Ingabe inqulu yengane yakho encane ibuhlungu? Kungase kube yi-Slipped Capital Femoral Epiphysis (SCFE)!

Ingane yakho yayivame ukugijima njengovemvane oludlalayo, akunjalo? Kodwa manje ibonakala sengathi iyaxhuga kancane lapho ihamba, noma inqulu yayo ibuhlungu, mhlawumbe ngisho nedolo layo libuhlungu? Ungazinaki lezi zinto ngokuthi "ukugula nje okungokomzimba." Ngoba lezi zingaba izimpawu zenkinga yenqulu esizokhuluma ngayo namuhla ebizwa ngokuthi i-Slipped Capital Femoral Epiphysis (SCFE) . Ungakhathazeki, ake sixoxe ngalokhu kalula.

Iyini ngempela i-Slipped Capital Femoral Epiphysis (SCFE)?

Kalula nje, lesi yisimo esenzeka ezinganeni ezincane, ikakhulukazi ngesikhathi sokukhula kwazo (esikubiza ngokuthi ukuthomba ). Ithambo lethanga lengane yakho (ithambo elikhulu esilibiza ngokuthi "i-femur"), linengxenye efana nebhola phezulu kwalo, lapho lingena khona engosini yesinqe. Lokhu kubizwa ngokuthi "i-epiphysis". Ngakho-ke, ku-SCFE, okwenzekayo ukuthi ingxenye efana nebhola ye-"femur" ishelela kancane entanyeni ye-"femur". Kufana ne-ayisikhilimu ekhonini ye-ayisikhilimu ithambekele kancane ohlangothini olulodwa. Uma ishelela kanje, ayifaneleki kahle engosini yesinqe, okubangela izinkinga lapho ingane ihamba futhi igijima.

Manje ungase uzibuze, "Kungani lokhu kwenzeka?" Izingane zethu zikhula zinde kusukela zisencane kakhulu, endaweni ekhethekile ekugcineni kwamathambo azo amade (njengethambo lethanga). Yilokhu esikubiza ngokuthi 'ipuleti lokukhula'. Cabanga ngakho njengegatsha lomuthi eliqhubeka likhula. Kodwa leli '(ipuleti lokukhula)', ngaphambi kokuba amathambo emzimbeni wengane akheke ngokugcwele, linokwakheka okuthambile njenge-cartilage. Kufana nejeli. Ngenxa yalokhu kukwakheka okuthambile, ngezinye izikhathi '(i-epiphysis)', leyo ngxenye efana nebhola yethambo lethanga, izama ukuphuma '(ipuleti lokukhula)'.

I-capital femoral epiphysis, etholakala phezulu kwethambo lethanga, ithambekele kakhulu ekusheleleni, njengoba le ndawo ithwala iningi lesisindo somzimba ongaphezulu wengane. Ngakho-ke, isisindo sengane kanye nokukhula okusheshayo yizinto ezimbili eziyinhloko ezithinta lesi simo.

Lesi simo se-SCFE singabangela ukukhubazeka nobuhlungu kusukela esinqeni kuya edolweni. Esikhathini esiningi, siqala kancane, ngaphandle kwesixwayiso. Singaqala esinqeni esisodwa bese sisakazekela kwesinye. Singaba sibi kakhulu ngokuhamba kwesikhathi, futhi kungase kube nezinye izinkinga. Ngakho-ke, ingane izodinga ukuhlinzwa ukuze kulungiswe lokhu, futhi kungcono ukukwenza ngokushesha okukhulu.

Iyini i-SCFE 'eZizinzile' kanye 'neZingazinzile'?

Odokotela bahlukanisa lesi simo se-SCFE ngezinhlobo ezimbili: esizinzile nesingazinzi.

• I-SCFE Ezinzile: Iningi lezingane linalolu hlobo. Lukhula kancane kancane. Kulesi simo, ingane ingahamba inesisindo esinqeni, kodwa kungase kube nobuhlungu.
• I-SCFE engazinzile:Kulesi simo, ikhanda lethambo lishelele kakhulu. Lokhu kubangela ubuhlungu obukhulu, futhi awukwazi ngisho nokuhamba isisindo sakho sisesinqeni. Esikhathini esiningi, sishelela kabi kakhulu, njengokungathi sengozini engazelelwe. Lesi simo "esingazinzile" se-SCFE sidinga ukwelashwa okuphuthumayo.

Yiziphi izimpawu ze-Slipped Capital Femoral Epiphysis (SCFE)?

Izimpawu ze-SCFE zivame ukuvela ngokuzumayo. Wena nomntanakho ningase ningakhumbuli kahle ukuthi zaqala nini. Nazi ezinye zezimpawu wena nomntanakho eningase nizizwe:

• Ubuhlungu endaweni yesinqe: Lolu uphawu oluyinhloko.
• Ubuhlungu besisu: Ubuhlungu bungavela ohlangothini olungaphakathi lwesisu, khona kanye esinqeni.
• Ubuhlungu bomlenze: Ngezinye izikhathi ubuhlungu bungasakazeka kusukela esinqeni kuya edolweni.
• Ubuhlungu bedolo: Ungamangali, ezinye izingane zingase zikhononde ngobuhlungu bedolo ngenxa yenkinga yesinqe. Odokotela babiza lokhu ngokuthi "ubuhlungu obudluliselwe kwabanye".
• Ukuxhuga noma ukuhamba ngendlela engavamile: Ungase ubonakale sengathi ugobe ohlangothini olulodwa noma uyaxhuga lapho uhamba.
• Ukuzizwa uqinile lapho uhamba futhi kuyanda: Ungase uzizwe ukuqina enqulwini yakho, njengokungathi iyabhajwa ngemva kokuhamba isikhashana.
• Ubunzima bokubeka isisindo emlenzeni owodwa.
• Ubunzima bokugijima, ukugxuma, nokugoba ezinqeni.
• Isinqe nomlenze owodwa kubonakala sengathi kuphendukezelwe ngaphandle.
• Umlenze owodwa ubonakala umfushane kunomunye.

Cabanga nje, ingane yakho ayisathandi ukudlala ikhilikithi, ukugijima, noma ukugxuma njengoba yayinjalo ngaphambili. Uma ihamba kancane, ithi, "Mama/Baba, umlenze wami uyabuhlungu." Noma uma iya esikoleni, ithi, "Kunzima ukukhuphuka izitebhisi." Ngisho nezinto ezincane njengalezi zibaluleke kakhulu ukuzicabangela.

Yiziphi izimbangela ze-Slipped Capital Femoral Epiphysis (SCFE)?

Kunzima ukukhomba imbangela eyodwa ye-SCFE. Njengoba sixoxile ngaphambili, imbangela eyinhloko ukukhula kwamathambo esemncane kanye nobuthakathaka "bepuleti lokukhula." Kodwa-ke, kunezinye izici eziningana ezingaba nomthelela kulokhu.

Izici ezinethonya kakhulu:

• Ukukhuluphala ngokweqile ebuntwaneni: Izingane eziningi ezincane ezine-SCFE zine-body mass index (BMI) engaphezu kwama-95 ekhulwini leminyaka yazo. Lokhu kusho ukuthi zikhuluphele kancane.
• Ukukhula okusheshayo: Lesi simo se-SCFE singavela ngesikhathi esifushane sokukhula okusheshayo nokukhula kwamathambo enganeni.
• Ama-hormone: Kokubili ukuthomba kanye nokukhuluphala kungathinta amazinga ama-hormone engane yakho. Lezi zinguquko zama-hormone zithinta ukukhula kwamathambo kanye namandla awo. Ezinye izifo ze-endocrine, noma izimo ezihlobene nezindlala ze-endocrine, nazo zingaba khona.

Ezinye izinto ezingathinta:

• Ukulimala:Lokhu kushelela kungaqalwa noma kube kubi kakhulu ngento efana nokuwa noma ukushaywa kanzima esinqeni.
• Ukukhubazeka kwe-hip: Ngezinye izikhathi ukukhubazeka kokuzalwa esithweni se-hip, njenge-hip dysplasia, kungabeka ingcindezi eyengeziwe esithweni.
• Ithonya lezakhi zofuzo: Uma othile emndenini eke waba ne-SCFE, ingozi yokuthi ingane ikhule iphakeme kancane.

I-SCFE ivame kakhulu kuliphi iqembu leminyaka?

I-SCFE ivame ukukhula phakathi kweminyaka eyi-11 neyi-16. Isilinganiso sobudala sokuqala ngokuvamile sineminyaka eyi-12. Sivame kakhulu kubafana, futhi sivame ukukhula kamuva ekuphileni. Sekukonke, i-SCFE akuyona inkinga evamile, kodwa yisifo esivame kakhulu se-hip esithinta izingane ezincane. Cishe u-0.01% wezingane ezincane uyathinteka yilesi simo.

Yiziphi izinkinga ezingaba khona ze-Slipped Capital Femoral Epiphysis?

Uma ikhanda le-femoral lishelela, indlela isisindo sengane yakho esisabalala ngayo iyashintsha lapho ihamba. Lokhu kubeka ingcindezi ezingxenyeni ze-hip joint ezingaklanyelwe ukuthwala isisindo. Lokhu kungalimaza kancane kancane i-joint. Izinkinga ezimbili eziyinhloko ezingaba khona yilezi:

• Ukucindezelwa kwe-Femoroacetabular: Lokhu kwenzeka lapho ikhanda le-femur (ithambo lethanga) lingangeni kahle engosini (i-acetabulum) yelungu lesinqe, okubangela ukuthi amathambo amabili akhuhlane. Lokhu kungqubuzana kungabangela ubuhlungu obukhulu kanye nomonakalo ku-cartilage engonweni yesinqe.
• I-Avascular necrosis: Uma ingcindezi ekhanda le-femoral le-hip eliphumile iba nkulu kakhulu, igazi eliya kuyo linganqamuka. Uma lokho kwenzeka, izicubu zamathambo zizoqala ukufa. Lesi yisimo esibi kakhulu.

Odokotela bayixilonga kanjani i-Slipped Capital Femoral Epiphysis (SCFE)?

Ukuxilongwa kuqala ngokuhlolwa kahle kwenqulu yengane. Udokotela uzobuza ingane ngezimpawu zayo bese ehambisa inqulu ngezindlela ezahlukene ukuze abone ukuthi kwenzekani. Ngemuva kwalokho, bazothatha ama-X-ray ukuqinisekisa ukuthi kukhona i-bone spur. Ngezinye izikhathi, uma ingabonakali kahle ku-X-ray, i-MRI scan ivame ukuyibona.

Yikuphi ukwelashwa okungcono kakhulu kwe-Slipped Capital Femoral Epiphysis (SCFE)?

Ukuhlinzwa kuhlale kuyindlela yokwelapha i-SCFE.Kubaluleke kakhulu ukubuyisela ikhanda elishelelayo endaweni yalo bese uliqinisa. Uma ungakwenzi lokho, lingashelela kakhulu futhi libangele izinkinga esikhulume ngazo ngaphambili. Kunezindlela eziningana zokwenza lokhu, kuye ngokuthi i-SCFE izinzile kangakanani. Ezinganeni eziningi ezincane, umsebenzi olula ohlanganisa isikulufu esisodwa noma ezimbili ezincane yiwona kuphela odingekayo.

Izindlela eziyinhloko zokuhlinzwa:

• Ukulungiswa kwesimo: Lokhu kuyindlela ejwayelekile yokwelapha i-SCFE ezinzile. Lokhu kuhilela inqubo engangenisi kakhulu ebizwa ngokuthi i-arthroscopy, ehilela ukufaka ikhamera nge-incision encane. Kufakwa isikulufu esincane ukuze kubambe ikhanda lethambo endaweni yalo ukuze lingalishiyi kakhulu.
• Ukunciphisa okuvulekile kanye nokuqina kwangaphakathi: Ezimweni ze-SCFE engazinzile, okusho ukuthi ikhanda le-femoral lishelele kakhulu, udokotela ohlinzayo kungadingeka anciphise ikhanda le-femoral ngesandla bese elilungisa. Lokhu kudinga ukuhlinzwa okukhulu kancane.

