Njira Zisanu ndi Ziwiri Zofotokozera
Kuchuluka kwa scoliosis pakati pa ana ndi akulu kumakhala kowawa, kosamvetsetseka, ndipo mwinanso kofunika kwambiri, kungachepetse ntchito yabwino yamapapu ndi mtima wanu. Chifukwa cha ichi, anthu ambiri ali okonzeka kuchita zomwe akufunikira kuti asamayambe opaleshoni - koma ndi chiyani, ndendende?
Ngakhale kuti palibe yankho lolondola, ntchito ya scoliosis imakhala ikukula.
Pambuyo pokambirana pa nkhani za scoliosis ndi mapapu, nkhaniyi ikufotokoza masukulu akuluakulu 7 a masewero olimbitsa thupi.
Matenda a Scoliosis ndi Mapangidwe
Kafukufuku wina wa 2015 wofalitsidwa mu New England Journal of Medicine anapeza kuti mwana mmodzi mwa atatu mwa ana 176 omwe ali ndi scoliosis omwe anawunika anayezanso matenda obwera m'mapapo. Olemba amanena kuti kupweteka kwa mapapu kotere sikungakhoze kudziwika ndi kujambula chithunzi (makamaka, X-ray, CT scan kapena MRI).
Ngakhale atatha ana a bronchodilators, matenda obwera m'mapapo akupitirizabe (mwa 73% mwa iwo.)
Komanso, phunziroli linapeza ubale wina, nthawi ino pakati pa scoliosis ndi otsika mapapu voliyumu.
Mpweya wamapapu wotsika, womwe umadziwikanso ngati oletsa matenda a mapapo, ndi vuto losiyana ndi matenda obwera m'mapapo. Monga momwe dzinali limasonyezera, limadziwika ndi kuchepa kwa mapapu (zomwe zimatanthauza kuti mpweya wotsika pang'ono ukhoza kubwera ndi kutuluka m'mapapo panthawi yopuma).
Kawirikawiri zimachokera ku matenda kapena kusintha kwa mapapo.
Zochita Zolimbitsa Thupi Zolimbitsa Thupi - Kodi Zolemba Zamalonda Zamtundu?
Ambiri mwa machitidwe ochiritsira azachipatala amagwira ntchito moyenera, masewera olimbitsa thupi, komanso nthawi zina chiropractic, ikhoza kuthandizira kuti muzitha kupweteka komanso kuchepetsa vuto la scoliosis.
Kusamalitsa kumathandiza kubwezeretsa ntchito yabwino, yomwe ili yothandiza pazochitika za tsiku ndi tsiku, koma kuti zowonongeka bwino, chiphunzitsocho chikupita, wina amafunikira opaleshoni.
Osati aliyense amakhulupirira izi.
Pitirizani kuganiza za opaleshoni ndi ena ena tsopano, pazomwe zimakhazikitsidwa ndi vutoli komanso pakukula kafukufuku, kumanga umboni wa PSSE. PSSE imatchulidwa kuti "physiotherapy scoliosis". Limatanthawuza pulojekiti yopatsa opaleshoni yopatsidwa kwa wodwalayo kuti azitha kuchiza matenda a idiopathic scoliosis. (Idiopathic amatanthauza chifukwa cha scoliosis sichidziwika.)
Kafukufuku wina wa 2015 anapeza kuti 22 peresenti ya 263 a scoliosis amagwiritsa ntchito PSSE ndi odwala awo. Zifukwa zimaphatikizapo:
- Monga chophatikizira kuti chigwedeze, chomwe chiri chithandizo chosagwiritsidwa ntchito chosagwiritsa ntchito opaleshoni, kwazing'onozing'ono.
- Kuthandizira kukonza upainiya.
- Kuonjezera zotsatira za opaleshoni.
Kulephera kwa kafukufuku wovomerezeka pakali pano, kuphatikizapo lingaliro lakuti PSSE siwothandiza pa njira zothandizira ndi zifukwa zikuluzikulu zomwe otsala 78 peresenti ya opaleshoniyo anasankha kugwiritsa ntchito PSSE ndi odwala awo scoliosis, malinga ndi kufufuza.
