Chii chinonzi Scoliosis? Zviratidzo, Zvinokonzera, & Kurapa

Scoliosis chirwere umo musana wako unokotama kurutivi, uchifananidza tsamba ye-S kana ye-C, panzvimbo pokuva wakarurama. Kazhinji, zvirwere izvi zvinenge zvisina ngozi uye hazvikonzeri matambudziko makuru, kunyange vamwe vanhu vangave nekurwadziwa kwemusana kana kuona kuti hunhu hwavo hwakasiyana.

Kukotama uku kwemusana kunokanganisa vanhu vanenge 2-3%, uye kazhinji kunowanikwa panguva yehudiki kana uchangotanga kukura apo kukura kukuru kunoratidza kukotama kwacho. Zvakanaka ndechekuti nekutarisa kwakakodzera nekurapa kana zvichidiwa, vanhu vakawanda vane scoliosis vanorarama hupenyu hunowanzoita, hunoshanda.

Ndezvipi zviratidzo zve scoliosis?

Vanhu vakawanda vane scoliosis isina kukura havaoni chero zviratidzo, ndosaka chirwere ichi dzimwe nguva chisingazivikanwi kwemakore mazhinji. Kana zviratidzo zvikaonekwa, kazhinji zvine chekuita nekukotama kwemusana kunokanganisa hunhu hwako nekuenzana kwemuviri.

Aya ndiwo maratidzo akajairika aunogona kuona:

• Bvi rimwe rinoratidzika kunge riri pamusoro pe rimwe
• Chiuno chako chinoita sekunge hachina kuenzana kana gumbo rimwe richiratidzika kunge riri pamusoro
• Bvi rimwe remapfudzi rinobuda zvakanyanya kupfuura rimwe
• Musoro wako hausi pakati chaipo pamusoro pe pelvis yako
• Rutivi rumwe rwe rib cage yako rinoratidzika kunge riri kukura zvakanyanya
• Nguo dzako hadzina kuenzana pamuviri wako

Vamwe vanhu vanonzwawo kusagadzikana kwemuviri, kunyanya sezvo vakura. Kurwadziwa kwemusana ndicho chikuru chinotaurwa, kunyange zvakadaro zvakakosha kucherechedza kuti vanhu vakawanda vane scoliosis havazombovi nekurwadziwa kukuru.

Mu zvirwere zvakakomba zvikuru, zviratidzo zvimwe zvinogona kusanganisira:

• Kuneta kwemhasuru mushure mekumira kana kugara kwenguva yakareba
• Kunetseka kufema kana kukotama kuchidzvinyirira mapapu ako
• Matambudziko ekugaya kana kukotama kuchikanganisa nhengo dzako dzemudumbu
• Kusanzwa kana kushaya simba mumakumbo ako (izvi zvisingawanzoitika)

Aya maratidzo akakomba anowanzoitika chete kana kukotama kwemusana kuri kukura zvakanyanya, kazhinji kuchiyera kupfuura madhigirii 70-80 pa X-rays.

Ndeapi marudzi e scoliosis?

Scoliosis ine marudzi akasiyana, uye kunzwisisa rudzi rwawakaita kunobatsira kuona nzira yakanakisa yekurapa. Kugoverwa kazhinji kunoenderana nekuti chirwere ichi chinokura riini uye chinokonzera chii.

Marudzi akajairika anosanganisira:

• Idiopathic scoliosis: Izvi zvinoreva kuti chikonzero hachizivikanwi, uye chinoita chikamu che 80% chezviitiko zvose
• Congenital scoliosis: Iripo kubva pakuberekwa nekuda kwekusakwana kwekuvanduka kwemusana
• Neuromuscular scoliosis: Inokonzerwa ne zvirwere zvinokanganisa mhasuru nemitsipa
• Degenerative scoliosis: Inokura muvakuru nekuda kwekukura kwemusana

Idiopathic scoliosis inogoverwa zvakare nekuonekwa kwezera. Infantile idiopathic scoliosis inoonekwa usati wazara makore matatu, juvenile inoitika pakati pemakore mana nemapfumbamwe, uye adolescent idiopathic scoliosis inokura pakati pemakore gumi ne gumi nemasere.

