Ingabe ingane yakho ihlushwa ukuphuka lapho amathambo ayo ekhula khona? Ake sixoxe ngokuqhekeka kwe-Growth Plate!

Ingabe ingane yakho iwile ngokuzumayo ngenkathi idlala? Noma ibuya ekhaya ibuya ekuzijwayezeni kwezemidlalo ingalo noma umlenze obuhlungu? Kungenzeka ukuthi uke wezwa ukuthi ngezinye izikhathi izingane ezincane zephuka amathambo azo, kodwa kungenzeka ukuthi awuqapheli ngalesi simo esikhethekile esibizwa ngokuthi i-Growth Plate Fractures . Ungakhathazeki, lokhu kuyinto evame ukwelashwa ngempumelelo. Ake sixoxe ngakho ngokuningiliziwe.

Ziyini lezi zitsha zokukhula? Kungani zibalulekile?

Kalula nje, amapuleti okukhula ayizicucu ezikhethekile ze-cartilage ekugcineni kwamathambo amade (njengalawo asezingalweni nasemilenzeni) ezinganeni ezincane nakubantu abadala. Cabanga ngawo njengehlumela elisha elikhula ekugcineni kwegatsha lomuthi. Yilokhu okusiza amathambo akhule, akhule, futhi akheke kahle. Lapho ingane isikhule ngokugcwele, okusho ukuthi ayisakhuli ibe yinde, la mapuleti okukhula aphenduka kancane kancane abe amathambo aqinile .

Lezi zingqimba zokukhula zitholakala ekugcineni kwamathambo kanje:

• I-Humerus - Leli yithambo elingalweni engenhla.
• I-Radius ne-Ulna - Lezi zitholakala engalweni yengane yakho, ngaphansi nje kwendololwane.
• Ama-Metacarpal - Amathambo amancane ngaphakathi kwesandla.
• I-Femur - Ithambo elide kunawo wonke emzimbeni wethu, elitholakala ethangeni.

Lezi yizona eziyinhloko. Ngakho-ke, uma kwenzeka okuthile kula ma-growth plate, okungukuthi, uma kukhona ukuphuka, yilokho esikubiza ngokuthi ukuphuka kwe-growth plate . Uma ithambo lengane libuhlungu, livuvukile, noma libukeka lihlukile engalweni noma emlenzeni, noma libukeka linwetshiwe, kufanele nakanjani ubone udokotela. Njengoba lezi zinhlobo zokuphuka zithatha amasonto ambalwa ukuze zelapheke, kubaluleke kakhulu ukuthola ukuxilongwa nokwelashwa ngokushesha.

Ingabe kunezinhlobo zokuphuka kwe-growth plate?

Yebo, odokotela basebenzisa uhlelo olukhethekile ukuhlukanisa la ma-fracture. Lubizwa ngokuthi ukuhlukaniswa kwe-Salter-Harris . Kunezinhlobo ezinhlanu eziyinhloko:

1. Uhlobo 1: Lokhu kwenzeka lapho i-cartilage esesitsheni sokukhulisa ihlukana nokuphela kwethambo, njengokungathi kukhona okunamathiselwe bese kuphuma.

2. Uhlobo 2: Kulolu hlobo, ukuphuka kwenzeka epuletini lokukhula futhi kudlulele emgodleni wethambo. Lolu hlobo luvame kakhulu ezinganeni.

3. Uhlobo 3: Lokhu kuwukuphuka lapho ingxenye yepuleti lokukhula kanye nengxenye yethambo elinamathele kulo kuphuka khona. Lokhu kukhulu kancane, okusho ukuthi kuvame kakhulu entsheni, njengoba amapuleti abo okukhula ephenduka kancane kancane abe amathambo aqinile .

4. Uhlobo 4:Lokhu kufana nohlobo 3, kodwa kukhulu kakhulu. Ingcezu yepuleti lokukhula, ingcezu yokuphela kwethambo, kanye nengcezu yengxenye ende yethambo kuyaphulwa.