Izi zati, ambiri mwa akatswiri a "osagwiritsa ntchito" akugwirizana ndi kafukufuku wambiri pa PSSE.
Sukulu 7 Zazikulu za PSSE
Ngakhale pali zosiyana, kuchita masewero olimbitsa thupi sikofala kwa madokotala ku US kapena ku UK
Koma ku Ulaya, zimakula. Ndipotu, mitundu isanu ndi iwiri ya PSSE inayambira ku Ulaya.
Masukulu akuluakulu a physiotherapy scoliosis ndizotsatira izi.
Lyon (France)
Njira ya Lyon ndiyo njira yakale kwambiri yogwira ntchito kwa scoliosis. Anayambira kumayambiriro kwa zaka za zana la 18 pamene Dr. Gabriel Pravaz adayambitsa malo opangira mafupa a thupi m'mudzi womwewo. M'masiku a Pravaz, mankhwala ophatikizidwa ndi magalimoto omwe amawongolera, kupanga masewero olimbitsa thupi omwe amafanana ndi makwerero (kulola wodwalayo kuti agwire ntchito yawo pamalo oongoka (kuphatikizapo kusinthira okha) ndi zina.
Zaka zoposa zana pambuyo pake, zida zowonjezereka zinaphatikizidwa ku protoloyi, choyambirira ndi Lyon brace ndipo kenako ndi ART. Gulu la ART linasintha Lyon, ndipo izi zinapuma pantchito yogwiritsidwa ntchito.
Njira ya Lyon ikugwiritsidwa ntchito kwambiri pogwiritsa ntchito mchitidwe, ngakhale kuti zochitika zina za scoliosis zimakhalabe gawo la ndondomekoyi.
Scientific Zochita Zochitika kwa Scoliosis (Italy)
Njira Yogwiritsira Ntchito Sayansi ya Scoliosis (zilembo zachisanu ndi ziŵiri za SEAS) ndizokhazikitsidwa payekha monga momwe zilili umboni. Izi zikutsatira njira ya Lyon - ngakhale kuti idayamba kale, m'ma 1960 - pamene Antonio Negrini ndi Nevia Verzini anakhazikitsa malo ku Vigevano, Italy. M'chaka cha 2002, dzina la likululi linasinthidwa kukhala Italy ya Scoliosis Spinal Institute.
Njira ya SEAS ikugwiranso ntchito yowonongeka kwa 3D ya scoliosis kudzera mu maphunziro oleza mtima (poyamba) ndiyeno kulimbikitsa kuzindikira kwa odwala za kufooka kwawo. Lingaliro ndilo kuti podziwa zofooka zonse ndi njira yothetsera vutoli, wodwalayo ali ndi mphamvu kuti apange kusintha kusintha kwa mphikawo. Kusintha uku kumachitika ndege iliyonse-kutsogolo, mbali ndi mbali.
Zophunzitsira zimaperekedwa kuti zithandize kuchepetsa msana ndikupitiriza kukonzekera bwino . Ogwira ntchito za SEAS amasamala kulemba zochitika zomwe zimatsatira umboni watsopano wa zamankhwala.
Schroth (Germany)
Chikhalidwe cha banja, njira ya Schroth inayamba mu 1910 pamene mwana wazaka 16 wa scoliosis wodwala, Katharina Schroth, anatenga nkhani zake zachipatala m'manja mwake. Ankavala zitsulo zamtengo wapatali, koma zida zogwiritsira ntchito mabuloni zimamuyang'ana ngati njira yothetsera kuchepa kwa mlingo wake pambali ya concave .
Lingaliro la Schroth linali kupumira mu mbali ya concave pamene akudziyang'anitsitsa yekha pagalasi. Zaka khumi ndi zisanu kenako, Schroth anayamba kachipatala kotchedwa scoliosis komwe ankagwiritsa ntchito ntchito zochokera kumayesero ake aunyamata kuti athetse ndi kuphunzitsa odwala. Pofika kumapeto kwa zaka za m'ma 1930, njira ya Schroth inali kliniki yodziwika bwino kwambiri yochizira matenda a scoliosis.
