Cabanga ngengane yakho, ngokuvamile ephakathi kweminyaka eyi-11 neyi-16, ngokuzumayo iqala ukuhamba ixhuga, njengokungathi ihudula umlenze wayo kancane. Noma iqhubeka ithi, "Mama, idolo lami libuhlungu" ngenkathi idlala. Sivame ukucabanga njengabazali, "O... le ngane iyakhula, yilokho okumele kube yikho." Kodwa akuwona umqondo omuhle ukunganaki konke ukuxhuga, ubuhlungu bomlenze. Ngoba kungaba uphawu lwesimo esibizwa ngokuthi i-Slipped Capital Femoral Epiphysis , noma i-SCFE njengoba thina odokotela sikubiza kanjalo. Lesi yisimo esibucayi esidinga ukunakwa ngokushesha. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-SCFE, ukuthi kungani yenzeka, nokuthi yini okufanele siyenze.
Kalula nje, kuyini lokhu kushelela kwesinqe (SCFE)?
Nakuba leli gama lingase lizwakale liyesabeka futhi liyinkimbinkimbi, masiligcine lilula.
Ithambo elide nelinamandla kakhulu emlenzeni wethu ongaphezulu yithambo lethanga, noma ngokwezokwelapha, i-Femur . Phezulu kwaleli thambo lethanga kukhona ingxenye eyindilinga efana nebhola. Lokhu sikubiza ngokuthi i-Capital Femoral Epiphysis . Cabanga ngakho njengebhola le-ayisikhilimu elisekhonini le-ayisikhilimu. Leli bhola yilokho okuhlala esokisini sethu se-hip futhi kusisiza siphenduke, sigobe, futhi sihambe.
Uma ingane isencane, okungukuthi, lapho umzimba ukhula ngokushesha, kuba khona "ipuleti lokukhula" phakathi kwengxenye efana nebhola yaleli thambo kanye nengxenye ende yethambo esele. Yilokhu okusiza ithambo ukuba likhule. Kodwa ngenxa yokuthi leli puleti lokukhula lenziwe nge-cartilage, alinamandla njengethambo elikhule ngokugcwele. Libuthakathaka kancane.
Esimweni esibizwa ngokuthi i-SCFE , ikhanda lethambo elimise okwebhola liyaphuma futhi lehle ngaleli plate lokukhula elibuthakathaka, njenge-ayisikhilimu cone, lisuka kwenye ingxenye ye-femur. Lokhu kubangela ukuthi ibhola lingangeni kahle ethanjeni lethanga lesinqe. Lokhu kungabangela ingane ukuba ibe nobunzima bokuhamba, ibhekane nobuhlungu, futhi iqhume.
Into ebaluleke kakhulu ukuthi lesi simo sidinga ukulungiswa njalo ngokuhlinzwa, ngakho-ke ukutholakala kusenesikhathi kubaluleke kakhulu.
Kunezinhlobo ezimbili eziyinhloko zalesi simo se-SCFE:
Odokotela bahlukanisa lesi simo sibe izinhlobo ezimbili eziyinhloko ngokusekelwe ebunzimeni baso kanye nokungakhululeki ingane ekuzwayo. Kubaluleke kakhulu ukwazi umehluko phakathi kwalokhu okubili, njengoba lokhu kunquma uhlobo lokwelashwa kanye nokuphuthuma kwalo.
| Uhlobo lwe-SCFE | Incazelo kanye nezici |
|---|---|
| I-SCFE Ezinzile (i-SCFE Ezinzile) | Lolu uhlobo oluvame kakhulu. Lapha, ikhanda lethambo lishelela kancane kancane, kancane kancane, emavikini noma ezinyangeni . Nakuba ingane inobuhlungu, ingahamba ngobunzima bokufaka isisindo kulowo mlenze. Ngokuvamile, ingane ihamba ixhuga. Ubuhlungu bungase bufike budlule. |
| I-SCFE engazinzile | Lesi yisimo esibucayi kakhulu nesiphuthumayo. Lapha, ikhanda lethambo livele lishelele kakhulu. Lokhu kubangela ubuhlungu obukhulu . Ingane ayikwazi ukubeka lowo mlenze phansi noma ukubeka isisindo kulolo hlangothi. Lesi yisimo esiphuthumayo sezokwelapha. Kudingeka ukulaliswa esibhedlela kanye nokwelashwa ngokushesha. |
Yiziphi izimpawu esingazibona enganeni?
