Ingabe ingane yakho encane inemilenze egobile? Ake sifunde ngesifo sikaBlount!

Bomama nobaba, wake waphawula ukuthi lapho ingane yakho iqala ukuhamba, noma lapho igijima futhi idlala, imilenze yayo igoba ngaphakathi, njengohlamvu "C"? Kuvamile ukuthi izingane zibe nemilenze egobe kancane. Kodwa, akwenzeki njalo ngaleyo ndlela. Ngezinye izikhathi, lokhu kungaba yisimo esibizwa ngokuthi i-Blount's Disease , okuyinto okufanele ikhathazeke ngayo. Ngakho-ke namuhla, sizoxoxa ngakho ngokuningiliziwe, njengokungathi umngane wakho ukutshele ngakho.

Iyini ngempela i-Blount's Disease?

Kalula nje, isifo sikaBlount yisimo esithinta ukukhula kwe-tibia , ithambo elijiyile ngaphansi kwedolo, ezinganeni. Sibizwa nangokuthi i-tibia vara . Emaphethelweni amathambo ethu kunezingxenye ezikhethekile ezibizwa ngokuthi ama-growth plate . Lawo ma-plate yiwona enza amathambo ethu akhule, futhi sikhula sibe bade. Esifweni sikaBlount, i-growth plate ngaphakathi kwe-tibia ayikhuli kahle. Bese umlenze uqala ukugoba ngaphakathi bese ugoba.

Kuvamile ukuthi izingane ezincane, ikakhulukazi ezifika cishe unyaka, zibe nemilenze egobe kancane (siyibiza ngokuthi "imilenze yebhola"). Lapho ziqala ukuhamba, lokhu kugoba kuyanyamalala kancane kancane futhi imilenze yazo iqonde cishe eminyakeni emibili. Kodwa-ke, ingane enesifo sikaBlount ayilahlekelwa yilokhu kugoba emilenzeni yayo. Kungase kubonakale kakhulu njengoba ingane ikhula.

Uyini umehluko phakathi kokugoba okuvamile kwemilenze nesifo sikaBlount?

Nakuba lokhu okubili kungabonakala kufana ekuqaleni, kunomehluko omkhulu.

• Ukukhothama Ngokwemvelo: Lokhu kuvame kakhulu ezinganeni ezincane. Uma seziqala ukuhamba, ngokuvamile cishe zineminyaka emibili, lokhu kukhothama kwemilenze kuzoziqonda zodwa . Lokhu akudingi ukwelashwa okukhethekile.
• Isifo SikaBlount: Lesi yisimo lapho umlenze ongaphansi kwedolo ugoba ngaphakathi . Lokhu kugoba kukhulu kakhulu. Lokhu akube ngcono ngokwako njengoba ingane ikhula, futhi kungaba kubi nakakhulu .

Manje usuyaqonda umehluko, akunjalo? Asikho isidingo sokwesaba imilenze yengane encane egobile kancane. Kodwa uma iqhubeka, noma ibonakala iba yimbi kakhulu, kufanele nakanjani ubone udokotela.

Ubani ongaba nesifo sikaBlount? Ubani osengozini enkulu?

Nakuba noma yimuphi umntwana engaba nesifo sikaBlount, abanye abantu basengozini enkulu.

• Ubudala: Izimpawu zivame ukuvela ezinganeni ezingaphezu konyaka owodwa ubudala, ngokuvamile ziphakathi kweminyaka engu-1 no-3. Lokhu kubizwa ngokuthi i-Blount's yasekuqaleni . Ngezinye izikhathi, lesi sifo singabonakala ebusheni noma ngisho nakamuva ekuphileni. Lokhu kubizwa ngokuthi i-Blount's yasekupheleni kwesikhathi .
• Isisindo somzimba: Izingane ezikhuluphele ngokweqile , noma ezikhula ngokushesha, zisengozini enkulu yokuthola lesi sifo.
• Ukuhamba kusenesikhathi: Ezinye izifundo zithole ukuthi izingane eziqala ukuhamba ngaphambi kwezinyanga ezingu-12 nazo zisengozini.

