Ukuphuka kwe -Salter-Harris kuyinto ikhefu eduze, ngokusebenzisa, noma eduze kwesikhala sokukhula esitheni. Lokhu kuvame ukuvela ezinganeni ezincane noma ezincane, futhi kungase kubangele ukulinganiselwa okusebenzayo ekuhambeni nasekusebenzeni (uma ukuphuka kusemadolweni noma esikhwameni), noma ukufinyelela nokuphakamisa (ekuqhekekeni okuphezulu).
Iyini i-Plate Growth?
Amathambo akho aphila, izinto ezikhulayo.
Badiliza njalo amaseli endala amathambo futhi banezela amangqamuzana. Lapho usencane, kukhona indawo eduze kwemikhakha yethambo ngalinye elibizwa ngokuthi ipuleti lokukhula. Kule ndawo lapho amathambo ekhula futhi eba khona isikhathi eside.
Ipulazi yokukhula itholakala emaphethelweni amathambo amade emzimbeni eduze kwehlangene lapho amathambo amabili ehlangana ndawonye. Ikhefu elitheni lapha lingaba yingozi ngoba linganciphisa ukukhula okuvamile ethangeni elithile, okuholela ekutheni noma ubude besithambo ngakolunye uhlangothi lomzimba wengane okhulayo. Kungase futhi kuphazamise ukuhamba okuvamile okuhlangene, okungaba nomthelela omubi emsebenzini.
Izimbangela
Cishe ingxenye eyodwa kwezintathu zokukhuphuka kweplate iyisiphumo sokubamba iqhaza kwezemidlalo. Ngokuvamile, lezi ziphuka zihamba kancane kancane ngokuhamba kwesikhathi ngenxa yokucindezeleka okuphindaphindiwe futhi kubhekwa njengokuhlukana kokucindezeleka . Ngezinye izikhathi, ukuhlukumezeka kwithambo kusukela engozini yokuwa noma yemoto kungabangela ukuphuka kwe-Salter-Harris.
Izimpawu Nezibonakaliso
Izimpawu nezimpawu zokuphuka kwe-Salter-Harris zihlanganisa, kodwa azikhawulelwe ku:
- Ubuhlungu phezu kokuphela kwethambo noma eduze komugqa ohlangene
- Ukuvuvukala eduze kwesibalo esilimele
- Ukukhubazeka eduze kwendawo eyalimala
- Ukuhluleka ukubeka isisindo esikhwameni somzimba esilimele
Initial Treatment
Uma usola ukuthi wena noma ingane yakho inokuphuka kwesikhala sokukhula, kufanele ufune usizo lwezokwelapha ngokushesha.
Yiya kudokotela wakho noma ubike kumnyango wakho ophuthumayo wendawo ukuze uthole ukuxilongwa okufanele nokwelashwa okufanele .
Ukutholakala kokuqhekeka kwe-Salter-Harris kwenziwa ngemibala elula yama-x. Ngezinye izikhathi, ukucabangela okuphambili kokuxilonga , njenge-CT scan noma i-MRI, kuyadingeka ukubona ukuqhuma kwesikhala sokukhula. Uma ukuxilongwa kuqinisekisiwe, ukuphuka kuzodinga ukunciphisa . Lena inqubo lapho izicucu zethambo zifakwa endaweni efanele ukuqinisekisa ukuphulukiswa okufanele.
Ngokuvamile, ukwehlukana kukaSalter-Harris kungancishiswa ngesandla, okusho ukuthi udokotela wakho angasebenzisa izandla zakhe ukubeka amathambo endaweni efanele. Ngezinhlupho ezinzima, i-pinning ingadingeka, noma inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi (ORIF) kungadingeka. Qiniseka ukuthi ukhuluma nodokotela wakho ukuze uqonde inqubo esetshenziselwa ukunciphisa ukuphulwa.
Ngemuva kokuncipha kwakho kokunciphisa, ukulimala kwakho cishe kuzobe kungenakunyakaziswa ku-cast. Ngezinye izikhathi, ungase ungavunyelwe ukubeka isisindo kumzimba wakho owenziwe kabi. Uma ukuphuka kwe-Salter-Harris kusekhanda lakho noma emadolweni, lokhu kusho ukuthi kufanele usebenzise izintambo noma uhambahamba ukuze uzungeze. Ungadinga isazi somzimba ukuze sikusize ufunde ukusebenzisa idivayisi yakho yokusiza.
