Scoliosis

Kana ichionekwa kubva parutivi, musana wakajairwa unotorwa sechitarisiko cheS yakareba, kumashure kwepamusoro kuchibuda kunze uye kumashure kwepasi kuchikotama zvishoma mukati. Zvisinei, kana uchionekwa kubva kumashure, musana unofanira kuoneka seurongwa rwakatwasuka kubva pakutanga kwemutsipa kusvika kutailbone. Scoliosis ndiko kukotama kwemusana kwakati kure.

Scoliosis ndiko kukotama kwemusana kwakati kure kunowanzoonekwa mune vechidiki. Kunyange zvazvo scoliosis inogona kuitika kune vanhu vane zvirwere zvakaita se cerebral palsy ne muscular dystrophy, chikonzero chescoliosis yakawanda yehudiki hachizivikanwi.

Zviitiko zvizhinji zve scoliosis zvinoratidza zvishoma, asi mamwe ma curves anowedzera sezvo vana vakakura. Scoliosis yakakomba inogona kuremadza. Curve yemusana yakakomba zvikuru inogona kuderedza huwandu hwenzvimbo mukati mechipfuva, zvichiita kuti mapapu ave akaoma kushanda zvakanaka.

Vana vane scoliosis yakapfava vanotaridzirwa pedyo, kazhinji neX-rays, kuti vaone kana curve iri kuwedzera. Muzviitiko zvizhinji, hapana kurapwa kunodiwa. Vamwe vana vangada kupfeka brace kuti varege curve kubva kuwedzera. Vamwe vangada kuvhiya kuti vadzikamise curves dzakakomba zvikuru.

Zviratidzo zve scoliosis zvinogona kusanganisira: Mahombekombe asina kukwana. Bende rechipfuva rimwe rinoratidzika kuva guru kupfuura rimwe. Chiuno chisingakwana. Bvi rimwe riri pamusoro pe rimwe. Rutivi rumwe rwerutivi rwerukwa rwunobuda kumberi. Kubuda kuri kurutivi rumwe rwerutivi shure pakuita bend forward. Mumazhinji acho ezviitiko zve scoliosis, musana ucharota kana kutendeuka pamwe chete nekukotama kurutivi. Izvi zvinoita kuti mapapiro kana minyoro iri kurutivi rumwe rweruviri ibude kure kupfuura ayo ari kurutivi rumwe. Enda kuna chiremba wako kana ukaona zviratidzo zve scoliosis mwana wako. Makotama madiki anogona kukura usina iwe kana mwana wako uchiziva nekuti anoonekwa zvishoma nezvishoma uye kazhinji haana kurwadza. Dzimwe nguva, vadzidzisi, shamwari uye vatambi vemitambo ndivo vanotanga kuona scoliosis yemwana.

Enda kuna chiremba wako kana ukaona zviratidzo zve scoliosis mwana wako. Kurukurika kushoma kunogona kukura usina iwe kana mwana wako achiziva nekuti kunoratidzika zvishoma nezvishoma uye kazhinji hakuzounzi kurwadziwa. Dzimwe nguva, vadzidzisi, shamwari uye vatambi vemitambo ndivo vanotanga kuona scoliosis yemwana.

Vanopa mazano ehutano havazivi zvinokonzera rudzi runowanzoitika rwe scoliosis — kunyangwe zvichiita sekunge zvine chekuita nezvinhu zvekurasika, nekuti chirwere ichi dzimwe nguva chinoitika mumhuri. Marudzi asingawanzoitika e scoliosis anogona kukonzerwa ne:

• Zvimwe zvirwere zve neuromuscular, zvakadai se cerebral palsy kana muscular dystrophy.
• Zvikanganiso zvekuzvarwa zvinokanganisa kukura kwemapfupa emutsipa.
• Kuoperezwa kare pachipfuva semwana.
• Kukuvadzwa kana kuzara kwemutsipa.
• Kusanzwisisika kwemutsipa wemutsipa.