Nkhondo Yachiwiri Yadziko Lonse itatha, Schroth ndi mwana wake anasamukira ku West Germany ndipo adayambitsa chipatala kumeneko, kumene mdzukulu wa Schroth, dokotala wa opaleshoni wamatenda dzina lake Hans-Rudolph Weiss, anadzatumikira monga mtsogoleri wa zamankhwala (mpaka 2008). Mu 2009, Weiss anagwedeza yekha kuti apereke njira zatsopano zothandizira njira zomwe zakhazikitsidwa pa njira ya Schroth. Koma chipatala ku West Germany chikupitirira mpaka lero.
Monga momwe muwonera, njira zambiri za PSSE ndizochokera kapena kubwereka ku njira ya Schroth.
Barcelona Scoliosis Physical Therapy School
Bungwe la Barcelona scoliosis physicrapy school ndilo kusintha kwa njira ya Schroth (yomwe yafotokozedwa pamwambapa). Pasanapite nthawi ya 2009, sukulu ya Barcelona inali Schroth centre. Anakhazikitsidwa m'ma 1960 ndi physiotherapist Elena Salva amene anakumana ndi Katharina Schroth ndi mwana wake panthawi imeneyo ku Germany.
The Schroths anapatsa Salva chiwonetsero chatsopano pa scoliosis yomwe mwamsanga anabwereranso ku dziko lake la Spain. Kwa zaka 40, iye ankachita njira ya Schroth; Pambuyo pake, iye adasintha ntchitoyi kuti ikhale yophatikizika, yophunzirako zamagetsi komanso zamakono.
Pa sukulu ya Barcelona Scoliosis Physical Therapy School, njira yaumunthu imatengedwa ndi odwala. Amaphunzitsidwa kukonza maonekedwe awo a 3D scoliosis ndi mawonekedwe pogwiritsa ntchito kupuma ndi minofu njira zoyenera. Sukulu ya Barcelona ikutsatira "mfundo zovuta" zomwe zimanena kuti scoliosis posture imalimbikitsa kupita patsogolo kwa ma curve.
Njira ya DoboMed (Poland)
Njira ya Dobomed ndi kuphatikiza njira ya Schroth ndi njira yowonongeka yotchedwa Klapp. Zinakhazikitsidwa mu 1940, njira ya Klapp inachokera kuwona kuti nyama zam'nyanja zinayi siziwoneka kuti zimapeza scoliosis, pomwe anthu, omwe ali ndi bipedal, amachita. Njira ya Klapp inagwira bwino ntchito zapopeni kusiyana ndi zovuta zapakhosi, koma nkhani zowonongeka ndizofunikira kuti chithandizo cha postalosis chikhale chofunikira komanso zofanana.
Pamodzi ndi njira zochokera ku njira ya Klapp, njira ya Dobomed imagwiritsa ntchito ntchito ya kupuma kwa Schroth.
Njira ya Dobomed inakhazikitsidwa mu 1979 ndi katswiri wina wa chipolishi ndi Polish physiotherapist dzina lake Krystyna Dobosiewicz. Patapita zaka zingapo, izi zinakhala zochitika nthawi zonse m'magulu ochizira matenda a scoliosis ku Poland. Njirayo imagwiritsidwa ntchito palimodzi ndi popanda kuphulika ndipo yanyalidwa ndi Dipatimenti Yowonongeka ku Medical University ya Katowice, monga chithandizo chamachiritso.