Adolescent idiopathic scoliosis ndiyo yakajairika zvikuru, kunyanya muvasikana panguva yekukura kwavo. Nguva iyi inokosha nekuti kukura kukuru kunogona kuita kuti ma curves aende mberi nekukurumidza.

Chii chinokonzera scoliosis?

Mhinduro yakarurama ndeyekuti hatizivi chii chinokonzera zviitiko zvizhinji zve scoliosis. Anenge 80% yezviitiko zvinonzi "idiopathic," izvo zvinoreva kuti "hatigoni kuona chikonzero chaicho."

Nekudaro, tinoziva kuti genetics ine basa. Kana mumwe munhu wemhuri yako ane scoliosis, une mukana mukuru wekuwanawo, kunyange zvisiri vimbiso.

Kune zviitiko zvatinogona kuona chikonzero chacho, aya ndiwo makuru makuru:

• Zvikanganiso zvekuzvarwa: Dzimwe nguva musana hausi kuumbwa zvakanaka panguva yekukura kwemwana
• Zvirwere zve mhasuru kana mitsipa: Zvirwere senge cerebral palsy kana muscular dystrophy zvinogona kukanganisa kuenzana kwemusana
• Zvikuvadzo kana hutachiona: Kuvadzwa kwemusana kana hutachiona hwakakomba dzimwe nguva zvinogona kutanga scoliosis
• Kushanduka kwezera: Sezvatinokura, arthritis ne disc degeneration zvinogona kuita kuti musana ukotame

Zvakakosha kubvisa zvimwe zvinhu zvisina chokwadi pano. Hunhu husina kunaka, kutakura mabhegi akarema, kana kurara munzvimbo dzakati haazokonzeri scoliosis, kunyange zvazvo zvinhu izvi zvingaita kuti ma curves aripo aoneke zvakanyanya.

Mu zviitiko zvisingawanzoitika, scoliosis inogona kukura nekuda kwezvirwere zviri mumusana kana pedyo naye, zvirwere zve connective tissue senge Marfan syndrome, kana kuvhiyiwa kwepfupa kwakapfuura kunokanganisa kukura kwemusana.

Rini unofanira kuona chiremba nekuda kwe scoliosis?

Unofanira kuona chiremba kana ukaona chero zviratidzo zve hunhu husina kuenzana iwe kana mwana wako, kunyange pasina kurwadziwa. Kuonekwa pakutanga kunokupa mukana wakanakisa wekutarisa chirwere ichi uye kuita chimwe chinhu kana curve ichikura.

Rongedza nguva yekuona chiremba kana ukaona chero shanduko idzi:

• Mapfudzi kana mapfudzi asinganzwisisiki
• Chiuno chisinganzwisisiki kana kukwirira kwe gumbo
• Rutivi rumwe rwe rib cage rinobuda kupfuura rimwe
• Nguo dzisingakwiri zvakanaka pamuviri

Tsvaka rubatsiro rwechiremba nekukurumidza kana iwe uchinzwa:

• Kurwadziwa kwemusana kwakakomba kwakangoerekana kwaitika
• Kunetseka kufema kana kushaya mweya
• Kusanzwa, kunzwa kusinganzwisisiki, kana kushaya simba mumakumbo ako
• Kurasikirwa nekudzora kwematumbo kana ura

Aya maratidzo akakomba anogona kuratidza kuti kukotama kwemusana kuri kukanganisa tsinga dzako kana nhengo dzemukati, izvo zvinoda kuongororwa nekukurumidza.

Kune vana ne vechidiki, kuongororwa nguva dzose panguva yekukura kukuru kunokosha zvikuru sezvo ma curves anogona kukura nekukurumidza panguva idzi.

Ndezvipi zvinhu zvinowedzera mukana we scoliosis?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekuwana scoliosis, kunyange zvazvo kuva nezvinhu izvi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa izvi kunogona kukubatsira kuchengetedza zviratidzo pakutanga.