Uma ukuphuka kusesandleni sakho, isibindi, i-elbow noma ihlombe, kungase kudingeke ukuthi ugqoke isikebhe. Umhlinzeki wakho womzimba angakusiza ufunde ukuthi kufanele ulungise kanjani kahle ukulinganisa ukuze uqiniseke ukuthi ifakwe kahle.
Ukwelashwa Kwemvelo
Ngemuva kwamasonto ayisithupha kuya kwangu-8 okungaqedi, ukwelapha ngokomzimba kungase kuqalwe ukukusiza ukuthi uphinde uhambe ngokujwayelekile ngemva kokuphuka kwe-Salter-Harris. Ukukhubazeka ongase usebenze kukho yokwelashwa ngokomzimba kuhlanganisa:
- Ukuhamba kwe-motion (ROM) : Ngemuva kwesikhathi sokukhubazeka, ikhono lakho lokuhambisa ngokugcwele umzimba wakho olimele lingalinganiselwe. Umhlinzeki wakho womzimba angakusiza ukuthi uphinde uthole i-ROM evamile ngezivivinyo ezithile namasu. Ukuzivocavoca umzimba kungadingeka ukusiza ukwelula imisipha emihle namalunga, futhi ukuhlanganiswa okuhlangene kungasetshenziselwa ukuthuthukisa i-ROM yakho.
- Amandla : Ungase uqaphele ukuthi amandla emisipha ezungeze ithambo lakho elimele liye lahleka kusukela kokulimala. Ukuqinisa umzimba kungasiza ekuthuthukiseni ikhono lakho lokusebenzisa umzimba wakho olimele ngokujwayelekile. Umhlinzeki wakho wezinto ezingokwenyama angakwazi ukuhlinzeka ngezivivinyo zokusiza ukuthuthukisa amandla akho emva kokuphuka kwe-Salter-Harris. Uma ubuyela emidlalweni, ukuvivinya umzimba kwe-plyometric kungadingeka. Lezi zivivinyo zingasiza ukuthuthukisa ukusebenzisana kwakho nokusheshisa nokuqinisekisa ukuthi amathambo akho aphulukisiwe angakwazi ukubekezelela amandla amakhulu nokucindezeleka ukuthi imbangela yezemidlalo.
- I-Gait : Uma ulimaze ipulazi lokukhula lesikhumba sakho noma idolo, ungase ube nobunzima bokuhamba. Ukuqeqeshwa kokuthola kungadingeka ukusiza ukuthuthukisa ikhono lakho lokuhamba. Ukuzivocavoca nokuzivocavoca kungase kubekiwe ukuze kukusize uhambe kangcono.
- Ukuvuvukala nobuhlungu : Ngemva kwesikhathi sokungasebenzi, ungase ube nobuhlungu etheni elimele ngemva kokuphuka kwesikhala sokukhula. Umhlinzeki wakho womzimba angase anikeze ama-agent engokwenyama nemigomo yokusiza ukuphatha ubuhlungu nokuvuvukala okukuyo.
- Ukuphathwa kwezicubu ezincane (uma uhlinzwa) : Emva kwenqubo yokuhlinzeka, izicubu ezibomvu zingase zibe khona eduze kwe-incision. Umhlinzeki wakho wezinto ezingokwenyama angenza massage izicubu ezibomvu kanye nokugqugquzela ukusiza ukuthuthukisa ukuhamba kwesibalo sakho.
- Umsebenzi : Uhlelo lwakho lwezokwelapha ngemuva kokuphuka kwe-Salter-Harris kufanele kugxile emsebenzini. Yini ongayikwazi ukuyenza ngenxa yesikhala sakho? Umhlinzeki wakho wenyama angakusiza uthuthukise ikhono lakho lokwenza imisebenzi yansuku zonke njengokufinyelela nokuhamba.
Ukuphuka kwe-Salter-Harris kungaba yinto ebuhlungu, futhi kungaholela ekulahlekelweni okukhulu kokuhamba uma kungelashwa kahle. Ungase ungakwazi ukubamba iqhaza ngokugcwele ekilasini lemfundo nezempilo, futhi ungase ube nobunzima ukwenza imisebenzi eyisisekelo, njengokuhamba noma ukuphakamisa izinto, ngemuva kokuphuka. Ukwelashwa ngokomzimba kungakusiza ukuba ubuyele emsebenzini ojwayelekile kanye nomsebenzi ngemuva kokuphuka kwe-Salter-Harris.
Umthombo:
I-Wheeless 'Bookbook of Orthopedics.