Ingabe ingane yakho ibuhlungu edolweni? Ingabe kungaba yiSinding-Larsen-Johansson Syndrome?

Ingabe ingane yakho iyakuthanda ukudlala imidlalo? Ingabe kubonakala sengathi ayikaze ibe nosuku lokuphumula lokugijima, ukugxuma, nokudlala? Uma ingane enjalo ekhuthele izwa ubuhlungu edolweni ngokuzumayo, kuyinto evamile ngawe njengomzali ukuzizwa wesaba kakhulu. Ikakhulukazi uma kubuhlungu engxenyeni engezansi yedolo, kungaba yisimo esibizwa ngokuthi i-Sinding-Larsen-Johansson Syndrome , esikhuluma ngaso namuhla. Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.

Iyini i-Sinding-Larsen-Johansson Syndrome?

Kalula nje, i-Sinding-Larsson-Johansson syndrome (SLJ) yisimo lapho i-kneecap yengane yakho (i-patella) iyisicubu esiqinile esibizwa ngokuthi i-patellar tendon exhumanisa i-kneecap ne-shinbone (tibia). Ikakhulukazi, inkinga yenzeka lapho le tendon inamathela khona ekugcineni kwe-kneecap. Lesi futhi yisimo esibizwa ngokuthi i-osteochondritis , okuyinkinga eyenzeka emathanjeni akhula ezingane.

Cabanga ngakho, amathambo engane yakho asakhula. Ikakhulukazi emalungeni afana nedolo, kunezingxenye ezibizwa ngokuthi “ama-growth plate.” Lezi yizona ezisiza amathambo ukuba akhule. Ku-SLJ, okwenzekayo ukuthi i-growth plate, etholakala endaweni engaphansi kwe-patella, yonakele.

Lesi simo sivame ukubonakala ezinganeni ezineminyaka ephakathi kweyi-10 neyi-14 ezidlala imidlalo noma ezikhuthele kakhulu. Lokhu kungenxa yokuthi imizimba yezingane ikhula ngokushesha kule minyaka, futhi zihileleke kakhulu kwezemidlalo.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela enkulu yalokhu ukusetshenziswa ngokweqile kwedolo . Cabanga nge-tendon ye-patellar njengebhande lerabha. Ibamba i-kneecap kanye ne-shinbone ndawonye futhi ibasize bahambe kahle. Lapho izingane zigijima, zigxuma, noma zikhahlela (isibonelo, lapho zidlala ibhola), imisipha emikhulu engaphambili kwamathanga azo (imisipha ye-quadriceps) iyavuselelwa. Lapho le misipha ifinyela, kufakwa ukudonsa okunamandla e-kneecap nge-tendon ye-patellar.

Uma lokhu kudonswa kuqhubeka, kuphindaphindwa, futhi kuphindaphinda , kungabangela ama-microtrauma lapho i-tendon inamathela khona edolweni. Lokhu kulimala okuncane kuyaqoqana futhi ekugcineni kuholele ku-SLJ.

Isibonelo, ake ucabange ukuthi indodakazi yakho iseqenjini lebhola lomnqakiswano lesikole. Iziqeqesha amahora amaningi nsuku zonke, igxuma futhi igijima, ngoba kunomqhudelwano ozayo. Noma indodana yakho idlala ikhilikithi, igijime ngokushesha futhi ibhowule, futhi ibeke isisindo emadolweni ayo lapho ishaya ibhethi. Lezi zinhlobo zemisebenzi zingabangela i-SLJ.

Ngokuvamile, i-SLJ ingabangelwa izinto ezifana nalezi:

• Ukugijima njalo.
• Ukugxuma njalo.
• Imidlalo yokukhahlela (njengebhola, i-karate).
• Noma yimuphi umsebenzi oqhubeka nokusebenzisa amandla amaningi emilenzeni nasemadolweni.

Uyini umehluko phakathi kwesifo se-SLJ nesifo se-Osgood-Schlatter?

Kungenzeka ukuthi uke wezwa nangesifo i-Osgood-Schlatter. Lezi ezimbili zifana kakhulu. Zombili zibangelwa ukulimala kwe-tendon ye-patellar ezinganeni ezikhulayo nezikhuthele. Izimbangela, izimpawu, ngisho nokwelashwa kufana kakhulu.

Umehluko omkhulu yilapho i-tendon yonakele khona.

• Ku -Sinding-Larsson-Johansson syndrome (SLJ), umonakalo wenzeka phezulu kwe-tendon, okungukuthi, lapho i-tendon iqala khona e-kneecap (patella).
• Esifweni se-Osgood-Schlatter, kwenzeka umonakalo engxenyeni engezansi ye-tendon, okungukuthi, lapho i-tendon inamathela khona ethanjeni le-shin (tibia).

