Matenda a Osgood-Schlatter - chifukwa chiyani mwana wagwada?

Achinyamata ambiri omwe ali ndi zaka 11-17 akukumana ndi matenda a patella, omwe amapangidwa ndi edema yopweteka. Vuto likuwonjezereka mwa kusintha kwa chiwalo. Matendawa amatchedwa matenda a Osgood-Schlatter, makamaka momwe amakhudzira anyamata omwe amachita nawo maseŵera .

Kodi matenda a Osgood-Schlatter ndi otani?

Zosiyanasiyana za osteochondropathy waunyamata poyamba zinalongosoleredwa kumayambiriro kwa zaka makumi awiri ndi awiri ndi madokotala awiri akunja. Matendawa amakhala ndi maonekedwe (opanda chifukwa china - kugwa, kupwetekedwa) kwa ululu pamene akugwada ndikuwombera pansi. Kusintha kwakunja kwakunja sikukuwoneka, mkhalidwe wa wodwalawo umayesedwa ngati wokhutiritsa. Pambuyo pa bondo limodzi, wina akhoza kudwala - ndi kusintha kwake.

Matenda a osteochondropathy a tibia amayamba chifukwa cha kuchuluka kwa katundu pa zinyama zomwe sizinapangidwe bwino. Pakati pa masewera olimbitsa thupi, minofu ya m'chiuno imatambasula matope omwe amagwirizanitsa tibia ndi chipewa cha mawondo. Pali misonzi yomwe imayambitsa ululu ndi kutupa. Thupi la mwana limapangitsa kuti pang'onopang'ono mafupa amathetse chilema, kenaka kamphindi kakang'ono kamapezeka.

Matenda a Osgood-Schlatter - zizindikiro

Zinthu zazikuluzikulu za chitukuko cha Osgood-Schlatter matenda ndi anyamata, abambo (atsikana 11-13 ali ndi kachilomboka, koma pang'ono) komanso kutenga nawo mbali masewera. Ngati mwana nthawi zonse amachita nawo masewera olimbitsa thupi, hockey, mpira, masewero olimbitsa thupi ndipo amamva kuti akumva bwino komanso atakhala pansi pa bondo, nkofunika kumvetsera zizindikiro. Matenda a knee Osgood-Schlatter ali ndi zizindikiro zotsatirazi:

• Mphamvu zosiyana za kupweteka pansi pa bondo, kuwonjezereka pambuyo pa katundu;
• ululu pansi pa kneecap, m'dera la chifuwa;
• kutupa kwa matenda ofewa;
• kupweteka kwa minofu ya ntchafu, makamaka quadriceps.

Matenda a Osgood-Schlatter - X-ray zizindikiro

Kuzindikira za chikhalidwechi kumatanthauza kusanthula kachipangizo ndikuyerekeza ndi deta ya dera. Ngati osteochondropathy ya tuberosity ya tibia ikupezeka, x-ray ndi yosiyana kwambiri poyerekezera ndi matenda ena ofanana, koma osachepera. Kunja, matendawa akhoza kusokonezeka ndi kupweteka, kupotoza kapena kupotoza njira ya epiphyseal. Kuphunzira kwa ziwalo kumasonyeza zotsatira izi za matenda:

• Ndondomeko yolimba ya epiphyseal inasintha mawonekedwe, mawonekedwe;
• M'madera a chifuwa chachikulu, "proboscis" yaing'ono ikuwonetsedwa;
• zidutswa zing'onozing'ono zamapfupa zikuwonekera, mu kuchuluka kwa 1 mpaka 3;
• m'maganizo otsogolera - kukonza ndi kugawidwa kwa apophysis ya chigawo cha chifuwa.

Matenda Osgood-Schlatter - siteji ndi digiri ya chitukuko

Kuzindikira kwa matenda a osteochondropathy sikungayambitse mavuto pamene matenda amatha. Mmodzi wodwalayo amalembedwa mankhwala opatsirana pogwiritsa ntchito chithunzichi komanso momwe matenda a Osgood-Schlatter amadziwonetsera; magawo amasiyana mozama za zizindikiro.

