Konke malunga nokuNcitshiswa kobude (Ukuncitshiswa kwethambo) kotyando

Umxholo

• Ngaba ikhona into enje ngotyando lokunciphisa ukuphakama?
• Ukunciphisa amathambo okanye utyando olwandisa ithambo
• Zeziphi iinkqubo ezichaphazelekayo?
• Epiphysiodesis
• Utyando lokunciphisa amalungu
• Ngubani umgqatswa olungileyo kwezi nkqubo?
• Abagqatswa be-epiphysiodesis
• Abagqatswa kotyando lokunciphisa amathambo
• Zithini iziphumo ebezingalindelekanga okanye umngcipheko wale nkqubo?
• Kufunyaniswa njani ukungangqinelani kobude bomlenze?
• Zithini iindleko zale nkqubo?
• Thetha nogqirha
• Yise kude

Umahluko phakathi kwamalungu emilenze awuqhelekanga njengoko ukhula. Enye ingalo inokuba nde kancinane kunomnye. Omnye umlenze unokuba ziimilimitha ezimbalwa mfutshane kunomnye.

Ngamaxesha ngamaxesha, nangona kunjalo, izibini zamathambo zinokuba umahluko obonakalayo kubude. Ngengalo, isenokungabi yingxaki. Kodwa emilenzeni, kunokukhokelela kubunzima ngokuhamba, kwaye ekugqibeleni iintlungu.

Kulapho abanye abantu baqala ukuqaphela utyando lokunciphisa amathambo. Ngelixa ingelulo ukhetho lokuqala lokunyanga amathambo angalinganiyo, utyando lokunciphisa amathambo lunokunceda ukulungisa ubude bemilenze, ukwenza umntu akhululeke ngakumbi.

Eli nqaku lijonga ukuba kutheni umahluko wobude bemilenze usenzeka kunye nendlela utyando olufutshane lwamathambo olunokunceda ukuyinyanga.

Ngaba ikhona into enje ngotyando lokunciphisa ukuphakama?

Akukho nkqubo injalo njengotyando lokunciphisa ukuphakama. Utyando lokunciphisa amathambo lunokunciphisa ukuphakama kwakho, kodwa kunqabile ukuba kwenziwe ngenxa yesi sizathu.

Endaweni yoko, olu tyando lwenziwa rhoqo ukuphelisa umahluko wobude bemilenze okanye ukulungisa amathambo angalinganiyo ngokude.

Ukunciphisa amathambo okanye utyando olwandisa ithambo

Utyando lokunciphisa amathambo luhlala lusetyenziselwa ukunyanga ukungafani kobude belungu (LLD).

I-LLD ngumahluko obonakalayo phakathi kobude bamalungu. Inokuba ziisentimitha ezininzi okanye ii-intshi, kwaye inokubonakala kakhulu emilenzeni.

Kwiinyanga ezininzi okanye iminyaka, umntu one-LLD angakwazi ukubuyekeza ukungafani kwamalungu abo. Nangona kunjalo, ngokuhamba kwexesha, i-LLD ingakhokelela kwimiphumo emibi kunye neengxaki, njengentlungu kunye nobunzima bokuhamba okanye ukusebenza.

Utyando lokunciphisa amathambo luyilelwe ukunciphisa umahluko kubude bemilenze. Utyando kumathambo emilenze luqhelekile. Kwiimeko ezinqabileyo, utyando lunokwenziwa kwiingalo ezinobude obahluke kakhulu.

Kwimeko yemilenze, utyando luya kunciphisa ubude bokugqibela bomntu ngeesentimitha ezimbalwa.

Utyando olwandisa amathambo lunokusetyenziselwa ukongeza ubude kwithambo elifutshane. Oku kunceda ekupheliseni ubude beelungu, kodwa ayizukunciphisa ubude.

Zeziphi iinkqubo ezichaphazelekayo?

