Miyendo yoweramitsidwa ingakhale yowonongeka kwa ana aang'ono, koma nthawi zambiri ana amakula molunjika pakapita nthawi. Ndi zachilendo pamene ana ayamba kuyenda, m'zaka zawo zoyambirira za moyo, kuti azigwada miyendo yawo. Koma patapita nthawi, miyendo iyenera kuwongoka. Komabe, pali zinthu zomwe zingayambitse kusagwirizana kwapansi , zomwe zimapangitsa kuti miyendo ikhale yosasuntha.
Chimodzi mwazofala kwambiri kwa ana ndi chikhalidwe chotchedwa Blount's disease. Matenda a Blount ndi vuto lomwe limayambitsa kukula kosalekeza ndi kugwirizana kwa miyendo.
Pali mitundu iwiri yoyamba ya Blount's disease: mwana wamng'ono ndi wachinyamata. Matenda a infantile Blount ndi omwe amakhala ndi ana a zaka zapakati pa 2 mpaka 5, pamene matenda a anyamata amapezeka m'mayambiriro a ana. Palinso mtundu wocheperachepera wa matendawa omwe amatchedwa Blount's matenda a ana, kapena matenda a pakati pa Blount's, monga amachitira zaka zambiri pakati pa Blount's infantile ndi achinyamata.
Blount's Child's Disease
Blant's ana aang'ono ndi chikhalidwe chimene chimayambitsa miyendo yoweramitsidwa pa ana okalamba. Ndi pafupifupi kawiri kawirikawiri kwa anyamata kuposa atsikana, ndipo nthawi zambiri amapezeka m'maondo onse awiri. Matendawa amachititsa chinthu chachilendo cha mtengo wokula pamwamba pa fupa la fupa, tibia. Chifukwa cha vutoli sichikudziwika, koma chikhalidwe chimayambitsa kuchepetsa kukula kwa gawo lina la mbewu yakukula (koma osati zonse), kotero kukula kwa tibia kumakhala kosakwanira.
Chifukwa chake, fupa limagwadira ngati kunja kumakula mofulumira kuposa kumbali.
Ngakhale kuti chifukwa cha matenda a infantile Blount sichikudziwika, pali zinthu zina zomwe zimawopsa, kuphatikizapo:
- Miyendo yoyambirira yakuyenda
- Kunenepa kwambiri ndi kukula kwakukulu
- Ana a Black kapena a ku Spain
- Kulephera kwa Vitamini D
Pali mikhalidwe ingapo yomwe ingawoneke ngati Blount's disease, kuphatikizapo kugwedezeka kwa miyendo yomwe ili yachibadwa kwa ana aang'ono, ziphuphu, ndi zina zomwe zimayambitsa chikhalidwe chosazolowereka.
Matenda osatulutsidwa, matenda a infantile Blount angayambitse zosavuta, ndipo potsirizira pake amawongolera maondo omwe amapezeka kuphatikizapo meniscus misozi ndi nyamakazi . Kawirikawiri ana aang'ono, omwe ali ndi zaka zoposa 4, amachiritsidwa popanda opaleshoni kuti adziwe ngati chikhalidwecho chidzakhala chokhazikika kapena chokhazikika. Madokotala ambiri amalimbikitsa kulengeza, ngakhale kuti sikunayambe wasonyezedwa kuti kuvomereza kwenikweni kumasintha vutoli. Madokotala ena amakhulupirira kuti odwala omwe amawoneka bwino amatha kusintha popanda kuphulika.
Njira zopangira opaleshoni zimasiyana kwambiri, koma njira yopaleshoni imavomerezedwa kwa ana okhala ndi Blount's matenda opitirira zaka 4. Kawirikawiri, fupa lamasweka ( osteotomy ), likulumikiza, ndipo limagwiritsidwa ntchito mwatsopano kuti likonze vutoli. Malo atsopano ndiwowonjezereka kuti mutha kuwatsogolera mwendo wowongoka pamapeto pa kukula. Kuzindikira momwe mungakhazikitsire bwino malo a kumapeto ndi kovuta komanso koyenera kukwaniritsa ndi dokotala wochita opaleshoni omwe ali ndi zambiri zothandizira matenda a Blount.
Matenda a achinyamata a Blount
Matenda a achinyamata a Blount amagwiritsa ntchito mawonekedwe ambiri ndi mawonekedwe a infantile, komanso amasiyanitsa.
Blount's, wamkulu wachinyamata amakhala nthawi zonse chifukwa cha kunenepa kwambiri, ndipo vutoli likukhala lofala kwambiri ndi vuto lowonjezeka launyamata . Ngakhale kuti vutoli siliri bwino, zikuwoneka kuti ndilo zotsatira za kuwonongeka kwa mbale yakukula poonjezera kulemera kwa thupi kuti mbale yakukula silingalekerere.
Kuwombera sikukuwonetsedwe kuti kuli kovuta mu Blount wa achinyamata ndipo sikunagwiritsidwe ntchito. Kuchita opaleshoni ndi chithandizo choyenera kwa achinyamata omwe ali ndi vuto lopweteka mwendo kuchokera ku Blount's disease. Opaleshoni yowonjezereka ndiyo kuswa fupa ndi kulikonzanso, ngakhale mosiyana ndi odwala omwe ali ocheperapo, kusamalidwa sikuyenera kukonzedweratu.
Kuphatikizanso apo, madokotala ena opaleshoni amasiya kukula, njira yotchedwa epiphysiodesis , pamtunda wotsalira kuti zisawonongeke.
> Zotsatira:
> Birch JG. "Matenda a Blount" J Am Acad Orthop Surg. 2013 Jul; 21 (7): 408-18.