Isifo se-Osgood-Schlatter. Kuyini lokhu?

Isifo se-Osgood-Schlatter yi-osteochondropathy ye-tuberosity ye-tibia. Lesi sifo sibhekene nobuhlungu bendawo. Isifo se-Osgood-Schlatter sitholakala ikakhulukazi kubafana abasha. Odokotela bakholelwa ukuthi lesi sifo sibangelwa ngenxa yokudonsa, ukucindezela okuphindaphindiwe okuphindaphindiwe kwethethoni ku-callx ye-popliteal, ephuma eqenjini elinamandla lezintambo zomthanga.

Ngokuvamile, isifo se-Schlatter senziwa kubafana abaneminyaka engama-9 kuya kwengu-14 kuya kwengu-18. Le nqubo ithinta kaningi umlenze owodwa, njalo kaningi kokubili.

Qinisekisa iqembu lezingozi, okubandakanya izingane ezibandakanyeka ngokweqile emidlalweni elandelayo: ukulwa, ibhola, ihockey, i-aerobics, ukulinganisa umzimba kanye nezinye imidlalo ezithuthumayo.

Isifo se-Osgood-Schlatter sibonakala ngezibonakaliso ezinjengalezi:

• Ubuhlungu emadolweni ngenkathi uhamba, uhlakaza, ucindezela, usebenza ngokomzimba

• Ukuvuvukala endaweni ehlangene yamadolo (ngezinye izikhathi kubangelwa ukuhlukunyezwa)

• Ukukhathazeka kwendawo engxenyeni engezansi yamadolo

• Khipha i-edema futhi ungahambi kahle kule ndawo

• Kukhona ubuhlungu obunzima ngaphambili, lapho ithemponi yesikhwama semadolo ihlanganiswe ne-tibia.

Lesi sifo senziwa kancane kancane, iziguli azibonanga neze ukuhlukumezeka njengento eyinhloko. Sekuyisikhathi eside, uphawu olulodwa kuphela lapho isifo se-Osgood-Schlatter esibonakala khona ubuhlungu emadolweni lapho ugibela izitebhisi, ukuwuguqa noma ukuhamba. Azikho izibonakaliso ezivamile, ze-laboratory kanye nemitholampilo yesifo.

Ngemuva kokuzikhandla komzimba emzimbeni we-quadriceps (ibhola, i-squat, njll), kukhona ukuvuvukala endaweni yesifo sofuba se- tibia. Kukhona ubuhlungu phakathi kwama-squats, ukugijima nokuhamba. Ekuphumuleni ubuhlungu budlula. Ukushisa kwalesi sifunda akukhulisi. Imingcele ye-tuberosity igxiliwe ngokubonakala kokuvuvukala, ubuhlungu bendawo buvela lapho i-palpation. Ukukhushulwa kwalo kule ndawo kwenzeka ngokukhuliswa okusebenzayo kwe-tibia, ikakhulukazi uma kunika ukuphikiswa okuncane. Njengoba ukukhula kwengane, le mpikiswano iba ngaphezulu kakhulu, imbossed kanye ubukhulu bayo ukwanda.

Isifo se-Osgood-Schlatter sitholwa njengesifo sempilo, ngoba izimpawu zalesi sifo zivamile. Ukuhlolwa kwe-X ngezinye izikhathi kwenziwa ukuthi kunqunywe izinga lokushintshwa kwendawo yokunamathisela ye-patellar tendon. Ku-roentgenogram ukuhlukaniswa noma ukungaqabuki kwenqubo ye-proboscis kunqunywa. Ukuxoshwa kwesifo sofuba kungumuntu ngamunye, okuvame ukuhlanganisa ukuxilongwa kwe-X-ray: umtholampilo uyisibonakaliso esiyinhloko sokuthola kahle isifo se-Osgood-Schlatter.

Ukwelashwa kwalesi sifo kubandakanya izingxenye ezilandelayo:

• Ukungabi nokuzimela nokuqinisekisa ukuphumula okuphezulu kwesigungu

• Nciphise umsebenzi owenziwe ngokomzimba okungenani

• I- Electrophoresis ene-calcium ne-procaine

• Ukwelapha umzimba nokusikhipha

• Ukwelashwa kweSanatorium

• I-parafini namadaka okugeza.

Iziguli ezilelesi sifo ziyasizwa yi-anesthetics nezidakamizwa eziphikisayo, ukuphumula kanye neqhwa. Ngokuhamba kwesikhathi, lesi sifo sidlula ngokuvamile (ngemuva nje kokuyeka ukukhula kwe-tibia). Iziguli zanikezwa ukuphumula, okusetshenziselwa ukuhamba kwamathayi asependeni, abafundisi abathintekayo; Kunconywa ama-quartz namabhati okugeza.

Kwezinye iziguli eziye zahlushwa lesi sifo, ngemuva kwalokho zihlala "ukuphazamisa" ukuvuvukala phambi kwamadolo. Ngokwelashwa kwabo, i-physiotherapy iboniswa, zisuswe ngokungajwayelekile - izindawo ezithintekile zisuswe nge-allograft fixation fixation. Ukwelashwa kokusebenza (ukususwa kwe-foc neticrotic) kuboniswa kuphela ezimweni ezingavamile kakhulu.

Isibikezelo sesifo sikaSchlatter senza kahle.