Iintlungu ezikhulayo kwiintlobo zeezingane
Isifo se -Osgood-Schlatter sisimo esibuhlungu esichaphazela amadolo okanye amadolo abantwana abandayo. Iyeza elinokoqobo lwe-Osgood-Schlatter isifo singaba unyango osebenzayo ukunceda ukuphucula ukuhamba nokunciphisa le meko ebuhlungu.
Ukuba umntwana wakho unentlungu phambi kweyodwa okanye emadolweni onke, unokubandezeleka kwimeko eyaziwa ngokuthi yi-Osgood-Schlatter.
Le meko ichaphazela abantwana abahamba ngokukhula, kwaye ngokugqithiseleyo bacinga ukuba "ubuhlungu bendoda bukhula." Iimpawu zinokuthintela umntwana wakho ukuba angayinandipha imisebenzi eqhelekileyo efana nokusebenza, ukuxumla, okanye ukunqanda.
Iimpawu ze-Osgood-Schlatter Izifo
Izibonakaliso zempawu zesifo se-Osgood-Schlatter zingaquka:
- Ubuhlungu nje ngaphantsi kwe-kneecap kwelinye okanye ngamadolo omabili kumntwana
- Unzima ukuxubha kunye nokugxuma ngenxa yeentlungu zamadolo
- Ibhokisi elibonakalayo elibonakalayo phambi kwamanye amadolo
- Ubunzima bokubetha (thintela) phambi komnye okanye ngamadolo onke
Ukuba umntwana wakho ukhononda ngeyiphi na le mpawu, umele umthethe ugqirha. Ugqirha wakho unokuqinisekisa (okanye ukulawula ngaphandle) ukuxilongwa kwesifo se-Osgood-Schlatter. Umntwana wakho unako ukuqaliswa kunyango oluchanekileyo kwimeko. Udweliso lwangokwenyama luvame ukucetyiswa ukuba luncede umntwana wakho ahlaziywe ngamadolo agubu evela kwi-Osgood-Schlatter.
Yintoni Edala I-Osgood-Schlatter Izifo?
Isifo se-Osgood-Schlatter kubangelwa ukucaphukiswa kwesihlunu sesizwe, indawo esecaleni kweso shin bone apho ithenda ye patellar ifakwa khona.
Kukho iplani yokukhula apho apho ukukhula kwethambo ngokukhawuleza kwenzeka njengoko umntwana wakho ubudala. Ithenda ye patellar ivela kwiimfumba zakho ze-quadriceps njengenxalenye ye-kneecap yakho. Xa umntwana ehamba ngesigaba esiphuthumayo sokukhula-malunga neminyaka eli-10 ukuya kwi-15 ubudala-le toni inokutsala ngokungavumelekanga kwinqanaba layo lokufakela kwi-bone bone.
Oku kunokukhokelela entlungu kunye nebala elibonakalayo phantsi kwe-kneecap.
Abantwana abane-Osgood-Schlatter bahlala bebuhlungu emadolweni, kwaye banokubonisa neminye imiqondiso, kuquka:
- Ukunyamezela kuyimisipha ye- quadriceps ngaphambili kwethanga
- Ukuxinwa kwe-Hamstring
- Ukuqiniswa kwethole
- Ukulinganisela okanye ukulungelelanisa imiba
Umntwana wakho unokufumana enye okanye ezininzi kule miqondiso. Ukuhlolwa kunye nogqirha wakho ukuba uyakrokrela ukuba umntwana wakho unesifo se-Osgood-Schlatter yindlela yokuqala yokufumana unyango oluchanekileyo.
Ulwaphulo lweMpilo kwi-Osgood-Schlatter Izifo.
Ukuba umntwana wakho ufumene isifo sesifo se-Osgood-Schlatter, unokufumana inzuzo ekusebenziseni nomzimba wenyama. Ingcali yakho yomzimba iya kwenza uvavanyo lokuvavanya imeko yomntwana wakho. Unako ukwenza iziphakamiso zokuphatha kakuhle imeko.