Ngemva kokuhlinzwa, ingane yakho kuzodingeka iphumule futhi yenze izivivinyo zokuvuselela cishe izinyanga ezimbili kuya kwezintathu . Ekuqaleni, izokwazi ukuhamba ngaphandle kokufaka isisindo esinqeni nokusebenzisa izinduku zokusibekela. Uma isikwazi ukusebenzisa isinqe ngaphandle kobuhlungu, kuzodingeka yenze izivivinyo ezikhethekile ezinikezwa uchwepheshe wezokwelapha ngokomzimba ukuze ithole amandla nokuguquguquka esinqeni.

Ingabe isimo se-SCFE singaphola sodwa?

Lokho akunakwenzeka neze. Ngezinye izikhathi, odokotela baye babona izimo lapho isimo esisha, esithambile se-SCFE sixazululeke ngokuzenzakalelayo, kodwa akunakwenzeka. Kunezici eziningi ezingasithinta. Mhlawumbe, phakathi naleyo nkinga yokuphakama okungazelelwe, ithambo lingase libe buthaka futhi lishelele, bese lingase liziphulukise njengoba kuvela ukukhula kwamathambo amasha. Kodwa ezimweni eziningi, ngesikhathi uthola i-SCFE, leso sikhathi kungenzeka ukuthi sesidlulile. Ngakho-ke, kungcono ukufuna ukwelashwa njengoba kuqondiswe udokotela wakho.

Sinjani isimo ngemva kokwelashwa kwe-Slipped Capital Femoral Epiphysis (SCFE)?

Uma udokotela esheshe axilonge futhi elapha i-SCFE, kuba ngcono umphumela. Ukwelapha i-SCFE ezinzile ngaphambi kokuba ikhanda le-femoral lidlulele kakhulu kungavimbela umonakalo wesikhathi eside esithweni sesinqe. Futhi, ukuhlinzwa kulula futhi isikhathi sokululama sifushane. Iningi lezingane liyalulama ngokuphelele.

I-SCFE engazinzile ayivamile, futhi ivame ukuhlotshaniswa nengozi. Kodwa-ke, ihlotshaniswa nengozi ephezulu yezinkinga ezifana nokuvinjwa kwe-femoroacetabular kanye ne-avascular necrosis. Lezi zinkinga zingadinga ukuhlinzwa okubanzi kakhulu - ngisho nokuhlinzwa kokufaka esikhundleni samalunga uma i-hip joint ivuvukala, njenge-arthritis.

I-Slipped Capital Femoral Epiphysis yisimo esingaziwa kangako. Abazali nabanye odokotela bangayinaka. Kodwa-ke, uma ingane yakho encane ikhala ngobuhlungu bomlenze ngaphandle kwesizathu esibonakalayo, ungacabangi nje ukuthi "iqakala elibuhlungu." Ezinye izimo zidinga ukwelashwa ukuze zelapheke futhi zivimbele ukuba zibe zimbi kakhulu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake ngikusize ukhumbule amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• Uma ingane yakho encane (ikakhulukazi ephakathi kweminyaka eyi-11-16) ivame ukukhala ngobuhlungu bezinqe, iqolo, ithanga, noma idolo , noma ibonakala sengathi iyaxhuga , ungakushayi indiva lokho.
• Bonana nodokotela ngokushesha, ikakhulukazi uma ingane yakho ikhuluphele kancane noma ikhombisa lezi zimpawu ngesikhathi sokukhula kwayo ngokuzumayo .
• I-SCFE yisimo esingelashwa ngokuhlinzwa . Uma ukwelashwa kuqalwa ngokushesha, imiphumela iba ngcono futhi izinkinga ziyancipha.
• Kubaluleke kakhulu ukufuna iseluleko sezokwelapha esingochwepheshe kunokumane ugcine ingane yakho ekhaya ucabanga ukuthi "ibuhlungu umphimbo" nje. Lokhu akusikho "ubuhlungu bokukhula" noma ubuhlungu bomzimba nje.

Ngifisela ingane yakho ukululama okusheshayo! Ngithemba ukuthi lolu lwazi luzokusiza.

` I-SCFE, I-Slipped Capital Femoral Epiphysis, Ubuhlungu benqulu, Izifo zezingane ezincane, Ukuxhuga, Ukukhula kwamathambo, Ukuhlinzwa