Ingabe amadolo engane yakho ahlala ebuhlungu? Kungaba yisifo se-Osgood-Schlatter!

Ingabe ingane yakho iyakuthanda ukudlala imidlalo? Ingabe ilangazelela ukugijima nokugxuma? Uma ingane yakho ikhala ngobuhlungu bedolo, ikakhulukazi ngaphansi kwedolo, kungenzeka ukuthi kungenxa yesifo i-Osgood-Schlatter. Leli gama lizwakala liyesabeka kancane, akunjalo? Kodwa empeleni akuyona into okufanele uyesabe. Ake sixoxe ngakho kalula.

Iyini i-Osgood-Schlatter Disease?

Kalula nje, isifo se-Osgood-Schlatter siwukuvuvukala nokuvuvukala kwe-growth plate, etholakala phezulu kwethambo lomlenze, ngaphansi nje kwedolo ezinganeni. Cabanga ngakho, amathambo ezingane zethu ayakhula njengoba ekhula. Eduze kwala mathambo, kunezindawo ezikhethekile ezenziwe nge-cartilage ethambile. Yilokho esikubiza ngokuthi ama-growth plate. Lawa ma-growth plate ayimbangela eyinhloko yokuphakama kwengane nobude bamathambo. Abuthakathaka kancane kunamathambo avamile, ngakho-ke angonakala kalula.

Isifo se-Osgood-Schlatter yisimo lapho imisipha (ikakhulukazi i-patellar tendon, exhuma emsipheni we-quadriceps ngaphambili kwethanga) enamathela epuletini lokukhula phezulu kwethambo lesifuba (elaziwa ngokwezokwelapha ngokuthi i-tibial tuberosity) ngaphansi kwedolo livuvukala. Lokhu kungazwakala njengeqhubu elincane.

Into ebalulekile ukuthi lesi simo sivame ukuphela ngokuphelele njengoba ingane ikhula futhi akuvamile ukubangela izinkinga ezinkulu zesikhathi eside.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Uma ingane yakho inesifo se-Osgood-Schlatter, ingase isho izinto ezifana nalezi:

• Ubuhlungu ngaphansi kwedolo: Lolu uphawu oluyinhloko. Ubuhlungu buvela ngaphansi kwedolo, phezulu kwedolo.
• Ukuvuvukala: Indawo yobuhlungu ingase ivuvuke kancane. Ngezinye izikhathi kungase kuzwakale njengeqhubu elincane elingabanjwa esandleni.
• Ukuthamba: Uma uthinta noma ucindezela iqhubu, lizolimaza ingane.
• Ubuhlungu buyanda ngokusebenza: Ubuhlungu buyanda ngemisebenzi ebeka isisindo edolweni, njengokugijima, ukugxuma, ukukhuphuka izitebhisi, noma ukuhamba ngezinyawo. Kungase kube buhlungu isikhashana ngemuva kokuqeda ukudlala.
• Kungenzeka ukuthi uyaxhuga: Uma ubuhlungu bukhulu kakhulu, ingane ingase ixhuga kancane lapho ihamba.
• Edolweni elilodwa noma womabili: Lesi simo singase senzeke edolweni elilodwa noma kuwo womabili amadolo.

Cabanga ngendodakazi noma indodana yakho iseqenjini lebhola lomnqakiswano lesikole, noma idlala ikhilikithi. Lapho bebuya ekuqeqeshweni, bathi, "Mama/Baba, idolo lami libuhlungu." Uma ulibheka, libukeka livuvukele kancane ngaphansi kwedolo. Uma ubeka isandla sakho kulo, bathi, "Hawu!". Bathi libuhlungu kakhulu lapho begijima futhi bedlala. Uma uke waba nokuhlangenwe nakho okufana nalokhu, kungenzeka kakhulu ukuthi ngu-Osgood-Schlatter.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Isizathu esiyinhloko salokhuUkukhula kuyanda ezinganeni. Phakathi nalesi sikhathi, amathambo ezingane akhula ngokushesha kakhulu. Kodwa ngezinye izikhathi imisipha nemisipha ayikhuli ngokushesha.

