Intsha eningi eneminyaka engu-11-17 ubudala ibhekene ne-pathology ye-patella, lapho kuhlanganiswa i-edema ebuhlungu. Inkinga iyancipha ngokuguquguquka kwesigungu. I-pathology ibizwa ngokuthi isifo se-Osgood-Schlatter, ngokuyinhloko kuthinta abesilisa abasha abathintekayo ezemidlalo .
Iyini isifo se-Osgood-Schlatter?
Izinhlobo ezihlukahlukene ze-osteochondropathy yokukhula zichazwe okokuqala ekuqaleni kwekhulu lama-20 ngamadokotela amabili angaphandle. Isimo somzimba sibonakala ukubonakala (ngaphandle kwesizathu sangaphandle - ukuwa, ukushaywa) ubuhlungu lapho kuguqa ngamadolo nokwenza ukuvuvukala okukhulu ngaphansi kwalo. Izinguquko zangaphandle zokuvuvukala azibonakali, isimo sesiguli sihlolwa njengokunethezeka. Ngemuva kwebanga elilodwa, omunye angagula - ngezinguquko.
I-osteochondropathy isifo sofuba sibangelwa umthwalo okhuphukile kuma-cartilages engakhiwanga ngokugcwele. Ngesikhathi sezemidlalo esebenzayo, imisipha ye-hip isula izintambo ezixhuma i-tibia kanye ne-knee cap. Kukhona izinyembezi ezinyembezi ezibangela ubuhlungu nokuvuvukala. Umzimba wengane ungabangela ukukhula kwamathambo ukuqeda isici, bese kubonakala i-bump encane.
Isifo se-Osgood-Schlatter - izimpawu
Izici eziyinhloko zokuthuthukiswa kwezifo ze-Osgood-Schlatter zikhula, ubulili besilisa (amantombazane eneminyaka engu-11-13 ubudala abhekana nesifo, kodwa kancane kancane) futhi bahlanganyele ezemidlalo. Uma ingane ijwayele ukuvivinya umzimba, iHockey, ibhola lebhola, i-skating skating futhi izwa ukungahambi kahle nokuqina ngaphansi kwamadolo, kubalulekile ukunaka izimpawu. Isifo sesibindi se-Osgood-Schlatter sinezibonakaliso ezilandelayo:
- Amandla ahlukene ebuhlungu ngaphansi kwamadolo, eqinisa emva komthwalo;
- ubuhlungu ngaphansi kwe-kneecap, esifundeni sesifo sofuba;
- ukuvuvukala kwezicubu ezithambile;
- ukucindezeleka kwemisipha yethanga, ikakhulukazi i-quadriceps.
Isifo se-Osgood-Schlatter - izibonakaliso ze-X-ray
Ukuxilongwa kwalesi simo kusho ukuhlaziywa komtholampilo nokuqhathaniswa nedatha ye-radiographic. Uma i-osteochondropathy ye-tuberosity ye-tibia itholakala, i-x-ray ihluke kakhulu uma iqhathaniswa namanye ama-pathologies afanayo, kodwa okuncane kakhulu. Ngaphandle, lesi sifo singadideka ngokuchoboza, ukuphazamisa noma ukuphazamisa inqubo ye-epiphyseal. Ukufundwa kwamalungu kuveza izici ezilandelayo zalesi sifo:
- Inqubo ye-epiphyseal esebenzile kakade ishintshiwe ifomu, isakhiwo;
- Esikhathini sesifo sofuba, i-"proboscis" encane ibonwa;
- izingcezu zamathambo amancane zibonakala, ngenani elivela ku-1 kuya ku-3;
- ekuqalisweni kwe-lateral - isinqumo nokuhlukaniswa kwe-apophysis yesifunda sofuba.
Isifo se-Osgood-Schlatter - isigaba kanye nezinga lokuthuthukiswa
Ukuxilongwa kwe-osteochondropathy akubanga ubunzima lapho inkambo yokugula ijwayelekile. Isiguli sigunyazwe ukwelashwa kwe-physiotherapeutic kuye ngokuthi isithombe se-radiographic nokuthi isifo se-Osgood-Schlatter sibonakala kanjani; Izigaba ziyahlukahluka ngezinga lobukhulu bezimpawu.
Esikhathini sesifo, ama-degree amathathu ahlukanisiwe:
- Okokuqala. Izimpawu zincane, ukubonakaliswa kwangaphandle akukho, kepha ubuhlungu bubonakala.
