Abaninzi abaselula abaneminyaka eyi-11-17 ubudala bajongene ne-pathology ye patella, phantsi kwayo i-edema ebuhlungu. Ingxaki iyancipha ngokunyanzeliswa kwesilungu. I-pathology ibizwa ngokuba yi-Osgood-Schlatter isifo, kwindlela echaphazeleka ngayo inokuchaphazela ulutsha olunezinto ezithintekayo kwimidlalo .
Yintoni i-Osgood-Schlatter isifo?
Iintlobo ezahlukeneyo ze-osteochondropathy yobutsha zichazwe ekuqaleni kwekhulu lamashumi amabini ngabagqirha bamazwe angaphandle. Isimo se-pathological sichazwa yimbonakalo (ngaphandle kwesizathu sangaphandle-ukuwa, ukuphazamiseka) kwentlungu xa uguqa ngamadolo nokwenza ukukhukhula okukhulu. Utshintsho olwangaphandle oluvuthayo alubonakali, imeko yesigulane ihlolwa njengokwanelisayo. Emva komnye udolo, omnye umntu angagula - kunye neenguqulelo.
I-Osteochondropathy i-tuberosity ye-tibia ibangelwa umthwalo owandisiweyo kwi-cartilages ezingazalwanga ngokupheleleyo. Ngexesha lezemidlalo esebenzayo, izihlunu zesigqabha zolulela iintambo ezixhuma i-tibia kunye ne-cap. Kukhona iintlungu zeeton ezibangelwa ubuhlungu nokuvuvukala. Umzimba womntwana unokubangela ukuba ukukhula kwethambo kuphelise isiphako, kwaye kuvela i-bump encane.
Izifo ze-Osgood-Schlatter - iimpawu
Iziganeko eziphambili zokuphuhliswa kwezifo ze-Osgood-Schlatter ziselula, ubulili besilisa (amantombazana eneminyaka eyi-11-13 ubudala abanokufumana isifo, kodwa kuncinci) kunye nokuthatha inxaxheba kwimidlalo. Ukuba umntwana uhlala ehlala e-gymnastics, iHockey, ibhola lebhola, ukukrazula kunye nokuziva ukhululekile kunye nobunzima phantsi kweedolo, kubalulekile ukunyamekela iimpawu. I-Osgood-Schlatter isifo sesigxina esinesigxina sinempawu ezilandelayo:
- amandla ahlukeneyo entlungu phantsi kwegolo, ukuqinisa emva komthwalo;
- intlungu engezansi kwe-kneecap, kwingingqi yesifo sofuba;
- ukuvuvukala kwezicubu ezithambileyo;
- ukuxhatshazwa kwemisipha yentambo, ingakumbi i-quadriceps.
Izifo ze-Osgood-Schlatter - iimpawu ze-X-ray
Ukuchongwa kwelo mqathango kubonisa ukuhlalutya kwekliniki kunye nokuthelekiswa kwedata ye-radiographic. Ukuba i-osteochondropathy ye-tuberosity ye-tibia ifunyaniswa, i-x-ray iyahluke ngokuthelekiswa nezinye iipathologi ezifanayo, kodwa zingaphantsi. Ngaphandle, isigulo singadideka ngokutyumza, ukukhahlela okanye ukuphazamiseka kwenkqubo ye-epiphyseal. Ukufundwa kwamalungu kubonisa ezi zinto zilandelayo:
- Inkqubo ye-epiphyseal esele ishintshile ifom, isakhiwo;
- Endaweni yesifo sofuba, "i-proboscis" encinci ibonwa;
- iincwadana ezincinci zethambo zibonakala, kwisixa esivela ku-1 ukuya ku-3;
- kwisisombululo esilandelayo - isisombululo kunye nokwahlukana kwe-apophysis yendawo yesifo sofuba.
Isifo se-Osgood-Schlatter-isigaba kunye nesantya sophuhliso
Ukuxilongwa kwe-osteochondropathy ayibangeli ubunzima xa i-pathology eqhubekayo. Isigulane siphathwe unyango lwe-physiotherapeutic ngokuxhomekeka kumfanekiso we-radiographic kunye nendlela i-Osgood-Schlatter isifo ngayo; Amanqanaba ahluke kwizinga lobunzima beempawu.
Kwixesha le sifo, izigaba ezintathu ziyaziwa:
- Eyokuqala. Iimpawu zincinci, iimbonakalo zangaphandle azikho, kodwa intlungu ibonakala.