Kodwa khumbula, isifo sikaBlount siyisifo esingavamile kakhulu . Kubikwa ukuthi sithinta abantu abangaphansi kuka-1%.

Isifo sikaBlount sithinta kanjani umzimba wengane?

Lesi simo sibangela ukuthi ithambo lomlenze wengane (i-tibia) lingakhuli kahle, okubangela ukuthi umlenze ugobe ngaphakathi. Esikhundleni sokuthi izinzwane zibheke phambili, ziphendukela ngaphakathi. Umlenze ugoba njengohlamvu "C".

Uma lokhu kungelashwa kahle, isimo singaba sibi kakhulu.

• Ukugoba komlenze kunganda, okwenza kube nzima ukuhamba .
• Kungaba nzima ukwenza izinto ezinjengokudlala nokuzivocavoca okuhilela ukusebenzisa imilenze yakho.
• Ukulimala kwemizwa kungenzeka emilenzeni.
• Izimo ezifana ne -arthritis edolweni zingabangela ubuhlungu.

Cabanga nje, ingane yakho encane iyakuthanda ukugijima nokugxuma nokudlala, kodwa lo mehluko emilenzeni yayo uyayivimbela ekwenzeni lokho ngokukhululeka. Kudabukisa kangakanani lokho? Yingakho kubalulekile ukuqaphela lokhu futhi uthathe isinyathelo ngokushesha.

Ziyini izimpawu zesifo sikaBlount?

Uphawu oluyinhloko ukugoba komlenze ngaphansi kwedolo . Ezinye izimpawu zifaka:

• Umlenze ubukeka sengathi ugobile ngaphakathi njengohlamvu "C".
• Lokhu kugoba kungaba semlenzeni owodwa kuphela noma emilenzeni yomibili.
• Izinzwane nezinyawo zemilenze zibheke ngaphakathi esikhundleni sokubheka phambili ngqo.

Izingane ezincane ngokuvamile azibuzwa ubuhlungu ngenxa yalo mlenze ogobile. Kodwa-ke, intsha ingase ibe nobuhlungu edolweni . Lobuhlungu bungakhula, ikakhulukazi lapho idlala, igijima, noma igxuma.

Uma isifo siba sibi kakhulu, izimpawu ezifana nalezi:

• I-arthritis yedolo
• Ubunzima bokuhamba
• Ukulimala kwamalunga kanye nemizwa

Yini ebangela isifo sikaBlount? Ingabe siwufuzo?

Imbangela eqondile yesifo sikaBlount ayikatholakali okwamanje .

Kodwa-ke, ezinye izifundo zibonisa ukuthi, njengoba kushiwo ngaphambili, le ngozi iphezulu ezinganeni eziqala ukuhamba ngaphambi kwezinyanga ezingu-12 kanye nakulabo abakhuluphala ngokushesha besebancane.

Ezinye izifundo zisikisela ukuthi kungaba yizakhi zofuzo . Okusho ukuthi, ngezinye izikhathi kuba yizakhi zofuzo.Kungenzeka ukuthi kukhona okungahambi kahle. Inkinga lapha ukuthi ama-growth plate angaphakathi kwe-femur awakhuli kahle. I-gene ezuzwe kubazali ingabangela iphutha kula ma-growth plate.

Udokotela wazi kanjani ukuthi lesi yisifo sikaBlount?

Uma kusolwa ukuthi imilenze yengane yakho igobile, udokotela uzoqala enze ukuhlolwa okujulile ngokomzimba . Ngemuva kwalokho, uzoyalela i-X-ray yemilenze yengane. Le X-ray ivame ukuthathwa kusukela eqakaleni kuya esinqeni.

Kusukela ezithombeni ze-X-ray, udokotela anganquma ngqo ukuthi amathambo engane akhula kanjani nokuthi yini ebangela ukuba umlenze ugobe ngaphakathi.

Lesi simo sivame ukutholakala ngemva kokuba ingane isineminyaka engaba mibili ubudala . Lokhu kungenxa yokuthi, njengoba kushiwo ngaphambili, ukugoba kwemilenze okuvamile kuyinto evamile ngalesi sikhathi. Uma ukugoba kwemilenze kusekhona ngemva kweminyaka emibili, udokotela uzosola isifo sikaBlount futhi enze izivivinyo ukuze asiqinisekise.

