Imilenze ekhothayo ingaqhelekanga kubantwana abancinci, kodwa ngokuqhelekileyo abantwana banokukhula ngokukhawuleza njengoko ixesha liqhubeka. Kuqhelekile njengoko abantwana beqala ukuhamba, kwiminyaka yabo yokuqala yokuphila, ukuba baqubude imilenze yabo. Kodwa emva kwexesha, imilenze iya kulungiswa. Nangona kunjalo, kukho iimeko ezingabangela ukulungelelaniswa okungavumelekanga komgca ongaphantsi , obangela ukuqhubela phambili kwemilenze engacwangciswanga ngokukhawuleza.
Enye yezona zixhaphakileyo kubantwana yimeko ebizwa ngokuba yi-Blount's disease. Isifo se-Blount siyingxaki ebangela ukukhula okungavamile kunye nokulungelelaniswa kwemilenze.
Kukho iintlobo ezimbini eziphambili ze-Blount's disease: umntwana omdala kunye nentsha. Isifo se-Blount esincinci sisifo sifumaneka kwizingane ezineminyaka emi-2 ukuya kwe-5, kanti isifo sesantya sifumaneka kubantwana abaselula. Kukho uhlobo oluqhelekileyo lwalo mqathango obizwa ngokuba yi-Blount's disease's disease, okanye isifo se-Blount esiphakathi, njengoko kwenzeka kwiminyaka emfutshane phakathi kwe-Blount yabantwana abancinci nabaselula.
Izifo ze-Blount's Disease
I-Blount's Infantile ngumqathango obangela imilenze ekhothambileyo ebantwaneni abancinci abakhulileyo. Kuphindwe kabini njengabafana kumantombazana, kwaye ngokuphindaphindiweyo kwenzeka kumadolo onke. Le meko ibangela ukungaqhelekanga kwiplani yokukhula kwiphakamiso lesifuba shin, i-tibia. Isizathu sengxaki asiyazi, kodwa imeko ibangela ukunyuswa kokukhula kwinxalenye yecala lokukhula (kodwa akusiyo yonke into), ngoko ukukhula kwe-tibia kuya kuba yi-asymmetric.
Ngenxa yoko, ithambo liguqa njengoko ngaphandle kukhula ngokukhawuleza kunomda wangaphakathi.
Nangona i-cause yesifo se-Blount sesifo esingaziwayo, kukho ezinye izinto ezinobungozi, eziquka:
- Iminyaka yokuqala yokuhamba
- Ubukhulu kunye nobukhulu obukhulu
- Abantwana abamnyama okanye baseSpeyin
- Ubunzima be-Vitamin D
Kukho iimeko ezininzi ezinokubonakala ngathi isifo se-Blount, kubandakanya ukuguqa okuqhubekayo kwemilenze eqhelekileyo kubantwana abancinci, i-rickets, kunye nezinye iimeko eziqhelekileyo ezingakhokelela kwisiganeko esingavamile.
Isifo esingazange siphendulwe, isifo sesifo se-Blount singabangela ukungaqhelekanga kwezinto, kwaye ekugqibeleni kuya kwiingxaki ezihlangeneyo zamadolo kuquka i-meniscus iinyembezi ne- knee arthritis . Ngokuqhelekileyo abantwana abaselula, abangaphantsi kweminyaka engama-4, baphathwa ngokungagqirha ukuba bafumane ukuba imeko iya kuqhubeka okanye isisombululo. Oogqirha abaninzi bancomela ukukrazula, nangona kungakaze kuboniswe ukuba ukukhwabanisa kuguqula ngokwenene imeko. Abanye oogqirha bakholelwa ukuba izigulane ezithuthukisayo kunye neebrase ziyakuthi ziphuculwe ngaphandle kokuba zenzeke.
Izinketho zokupanda ziyahluka kakhulu, kodwa ngokubanzi ukucetywa kuboniswa kubantwana abaneSifo seSpount esingaphaya kweminyaka engama-4. Ngokuqhelekileyo, ithambo liphukile (i- osteotomy ), lilungiswe, kwaye ligcinwe kwindawo entsha yokulungisa ukukhubazeka. Isikhundla esitsha ngokwenene sinobuqhetseba ngokuqinisekileyo ukuba siholele emlenzeni othe ngqo ekugqityweni kokukhula. Ukuqulunqa indlela yokubeka ngokutsha indawo yokuphela komngeni kunzima kwaye kufezekiswe ngunyango ogqirha onamava amaninzi okuphatha isifo se-Blount.
Izifo ze-Blount's Adolescent
Isifo se-Blount sesishumi esine-Adolescent sineenkcukacha ezininzi ngefom yefestile, kodwa ikwahlukana.
Eyona nto ibaluleke kakhulu, i-Blount yintsholongwane isoloko ibangelwa ukunyanya, kwaye imeko iya kuba yinto exhaphake ngakumbi nengxaki yokunyuka kwengane . Nangona isizathu singacacile ngokupheleleyo, sikrokrelwa ukuba sisiphumo somonakalo kwiplani yokukhula ekunyuseni ubunzima bomzimba ukuba iplani yokukhula ayikwazi ukunyamezela.
I-Bracing ayizange iboniswe ukuba isebenze kwi-Blount yeselula kwaye ayisetyenziswa. Uphando luyinkqubo efanelekileyo yabantwana abaselula abanokukhubazeka okusemgangathweni okuvela kwi-Blount's disease. Ukuhlinzwa ngokuqhelekileyo kukuphulaphula ithambo kwaye uyibuyise kwakhona, nangona kungafani nazigulane ezincinci, ukulungelelaniswa akufanele kulungiswe.
Ukongezelela, abanye oogqirha baya kumisa ukukhula, inqubo ebizwa ngokuba yi- epiphysiodesis , kwisiqulatho esisele sokukhula ukuqinisekisa ukuba ukungaphumeleli okwenzekayo akukhona.
> Imithombo:
> Birch JG. "Isifo esibuhlungu" J Am Acad Orthop Surg. 2013 Julayi; 21 (7): 408-18.