Izinhlungu ezikhulayo ezingxenyeni zabantwana
Isifo se-Osgood-Schlatter yisimo esibuhlungu esithinta amadolo noma amadolo abantwana abandayo. Ukwelapha ngokomzimba wesifo se-Osgood-Schlatter kungaba yindlela yokwelapha ephumelelayo ukusiza ukuthuthukisa ukuhamba nokunciphisa lesi simo esibuhlungu.
Uma ingane yakho ibuhlungu phambi komunye owodwa noma emadolweni womabili, kungenzeka ukuthi ubhekene nesimo esaziwa ngokuthi yisifo se-Osgood-Schlatter.
Lesi simo sithinta abantwana abahamba ngezinkinga zokukhula, futhi ikakhulukazi bacatshangwa ngokuthi "ubuhlungu bokuguqa kwamadolo." Izimpawu zingavimbela ingane yakho ukuba ingajabuli imisebenzi ejwayelekile njengokusebenza, ukuxuma noma ukukhipha.
Izimpawu zesifo se-Osgood-Schlatter
Izimpawu ezivamile zesifo se-Osgood-Schlatter zingafaka:
- Ubuhlungu nje ngezansi kwe-kneecap kwelinye noma emabili amadolo enganeni
- Ukuhlukumeza kunzima nokugxuma ngenxa yobuhlungu begolo
- I-bony bump ebonakalayo phambi kweyodwa noma kwamabili amadolo
- Ubuhlungu bokuthinta (ukuthinta) phambi komunye noma kwamabili amadolo
Uma ingane yakho ikhononda nganoma iyiphi yalezi zimpawu, kufanele uyiyise kudokotela. Udokotela wakho angaqinisekisa (noma aphume ngaphandle) ukuxilongwa kwesifo se-Osgood-Schlatter. Ingane yakho ingabe iqalisa ukwelashwa okulungile kwalesi simo. Ukwelashwa ngokomzimba kuvame ukuphakanyiswa ukuze usize ingane yakho ukuba ikhululeke emadolweni e-Osgood-Schlatter.
Yini Ebangelwa Izifo Zase-Osgood-Schlatter?
Isifo se-Osgood-Schlatter sibangelwa ukucasuka kwesibhukela sezinhlanga, indawo eseduze nesikhumba somswakama lapho ithethoni yakho ihlanganisa khona.
Kukhona ipuleti lokukhula lapho lapho ukukhula kwethambo okusheshayo kwenzeka njengoba ingane yakho ikhula. Ithenda ye-patellar ivela emisipha yakho ye-quadriceps njengengxenye ye-kneecap yakho. Lapho ingane ihamba ngesigaba sokukhula esisheshayo - cishe eminyakeni yobudala engu-10 kuya kweyengu-15 - le tendon ingadonsa ngendlela engavamile ekufakweni kwayo kwitheko le-shin.
Lokhu kungaholela ebuhlungu kanye ne-bump ebonakalayo ngaphansi kwe-kneecap.
Izingane ezine-Osgood-Schlatter ngokuvamile zibuhlungu ngamadolo, futhi zingase zibonise nezinye izimpawu, ezifaka:
- Ukuqina kuyimisipha ye- quadriceps ngaphambili kwethanga
- I-Hamstring tightness
- Ukuqiniswa kwethole
- Izinkinga zokulingana noma zokuxhumana
Ingane yakho ingaba neyodwa noma eminingi yalezi zibonakaliso. Ukuhlola nodokotela wakho uma usola ingane yakho inesifo se-Osgood-Schlatter isinyathelo esihle sokuqala sokwelashwa okufanele.
Ukwelashwa Kwemvelo Nge-Osgood-Schlatter Izifo.
Uma ingane yakho ithola ukuthi unesifo se-Osgood-Schlatter, angase azuze ekusebenzeni nomuthi wezokwelapha. Umhlinzeki wakho womzimba uzokwenza ukuhlola ukuhlola isimo somntanakho. Angenza izincomo zokuphatha kahle isimo.
