Mitsipa yakakotama inogona kuva yakajairika kuvana vaduku, asi kazhinji vana vanokura zvakananga nguva inopfuurira. Zvakajairika sezvo vana vachitanga kufamba, mumakore avo okutanga ehupenyu, kuti vafukidze makumbo avo. Asi nekufamba kwenguva, makumbo anofanirwa kumira. Zvisinei, kune mamiriro ezvinhu anogona kukonzera kusagadzikana kusinganzwisisiki kwemucheto wakaderera , zvichiita kuti kuenderera mberi kunamatira kwemakumbo asingatongogadziriswe.
Chimwe chezvinhu zvinowanzoonekwa muvana mamiriro ezvinhu anonzi Blount's disease. Chirwere cha Blount chinetso chinokonzera kukura kusina kukwana uye kuenzaniswa kwemakumbo.
Iko kune maviri makuru evanhu veBountount's disease: vana vaduku nevechiri kuyaruka. Iyo infantile Blount's disease inowanzoongororwa muvana vane makore maviri kusvika ku5, asi chirwere chechiri kuyaruka chinowanikwa mumavangwanani ekuyaruka vana. Iko kunewo rudzi rushoma rwemamiriro ezvinhu aya anonzi Blount's chirwere chechidiki, kana chirwere chepakati che Blount's, sezvo ichiitika mumakore pakati pevana vechidiki nevana vechidiki.
Infantile Blount's Disease
Infantile Blount's chikonzero chinokonzera kukotama makumbo mudiki vaduku vana. Inenge kaviri inowanzoonekwa nevakomana kupfuura vasikana, uye kazhinji inowanikwa mumabvi maviri. Iyo mamiriro ezvinhu anoita kuti kusakanganiswa kwepakakukura kukura pamusoro pebhinhi, bone. Chikonzero chechinetso hachizivikanwi, asi mamiriro ezvinhu anoita kuti kuderedzwa kwekukura mune chimwe chikamu chekukura kweplate (asi kwete yose), saka kukura kwetibia kunenge kusingagumi.
Somugumisiro, pfupa rinowinhira sekunze kunokura nekukurumidza kupinda mukati.
Kunyange zvazvo chikonzero chechirwere chechidiki cheBount's disease hachizivikanwi, pane zvimwe zvizivikanwe zvinokonzera ngozi, kusanganisira:
- Nguva yekutanga yekufamba
- Kuwedzera muviri uye murefu mukuru
- Vana vakasi kana veInpanishi
- Vitamin D kukwana
Pane mamiriro ezvinhu mazhinji anogona kutaridzika seBount's disease, kusanganisira kuramba kwakanamatira kwemakumbo ayo ezvakanaka muvana vaduku, zvikwereti, uye mamwe mamiriro ezvinhu anokwanisa kutungamirira kumamiriro asina kufanira.
Kuruboshwe kusina kutenderwa, chirwere chevana vaFount's disease chinogona kutungamirira kune kusagadzikana kwezvakawanda, uye pakupedzisira kumabvi akabatana nemabvi kusanganisira meniscus misodzi nemabvi arthritis . Kazhinji kazhinji vana vaduku, pasi pezera remakore mana, vanorapwa vasingashanduri kuti vaone kana mamiriro acho ezvinhu achange achingosimbiswa kana kuti achingozvigadzirisa. Vanachiremba vakawanda vanorayira kuputika, kunyange zvazvo zvisati zvambove zvichiratidzwa kuti kuputika kunonyatsochinja mararamiro ezvinhu. Vamwe vanachiremba vanotenda kuti varwere vanovandudza nemabhande vangangodaro vachinatsika pasina kubvunda.
Zvokuvhiya zvinoshandiswa zvinowanzosiyana, asi nzira yekuvhiya inowanzokurudzirwa kuvana vane Blount's chirwere chinopfuurira pamusoro pemakore mana. Kazhinji, kazhinji pfupa rinoputsika (an osteotomy ), rinotungamirirwa, uye rakachengetwa munzvimbo itsva yekugadzirisa kuora. Nzvimbo itsva ndiyo kunyanya kukonzera kuti tariro inotungamirira kumutsoka wakarurama pakunopera kukura. Kusarudza nzira yakanakisisa yekugadzirisa nayo nzvimbo yemugumo inonetsa uye inonyatsopedzwa nechiremba anovhiya ane ruzivo rwakawanda kurapa Blount's disease.
Chirwere chechiduku cheBalount
Chirwere chechirwere chechidiki chechiduku chinosanganisira zvinhu zvakasiyana-siyana nehuwandu hwechidiki, asiwo kune zvimwe zvakasiyana.
Bhedheni, yevechiri kuyaruka Blount's inenge nguva dzose inokonzerwa nokuwedzerwa, uye mamiriro ezvinhu ari kunyanya kuwirirana nechinetso chiri kuwedzera chehutano hwehuduku . Nepo chikonzero chacho chisati chakanyatsojeka, zvinofungidzirwa kuva chigumisiro chekukuvadza kumunda wekukura kubva kukura kwehutundu hwemuviri kuti chibage chekukura hachikwanisi kushivirira.
Bracing haina kuratidzirwa kuti inoshanda mune vechidiki Blount uye haina kushandiswa. Kuvhiya ndiko kurapwa kwakakwana kwevechiri kuyaruka vane chiremera chakakotama-gumbo kubva kuBlount's disease. Kuvhiya kunowanzoitwa kuputsa bone uye kuchigadzirisa zvakare, zvisinei nekusiyana nevarwere vaduku, kurongeka hakufaniri kukonzerwa.
Mukuwedzera, vamwe vanachiremba vachabvisa kuwedzera, chirongwa chinonzi epiphysiodesis , pane yakasara kukura mupande kuitira kuti humwe hutachiona husati hwaitika.
> Sources:
> Birch JG. "Chirwere chebonde" J Am Acad Orthop Surg. 2013 Jul; 21 (7): 408-18.