Zvinhu zvinowedzera mukana zvakanyanya zvinosanganisira:

• Nhoroondo yemhuri: Kuva nemunhu wemhuri ane scoliosis kunowedzera mukana wako
• Kuva musikana: Vasikana vane mukana wekuwana ma curves anoda kurapwa kanomwe kupfuura vakomana
• Zera: Kazhinji zviitiko zvinoitika panguva yekukura kwevechidiki
• Zvimwe zvirwere: Neuromuscular disorders zvinowedzera mukana zvikuru

Zvimwe zvinhu zvisingawanzoitika zvinokosha kuziva zvinosanganisira kuva wakaberekwa usati wazara nguva, zvimwe zvirwere zve genetic senge Marfan syndrome, uye kuva wakavhiyiwa pfupa semwana mudiki.

Zvinonakidza, kunyange zvazvo vasikana vane mukana mukuru wekuwana scoliosis, vakomana nevasikana vane mukana wakafanana wekuva nema curves asingakuri. Musiyano unouya mukukura - ma curves evasikana ane mukana mukuru wekuipisisa uye anoda kurapwa.

Ndezvipi zvinogona kuitika nekuda kwe scoliosis?

Vanhu vakawanda vane scoliosis havaoni matambudziko makuru, kunyanya nema curves asingakuri. Nekudaro, zvakakosha kunzwisisa zvinogona kuitika kana curve ikakomba kana isina kurapwa.

Matambudziko akajairika aunogona kusangana nawo anosanganisira:

• Kurwadziwa kwemusana kwenguva refu nekuneta kwemhasuru
• Kuora kwemapapu kana curve ichidzvinyirira chipfuva chako
• Matambudziko emwoyo mu zviitiko zvakakomba zvikuru nekuda kwekumanikidzwa kwepfupa
• Matambudziko ekuzviremekedza ane chekuita nekushanduka kwehunyanzvi
• Kunetseka nemabasa emuviri kana mitambo

Matambudziko akakomba zvikuru asingawanzoitika asi anogona kuitika nema curves akakomba (kazhinji anopfuura madhigirii 70-80). Izvi zvinogona kusanganisira kunetseka kukuru kwekufema, kunetseka kwemwoyo, uye mu zviitiko zvakanyanya, kukuvara kwetumitsipa.

Panguva yekuzvitakura, vakadzi vane scoliosis vangave nekurwadziwa kwemusana kwakawedzera, kunyange zvazvo vakawanda vanogona kuva nekuzvitakura kwakajairika nekuzvarwa. Chinhu chikuru ndechekuti kana curve ichikanganisa basa remapapu zvakanyanya.

Kukanganisa kwepfungwa hakusi kufanira kuregererwawo. Vamwe vanhu, kunyanya vechidiki, vanorwira nekuzviona kana kunzwa kusagadzikana nezvitarisiko zvavo, izvo zvinonzwisisika uye zvinofanira kugadziriswa nerutsigiro.

Scoliosis inogona kudzivirirwa sei?

Zvinosuruvarisa, hapana nzira yakaratidzwa yekudzivirira idiopathic scoliosis sezvo tisinganzwisisi zvizere chii chinokonzera. Izvi zvinogona kunzwa zvisingafadzi, asi yeuka kuti kazhinji zviitiko zvinenge zvisina ngozi uye zvinogona kugadziriswa.

Nekudaro, unogona kutora matanho ekuiwana pakutanga uye kudzivirira matambudziko:

• Kuongororwa nguva dzose panguva yehudiki nekuve mudiki
• Kuziva shanduko dzehunyanzvi iwe kana vana vako
• Kuchengetedza hutano hwemusana hwakanaka kuburikidza ne kurovedza muviri
• Kutevera mazano ekurapa kana scoliosis yakawanikwa

Vamwe vanhu vanoshamisika kana kurovedza muviri kana kugadzirisa hunhu zvingadzivirira scoliosis, asi hapana humbowo hwesainzi hwekuti nzira idzi dzinoshingaira pakudzivirira. Hunhu hwakanaka nesimba remhasuru zvinobatsira pakutarisira hutano hwemusana, asi hazvidziviriri scoliosis kubva pakukura.

Nzira yakanakisa yekudzivirira ndeyekuonekwa pakutanga nekutarisa kwakakodzera, izvo zvinobvumira kuita chimwe chinhu usati ma curves akura zvakanyanya.

Scoliosis inoziviswa sei?

