Matenda a Osgood-Schlatter ndi ofanana kwambiri mwa ana omwe nthawi zambiri amawatcha kuti kukula kwa maondo. Matenda a Osgood-Schlatter ndi chifukwa cha kukula mofulumira ndi kukokedwa kwa tendons pa mtengo wokulira wa bondo ali achinyamata.
Apophysis wa Knee
An apophysis ndi chomera-malo omwe mafupa akukula mofulumira kwa ana ndi achinyamata.
Tibial tubercle apophysis ili kutsogolo kwa mawondo a bondo, kumene kuli patellar tendon. Imeneyi ndi mphamvu yamphamvu yomwe imagwirizanitsidwa ndi mitsempha yotchuka ya quadriceps mu ntchafu. Nthawi zonse minofu ya quad imagwirizana, imayambira pa tchutchu, ndipo motero ndi tibia. Choncho, mphamvu zambiri zimatumizidwa mwachindunji ku chipatala chotchedwa apophysis.
Pamene ana aang'ono ndi achinyamata akugwira nawo masewera olimbitsa thupi, kubwereza kubwereza pa tibial apophysis kungayambitse kutukuka ku kukula komweko kwa fupa. Izi zikutchulidwa ndi mayina angapo, zomwe zonse zimatchula njira yomweyo. Mayinawa ndi odwala Osgood-Schlatter, traction osteochondritis, kapena apophysitis.
Kodi Kuwonongeka Kuchitika?
Ngakhale pali kutupa ndi kukwiya kwa apophysis ikuchitika, izi zowonongeka sizikhala zamuyaya. Anthu omwe ali ndi Osgood-Schlatter amadziwa kuti tibial tubercle ndi yotchuka kwambiri, ndipo izi zingapitirire mtsogolo m'moyo, koma zambiri sizimayambitsa vuto lililonse.
Zizindikiro za Osgood-Schlatter zikuphatikizapo:
- Ululu kutsogolo kwa shin, pansi pa bondo limodzi
- Kupititsa patsogolo kwa tibial tubercle
- Kutupa ndi chikondi cha tibial tubercle
- Ululu pa nthawi, koma mobwerezabwereza mu nthawi yotsatira, masewera
Njira Zothandizira
Kuchiza kwa Osgood-Schlatter kumapindula bwino ndi kupumula.
Mwa kupewa zinthu zomwe zimapangitsa kuti azisangalalanso ndi apophysis, kutupa kawirikawiri kumadutsa popanda mankhwala ena. Gawo lovuta ndilokuthamanga wothamanga wamng'ono kuchokera ku masewera omwe amakonda kwambiri pamene kupweteka kwa mawondo awo kumakhala pansi. Njira zamakono zochizira ndizo:
- Kupumula: Kupewa ntchito zovuta, makamaka kuthamanga ndi kulumpha, ndizo mafungulo othandizira kuchiza. Kutsimikiza kwathunthu kwa zizindikiro kungatenge chaka, choncho sizodabwitsa kuti ana akhale ndi zizindikiro zomwe zimapitirira kupuma pang'ono. Uthenga wabwino nthawi zina zizindikiro zimayendetsedwa, nthawi zambiri zimatha kupewedwa ndi kuchepetsa maseĊµera ndi kusewera ndi njira zina zomwe zafotokozedwa.
- Chipale chofewa : Kugwiritsa ntchito ayezi kumalo okoma mtima ndi kutupa kungakhale kothandiza kwambiri. Ana ayenera kuundana atangomaliza masewera awo kapena kuchita, ndikuthandizani kuteteza kutupa kuti zisapitirire.
- Mankhwala Oletsa Kutentha : Mankhwala ayenera kutengedwa motsogoleredwa ndi dokotala wa ana, koma akhoza kuthandizira kuthetsa zizindikiro. Mankhwalawa sayenera kugwiritsidwa ntchito kale kapena pa masewera, chifukwa amateteza ana kuti asadziwe ngati atachita ntchito zambiri.
- Knee Brace: Mabotolo ena a bondo angathandize kuthana ndi mavuto a tibial tubercle ndi apophysis. Izi ziyenera kuvala nthawi ya masewera pofuna kupewa zizindikiro zowawa.