Okuqukethwe
Ukuvuvukala kwe-cartilage ekhulayo yamadolo
Isifo sika-Osgood-Schlätter ukuvuvukala okubuhlungu kwethambo noqwanga, okwenziwa endaweni engxenyeni engenhla ye-tibia, ngaphansi kwamadolo.
Ku-jargon yezokwelapha, siyakhuluma i-osteochondrosis noma i-anterior tibial osteochondritis, njengoba kwenzeka ezingeni lokufakwa okuphansi kwe-tendon ye-patella, ezingeni i-anterior tibial tuberosity (noma i-TTA), okungukuthi ukugqama kwamathambo phambi kwe-tibia.
Le pathology yatholwa okokuqala futhi yachazwa ngo-1903 nguDkt Osgood noSchlätter, abayiqamba amagama abo ahlangene. I-Osgood-Schlätter isifo ngokuvamile unilateral, futhi ikakhulukazi ukukhathazeka izingane ezidlalayo kanye nentsha eneminyaka eyi-10 kuye kweyi-15. Nakuba igebe lobulili liyancipha, abafana basavame ukuthinteka kakhulu kunamantombazane, ngenxa yokuzibandakanya kakhulu kwezemidlalo. Le pathology ithinta ama-4% ayo yonke intsha, futhi cishe i-20% yentsha egijimayo.
Lokhu kuvuvukala kwendawo kwe-cartilage ekhulayo kubangelwaukuzijwayeza okunamandla kwezemidlalo okunomthwalo omkhulu emlenzeni othintekile. Ngokuningiliziwe, wukusebenza ngokweqile kwe-cartilage ngenxa yokuphindaphinda kwezimpawu ekwandiseni (njengokudubula ibhola) okuholela microtrauma. Lesi simo sibonakala kakhulu uma kwenzeka ukukhula okusheshayo, umsebenzi wezemidlalo onamandla (ikakhulukazi ibhola lezinyawo, neminye imidlalo enomthelela ophezulu), futhi mhlawumbe nokuqina kwamalunga kakhulu.
Isifo sika-Osgood-Schlätter: yiziphi izimpawu kanye nobani okufanele uthintane nabo?
Uphawu oluyinhloko lwe-Osgood-Schlätter isifo ubuhlungu : ingane ikhononda ngokuba nezinhlungu njalo lapho inyakaza indawo ethintekile, isibonelo ngesikhathi semidlalo noma lapho ikhuphuka noma yehla ezitebhisini. Ubuhlungu buyaqina ngesikhathi sokusebenza, futhi buyancipha ekuphumuleni.
Esinye isibonakaliso esihlaba umxhwele kakhulu singenzeka: ukuvuvukala kwengaphambili ledolo, ngenxa yokuvuvukala kwendawo. Indawo ivuvukele, ithenda, ibuhlungu uma uyithinta. I-Micro-trauma kungenzeka ngempela ibangele ukukhula kwethambo, okuwukuphuka okuncane (ukudabuka okuncane kocezu lwethambo), ngenxa ye-ossification namanje engaphelele.
Nakuba kubonakala kuyinkimbinkimbi, lesi sifo singatholwa ngudokotela ojwayelekile, futhi akuvamile ukuthi sidinga ukungenelela kochwepheshe (i-rheumatologist). Ngakolunye uhlangothi, kungase kube ukuhlakanipha ukubonana nodokotela wokuvivinya umzimba ngemva kokuphumula, ukuze uthole umkhuba obushelelezi kanye nokuqala kabusha kwezemidlalo.
Umsakazo wokuqinisekisa ukuxilongwa
Nakuba ukuhlolwa komtholampilo kungase kwanele ukuhlonza isifo sika-Osgood-Schlätter lapho kubhekene nezimpawu ezisikiselayo, udokotela usengayala i-X-ray, ikakhulukazi. Uma ungabaza.
I-X-ray radiography izoqinisekisa ukuthi yilo ngempela lolu hlobo lwe-osteochondrosis, futhi ngaphakathi iyonquma isiteji, ukuqina. Ngakho-ke i-X-ray ingagqamisa ukuhlukana okuphawulekayo kwe-tibial tuberosity, lokhu kugqama kwamathambo okuphambi kwe-tibia.
Umsakazo ukhonjiswa ikakhulukazi uma ingane noma osemusha enezinye izimpawu, njengokuvuvukala okukhulu, ububomvu, noma ukufudumala kwendawo. Ngoba lezi zingaba uphawu lokuvuvukala kwelunga noma ukuphuka okubaluleke kakhulu, ikakhulukazi uma kwenzeka ubuhlungu obukhulu. Ukwelashwa kuzobe sekuhlukile.
Ukwelashwa: indlela yokwelapha isifo sika-Osgood-Schlätter?
Ukwelashwa akuvamile ukuhlinzwa. Ezimweni eziningi, futhi uma kungekho izinkinga, odokotela banquma ukuyeka ezemidlalo, ukuphumula, nokuthatha ama-analgesics kanye nezidakamizwa ezingezona ukuvuvukala (Ama-NSAID, njenge-ibuprofen) yobuhlungu. Ukwelashwa okulula okungenani kwenyanga eyodwa kuya kweziyisithupha uma kungekude, okungamukelwa kahle njalo intsha ethanda ezemidlalo.
Ukwelula kwemisipha nge-physiotherapy kungase kuboniswe ngokuqala kancane kancane kwezemidlalo, ikakhulukazi uma kwenzeka ukuqina kwemisipha. Ukugqoka i-knee brace noma i-orthosis kungabuye kunqunywe, ukunciphisa ubuhlungu uma kwenzeka ukuzikhandla ngokomzimba noma ngisho nokuphumula, nakuba usizo lwalezi zixhobo zezokwelapha kuphikisana kule pathology.
Uma kwenzeka kuba nobuhlungu obukhulu kanye/noma kunzima ukuhlala uphumule, kungafakwa ukhonkolo, kodwa lokhu kuwukwelapha okuyivelakancane ngoba kukhawulelwe enganeni.
Qaphela ukuthi ukuqala kwesifo sika-Osgood-Schlätter kungaba ithuba lokuthi abazali nezingane bacabange kabusha umdlalo wabo kancane, kungani kungenjalo ngokunciphisa umfutho kancane, ngokuzilalela wena kakhulu noma ngokuhlukanisa imidlalo eyenziwayo. Kungase futhi kube ukuhlakanipha ukudalula ukuntula uvithamini D okungenzeka ngokuhlolwa kwegazi.
Ukuhlinzwa akuvamile ukuba kucatshangelwe, futhi kugcinelwe izimo ezibucayi kakhulu, futhi lapho kungekho khona ukuthuthukiswa naphezu kokubekwa. Kufanele kube njalo eyenziwa ebudaleni, lapho ukukhula sekuqediwe ngokugcwele.
Khumbula ukuthi lesi yisifo esithambile esine-prognosis enhle yesikhathi eside, futhi iningi lezingane ezithintekile lilulama kalula.