5. Uhlobo 5: Lokhu kubangelwa ukucindezela okuchotshoziwe ethanjeni, okuholela ekulimaleni kwe-growth plate. Lolu uhlobo olungavamile kakhulu futhi lungaba yingozi kakhulu.

Lokhu kuhlukaniswa kubalulekile kodokotela ukuze banqume ukuthi hlobo luni lokwelashwa okufanele balunikeze, ukuthi kuzothatha isikhathi esingakanani ukululama, nokuthi yiziphi izinkinga ezingase zivele esikhathini esizayo.

Zivame kangakanani lezi ziqhekeko ze-growth plate?

Ukuphuka kwe-growth plate empeleni kungenye yezingozi ezivame kakhulu emathanjeni ezinganeni. Kubangela cishe ingxenye yesithathu yazo zonke iziphazamiso zamathambo ezinganeni. Ngakho-ke, kubalulekile ukuqaphela lokhu.

Ziyini izimpawu zokuqhuma kwe-growth plate?

Uma ingane yakho iphukile ngenxa yokulimala kwe-growth plate, ungase ubone izimpawu ezifana nalezi:

• Ubuhlungu: Kungase kube nobuhlungu obukhulu, ikakhulukazi phezu noma endaweni yethambo.
• Izitho zomzimba zibukeka ngendlela ehlukile: Ingalo noma umlenze olimele ungase ubonakale weluliwe, ugobile, noma ukhubazekile ngandlela thile.
• Ukungakwazi ukunyakaza: Ungase ungakwazi ukugoba, ukuqondisa, noma ukufaka isisindo endaweni elimele kahle.
• Ukuvuvukala: Indawo elimele ingase ivuvuke.
• Ukushintsha kombala noma ukuklwebheka: Ngezinye izikhathi ukuklwebheka kungaba luhlaza okwesibhakabhaka noma onsomi.
• Ububele: Ingane ingase izwe ubuhlungu uma ithintwa .

Cabanga ngendodana yakho ibuya ekudlaleni ikhilikithi bese ithi isihlakala sayo sibuhlungu, ayikwazi ukusishukumisa, futhi sivuvukele kancane. Uma kunjalo, kungaba ukuphuka kwe-growth plate.

Ingane encane ingase ingakwazi ukuveza kahle ukuthi ilimele. Ngaleso sikhathi, ungase ubone izinto ezinjengalezi:

• Kungazelelwe, ukusetshenziswa kwengalo noma umlenze kuyancishiswa.
• Ingalo/umlenze olimele ubanjwe eduze komzimba futhi uvikelwe.
• Bayakhala, bayamemeza, futhi bayenqaba ukuthintwa.
• Uyaxhuga uma ehamba.

Uma ubona into efana nale, ungachithi isikhathi uye kudokotela.

Yiziphi izimbangela zalokhu kuphuka kwe-growth plate?

Esikhathini esiningi, lokhu kuphuka kwenzeka ngenxa yokulimala okungazelelwe . Isibonelo:

• Ukuwa: Njengokuwa esihlahleni, ukuwa ngenkathi udlala, noma ukuwa phansi ezitebhisini.
• Izingozi zomgwaqo: Izingozi ezenzeka ngesikhathi usesendleleni.
• Izingozi zemidlalo: Izingozi ezenzeka ngesikhathi kudlalwa imidlalo efana nekhilikithi, ibhola likanobhutshuzwayo kanye nebhola lomnqakiswano.

Isibonelo, indodana kaNisal yashelela yawa ngokuzumayo ngenkathi igijima enkundleni yokudlala. Iqakala layo laqala ukuba buhlungu kakhulu. Kwaba yilapho eya esibhedlela kuphela lapho ethola khona ukuthi kwakuwukuphuka kwe-growth plate.

