Ingaba isinqe somntwana wakho omncinci sibuhlungu? Isenokuba yi-Slipped Capital Femoral Epiphysis (SCFE)!

Umntwana wakho wayesoloko ebaleka njengebhabhathane elidlalayo, akunjalo? Kodwa ngoku ubonakala exhuzula kancinci xa ehamba, okanye isinqe sakhe sibuhlungu, mhlawumbi nedolo lakhe libuhlungu? Musa ukuzithatha ezi zinto njenge "sisifo nje somzimba." Kuba ezi zinokuba ziimpawu zengxaki yesinqe esiza kuthetha ngayo namhlanje ebizwa ngokuba yiSlipped Capital Femoral Epiphysis (SCFE) . Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni kanye kanye iSlipped Capital Femoral Epiphysis (SCFE)?

Ngamafutshane, le yimeko eyenzeka kubantwana abancinci, ingakumbi ngexesha lokukhula kwabo (esikubiza ngokuba kukufika ebusheni ). Ithambo lethanga lomntwana wakho (ithambo elikhulu esilibiza ngokuba yi-"femur"), linenxalenye efana nebhola phezulu kwalo, apho lingena khona kwisokethi yesinqe. Oku kubizwa ngokuba yi-"epiphysis". Ngoko ke, kwi-SCFE, okwenzekayo kukuba inxalenye efana nebhola ye-"femur" ityibilika kancinci entanyeni ye-"femur". Kufana ne-ayisikhrim cone ekwi-ayisikhrim cone ityekele kancinci kwelinye icala. Xa ityibilika ngolu hlobo, ayingeni kakuhle kwisokethi yesinqe, nto leyo ebangela iingxaki xa umntwana ehamba kwaye ebaleka.

Ngoku usenokuba uzibuza, "Kutheni oku kusenzeka?" Abantwana bethu bakhula bebade besebancinci kakhulu, kwindawo ekhethekileyo ekupheleni kwamathambo abo amade (njengethambo lethanga). Oku sikubiza ngokuba yi-'growth plate'. Cinga ngayo njengesebe lomthi eliqhubeka likhula. Kodwa le '(growth plate)', ngaphambi kokuba amathambo emzimbeni womntwana akheke ngokupheleleyo, inobume obuthambileyo njenge-cartilage. Ifana nejeli. Ngenxa yobume obuthambileyo, ngamanye amaxesha i-'(epiphysis)', loo nxalenye efana nebhola yethambo lethanga, izama ukushenxa kwi-'(growth plate)'.

I-capital femoral epiphysis, ekwindawo ephezulu yethambo lethanga, ithambekele kakhulu ekutyibilikeni, njengoko le ndawo ithwala uninzi lobunzima bomzimba ongaphezulu womntwana. Ngoko ke, ubunzima bomntwana kunye nokukhula ngokukhawuleza zezona zinto zimbini ziphambili ezichaphazela le meko.

Le meko ye-SCFE inokubangela ukuqhwalela kunye nentlungu ukusuka esinqeni ukuya edolweni. Uninzi lwexesha, iqala kancinci, ngaphandle kwesilumkiso. Ingaqala kwelinye isinqe ize isasazeke kwelinye. Inokuba mandundu ngokuhamba kwexesha, kwaye ezinye iingxaki zinokuvela. Ke ngoko, umntwana uya kufuna utyando ukulungisa oku, kwaye kungcono ukukwenza ngokukhawuleza.

Yintoni i-SCFE 'eZinzileyo' kunye 'neZingazinzanga'?

Oogqirha bahlula le meko ye-SCFE ibe ziintlobo ezimbini: ezizinzileyo nezingazinzanga.

• I-SCFE ezinzileyo: Uninzi lwabantwana lunolu hlobo. Lukhula kancinci kancinci. Kwimeko enjalo, umntwana unokuhamba enobunzima esinqeni, kodwa kunokubakho iintlungu.
• I-SCFE engaqinisekanga:Kwimeko enjalo, intloko yethambo ityibilike kakhulu. Oku kubangela iintlungu eziqatha, kwaye awukwazi nokuhamba ubunzima bakho busesinqeni. Uninzi lwexesha, ityibilika kakhulu, ngokungathi yingozi yequbuliso. Le meko "engazinzanga" ye-SCFE ifuna unyango olungxamisekileyo.

Zithini iimpawu zeSlipped Capital Femoral Epiphysis (SCFE)?

Iimpawu ze-SCFE zihlala zivela ngequbuliso. Wena nomntwana wakho nisenokungakhumbuli kakuhle ukuba ziqale nini. Nazi ezinye zeempawu onokuzifumana wena nomntwana wakho:

• Intlungu kwindawo yesinqe: Olu luphawu oluphambili.
• Intlungu yengqumbo: Intlungu inokuvela ngaphakathi kwesinqe, kanye emqolo.
• Intlungu yomlenze: Ngamanye amaxesha intlungu ingasasazeka ukusuka esinqeni ukuya edolweni.
• Intlungu yedolo: Musa ukumangaliswa, abanye abantwana banokukhalaza ngentlungu yedolo ngenxa yengxaki yesinqe. Oogqirha babiza oku ngokuthi "yintlungu edluliselwa kwabanye".
• Ukuqhwalela okanye ukuhamba ngendlela engaqhelekanga: Usenokubonakala ngathi ugobile kwicala elinye okanye uqhwalela xa uhamba.
• Ukuziva ukuqina xa uhamba kwaye kuyanda: Usenokuziva ukuqina esinqeni sakho, ngokungathi siyabhajwa emva kokuhamba okwethutyana.
• Ubunzima bokubeka ubunzima emlenzeni omnye.
• Ubunzima bokubaleka, ukutsiba, nokugoba esinqeni.
• Isinqe esinye nomlenze kubonakala ngathi zijongiswe ngaphandle.
• Umlenze omnye ubonakala umfutshane kunomnye.

Khawucinge nje, umntwana wakho akanamdla wokudlala ikhilikithi, ukubaleka, okanye ukutsiba njengoko wayesenza ngaphambili. Xa ehamba kancinci, uthi, "Mama/Tata, umlenze wam uyabuhlungu." Okanye xa eya esikolweni, uthi, "Kunzima ukunyuka izinyuko." Nezinto ezincinci ezinje ngezi zibaluleke kakhulu ukuba ziqwalaselwe.

Zithini izizathu zeSlipped Capital Femoral Epiphysis (SCFE)?

Kunzima ukuchonga unobangela omnye we-SCFE. Njengoko besitshilo ngaphambili, unobangela oyintloko kukukhula kwamathambo eselula kunye nobuthathaka "bepleyiti yokukhula." Nangona kunjalo, kukho ezinye izinto ezininzi ezinokubangela oku.

Izinto ezinefuthe kakhulu:

• Ukutyeba kakhulu ebuntwaneni: Abantwana abaninzi abancinci abane-SCFE bane-body mass index (BMI) engaphezulu kwe-95th percentile ngokweminyaka yabo. Oku kuthetha ukuba batyebe kancinci.
• Ukukhula ngokukhawuleza: Le meko ye-SCFE inokwenzeka ngexesha elifutshane lokukhula ngokukhawuleza kunye nokukhula kwamathambo kumntwana.
• IiHormone: Ukufikisa kunye nokutyeba kakhulu kunokuchaphazela amanqanaba ehomoni yomntwana wakho. Olu tshintsho lweehomoni luchaphazela ukukhula kwamathambo kunye namandla awo. Ezinye iingxaki ze-endocrine, okanye iimeko ezinxulumene neendlala ze-endocrine, nazo zinokubandakanyeka.

Ezinye izinto ezinokuchaphazela:

• Ukulimala:Oku kutyibilika kunokuqaliswa okanye kwenziwe mandundu yinto efana nokuwa okanye ukubetheka nzima esinqeni.
• Ukungaqheleki kwesinqe: Ngamanye amaxesha isiphene esizalwa naso kwilungu lesinqe, esifana ne-hip dysplasia, sinokubangela uxinzelelo olongezelelekileyo kwilungu.
• Impembelelo yemfuza: Ukuba kukho umntu kusapho oye waba ne-SCFE, umngcipheko wokuba umntwana afumane le ntsholongwane uphezulu kancinci.

Kukweliphi iqela leminyaka apho i-SCFE ixhaphake kakhulu khona?

