ʻO ka maʻi Osgood-Schlatter

ʻO ka maʻi Osgood-Schlatter kahi ʻōhū ʻeha o ka puʻupuʻu ma ka ʻaoʻao luna o ka shinbone, ma lalo pono o ke kuli. Kapa ʻia kēia puʻupuʻu ʻo ka tubercle tibial mua.

ʻO ka maʻi Osgood-Schlatter ka mea i manaʻo ʻia ma muli o nā hōʻeha liʻiliʻi i ka ʻūhā kuli mai ka hoʻohana nui ʻana ma mua o ka pau ʻana o ke kuli.

ʻO ka mākala quadriceps kahiʻiʻo nui, ikaika ma ka ʻaoʻao mua o ka ʻūhā luna. Ke kaomi ʻia kēia mākala (ʻaelike), hoʻopololei ia i ke kuli. ʻO ka mākala quadriceps kahiʻiʻo koʻikoʻi no ka holo, lele ʻana, a me ka piʻi ʻana.

Ke hoʻohana nui ʻia ka mākala quadriceps i nā hana haʻuki i ka wā o ka ulu ʻana o ke keiki, hoʻonāukiuki a pehu paha kēia wahi a ʻeha ka ʻeha.

He mea maʻa mau i nā ʻōpio ʻōpio i pāʻani i ka pōpeku, ke kinipōpō hīnaʻi, a me ka pōpō peku, a i komo i nā haʻuki. Hoʻopilikia ka maʻi Osgood-Schlatter i nā keikikāne ma mua o nā kaikamahine.

ʻO ka ʻōuli nui ka ʻōhū ʻeha ma luna o kahi puʻupuʻu ma ka iwi wāwae lalo (shinbone). Kū nā ʻōuli ma hoʻokahi a i ʻole ʻelua mau wāwae.

Loaʻa paha iā ʻoe ka ʻeha o ka wāwae a i ʻole ka ʻeha o ke kuli, ʻoi aku ka maikaʻi me ka holo, lele ʻana, a me ke piʻi ʻana i nā ʻanuʻu.

Palupalu ka wahi i ke kaomi, a ʻo ka pehu mai ke ʻano haʻahaʻa a koʻikoʻi loa.

Hiki i kāu mea mālama ola ke haʻi inā loaʻa kēia ʻano iā ʻoe ma ka hana ʻana i kahi hoʻokolohua kino.

ʻO kahi iwi x-ray he mea maʻamau, a i ʻole hōʻike paha i ka pehu a i ʻole ka hōʻino ʻana i ka tubercle tibial. He puʻupuʻu iwi kēia ma lalo o ke kuli. ʻAʻole hoʻohana pinepine ʻia nā kukuna X ke ʻole makemake ka mea hāʻawi e haʻalele i nā kumu ʻē aʻe o ka ʻeha.

ʻO ka maʻi Osgood-Schlatter e aneane hele i kāna iho ke pau ke keiki i ka ulu ʻana.

Hoʻolālā pū kekahi:

• Ke hoʻomaha nei i ke kuli a me ka hoʻemi ʻana i ka hana ke ulu nā ʻōuli
• Ke kau nei i ka hau ma kahi ʻeha ʻo 2 a 4 mau manawa i ka lā, a ma hope o nā hana
• Lawe iā Ibuprofen a i ʻole nā ​​lāʻau anti-inflammatory nonsteroidal (NSAIDs), a i ʻole acetaminophen (Tylenol)

I nā manawa he nui, e maikaʻi ke kūlana ma ka hoʻohana ʻana i kēia mau ʻano.

Pāʻani paha nā ʻōpio i nā haʻuki inā ʻaʻole nui ka ʻeha i ka hana. Eia naʻe, e ʻoi aku ka wikiwiki o nā ʻōuli ke kaupalena ʻia ka hana. I kekahi manawa, pono ke keiki e hoʻomaha i ka hapanui a i ʻole nā ​​haʻuki āpau no 2 a ʻoi paha mau mahina.

Kākaʻikahi, hiki ke hoʻohana ʻia kahi kolo a paʻa paha e kākoʻo i ka wāwae a hiki i ka wā e hoʻōla ai inā ʻaʻole e hele nā ​​ʻōuli. Lawe pinepine kēia i 6 a 8 mau pule. Hiki ke hoʻohana ʻia nā koʻokoʻo no ka hele wāwae ʻana e kāpae i ke kaona o ka ʻehaʻeha.

Pono paha ke ʻoki ʻana i nā hihia kakaikahi.

ʻOi aku ka maikaʻi o ka hapanui o nā hihia ma o lākou iho ma hope o kekahi mau pule a i ʻole mau mahina. Hele ka hapa nui o nā hihia ke pau ka ulu ʻana o ke keiki.

Kāhea i kāu mea hāʻawi inā loaʻa i kāu keiki ke kuli a me ka ʻeha o ka wāwae, a i ʻole inā ʻaʻole maikaʻi ka ʻeha me ka lāʻau.

ʻO nā ʻeha liʻiliʻi e kumu i kēia maʻi pinepine ʻole e ʻike ʻia, no laila ʻaʻole hiki ke pale. ʻO ke kau mau ʻana, ma mua a ma hope o ka hoʻoikaika kino a me nā haʻuki, hiki ke pale i ka hōʻeha.

ʻO Osteochondrosis; ʻEha kukuli - Osgood-Schlatter

• ʻEha wāwae (Osgood-Schlatter)

Canale ST. ʻO Osteochondrosis a i ʻole epiphysitis a me nā aloha like ʻole. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 32.

Milewski MD, Sweet SJ, Nissen CW, Prokop TK. ʻO nā ʻeha o ke kuli i nā ʻelemakule kino ʻole. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 135.

ʻO Sarkissian EJ, ʻo Lawrence JTR. ʻO ke kuli. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 677.