Osgood-Schlätter cuta: duk game da wannan gwiwa Pathology

Kumburi na guringuntsi girma na gwiwa

Cutar Osgood-Schlätter wani kumburi ne mai raɗaɗi na kashi da guringuntsi, wanda aka keɓe a cikin babba na tibia, a ƙarƙashin haɗin gwiwa gwiwa.

A cikin jargon likitanci, muna magana osteochondrosis ko osteochondritis na baya na tibial, tun da yake yana faruwa a matakin ƙananan shigar da tendon na patella, a matakin da ya dace. gaban tibial tuberosity (ko TTA), wato shaharar kashi a gaban tibia.

Drs Osgood da Schlätter ne suka fara gano wannan cutar kuma suka bayyana shi a cikin 1903 da Drs Osgood da Schlätter suka ba shi sunayen haɗin gwiwa. Cutar Osgood-Schlätter yawanci unilateral, kuma galibi damuwa yara masu wasa da matasa masu shekaru 10 zuwa 15. Ko da yake tazarar jinsi na raguwa, har yanzu yara maza sun fi fuskantar matsalar fiye da 'yan mata, saboda yawan shiga cikin wasanni. Wannan cutar ta shafi kashi 4% na duk samari, kuma kusan kashi 20% na samari masu motsa jiki.

Wannan kumburin gida na guringuntsi mai girma yana samuwa dagamotsa jiki mai tsanani na wasanni tare da matsananciyar damuwa akan ƙafar da aka shafa. A cikin daki-daki, shi ne overworking na guringuntsi saboda maimaita motsin motsi a tsawo (kamar harbi ball) yana haifar da micro-trauma. Wannan al'amari ya fi kasancewa a cikin yanayin haɓaka cikin sauri, na ayyukan motsa jiki mai tsanani (musamman ƙwallon ƙafa, da sauran wasanni masu tasiri mai tasiri), da yiwuwar taurin haɗin gwiwa da yawa.

Osgood-Schlätter cuta: abin da bayyanar cututtuka da kuma wanda za a tuntubar?

Babban alamar cutar Osgood-Schlätter shine zafi : yaron yana korafin jin zafi a duk lokacin da ya motsa wurin da abin ya shafa, misali lokacin wasanni ko lokacin hawa ko saukar da matakala. Ciwon yana kara tsanantawa yayin aiki, kuma yana raguwa a hutawa.

Wani alama mai ban sha'awa zai iya faruwa: shi ne kumburin gaban gwiwa, saboda kumburi na gida. Yankin ya kumbura, mai taushi, mai raɗaɗi ga taɓawa. Ƙananan rauni na iya haifar da wani girma kashi, wanda shi ne kananan karaya (micro-learing na guntun kashi), saboda rashin cikar ossification har yanzu.

Ko da yake yana da wuyar gaske, wannan cuta na iya gano ta ta hanyar babban likita, kuma da wuya yana buƙatar sa hannun ƙwararren masani (rheumatologist). A gefe guda, yana iya zama mai hikima a tuntuɓi likitan ilimin lissafin jiki bayan an huta, don yin aiki mai sauƙi da sake dawowa wasanni.

Rediyo don tabbatar da ganewar asali

Yayin da jarrabawar asibiti na iya isa don gano cutar Osgood-Schlätter a gaban alamun bayyanar cututtuka, likita na iya ba da umarnin X-ray, musamman. Idan cikin shakka.

Radiyon X-ray zai tabbatar da cewa hakika irin wannan nau'in osteochondrosis ne, kuma a ciki zai ƙayyade mataki, da tsanani. Ta haka X-ray zai iya haskaka wani gagarumin guguwa na tibial tuberosity, wannan sanannen kashin da ke gaban tibia.

Ana nuna rediyo musamman idan yaro ko matashi yana da wasu alamomi, kamar kumburi mai tsanani, ja, ko ɗumamar wurin. Domin waɗannan na iya zama alamar kumburin haɗin gwiwa ko kuma mafi mahimmancin karaya, musamman ma idan akwai ciwo mai tsanani. Sa'an nan magani zai bambanta.

Jiyya: yadda za a bi da Osgood-Schlätter cuta?

Magani ba kasafai ake yin tiyata ba. A mafi yawan lokuta, kuma idan babu rikitarwa, likitoci sun rubuta dakatar da wasanni, hutawa, da shan analgesics da magungunan anti-inflammatory marasa steroidal (NSAIDs, irin su ibuprofen) don zafi. Magani mai sauƙi na akalla wata ɗaya zuwa shida idan ba haka ba, wanda ko da yaushe ba a yarda da shi ta hanyar samari masu son wasanni.

Za a iya nuna mikewar tsoka ta hanyar ilimin likitancin jiki don sake dawo da wasanni a hankali, musamman ma idan akwai taurin tsoka. Hakanan za'a iya ba da izinin sanya takalmin gyare-gyaren gwiwa ko orthosis, don rage radadi a yayin motsa jiki ko ma lokacin hutu, kodayake amfanin waɗannan na'urorin likitanci ana jayayya a cikin wannan cututtukan.

A cikin yanayin zafi mai tsanani da / ko wahalar zama a hutawa, ana iya sanya simintin gyaran kafa, amma wannan magani ne da ba kasafai ba saboda yana takurawa yaro.

Lura cewa farkon cutar Osgood-Schlätter na iya zama damar da iyaye da yara su sake tunani game da wasan su kadan, me yasa ba ta hanyar rage karfin ba, ta hanyar sauraron kanku da yawa ko ta hanyar rarraba wasannin da ake yi. Hakanan yana iya zama hikima a bayyana rashi na bitamin D mai yiwuwa tare da gwajin jini.

Ba a yi la'akari da tiyata ba sosai, kuma an tanada shi don mafi tsanani lokuta, kuma idan babu ingantawa duk da an dakatar da shi. Ya kamata gabaɗaya ya kasance yi a balaga, lokacin da girma ya cika cikakke.

Ka tuna cewa wannan cuta ce mai sauƙi tare da kyakkyawan hangen nesa na dogon lokaci, kuma yawancin yaran da abin ya shafa suna murmurewa cikin sauƙi.

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