Blount kaThixo sifo: unyango ekhaya

Kutshanje, oogqirha izigulane abaselula ngoxilongo ngokugqithisileyo ngazo zezigulo ezahlukeneyo musculoskeletal. Ukuxhaphaka ezingaqhelekanga kwinkqubo musculoskeletal liye landa amaxesha 2.5 kule minyaka ili-10. Phakathi kwabo, indawo yesibini emva yamathambo kuthatha isifo Blount.

Okokuqala wachaza ngezifo of Austria wamathambo Erlacher ngo-1922. Kamva, Blount wandisa ukuqonda kwesi sifo, wabiza ukubonakala yakhe iphambili kwezonyango lesiquluba. esime yakhe phezulu iziphumo lomonakalo olusisigxina ukushukumiseka kwi joint emadolweni. Ngenxa yoko, ukukhula intlala lanqunyanyiswa okanye kwapheliswa ngokupheleleyo.

Oonobangela kunye neendlela zophuhliso izifo

Iimbangi ngqo kwesi sifo ayaziwa. Oogqirha baye babonisa iziphakamiso ezimbalwa kule nkalo. isifo Blount kaThixo kunokubangelwa chondrodysplasia yasekuhlaleni, ngenxa apho kwinkqubo zophendlo lwezifo ibandakanya epiphyseal intlala le lesiquluba. La zicacisiwe bubukho mgaqweni iziphene ezininzi izigulana vo, yaye ucebisa ikhonkco yemfuza.

Umnyele inkqubo sifo izinto ezimbini: i luhlaza kwenkqubo musculoskeletal kunye neziphene yokwakheka kubume kweqondo asezantsi. Xa uzibekela varus lesiquluba isigulane angaphezu-ombane condyle zangaphandle okanye zangaphakathi. Ngenxa yoko, le ndlala pineal inyuswe, ngokucacileyo kuthatha indawo engalunganga kunye iishifti. Phantsi koxinzelelo ngokugqithiseleyo ithambo nje kuphela, kodwa inyama kwezihlunu. Kunye nophuhliso inkqubo zophendlo lwezifo le meko uya kufumana kuphela mandundu - intlala ngokucotha similise ngethambo kwaye akanako ukumelana umthwalo enjalo, nto leyo umntu esempilweni.

Phakathi imiba predisposing ukuya sifo zezi zilandelayo:

• luphele;
• ukuphazamiseka kwenkqubo yonyango;
• kwasekuzalweni le lesiquluba.

Phakathi kwezinye izizathu, kubalulekile ukuqaphela ukuba ukuswela novithamini D. Xa ayinalo okanye ukuhlukunyezwa nokwenziwa emzimbeni kungabangela kuguquka ekhokelela kuphuhliso sifo.

Iimpawu kunye kubonakaliswa kuqala

isifo Blount lenzeka khona abantwana ukususela kwimihla yokuqala yobomi, kodwa uqala ukubonisa kuphela kweminyaka emibini. Ekuqaleni, abazali unokuphawula ugobile okungephi umzantsi womlenze. Kwixesha elizayo, le nkqubo iza ingapheli. Umntwana akakwazi elide ukuma ngeenyawo zakhe, yena usoloko uzama ukuhlala phantsi okanye ukubambelela inkxaso. Kakade kweli nqanaba umntwana eqalisa ukujingxela, yena hlukile duck iqinelwa (perevalivanie ezinyaweni enye ukuya kwenye). Ubukhulu ugobile le lesiquluba ziyahluka ukusuka degrees-20 ukuya kuma-80.

Yokunqongophala konyango abanobuchule kukhokelela ukuphazamiseka olinganise kubungakanani lokugqibela. Imilenze mfushane kakhulu, yaye izandla zakhe phezu imvelaphi yazo zibonakala elide ngokugqithiseleyo. Ngamanye amaxesha iminwe kufikelele emadolweni. Ngokuchasene imvelaphi ezi utshintsho izigulane kubonakala tyaba, kunciphise ithoni kwemilenze.

iimviwo Medical kunye isifo

Kufuneka wenze ntoni xa urhanela isifo Blount? Photo ezibonisa inkqubo zophendlo lwezifo ukunceda abazali abaninzi kusekwangoko ukumisela ukwaphulwa. Ukuze uqinisekise uxilongo kufuna kokubonisana podiatrist. Enye abanezakhono ngokwaneleyo ukuba uhlolisise umntwana kuqhuba ngovavanyo olulula. Itakane ukuba zazise imilenze, emva koko umgama kuqikelelwa phakathi imilenze. Ukuba ngaphezulu kwe-5 cm, umntwana akabi ukuthumela-x-reyi ukufumana umfanekiso opheleleyo clinical. Ngophuhliso iingxaki (ngezifo ezahlukeneyo intlala okanye ithambo) unokufuna ukuba umfaki-MRI ne- CT scan. Ngokutsho kweziphumo zoviwo ugqirha omkhanyelayo okanye uqinisekisa uxilongo "isifo Blount kaThixo."

Treatment ekhaya

Self-unyango kwesi sifo Blount ayikho wamkelekile, qiniseka ukuba adibane podiatrist. Ukhetho indlela unyango ixhomekeke nqanaba lenkqubo lwezidumbu, ubudala yomguli kunye neempawu ngabanye eziphilayo. Xa lokuqala iziphumo ezigqwesileyo ibonisa unyango ngokwasemzimbeni kunye yokuthanjiswa ezizodwa ukulungiswa ezinxaxhileyo. LFK complex luquka ngendlela ethile yokulungisa. Ezi ifaka kungenziwa ekhaya emva emiselweyo yazo ngugqirha. Xa umntwana flatfoot amakishiweyo banxibe izihlangu wamathambo. Kwakhona yabonisa ukudla, ukuba abe zizityebi iiminerali neevithamini. Udaka kunye nolwandle zokuhlamba Kucetyiswa ukuba zonke izigulane abatsha, akunamsebenzi nokuba yintoni na isigaba na isifo Blount kaThixo. Unyango ngamachiza ukukhuthaza kwemisipha akusoloko ugwetyelwe.

ukungenelela kuhlinzwa

ungenelelo yentsebenziswano uboniswe izigulane abo amayeza endala musa ivelise iziphumo ezinqwenelekayo. Njengoko umthetho, oonyana kwiminyaka 3-6. Surgery ukuthini ukuba Ukusikwa isiqwengana lesiquluba kunye nokubekwa okugunyazisiweyo i Ilizarov fixator. Wasebenza izinto zibanjwa kunye neepleyiti ngezikhonkwane, yaye ngamanye amaxesha kuyacetyiswa ukuba usebenzise izakhelo metal lwangaphandle.

Kweli xesha postoperative kufuna ukuqwalaselwa ngakumbi kule podiatrist. Yingcali Kufuneka ukhethe inkqubo yokubuyisela umguli. Le sokubuyisa ixesha ekuphulukenwe idla ukuya kwiminyaka emibini. Ukuba uphumelele, izigulane zawo imiwe ngokukhawuleza ukuqhelana ubomi obuqhelekileyo.

amanyathelo othintelo

Indlela yokuthintela isifo Blount kaThixo? Oogqirha bacebisa ukuba kwinyanga yokuqala yobomi zosana ukulawula umzimba wakhe. Amavila kukhokelela sengozini ithambo. Akufunekanga sukela umntwana ukuze wakhawuleza waqalisa ukuhamba. Izihlunu abantwana babe rhoqo. Okokuqala, baqiniswa, kwaye grudnichok uqalisa mbole, ngoko ukuhlala kunye ukhase, kodwa ke kuphela emva kokuba ukuthatha amanyathelo kuqala.

Bezifo bacebisa ukuba ngethuba leenyanga ezili-12 zokuqala zobomi ukumnika ivithamin D, kuba unoxanduva ekomelezeni izixhobo ithambo. Xa bebudala bungaphantsi konyaka-1 ubudala kufuneka bangenele oogqirha ezithile. Qiniseka ukuba atyelele podiatrist, nkqu ukunyhashwa ezibonakalayo kunye engekhoyo. Asingabo bonke abazali uphulaphule icebiso oogqirha, ngoko isifo Blount kaThixo, izinto ezo zichazwe ngasentla, ngoku ingaqhelekanga. Noko ke, isifo kwangethuba unyango ofanelekileyo ukwandisa amathuba sokubuyisela ngokukhawuleza.