Bacha ba bangata ba lilemo li 11-17 ba tobana le lefu la patella, leo ho lona ho thehoang edema e utloisang bohloko. Bothata bo fetisetsoa ka ho feto-fetoha ha leoto. Bothata ba lefu lena bo bitsoa lefu la Osgood-Schlatter, ka tekanyo e kholo e ama banna ba kenang lipapaling .
Sefuba sa Osgood-Schlatter ke eng?
Osteochondropathy e sa tšoaneng ea bocha e ile ea hlalosoa ka lekhetlo la pele lekholong la bo20 la lilemo ke lingaka tse peli tsa basele. Bothata ba lefu lena bo tsejoa ka ponahalo (ntle le sesosa se ka ntle - ho oa, ho otloa) ha bohloko ha u khumama ka lengole 'me u etsa ho ruruha ho boima ka tlaase ho eona. Liphetoho tsa ka ntle tsa ho ruruha ha li bonahale, boemo ba mokuli bo nkoa e le bo khotsofatsang. Ka mor'a hore lengole le leng, e mong a ka kula - ka liphetoho tsa tlhaho.
Osteochondropathy tuberosity ea tibia e bakiloe ke moroalo o eketsehileng marapong a sa thehoang ka botlalo. Nakong ea lipapali tse mafolofolo, mesifa ea letheka e otlolla li-tendon tse amanang le tibia le seqhoa sa lengole. Ho na le meokho ea likhapha tse bakang bohloko le ho ruruha. 'Mele oa ngoana o ka etsa hore palo ea masapo e felise sekoli, ebe ho hlaha bumpana e nyane.
Lefu la Osgood-Schlatter - matšoao
Lintlha tse ka sehloohong tsa nts'etsopele ea lefu la Osgood-Schlatter ke lilemong tsa bocha, banna ba batona (banana ba lilemo li 13 ho isa ho ba lilemo li 13 ba kotsing ea lefu lena, empa ka tlaase ho moo) le ho nka karolo lipapaling. Haeba ngoana a tloaetse ho etsa li-gymnastics, hockey, bolo ea maoto, ho apara liaparo le ho ikutloa a sa phutholoha le tlama tlas'a lengole, ke habohlokoa ho ela hloko matšoao. Sefuba sa majoe a Osgood-Schlatter se na le matšoao a latelang:
- matla a bohloko a fapaneng tlas'a lengole, ho eketsa ka mor'a mojaro;
- bohloko bo ka tlase ho kneecap, sebakeng sa tuberosity;
- ho ruruha ha lisele tse bonolo;
- tsitsipano ea mesifa ea serope, haholo-holo quadriceps.
Sefuba sa Osgood-Schlatter - X-ray
Ho lemoha boemo boo ho bolela hore tlhahlobo ea kliniki le ho bapisa le data ea radiographic. Haeba osteochondropathy ea tuberosity ea tibia e fumanoa, x-ray e fapane haholo ha e bapisoa le mafu a mang a joalo, empa a fokolloa haholo. Ka ntle, lefu lena le ka ferekanngoa le ho senya, ho qhekella kapa ho sotha mokhoa oa epiphyseal. Ho ithuta manonyeletso ho senola likarolo tse latelang tsa lefu lena:
- sebopeho se seng se se se le thata sa epiphyseal se fetotse foromo, mohaho;
- Sebakeng sa tuberosity, "proboscis" e nyenyane e hlokomeloa;
- likhechana tse nyenyane tsa lesapo li bonahala, ka chelete ho tloha ho 1 ho isa ho tse 3;
- ka mokhoa o latellanang - ho rarolla le ho arohana ha apophysis sebakeng sa tuberosity.
Sefuba sa Osgood-Schlatter - sethaleng le tekanyo ea tsoelo-pele
Ho lemoha ha osteochondropathia ha ho bake mathata ha mokhoa oa ho kula o tloaelehile. Mokuli o fuoa phekolo ea physiotherapeutic ho latela setšoantšo sa radiographic le kamoo lefu la Osgood-Schlatter le iponahatsang kateng; mekhahlelo e fapane ho ea boima ba matšoao.
Nakong ea lefu lena, likhato tse tharo li khetholloa:
- Ea pele. Matšoao ha a fokotsehe, ponahalo e kantle ha e eo, empa bohloko bo bonahala.
