Tikamamva za scoliosis , nthawi zambiri zokambiranazo zimayang'ana momwe kupweteka kumeneku kumakhudzira achinyamata ndi achinyamata. Ndithudi, kupeza kuti muli ndi scoliosis ndi vuto lalikulu kwa achinyamata.
Koma scoliosis imakhudzanso anthu akuluakulu. Amachita chimodzi mwa njira ziwiri-monga kupitiriza kwa scoliosis yomwe inayamba kumayambiriro kwa moyo kapena ngati chikhalidwe chosiyana, chodziwika kuti wamkulu wotsika scoliosis.
Mu wamkulu wa idiopathic scoliosis, mawu akuti " idiopathic " amatanthauza kuti akatswiri-dokotala wanu, ofufuza mu msana, ndi ena omwe akudziwa-sangathe kudziwa chomwe chimayambitsa izo. Idiopathic scoliosis ndi mtundu wochuluka wa scoliosis ndipo umakhudza onse ana ndi akulu.
Kutanthauzira Mwamsanga kwa Scoliosis
Mosasamala mtundu wotani wa scoliosis womwe tikukambapo kapena pa zaka zomwe zakhala zikuchitika, scoliosis ndi kupweteka kumene msana ukupangira mphutsi zomwe zimapita kumbali. Zingakhale ndi mphira umodzi kumanja kapena kumanzere, kapena, mukhoza kukhala ndi "S" curve scoliosis. Mzere wa "S" uli ndi mapiritsi awiri otsika-omwe amakhala pamwamba kapena kumanzere ndi mzere wolowera pansi kumbali yomwe ili pamwamba.
Idiopathic scoliosis mwa akuluakulu amawoneka ofanana ndi ana. Mutha kuona kuti umodzi wa mapewa anu uli pamwamba kuposa wina, ndipo mungakhale ndi nthiti "hump" kumbali imodzi ya kumbuyo kwanu.
Nthiti ya "hump" imakhala kukwera kumbali imodzi ya nthiti yako. Izi zimachitika pambali pa mphutsi, chifukwa msana m'deralo amaphwanya nthiti kumbuyo.
Kuzindikira kwa Scoliosis ndi Chithandizo
Kuchuluka kwa scoliosis kumayesedwa kawirikawiri ndi X-ray komanso kusanthula kwa mafilimu.
Ngati ma curve kapena curves ali madigiri 50 kapena opaleshoni yanu ingakulimbikitseni opaleshoni. Kuti mukhale ndi madigiri ang'onoang'ono, nthawi zambiri mumakhala kupweteka, kuchita masewera olimbitsa thupi komanso kusamalira opaleshoni (osati opaleshoni). Zilonda zam'kati zapakhosi zingaperekedwe, komanso.
Kawirikawiri, scoliosis curves yomwe imayamba kumayambiriro kwa moyo sikumakula kuposa madigiri 30, malinga ndi Scoliosis Research Society (SRS). Bungwe la SRS limanena kuti mazira a achinyamata omwe amawoneka ndi achinyamata omwe amayeza madigiri 30 kapena osachepera amawoneka kuti sakukula bwino ngati wodwala ali ndi zaka zambiri. Koma ngati mphutsi yanu inali madigiri 50 pamene munali aang'ono, kupita patsogolo pakati pa .5 mpaka 2 digiri pa chaka n'kotheka. Pankhaniyi, ndi kofunikira kuti scoliosis yanu iziyang'aniridwa nthawi zonse ndi katswiri wa msana.
Kukula Kwambiri Kwambiri Kumaganizira Zapadera
Tsopano kuti mudziwe za idiopathic scoliosis achinyamata, tiyeni tiyese kumvetsetsa zochitika zapaderazi pamene zimakhudza anthu okalamba.
Scoliosis kapena ayi, achikulire ndi okalamba amayamba kusintha kusintha kwa msana. Choncho ngati ndinu wamkulu komanso muli ndi matenda akuluakulu a mtundu wa idiopathic scoliosis, mukhoza kukhala ndi zizindikiro zambiri kuposa achinyamata omwe ali ndi idiopathic scoliosis, malinga ndi SRS.
Zizindikiro zowonjezerekazi zimagwirizana ndi nyamakazi ndipo zimatha kuchitika m'madera a msana omwe amatha kukhala osadetsedwa-omwe amakhala malo omwe amatseguka. Malo otsegulira alipo kuti alole msana wa msana ndi mitsempha ya msana. Mitsewu yotereyi ikuphatikizapo ngalande ya msana, kumene chimatchedwa canal stenosis, komanso intervertebral foramina, yomwe ili pambali pa mzere wa msana pamlingo uliwonse.
Mizu ya mitsempha ya msana imachokera ku foramina musanayambe kukhala ndi mitsempha yomwe imatumikira thupi lonse. Mu foramina, mtundu wina wa stenosis ukhoza kutchedwa neuro foraminal stenosis.
Stenosis ndilo liwu limene limatanthawuza kupatula malowa chifukwa cha kusintha kwa mafupa.
The intervertebral disc ndi malo ena omwe nthawi zambiri amadwala.