Ukuhlolwa okuqondile kanye nezinyathelo ezingathathwa ngesikhathi sokuhlolwa kokwelapha ngokomzimba we-Osgood-Schlatter isifo singabandakanya:
- Izinyathelo zamadolo, u-hip kanye ne-ankle range of motion (ROM)
- Ukuhlolwa kwenqwaba
- Ukulinganisa kwamandla aphansi ekugcineni
- Ukuhlolwa okusebenzayo komkhawulo ophansi
- Ukuhlolwa kokuvumelana nezimo
Umhlinzeki wakho wenyama uzolisebenzisa ulwazi oluqoqwe ngesikhathi sokuhlola kokuqala ukuhlela uhlelo lokwelapha ingane yakho.
Qinisekisa ukuthi ubuza noma yimiphi imibuzo mayelana nesimo somntanakho, futhi uqiniseke ukuthi uyaqonda ukuthi yini okulindelekile kumntanakho kanye nengane yakho nge-PT.
Ukwelashwa kwesifo se-Osgood-Schlatter kungafaka izingxenye ezihlukahlukene. Ingxenye ebaluleke kakhulu yokwelashwa kwengane yakho ye-PT uhlelo oluqinile lokuzivocavoca lwe-Osgood-Schlatter isifo . Izindlela zokwelapha ezihlukahlukene ze-PT zingabandakanya:
- Ukunciphisa umzimba . Izingane eziningi ezinezifo ze-Osgood-Schlatter zine-tightness kwelinye noma ngaphezulu kwamaqembu amahlumela aphansi. Ukubeka ama-hamstrings kungenziwa kunqunywe ukuvumela amadolo wengane yakho ukuba adlulise ngokugcwele. Ucwaningo lubonisa ukuthi iziguli ezinezifo ze-Osgood-Schlatter zingase zibe nomzimba we-knee we-ROM owehliwe, cishe ngenxa yobunzima emisipha ye-quadriceps. Ukwehlisa iziqu kungase kube omunye umsebenzi ongenziwa. Imisipha yamathambo ingavimbela ukunyakaza okuvamile ukuthi kwenzeke emadolweni emntanakho ngesikhathi sokusebenza, ngakho-ke ithole elilula lingase limiswe ngumuthi wakho wenyama.
- Ukuqinisa umzimba . I-PT yakho ingase ituse ukuvivinya umzimba ukusiza ukuthuthukisa indlela imisipha yengane yakho isekela ngayo idolo layo elihlangene. Ukuqinisa ama-quadriceps, ama-hamstrings, nama-muscle we-hip angabekwa.
- Ukulingana nokuzibandakanya umzimba . Ezinye izingane ezinezifo ze-Osgood-Schlatter zibonisa ibhalansi engasebenzi kahle noma ukusebenzisana. I-PT yakho ingase iphakamise ukuvivinya umzimba - njenge-T-Stance - ukusiza ukuthuthukisa ukulinganisela nokunciphisa ukucindezeleka nokucindezeleka emadolweni ngesikhathi semisebenzi ephezulu efana nokugijima nokugxuma.
- Izindlela zokuphumula zosizi . Ingqondo yomntwana wengane yakho ingasebenzisa izindlela zomzimba ezifana nokushisa noma iqhwa ukusiza ukulawula ubuhlungu ingane yakho ezwayo. Angasebenzisa futhi ukushisa ngaphambi kokuzivocavoca ukusiza ukusiza ukuthuthukiswa komzimba wonke. Amasu okuthinta, njengokusetshenziswa kwe-McConnell noma i-kinesiology tape, angasetshenziswa, kodwa ukusebenza kwawo akuzange kuboniswe. Ukwelashwa okungcono kakhulu kwesifo se-Osgood-Schlatter wuhlelo olusebenzayo lokuzivocavoca oluhlanganisa ukwelula, ukuqinisa nokuhamba. Ukwelapha okungahambi kahle njengokushisa, ukuthayipha, noma iqhwa lingase lizizwe lihle, kepha lokhu ngeke kusize ukushintsha isimo sonke. Kungukuzivocavoca komntanakho nokuzibandakanya ekwelapheni kwakhe okungasiza ekuphatheni ngokuphumelelayo isifo se-Osgood-Schlatter.
