Mukamva mawu akuti "kupunduka," mungaganize za maonekedwe obisika m'mafilimu - ndithudi si chinachake chomwe chingakhudze mwana wanu wathanzi. Koma mbali iliyonse yamphepete mwa msana - yotchedwa scoliosis - imaonedwa ngati yopunduka. Msana ndi scoliosis zimakhala ndi mphika womwe umafanana ndi makalata C kapena S; Nthawi zambiri, msanawo amawoneka ngati kalata I.
Kuchigwira ndi kuchiyang'anira mofulumira kudzatha kulepheretsa kuti ifike patsogolo kwambiri. Ndiko komwe kukambirana kwa mapulogalamu a kusukulu a scoliosis akubwera.
Chikhalidwe Chamakono
Pafupi theka la mayiko a ku United States ali ndi udindo woyang'anira scoliosis ku sukulu zawo. Umboni ndi lingaliro la akatswiri zimagawanika kwambiri pakati ndi momwe mapulogalamuwa ali othandizira.
Mu 1996, bungwe la US Preventative Services Task Force linasanthula maphunziro onse omwe adachitidwa pazinthu za masewero olimbitsa mafilimu ndipo adatsimikiza kuti sayenera kukonzedwa. Koma m'chaka cha 2008, gulu lina lochita zachipatala - American Academy of Orthopedic Surgeons, Scoliosis Research Society, Pediatric Orthopedic Society of North America, ndi American Academy of Pediatrics - anapereka ndemanga yosonyeza kuti sangagwirizane ndi mfundo iliyonse motsutsana ndi masewero a sukulu.
Mawu awo akuimira malingaliro a dokotala.
Amakhulupirira kuti mapulogalamu owonetsera scoliosis amathandizira kuzindikira kuti vutoli likuyambirira, zomwe zingathandize kuchepetsa opaleshoni yammbuyo yosafunikira. Komanso, m'madera osauka kapena osasungidwa, sukulu yochokera ku scoliosis yowonongeka ingakhale mwayi wokhala ndi mwana kuti athandizidwe panthawi yake.
Chiyambi
Scoliosis ndi yachilendo pambali pambali pa msana.
Pali zovuta zambiri za scoliosis kuphatikizapo matenda a mitsempha, matenda osokoneza bongo kapena matenda obadwa nawo, koma nthawi zambiri, chifukwa chake sichidziwika.
Scoliosis ndi chifukwa chosadziwika amatchedwa idiopathic. Idiopathic scoliosis imaikidwa molingana ndi msinkhu wa mwanayo pamene chilema choyamba chikuyamba:
- Kumayambiriro koyambitsa scoliosis kumayamba kapena asanafike zaka zitatu.
- Achinyamata ambiri amayamba kuchepa pakati pa zaka zitatu ndi khumi.
- Mnyamata wachinyamata amayamba pakati pa zaka khumi ndi pamene mafupa amakula.
Mukhoza kuzindikira scoliosis mwa mwana wanu ngati mukudziwa zomwe muyenera kuyang'ana, koma makolo ambiri amasowa zizindikiro. Mapulogalamu oyeretsera amapangidwa kuti azisankha pa scoliosis pamene mwana akadali wamng'ono kuti apindule kwambiri ndi mankhwala.
Zindikirani Kufunika Kowonekera
Pulogalamu ya Kupititsa patsogolo Ntchito zachipatala (gulu lomwe limapanga malangizo othandizira kafukufuku wokhudza kuchipatala) limanena kuti chisankho choyang'anira scoliosis chiyenera kusiyidwa kwa inu, dokotala wanu ndi / kapena ofesi ya zachipatala imene mukupita nayo kuntchito zaumoyo. Amanena kuti mapulogalamu owonetsetsa sangakhale othandiza chifukwa sali otsika mtengo. Apanso, akatswiri samadziwa ngati mapulogalamu owonetsetsa ndi abwino kwambiri pakudziwitsidwa kwa kuyamba kwa scoliosis.
Mwa kuyankhula kwina, akupereka pulogalamu yoonetsera scoliosis mu sukulu zoyenera? Kodi zimagwiradi ntchito? Akatswiri ambiri sakhulupirira.
