Imilenze egobile ingavamile ezinganeni ezincane, kodwa ngokuvamile izingane zikhula ngokuqondile njengoba isikhathi siqhubeka. Kuyinto evamile njengoba izingane ziqala ukuhamba, eminyakeni yokuqala yokuphila, ukuba zikhothamise imilenze yazo. Kodwa ngokuhamba kwesikhathi, imilenze kufanele iqonde. Kodwa-ke, kunezimo ezingabangela ukungahambisani okungavamile komkhawulo ophansi , okuholela ekuqhubekeni okuqhubekayo kwemilenze engacabangi ngokuzenzakalelayo.
Enye yezinto ezivame kakhulu ezinganeni yisimo esibizwa ngokuthi i-Blount's disease. Isifo se-Blount siyinkinga ebangela ukukhula okungavamile nokulungiswa kwemilenze.
Kunezinhlobo ezimbili eziyinhloko zesifo se-Blount: ingane encane kanye nentsha. Isifo se-Blount sika-infantile sivame ukutholakala ukuthi sisezingane ezineminyaka emibili kuya kweyisishiyagalombili, kanti isifo sobusha sitholakala ezinganeni zakuqala ezisencane. Kukhona nohlobo oluncane lwale nkinga okuthiwa i-Blount's isifo samantombazane, noma isifo se-Blount sikaphakathi, njengoba kwenzeka eminyakeni emkhatsini we-Blount's ebantwaneni nabancane.
Izifo ze-Blount's Infantile
Infantile Blount sika yisimo esibangela imilenze ekhothamelwe ezincane ezincane ezineminyaka ephakathi. Kuphindwe kabili kubafana kunamantombazane, futhi kuvame ukuvela emadolweni womabili. Lesi simo sibangela ukungavamile kwesikhala sokukhula phezulu kwesifuba shin, i-tibia. Isizathu senkinga asikwazi, kepha isimo sibangela ukukhushulwa kokukhula kwengxenye yesikhala sokukhula (kodwa hhayi konke), ngakho ukukhula kwe-tibia kuyafana.
Ngenxa yalokho, ithambo liguqa njengalokhu ngaphandle likhula ngokushesha kunhlangothi yangaphakathi.
Nakuba imbangela yesifo se-infectile Blount isaziwa, kunezici ezithile eziyingozi, ezifaka:
- Iminyaka yokuqala yokuhamba
- Ukukhuluphala nobukhulu obukhulu
- Izingane ezinomnyama noma zaseSpain
- Ukuntuleka kwe-Vitamin D
Kunezimo eziningana ezingahle zibukeke njenge-Blount's disease, kuhlanganise nokuguqa okuqhubekayo kwemilenze evamile ezinganeni ezincane, ama-rickets, nezinye izimo zesistimu ezingaholela esiteshini esingavamile.
Ukungaphenduliwe okungakapheli, isifo se-infectile Blount kungaholela ekungahambi kahle kwezinto, futhi ekugcineni kube nezinkinga ezihlangene zokuguqa kuhlanganise nemisindo yezinyembezi kanye ne- knee arthritis . Ngokuvamile abantwana abancane, abangaphansi kweminyaka engama-4, baphathwa ngaphandle kokuhlinzwa ukuze banqume ukuthi isimo sizobe siphikelele noma sizimisele ngokuzenzekelayo. Odokotela abaningi batusa ukuklolodela, nakuba kungakaze kuboniswe ukuthi ukubhoboza kuyashintsha ngempela isimo saleso simo. Abanye odokotela bakholelwa ukuthi iziguli ezithuthuka nge-braces cishe ziyophuthuka ngaphandle kokuqhakaziza.
Izinketho zokuhlinzwa ziyahlukahluka kakhulu, kepha ngokuvamile indlela yokuhlinzwa iphakanyiselwe izingane ezinezinkinga ze-Blount eziqhubekayo ngaphezu kweminyaka engama-4. Ngokuvamile, ithambo liphukile (i- osteotomy ), liqondiswe kabusha futhi ligcinwe endaweni entsha ukulungisa ukukhubazeka. Isikhundla esisha empeleni kungukuqothulwa ngokwethemba ukuthi kuholela emlenzeni oqondile lapho sekuqediwe ukukhula. Ukunquma ukuthi ungasetha kabusha kanjani isimo somkhawulo kuyinselele futhi kufezekiswe kakhulu udokotela ohlinzayo onolwazi oluningi lokuphatha isifo se-Blount's.
Izifo ze-Adolescent Blount
Isifo se-Blount sika-Adolescent sinezici eziningi ngefomu elincane, kodwa libuye lihlukaniswe.
I-Blount's evelele kakhulu, osemusha isivele iwumphumela wokukhuluphala, futhi isimo sesivame kakhulu nenkinga ekhulayo yokukhuluphala kwengane . Nakuba imbangela ingacacile ngokuphelele, kusolakala ukuthi yimbangela yomonakalo epulazini lokukhula ekukhuleni kwesisindo somzimba ukuthi ipuleti lokukhula ayikwazi ukubekezelela.
Ukukhishwa kwe-bracing akuboniswanga ukuthi kuphumelele ku-Blount's yeselula futhi ayisetshenzisiwe. Ukwelashwa ukuphathwa okuvamile kwabasha abanokukhubazeka okubalulekile kokugwedla kusuka ku-Blount's disease. Ukuhlinzwa okuvame kakhulu ukuphula ithambo nokulibuyisela kabusha, nakuba kungafani neziguli ezincane, ukulungiswa akufanele kulungiswe.
Ngaphezu kwalokho, abanye odokotela abahlinzayo bayomisa ukukhula, inqubo ebizwa ngokuthi i- epiphysiodesis , esitokisini esisele sokukhula ukuqinisekisa ukuthi ukukhubazeka okungeke kwenzeke.
> Imithombo:
> Birch JG. "Isifo esibucayi" J Am Acad Orthop Surg. 2013 Jul; 21 (7): 408-18.