Kuziva scoliosis kazhinji kunotanga nekuongororwa kwemuviri kwakapfava kwachiremba wako anogona kuita muhofisi. Maitiro acho akareruka uye haana maitiro asingafadzi.

Chiremba wako achakuudza kuti ukochekera mberi pachiuno nepo vachiongorora musana wako kubva kumashure. Iyi "Adams forward bend test" inoita kuti ma curves emusana aoneke zvakanyanya uye inobatsira kuona chero kusakwana kumashure kwako.

Kana scoliosis ichifungidzirwa, nhanho inotevera kazhinji X-ray yemusana wako. Izvi zvinoratidza kukura kwakakwana kwe curve uye zvinobatsira kuona kukura kwechirwere chako.

Maitiro ekuongorora kazhinji anosanganisira:

• Kuongorora nhoroondo yemishonga, kusanganisira nhoroondo yemhuri
• Kuongororwa kwemuviri kwehunhu hwako nekuenzana kwemusana
• Kuyerwa kwe chero kusakwana kunoonekwa
• X-rays yekuyera kukura kwe curve nekwainowanikwa

Mu zvimwe zviitiko, chiremba wako angarayira bvunzo dzimwe senge MRI kuti abvise zvirwere zviri pasi, kunyanya kana iwe uine zviratidzo zve neurological kana kana curve pattern isingawanzoitika.

Kukura kwe scoliosis kunoyerwa mumadhigirii uchishandisa chimwe chinhu chinonzi Cobb angle. Ma curves asingasviki madhigirii gumi haafungidzirwi kuva scoliosis, nepo ma curves anopfuura madhigirii makumi mashanu kazhinji anoonekwa se akakomba.

Kurapa kwe scoliosis ndekupi?

Kurapa kwe scoliosis kunoenderana zvikuru nekukura kwe curve yako, kana ichikura, uye kuti inokanganisa sei hupenyu hwako hwezuva nezuva. Zvakanaka ndechekuti kazhinji zviitiko zvinoda chete kutarisa, kwete kurapwa kwakanyanya.

Kune ma curves asingakuri (madhigirii gumi kusvika makumi maviri nemashanu), nzira kazhinji "kutarisa nekumirira." Izvi zvinoreva kuongororwa nguva dzose kuti uone kana curve ichikura, kazhinji mwedzi mina kusvika mitanhatu panguva yekukura kukuru.

Ma curves epakati (madhigirii makumi maviri nemashanu kusvika makumi mana nemashanu) muvana vanokura kazhinji anoda kuiswa brace. Brace haigadziri curve iripo asi inogona kudzivirira kubva pakukura panguva yekukura kukuru.

Sarudzo dzekurapa dzinosanganisira:

• Kucherechedza: Kuongororwa nguva dzose ne X-rays yema curves asingakuri, akagadzikana
• Bracing: Inopfekwa maawa gumi nematanhatu kusvika makumi maviri nematatu zuva nezuva kune vana vanokura vane ma curves epakati
• Physical therapy: Kurovedza muviri kuvandudza simba, kunyanyisa, uye hunhu
• Kuvhiya: Kunosara kune ma curves akakomba (kazhinji anopfuura madhigirii makumi mana nemashanu kusvika makumi mashanu) anoramba achikura

Kuvhiya, kana zvichidiwa, kazhinji kunosanganisira spinal fusion - kubatanidza vertebrae yakakotama ne bone grafts ne metal rods kururamisa nekugadzirisa musana. Izvi ndizvo kuvhiya kukuru asi kunobudirira zvikuru pakumisa kukura kwe curve.

Kudzorera kurwadziwa chikamu chakakosha chekurapa kune avo vanonzwa kusagadzikana. Izvi zvinogona kusanganisira physical therapy, mishonga yekurwadziwa, kana nzira dzakasiyana senge chiropractic care.

Nzira yekutarisira scoliosis pamba?

Kunyangwe usingakwanisi kurapa scoliosis pamba, kune zvinhu zvakati zvaunogona kuita kudzora zviratidzo uye kutsigira hutano hwemusana wako. Nzira idzi dzinonyanya kushanda pamwe nekurapa kweprofessional.

