Growth Plate Injuries muvana Vanotamba Mitambo

Ikosi yekukura (physis) inzvimbo yekusimba mavara pedyo nekuguma kwemarefu mapfupa evana. Pfupa rimwe nerimwe rakareba rine mahwendefa maviri ekuwedzera pamagumo ose. Apo kukura kwapera munguva yehucheche, mahwendefa ekukura anotsiviwa nefu yakasimba.

Izvi zvinokuvara kweplate zvinowanikwa muvana nevechiri kuyaruka. Nhamba yekubereka ndiyo iyo isina simba yakawanda yekukura kwemafupa kuitira kuti kukuvadza kwakakomba kune chekubatanidza kunowedzera kukanganisa chibage chekukura kudarika midzi inopoteredza.

Kukuvadza kunokonzera kukanganisa kune munhu mukuru kunogona kunge kwakakosha kukura kweplate kukuvara mumwana muduku.

Kukuvadzwa kwakanyanya kumucheka wekukura kune fractures. Iko kaviri inowanzoonekwa kune vakomana.

Kukura kweplate fracture kunowanzoitika kakawanda mumapfupa marefu eminwe (phalanges), ipapo pfupa rekunze remukoko (radius) pawrist. Izvi zvinowanzoitika kakawanda mumapfupa pasi pasi pemakumbo: the tibia uye fibula. Inogonawo kuitika mumutambo wepamusoro wemakumbo (femur) kana mumakumbo, patsoka, kana muchiputi.

Zvinokonzera Kukura Mapepa Okukuvara muvana


Kunyange zvazvo kukura kweplate bhokisi kunogona kukonzerwa nechiitiko chakaoma, zvakadai sokuwa kana kuputika kwomuviri, ivo vanobva pakusanyisa . Vana vanoita basa mumitambo yevemutambo vanowanzosangana nematambudziko sezvo mapfupa nemasumbu zvichikura uye vanoita maitiro matsva. Zvimwe zvinorwadza uye marwadzo zvinogona kutarisirwa, asi kunyunyuta kwemwana kunonyadziswa kunotorwa zvakanyanya.

Kukuvadzwa kusingatauri kunogona kukuvadza zvachose uye kunopesana nekukura kwakanaka mumuviri.

Kunyange zvazvo kuwanda kwekukuvara kweplate kunokonzerwa nezviitiko zvinowanzoitika panguva yekutamba kana kuita zvemitambo, mahwendefa ekukura anowanikwa kune dzimwe mhando dzekukuvadza, utachiona, uye zvirwere zvinogona kuchinja kukura kwavo nekuvandudza.

Kukura Kwakaita Sei Mafuta Anowanikwa?
Mushure mekuziva kuti kukuvadza kwakamboitika sei uye kuongorora mwana, chiremba angangoshandisa X rays kuti aone rudzi rwekuputsika uye asarudza chirongwa chekurapa. Nemhaka yokuti kukura mahwendefa asati aomesera mufupa rakasimba, havaratidze pa X rays. Pane kudaro, vanoita semapapakati pakati pebundo rerefu refu, iro rinonzi metaphysis, uye kuguma kwepafu, iro rinonzi epiphysis.

Nemhaka yokuti kukuvara kumunda wekukura kunogona kuva kwakaoma kuona pa X ray, X ray yechipfuva chisina kusimba chemuviri inogona kutorwa kuitira kuti mapande maviri aenzaniswe. Mune zvimwe zviitiko, mamwe maedzo ekuongorora, akadai magnetic resonance imaging (MRI), computed tomography (CT), kana ultrasound, ichashandiswa.

Ndeipi Mhando Yechiremba Anobata Kukura Kwema Plate?
Kune vose kunze kwekukuvadzwa kwakanyanya, chiremba angarumbidza kuti kukuvadzwa kunorapwa nechiremba wemapfupa, chiremba uyo anonyanya kugadzirisa matambudziko uye akabatana nevana nevakuru. Zvimwe zvinetso zvingada kushanda kwechiremba wezvechiremba wevana, uyo anoisa mukukuvara uye kushungurudzika kwemasukloskeletal muvana.

Kukura Kwakaita Sei Kukuvara Kwakaitwa?
Sezvinoratidzwa muchikamu chakapfuura, kurapwa kunoenderana nerudzi rwekuputsika. Kurapa, iyo inofanira kutangwa nokukurumidza sezvinobvira mushure mekukuvara, inowanzobatanidza kusanganiswa kwezvinotevera:

Immobilization
Iyo nhengo yakagadzikana inowanzoiswa muchitubu kana kuputika, uye mwana anoudzwa kuti agadzire chero basa rinoisa rinomanikidzira nzvimbo yakakuvara. Chiremba angaratidzawo kuti ice rinoshandiswa munzvimbo.

Kushandiswa kana Kuvhiya
Muchikamu chimwe chete pazvikamu gumi, chiremba anofanira kuisa mapfupa kana masangano kumashure mazvo, kana achishandisa maoko ake (anonzi kushandiswa) kana kuita chirwere.

Mushure mekugadzirwa, pfupa richagadzirirwa munzvimbo kuitira kuti rinogona kuporesa risina kufamba. Izvi zvinowanzoitwa nekakanda iyo inowedzera yakakuvadzwa kukura kweplate uye majoini kumativi maviri acho. Iyo yakakanda yakasara munzvimbo kusvikira kukuvara kuchiporesa, izvo zvinogona kutora chero kupi zvako kubva kwemavhiki mashomanana kusvika kumwedzi yakawanda nokuda kwekukuvara kwakakomba. Chido chekunyengedza kana kuvhiyiwa kunobva pane nzvimbo uye huwandu hwekukuvadzwa, hunoita pamisungo yakakosha nemidziyo yeropa, uye makore emuwana.

Kusimbisa uye Range-ye-Motion Exercises
Iyi mishonga inogonawo kukurudzirwa mushure mokunge kuputsika kwaporeswa.

Kufamba kwenguva refu
Nguva yakareba yekutevera inowanzodiwa kuti uone kuberekwa kwevana nekukura. Kuongororwa kunogona kusanganisira X mazai emakumbo anofanana pamisangano yemwedzi 3 kusvika ku6 kwemakore maviri. Zvimwe zviputi zvinoda nguva yekuongorora kusvikira mapfupa emwana apedza kukura. Dzimwe nguva kukura kwekumusoro kunogona kuonekwa sechiratidzo chekukuvara. Kuenderera mberi kwemapfupa ekukura kubva kumutsara iwoyo kunogona kureva kuti hapazovi nedambudziko remakore mazhinji, uye chiremba angasarudza kurega kutevera murwere.

Kuti uwane mamwe mashoko, shanyira The National Arthritis uye Musculoskeletal uye Skin Diseases Information Clearinghouse (NAMSIC) pa http://www.nih.gov/niams/.