Matenda a osteoporosis, omwe mumataya mfupa mofulumira kwambiri kuposa momwe mungathere, akhoza kufulumizitsa zotsatira za kuchepa kwa scoliosis, malinga ndi kafukufuku wofalitsidwa mu European Spine Journal . Osteoporosis imachulukitsa kuchuluka kwa mavoti, ofufuza amati.
Ofufuzawo akuwonjezera kuti pamene mukudwala matenda odwala matenda a m'mimba komanso akuluakulu a mtundu wa idiopathic scoliosis, zigawo zapadera ndi makapulisi awo, pamodzi ndi intervertebral discs ndi mitsempha ya msana zikhoza kuwonongeka, ndipo zingayambe kukhala ndi stenosis. Osteoporosis imakhudza kwambiri amayi omwe amachititsa amayi kukhala amodzi.
Nthenda ina ya umoyo imakhudza okalamba kuposa ena. Mukasunga kuvulaza kumeneku, chibadwa chanu chikhoza kudalira kapena kutsogolo. Kuwongolera kumakhala chizindikiro chotchedwa hyperkyphosis. Zomwezo zikhoza kukhala zoona ngati muli ndi stenosis chifukwa kutsogolo kwa msana kumakhala kovuta.
Vuto ndilokuti kutsamira patsogolo kungakulepheretseni, ndikupangitsani kuti musunge matumbo anu ndi mawondo anu kuti muwathandize. Mabondo ndi maondo akugunda akuthandizani kuti mukhale oongoka pankhaniyi. Kuphatikizana ndi zizindikiro zina zapamwamba zowopsya za scoliosis, kubwezeretsa kumeneku kungachititse kuti pang'onopang'ono mukhale ndi mphamvu zogwirira ntchito kapena kuchita zomwe mumachita tsiku ndi tsiku.
Opaleshoni
Mankhwala ochiritsira omwe samaphatikizapo opaleshoni-nthawi zambiri amayesedwa pamene mphika wanu uli pansi pa madigiri 50. Koma ngati njira yowonongeka imalephera kuthetsa zizindikiro zanu, kupweteka kwa msana kapena kupweteka kwa mwendo sikukulepheretsani, kusayenerera kwa msana kwanu kukulepheretsa, ndipo / kapena mukupeza kuti muli ndi zovuta zedi pa kayendedwe ndi ntchito, mungafunike opaleshoni.
Opaleshoni yaikulu ya scoliosis imapanga zinthu zambiri, malinga ndi Scoliosis Research Society. Zingathandizenso kubwezeretsa, kuchepetsa kupweteka, kukonza malingaliro anu, kukhazikika msana komanso / kapena kuchotsa nkhawa m'mitsempha yanu. A SRS amatchula njira zotsatirazi monga zofala kwambiri:
- Kuchepetsa vutoli ndi njira yochepa yomwe imathandizira kuchepetsa mavuto a mitsempha. Kusintha kwazomwe zimachitika zakale kungabweretse ku stenosis, kapena kutseguka m'mitsempha ya msana, ndi kuti kuchepetsedwa koteroko kungakhumudwitse mitsempha yanu. The Scoliosis Research Society imachenjeza kuti microdecompression ingapangitse madigiri anu oyenda bwino, makamaka ngati mupita mu ndondomekoyi ndi ma curve opitirira madigiri 30. Amanenanso kuti opaleshoni imeneyi imagwiritsidwa ntchito pokhapokha pamtunda umodzi-osati m'magulu angapo.
- Kusakanikirana kungapangidwe kuti zikhazikitse msana mu malo owongoka kwambiri. Fusion imagwiritsira ntchito fupa lazitsulo, kuphatikizapo, kuchokera pfupa lanu kapena podula (izo zimasamalidwa musanafike kwa inu) monga chotsatira cha panthawi yamphongo. Ndiye, mutatha njirayi, pali nthawi ya machiritso. Kupambana kumatsimikiziridwa pambuyo pa nthawiyi ndi momwe mafupa oyandikana amathandizira pamodzi.
- Kukhazikika kwa opaleshoni kuli kofanana ndi kusakanikirana kumene kumaika msana wako mu "mgwirizano wowonjezereka" ndipo umaloleza kuti uziphwanya njirayi. Kusiyanitsa ndikuti kupaleshoni kumagwiritsira ntchito instrumentation-screws, mbale, ndowe, ndodo ndi zina zotere kuti zithandizenso kukhazikitsa msana wanu.
- Osteotomy imaphatikizapo kudula ndi kugwiritsira ntchito magulu a msana. Magulu a msana amakhala ndi awiri pafupi ndi vertebrae (mafupa a msana) ndi disc yomwe imakhala pakati pawo. Ndipo matenda osteotomy angaphatikizepo mbali imodzi yokha ya msana.
> Zotsatira:
> Aebi, M. The Adult Scoliosis Eur Spine J. 2005 Dec. http://www.ncbi.nlm.nih.gov/pubmed/16328223
> Scoliosis Research Society. Scoliosis. SRS intaneti. http://www.srs.org/patients-and-families/conditions-and-treatments/adults/scoliosis
> University of Washington Dipatimenti ya Zamankhwala. Scoliosis. UW Dept of Radiology http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/