Side Shift Method (London)
Njira ya Side Side Shift inakhazikitsidwa mu 1984 ndi Dr. Min Mehta ndipo ikugwiritsidwa ntchito ku Royal National Orthopedic Hospital ku London. Pakali pano akutsogoleredwa ndi Tony Betts, katswiri wa zamaganizo. Poyamba, njirayi imagwiritsidwa ntchito pokhapokha pochiza ana, koma tsopano idaperekedwanso kwa akuluakulu. Njira imeneyi imabwereka ku ntchito ya kupuma kwa Schroth ndi Dodomed. Kugogomezedwa kumayesetseratu kulumikiza chikhalidwe chomwe chimachokera pakati pa mzere wa thupi. The Side Shift njira amachitira odwala onse asanakhalepo.
Kwa ana, chikhalidwe chotsatira cha Side Shift njira ndi chakuti kukula kungagwiritsidwe ntchito ngati mphamvu yakukonzekera mu kayendedwe ka kayendedwe kake. Mitundu yowonongeka ya thunthu imayendetsedwa mobwerezabwereza kutsutsana ndi mphepo; Izi zimapangitsa kuti anthu aziyenda bwino komanso amathandizanso kuti agwiritse ntchito msana. Ikuthandizanso kuphatikizitsa malingaliro a zochitika. Cholinga cha kusinthana kwa thunthu pamtunduwu ndikumakhudza momwe njirayi imakhalira.
Zochita zolimbitsa thupi zimagwiritsidwanso ntchito mitsempha ya m'mimba ya m'mimba m'mimba , minofu yambiri ndi minofu kuzungulira (scapula).
Kwa akuluakulu, cholinga chake ndi kuchepetsa ndikuyendetsa zopweteka zomwe zimachitika chifukwa chokhazikika pamene zikuchoka pakati pa mzere wa thupi.
Ntchito Yopanga Ntchito ya Scoliosis (Poland)
Thandizo Labwino la Anthu a Scoliosis (FITS) linakhazikitsidwa mu 2004 ndi Polish physiotherapist Marianna Białek ndi physiotherapist ndi osteopath Andrzej M'hango. Njira iyi ya PSSE imasonkhanitsa pamodzi ndikusintha zinthu zina za njira zolimbitsa thupi. Amagwiritsidwa ntchito m'njira zingapo: Payekha kuti akonzekeretsedwe, pamodzi ndi bracing, komanso ngati chithandizo cham'tsogolo chisanachitike ndi chithandizo. Ndalama zimaperekedwanso chifukwa cha zovuta zina monga Scheyermann's kyphosis .
Kumvetsetsa ndi Kumayamikira Maphunziro a Scoliosis Momwe Mungadziwiritsire Matenda Opaleshoni
Ngakhale njira iliyonse ya PSSE ili ndi cholinga chofanana - kukonza 3D scoliosis kuwonongeka mwa kubwezeretsanso msana, nthiti, mapewa ndi mapepala - ambiri amaika chithunzithunzi chawo pa chithandizo.
Zochita zenizeni za Scoliosis zimaperekedwa mogwirizanitsa ndi bracing . Koma monga momwe mwatchulidwira pamwambapa, iyi si lamulo lovuta komanso lachangu. N'zotheka, malinga ndi wodwala, mlingo wa mphindi ndi dokotala, mwa zina, kugwiritsa ntchito PSSE monga mankhwala okha.
Njira iliyonse, mankhwala a scoliosis amafunika njira ya gulu pogwiritsa ntchito maonekedwe, physiotherapy, ndi nthawi zina psychotherapy ndi opaleshoni yopanga mankhwala osiyanasiyana.
> Zotsatira:
> F. Bruder Stapleton, MD akuyang'ana McPhail GL et al. J Wodwala . 2015.
> Ntchito Yothandizira Imatha Kulimbidwa ndi Scoliosis Yopambana. NEJM Journal Yang'anani . 2015.
> Kotwicki T. et al. Kukonzekera kwabwino kwa matenda a chidziwitso mu ubwana. Adolesc Health Med Ther . 2013.
> Marti C. et al. Ophunzira a Scoliosis Research Society amalingaliro okhudza thupi ndi ma physiotherapeutic masewero olimbitsa thupi a achinyamata omwe ali achinyamata omwe amadziwika kuti ndidiopathic scoliosis. Scoliosis . 2015.