M'kati mwa matendawa, madigiri atatu amadziwika:

1. Yoyamba. Zizindikiro ndizochepa, mawonetseredwe akunja salipo, koma kupweteka kumawonekera.
2. Chachiwiri - ululu umakula kwambiri, pali knoll pansi pa bondo.
3. Chachitatu - matendawa akuphatikizidwa ndi kusamva, kupweteka, zizindikiro zakunja ndizoonekera.

Matenda a Osgood-Schlatter

Kutupa kwa achinyamata othamanga, monga lamulo, kumapita pachabe pachaka. Ndili ndi zaka, minofu ya pfupa imasiya kukula ndi kupweteka. Matenda a Osgood-Schlatter sakhala ndi vuto ndipo amatanthauza mankhwala othandiza. Pambuyo pa maphunziro oyambirira, omwe amatha miyezi itatu. mpaka miyezi isanu ndi umodzi, matendawa ayenera kubwerera. Nthawi zina, zotsatira zabwino zimachitika patatha miyezi 9-12. kapena simubwera konse. Mmene mungachitire matenda a Osgood-Schlatter mwa njira zosamala:

• Kuonetsetsa kuti mpumulo wathunthu ukupuma;
• kugwiritsa ntchito bandage wamatumbo nthawi yonse ya masewera;
• kuchepetsa kwa kutupa;
• normalization ya ndondomeko ya fupa mapangidwe apophysis;
• kusamba;
• zojambula;
• physiotherapy.

Matenda Osgood-Schlatter - LFK

Ngati zizindikirozo zimatchulidwa, matenda a Osgood-Schlatter ali achinyamata, mankhwalawa amaphatikizapo maphunziro apamwamba (LFK). Zochita zofunikira ndizofunikira kutambasula minofu ya quadriceps, mabala obala. Miyeso imeneyi ingachepetse mtolo kumalo kumene thambo la bondo likuphatikizidwa ndi tibia. Kuchita masewera olimbitsa thupi LFK - makamaka kumaphatikizapo kulimbitsa minofu ya m'chiuno - kukhazikika ndi mawondo. Odwala amatha kuchita zinthu mosasamala, poyang'anira madokotala kapena kuchipatala chapadera.

Kujambula ndi matenda a Osgood-Schlatter

Ochita masewera olimbitsa thupi, akumana ndi vuto losasangalatsa, akhoza kupitiriza kusewera masewera chifukwa cha njira zamakono zamankhwala. Pakati pawo, kujambula makina apadera a thonje otsekeka m'madera okhudzidwa. Ndondomekoyi ikuwonetsedwa pamene osteochondropathy ya tibial tuberosity kwa ana ndi achinyamata sichitsutsana ndi moyo wamba ndipo amafunikira kukonzedwa kokha. Mwa kuvala tepiyi, mukhoza kuthetsa kuchepetsa matenda a ululu, kuimika kwa ntchito yovuta komanso kuyenda kwa miyendo.

Odwala ndi matenda a Osgood-Schlatter

Manjano amagwiritsidwa ntchito kukonzekera bondo. Kuvala kwawo kumathandiza kupewa chitukuko cha matenda, kufulumizitsa machiritso. Mitundu itatu ya mankhwalawa imagwiritsidwa ntchito:

• bandage;
• chingwe ;
• orthosis.

Pachiyambi choyamba, bondo livala pa bondo - lofewa, lopakatilira kapena lolimba, malingana ndi cholinga (kupewa, chitetezo, kuchepetsa ululu). Zingwe zolimba kwambiri zimayendetsa kutalika kwa mawonekedwe a mawondo. Mungathe kuchita masewera olimbitsa thupi popanda kuyika ziwalo. Matenda a Orthodo ndi matenda a Osgood-Schlatter amawongolera mwakachetechete pamalo enaake. Zimathandiza kuchepetsa mavuto a m'deralo, zomwe zimakhudza kwambiri mawonekedwe a mawondo.