- Okwesibili - ubuhlungu buba namandla kakhulu, kukhona knoll ngaphansi kwamadolo.
- Okwesithathu - lesi sifo sihambisana nokungahambi kahle, ubuhlungu, izimpawu zangaphandle ziyabonakala.
Isifo se-Osgood-Schlatter - ukwelashwa
Inqubo yokuvuvukala kubagijimi abasha, njengombuso, uyahamba ngokwawo phakathi nonyaka. Njengoba uneminyaka yobudala, izicubu zethambo ziyeka ukukhula nokukhubazeka. Isifo se-Osgood-Schlatter asithwali ingozi futhi sisho ukuthi ukwelashwa okulinganiselayo. Ngemuva kwenkambo yokuqala, okuvela ezinyangeni ezingu-3. kuze kube izinyanga eziyisithupha, lesi sifo kumele siphume. Kwezinye izimo, umphumela omuhle ubonakala emva kwezinyanga ezingu-9-12. noma ayikho neze. Indlela yokuphatha izifo ze-Osgood-Schlatter ngezindlela eziqaphele:
- ukuqinisekisa ukuphumula okuphelele kwendawo ethintekile;
- Ukusetshenziswa kwe- bandage yama- orthopedic isikhathi eside semidlalo;
- ukunciphisa ukuvutha;
- ukujwayelekile kwendlela yokwenza amathambo okwakhiwa kwe-apophysis;
- ukusikhipha;
- i-gymnastics;
- physiotherapy.
Isifo se-Osgood-Schlatter - i-LFK
Uma lezi zimpawu zisho, isifo se-Osgood-Schlatter ezincane siphumelele, ukwelashwa kufaka imfundo engokwenyama (LFK). Ukuzivocavoca kuyadingeka ekusweleni imisipha ye-quadriceps, amathenda okuzala. Lezi zinyathelo zinganciphisa umthwalo endaweni lapho ithenda lamadolo lihlanganiswe khona. Ukuzivocavoca njalo LFK - ukuzivocavoca ngokukhethekile ukuqinisa imisipha ye-hip - ukuzinza nokuguqa ngamadolo. Iziguli zingasebenzisa ngokuzimela, ngaphansi kokuqondiswa odokotela noma endaweni yokuhlushwa ekhethekile.
Ukuthinta isifo se-Osgood-Schlatter
Abagijimi abakhuthele, abhekana nokukhubazeka okungavamile, bangaqhubeka nokudlala imidlalo ngenxa yezindlela zesimanje zokwelashwa. Phakathi kwabo - ukuthayipha , ukumiswa kwamateyipu okulungisa okhethekile ekotini elashekile ezindaweni ezithintekayo. Inqubo iboniswa uma i-osteochondropathy ye-tibial tuberosity ezinganeni nasebancane ingaphazamisi impilo evamile futhi idinga ukulungiswa kuphela. Ngokugqoka i-tape, ungafinyelela ekunciphiseni kwesifo sobuhlungu, ukujwayeleka komsebenzi wemisipha nokunyakaza kwezitho.
Isiguli nesifo se-Osgood-Schlatter
Amalunga okugaya asetshenziselwa ukulungisa idolo. Ukugqoka kwabo kusiza ekuvimbeleni ukuthuthukiswa kwezifo, ukusheshisa inqubo yokuphulukisa. Kusetshenziswa izinhlobo ezintathu zomkhiqizo:
- i-bandage;
- isilondolozi ;
- i-orthosis.
Esikhathini sokuqala, idolo ligugile emadolweni - elithambile, eliphakathi noma elinzima, kuye ngokuthi umgomo (ukuvimbela, ukuvikelwa, ukunciphisa ubuhlungu). Ama-braces angaphezu kanzima alawula ububanzi bendondo. Ungenza ukuzivocavoca ngaphandle kokulayisha amajoyina. I-Orthosis ne-Osgood-Schlatter isilungisa ngokuqinile ukujoyina endaweni ethile. Iyanciphisa ukucindezelwa kwendawo, ngokuqinisekile kuthinta ithempthini lamadolo.