Iimvavanyo ezichanekileyo kunye namanyathelo angathathwa ngexesha loviwo lwezonyango ze-Osgood-Schlatter ziquka:
- Imilinganiselo yamadolo, i-hip kunye ne-ankle uluhlu lwe-motion (ROM)
- Uvavanyo lokuhamba
- Ukulingana kwamandla angaphantsi
- Iimvavanyo zokusebenza eziphelileyo
- Uvavanyo lokuthobeka
Umgqirha wakho wenyama uza kusebenzisa ulwazi oluqokelelwe ngexesha lovavanyo lokuqala ukuba lucebe inkqubo yonyango yomntwana wakho.
Qiniseka ukuba ubuze nayiphi na imibuzo malunga nemeko yengane yakho, kwaye qi ni sekise ukuba uyayiqonda into ekulindeleke yakho kunye nomntwana wakho nge-PT.
Unyango lwe-Osgood-Schlatter isifo singaquka izixhobo ezahlukeneyo. Inxalenye ebaluleke kakhulu yonyango lwe-PT yengane yakho yenkqubo eqinileyo yovavanyo lwe-Osgood-Schlatter . Iinkonzo ezahlukeneyo ze-PT zingaquka:
- Ukuzilolonga . Abantwana abaninzi abaneesifo se-Osgood-Schlatter banamaqabunga kwelinye okanye ngaphezulu kwamaqela omzimba osisigxina. Ukumisela izithintelo ezinokuthi zibekwe umyalelo wokuvumela ukuba idolo lomntwana lisondele ngokupheleleyo. Uphando lubonisa ukuba izigulane ezineesifo se-Osgood-Schlatter sinokunciphisa ukujika kweedolo eROM, mhlawumbi ngenxa yobunzima kwiimisipha ze-quadriceps. Ukuchonga i-quads ingaba yinto enye eyenziwa. Imisipha yamathambo inokuthi ithintele ukunyakaza okuqhelekileyo ukuba kwenzeke emadolweni emntwaneni wakho ngexesha lokusebenza, ngokunjalo ithole elimisiweyo lingabhalwa ngumgqirha wakho wenyama.
- Ukuqinisa imizimba . I-PT yakho inokuncoma umthambo wokunceda ukuphucula indlela imisipha yomntwana exhasa ngayo idolo layo. Ukuqiniswa kwee-quadriceps, iintambo ze-hamstrings kunye nezihlunu ze-hip zingasimiselwa.
- Ukulinganisela kunye nokusebenza ngokubambisana . Abanye abantwana abanesifo se-Osgood-Schlatter babonisa ukulinganisela okanye ukulungelelanisa. I-PT yakho inokuphakamisa ukusetyenziswa kwemilinganiselo -fana ne-T-Stance - ukuncedisa ukuphucula ukulinganiswa nokunciphisa uxinzelelo kunye nokuxhamla emadolweni ngexesha lemisebenzi ephakamileyo yezinga eliphezulu njengokuhamba nokuxhuma.
- Iimpawu zokuncedisa ubuhlungu . Ingcali yomzimba yomntwana ingasebenzisa imilinganiselo yenyama efana nokushisa okanye iqhwa ukukunceda ukulawula intlungu eyenziwa ngumntwana wakho. Angasebenzisa ukushisa ngaphambi kokuzilolonga ukuze ancede ukuphucula ukwandiswa jikelele kwemisipha. Amasu okucoca, njengokusetyenziswa kweMcConnell okanye i-kinesiology tape, ingasetyenziswa, kodwa ukusebenza kwayo akuzange kuboniswe. Uphulo olungcono kakhulu lwe-Osgood-Schlatter isifo senkqubo yokuzilolonga esebenzayo equka ukunweba, ukuqiniswa nokuhamba. Utyando olunzulu olunjengobushushu, ukubetha, okanye iqhwa kunokuziva luhle, kodwa oku akunakunceda ukutshintsha imeko yonke. Uqeqesho lomsebenzi wakho lomntwana kunye nokuthatha inxaxheba kwonyango lwakhe olunokukunceda ngokufanelekileyo ukuphatha isifo se-Osgood-Schlatter.