Iqembu elikhulu lemisipha elingaphambili kwethanga (umsipha we-``Quadriceps``) lidlula edolweni futhi linamathele epuletini lokukhula (``Tibial Tuberosity``) phezulu kwethambo lesifuba nge-tendon (``Patellar Tendon``). Lapho ingane igijima, igxuma, noma igoba idolo, lo msipha we-``Quadriceps`` uyafinyela. Bese, kudalwa ukudonsa epuletini lokukhula ngaleyo tendon.

Njengoba amathambo engane ekhula ngokushesha, le misipha nemisipha iba lukhuni. Lapho idolo licindezelwa ngokuphindaphindiwe, njengasesikhathini semidlalo, ukucindezeleka kuleyo plate yokukhula kuyanda, okubangela ukuba licindezelwe, livuvuke futhi libe buhlungu.

Ngokuqondene:

• Ibhola lomnqakiswano
• I-Volleyball
• Ibhola Lezinyawo
• I-Gymnastics
• Imidlalo yezemidlalo efana nokugxuma okude kanye nokugxuma okuphezulu

Lesi simo sivame kakhulu ezinganeni ezidlala imidlalo.

Ubani okungenzeka kakhulu ukuthi athole lesi simo? (Izici eziyingozi)

Isifo se-Osgood-Schlatter sivame ukubonakala ku:

• Ngesikhathi sokukhula okusheshayo: Abafana bakhula ngokushesha phakathi kweminyaka eyi-10-15, kanye namantombazane akhula phakathi kweminyaka eyi-8-13. Yilapho-ke kungenzeka khona ukuthi kukhule.
• Izingane ezikhuthele, ezithanda ezemidlalo: Izingane ezidlala imidlalo ehilela ukugijima, ukugxuma, nokushintsha izinkomba ngokushesha zisengozini enkulu.
• Kwabafana: Nakuba lesi simo sivame kakhulu kubafana kunamantombazane, igebe liyancipha njengoba namantombazane manje esehlanganyela kwezemidlalo.

Udokotela ukubona kanjani lokhu?

Ezimweni eziningi, udokotela angabona ukuthi lesi yisifo se-Osgood-Schlatter ngokulalela izimpawu zengane yakho nokuzihlola.

Udokotela wenza izinto ezinjengalezi:

• Buza ingane ngobuhlungu, ukuthi sebuhlale isikhathi esingakanani, nokuthi buqala nini ukuba bubi kakhulu.
• Bazwa indawo enamaqhubu ngaphansi kwedolo, bayicindezele, bese bebona ukuthi kukhona yini ubuhlungu noma ukuvuvukala.
• Bacela ingane ukuba igijime, igxume, noma iguqe ukuze ibone ukuthi ibuhlungu yini.
• Ihlola ukuqina kwemisipha yamathanga (ama-Quadriceps, ama-Hamstrings).

I-X-ray ngokuvamile ayidingeki. Kodwa-ke, udokotela wakho angayala i-X-ray kuphela uma esola isimo esibucayi kakhulu (njengokuphuka kwethambo, ukutheleleka, noma, ngokungajwayelekile, isimila). Ngakho ungakhathazeki uma bethi abadingi i-X-ray.

Yiziphi izindlela zokwelapha? Yini okufanele siyenze?

Izindaba ezinhle ukuthi isifo se-Osgood-Schlatter asidingi ukwelashwa okuqondile nokubanzi. Umgomo oyinhloko ukunciphisa ubuhlungu nokuvuvukala nokunikeza induduzo enganeni.