- Okwesibini - intlungu iba nzima kakhulu, kukho i-knoll phantsi kweedolo.
- Okwesithathu - eso sifo sihambelana nokungahambi kakuhle, intlungu, iimpawu zangaphandle zicacile.
Izifo zonyango lwe-Osgood-Schlatter
Inkqubo yokuvuvukala kumathamli amancinci, njengomthetho, uyahamba ngokwawo ngonyaka. Xa uneminyaka yobudala, izicubu zethambo ziyayeka ukukhula kunye nokukhubazeka. Isifo se-Osgood-Schlatter asithwali ingozi kwaye sithetha ukuba unyango olulinganisiweyo. Emva kwekhosi yokuqala, ehlala kwiinyanga ezintathu. ukuya kwiinyanga ezintandathu, isifo kufuneka sibuyele. Kwezinye iimeko, umphumo omhle uyagcinwa emva kweenyanga ezi-9-12. okanye ayifiki nhlobo. Indlela yokuphatha izifo zakwa-Osgood-Schlatter kwiindlela ezizimeleyo:
- Ukuqinisekisa ukuphumla okupheleleyo kwendawo echaphazelekayo;
- ukusetyenziswa kwebhanti yamazinyo ngexesha lezemidlalo;
- ukunciphisa ukuvutha;
- ukuqheleka kwenkqubo yokwenza amathambo e-apophysis;
- ukusilisa;
- gymnastics;
- physiotherapy.
Isifo se-Osgood-Schlatter - i-LFK
Ukuba iimpawu zivakaliswa, isifo se-Osgood-Schlatter ebusheni sibonakala, unyango lubandakanya imfundo yempilo (LFK). Ukuzivocavoca kuyimfuneko yokwelula i-quadriceps muscle, i-tendon tendon. Le miqathango inokunciphisa umthwalo kwindawo apho ithenda yodolo ifakwe kwi-tibia. Ukusebenzisa rhoqo i-LFK - ukuzisebenzisa ngokuthe ngqo ukuqinisa imisipha ye-hip - ukuzinzisa kunye nexolo elihlangeneyo. Izigulane zingasebenzisa ngokuzimela, phantsi kweliso loogqirha okanye kwi-sanatorium ekhethekileyo.
Ukuthinta izifo ze-Osgood-Schlatter
Abadlali abaphambili, abajongene ne-pathology engavumelekanga, banokuqhubeka bedlala imidlalo ngenxa yeendlela zonyango zanamhlanje. Phakathi kwabo - ukuthayibha , ukufakwa kweetekisi ezikhethekileyo zekoton elastiki kwiindawo ezichaphazelekayo. Inkqubo iboniswa xa i-osteochondropathy ye-tuberosity ebantwaneni nakwishumi elivisayo ayiphazamisi ubomi obuqhelekileyo kunye neemfuno zokulungiswa kuphela. Ngokugqoka i-tape, unokufikelela ekunciphiseni kwintlungu yesifo, ukujongwa komsebenzi we-muscular kunye nokunyakaza kwenqina.
Isigulane nesifo se-Osgood-Schlatter
Amagxa amaninzi asetyenziselwa ukulungisa idolo. Ukugqoka kwabo kunceda ukunqanda ukuphuhliswa kwezilwanyana, ukukhawulezisa inkqubo yokuphilisa. Iintlobo ezintathu zeemveliso zisetyenzisiweyo:
- bhandeshi;
- i-brace ;
- i-orthosis.
Kwimeko yokuqala, idolo ligugile emadolweni - elithambileyo, eliphakathi okanye elinzima, kuxhomekeke kwinjongo (ukuthintela, ukukhuselwa, ukunciphisa intlungu). Iibrasi ezingqongqo zilawula uluhlu lweedolo. Unokwenza umzimba ngaphandle kokulayisha amajoyina. I-Orthodosi kunye nesifo se-Osgood-Schlatter sigxininisa ngokuqinileyo ukudibanisa kwindawo ethile. Iyanciphisa uxinzelelo lwengingqi, ngokuqinisekileyo luchaphazela i-tendon yesondo.