Abantu abaninzi bayazibuza ukuba iprogram ye-rehab kufuneka ibe yintoni kwisifo se-Osgood-Schlatter. Wonke umntu uhlukile, kwaye wonke umntu uya kuba neprogram ye-rehab ehlukile kwimeko ethile. Ngokubanzi, iprogram yakho ye-PT kufuneka ibe mfutshane, kwaye ingabandakanya kuphela iiseshoni ezimbalwa ukuqinisekisa ukuba ukuqhuba kwenziwa kwaye kwenziwe ngokufanelekileyo.
Uninzi lweziganeko zezifo ze-Osgood-Schlatter zizinqanda. Oku kuthetha ukuba intlungu edolo iya kugqitywa ekugqibeleni ukuba ingaphathwa nhlobo. Ezinye iimeko zihlala zinyanga ezili-12 ukuya kwezi-24, kodwa ziba mfutshane ukuba inkqubo efanelekileyo yoqeqesho iqaliswa xa umntwana efunyaniswa okokuqala. Le nto encinane ebusweni bodolo lomntwana iya kuhlala isigxina, kodwa akufanele ibangele nayiphi na intlungu okanye umda wokusebenza njengomntwana wakho ubudala.
Amanyathelo okuQala ukuthatha
Ukuba umntwana wakho ufumene ukuba unesifo se-Osgood-Schlatter, kukho iimbalwa ezimbalwa omele uyenze ukuqala unyango olufanelekileyo . Okokuqala, ungakhathazeki. Nangona umntwana wakho enokukhalaza ngeentlungu, le mpawu ihlala imfutshane kwaye ayibonakali nayiphi na ingozi ebalulekileyo okanye ingozi kumntwana okanye ngamadolo.
Xa ufumanisa ukuba unesifo se-Osgood-Schlatter, umntwana wakho unokufuneka agweme ukwenza imisebenzi eqhubekayo kwiiveki ezimbalwa. Oku kungabandakanya ukuphepha imidlalo kunye nezinye izinto eziphezulu. Ixesha elifutshane lokuphumla lunokunceda ukunciphisa ubuhlungu beendolo ukusuka kwintlungu ephindaphindiweyo ukuya kwi-tubercle ye-tibial kunye ne-plate yokukhula.
Ufanele uqalise kwiprogram yokhathaza umzimba ngokukhawuleza ukuba umntwana wakho ufumene isifo se-Osgood-Schlatter, Kutheni? Ngenxa yokuba oku kunokunceda umntwana wakho azuze imeko yakhe. Iprogram yokwelapha yonyango inokukunceda umntwana wakho asombulule izikhalazo zakhe zentlungu kwaye unokunceda ukukhusela iziganeko ezizayo zamadolo.
ILizwi
Ukuba umntwana wakho ukhononda ngeentlungu zokuguqa kwaye ufumene isifo sesifo se-Osgood-Schlatter, unokufumana inzuzo ekusebenzeni nomgulana wenyama ukuze afunde indlela yokuphatha kakuhle imeko. I-PT yakho inokubonisa umntanakho ukuzivocavoca okulungileyo ukukwenza ukukunceda ukuphucula ukuhamba nokunciphisa intlungu emadolweni. Ngaloo ndlela, umntwana wakho angabuyela kumsebenzi oqhelekileyo ngokukhawuleza nangokukhuselekileyo.
Imithombo:
I-Scaron; arčević, i-Z. I-dorsiflexion ye-ankle emfutshane: i-predusposing factor to Morbus Osgood-Schlatter? Utyando lwe-Knee, i-traumatology yezemidlalo, i-arthroscopy. 16 (726) Agasti 2008.
Tzalach, A, et al. Ulungelelaniso phakathi kokuhamba kweendolo kunye ne-Osgood-Schlatter's syndrome phakathi kwabadlali bebhola ekhatywayo. BJMMR. 11 (2), 2016.