Iindidi ezimbini zotyando zinokusetyenziselwa ukunciphisa ubude bethambo lomlenze. Nguwuphi ugqirha ugqirha onokucebisa ukuba kuxhomekeke kubudala bakho nakwisiphumo ojonge ukufikelela kuso.

Epiphysiodesis

I-Epiphysiodesis ngokuyimfuneko kukutshatyalaliswa kotyando lwamacwecwe okukhula ekupheleni kwamathambo. Ngobudala, la macwecwe okukhula avelisa izinto zethambo eziqina.

Ngethuba lale nkqubo, ugqirha ugqogqa okanye wemba imingxunya kwiipleyiti zokukhula ukuthintela ukuba bandise okanye babacothise. Ugqirha unokubeka ipleyiti yesinyithi macala onke ekukhuleni ukuze kuthintelwe ukukhula kwamathambo.

Utyando lokunciphisa amalungu

Inkqubo yesibini ibizwa ngokuba luthando lokunciphisa amalungu. Njengoko igama lisitsho, olu tyando luyabufinyeza ubude bethambo, okunokuchaphazela ukuphakama kwakho ngokubanzi.

Ukwenza oku, ugqirha osusa ugqirha ususa isahlulo se-femur (ithanga) okanye i-tibia (shinbone). Emva koko, basebenzisa amacwecwe esinyithi, izikrufu, okanye iintonga ukubamba iziqwenga zamathambo aseleyo ade aphile.

Ukuphilisa kunokuthatha iiveki ezininzi kwaye kufuna ukuba ube nokuhamba kancinci. Ngapha koko, unokuba kumlenze opheleleyo weeveki de ugqirha wakho aneliseke ukuba ithambo liphilile ngokufanelekileyo.

Obona bude bude ugqirha angabususa kwi-femur bu malunga; ukusuka kwi-tibia, imalunga nee-intshi ezimbini (iisentimitha ezi-5). Ukuba ususa ugqirha kangakanani kuya kuxhomekeka kukungangqinelani abazama ukulungisa.

Ngubani umgqatswa olungileyo kwezi nkqubo?

Ezi nkqubo zimbini zichazwe ngentla zenzelwe amaqela ahlukeneyo abantu.

Abagqatswa be-epiphysiodesis

I-epiphysiodesis isetyenziswa rhoqo kubantwana nakwishumi elivisayo abasakhulayo.

Olu tyando kufuneka lubekelwe ixesha ngqo ukuze ithambo elingakhubazekanga ngotyando liza kukwazi ukufikelela (kodwa lingadluli) kubude belinye ithambo.

Abagqatswa kotyando lokunciphisa amathambo

Utyando lokunciphisa amathambo kuhlala kulunge kakhulu kubantu abadala nakwabadala abagqibileyo ukukhula. Uninzi lwabantu luphakama lokugqibela beneminyaka eli-18 ukuya kwengama-20 ubudala.

Kuphela kuxa ufikelele kubude obupheleleyo apho ugqirha anokuqonda ngcono ukuba lingakanani ithambo ekufuneka lisuswe nkqu nakweyiphi na umahluko wobude belungu.

Zithini iziphumo ebezingalindelekanga okanye umngcipheko wale nkqubo?

Utyando lokunciphisa amathambo alukho ngaphandle komngcipheko. Nge-epiphysiodesis, iziphumo ebezingalindelekanga ezinokubakho okanye iingxaki zibandakanya:

• usulelo
• ukopha
• ukukhubazeka kokukhula kwethambo
• ukukhula okuqhubekayo kwamathambo
• ngaphezulu- okanye ukulungiswa okungaphantsi okungawususiyo umahluko

Imingcipheko enokubakho okanye iziphumo ebezingalindelekanga zotyando lokunciphisa amathambo zibandakanya:

• amathambo aphilayo ngenxa yolungelelwaniso
• usulelo
• ukopha
• ngaphezulu- okanye ukulungiswa okungaphantsi
• umanyano, okanye amathambo asilelayo ukujoyina ngokufanelekileyo ngexesha lokuphilisa
• intlungu
• Ukuphulukana nomsebenzi

Kufunyaniswa njani ukungangqinelani kobude bomlenze?