Nazi ezinye izinto ongazenza:

1.Ukuguqulwa Kokuphumula Nomsebenzi:

• Lena into ebaluleke kakhulu . Udinga ukunciphisa noma ukuyeka imidlalo noma imisebenzi yengane ekhulisa ubuhlungu isikhashana. Akudingeki uhlale embhedeni ngokuphelele, kodwa udinga ukuhlala kude nezinto ezibangela ubuhlungu isikhashana.
• Uma ubuhlungu sebuphelile, ungaqhubeka nemisebenzi kancane kancane. Kodwa-ke, akuwona umqondo omuhle ukugqoka izinsimbi ezisindayo ngesikhathi esisodwa.

2. Ukusetshenziswa kweqhwa:

• Faka iqhwa endaweni ebuhlungu nokuvuvukala imizuzu eyi-15-20, izikhathi ezi-3-4 ngosuku. Ungalifaki iqhwa ngqo esikhumbeni, kodwa ligoqe ngendwangu. Kungumqondo omuhle futhi ukufaka iqhwa ngemva kokuqeda ukudlala.

3. Imithi Yokuqeda Ubuhlungu:

• Uma ubuhlungu bungabekezeleleki, ungacela udokotela wakho noma usokhemisi ukuthi akunike umuthi wokuqeda izinhlungu njengeParacetamol noma i-Ibuprofen. Kodwa akuwona umqondo omuhle ukunikeza lezi zinto njalo. Zinike kuphela njengoba udokotela wakho ekutshela.

4. Ukuzivocavoca Kokwelula Nokuqinisa:

• Kubaluleke kakhulu ukwenza izivivinyo zokwelula imisipha ye-quadriceps kanye ne-hamstrings. Uma le misipha iba nezimo eziguquguqukayo, ingcindezi epuletini lokukhula iyancipha.
• Ungenza futhi izivivinyo zokuqinisa ukuze uqinise le misipha.
• Kungcono ukufuna usizo kudokotela we-physiotherapist ukuze ufunde kahle ukuthi ungazisebenzisa kanjani lezi zivivinyo.

5. Amabhande noma ama-Pad avikelayo:

• Ngezinye izikhathi, ukusebenzisa ibhande elikhethekile noma i-knee pad egqokwa ngaphansi kwedolo, phezu kwe-tendon ye-patellar, kungasiza ekunciphiseni ubuhlungu. Lokhu kusiza ekunciphiseni ingcindezi epuletini lokukhula ngesikhathi sezemidlalo.

6. Ngezinye izikhathi ukuvimba okwesikhashana (Ukuvimbela - Okungavamile):

• Akuvamile kakhulu, uma ubuhlungu bukhulu kakhulu, udokotela angase ancome ukusebenzisa izinduku zokusikeka noma ukufaka i-plaster of Paris (cast) emlenzeni. Kodwa-ke, lokhu akudingekile ezimweni eziningi.

Khumbula, isihluthulelo salezi zindlela zokwelapha ukulalela umzimba wengane yakho. Uma kuvela ubuhlungu, yeka umsebenzi. Ungaziphoqeleli ukwenza noma yini lapho ubuhlungu bukhona.

Kuzothatha isikhathi esingakanani ukuthi lokhu kuphulukiswe?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Ubuhlungu bungahlala kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa. Kwabanye abantwana, ubuhlungu bungase buphele ngemva kwezinsuku ezimbalwa bese buphinde bubuye lapho beqala imisebenzi yabo.

Into ebalulekile ukuthi lobu buhlungu bungase bufike budlule kuze kube yilapho ipuleti lokukhula kwengane seliphenduke ithambo ngokuphelele futhi layeka ukukhula (ngokuvamile cishe eminyakeni eyi-14-18 ubudala). Kodwa iqhubu lamathambo lingase libe khona. Ngokuvamile akuyona inkinga futhi alilimazi.

Ingabe lokhu kungadala izinkinga zesikhathi eside?