Electrophoresis mu matenda a Osgood-Schlatter

Odwala omwe akuvulala kwambiri - panthawi yachiwiri ndi yachitatu ya chitukuko cha matenda - akuwonetsedwa kuti thupi limapanga mankhwala a Osgood-Schlatter. Osteochondropathy ya tibial tuberosity imachotsedwa mwa kugwiritsa ntchito mankhwala pansi pa khungu mothandizidwa ndi magetsi ( electrophoresis ). Nthawi ya ndondomekoyi ndi miyezi 3-4. Mankhwala amagwiritsidwa ntchito mosiyana:

1. Gawo labwino la chitukuko cha mthupi limachiritsidwa ndi mankhwala a 2% a lidocaine ndiyeno m'malo mwa nicotinic acid (niacin) ndi calcium chloride.
2. Gawo lolemera limaphatikizapo electrophoresis ndi Aminophylline, ayodini ya potassium, ndiyeno ndi zigawo zomwezo monga poyamba (CaCl2 + niacin).

Matenda a Osgood-Schlatter - mankhwala ndi mankhwala ochiritsira

Mankhwala ochiritsira akhoza kubweretsa mpumulo ndi matenda ambiri okhudzana ndi matenda a mawondo. Izi zikuphatikizapo osteochondropathy tuberosity ya tibia. Matenda a Osgood-Schlatter amatha mofulumira ndi njira zotsatirazi:

• mafuta;
• lolo;
• mafuta a parafini.

Mafuta ndi mavitamini ochokera ku zitsamba amachita ngati chithandizo chothandizira (koma ndi chilolezo cha dokotala).

Maphikidwe angapo:

1. Shredded yarrow ndi wort St. John wa zosakanizidwa mofanana chiwerengero, anawonjezera kuti anasungunuka nkhumba mafuta. Mankhwalawa amaikidwa pa moto wawung'ono kwa mphindi 15, ozizira. Amagwiritsidwa ntchito ngati mafuta.
2. 1.5 tbsp. ndi spoonful wa celandine akuwonjezeredwa 200 ml ya madzi owiritsa. Mafuta amaumirizidwa kutentha kwa mphindi 30, kenaka amawasankhidwa. Madziwo amaikidwa ndi gauze, mawondo amagwiritsidwa ntchito ndipo amaikidwa ndi bandage.

Matenda a Osgood-Schlatter

Ndizovuta kwambiri pamene osteochondropathy imapatsidwa mwayi wothandizira. Izi zimachitika ngati, pozindikira za matenda a Osgood Schlatter, X-ray imaonetsa kupatulidwa kwa zidutswa zazikulu kuchokera ku tibia, kapena palibe mankhwala ochiritsira omwe anawatsatira. Zowonjezera - wodwalayo ayenera kukhala ndi zaka zoposa 14. Kodi mungachiritse matenda otani Osgood-Schlatter m'mabvuto ovuta? Opaleshoniyi imaphatikizapo kuchotsa zidutswa za mafupa (zopangidwa mwadzidzidzi kudzera mu incision), kapena pakuzikonza ku chifuwa chachikulu.

Matenda Osgood-Schlatter - zoperewera

Pambuyo pochotsa zinthu zonse zokhumudwitsa, kuonetsetsa kuti kupuma kwa bondo lovulala ndikupanga mankhwala oyenera, wodwalayo ayenera kupitirizabe kusamala. Pofuna kupewa matenda a Osgood-Schlatter achinyamata, m'pofunikanso kuti mutsegulire, muteteze anthu omwe akudwala matendawa (kudumpha, kuthamanga, kuima pamadzulo). Mungathe kutenga masewera olimbitsa thupi kwambiri (kusambira, kuyendetsa njinga), ngakhale, monga lamulo, mutatha mankhwala, zoletsa masewera zimachotsedwa.

Njira zothandizira sizitsimikizirika kuti matendawa sadzadziwonetsanso. Tizilombo ting'onoting'ono tingayambe kukhala Osgood-Schlatter matenda, ngati simudziwa nthawi ndi kuyamba mankhwala. Pangozi, nthawi zonse pali ana ndi achinyamata omwe zochita zawo nthawi zonse (kuvina, masewera) zimakhala zoopsa zovulaza m'munsi. Kwa ochita masewera olimbitsa thupi, kusamalira mapazi tsiku ndi tsiku kumayenera kukhala mwambo wamakhalidwe. Mwa njira iyi n'zotheka kukhalabe wathanzi komanso kupewa osteochondropathy.