Kungaba nzima ukubona umehluko phakathi kwalokhu okubili. Izindaba ezinhle ukuthi kokubili kwelashwa ngemithi yokuphumula kanye nemithi yokulwa nokuvuvukala, ngakho-ke ukwelashwa kufana kakhulu. Udokotela wakho uzohlola ingane yakho futhi akutshele ukuthi ngabe yi-SLJ noma i-Osgood-Schlatter.

Ubani onamathuba amaningi okuthuthukisa lokhu?

Njengoba sishilo ngaphambili, i-SLJ ivame kakhulu ezinganeni ezineminyaka ephakathi kweyi-10 neyi-14 , ikakhulukazi labo abadlala imidlalo. Kunesizathu salolu hlu lweminyaka. Yilapho izingane zikhula ngokushesha. Lapho amathambo, imisipha, kanye nemisipha konke kushintsha ngokushesha ngesikhathi esisodwa, amalunga afana namadolo angacindezeleka kakhulu.

Ezinye izifundo zibonise ukuthi izingane ezine -cerebral palsy zisengozini enkulu kancane yokuthola i-SLJ.

Ingabe kuyenzeka nakubantu abadala?

I-SLJ ayivamile kubantu abadala. Eqinisweni, uma uneminyaka engaphezu kwengu-15 ubudala futhi unalezi zimpawu, kungenzeka kube esinye isimo, njenge-"Jumper's Knee" (patellar tendinopathy). Kunezinye izimbangela eziningi zobuhlungu bamadolo kubantu abadala. Ngakho-ke, uma unobuhlungu obusha, ikakhulukazi ngemva kokusebenza kanzima ngokomzimba, kungcono ukubona udokotela.

Sivame kangakanani lesi simo?

I-SLJ yisimo esivame kakhulu , futhi iyimbangela evamile yobuhlungu bamadolo, ikakhulukazi ezinganeni ezincane ezisebenzayo.

Lokhu kunamuphi umphumela emzimbeni wengane?

Lokhu kungaba buhlungu kakhulu enganeni. Kodwa-ke , i-SLJ ayinayo imiphumela yesikhathi eside empilweni yengane noma iyivimbele ekwenzeni imisebenzi eyithandayo . Ingane kuzodingeka iphumule futhi igweme umdlalo noma umsebenzi obangele lesi simo kuze kube yilapho i-tendon ye-patellar iphola, okungathatha amasonto ambalwa kuya ezinyangeni eziningana. Kodwa-ke, uma isiphulukisiwe, ingabuyela emisebenzini yayo evamile ngaphandle kwemiphumela yesikhathi eside.

Ziyini izimpawu zalokhu?

Izimpawu eziyinhloko ze-Sinding-Larsson-Johansson syndrome yilezi:

• Ubuhlungu obubukhali ngaphansi kwedolo lengane, ngaphezu nje kwe-shin. Lolu uphawu oluyinhloko.
• Ukuvuvukala.
• Ububele obuzungeze idolo.
• Kuba nzima ukugoba idolo ngendlela evamile.

Uma ingane yakho ibhekene nalezi zimpawu, ikakhulukazi uma ingumdlali wezemidlalo, kufanele ucabangele i-SLJ.

Udokotela uhlonza kanjani lokhu?

Uma uyisa ingane yakho kudokotela, izoqala ngokuhlola idolo nenqulu yengane ngokomzimba. Izobuza imibuzo efana nokuthi ubuhlungu buqale nini nokuthi buqala kanjani ukuba bubi kakhulu.

Ngaphezu kwalokho, ezinye izivivinyo zezithombe zingenziwa ukuqinisekisa isimo se-SLJ nokuhlola okunye ukulimala (njengokuphuka kwamathambo).

Ziyini lezi zivivinyo?

• I-X-ray: I-X-ray ingasetshenziswa ukuhlola ukwaphuka kwamathambo e-kneecap, tibia, noma amanye amathambo. Ingahlola futhi ukwaphuka kokucindezeleka, okuvame kakhulu phakathi kwabadlali.
• I-MRI (Umfanekiso Wokuqabulana Kwamagnetic): I-MRI inganikeza isithombe esiphelele sedolo nendawo ezungezile. Ingahlola futhi ukuthi i-tendon ye-patellar iqine ngenxa yokulimala.
• I-Ultrasound: Ukuhlolwa kwe-ultrasound kungahlola ukuthi igazi ligeleza kanjani emisipheni nasezicutshini ezixhumeneyo ezizungeze idolo.

Ngemva kwalezi zivivinyo, udokotela uzokwazi ukuqiniseka ukuthi ingane yakho ine-SLJ noma enye into.

Iphathwa kanjani i-SLJ?

Ukwelashwa okuyinhloko nokungcono kakhulu kwe-Sinding-Larsson-Johansson syndrome ukuphumula nokwelula imisipha ye-quadriceps ngaphambili kwethanga . Kuze kube yilapho i-patellar tendon yengane iphola, kuzodingeka iyeke ukudlala umdlalo noma imidlalo ebangele ukulimala.

Iningi lezingane kuzodingeka lihlale kude nemidlalo amasonto ambalwa kuya ezinyangeni ezimbalwa. Ubude besikhathi buxhomeke ebunzimeni bokulimala ngesikhathi sokulimala. Njengoba ingane ilulama, ingase ikwazi ukushintshela kweminye imisebenzi ebeka ingcindezi encane edolweni (njengokubhukuda) esikhundleni somdlalo ebiwudlala.

Nazi ezinye izinto ongazenza ukuze unciphise ubuhlungu nokuvuvukala okwesikhashana:

• Ukufaka iqhwa: Beka iqhwa ligoqwe ngendwangu endaweni ebuhlungu yedolo lakho imizuzu eyi-15-20 izikhathi eziningana ngosuku.
• Ama-Painkiller: Uma unikezwa iseluleko sezokwelapha, ungathatha ama-NSAID (Izidakamizwa Ezingezona Ezokuvuvukala Ezingezona Ezokwelapha) njenge-ibuprofen. Lawa anciphisa ubuhlungu nokuvuvukala.

Okubalulekile:Khuluma nodokotela wengane yakho njalo ngaphambi kokuqala, ukuyeka, noma ukushintsha umthamo wanoma yimuphi umuthi. Unganiki ingane yakho ama-NSAID izinsuku ezingaphezu kweziyi-10 ngaphandle kwemvume kadokotela wakho.

Ingabe ukuhlinzwa kuzodingeka?

Akuvamile kakhulu ukuthi ingane idinga ukuhlinzwa ukuze yelaphe i-Sinding-Larsson-Johansson syndrome. Ngisho nasezimweni ezimbi kakhulu, odokotela bavame ukuncoma ezinye izindlela zokwelapha ezingadingi ukungenelela okukhulu, njengokwelashwa ngokomzimba, ngaphambi kokuncoma ukuhlinzwa kwengane noma umuntu osemusha.

Ngezinye izikhathi, abantu abadala abatholakale bene-SLJ kungadingeka benze i-knee arthroscopy ukuze balungise i-patellar tendon yabo.

Ingabe ama-NSAID anemiphumela emibi?

Yebo, ama-NSAID angabangela imiphumela emibi. Yingakho kufanele asetshenziswe kuphela njengoba kuqondiswe udokotela wakho. Eminye yemiphumela emibi ihlanganisa:

• Ukopha.
• Izilonda zesisu.
• Ubuhlungu besisu.
• Izinkinga zesistimu yokugaya ukudla.

Ingane izozizwa ingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma uthatha ama-NSAID, ubuhlungu buvame ukuncipha bese ingane iqala ukuzizwa ingcono cishe phakathi nehora. Kunjalo nangeqhwa.

Kodwa-ke, lokhu kuqeda ubuhlungu akusho ukuthi i-patellar tendon yengane isipholile ngokuphelele . Ukuphumula nokugwema umsebenzi obangele isimo se-SLJ yizona zingxenye ezibaluleke kakhulu zokwelashwa kwengane.

Landela imiyalelo kadokotela ngqo. Kuye ngesimo sengane yakho, udokotela uzokutshela ukuthi kuzothatha isikhathi esingakanani ukuthi ilulame.

Ngingayinciphisa kanjani ingozi yokuthi ingane yami ithole i-SLJ?

Ungasiza ekuvimbeleni ukuthi i-tendon ye-patellar yengane yakho ingonakali kwasekuqaleni. Enye yezindlela ezinhle kakhulu zokwenza lokhu ukunikeza ingane yakho ukuphumula okwanele kanye nesikhathi sokululama phakathi kwezinkathi zemidlalo.

Izingane eziningi kanye nentsha manje sezitholakala zine-SLJ kunanini ngaphambili. Isizathu esikhulu salokhu ukuthi ziqeqesha noma zidlala umdlalo ofanayo unyaka wonke (zigxile emdlalweni owodwa) . Lapho izingane eziningi zizama ukugxile emdlalweni owodwa noma umsebenzi, imizimba yazo ayitholi isikhathi esanele sokuphumula nokululama. Ukuze zizivikele hhayi ku-SLJ kuphela, kodwa nakuzo zonke ezinye izifo, kungcono ukuvimbela izingane ekugxileni emdlalweni owodwa kuze kube yilapho sezifinyelele eminyakeni yobusha.