I-SCFE, ikakhulukazi i-Stable SCFE, kungaba nzima kancane ukuyibona ekuqaleni. Izimpawu ziqala kancane kakhulu. Kungase kuqale esinqeni esisodwa bese kusakazekela kwesinye. Njengabazali, kudingeka siqaphele lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuxhuga | Lolu uphawu oluyinhloko noluvame kakhulu. Ingane ingase ibonakale sengathi ihudula umlenze owodwa lapho ihamba. |
| Ubuhlungu esinqeni, embotsheni, noma ethangeni | Ingane ingase ikhale ngobuhlungu esinqeni, esinqeni, noma ethangeni elingaphakathi. |
| Ubuhlungu bedolo | Lesi yisibonakaliso esibaluleke kakhulu nesidukisayo kubantu abaningi. Ngisho noma inkinga isesinqeni, ubuhlungu bungase buzwakale edolweni ngenxa yokuxhumana kwemizwa. Uma idolo lihlolwa futhi kungekho nkinga, udokotela uzosola nesinqe. |
| Umlenze uphume | Lapho ingane ihamba noma ilala phansi, umlenze nonyawo oluthintekile kungase kubonakale sengathi kuphendukezelwe ngaphandle. |
| Umlenze owodwa ubonakala umfishane kunomunye. | Uma i-femur isusiwe, lowo mlenze ungase ubonakale umfushane kancane kunomunye umlenze. |
| Ukuqina kwamalunga nokunyakaza okulinganiselwe | Kuba nzima ukugoba nokuzungezisa ilunga lesinqe. Kuba nzima ukugijima, ukugxuma, nokusebenza ngokushesha. |
Kungani lokhu kwenzeka ezinganeni? Izimbangela kanye nezici eziyingozi
Akukho imbangela eyodwa ye-SCFE, kodwa odokotela bathole izimbangela eziningana ezinkulu kanye nezici eziyingozi ezibangela lokhu.
- Ukukhuluphala ngokweqile: Lesi yisici esibaluleke kakhulu nesinamandla sengozi ye-SCFE. Iningi lezingane ezine-SCFE line-body mass index ephezulu (BMI) ngokweminyaka yazo. Kalula nje, njengoba isisindo somzimba sikhuphuka, ingcindezi epuletini lokukhula elibuthakathaka iyanda. Uma le ngcindezi ingenakubekezelelwa, ikhanda lamathambo lingase lishelele.
- Ukukhula okusheshayo: Lesi simo sivame kakhulu ngezikhathi zokukhula okusheshayo, lapho umzimba wengane ukhula ngokuzumayo futhi ngokushesha. Phakathi nalesi sikhathi, ipuleti lokukhula lisebenza kakhulu, kodwa futhi libuthakathaka.
- Izinguquko zama-hormone: Ngesikhathi sokuthomba kanye ngenxa yokukhuluphala ngokweqile, amazinga ama-hormone emzimbeni wengane ayashintsha. Lezi zinguquko zama-hormone zingathinta ukukhula namandla amathambo, zenze buthaka ipuleti lokukhula. Ezinye izifo ze-endocrine nazo zingandisa le ngozi.
- Umlando womndeni (Ufuzo): Uma othile emndenini, okungukuthi, umama, ubaba, noma umfowabo, eke waba ne-SCFE, kunengozi encane yokuthi ingane nayo izoyithola.
- Ukulimala Okuncane:Ngezinye izikhathi, into efana nokuwa noma ukushaywa yinqulu kungabangela lokhu kushelela kuqale noma kube kubi kakhulu isimo esikhona.
Izinkinga ezingase zenzeke uma lesi simo singelashwa
I-SCFE akuyona into engelapheka kalula. Uma ingaqashelwa ngesikhathi futhi ingelashwa kahle, ingaholela ezinkingeni ezinkulu zesikhathi eside.
1. Ukuvaleka Kwezinqe: Lapho ikhanda le-femoral lishelela, amathambo esihlathini aqala ukugudlana. Lokhu kubangela ubuhlungu obukhulu, kulimaze ulwelwesi lwe-cartilage yelungu, futhi kungaholela ekuguleni kwamathambo ngokuhamba kwesikhathi.
2. I-Avascular Necrosis: Lena yinkinga enkulu kakhulu. Uma ikhanda lethambo lishelela kakhulu noma lisesimweni se-SCFE esingazinzile, imithambo yegazi ethambile enikeza igazi ekhanda lethambo ingonakala. Uma lokhu kwenzeka, ukunikezwa kwegazi ethanjeni kuyama futhi izicubu zethambo ziqale ukufa. Lesi yisimo esibuhlungu kakhulu futhi singaholela ngisho nasekuhlinzweni kokufakelwa i-hip ngokuphelele esikhathini esizayo.
Udokotela uhlonza kanjani lokhu?