I-SCFE idla ngokukhula phakathi kweminyaka eli-11 neli-16. Ubudala obuqhelekileyo bokuqala buhlala malunga neminyaka eli-12. Ixhaphake kancinci kubafana, kwaye idla ngokukhula kamva ebomini. Ngokubanzi, i-SCFE ayisiyongxaki iqhelekileyo, kodwa yeyona ngxaki ye-hip exhaphakileyo echaphazela abantwana abancinci. Malunga ne-0.01% yabantwana abancinci bayachaphazeleka yile meko.

Ziziphi iingxaki ezinokubakho ze-Slipped Capital Femoral Epiphysis?

Xa intloko ye-femoral ityibilika, indlela ubunzima bomntwana wakho obusasazwa ngayo iyatshintsha xa ehamba. Oku kubeka uxinzelelo kwiindawo ze-hip joint ezingenzelwanga ukuthwala ubunzima. Oku kungonakalisa i-joint kancinci kancinci. Iingxaki ezimbini eziphambili ezinokubakho zezi:

• Ukuxinwa kwe-Femoroacetabular: Oku kwenzeka xa intloko ye-femur (ithambo lethanga) ingangeni kakuhle kwi-socket (acetabulum) ye-hip joint, nto leyo ebangela ukuba amathambo omabini akhuhlane. Oku kungqubana kunokubangela intlungu enkulu kunye nomonakalo kwi-cartilage kwi-hip joint.
• I-Avascular necrosis: Ukuba uxinzelelo oluphezulu kwintloko ye-femoral yesinqe esiphumileyo luba lukhulu kakhulu, ukuhanjiswa kwegazi kuyo kunokupheliswa. Ukuba oko kuyenzeka, izicubu zethambo ziya kuqala ukufa. Le yimeko embi kakhulu.

Oogqirha bayixilonga njani i-Slipped Capital Femoral Epiphysis (SCFE)?

Uxilongo luqala ngokuhlolwa ngokucokisekileyo kwethanga lomntwana. Ugqirha uza kubuza umntwana ngeempawu zakhe aze ashukumise ithanga kwicala elahlukileyo ukuze abone ukuba kwenzeka ntoni. Emva koko, baza kuthatha ii-X-ray ukuqinisekisa ukuba kukho ithambo eliqhumayo. Ngamanye amaxesha, ukuba alibonakali kakuhle kwi-X-ray, i-MRI scan idla ngokulibona.

Yeyiphi eyona ndlela ilungileyo yonyango lwe-Slipped Capital Femoral Epiphysis (SCFE)?

Utyando luhlala lunyango lwe-SCFE.Kubaluleke kakhulu ukubuyisela intloko etyibilikileyo endaweni yayo uze uyiqinise. Ukuba awuyenzi loo nto, ingatyibilika ngakumbi ize ibangele iingxaki esithethe ngazo ngaphambili. Kukho iindlela ezahlukeneyo zokwenza oku, kuxhomekeke ekubeni i-SCFE izinzile kangakanani na. Kuninzi lwabantwana abancinci, umsebenzi olula oquka isikrufu esinye okanye ezibini ezincinci kuphela ofunekayo.

Iindlela eziphambili zotyando:

• Ukulungiswa kwindawo ethile: Olu lolona hlobo lonyango oluqhelekileyo lwe-SCFE ezinzileyo. Oku kubandakanya inkqubo engangenisi kakhulu ebizwa ngokuba yi-arthroscopy, ebandakanya ukufakwa kwekhamera ngenxeba elincinci. Kufakwa isikrufu esincinci ukuze kubanjwe intloko yethambo ukuze ingatyibiliki ngakumbi.
• Ukunciphisa okuvulekileyo kunye nokuqina kwangaphakathi: Kwimeko ye-SCFE engazinzile, oko kuthetha ukuba intloko ye-femoral ityibilike kakhulu, ugqirha wotyando unokufuna ukuyibuyisela ngesandla intloko ye-femoral endaweni yayo aze ayilungise. Oku kufuna utyando olukhulu kancinci.