Futhi okunye,Ukuqeqesha ngokweqile umdlalo ofanayo, ikakhulukazi ngaphambi kokuba umzimba wengane ukhule ngokugcwele, kungabangela ukucindezeleka okuphindaphindiwe ezindizeni zokukhula, okungaholela kulolu hlobo lokuphuka. Ngakho-ke, akukuhle ngengane ukudlala umdlalo ofanayo unyaka wonke kuze kube yilapho umzimba wayo ukhule ngokugcwele. Ukuphumula nakho kubaluleke kakhulu.

Ubani osengozini enkulu yalokhu kuphuka kwe-growth plate?

Nakuba noma yimuphi umntwana angaba sengozini yalolu hlobo lwengozi, ezinye izingane zisengozini enkulu kancane:

• Intsha: Lezi zikhefu zivame ukubonakala ezinganeni ezineminyaka ephakathi kuka-13 no-17.
• Abafana: Abafana banamathuba aphindwe kabili okuba nalezi ziphuphu kunamantombazane . Lokhu kungenxa yokuthi amantombazane ngokuvamile akhula ngokushesha, futhi amathambo awo aqina ngokushesha. Abafana nabo bashesha futhi bakhuthele.
• Abasubathi: Izingane ezidlala imidlalo ehilela ukugxuma (isib. i-basketball, i-gymnastics, i-skiing, i-volleyball) zisengozini enkulu, njengoba kunjalo nezingane ezidlala imidlalo yokuthintana njengebhola lezinyawo kanye ne-hockey.
• Izingane ezikhuthele ngokomzimba: Ngaphezu kwemidlalo yesikole, lezi zingozi zingase zenzeke nasezinganeni ezenza imisebenzi efana nokugibela i-skateboard, ukuhamba ngezinyawo, kanye nokugibela ibhayisikili.

Yiziphi izinkinga ezingaba khona zokuphuka kwe-growth plate?

Esikhathini esiningi, uma kutholakala ukuthi kutholakale futhi kwelashwa ngokushesha (kungakapheli isonto lokulimala), lokhu kuphuka kwe-growth plate akubangeli izinkinga ezinkulu. Kodwa-ke, ngezinye izikhathi okulandelayo kungenzeka:

• I-Malunion: Izingcezu zamathambo eziphukile azihlangani kahle, kodwa zihlangana ndawonye.
• Ukungahlanganisi: Ukwehluleka kwezingcezu zamathambo eziphukile ukuphola kahle, noma ukungaphili nhlobo.
• Ukukhula okubambezelekile: Lokhu akuvamile kakhulu . Kodwa-ke, uma unohlobo olubi kakhulu lokuphuka (ikakhulukazi uhlobo 5), kungathinta ukukhula kwalelo thambo esikhathini esizayo. Lokhu kusho ukuthi ithambo lingase libe lifushane noma libe lincane kunolunye uhlangothi. Kungadingeka ukuhlinzwa ukuze kuvinjelwe lokhu.

Yingakho kubalulekile ukubona udokotela noma ngabe unokungabaza okuncane .

Kuhlonzwa kanjani ukuphuka kwe-growth plate?

Udokotela uxilonga lolu hlobo lokuphuka kwengane ngokuhlola ingane (ukuhlolwa ngokomzimba) nokwenza izivivinyo ezikhethekile (izivivinyo zokuthatha izithombe).

Okokuqala, udokotela uzohlola ngokucophelela indawo elimele, abuze ingane ngezimpawu zayo, ahlole ububanzi bokunyakaza kwesitho, bese esiqhathanisa nengalo/umlenze ongazange ulimale.

Kubaluleke kakhulu ukutshela udokotela yonke imininingwane oyaziyo – lokho ingane eyayikwenza ngaphambi kwengozi, lapho uqala ukubona ukuthi kunenkinga, nokuthi ingane yaqala nini ukuzwa ubuhlungu.

Hlobo luni lokuhlolwa okwenziwayo?