Esikhathini esiningi, isifo se-Osgood-Schlatter asibangeli izinkinga zesikhathi eside. Ngokuvamile siyaphela ngokuphelele njengoba ingane ikhula.

Kodwa-ke, ukubonakala kwamathambo ngaphansi kwe-kneecap kungase kuqhubeke kwabanye abantu abadala. Ngokuvamile akubuhlungu futhi akuphazamisi imisebenzi.

Akuvamile kakhulu (lokhu akuvamile kakhulu), ingxenye encane yaleyo plate yokukhula ayikwazi ukuphola kahle futhi ibangele ubuhlungu lapho usukhulile. Uma lokho kwenzeka, kungadingeka ukuthi uhlinzwe kancane. Kodwa-ke, lokhu akuvamile kakhulu, ngakho ungakhathazeki kakhulu ngakho.

Ingabe lokhu kungavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Ukuzifudumeza nokuzipholisa kahle: Kubalulekile ukuzifudumeza ngaphambi kokuqala noma yimuphi umdlalo kanye nokuzipholisa ngemva komdlalo.
• Ukuzilula Okuvamile: Ukuzilula njalo kwemisipha , ikakhulukazi ingaphambili lethanga (`(Quadriceps)`) kanye nengemuva lethanga (`(Hamstrings)`), kungasiza ekugcineni ukuguquguquka kwayo.
• Khulisa kancane kancane ukuqeqeshwa kwakho: Ungakhulisi ngokuzumayo ubukhali noma ubude bokuqeqeshwa kwakho. Khulisa kancane kancane.
• Izicathulo ezifanele: Kubalulekile ukugqoka izicathulo ezifanele lo mdlalo futhi ezikhululekile ezinyaweni.
• Gwema ukuqeqeshwa ngokweqile: Qiniseka futhi ukuthi ingane yakho ithola ukuphumula okwanele.

Kufanele ngimbone nini udokotela?

Ezimweni ezinjengalezi, kufanele nakanjani ubone udokotela:

• Uma ubuhlungu bukhulu kangangokuthi ingane ayikwazi ukububekezelela.
• Uma ubuhlungu bungapheli ngemva kokwelashwa ekhaya (i-acing, ukuphumula).
• Uma ubuhlungu bukwenza kube nzima ngengane ukwenza imisebenzi yansuku zonke noma ukuya esikoleni.
• Uma kukhona ukuvuvukala okukhulu, ukubomvu, noma ukufudumala edolweni (lokhu kungaba izimpawu zokutheleleka).
• Uma ingane inomkhuhlane.
• Thola ukuthi lokhu kuyiqiniso yini ukuthi u-Osgood-Schlatter, noma kungenye inkinga.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Isifo se-Osgood-Schlatter yisimo sesikhashana esivame kakhulu ezinganeni ezikhulayo nezikhuthele. Nakuba igama lingase lizwakale lesabisa, akusona isimo esibucayi.

• Lokhu kuhlobene nokukhula komntwana.
• Into eyinhloko ukulawula ubuhlungu nokuvuvukala.
• Ukuphumula, iqhwa, kanye nokuzivocavoca yizona zindlela eziyinhloko zokwelapha.
• Esikhathini esiningi, lokhu kuyaphela ngokuphelele uma ukukhula kwengane kuyeka.
• Izinkinga zesikhathi eside azivamile ukwenzeka.

Ngakho-ke, uma ingane yakho inalezi zimpawu, ungesabi futhi uthintane nodokotela ukuze uthole iseluleko. Nika ingane yakho ukwesekwa nesikhuthazo ayidingayo. Ngokuphazima kweso, ingane yakho izoqala ukudlala futhi!

'Isifo se-Osgood-Schlatter, Ubuhlungu bedolo, Ubuhlungu bedolo ezinganeni, i-growth plateau, Ukulimala kwezemidlalo, Isifo se-Osgood-Schlatter, Ukuvuvukala kwedolo