Vechidiki vakawanda vane makore gumi nemasere kusvika ku17 vanotarisana nehutachiona hwepatella, iyo iyo inonzi inorwisa dema. Dambudziko rinowedzera kuburikidza nekushandura muviri. Iyo hutano inonzi Osgood-Schlatter chirwere, pane imwe nguva iyo inobata varume vechidiki vanobatanidzwa mumitambo .
Chii chinonzi Osgood-Schlatter chirwere?
Zvimwe zvakasiyana-siyana zve osteochondropathy yekuyaruka zvakatanga kurondedzerwa muzana remakore rechimakumi maviri nemazana madzitateguru kunze kwenyika. Chirwere chechirwere chinoratidzika nechitarisiko (pasina chikonzero chekunze - kuwa, kurohwa) kwekutambudzika paunofugama pamabvi uye achiumba kuvhara kwakadzika pasi payo. Kuchinja kwekunze kwekunetseka hakuoneki, mamiriro ezvinhu emuurwere anoongororwa seanogutsa. Pashure pemabvi rimwe, imwe inogona kurwara - nechinangwa chekuchinja.
Osteochondropathy tuberosity ye tibia inokonzerwa nekuwedzera kwemutoro pamakumbo asina kuumbwa zvakakwana. Pakati pemutambo unoshingaira, mishonga yehudyu inotambanudza tambo dzinobatanidza tibia uye bheti rakapfugama. Iko kune tendon misodzi inokonzera kurwadziwa nekudzima. Muviri wemwana unogona kuita kuti pfupa rekukura ribvise chirema, ipapo bump duku inowanikwa.
Osgood-Schlatter chirwere - zviratidzo
Zvimwe zvikonzero zvekuvandudzwa kwezvirwere zveAsgood-Schlatter ndevechiri kuyaruka, varumekadzi zvepabonde (vasikana 11-13 vane makore vanogona kurwara nechirwere ichi, asi kusvika kumwero muduku) nekubatanidzwa mune zvemitambo. Kana mwana achigara achiita gymnastics, hockey, yebhora, chikwata chekukwikwidza uye anonzwa kusanzwisisika uye kusungwa pasi pemabvi, zvakakosha kuterera kune zviratidzo. Osgood-Schlatter's knee joint joint has the following symptoms:
- simba rakasiyana-siyana remarwadzo pasi pemabvi, kuwedzera pashure pemutoro;
- kurwadziwa pasi pemabhedha, munzvimbo yehutachi;
- kuzvimba kwezvinyama zvinyoro;
- kukanganiswa kwemisungo yehudyu, kunyanya quadriceps.
Osgood-Schlatter chirwere-X-ray zviratidzo
Kuongororwa kwechiitiko kunoreva kliniki yekuongorora uye kuenzanisa nedhidhi data. Kana iyo osteochondropathy yehutachiona hwechibia ichiongororwa, x-ray yakasiyana zvikuru pakuenzanisa nezvimwe zvirwere zvakafanana, asi zvishoma. Kunze, chirwere chinogona kuvhiringidzwa nekupwanya, kupenga kana kuparadzaniswa kwepiphyseal process. Kudzidza kwemasangano kunoratidza zvinhu zvinotevera zvechirwere ichi:
- Iko kusati kwanyanya kuoma epiphyseal kushandurwa mafomu, sarudzo;
- Munharaunda yehutachiona, duku "proboscis" inoonekwa;
- zviduku zviduku zvamafupa zvinoonekwa, muchiyero kubva 1 kusvika ku3;
- mumushure wekusarudzwa - kusarudzwa uye kuparadzaniswa kwea apophysis yehutachiona nzvimbo.
Chirwere cheAsgood-Schlatter - chikwata uye chiyero chekusimudzira
Kuongororwa kweasteochondropathy hakukonzeri matambudziko apo nzira yezvirwere inowanzoitika. Murwere anorayirwa kurapwa kwema physotherapeutic zvichienderana nemufananidzo we radiographic uye kuti chirwere cheO Osodod-Schlatter chinoratidza sei; zvikamu zvinopesana nehuwandu hwekuoma kwezviratidzo.
Muchikamu chechirwere, zvitatu zvitatu zvakasiyana:
- Yokutanga. Zviratidzo hazvisi zvishoma, zviratidzo zvekunze hazvisipo, asi kurwadziwa kunooneka.
- Chechipiri - kurwadziwa kunowedzera, kune knoll pasi pemabvi.
- Chechitatu - chirwere chinosangana nekusagadzikana nguva dzose, kurwadziwa, zviratidzo zvekunze zviri pachena.
Osgood-Schlatter chirwere - kurapwa
Kuvhiringidza kwevatambi vaduku, sekutonga, kunoenda pachako mukati megore. Nezera, pfupa remapfupa rinomira kukura nekurwara kunopera. Chirwere cheAsgood-Schlatter hachina kutakura ngozi uye zvinoreva kuratidzira kurapa. Mushure mekambani yekutanga, inotora kubva pamwedzi mitatu. kusvika kumwedzi mitanhatu, chirwere chacho chinofanira kudzokera. Mune dzimwe nguva, chiitiko chakanaka chinoonekwa pashure pemwedzi 9-12. kana kuti haasviki zvachose. Nzira yekurapa chirwere cheA Osgood-Schlatter nenzira dzakachengetedza:
- kuve nekuzorora kwakakwana kwenharaunda yakakanganiswa;
- kushandiswa kwemafupa emashepiti kwenguva yakawanda yemitambo;
- kuderedza kwekuputika;
- kuenzanisira kwehutano hwepfupa maitiro e apophysis;
- massage;
- gymnastics;
- physiotherapy.
Osgood-Schlatter chirwere - LFK
Kana zviratidzo zvichitaurirwa, chirwere cheAsgood-Schlatter muvechiri kuyaruka chakajeka, kurapwa kunosanganisira dzidzo yenyama (LFK). Kudzidzira kunofanirwa kutambanudza mutsara we quadriceps, maitiro ekubereka. Aya matanho anogona kuderedza mutoro kunzvimbo iyo tendon yemabvi inowanikwa kune tibia. Nguva dzose kurovedza muviri LFK - kunyatsoshandisa maitiro kuti kusimbise mishonga yehudyu - kugadzikana uye mabvi akabatanidzwa. Varwere vanogona kuratidza kuzvimiririra, pasi pekutarisirwa kwechiremba kana mune imwe sanatorium chaiye.
Kubata neAsgood-Schlatter chirwere
Vashandi vakashinga, vanotarisana nechirwere chisingafadzi, vanokwanisa kuramba vachiita mitambo nekuda kwemazuva ano ekurapa. Pakati pavo - kuverenga , kuiswa kwekodhi dzakanakisisa dzekateti yakakonzerwa munzvimbo dzakakanganiswa. Nzira yacho inoratidzwa apo osteochondropathy yehubial tuberosity muvana nevechiri kuyaruka haina kupindira nehupenyu hwehupenyu uye inoda kururamiswa chete. Nokupfeka tape, unogona kuwana kuderedzwa kwehutano syndrome, kurongeka kwebasa remascular uye kufamba kwesimba.
Murwere ane chirwere cheAsgood-Schlatter
Nhengo dzemakumbo dzinoshandiswa kugadzirisa mabvi. Kupfeka kwavo kunobatsira kudzivirira kusimbiswa kwehutano, kukurumidzira kuporesa. Mhando mitatu yemuiti inoshandiswa:
- bandage;
- brace ;
- orthosis.
Muchiitiko chekutanga, mabvi akapfekedzwa pamabvi - akareruka, ari pakati kana akaoma, zvichienderana nechinangwa (kudzivirira, kudzivirirwa, kupora kunorwa). Zvimwe zvakasimba zvakasimba mabhesi anotonga mararamiro emabvi. Iwe unogona kuita zvidzidzo pasina kuisa majoini. Orthosegia neAsgood-Schlatter chirwere chinogadzirisa zvakasungirirwa mune imwe nzvimbo. Inogadzirisa kukonzera kwemukati, zvakanaka kunobata maitiro emabvi.
Electrophoresis muAsgood-Schlatter chirwere
Varwere vane kukuvadzwa kwakakomba - pachikamu chechipiri uye chechitatu chekukura kwehutano - zvinoratidzirwa chirotherapeutic kurapa kweAsgood-Schlatter chirwere. Osteochondropathy ye tibial tuberosity inobviswa nekupa zvinodhaka pasi peganda nemubatsiro wemagetsi emagetsi ( electrophoresis ). Nguva yekutongwa ndeye mwedzi 3-4. Mishonga inoshandiswa zvakasiyana:
- Chimwe chikamu chepamusoro chekukura kwechirwere chinoporesa ne 2% solution ye lidocaine yakateverwa nekushandurwa kwe nicotinic acid (niacin) uye calcium chloride.
- Nzvimbo inorema inosanganisira electrophoresis neAminophylline, iodine yePotassium, uye ipapo ine zvimwe zvikamu sepakutanga (CaCl2 + niacin).
Osgood-Schlatter chirwere - kurapwa nemishonga yevanhu
Kurapa kwakasiyana kunogona kuunza runyararo nehutano hwakawanda hunobatanidzwa nezvirwere zvemabvi. Izvi zvinosanganisira osteochondropathy tuberosity ye tibia. Chirwere cheAsgood-Schlatter chinoramba chichimbidzika nenzira dzinotevera dzemusha:
- mafuta anodzvinyirira;
- lotion;
- parafini bath.
Mafuta nezvinonhuwira kubva kumishonga zvinoshanda zvakanaka sechirwere chekubatsira (asi nemvumo yachiremba).
Mapoka mashomanana:
- Shredded yarrow neSt. John's wort yakavhenganiswa zvakaenzana, yakawedzerwa kune yakakanganiswa namafuta epork. Mishonga inoiswa pamoto muduku kwemaminitsi gumi nemashanu, inotonhorera. Inoshandiswa sechizoro.
- 1.5 tbsp. imwe spoonful ye celandine yakawedzerwa ku 200 ml yemvura yakabikwa. Mafuta anosimbiswa mukati mekupisa kwemaminitsi makumi matatu, ndokusvibiswa. Iyo yakasvibiswa nejaize, bhesi rinoshandiswa uye rinogadziriswa nebandani.
Osgood-Schlatter chirwere - kushanda
Iyo inonyanya kuwanikwa apo osteochondropathy inorayirwa chirongwa chinopindira. Izvi zvinoitika kana, pakuongororwa kwechirwere cheAsgood Schlatter, X-ray yakaratidza kupatsanurwa kwezvimedu zvakakura kubva muTibia, kana kuti hapana yemishonga inochengetedza yakaguma migumisiro. Zvimwe zviitiko - murwere anofanira kunge ane makore anopfuura 14. Nzira yekurapa sei Osgood-Schlatter chirwere mumatambudziko akaoma? Kuvhima kunosanganisira kubvisa mapfupa emapfupa (akaitwa pachena kuburikidza nekukanganiswa), kana kuvakonzera kuhutachi.
Osgood-Schlatter chirwere - zvikanganiso
Mushure mokubvisa zvinhu zvose zvinovhiringidza, kuve nekuzorora kwemajeri akakuvara uye kuita chirongwa chakakomba chinorapa, murwere anofanira kuramba achicherechedza matanho ekuchengetedza. Kuchengetedza chirwere cheAsgood-Schlatter muvechiri kuyaruka mune ramangwana, zvakakosha kuti udzikinure kune hutano, usazvidzivirira zvinokonzera chirwere (kusvetuka, kumhanya, kumire pamabvi). Iwe unogona kutora nzvimbo yemitambo yakawanda kune yakatendeka yakawanda (kushambira, motokari), kunyange, sekutonga, mushure mokunge kurapwa kwanyura, zvinorehwa kutamba mitambo zvakabviswa.
Matanho ekudzivirira haasi nguva dzose chivimbo chokuti chirwere chacho hachizozviratidzi zvakare. Chero microtrauma inogona kuitika kuva Osgood-Schlatter chirwere, kana iwe usingazvioni panguva uye wotanga kurapwa. Pangozi, pane nguva dzose vana nevechiri kuyaruka vanoita basa (nguva dzose, kutamba, mitambo) inotakura ngozi yekukuvadza kumucheto. Kune vadzidzisi varoti, mazuva ose kutarisirwa kwetsoka kunofanira kuva tsika yechimiro. Chero bedzi izvi zvinoita kuti urambe uine hutano hwakanaka uye udzivise osteochondropathy.