Kukurira kurwadziwa muvana vaKees
Chirwere cheAgogood-Schlatter chirwere chinorwadza chinogumbura mabvi kana mabvi ekukura vana. Chirwere chepanyama cheAsgood-Schlatter chirwere chinogona kuva mushonga unobatsira kubatsira kuvandudza kufamba uye kuderedza chirwere ichi chinorwadza.
Kana mwana wako aine marwadzo pamberi peimwe kana mabvi maviri ose, angave ari kutambura nechiitiko chinonzi Osgood-Schlatter chirwere.
Izvi zvinobata vana vanofamba kuburikidza nekukura, uye zvinonyanya kufungidzirwa kuti "mabvi anowedzera kurwadziwa." Zviratidzo zvingaita kuti mwana wako arege kuita mabasa akadai sekumhanya, kumhanyira, kana kuputika.
Zviratidzo zveAsgood-Schlatter Disease
Zviratidzo zveAnggood-Schlatter zvirwere zvinogona kusanganisira:
- Pain iri pasi pemabvikete mune rimwe kana mabvi maviri mumwana
- Kuoma kunokamba uye kukwira nekuda kwemarwadzo emabvi
- Chiratidzo chinonzi bony bump pamberi peimwe kana mabvi maviri
- Pain to palpation (touch) pamberi peimwe kana mabvi maviri
Kana mwana wako akanyunyuta nezvimwe zvezviratidzo izvi, unofanira kumutora kuna chiremba. Chiremba wako anogona kugutsikana (kana kutonga kunze) chirwere cheAgogood-Schlatter chirwere. Mwana wako anogona kubva atanga kuronga kwakakodzera kwechiitiko chacho. Kurapa kwepanyama kunowanzokurudzirwa kuti ubatsire mwana wako kuti awane zororo pamabvi ekurwadziwa kubva kuAsgood-Schlatter chirwere.
Chii Chinokonzera Osgood-Schlatter Disease?
Chirwere cheAsgood-Schlatter chinokonzerwa nekutsamwirwa kwechirwere chemadzinza, nharaunda iri pedyo nepamusoro peShin bone apo tete yako inowedzera.
Iko kune chikafu chekukura uko uko kukurumidza kukura kwemafu kunoitika sezvo mwana wako aripo. Iti patellar tendon inokonzerwa nemisungo yako ye quadriceps sechikamu chebhekete yako. Apo mwana anofamba nechikamu chinokurumidza chekukura - anenge ane makore gumi kusvika kune gumi nemashanu - iyi tendon inogona kuvhomora zvisina kufanira pamutsara wayo wokuisa pane shin bone.
Izvi zvinogona kutungamirira kumarwadzo uye kuonekwa kunokonzera pasi pebhachipap.
Vana vane Osgood-Schlatter vanowanzova nemarwadzo emabvi, uye vanogonawo kuratidza humwe humwe zviratidzo, kusanganisira:
- Urefu ndeye misungo ye quadriceps pamberi pehudyu
- Hamstring tightness
- Mhuru yakasimba
- Kuenzanisa kana kuwirirana
Mwana wako angave ane imwe kana zvizhinji zvezviratidzo izvi. Kuongorora nechiremba wako kana iwe uchifungira kuti mwana wako ane chirwere cheAgogood-Schlatter chinyorwa chakanaka chekutanga pakuwana kurapa kwakakodzera.
Kurapa Kwepanyama kweAsgood-Schlatter Disease.
Kana mwana wako akaongororwa ane chirwere cheAsgood-Schlatter, iye kana angave anobatsirwa nekushanda nemutano wepanyama. Mushonga wako wepanyama achaita sarudzo kuti aongorore mamiriro emwana wako. Anogona kubva aita mazano ekubata zvakakodzera mamiriro acho ezvinhu.
Maedzo chaiwo uye zviyero zvinogona kutorwa panguva yekurapa kwepanyama nyanzvi yeAsgood-Schlatter chirwere inogona kusanganisira:
- Nzira dzemabvi, chiuno nemakumbo kutenderera (ROM)
- Chikamu chekuongorora
- Chiyero chemugumo wakasimba simba
- Maitiro anoshandiswa kumucheto wakaderera
- Flexibility assessment
Muongorori wako wepanyama achashandisa ruzivo rwakanoungana panguva yekuongorora kwekutanga kuronga chirongwa chekurapa kumwana wako.
Iva nechokwadi chekubvunza chero mibvunzo pamusoro pemamiriro emwana wako, uye ita nechokwadi kuti unonzwisisa zvinotarisirwa iwe nevana vako panguva ye PT.
Chirwere cheAgogood-Schlatter chirwere chinogona kusanganisira zvikamu zvakasiyana-siyana. Chinonyanya kukosha chekutora mwana wako PT ndicho chirongwa chakasimba chepurogiramu yeAsgood-Schlatter chirwere . Zvimwe zvakasiyana-siyana zvePCT zvinogona kusanganisira:
- Kutarisa maitiro . Vana vazhinji vane chirwere cheAsgood-Schlatter vane kushanda mune rimwe kana kupfuura mamwe mapoka emakumbo. Inotarisa kuti hamstrings inyoreswe kuti ibvumira mabheti emwana wako kuti awedzere. Kutsvakurudza kunoratidza kuti varwere vane chirwere cheAsgood-Schlatter vanogona kunge vakaderera mabheji ROM, zvichida nekuda kwekumanikidzwa mumisungo ye quadriceps. Kutarisa quads kunogona kuva imwe basa rinogona kuitwa. Kuita mhuru dzenzombe kunogonawo kudzivirira kufamba kwakasvibiswa kubva kuitika pamabvi emwana wako panguva yekuita mabasa, kuitira kuti mhuru yakatambanudzwa inogona kunyoreswa nemutano wako wepanyama.