- Ea bobeli - bohloko bo ba matla haholo, ho na le knoll tlas'a lengole.
- Ea boraro - lefu lena le tsamaea le ho se utloise bohloko, bohloko, lipontšo tsa ka ntle li hlakile.
Maloetse a lefu la Osgood-Schlatter
Ts'ebetso ea ho ruruha ho baatlelete ba bacha, e le molao, e tsamaea ka boeona nakong ea selemo. Ha e se e le lilemo, lisele tsa lesapo li khaotsa ho hōla le ho kula. Lefu la Osgood-Schlatter ha le na kotsi ebile le bolela phekolo e itekanetseng. Ka mor'a thupelo ea pele, e leng ho tloha likhoeli tse 3. ho fihlela likhoeli tse tšeletseng, lefu lena le tlameha ho khutla. Maemong a mang, liphello tse ntle li hlokomeloa ka mor'a likhoeli tse 9-12. kapa ha e tle ho hang. Tsela ea ho phekola lefu la Osgood-Schlatter ka litsela tse tsitsitseng:
- ho etsa bonnete ba hore phomolo e feletseng bakeng sa sebaka se amehileng;
- ho sebelisa bandage ea masapo bakeng sa nako ea lipapali;
- ho fokotsa ho ruruha;
- ho tloaeleha ha mokhoa oa ho theha masapo oa apophysis;
- ho silila;
- li-gymnastics;
- physiotherapy.
Lefu la Osgood-Schlatter - LFK
Haeba matšoao a phatlalatsoa, lefu la Osgood-Schlatter lilemong tsa bocha le le khanyang, phekolo e kenyelletsa thuto ea 'mele (LFK). Ho ikoetlisetsa ho hlokahala bakeng sa ho otlolla mesifa ea quadriceps, litlhapi tsa ho ikatisa. Litekanyo tsena li ka fokotsa moroalo sebakeng seo thoto ea lengole e kenyelletsoeng ho eona. Ho ikoetlisa kamehla LFK - ka ho khetheha ho ikoetlisa ho matlafatsa mesifa ea letheka - ho tsitsisa le lengole. Bakuli ba ka ikoetlisa ka boithatelo, tlas'a tlhokomelo ea lingaka kapa setulong se khethehileng sa sanatorium.
Tlanya le lefu la Osgood-Schlatter
Baatlelete ba mahlahahlaha, ba tobaneng le mafu a sa thabiseng, ba ka tsoelapele ho bapala lipapali ka lebaka la mekhoa ea kajeno ea kalafo. Har'a bona-ho thaepa , ho behoa lik'hamera tse khethehileng tsa k'hothone libakeng tse amehileng. Tsamaiso e bontšoa ha osteochondropathia ea lefuba la tibial ho bana le lilemong tsa bocha ha e sitise bophelo bo tloaelehileng mme e hloka ho lokisoa feela. Ka ho apara tepi, u ka finyella ho fokotseha ha lefu la bohloko, ho tloaeleha ha mosebetsi oa mesifa le ho tsamaea ka maoto.
Mamello le lefu la Osgood-Schlatter
Lisebelisoa tsa lisebelisoa li sebelisoa ho lokisa lengole. Ho apara ha bona ho thusa ho thibela tsoelo-pele ea mafu, ho potlakisa mokhoa oa ho folisa. Mefuta e meraro ea sehlahisoa e sebelisoa:
- lebanta;
- sebete ;
- orthosis.
Boemong ba pele, lengole le apere ka mangole-le bonolo, le bohareng kapa le thata, ho itšetlehile ka sepheo (thibelo, tšireletso, ho fokotsa bohloko). Li-braces tse thata li laola marotholi a mangole. O ka etsa lipapali ntle le ho laola manonyeletso. Orthostese le lefu la Osgood-Schlatter le lokisa motsoako boemong bo itseng. E kokobetsa khatello ea lehae, ka katleho e ama tsela ea lengole.
Electrophoresis lefung la Osgood-Schlatter
Bakuli ba nang le likotsi tse matla - methong ea bobeli le ea boraro ea nts'etsopele ea mafu - ba bontšoa phekolo ea physiotherapeutic ea lefu la Osgood-Schlatter. Osteochondropathy ea tibial tuberosity e felisoa ka ho sebelisa lithethefatsi tlas'a letlalo ka thuso ea motlakase ( electrophoresis ). Nako ea ts'ebetso ena ke likhoeli tse 3-4. Meriana e sebelisoa e fapaneng:
- Sethaleng se leka-lekaneng sa nts'etso-pele ea mafu a phekoloa ka pheko ea 2% ea lidocaine e lateloa ke ho fetolela nicotinic acid (niacin) le calcium chloride.
- Sethala se boima se akarelletsa electrophoresis le Aminophylline, iodine ea potassiamo, ebe joale e na le likarolo tse tšoanang le tsa pele (CaCl2 + niacin).
Lefu la Osgood-Schlatter - kalafo ka mekhoa ea batho
Meriana e meng e ka tlisa phomolo ka maloetse a mangata a amanang le maloetse a mangole. Tsena li kenyelletsa osteochondropathy tuberosity ea tibia. Lefu la Osgood-Schlatter le khutlela kapele ka mekhoa e latelang ea lehae:
- oli e hatella;
- lotion;
- parafine bath.
Mafura le lisebelisoa tse tsoang litlama li sebetsa hantle joaloka phekolo e thusang (empa ka tumello ea ngaka).
Li-diresepe tse 'maloa:
- Shredded yarrow le wort St. John's ba tsoakane ka ho lekanang lekana, a phaella ho melted nama ea nama ea kolobe. Pheko e kenngoa mollong o monyenyane metsotso e 15, e pholile. E sebelisoa e le mafura.
- 1.5 tbsp. e nang le khaba ea celandine e kenngoa ho 200 ml ea metsi a phehiloeng. Mafura a tsitlalletse mocheso ka metsotso e 30, ebe o tlhotliloeng. Mokelikeli o kenngoa ka gauze, lengole le sebelisoa 'me le tsitsitsoe ka bandage.
Maloetse a lefu la Osgood-Schlatter
Ke ntho e sa tloaelehang haholo ha osteochondropathia e laeloa hore motho a kenelle lipakeng. Sena se etsahala haeba, ha ho fumanoa lefu la Osgood Schlatter, X-ray e senola ho arohana ha likaroloana tse kholo ho tloha tibia, kapa ha ho letho le le leng la phekolo e tsitsitseng le hlahisitseng litholoana. Boemo bo bong - mokuli o tlameha ho ba le lilemo tse fetang 14. Ho phekola lefu la Osgood-Schlatter joang maemong a thata? Ts'ebetso ena e kenyelletsa ho tlosa likhechana tsa lesapo (tse entsoeng pepeneneng ka ts'ebetso), kapa ka ho li lokisa ho tuberosity.
Lefu la Osgood-Schlatter - meeli
Ka mor'a ho felisa lintho tsohle tse halefisang, ho etsa bonnete ba hore phomolo ea lengole le phomolo le ho etsa phekolo e fokolang, mokuli o lokela ho tsoela pele ho hlokomela mehato ea ho itšireletsa. E le ho thibela lefu la Osgood-Schlatter lilemong tsa bocha, ho hlokahala hore u fane ka lesole, u qobe ho hlasela batho ba nang le lefu lena (ho qhoma, ho matha, ho ema maotong). U ka nka lipapali tse tloaelehileng bakeng sa ho tšepahala (ho sesa, ho khanna), le hoja, ka molao, ka mor'a hore phekolo e felile, lithibelo tsa ho bapala lipapali lia tlosoa.
Mehato e thibelang hase kamehla tiiso ea hore lefu lena le ke ke la iponahatsa hape. Mofuta o mong le o mong oa microtrauma o ka hlahisa lefu la Osgood-Schlatter, haeba u sa e bone ka nako 'me u qala phekolo. Ha ba le kotsing, ho na le bana le bacha bao ketsahalo ea bona ea kamehla (ho tantša, lipapali) ho na le kotsi ea ho lematsa lipheletsong tse tlase. Bakeng sa baatlelete ba litsebi, tlhokomelo ea letsatsi le leng le le leng e lokela ho ba moetlo oa tloaelo. Ke feela ka tsela ena ho ka khonehang ho boloka bophelo ba mangoana le ho qoba osteochondropathy.