Koma poyamba mumagwira scoliosis mwa mwana wanu, mwinamwake mungathe kupewa opaleshoni. Kuzindikiritsa zizindikiro za scoliosis ndi njira yoyamba yogwira ntchito yolepheretsa kupita patsogolo kwa mavenda.
Mlingaliro langa, muyenera kugwiritsa ntchito mpata uliwonse umene ulipo kuti muwone vutoli. Izi zingaphatikizepo kuyang'ana pa sukulu yanu, kapena mwina. Njira zina zikuphatikizapo kufunsa dokotala wanu kuti awonetse mwana wanu ndikuphunzira momwe mungayang'anire scoliosis.
Ngati mutagwiritsa ntchito njirazi, mungachepetse chiopsezo cha kusowa scoliosis komwe kuli.
Kawirikawiri, zizindikiro za scoliosis sizowonekera mpaka mwanayo akukula. Akatswiri amalimbikitsa kuti atsikana azisamalidwa kachiwiri, ali ndi zaka 10 ndi 12, komanso kuti anyamata amatha kuyang'aniridwa kamodzi pakati pa zaka 13 ndi 15. (Atsikana ali pachiopsezo chachikulu chotengera scoliosis kuposa anyamata, makamaka pamtambo waukulu). kusintha kusintha kwa msinkhu wa mwana wanu. Ngati muwona zizindikiro kapena chirichonse "chochotsa" ponena za chikhalidwe chawo, funsani dokotala kuti ayang'anire.
Kodi N'chiyani Chimachitika Pambuyo Poyesa Kujambula?
Ngati kuyang'anira sukulu sikusamala scoliosis, zokhazokha zomwe mukufunikira ndikupitiliza kuyesa kwanu. Pitirizani kuyang'anitsitsa kutengera kwa mwana wanu. Ndipo ngati dokotala wanu sakuyesa kufufuza panthawi yomwe mumayendera nthawi zonse, yambani kukambirana naye.
Ngati kuyang'anira sukulu kukuwonetsa mwayi wa scoliosis, udzatumizidwa kwa dokotala kuti akapezedwe. Osachepera, adokotala atenga x-ray. Iye adzawerengera Angle ya Cobb kuchokera ku x-ray - muyeso wa mlingo woyenda mbali ndi mbali.
Chigamulo cha njira yomwe chithandizo chomwe mungachigwiritsire ntchito makamaka chimachokera ku Cobb Angle. Ngati ndi madigiri 15 kapena osachepera, ndizowona kuti kufufuza nthawi zonse ndizofunikira. Zowonongekazi ndizowunika mazenera (ma) kuti apite patsogolo. Ngati Angle ya Cobb ili pakati pa madigiri 20 ndi 40, kubwerera kumbuyo kungafunike kuimitsa mpata kuti usapite patsogolo. Ngati ndi madigiri oposa 40, dokotala wanu angakulimbikitseni opaleshoni kuti awongole msana.
Kumene Kumayambira
Pankhani ya chithandizo cha scoliosis, nthawi ndi yofunika kwambiri. Kaya mumachenjezedwa kuti mungathe kuwona scoliosis ndi zotsatira za pulojekiti yowunikira sukulu, kufufuza nthawi zonse pa dokotala kapena zozizwitsa zanu zokhazokha, mwamsanga mukuzipeza, mwamsanga mungathe kulimbana ndi mankhwala. Kwa anthu ena, chithandizo choyambirira ndi chomwe chimapangitsa kupeŵa opaleshoni yaikulu ya msana . Nthaŵi zambiri, zingathandize kuchepetsa mphukira kuti zisapitirire, ndipo thandizani mwana wanu kupewa kupezeka kutayika.
> Zotsatira:
> Richards >, SB >, Vitale, MG. Kuwunika kwa Maphunziro a Odiopathic mu Achinyamata. Chidziwitso cha chidziwitso. J Bone Opaleshoni Yophatikiza Mu 2008.
> Scoliosis Research Society. Zolemba Zenizeni. Scoliosis Media ndi Guide Community.
> US Preventive Task Forst (USPSTF) .Kusungira kwa Idiopathic Scoliosis kwa Achinyamata Malangizo a Chichewa. AHRQ.