Osgood-Schlatter matenda. Ndi chiyani icho?

matenda Osgood-Schlatter ndi osteochondropathy tibial tuberosity. matenda yodziwika ndi ululu isanafalikire. matenda Osgood-Schlatter limapezeka ambiri anyamata achinyamata. Madokotala amaganiza kuti matenda kumachitika mu gawo chifukwa Chikoka mobwerezabwereza kumatchula tendon kuthamanga mu chikho popliteal, amene achoka ku wamphamvu kutsogolo ntchafu minofu gulu.

Nthawi zambiri matenda Schlatter zimachitika anyamata a zaka 9 mpaka 14 - zaka 18. Zimenezi zambiri mwendo umodzi zimakhudzira, osachepera - awiri.

Kuonetsetsa chiopsezo imene ana amapezeka wotanganidwa kwambiri ndi masewera zotsatirazi: ogwetsana mpira, umodzi, othamangitsa, weightlifting ndi zina masewera zoopsa.

matenda Osgood-Schlatter amakhala ndi zizindikiro monga:

• ululu bondo pa kuyenda, kutchire kukakumba ndikafuna kudzithandiza, kuthamanga tcheru yaikulu

• kutupa kwa dera bondo olowa (nthawi zina kumachitika chifukwa cha kuvulala)

• Local chikondi cha pansi bondo

• kutupa kwa bondo ndi kusapeza m'dera lino

• Kodi kupweteka mu mbali kutsogolo, kumene ubwenzi wa tendon wa patella kuti tibia lapansi.

Matendawa kumachitika pang'onopang'ono, odwala kawirikawiri kusonyeza choipa monga choyambitsa china. Long ndi chisonyezo chokha chimene matenda Osgood-Schlatter kumaonekera kungakhale ululu bondo pamene kukwera pa makwerero, pamene iye akufunitsitsa kapena kusuntha. No ambiri, zasayansi ndi zizindikiro matenda a matenda kumeneko.

Pambuyo katundu tima thupi quadriceps ndi (mpira, squat, etc.) pali kutupa mu tuberosity lalikulu tibia. Pali ululu anyonyomala, kuthamanga ndipo ngakhale kuyenda. Pa zina, ululu anabauka. luso si kuchuluka kutentha. contours Tuberosity ali ankawachotsera ndi maonekedwe a puffiness, pali ululu pachilumbachi palpation. Exacerbation kumachitika mu zone ili pa yogwira tibia kutambasuka, makamaka pamene kupereka negligible kukana. Ndi kukula kwa njira mwanayo amakhala mpumulo yapadera kwambiri ndi miyeso ake kuchuluka.

matenda Osgood-Schlatter amawapeza kukomoka, chifukwa zizindikiro matenda lililonse. X-ray nthawi zina ikuchitika kuti kudziwa mlingo wa kusintha mu malo kugwirizana patellar tendon. Pa radiograph ndi anatsimikiza kapena zingalowe hobotovidnogo ndondomeko kugawikana. Ossification wa tuberosity payekha, nthawi zambiri zimapangitsa kukhala kovuta radiological matenda: Hospital - chizindikiro waukulu molondola oterewa matenda Osgood-Schlatter.

Mankhwalawa kudwala imeneyi imakhala zigawo izi:

• Immobilization ndi maximizing ena nthambi

• Kuchepetsa zolimbitsa thupi yochepa

• Khalidwe electrophoresis ndi kashiamu ndi procaine

• Chitani mankhwala ndi kutikita

• mankhwala Spa

• Paraffin ndi matope osambira.

Odwala matenda kuthandiza othetsa ululu ndi wotsutsa-inflammatories, mpumulo ndi matalala. M'kupita kwa nthawi, matenda zambiri akachoka (yomweyo pambuyo kukatseka kukula kwa tibia a). Odwala anatumizidwa zina, zomwe gypsum kumbuyo tayala splints zochotseka chagwiritsidwa; analimbikitsa khwatsi ndi kusamba.

Odwala ena amene anali matenda m'tsogolo ndi "pineal" kutupa pamaso pa bondo. Pakuti mankhwala zikusonyeza mankhwala thupi zinali zokayikitsa kwambiri iwo achotsedwa opaleshoni - anachotsa malo akhudzidwa ndi fixation fupa allograft. Opaleshoni chithandizo (kuchotsa foci necrotic) kukuonetsedwa okha nthawi zina kwambiri.

Kuti madokotala ananena zawo za matenda yabwino Schlatter.