Mukati
Kuzvimba kwecartilage inokura yemabvi
Chirwere cheOsgood-Schlätter chirwere chinorwadza chebhonzo uye cartilage, chinowanikwa munzvimbo muchikamu chepamusoro chetibia, pasi pemabvi akabatanidzwa.
Mumutauro wezvokurapa, tinotaura zvinyuchi kana anterior tibial osteochondritis, sezvo inoitika pamwero wekudzika kwakadzika kwetendon yepatella, pamwero we anterior tibial tuberosity (kana TTA), kureva iyo bony mukurumbira pamberi petibia.
Iyi pathology yakatanga kuwanikwa uye yakatsanangurwa muna 1903 naDr Osgood naSchlätter, avo vakapa mazita avo akabatanidzwa. Osgood-Schlätter chirwere kazhinji unilateral, uye kunyanya kunetseka vana vemitambo uye vechidiki vechidiki vane makore gumi kusvika ku10. Kunyange zvazvo musiyano wevarume nevakadzi uri kuderera, vakomana vachiri kunyanya kukanganiswa kupfuura vasikana, nekuda kwekupinda zvakanyanya mumutambo. Iyi pathology inobata 4% yevese vachiri kuyaruka, uye vangangoita makumi maviri muzana yevatambi vechidiki.
Uku kuzvimba kwenzvimbo yekashwa inokura kunobvaKudzidzira kwemitambo yakanyanyisa nekudzvinyirira zvakanyanya pagumbo rakakanganiswa. Muchidimbu, iko kushanda zvakanyanya kwecartilage nekuda kwekudzokorora kwemaitiro mukuwedzera (sekupfura bhora) kunotungamira micro-trauma. Chiitiko ichi chinotonyanya kuitika kana paine kukurumidza kukura, kwekuita zvemitambo zvakanyanya (kunyanya nhabvu, nemimwe mitambo ine mukurumbira), uye pamwe nekuoma kwemajoini kwakanyanya.
Osgood-Schlätter chirwere: chii zviratidzo uye ndiani kubvunza?
Chiratidzo chikuru chechirwere cheOsgood-Schlätter ndicho marwadzo : mwana anonyunyuta kuti ane marwadzo nguva dzose paanofambisa nzvimbo yakakanganiswa, semuenzaniso panguva yemitambo kana paanokwira kana pasi pemasitepisi. Marwadzo anowedzera panguva yekushanda, uye anoderera pakuzorora.
Chimwe chiratidzo chinonakidza chinogona kuitika: ndiko kuzvimba kwemberi kwebvi, nekuda kwekuzvimba kwenzvimbo. Nzvimbo yakazvimba, yakapfava, inorwadza pakubata. Micro-trauma inogona kunge yakakonzera pfupa rinokura, izvo zviduku zviduku (micro-kubvaruka kwechidimbu chepfupa), nekuda kwekusakwana kusati kwakwana.
Kunyange zvazvo zvichiita sechinhu chakaoma, chirwere ichi chinogona kuongororwa nechiremba mukuru, uye kazhinji hachidi kupindira kwenyanzvi (rheumatologist). Kune rumwe rutivi, zvingava kuchenjera kubvunza chiremba wefiziotherapist mushure mokuzorora, nokuda kwekudzidzira kwakatsetseka uye kutangazve mutambo.
Redhiyo yekuvimbisa kuongororwa
Nepo kuongororwa kwekiriniki kungave kwakakwana kuona chirwere cheOsgood-Schlätter pamberi pezviratidzo zvinoratidzira, chiremba anogona kunge achiri kuraira X-ray, kunyanya. Kana usina chokwadi.
Iyo X-ray radiography ichaita shuwa kuti ichokwadi rudzi urwu rweosteochondrosis, uye mukati ichasarudza danho, kuoma. X-ray inogona kuratidza kupatsanurwa kwakakosha kwetibial tuberosity, iyi bhonzo mukurumbira uri pamberi petibia.
Redhiyo inonyanya kuratidzwa kana mwana kana kuyaruka ane zvimwe zviratidzo, sekuzvimba kwakanyanya, kutsvuka, kana kudziya kwenzvimbo. Nokuti izvi zvinogona kuva chiratidzo chekuzvimba kwejoini kana kutsemuka kwakakosha, kunyanya kana paine kurwadziwa kwakanyanya. Kurapa kunobva kwasiyana.
Kurapa: sei kurapa Osgood-Schlätter chirwere?
Kurapa hakuwanzo kuvhiyiwa. Muzviitiko zvakawanda, uye kana pasina matambudziko, vanachiremba vanorayira kumisa mutambo, kuzorora, uye kutora analgesics uye isiri-steroidal anti-inflammatory drugs (NSAIDs, senge ibuprofen) yekurwadziwa. Kurapa kwakapfava kweinenge mwedzi mitanhatu kana isiri nguva refu, iyo isingagamuchirwi zvakanaka nevechiri kuyaruka vanoda mitambo.
Tsandanyama inotambanudzwa ne physiotherapy inogona kuratidzirwa kuti zvishoma nezvishoma utangezve mutambo, kunyanya kana chiitiko chekuoma kwemisumbu. Kupfeka kwebhandi remabvi kana orthosis kunogonawo kurongerwa, kuderedza marwadzo muchiitiko chekushanda kwemuviri kana kunyange pakuzorora, kunyange zvazvo kubatsira kwezvishandiso izvi zvekurapa kunopokana mune iyi pathology.
Muchiitiko chekurwadziwa kwakanyanya uye / kana kuomerwa nekugara wakazorora, cast inogona kuiswa, asi iyi inguva isingawanzo kurapwa nekuti inoganhurira kumwana.
Cherechedza kuti kutanga kwechirwere cheOsgood-Schlätter chinogona kuva mukana wevabereki nevana kuti vafungezve nezvemutambo wavo zvishoma, wadii nekuderedza kusimba zvishoma, nekuteerera iwe pachako zvakanyanya kana nekusiyanisa mitambo yakaitwa. Zvingavewo huchenjeri kuratidza hungangove hushoma hwevhitamini D nekuongororwa ropa.
Kuvhiya hakuwanzo kutariswa, uye kunochengeterwa nyaya dzakanyanya, uye pasina kuvandudzwa kunyangwe kuri kuzorora. Zvinofanira kunge zvakadaro yakaitwa pakukura, kana kukura kwapera.
Ramba uchifunga kuti ichi chirwere chinyoro chine fungidziro yakanaka yenguva refu, uye ruzhinji rwevana vakabatwa vanopora nyore.