I-Electrophoresis e-Osgood-Schlatter isifo
Iziguli ezinokulimala kanzima - ezigabeni sesibili nesithathu zokuthuthukiswa kwempilo - ziboniswa ukwelashwa kwe-physiotherapeutic yesifo se-Osgood-Schlatter. I-osteochondropathy ye-tuberosity ye-tibial isuswa ngokuhambisa izidakamizwa ngaphansi kwesikhumba ngosizo lwamanje kagesi ( electrophoresis ). Ubude benkambiso yizinyanga ezingu-3-4. Imithi isetshenziswa ngokuhlukile:
- Isigaba esilinganiselwe sokuthuthukiswa kwempilo siyaphulukiswa ngesisombululo se-2% se-lidocaine esilandelwa ngokufaka esikhundleni se-nicotinic acid (niacin) ne-calcium chloride.
- Isigaba esinzima sihilela i-electrophoresis ne-Aminophylline, iodassium i-Potassium, bese-ke enezingxenye ezifanayo njengokuqala (CaCl2 + niacin).
Isifo se-Osgood-Schlatter - ukwelashwa ngamakhambi abantu
Imithi ehlukile ingaletha impumuzo ngezifo eziningi ezihambisana nezifo zamadolo. Lokhu kufaka phakathi i-osteochondropathy isifo sofuba se-tibia. Isifo sika-Osgood-Schlatter siphumelela ngokushesha ngezinqubo zasendlini ezilandelayo:
- i-oil compress;
- i-lotion;
- ibhafini yokugeza.
Amafutha kanye nama-lotions avela emasimini enza kahle njengokwelashwa okusizayo (kodwa ngemvume kadokotela).
Izindlela zokupheka ezimbalwa:
- I- yarrow ene- shred ne-St. John's wort ixutshwe ngesilinganiso esifanayo, esongezwe ngamafutha enyama yengulube. Ikhambi lifakwa emlilweni omncane imizuzu engu-15, epholile. It isetshenziswa njengamafutha.
- 1.5 tbsp. i-spoonful of celandine yengezwa ku-200 ml wamanzi abilisiwe. Amafutha ashicilelwe ekushiseni amaminithi angu-30, bese ehlungwa. Leli ketshezi lisikiwe nge-gauze, idolo lisetshenziswe futhi lihlelwe nge-bandage.
Isifo se-Osgood-Schlatter - ukusebenza
Kuyinto engavamile kakhulu lapho i-osteochondropathy inqunywe ukungenelela kokuhlinzwa. Lokhu kwenzeka uma, uma kutholakala isifo sika-Osgood Schlatter, i-X-ray yembula ukwehlukaniswa kweziqephu ezinkulu ezivela kwi-tibia, noma akukho zindlela zokwelapha ezilondolozayo ezenze imiphumela. Isimo esengeziwe - isiguli kumele sibe neminyaka engaphezu kwengu-14 ubudala. Indlela yokwelapha isifo se-Osgood-Schlatter ezimweni ezinzima? Ukusebenza kuhlanganisa ekukhipheni izingcezu zethambo (ezenziwe ngokusobala ngokucubungula), noma ekuzilungiseni ku-tuberosity.
Isifo se-Osgood-Schlatter - ukulinganiselwa
Ngemuva kokuqeda zonke izici ezicasulayo, ukuqinisekisa ukuphumula kwebhande elimele futhi kwenziwe ukwelashwa okulinganiselayo, isiguli kufanele siqhubeke sigcina izinyathelo zokuqapha. Ukuze uvimbele izifo ze-Osgood-Schlatter ezinganeni esikhathini esizayo, kubalulekile ukunikeza ukulayishwa ekuhlanganyeleni, ugweme ukuxoshwa kwesifo (ukuxuma, ukugijima, ukuma emadolweni). Ungakwazi ukuthatha indawo yezemidlalo evamile ngokuthembeka okukhulu (ukubhukuda, ukuhamba ngebhayisikili), nakuba, njengomthetho, ngemuva kokuba ukwelashwa sekuphelile, imikhawulo yokudlala imidlalo isusiwe.
Izinyathelo zokuvimbela akuzona njalo isiqinisekiso sokuthi lesi sifo ngeke sibonakale futhi. Noma iyiphi i-microtrauma ingaba isifo se-Osgood-Schlatter, uma ungaqapheli ngesikhathi futhi uqale ukwelashwa. Ngengozi, kuhlale kubantwana nezingane ezisenesikhathi esisebenza ngaso sonke isikhathi (ukudansa, ezemidlalo) kuthatha ingozi yokulimaza emiphakathini engezansi. Kwabadlali abaqeqeshiwe, ukunakekelwa kwezinyawo zansuku zonke kufanele kube umkhuba wesiko. Kule ndlela kuphela kungenzeka ukugcina impilo yegundane nokugwema i-osteochondropathy.