Imali etyhidiweyo ye-epiphysis yabasetyhini

Inkunzi etyibilikileyo ye-femal epiphysis kukwahlulwa kwebhola yelungu le-hip elidibeneyo kwithambo lethanga (i-femur) kwisiphelo esiphezulu sokukhula (ipleyiti yokukhula) yethambo.

I-capital ephuculweyo ye-femal epiphysis inokuchaphazela zombini ihips.

I-epiphysis yindawo ekupheleni kwethambo elide. Yahlulwe kwinxalenye ephambili yethambo ngeplate yokukhula. Kule meko, ingxaki ivela kwindawo ephezulu ngelixa ithambo lisakhula.

Imali etyibilikisiweyo ye-epiphysis yabasetyhini yenzeka malunga ne-2 kwabantwana abangama-100,000. Kuqheleke ngakumbi:

• Ukukhula kwabantwana abaneminyaka eli-11 ukuya kweli-15, ngakumbi amakhwenkwe
• Abantwana abatyebe kakhulu
• Abantwana abakhula ngokukhawuleza

Abantwana abanokungalingani kwehomoni okubangelwa zezinye iimeko basemngciphekweni omkhulu wokuphazamiseka.

Iimpawu zibandakanya:

• Kunzima ukuhamba, ukuhamba nokuqhwalela okuza ngokukhawuleza
• Intlungu yedolo
• Intlungu ye-Hip
• Ukuqina kwehip
• Umlenze ojika ngaphandle
• Ukuhamba kwe-hip okuthintelweyo

Umboneleli wezempilo uyakukuvavanya. I-X-ray ye-hip okanye ye-pelvis inokuqinisekisa le meko.

Utyando lokuzinzisa ithambo ngezikhonkwane okanye ngezikrufu kuyakukhusela ibhola yelungu le-hip ekutyibilikeni okanye ekuphumeni endaweni. Abanye oogqirha banokucebisa ukusebenzisa izikhonkwane kwenye inyonga ngaxeshanye. Kungenxa yokuba abantwana abaninzi baya kuyiphuhlisa le ngxaki kule hip kamva.

Isiphumo sihlala silungile kunyango. Kwiimeko ezinqabileyo, ilunga le-hip linokuphela, ngaphandle kokuxilongwa ngokukhawuleza kunye nonyango.

Esi sifo sidibene nomngcipheko omkhulu we-osteoarthritis kamva ebomini. Ezinye izinto ezinokubakho kodwa ezinqabileyo zibandakanya ukunciphisa ukuhamba kwegazi kumdibaniso we-hip kunye nokunxiba izicubu zomzimba ezihlangeneyo.

Ukuba umntwana wakho uneentlungu eziqhubekayo okanye ezinye iimpawu zesi sifo, lala phantsi kwangoko kwaye uhlale uzolile de ufumane uncedo lonyango.

Ukulawula ubunzima kubantwana abatyebileyo kunokuba luncedo. Amatyala amaninzi akanakuthintelwa.

I-epiphysis yabasetyhini-ityibilika

I-Sankar WN, iPhondo le-BD, i-Wells L, i-Dormans JP. Isinqe. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 678.

USawyer JR, uSpence DD. Ukuqhekeka kunye nokuqhekeka kwabantwana. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 36.