Abantu abaningi bayazibuza ukuthi uhlelo lwe-rehab kumele lube luphi isikhathi se-Osgood-Schlatter. Wonke umuntu uhlukile, futhi wonke umuntu uzoba nenqubo ehlukile yokuvuselela isimo sakhe esithile. Ngokuvamile, uhlelo lwakho lwe-PT kufanele lube mfushane, futhi lungabandakanya kuphela amaseshini ambalwa ukuqinisekisa ukuthi ukuvivinya umzimba kwenziwa futhi kwenziwe kahle.
Amacala amaningi e-Osgood-Schlatter isifo. Lokhu kusho ukuthi ubuhlungu bamadolo buzophela ekugcineni uma kungelashwa nhlobo. Amanye amacala ahlala ezinyangeni ezingaba ngu-12 kuya ku-24, kodwa ingaba mfushane uma uhlelo oluvivinya umzimba luqala lapho ingane iqala ukutholakala. Leyo bump encane phambi kwamadolo wengane yakho cishe izohlala unomphela, kodwa akufanele ibangele noma yikuphi ubuhlungu noma ukulinganiselwa okusebenzayo njengengane yengane yakho.
Izinyathelo Zokuqala Zokuthatha
Uma ingane yakho ithola ukuthi une-Osgood-Schlatter isifo, kunezindlela ezimbalwa okufanele uyenze ukuze uqale ukwelashwa okufanele . Okokuqala, ungesabi. Nakuba ingane yakho ingase ikhononde ngezinhlungu zamadolo, lesi sibonakaliso siphila isikhathi esifushane futhi asisho lutho oluyingozi noma olulimazayo kumntanakho noma ngamadolo akhe.
Uma uthola ukuthi unesifo se-Osgood-Schlatter, ingane yakho ingase ikwazi ukugwema imisebenzi evuselela amasonto amaningana. Lokhu kungabandakanya ukugwema imidlalo kanye nezinye izinto eziphakeme kakhulu. Isikhathi sokuphumula esifushane singasiza ukunciphisa ubuhlungu bamadolo ukusuka ekuphindeni okuphindaphindiwe kuya kwi-tubercle ye-tibial kanye ne-plate yokukhula.
Kufanele uqale ohlelweni olusebenzayo lokwelapha ngokushesha uma ingane yakho ithola ukuthi une-Osgood-Schlatter isifo, Kungani? Ngoba lokhu kungasiza ingane yakho ikwazi ukulawula isimo sayo. Uhlelo lwezokwelapha lungasiza ingane yakho ukuba ixazulule ngokushesha izikhalazo zayo nobuhlungu futhi ingasiza ekuvimbeleni ubuhlungu besikhathi esizayo.
Izwi kusuka
Uma ingane yakho isikhalaza ubuhlungu begciwane futhi ithola ukuthi une-Osgood-Schlatter isifo, angase azuze ekusebenzeni nomhlengikazi wezempilo ukuze afunde indlela yokuphatha kahle isimo. I-PT yakho ingabonisa ingane yakho ukuzivocavoca okufanele ukukwenza ukusiza ukuthuthukisa ukuhamba nokunciphisa ubuhlungu emadolweni. Ngaleyo ndlela, ingane yakho ingabuyela emsebenzini ojwayelekile ngokushesha futhi ngokuphepha.
Imithombo:
I-Scaron; i-arčević, i-Z. I-dorsiflexion eyinkimbinkimbi: I-predisposing factor to Morbus Osgood-Schlatter? Ukuhlinzeka ngokunyuka, ukuqhuma kwezemidlalo, i-arthroscopy. 16 (726) Agasti 2008.
Tzalach, A, et al. Ukubumbana phakathi kwamadolo ama-knexion ukuhamba okuphansi kokunyakaza kanye ne-Osgood-Schlatter's syndrome phakathi kwabadlali bebhola lebhola. I-BJMMR. 11 (2), 2016.