Uma uyisa ingane yakho kudokotela, izoqala ikubuze wena nengane yakho ngezimpawu ngokuningiliziwe. Ubuhlungu sebunesikhathi eside kangakanani, buzwakala kanjani, nokuthi kunzima yini ukuhamba.
Ngemuva kwalokho ingane iyahlolwa. Ingane iyabukwa njengoba ihamba, ubude bemilenze yayo buyalinganiswa ngenkathi ilele phansi, kanti i-hip joint iyagoba futhi ijikelezwe ngezindlela ezahlukene ukuze kubonwe ukuthi ihamba kanjani nokuthi kukhona yini ubuhlungu. Uma ingane ene-SCFE igoba umlenze wayo phezulu, ujikela ngaphandle ngokuzenzakalelayo. Lesi yisibonakaliso esibalulekile sokuhlonza lesi sifo.
Ngemva kwalokhu kuhlolwa ngokomzimba, kwenziwa i-X-ray ukuqinisekisa ukuxilongwa. I-X-ray yesitho sangasese ingabonisa ngokucacile ukuthi ikhanda le-femoral lishelele yini nokuthi lishelele kangakanani. Kwezinye izimo ezingavamile, kungase kwenziwe i-MRI scan.
Izindlela zokwelapha: Ukuhlinzwa kuyimpoqo!
Uma i-SCFE isitholakele, ukwelashwa cishe njalo kuba ukuhlinzwa . Akuyona indaba yokuphuza imithi nokuphumula. Ukuhlinzwa kunemigomo emibili eyinhloko:
1. Vimbela ikhanda lethambo ukuthi lingasheleli kakhulu.
2. Ukugcina ikhanda lethambo lizinzile.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.
- Ukulungiswa Kwesimo: Lena yindlela evame kakhulu futhi ephumelelayo ye-SCFE ezinzile. Lokhu kuhilela ukwenza ukusika okuncane ohlangothini lwe-femur, futhi kusetshenziswa isiqondiso se-X-ray, kufakwa isikulufu esisodwa esinamandla ngekhanda elishelelayo le-femur, kuboshwe ikhanda le-femur kulo lonke i-femur. Lena inqubo elula, engangenisi kakhulu.
- Ukunciphisa Okuvulekile kanye Nokulungiswa Kwangaphakathi:Lokhu ukuhlinzwa okuyinkimbinkimbi kancane. Kwenziwa ezimweni ze-SCFE engazinzile, okusho ukuthi ikhanda le-femoral selishelele kakhulu. Kulesi simo, udokotela ohlinzayo kufanele avule i-hip joint, abuyisele ikhanda le-femoral endaweni yalo, bese elilungisa ngezikulufo ezingaphezu kwesisodwa.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ingane kuzodingeka isebenzise izinduku zokusibekela cishe amasonto ayi-6-8 futhi ingabeki lutho olusindayo emlenzeni ohlinziwe. Uma ubuhlungu sebuphelile futhi ithambo selipholile, kubalulekile ukufuna usizo lochwepheshe wezokwelapha umzimba . Uzokufundisa ukuzivocavoca ukuze uqinise imisipha ezungeze ilunga lesinqe futhi ubuyisele ukuhamba kwamalunga. Kungathatha cishe izinyanga ezi-3-6 ukuphulukiswa ngokugcwele nokuqala kabusha imisebenzi yezemidlalo.
Ungalindeli ukuthi lesi simo sizophola sodwa. Akuvamile ukuba siphole. Uma izimpawu sezivele, amathuba okuthi amathambo aphole ngokwawo cishe awasekho. Ngakho-ke, uma unemibuzo, thintana nodokotela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Uma intsha (eneminyaka engu-11-16 ubudala) ixhuga noma ivame ukukhononda ngobuhlungu benqulu, imbobo, noma ikakhulukazi edolweni , ungakuthathi njengento "ebuhlungu bokukhula."
- Ukukhuluphala ngokweqile kuyisici esiyinhloko esiyingozi se-SCFE. Ukulawula isisindo sengane yakho kubaluleke kakhulu.
- Cabanga nge-SCFE njengesimo esiphuthumayo sezokwelapha . Uma isheshe itholakale futhi yelashwa, kulapho kungenzeka khona ukuvimbela izinkinga ezinkulu (i-arthritis, ukufa kwamathambo) ezingase zivele esikhathini esizayo.
- Ukwelashwa okuwukuphela kwempumelelo kwalokhu ukuhlinzwa . Ngokuhlinzwa ngesikhathi esifanele, ingane ingalulama ngokuphelele futhi ibuyele empilweni evamile.
- Uma ingane yakho inalezi zimpawu, bona udokotela womndeni wakho ngokushesha ukuze udluliselwe kudokotela ohlinza amathambo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho