Chithandizo cha Akatswiri a Osgood Schlatter kwa Othamanga Achinyamata
Ngati kupweteka kwa bondo pansi pa bondo kukulepheretsa wothamanga wanu wachinyamata, chithandizo cha Osgood Schlatter chingamubwezeretsenso pamasewerawa. Vutoli limakhudza achinyamata omwe akuchita bwino, zomwe zimapangitsa ululu ndi kutupa pa tibial tubercle komwe tendon ya patellar imagwirira. Ngakhale kuti ndi yokhumudwitsa, kuyang'aniridwa bwino kumabweretsa kukhazikika kwathunthu pamene mbale zokulira zikukhwima.
Ku Madison Medical, timapereka chithandizo chapadera cha matenda a Osgood-Schlatter ndi matenda ena amasewera a ana. Njira yathu imagwirizanitsa kasamalidwe ka zizindikiro ndi kuchita masewera olimbitsa thupi nthawi zonse ngati n'kotheka, kuthandiza othamanga achinyamata kukhala olimba komanso kuteteza mafupa awo omwe akukula.
Kumvetsetsa Matenda a Osgood-Schlatter
Matenda a Osgood-Schlatter amapezeka nthawi yomwe mafupa amakula mofulumira kuposa momwe minofu ndi minyewa zimasinthira. Mnofu wa patellar umalumikizana ndi tibial tubercle—chotupa cha mafupa chomwe chili pansi pa bondo. Kupsinjika mobwerezabwereza chifukwa chothamanga, kulumpha, ndi kukankha kumakoka pamalo olumikizirana awa, zomwe zimayambitsa kutupa ndi kupweteka.
Matendawa nthawi zambiri amakhudza achinyamata akamakula mofulumira: anyamata azaka zapakati pa 10-15 ndi atsikana azaka zapakati pa 8-13. Ochita masewera olimbitsa thupi monga kuthamanga ndi kulumpha—basketball, mpira wamiyendo, volebo, ndi masewera olimbitsa thupi—ndi omwe amakhudzidwa kwambiri. Mawondo onse awiri amakhudzidwa pafupifupi 25% ya milandu.
Ngakhale kuti matendawa ndi opweteka komanso nthawi zina amakhala okhalitsa, matenda a Osgood-Schlatter amadziletsa okha. Amatha pamene malo okulirapo pa tibial tubercle atseka, nthawi zambiri akafika zaka 14-18 kutengera jenda ndi momwe munthu amakulira. Kutupa kosatha kungakhalepo koma nthawi zambiri sikumayambitsa mavuto a nthawi yayitali.
Kuzindikira Zizindikiro
Ululu ndi kutupa kwa tibial tubercle ndi zizindikiro zodziwika bwino. Chiphuphu cha mafupa chomwe chili pansi pa bondo chimakhala chofewa pochikhudza ndipo chimatha kukula moonekera. Ululu umakula kwambiri mukamachita zinthu—makamaka kuthamanga, kulumpha, kudzuka, ndi kukwera masitepe—ndipo umakula bwino mukapuma.
Kulimba kwa minofu ya quadriceps ndi hamstrings nthawi zambiri kumayenderana ndi vutoli. Othamanga ena amafooka akachita masewera olimbitsa thupi. Kugwada nthawi zambiri kumakhala kowawa chifukwa cha kupanikizika mwachindunji pamalo okhudzidwa. Zizindikiro zimatha kusinthasintha malinga ndi kuchuluka kwa masewera olimbitsa thupi komanso kukula kwa minofu.
Zinthu Zoopsa za Matenda a Osgood-Schlatter
- Age: Achinyamata nthawi ya kukula amakhudzidwa kwambiri
- Kuchita nawo masewera: Masewera othamanga ndi kulumpha amawonjezera chiopsezo
- Kulimbitsa maphunziro: Kuwonjezeka mwadzidzidzi kwa kuchuluka kwa zochita
- Kulimba kwa minofu: Ma quadriceps olimba ndi hamstrings zimathandiza
- Gender: M'mbuyomu, kusiyana kwa anyamata kumachepa chifukwa cha kuchuluka kwa atsikana omwe amatenga nawo mbali pamasewera.
Matendawa
Kuzindikira matendawa nthawi zambiri kumachitika potengera mbiri ya wodwalayo komanso kuyezetsa thupi lake. Malo omwe ululu ndi kuuma kwake, zaka za wodwalayo, ndi mbiri ya zochita zake zimasonyeza bwino lomwe matenda a Osgood-Schlatter. Chifuwa cha tibial chimakhala chofewa pochigwira ndipo nthawi zambiri chimakula kwambiri.
Ma X-ray angapezeke kuti athetse matenda ena ngati chiwonetserocho sichili chachilendo. Zithunzi zingasonyeze kugawanika kapena kuonekera kwa tibial tubercle koma sizikufunika kuti munthu adziwe matenda nthawi zina. MRI siifunikira kawirikawiri pokhapokha ngati pali vuto lina lomwe likukayikiridwa.
Njira Zochizira
Kusintha zochita ndiye maziko a chithandizo. Izi sizikutanthauza kupuma kwathunthu—m'malo mwake, kusintha zochitazo kukhala pamlingo womwe subweretsa ululu waukulu. Othamanga ena amatha kupitiliza kusewera ndi kusintha, pomwe ena amafunikira kupuma kwakanthawi kuchokera ku zochita zolimbitsa thupi.
Kupaka ayezi mukamaliza kuchita masewera olimbitsa thupi kumachepetsa kutupa ndi ululu. Kupaka ayezi kwa mphindi 15-20 kangapo patsiku kumathandiza kuchepetsa zizindikiro. Mankhwala oletsa kutupa omwe amaperekedwa ndi dokotala amapereka mpumulo wowonjezera ngati pakufunika.
Kuchita masewera olimbitsa thupi otambasula minofu kumathandiza kuti minofu ikhale yolimba zomwe zimayambitsa vutoli. Kutambasula minofu ya quadriceps ndi hamstring nthawi zonse kumachepetsa kupsinjika kwa tibial tubercle. Chithandizo cha thupi chingalimbikitsidwe kuti muzitha kutambasula minofu ndi kulimbitsa minofu.
Zingwe za patellar tendon kapena manja a bondo zimathandiza ndipo zimachepetsa zizindikiro panthawi yochita masewera olimbitsa thupi. Nsapato zoyenera zomwe zimayamwa bwino kugwedezeka zimathandiza. Kubwerera pang'onopang'ono ku masewera olimbitsa thupi kumabweretsa kusintha kwa zizindikiro.
Zizindikiro Zikapitirira
Matenda ambiri amatha ndi chithandizo chodziletsa, koma othamanga ena amakhala ndi zizindikiro zokhalitsa. Chithandizo chamankhwala chovomerezeka chimathetsa zinthu zomwe zimayambitsa vutoli. Nthawi zina pamene chotupa chopweteka (fupa) chimapitirira pambuyo potseka mbale yokulirapo, opaleshoni ingaganizidwe yochotsa.
Bwererani ku Masewera Motetezeka
Ochita masewera omwe ali ndi matenda a Osgood-Schlatter amafunitsitsa kubwerera ku masewera olimbitsa thupi mokwanira. Chofunika kwambiri ndi kubwerera m'mbuyo kutengera zizindikiro, osati nthawi yokhazikika. Kuyambira ndi masewera olimbitsa thupi ochepa, kenako kupita patsogolo kuthamanga, kulumpha, ndi kuchita masewera olimbitsa thupi kumathandiza kubwerera bwino pamene mukuyang'anira zizindikiro. Kubwerera mwachangu kungakhale pachiwopsezo chowonjezera kuchira.
Njira zopewera zomwe zikuchitika nthawi zonse zimathandiza kuthana ndi zizindikiro m'zaka zonse zokulira. Kutenthetsa thupi musanayambe kuchita masewera olimbitsa thupi, kutambasula thupi pambuyo pa masewera olimbitsa thupi ndi kuzizira, komanso kusamalira katundu wochita masewera olimbitsa thupi kumathandiza kupitiriza kutenga nawo mbali komanso kuchepetsa kuphulika kwa moto. Ma lamba kapena zomangira mawondo apadera zimathandiza kwambiri pazochitika zoopsa kwambiri.
Othamanga ambiri achichepere omwe ali ndi Osgood-Schlatter amapitirizabe kusewera masewera nthawi yonse ya chithandizo ndi kusintha koyenera. Kupuma kwathunthu sikofunikira kawirikawiri ndipo kumatha kuchira pang'onopang'ono poyerekeza ndi njira zosinthira zochita.
Kupaka ayezi mukamaliza kuchita masewera olimbitsa thupi kumachepetsa kutupa ndi ululu. Mankhwala oletsa kutupa angapereke mpumulo wowonjezera panthawi yotupa. Mabondo amateteza tibial tubercle ku kuvulala mwachindunji pamasewera monga basketball kapena volleyball.
Kutambasula quadriceps ndi hamstrings kumachepetsa kupsinjika kwa tibial tubercle. Kupukusa thovu ku minofu ya ntchafu kungathandizenso. Maseŵero olimbitsa thupi osinthasintha awa ayenera kukhala gawo la zochita za tsiku ndi tsiku panthawi ya kukula pamene Osgood-Schlatter amagwira ntchito kwambiri.
Chifukwa chiyani Madison Medical adapatsidwa chithandizo cha Osgood-Schlatter?
Timagwira ntchito kwambiri pa masewera a ana ndi achinyamata kuphatikizapo matenda a Osgood-Schlatter. Madison Medical imawona odwala oposa 1,200 mlungu uliwonse, ndipo ili ndi luso lothandiza othamanga achinyamata kuthana ndi vutoli. Njira yathu imagwirizanitsa kuthana ndi zizindikiro ndi kuchita masewera olimbitsa thupi nthawi zonse ngati kuli koyenera.
Timakonza chithandizo cha thupi ndikupereka malangizo obwerera ku masewera. Mapulani akuluakulu a inshuwaransi amalandiridwa m'malo athu abwino ku New Jersey.
Yang'anani Kuti Mudziwe Zambiri
Bweretsani Wothamanga Wanu Wachinyamata Kusewera
Matenda a Osgood-Schlatter ndi okhumudwitsa koma amatha kuthetsedwa. Ndi chithandizo choyenera, othamanga ambiri achinyamata amatha kupitiriza kuchita masewera olimbitsa thupi pamene zizindikiro zimatha pang'onopang'ono. Kumvetsetsa vutoli kumathandiza mabanja kuti azitha kuchira nthawi zina kwa nthawi yayitali.
Lumikizanani ndi Madison Medical kuti mukonze nthawi yoti muone ngati muli ndi ululu wa bondo wa mwana wanu. Akatswiri athu adzatsimikizira matendawa ndikupanga dongosolo lowongolera lomwe limawapangitsa kukhala otanganidwa momwe angathere.