Udokotela uzosebenzisa okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuze abheke amathambo nezicubu ezizungezile:

• Ama-X-ray: Lena yindlela esetshenziswa kakhulu.
• I-Magnetic Resonance Imaging (MRI): Ngezinye izikhathi lokhu kuyadingeka ukuze kubonwe ipuleti lokukhula eliqondile.
• Ukuskena kwe-Computed Tomography (CT): Lokhu kusetshenziswa nakwezinye izimo eziyinkimbinkimbi.

Kuphathwa kanjani ukwaphuka kwe-growth plate?

Iningi lamanxeba okuphuka kwe-growth plate aphathwa nge-cast, okuyi-plaster cast (ukuvimbela ukuhamba). I-cast igcina ithambo eliphukile lisendaweni yalo futhi lisize ukuthi liphole kahle. Udokotela wakho uzokutshela ukuthi hlobo luni lwe-cast ingane yakho edingayo nokuthi ungayinakekela kanjani.

Ingabe ukuhlinzwa kuyadingeka?

Ukuhlinzwa akuvamile ukudingeka kulolu hlobo lokuphuka. Ukuhlinzwa kuvame ukudingeka uma kuphuka kakhulu (Uhlobo 3, 4, noma 5). Uma ingane yakho idinga ukuhlinzwa, udokotela ohlinzayo uzokwenza into ebizwa ngokuthi i-internal fixation . Lokhu kusho ukuthi izingcezu zamathambo aphukile zibekwe endaweni yazo bese zisebenzisa izikulufo, amaphini, noma izintambo ukuze zibambe ithambo ndawonye kusukela ngaphakathi kuze kube yilapho liphola. Ngemva kokuba ithambo selipholile, kungadingeka ukuthi wenze olunye ukuhlinzwa okuncane ukuze ususe amaphini noma izintambo. Udokotela wakho noma udokotela ohlinzayo uzokuchazela konke lokhu.

Ngokuvamile kuthatha isikhathi esingakanani ukuphulukiswa?

Iningi lezingane kuzodingeka lifake ukhonkolo cishe inyanga (amasonto amane kuya kwayisithupha) ngemva kokuphuka kwe-growth plate. Uma ukuphuka kukubi kakhulu noma uma kwenziwe ukuhlinzwa, kungathatha isikhathi eside.

Udokotela wakho angakutshela ukuthi kuzothatha isikhathi esingakanani ukuphulukiswa, kuye ngokuthi ingane yakho iphuke liphi ithambo nokuthi iphuke kangakanani.

Ingabe lolu hlobo lokuphuka kwe-growth plate lungavinjelwa?

Eqinisweni, iningi lalezi ziphuphu zibangelwa izingozi, ngakho-ke kunzima ukuzivimbela ngokuphelele. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yokuthi ingane yakho ilimale:

Uma udlala imidlalo noma uhlanganyela kweminye imisebenzi yomzimba, qaphela lezi zinto:

• Qiniseka ukuthi ugqoke izinto zokuzivikela ezifanele (isib. amaphedi, izigqoko zokuvikela uma udlala ikhilikithi).
• Uma kukhona okubuhlungu, kungakhathaliseki ukuthi udlala noma usuqedile, tshela ingane yakho ukuthi "ingadlali ubuhlungu."
• Nikeza umzimba wakho ukuphumula futhi ululame ngemva kokusebenza kanzima.
• Yelula futhi ufudumale ngaphambi kokudlala imidlalo noma ukuzivocavoca.
• Phola bese welula uma usuqedile umsebenzi wakho.

Landela lawa macebiso ajwayelekile ukuze ugcine wonke umuntu emndenini ephephile:

• Njalo uma ngingena emotweniGqoka ibhande lesihlalo.
• Hlola ukuthi kukhona yini izinto ezisele emnyango ezingabangela ukuthi othile ashelele futhi awe, bese uzisusa.
• Uma uphakamisa okuthile ophahleni , sebenzisa imishini efanele (isib., iladi). Ungalokothi uvumele izingane zikhwele ezihlalweni noma ematafuleni.