Kuramba uchishanda chimwe chezvinhu zvakakosha zvaunogona kuita. Kurovedza muviri nguva dzose kunobatsira kuchengetedza kunyanyisa, simba, uye kunogona kuderedza kurwadziwa kune vanhu vakawanda vane scoliosis.

Nzira dzekutarisira dzinoshanda pamba dzinosanganisira:

• Kurovedza muviri kwenguva dzose kwisingakonzere kukuvara senge kushambira, kufamba, kana yoga
• Kurovedza muviri kwemhasuru dzemudumbu kutsigira musana wako
• Kurara zvakanaka nema mattresses nemapillow anokodzera
• Kupisa kana ice packs kubvisa kurwadziwa sezvinodiwa
• Nzira dzekudzora kushushikana, sezvo kushushikana kunogona kuwedzera kurwadziwa kwemusana

Cherechedza zviitiko zvako zvezuva nezuvawo. Kutora zororo kubva pakugara kwenguva refu, kushandisa ergonomic workstation setups, uye kudzivirira zviitiko zvinokonzera kurwadziwa kukuru zvinogona kuita musiyano mukuru mukunyaradza kwako.

Kana uri kupfeka brace, kutevera nguva yakapihwa yekupfeka kunokosha pakubudirira. Izvi zvinogona kuva zvakaoma, kunyanya kune vechidiki, asi kuenderera mberi kunokupa mukana wakanakisa wekudzivirira kukura kwe curve.

Chengeta bhuku rezviratidzo kuti utevedze zvinobatsira uye zvisingabatsiri. Ruzivo urwu runogona kuva runokosha kune timu yako yehutano pakugadzirisa chirongwa chako chekurapa.

Unofanira kugadzirira sei nguva yako yekuona chiremba?

Kuva wakagadzirira zvakanaka kune nguva yako yekuona chiremba nezve scoliosis kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva pakuona kwako uye usakanganwa kutaura nezvezvinhu zvakakosha. Kugadzirira kwakapfava kunobatsira zvikuru.

Usati waenda kune chiremba,unganidza chero X-rays yapfuura kana zvinyorwa zve mishonga zvine chekuita nemusana wako. Kana iri nguva yekuongororwa zvakare, kuziva kuti X-rays dzako dzapfuura dzakatorwa riini kunogona kubatsira chiremba wako kuona kana mifananidzo mitsva inodiwa.

uya wakagadzirira neruzivo nezve:

• Paunotanga kuona zviratidzo zve scoliosis
• Chero nhoroondo yemhuri ye matambudziko emusana
• Zviratidzo zviripo uye kuti zvinokanganisa sei mabasa ezuva nezuva
• Mibvunzo nezve sarudzo dzekurapa kana zvinotyisa nezvekukura
• Chero mishonga yekurwadziwa kana kurapwa kwaunenge wamboshandisa

Nyora mibvunzo yako usati waenda kuitira kuti usakanganwe panguva yekuona chiremba. Mibvunzo yakajairika inogona kusanganisira kubvunza nezve miganho yebasa, mukana wekukura kwe curve, kana zviratidzo zvekucherechedza.

Kana uri kuuya nemwana kana mudiki, vagadzirire kuti vatarisire chii panguva yekuongororwa. Vaudza kuti vanofanira kukotama mberi uye vangada X-rays, asi simbisa kuti maitiro aya haana kurwadza.

Chii chinonyanya kukosha nezve scoliosis?

Chinhu chakakosha chokuyeuka nezve scoliosis ndechekuti kazhinji chirwere chinogona kugadziriswa chisingafaniri kukanganisa hupenyu hwako zvakanyanya. Kunyange zvazvo kuziva kunogona kunzwa kusingafadzi pakutanga, vanhu vakawanda vane scoliosis vanorarama hupenyu hunowanzoita, hunoshanda.

Kuonekwa pakutanga nekutarisa kwakakodzera ndizvo zvombo zvakanakisa zve kutarisira scoliosis zvakanaka. Kunyangwe curve yako isina kukura uye inoda chete kutarisa, kana yakakura uye inoda kurapwa, kuramba uchibatana ne timu yako yehutano kunokupa mhinduro dzakanakisa.