Yiziphi izindlela zokwelapha isifo sikaBlount?

Ukwelashwa kwesifo sikaBlount akufani kuwo wonke umuntu. Kuyahlukahluka kuye ngobudala bengane kanye nobunzima besifo . Kunezindlela ezimbili eziyinhloko zokwelapha.

1. Ukugqoka i-brace

Lokhu kuhilela ukugqoka i-brace ekhethekile, noma i-brace , eqala ethangeni lengane iye onyaweni. Lokhu kuvame ukwenziwa ezinganeni ezingaphansi kweminyaka emithathu ubudala . Le brace ngokuvamile akudingeki igqokwe usuku lonke, kodwa odokotela batusa ukuyigqoka ebusuku kuphela ngenkathi ulele cishe unyaka . Lokhu kuqondisa kancane kancane umlenze.

2. Ukuhlinzwa

Ngezinye izikhathi, ikakhulukazi uma ingane ineminyaka engaphezu kwemine ubudala noma uma umlenze ungaqondile kahle ngisho nangemva kokugqoka i-brace, udokotela angase atuse ukuhlinzwa .

Lokhu kuhlinzwa kubizwa ngokuthi i-osteotomy . Kalula nje, kuhilela ukusika ithambo, ukuliqondisa, nokulilungisa. Kunezindlela ezahlukene ezisetshenziswa kulokhu:

• Ukulungisa ithambo ngama -staple noma amaphini .
• Kusetshenziswa indlela ebizwa ngokuthi i-tension band plating .
• Ukuqondisa umlenze ngokususa ingcezu yethambo ethanjeni elilimele (i-tibia) noma ukufaka ingcezu entsha yethambo .

Nakuba lokhu kuhlinzwa kungase kubonakale kuyinto enkulu, kungaba yinto ebaluleke kakhulu ekusaseni lengane kanye nokulungisa kahle umlenze.

Ungayinakekela kanjani ingane ngemva kokuhlinzwa?

Kubaluleke kakhulu ukunakekela ingane yakho ngemva kokuhlinzwa.

• Gcina inxeba lihlanzekile: Kufanele uhlole njalo indawo yokuhlinzwa ukuze uthole ukutheleleka . Hlanza inxeba bese usebenzisa imithi njengoba kuqondiswe udokotela wakho.
• Ungabeki isisindo emlenzeni: Akuyona into enhle ukubeka isisindo emlenzeni oye wahlinzwa amasonto ayisithupha kuya kwayisishiyagalombili . Uma ubeka isisindo kuwo, ithambo lingase lingapholi kahle futhi lingase liphinde liphume. Udokotela wakho uzokutshela ukuthi kufanele usebenzise izinduku zokusikela isikhathi esingakanani.

Ingabe ikhona indlela yokuvimbela lesi sifo ukuthi singakhuli?

Ngeshwa, ayikho indlela eqondile yokuvimbela isifo sikaBlount.

Nokho, kunezinto ezimbalwa ongazenza ukusiza amathambo engane yakho akhule enempilo futhi eqinile:

• Yidla ukudla okunempilo.
• Ukwenza ingane ivivinye umzimba njalo .
• Uma kudingeka, nikeza i-vitamin D noma i-calcium njengoba kuqondiswe udokotela.
• Ukugcina isisindo esinempilo esifanele iminyaka yengane.

Khumbula, ngaphambi kokunikeza ingane yakho noma yimaphi amavithamini noma ezinye izithako zokudla okunempilo, kufanele nakanjani uthintane nodokotela ukuqinisekisa ukuthi kuphephile.

Yini engingayilindela uma ingane yami inesifo sikaBlount?

Ukubikezela kwengane enesifo sikaBlount kuncike eminyakeni yayo lapho ixilongwa kanye nobunzima besifo .