Emva kotyando, umntwana wakho kuya kufuneka aphumle aze enze umthambo wokubuyisela umzimba wakhe esinqeni kangangeenyanga ezimbini ukuya kwezintathu . Ekuqaleni, uya kukwazi ukuhamba ngaphandle kokubeka ubunzima esinqeni nokusebenzisa iintonga. Nje ukuba akwazi ukusebenzisa isinqe ngaphandle kwentlungu, kuya kufuneka enze umthambo okhethekileyo onikwa yingcali yezonyango ukuze afumane amandla kunye nokuguquguquka esinqeni.

Ngaba imeko ye-SCFE ingaziphilisa ngokwayo?

Oko akunakwenzeka. Ngamanye amaxesha, oogqirha baye babona iimeko apho imeko entsha ye-SCFE ethambileyo iye yaphela ngokuzenzekelayo, kodwa akunakwenzeka. Zininzi izinto ezinokuyichaphazela. Mhlawumbi, ngexesha lokunyuka kokuphakama ngequbuliso, ithambo lisenokuba buthathaka kwaye latyibilika, kwaye emva koko lisenokuba lizipholisile njengoko kuvela ukukhula kwamathambo amatsha. Kodwa kwiimeko ezininzi, ngexesha lokufumanisa i-SCFE, elo xesha lisenokuba lidlulile. Ke ngoko, kungcono ukufuna unyango njengoko uyalelwe ngugqirha wakho.

Injani imeko emva konyango lwe-Slipped Capital Femoral Epiphysis (SCFE)?

Okukhona ugqirha efumanisa aze anyange i-SCFE ngokukhawuleza, kokukhona iziphumo ziba ngcono. Ukunyanga i-SCFE ezinzileyo ngaphambi kokuba intloko ye-femoral ihambe kakhulu kunokuthintela umonakalo wexesha elide kwilungu lesinqe. Kwakhona, utyando lulula kwaye ixesha lokuchacha lifutshane. Uninzi lwabantwana luyachacha ngokupheleleyo.

I-SCFE engazinzile ayixhaphakanga kangako, kwaye idla ngokunxulunyaniswa nengozi. Nangona kunjalo, inxulunyaniswa nomngcipheko ophezulu weengxaki ezifana nokuxinana kwe-femoroacetabular kunye ne-avascular necrosis. Ezi ngxaki zinokufuna utyando olubanzi ngakumbi - kwanotyando lokutshintshwa kwamalungu ukuba i-hip joint iyavuvukala, njenge-arthritis.

I-Slipped Capital Femoral Epiphysis yimeko engaziwayo. Abazali nabanye oogqirha banokungayinaki le meko. Nangona kunjalo, ukuba umntwana wakho omncinci ukhalaza ngentlungu yomlenze ngaphandle kwesizathu esicacileyo, musa ukucinga nje ukuba "liqatha elibuhlungu." Ezinye iimeko zifuna unyango ukuze ziphiliswe kwaye ziyeke ukuba mandundu.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, mandikuncede ukhumbule ezinye zezona ngongoma zibalulekileyo koko sithethe ngako:

• Ukuba umntwana wakho omncinci (ingakumbi phakathi kweminyaka eli-11-16) uhlala ekhalaza ngeentlungu zesinqe, imisipha, ithanga, okanye idolo , okanye ebonakala eqhwalela , musa ukuyityeshela loo nto.
• Bonana nogqirha ngokukhawuleza, ingakumbi ukuba umntwana wakho utyebile kancinci okanye ubonakalisa ezi mpawu ngexesha lokukhula ngequbuliso .
• I-SCFE yimeko enokunyangeka ngotyando . Okukhona unyango luqalwa ngokukhawuleza, kokukhona iziphumo ziba ngcono kwaye iingxaki ziyancipha.
• Kubaluleke kakhulu ukufumana iingcebiso zonyango olukhethekileyo kunokuba ugcine umntwana wakho ekhaya ucinga ukuba "ngumqala obuhlungu" nje. Oku akusiyo "intlungu yokukhula" okanye intlungu yomzimba.

Ndikunqwenelela umntwana wakho ukuba aphile ngokukhawuleza! Ndiyathemba ukuba olu lwazi luza kukunceda.

` I-SCFE, I-Slipped Capital Femoral Epiphysis, Iintlungu zesinqe, Izifo zabantwana abancinci, Ukuqhwalela, Ukukhula kwamathambo, Utyando