- Kusimbisa maitiro . Yako PT inogona kukurudzira chiito chekuita kuti ubatsire nzira iyo mitsipa yemwana wako inotsigira bhandi rake. Kusimbiswa kwe quadriceps, hamstrings, uye mushuputi hwechiuno zvinogona kunyorwa.
- Kuenzanisa uye kubatana maitiro . Vamwe vana vane chirwere cheAsgood-Schlatter vanoratidzika kusina kukwana kana kuti kubatana. Iko PT inogona kukurudzira kuenzanisa maitiro - kufanana neT-Stance - kubatsira kubatsiridza kuenzanisa uye kuderedza kushungurudzika uye kuoma kumabvi panguva yepamusoro-soro mabasa sekumhanya nekukwira.
- Pain relief relief modalities . Mupfungwa wemwana wako anogona kushandisa miviri yakadai sekupisa kana kuti ice kuti abatsire kudzora marwadzo ayo mwana wako anonzwa. Anogonawo kushandisa kupisa vasati vatora maitiro ekubatsira kuti vatsigire kukwanisika kwese kwemisungo kuti iwedzere. Maitiro ekupinza, sekushandiswa kweMcConnell kana kinesiology tape, inogona kushandiswa, asi kubudirira kwayo hakuna kubvumidzwa. Mushonga wakanakisisa weAgogood-Schlatter chirwere inoshingaira chirongwa chirongwa chinosanganisira kutambanudza, kusimbisa, nekufamba. Zvirwere zvisingaiti sezvinoita kupisa, kutengesa, kana mazaya anganzwa zvakanaka, asi izvi hazvizobatsiri kuchinja mamiriro acho ose. Iko kushanda kwemwana wako kushanda uye kubatanidzwa mukurapa kwake kunogona kubatsira nekubata zvakajeka chirwere cheAsgood-Schlatter.
Vanhu vazhinji vanoshamisika kuti chirongwa chekugadzirisa kwemazuva chinofanira kunge chakave chei cheAgogood-Schlatter chirwere. Munhu wose akasiyana, uye munhu wese achave nechirongwa chakasiyana chemuitiro wehutano hwavo. Munowanzo, purogiramu yako yePP inofanira kunge iri pfupi, uye ingangosanganisira masangano mashomanana kuti ave nechokwadi chokuti maitiro anoitwa-uye akaitwa zvakanaka.
Zviitiko zvizhinji zveAsgood-Schlatter zvirwere ndezvokuti kuzvideredza. Izvi zvinoreva kuti kurwadziwa kwemabvi kuchapedza pakupedzisira kana kusati kwabatwa zvachose. Mamwe matambudziko anoguma kwemwedzi inenge 12 kusvika ku24, asi inogona kuva shoma kana chirongwa chakakodzera chekuvhidzira chinotanga apo mwana anotanga kuonekwa. Ikoko duku kadiki pamberi pemabvi emwana wako kunogona kuramba yakagadzikana, asi haifaniri kukonzera marwadzo chero ipi zvayo kana kushanda kwakakwana semwana wako.
Matanho Okutanga Kutora
Kana mwana wako akaongororwa ane chirwere cheAsgood-Schlatter, kune zvishomanana tinoti iwe unofanira kuita kuti utange kurapa kwakakodzera . Chokutanga, usatya. Kunyange zvazvo mwana wako angave achinyunyutira kurwadziwa kwemabvi, chiratidzo ichi chinowanzopfupika uye hazvirevi kuti chinomirira chero ngozi inokosha kana kukuvadza mwana wako kana mabvi ake.
Kana uchitarirwa neAgogood-Schlatter chirwere, mwana wako angave achifanira kudzivisa kuita zvinhu zvinowedzera kwevhiki dzinoverengeka. Izvi zvinogona kusanganisira kudzivisa mitambo uye mamwe mabasa ekukwirira. Nguva yenguva pfupi yekuzorora inogona kubatsira kuderedza marwadzo emabvi kubva pakudzokorora zvakare kusvika ku tibial tubercle nekukura kweplate.
Iwe unotanga kutanga purogiramu yakashanda yemapiritsi ehutano pakarepo kana mwana wako akawanikwa ane Osgood-Schlatter chirwere, Sei? Nokuti izvi zvinogona kubatsira mwana wako kuti ave nesimba pamusoro pemamiriro ake ezvinhu. Chirongwa chepanyama chinogona kubatsira mwana wako kukurumidza kugadzirisa matambudziko ake uye anogona kubatsira kudzivirira zvirwere zvemabvi mune ramangwana.
Shoko kubva
Kana mwana wako ari kunyunyuta nezvekurwadziwa kwemabvi uye akawanikwa ane chirwere cheAsgood-Schlatter, iye anogona kubatsirwa nekushanda nemutano wepanyama kuti adzidze kuti angakwanise sei kutarisira mamiriro acho ezvinhu. Iko PT inogona kuratidza mwana wako kurongedza kwakakodzera kuti aite kuti abatsire kuvandudza kufamba uye kuderedza marwadzo kumativi emabvi. Nenzira iyo, mwana wako anokwanisa kudzokera kumabasa echiitiko nokukurumidza uye nekuchengeteka.
Sources:
Scaron; arčević, Z. Kukanganiswa kwemakumbo kwemakumbo: a predisposing factor kuMorbus Osgood-Schlatter? Kuvhiyiwa kwepachikafu, mitambo yepasimatology, arthroscopy. 16 (726) August 2008.
Tzalach, A, et al. Kuwirirana pakati pemabvi emabvi ekudzika kwemafambiro uye Osgood-Schlatter's syndrome pakati pevatambi vechidiki vari kutamba. BJMMR. 11 (2), 2016.