukhawuleza: Le meko ixhaphake kakhulu ngamaxesha okukhula ngokukhawuleza, xa umzimba womntwana ukhula ngokukhawuleza nangokukhawuleza. Ngeli xesha, ipleyiti yokukhula isebenza kakhulu, kodwa ikwabuthathaka.
- Utshintsho kwihomoni: Ngexesha lokufikisa kunye nokutyeba kakhulu, amanqanaba ehomoni emzimbeni womntwana ayatshintsha. Olu tshintsho kwihomoni lunokuchaphazela ukukhula kunye namandla amathambo, nto leyo ebangela ukuba i-growth plate ibe buthathaka ngakumbi. Ezinye iingxaki ze-endocrine nazo zinokwandisa le ngozi.
- Imbali yosapho (iiGene): Ukuba kukho umntu kusapho, oko kukuthi, umama, utata, okanye umntakwenu, oye waba ne-SCFE, kukho umngcipheko omncinci wokuba nomntwana naye uza kuba nayo.
- Ukulimala Okuncinci:Ngamanye amaxesha, into efana nokuwa okanye ukubetheka esinqeni kunokubangela ukuba oku kutyibilika kuqale okanye kube mandundu imeko ekhoyo.
Iingxaki ezinokwenzeka ukuba le meko ayinyangwa
I-SCFE ayisiyonto inokunyangeka lula. Ukuba ayiqatshelwa ngexesha kwaye inyangwe ngokufanelekileyo, inokukhokelela kwiingxaki ezinzulu nezihlala ixesha elide.
1. Ukuxinana Kwesinqe: Xa intloko ye-femoral ityibilika, amathambo esinqeni aqala ukukhuhlana. Oku kubangela iintlungu eziqatha, konakalisa ulwelo lwe-cartilage yelungu, kwaye kunokukhokelela kwi -arthritis ngokuhamba kwexesha.
2. I-Avascular Necrosis: Le yeyona ngxaki inzima kakhulu. Ukuba intloko yethambo ityibilika kakhulu okanye kwi-SCFE engazinzile, imithambo yegazi ebuthathaka ehambisa igazi entloko yethambo inokonakala. Ukuba oku kuyenzeka, ukuhanjiswa kwegazi emathanjeni kuyayeka kwaye izicubu zethambo ziqale ukufa. Le yimeko ebuhlungu kakhulu kwaye inokukhokelela kutyando lokutshintshwa kwesinqe ngokupheleleyo kwixesha elizayo.
Ugqirha uyixilonga njani le nto?
Xa usisa umntwana wakho kugqirha, uza kuqala akubuze ngokweenkcukacha wena nomntwana wakho ngeempawu zakhe. Ukuba intlungu ibikho ixesha elide kangakanani, ivakala njani, nokuba kunzima na ukuhamba.
Emva koko umntwana uyahlolwa. Umntwana uyajongwa xa ehamba, ubude bemilenze yakhe buyalinganiswa ngelixa elele phantsi, kwaye i-hip joint iyagoba kwaye ijikelezwe kumacala ahlukeneyo ukuze kubonwe ukuba ihamba njani kwaye ingaba kukho intlungu na. Xa umntwana one-SCFE egoba umlenze wakhe phezulu, ujikeleza ngokuzenzekelayo ngaphandle. Olu luphawu olubalulekileyo lokuchonga esi sifo.
Emva kolu vavanyo lomzimba, kwenziwa i-X-ray ukuqinisekisa ukuxilongwa. I-X-ray yesinqe ingabonisa ngokucacileyo ukuba intloko ye-femoral ityibilikile na kwaye ityibilikile kangakanani. Kwezinye iimeko ezingaqhelekanga, i-MRI scan inokwenziwa.
Iindlela zonyango: Utyando luyimfuneko!
Xa i-SCFE ifunyenwe, unyango luhlala lutyando . Asikuko ukuthatha amayeza nokuphumla. Utyando luneenjongo ezimbini eziphambili:
1. Nqanda intloko yethambo ukuba ingatyibiliki ngakumbi.
2. Ukugcina intloko yethambo izinzile.
Kukho iintlobo ezimbini eziphambili zotyando.
- Ukulungiswa Kwendawo: Le yindlela eqhelekileyo nephumelelayo ye-SCFE ezinzileyo. Oku kuquka ukwenza umngxuma omncinci ecaleni kwe-femur, kwaye kusetyenziswa isikhokelo se-X-ray, kufakwa isikrufu esinye esinamandla ngentloko etyibilikayo ye-femur, siqinise intloko ye-femur kwinxalenye yayo yonke ye-femur. Le yinkqubo elula, engenabungozi kangako.
- Ukunciphisa okuVulekileyo kunye noLungiso lwangaphakathi:Olu lutyando oluntsonkothileyo kancinci. Lwenziwa kwiimeko ze-SCFE engazinzile, oko kuthetha ukuba intloko ye-femoral ityibilike kakhulu. Kwimeko enjalo, ugqirha kufuneka avule i-hip joint, abuyisele intloko ye-femoral endaweni yayo, aze ayilungise ngezikrufu ezingaphezu kwesinye.
Kwenzeka ntoni emva kotyando?
Emva kotyando, umntwana kuya kufuneka asebenzise iinduku zokusila kangangeeveki ezi-6-8 kwaye angabeki bunzima emlenzeni ohlinzweyo. Nje ukuba intlungu iphele kwaye ithambo lipholile, kubalulekile ukufuna uncedo kwingcali ye-physiotherapist . Uza kukufundisa imithambo yokuqinisa izihlunu ezijikeleze ilungu lesinqe kunye nokubuyisela ukuhambahamba kwilungu. Kungathatha malunga neenyanga ezi-3-6 ukuphola ngokupheleleyo nokuqalisa imisebenzi yezemidlalo.
Musa ukulindela ukuba le meko izoziphilisa yodwa. Ayifane iphile. Xa kuvela iimpawu, amathuba okuba amathambo aphiliswe yodwa aphantse abe mbalwa. Ngoko ke, ukuba unamathandabuzo, bonana nogqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuba umntwana okwishumi elivisayo (oneminyaka eli-11-16 ubudala) uqhwalela okanye uhlala ekhalaza ngeentlungu zesinqe, imisipha, okanye ingakumbi idolo , musa ukuyithatha njenge "ntlungu yokukhula."
- Ukutyeba kakhulu yeyona nto iphambili ebangela i-SCFE. Ukulawula ubunzima bomntwana wakho kubaluleke kakhulu.
- Cinga nge-SCFE njengengxamiseko yezonyango . Okukhona ifunyaniswa ngokukhawuleza kwaye inyangwa, kokukhona kunokwenzeka ukuba ithintele iingxaki ezinkulu (i-arthritis, ukufa kwamathambo) ezinokuvela kwixesha elizayo.
- Unyango oluphumelelayo kuphela koku lutyando . Ngotyando olukhawulezileyo, umntwana angachacha ngokupheleleyo aze abuyele ebomini obuqhelekileyo.
- Ukuba umntwana wakho unezi mpawu, bonana nogqirha wosapho lwakho ngoko nangoko ukuze athunyelwe kugqirha wamathambo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho