Osgood-Schlatter chirwere. Chii?

Osgood-Schlatter chirwere ari osteochondropathy tibial tuberosity. chirwere ichi kunoratidzwa vemunyika marwadzo. Osgood-Schlatter chirwere kunoitika runonyanya mu kuyaruka vakomana. Vanachiremba vanodavira kuti hosha kunoitika muchidimbu nokuda muedzo kakawanda nekorasi mudzira nevezera iri popliteal mukombe, iro ngaubve pamberi rorudyi tsandanyama boka simba.

Kakawanda Schlatter chirwere rikauya mune vakomana vane makore 9 kusvika 14 - 18 makore. Izvi Kazhinji rimwe gumbo riri sei, dzinenge - maviri.

Govera ngozi umo vana vanozviwana akabatikana chaizvo mune zvinotevera mumitambo: mutsimba, nhabvu, hockey, maekisesaizi, Weightlifting nezvimwe yaizoitika mitambo.

Osgood-Schlatter chirwere kunoratidzwa zviratidzo zvakadai:

• ibvi marwadzo panguva achifamba, squatting, kumanikidzwa tisanzwe nesimba

• mumatenhere nzvimbo ibvi muhudyu (dzimwe nguva kunoitika pamusana kukuvara)

• Local nounyoro ibvi pasi

• mumatenhere ibvi uye kusagadzikana munharaunda iyi

• anogona kurwadziwa zvikuru nechemberi, apo kubatana zviri mudzira ari patella kusvika tibia.

The chirwere kunoitika zvishoma nezvishoma, varwere Kashoma kuratidza kukuvara sechinhu chikungiso chinhu. Long chete chiratidzo kuti Osgood-Schlatter chirwere kunoratidza pachayo inogona kurwadziwa ibvi apo achikwira manera, kana musana kana kufamba. No mukuru, rabhoritari uye kurapwa zviratidzo chirwere ikoko.

Pashure kunyatsodzidza mitoro zvokunyama pamusoro quadriceps (nhabvu, squat, etc.) pane kuzvimba ari tuberosity guru tibia. Pane marwadzo panguva squats, basketball uye kunyange kufamba. Panguva yokuzorora, marwadzo anoenda kure. unyanzvi haina kwakawedzera tembiricha. Tuberosity contours vari ndokudzora maererano nechitarisiko puffiness, pane dzomunharaunda marwadzo pamusoro palpation. Exacerbation richiwanika munyika mapazi ichi munguva kushingaira chiwedzerwa tibia, kunyanya kana kupa kunyora nezvavo nemishonga. With kukura hwomwana nzira hunowedzera raidudzwa zororo uye miganhu yacho zvawanzwa.

Osgood-Schlatter chirwere kunokwanisa kuonekwa navanachiremba, sezvo chirwere ichi zviratidzo anowanzoramba. dzimwe nguva maekisirei yaitwa kuti kuona ukuru shanduko munzvimbo maererano patellar mudzira. On the radiograph akatsunga kana Vacuum hobotovidnogo kusabatana rikurumidze. Ossificação em kuti tuberosity nomumwe, izvo kazhinji kacho zvinoita kuti zviome kuti radiological chirwere: Hospital - huru chakarurama kuti zvakarurama rokuongorora chirwere Osgood-Schlatter.

The Mabatirwo zvokurwara ichi une zvinotevera:

• Immobilization uye maximizing vamwe richiripo

• rutapudzo kurovedza muviri kushoma

• Mufambiro electrophoresis pamwe karusiyamu uye procaine

• Exercise kurapa uye masaja

• Spa kurapwa

• Paraffin uye madhaka dzokugezera.

Varwere chirwere ichi kubatsira inonyaradza marwadzo omusoro uye Anti-inflammatories, zororo uye chando. Nokufamba kwenguva, chirwere kazhinji anoenda kure (pakarepo mushure zvokurega kukura tibia). Varwere basa zororo, izvo gypsum undovakira vhiri bvisika splints anechekuita; Recommended Goldstone uye kugeza.

Vamwe varwere vakambova chirwere ichi munguva yemberi vari "pineal" kuzvimba ari pamberi ibvi. Nokuti kurapwa kwavo kunoratidza kwomuviri kurapa vaiva yekudyidzana kashoma vari kubviswa surgically - akabvisa zvakakanganisa nzvimbo pamwechete Kuda kutamba repfupa allograft. Kuvhiya kurapwa (kubviswa necrotic foci) unoratidzwa chete apo neapo zviitiko.

The fungidziro chirwere zvakanaka Schlatter.