Yini okufanele ngiyilindele uma ingane yami iphuka i-growth plate?

Iningi lama-growth plate breaks liphola kahle ngaphandle kwezinkinga noma imiphumela yesikhathi eside empilweni nasekukhuleni kwengane. Indlela engcono kakhulu yokunciphisa ingozi yezinkinga ukuthola ukuxilongwa ngokushesha okukhulu (kungakapheli isonto lokulimala).

Buza udokotela wakho ukuthi ingane yakho ingaqala nini ukudlala, ukugijima, nokugxuma futhi. Uma ucindezela i-growth plate futhi ngaphambi kokuba ilulame ngokuphelele, kunethuba elikhulu lezinkinga (kufaka phakathi ukuqhekeka kabusha kwendawo efanayo).

Kufanele ngimbone nini udokotela?

Uma ingane yakho iba nesigameko esibuhlungu, njengokuwa kanzima noma ingozi yemoto , bheka udokotela ngokushesha.

Uma ucabanga ukuthi ingane yakho inethambo eliphukile, noma uma inanoma yiziphi izimpawu ezilandelayo , iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha:

• Ubuhlungu obukhulu.
• Ukungakwazi ukuhambisa ingxenye yomzimba.
• Ingxenye yomzimba ibonakala ishintshe ukubukeka, yeluliwe, noma isusiwe endaweni yayo .
• Isikhumba siyabhobozwa futhi ithambo liyabonakala.
• Ukuvuvukala okukhulu.
• Lezi zimpawu zingase zihambisane nokuklwebheka okusha noma izinguquko embala wesikhumba .

Yimiphi imibuzo okufanele ngiyibuze udokotela?

• Ingabe ingane yami iphukile i-growth plate noma ilimele elinye?
• Uhlobo luni lokuphuka kwe-growth plate analo?
• Ingabe ingane yami izodinga ukuhlinzwa?
• Ingane yami izogqoka i-cast isikhathi esingakanani?
• Ingane yami izokwazi nini ukubuyela emisebenzini evamile kanye nemidlalo?

Kuvamile ukuzizwa wesaba lapho ingane isengozini, ikakhulukazi uma kungukuwa noma ingozi ongakwazi ukuyivimbela. Nakuba ukuphuka kwe-growth plate kungaba kubi kakhulu, izingane eziningi ziyalulama kahle futhi ziyakwazi ukwenza imisebenzi yazo futhi.

Isikhathi sibaluleke kakhulu lapho welapha ukuphuka kwe-growth plate. Uma ucabanga ukuthi ingane yakho iphukile i-growth plate (noma olunye ukulimala kwethambo), bona udokotela ngokushesha okukhulu. Uma udokotela esheshe athole lesi simo bese efaka i-cast enganeni yakho, kulapho izokwazi khona ukululama ngokushesha futhi ibuyele emisebenzini yayo evamile.

Isifinyezo (Umyalezo Wokuya Nawe Ekhaya)

Okokugcina, amapuleti okukhula kwezingane ayingxenye ebaluleke kakhulu ekukhuleni kwamathambo azo. Izingozi kulezi zinto, okungukuthiUkuphuka kwe-Growth Plate kuvamile, kodwa akukho okufanele ukhathazeke ngakho. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho usola ingozi noma ubona izimpawu. Ukwelashwa okusheshayo kungasiza ingane yakho ukuba ilulame ngaphandle kokulimaza intuthuko yayo yesikhathi esizayo. Ukuhlala uqaphela ukuphepha kwengane yakho kuzosiza futhi ukunciphisa izingozi.

Ukuphuka kweplate yokukhula, ukuphuka kweplate yokukhula, ukuphuka kwamathambo ezinganeni, uSalter-Harris, i-cast, impilo yabantwana, ukuphuka kwamathambo