Yeuka kuti kuva ne scoliosis hakusi kukutsanangurira kana kungogumisa zvaunogona kuita. Vatambi vakawanda ve nyanzvi, vanodanana, nevanhu vari mubasa rinoda simba remuviri vane scoliosis uye vanoita pabasa rakakwirira.

Chinhu chikuru ndechekuwana kuenzana kwakanaka kwekucherechedza, kurapwa kana zvichidiwa, uye kuchengetedza hupenyu hunoshanda, hunoshanda hunoenderana nemamiriro ako chaiwo.

Mibvunzo inobvunzwa kazhinji nezve scoliosis

Scoliosis inogona kurapwa zvachose here?

Scoliosis haigone "kurapwa" munzira yakajairika, asi inogona kutarisirwa zvakanaka. Ma curves asingakuri kazhinji anoramba akagadzikana muhupenyu hwese pasina kurapwa. Ma curves epakati anogona kudzivirirwa kubva pakukura ne bracing panguva yekukura. Ma curves akakomba anogona kugadziriswa zvikuru ne kuvhiya, kunyange zvazvo curve yakati inoramba iripo. Chinangwa chekurapa ndechekudzivirira kukura uye kuchengetedza basa, kwete zvakakwana kuwana musana wakarurama.

Scoliosis ichaipisisa here sezvandinoenda?

Izvi zvinoenderana nezvinhu zvakati, kusanganisira kukura kwe curve yako uye kana uchiri kukura. Muvakuru, ma curves pasi pemadhigirii makumi matatu haawanzo kuitika zvakanyanya. Ma curves ari pakati pemadhigirii makumi matatu kusvika makumi mashanu anogona kukura zvishoma nezvishoma (anenge madhigirii 1-2 pagore). Ma curves anopfuura madhigirii makumi mashanu ane mukana mukuru wekuramba achikura muhupenyu hwese. Nekudaro, kunyangwe ma curves achikura muvakuru, shanduko kazhinji inenge iri nhema uye inogona kugadziriswa nekutarisirwa kwakakodzera.

Ndingaramba ndichiita mitambo here kana ndine scoliosis?

Vanhu vakawanda vane scoliosis vanogona kuita mitambo nemabasa emuviri pasina miganho. Kutaura zvazviri, kuramba uchishanda kunokurudzirwa sezvo kunobatsira kuchengetedza simba nekukura. Mimwe mitambo inogona kunge yakaganhurirwa kana iwe uine scoliosis yakakomba kana wava ne spinal fusion surgery, asi sarudzo idzi dzinofanira kuitwa nemunhu mumwe nemumwe nachiremba wako. Kushambira kunobatsira zvikuru kune vanhu vane scoliosis sezvo kunopa kurovedza muviri kwakanaka pasina kunetesa musana.

Scoliosis inokonzera kurwadziwa kune munhu wese ane chirwere ichi here?

Kwete, vanhu vakawanda vane scoliosis isina kukura kana yepakati havazombovi nekurwadziwa kukuru. Kurwadziwa kwemusana kunowanzoitika muvakuru vane scoliosis kupfuura muvana kana vechidiki. Kana kurwadziwa kuchitika, kazhinji kunobatanidzwa nekuneta kwemhasuru kubva pakuzvipira nekukotama kwemusana, panzvimbo pe curve pachayo. Ma curves akakomba ane mukana mukuru wekuita kurwadziwa, asi kunyange ipapo, nzira dzinoshanda dzekudzora kurwadziwa dziripo.

Kuvhiya kwe scoliosis kunodiwa nguva dzose kune ma curves akakomba here?

Kuvhiya kazhinji kunokurudzirwa kune ma curves anopfuura madhigirii makumi mana nemashanu kusvika makumi mashanu muvana vanokura kana ma curves anopfuura madhigirii makumi mashanu muvakuru, kunyanya kana vachiramba vachikura. Nekudaro, sarudzo haisi kubva chete pakukura kwe curve. Chiremba wako achaonawo zera rako, mukana wekukura uripo, zviratidzo, uye kuti curve inokanganisa sei hupenyu hwako. Vamwe vanhu vane ma curves akakomba vanosarudza kusaita kuvhiya uye kutarisira mamiriro avo zvishoma nezvishoma, kunyange zvazvo izvi zvinoda kutarisa kwakanyanya kune zvinogona kuitika.