I-Electrophoresis e-Osgood-Schlatter
Izigulane ezinobungozi obukhulu - kwizigaba zesibini neyesithathu zokuphuhliswa kwempilo - ziboniswa unyango lwe-physiotherapeutic lwe-Osgood-Schlatter. I-osteochondropathy ye-tuberosity i-tibial isuswa ngokulawula iziyobisi phantsi kwesikhumba ngoncedo lombane ( electrophoresis ). Ixesha lexesha leenyanga ezi-3-4. Amachiza asetyenziswa ngokuhlukileyo:
- Uphuhliso olusisiseko lokuphuhliswa kwezilwanyana lucetyiswa ngesisombululo se-2% se-lidocaine esilandelwa ngokufaka endaweni ye-nicotinic acid (niacin) kunye ne-calcium chloride.
- Isigaba esinzima sichaphazela i-electrophoresis kunye ne-Aminophylline, iododus iodine, kwaye ke kunye neenkalo ezifanayo kwimeko yokuqala (CaCl2 + niacin).
Isifo se-Osgood-Schlatter - unyango kunye nezilwanyana zomntu
Elinye ilanga lingazikhupha ngezifo ezininzi ezinxulumene nezifo zamadolo. Ezi ziquka u-osteochondropathy tuberosity of tibia. Isifo sika-Osgood-Schlatter sihamba ngokukhawuleza ngeendlela ezilandelayo zekhaya:
- ioli;
- lotion;
- ibhafini.
Amafutha kunye neengcezu ezivela kwiimveliso zisebenza kakuhle njengonyango olungabancedisi (kodwa kunye nemvume kadokotela).
Ezimbalwa zokupheka:
- I-yarred Shredded kunye ne-St. John's wort ixutywe ngesilinganiso esifanayo, idibene ne-fat fried fat fat. I-remedy ifakwa emlilweni omncinane imizuzu eyi-15, epholile. Isetyenziswe njengamafutha.
- 1.5 tbsp. i-spoonful ye-celandine ifakwe kwi-200 ml yamanzi abilisiwe. I-ointment igxininiswa ekutshiseni imizuzu engama-30, ize ihlanywe. Isilwanyana senziwe nge-gauze, idolo lisetyenzisiweyo kwaye lichaneke kunye ne-bandage.
Isifo se-Osgood-Schlatter
Kunqabile kakhulu xa i-osteochondropathy imiselwe ukungenelela kokungena. Oku kwenzeka ukuba, ekuxilongweni kwesifo sika-Osgood Schlatter, i-X-ray ibonakalise ukwahlukana kweziqhekeza ezinkulu ezivela kwi-tibia, okanye akukho nanyango yezibonelelo ezikhuselekileyo ezivelise iziphumo. Imeko eyongezelelweyo - isiguli kufuneka sibe ngaphezu kweminyaka eyi-14 ubudala. Indlela yokuphilisa i-Osgood-Schlatter kwizifo ezinzima? Umsebenzi uquka ukususa iziqhekeza zethambo (ezenziwe ngokuvuleka ngokubakho), okanye ekuzilungiseni kwi-tuberosity.
Izifo - u-Osgood-Schlatter
Emva kokuphelisa zonke izinto ezinomsindo, ukuqinisekisa ukuphumla kwebhokisi elimazileyo kunye nokwenza utywala olulinganiselayo, isigulane kufuneka siqhubeke nokugcina amanyathelo okuphepha. Ukukhusela isifo se-Osgood-Schlatter kwiintsholongwane kwixesha elizayo, kuyimfuneko ukukhupha umthwalo, ukuphepha, ukuma, ukuma emadolweni). Ungathatha indawo yezemidlalo eziqhelekileyo ukuba uthembeke ngakumbi (ukubhukuda, ukuhamba ngebhayisikili), nangona, njengommiselo, emva kokuba unyango luphelile, izithintelo zokudlala imidlalo zisuswe.
Amanyathelo okukhusela ayisoloko eqinisekisa ukuba isifo asiyi kubonakalisa kwakhona. Naliphina i-microtrauma ingahlakulela kwisifo se-Osgood-Schlatter, ukuba awuyiqapheli ngexesha kwaye uqale unyango. Kusemngciphekweni, kubakho abantwana nabaselula abasenza umsebenzi wabo (ukudansa, ezemidlalo) kuthatha ingozi yokulimaza emacaleni angaphantsi. Kubadlali bezemidlalo, ukunakekelwa kweenyawo zemihla ngemihla kufuneka kube yinto yesiko. Kule ndlela kuphela kunokwenzeka ukugcina impilo yemilenze kwaye ugweme i-osteochondropathy.