• Izingane ezingaphansi kweminyaka emine zingalindela ukululama okuhle kakhulu uma lesi sifo sitholakala kusenesikhathi futhi ukwelashwa kuqala.
• Kodwa-ke, uma lesi sifo sitholakala sekwephuzile noma singelashwanga kahle, ukugoba komlenze kungaba kubi kakhulu, kubangele umonakalo omkhulu emalungeni futhi kwenze kube nzima ukuhamba .

Ngemva kokwelashwa, kunethuba elincane lokuthi imilenze egobile izophinde ivele ezinganeni ezincane nakubantu abadala. Kodwa-ke, uma lesi sifo sitholakala futhi selashwa kusenesikhathi, ingozi iphansi kakhulu.

Isifo sikaBlount sihlala isikhathi esingakanani?

Uma lesi sifo singelashwa, singahlala impilo yonke futhi singase sibe sibi nakakhulu njengoba ingane ikhula.

Ngemva kokwelashwa, kuye ngokuthi isimo sengane sibucayi kangakanani, kungaba ngemva kwesikhathi sokululama ngemva kokuhlinzwa noma ngemva kokugqoka i-brace cishe unyaka, ukugoba komlenze kuzothuthuka kakhulu .

Kodwa-ke, njengoba kushiwo ngaphambili, kunengozi encane yokuphinda kwenzeke, ngakho udokotela utusa ukuthi uyise ingane yakho iyohlolwa njalo futhi uhlole impumelelo yokwelashwa.

Udinga ukubona udokotela ngasiphi isikhathi?

Uma ubona lezi zinto ngengane yakho, qiniseka ukuthi ubona udokotela:

• Ngisho nangemva kokuba ingane isiqalile ukuhamba, noma ngemva kweminyaka emibili , ukugoba kwemilenze akuziqondi ngokwayo.
• Uma ingane ibuhlungu kanye nemilenze egobile.
• Ingane inenkinga yokuhamba.Uma kuzwakala sengathi, noma uma ungakwazi ukufaka isisindo emlenzeni/emilenzeni yakho.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingane yami izodinga isikhathi esingakanani ukusebenzisa izinduku zokusibekela ngemva kokuhlinzwa?
• Ingabe ingane yami ingadlala imidlalo enalesi simo?
• Uma enenkinga yokuhamba, ingabe udokotela uncoma ukuthi asebenzise imishini yokusiza ukuhamba ?
• Uma ingane yami idinga ukugqoka i-brace, kufanele iqale nini ukuyigqoka futhi isikhathi esingakanani?

Khumbula, kuvamile ukuthi izingane zibe nemilenze egobe kancane, futhi lokhu kuzophela ngokwako uma seziqala ukuhamba noma sezineminyaka emibili. Kodwa-ke, uma ubona ukuthi imilenze yengane yakho ayiqondile, noma ukuthi ukugoba kuya kuba kubi, qiniseka ukuthi ubona udokotela. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni ukugoba ukuthi kube kubi kakhulu futhi kuvimbele izinkinga ezifana ne-arthritis.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Ngakho-ke, ngithemba ukuthi usuyaqonda kangcono i-Blount's Disease, esikhulume ngayo namuhla.

Into ebaluleke kakhulu ukungesabi uma ubona imilenze yengane igobile, kodwa ukuzama ukuqonda ukuthi kuyinto evamile noma into okufanele ikhathazeke ngayo.

• Ukukhothama ngokomzimba kuvamile ezinganeni ezincane futhi kuvame ukuziqeda zodwa lapho zineminyaka emibili.
• Ku-Blount's Disease, ukugoba komlenze kuba kubi kakhulu, akuthuthuki ngokwako, futhi kungase kube kubi kancane kancane.
• Uma unemibuzo, qiniseka ukuthi ubona udokotela wezingane noma udokotela wamathambo .
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kuyindlela engcono kakhulu yokuqinisekisa inhlalakahle yengane esikhathini esizayo.

Akukho injabulo enkulu kunokubona ingane yakho iphilile futhi ijabule. Ngakho-ke, kubaluleke kakhulu ukuqaphela izinto ezinjalo.

Isifo sikaBlount , imilenze egobile, amathambo ezingane, i-tibia vara, imilenze egobile, impilo yezingane, Isifo sikaBlount, amapuleti okukhula, ukukhula kwamathambo