Yini okufanele uyenze ukuze uhlale uphephile ku-SLJ?

Indlela engcono kakhulu yokuvimbela i-Sinding-Larsson-Johansson syndrome ukwelula imisipha ye-quadriceps njalo . Uma imilenze yengane yakho iguquguquka kakhudlwana, ingcindezi eyoyibeka emithanjeni yayo iyancipha.

Ngokuvamile, kuwumqondo omuhle ukulandela lezi zinyathelo ukuze unciphise ingcindezi ku-tendon ye-patellar:

• Ukuzelula ngaphambi nangemva kokudlala imidlalo.
• Ukuphumula nokuthatha ikhefu.
• "Ukudlala ngobuhlungu" akulona neze umqondo omuhle! Uma uzwa ubuhlungu, kufanele ume uphumule.

Yini ongayilindela uma ingane yakho ine-SLJ?

Uma ingane yakho itholakale ine-SLJ, lindela ukuthi ihlale kude nemidlalo nemisebenzi yomzimba enzima isikhashana . I-SLJ yisimo sesikhashana, kodwa kuthatha isikhathi ukuthi imisipha ilulame.

Lokhu kuzohlala isikhathi esingakanani?

Ukuthi i-Sinding-Larsson-Johansson syndrome ihlala isikhathi esingakanani kuncike ebunzimeni bomonakalo wokuqala ku-patellar tendon yengane. Ubuhlungu nokuvuvukala kungaphela zingakapheli izinsuku noma amasonto ambalwa. Kodwa-ke, izingane kungadingeka zihlale kude nemidlalo izinyanga eziningana ukuze zivimbele umonakalo wesikhathi eside edolweni.

Ingane ingaya esikoleni?

Ingane yakho akudingeki iyeke ukuya esikoleni ngesikhathi ilulama ku-SLJ. Ukuze ugweme ukucindezela idolo kuze kube yilapho liphola, buza udokotela wengane yakho uma kudingeka iphumule emakilasini emfundo yomzimba (PE/PT) .

Iyini ikusasa lalesi simo?

I-Sinding-Larsson-Johansson syndrome iyisimo sesikhashana . Kodwa-ke, kungaba nzima ngezingane ukuyeka ukudlala umdlalo eziwuthandayo isikhashana. Qiniseka ukuthi ingane yakho iyaqonda ukuthi yini okudingeka iyenze ukuze isize imizimba yazo iphumule, ilulame, futhi ilulame, nokuthi kungani kudingeka ihlale kude nomdlalo noma umsebenzi obangele isimo sayo se-SLJ isikhashana.

Kufanele ubonane nini nodokotela?

Uma ingane yakho inobuhlungu obusha edolweni, ikakhulukazi uma buhambisana nokuvuvukala, bona udokotela ngokushesha . Udokotela angakusiza ukuthi uthole ukuthi yini ebangela ubuhlungu bengane yakho, kungaba yi-SLJ noma into engathi sína kakhulu, njengokuphuka.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela nengane yakho, ungakhohlwa ukubuza le mibuzo:

• Yiziphi izivivinyo okufanele ingane yami izithathe?
• Ingane kufanele iyeke ukudlala isikhathi esingakanani?
• Ingabe lesi yisifo i-Sinding-Larsson-Johansson noma isifo i-Osgood-Schlatter?
• Yiziphi izindlela ezikhona ezingasiza ekuvimbeleni i-Sinding-Larsson-Johansson syndrome esikhathini esizayo?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuthi umzali azizwe esaba lapho ingane isezinhlungwini. Ikakhulukazi uma kuhilela ukulimala kwamalunga, kukhona ukukhathazeka ngemiphumela yesikhathi eside.

Izindaba ezinhle ukuthi i-Sinding-Larsen-Johansson Syndrome iyisimo sesikhashana esingeke sithinte amadolo engane esikhathini esizayo.

Ngisho noma ingane yakho kufanele iphuthelwe yisizini yomdlalo ewuthandayo, qiniseka ukuthi uyakufanelekela ngoba uyingxenye yokululama kwayo. Ngokuphumula okufanele nokulandela imiyalelo kadokotela wakho, ingane yakho izolulama ngokushesha futhi ibuyele ekwenzeni izinto ezithandayo!

I - Sinding-Larsen-Johansson Syndrome, ubuhlungu bamadolo, izinkinga zamadolo ezingane, ukulimala kwezemidlalo, i-patellar tendon, i-herniated disc, i-Osgood-Schlatter