Umahluko kubude bemilenze yomntwana ungaqala ukuqaphela kubazali njengoko umntwana eqala ukuhamba. Ukuhlolwa kwesiqhelo esikolweni nge-scoliosis (ukugoba komqolo) kunokuthatha ukungangqinelani kubude bomlenze.

Ukuchonga ukwahluka kubude bemilenze, ugqirha uqala ahlole impilo yomntwana ngokubanzi kunye nembali yezonyango.

Emva koko baqhuba uvavanyo lomzimba olubandakanya ukujonga indlela ahamba ngayo umntwana. Umntwana angahlawula ngokwahluka kubude bomlenze ngokuhamba ngeenzwane zomlenze wakhe omfutshane okanye agobe idolo lomlenze wakhe omde.

Ugqirha unokulinganisa umahluko phakathi kwemilenze ngokubeka iibhloko zomthi phantsi komlenze omfutshane kude kube yomibini inyonga ilungile. Izifundo zokulinganisa (ezinje nge-X-ray kunye ne-CT scans) zinokusetyenziselwa ukulinganisa ubude kunye nokuxinana kwamathambo omlenze.

Ukuba umntwana usakhula, ugqirha wakhe unokucebisa ukuba alinde ukuze abone ukuba umahluko kubude bomlenze uyanda okanye uhlala unjalo.

Ukujonga ukukhula, ugqirha unokukhetha ukuphinda uvavanyo lomzimba kunye novavanyo lokucinga rhoqo kwiinyanga ezi-6 ukuya kwezi-12.

Zithini iindleko zale nkqubo?

Zombini ezi nkqubo zinokubiza ishumi lamawaka eedola. Zombini ziya kufuna ukuhlala esibhedlele, kodwa utyando lokunciphisa amathambo lunokufuna ukuhlala ixesha elide. Oku kwandisa iindleko zizonke zenkqubo.

I-inshurensi inokugubungela iindleko zayo nayiphi na inkqubo, ngakumbi ukuba ugqirha wakho umisela umahluko wobude bethambo obangela ukuphazamiseka okukhulu.

Nangona kunjalo, kuyacetyiswa ukuba ubize inkampani yakho yeinshurensi yezempilo ukuze uqinisekise ukhuseleko ngaphambi kokwenza inkqubo ukuze ungabinamatyala amathusayo.

Thetha nogqirha

Ukuba awonwabanga kukuphakama kwakho okanye unemicimbi kuba imilenze yakho inobude obahlukeneyo, kuya kufuneka uthethe nogqirha.

Ngamanye amaxesha ukulungiswa kunokuba lula njengokunxiba izihlangu ezizodwa. Izihlangu ezinokunyuswa kwangaphakathi zinokulungisa umahluko wobude belungu kwaye zincede ekupheliseni nayiphi na imiba ekubangela ukuba ubekho.

Kodwa ukuba umahluko phakathi kwamalungu akho usemkhulu kakhulu, utyando lunokuba lukhetho. Ugqirha wakho unokuhamba ngamanyathelo ayimfuneko ukumisela ukuba ukulungele na ukuhlinzwa kwaye akuncede ulungiselele inkqubo yokubuyisela kwimeko yesiqhelo.

Yise kude

Umzimba womntu awulingani, ngoko ke akuqhelekanga ukuba umntu abe nokungafani okuncinci kubude beengalo okanye imilenze yakhe. Kodwa umahluko omkhulu-ongaphezulu kweesentimitha ezimbalwa-unokuchaphazela impilo-ntle yakho kunye nomgangatho wobomi.

Ukuba umahluko wobude belungu ekubangela ukuba ube sentlungwini okanye uchaphazele imisebenzi yakho yemihla ngemihla, utyando lokunciphisa amathambo lunokubonelela ngesiqabu. Ugqirha wakho unokukunceda ukuba uqalise inkqubo ukuqonda ukhetho lwakho.