Zvinokonzera ngozi zvekurwara nerudzi runowanzoitika rwe scoliosis zvinosanganisira:

• Age (Zera). Zviratidzo nezvimwe zviratidzo kazhinji zvinoonekwa panguva yechirove.
• Sex (Bonde). Kunyangwe vakomana nevasikana vose vachiwana scoliosis yakapfava nekumhanya kwakafanana, vasikana vane mukana mukuru wekuti curve iwedzere uye zvichida zvichada kurapwa.
• Family history (Nhoroondo yemhuri). Scoliosis inogona kuonekwa mumhuri, asi vana vazhinji vane scoliosis havave nenhoroondo yemhuri yerwisiso iyi.

Kunyangwe vanhu vakawanda vane scoliosis vane chirwere chinenge chisingakoshi, scoliosis dzimwe nguva inogona kukonzera matambudziko, anosanganisira:

• Matambudziko emusana. Vanhu vaiva ne scoliosis pavakanga vari vana vangangove vakawanda vane marwadzo emusana asingaperi kana vakura, kunyanya kana curves dzavo dzikuru uye dzisingarapwi.
• Kutaridzika. Sezvo scoliosis inowedzera, inogona kukonzera shanduko dzinoonekwa zvakanyanya — kusanganisira chiuno nemafudzi zvisina kukwana, maronda anobuda, uye kufamba kwechiuno nemuviri kuenda kune rumwe rutivi. Vanhu vane scoliosis vanowanzonetseka nezvekutaridzika kwavo.

Chikwata chehutano chekuchengetedza hutano chichatanga kutora nhoroondo yakazara yehutano uye chingabvunza mibvunzo nezvekukura kwenguva pfupi yapfuura. Pakuongororwa kwemuviri, chiremba wenyu angaita kuti mwana wenyu amire wozobva apfugama kubva pachigochiso, nemaoko akarembera zvakasununguka, kuti aone kana divi rimwe re rib cage riri pachena kupfuura rimwe. Mupi wenyu wehutano angaitawo bvunzo ye neurology kuongorora kuti: Kushaya simba kwemhasuru. Kuvava. Reflexes. Kuongororwa kwemifananidzo X-rays yakapusa inogona kusimbisa chirwere che scoliosis uye inoratidza kukomba kwekutambanudza kwemutsipa. Kuwanikwa kakawanda kwe radiation kunogona kuva kunetseka nekuti X-rays dzakawanda dzichatorwa kwemakore kuti aone kana curve iri kuipa. Kuderedza njodzi iyi, mupi wenyu wehutano angakurudzira rudzi rwehurongwa hwekufananidza hunoshandisa zvikamu zvishoma zve radiation kugadzira modhi ye 3D yemutsipa. Zvisinei, hurongwa uhu hahuwanikwe kumacenre ese ekuchiremba. Ultrasound imwe sarudzo, kunyangwe ichigona kunge isinganyanyi kunyatsojeka pakuona kukomba kwe scoliosis curve. Magnetic resonance imaging (MRI) inogona kukurudzirwa kana mupi wenyu wehutano achifungidzira kuti mamiriro ezvinhu ari pasi — akadai sekusanzwisisika kwemutsipa — ari kukonzera scoliosis. Kutarisirwa paMayo Clinic Chikwata chedu chine hanya che Mayo Clinic nyanzvi chinogona kukubatsira nezvinetso zvako zvehutano zvine chekuita ne scoliosis Tanga pano Rumwe ruzivo Kutarisirwa kwe scoliosis paMayo Clinic MRI X-ray

Kurapa scoliosis kunoenderana nehukuru hwekukombama. Vana vane kukombama kuri kuderera zvikuru kazhinji havadi kurapwa, kunyange zvazvo vangada kuongororwa nguva nenguva kuti vaone kana kukombama kuri kuwedzera sezvo vakura.

Zvingadikanwa kupfeka bhande kana kuvhiyiwa kana kukombama kwemutsipa kuri pakati kana kukuru. Zvinhu zvekufunga nezvazvo zvinosanganisira:

• Kukura kwemuviri. Kana mapfupa emwana amira kukura, njodzi yekukura kukombama iri shoma. Izvozvo zvinorevawo kuti mabhande ane simba rakawanda kuvana vane mapfupa achiri kukura. Kukura kwepfupa kunogona kuongororwa neX-rays yemaoko.
• Saizi yekukombama. Kukombama kukuru kunowanzo kuwedzera nekufamba kwenguva.
• Bonde. Vasikana vane njodzi yakakura zvikuru yekukura kukombama kupfuura vakomana.

Bhande iri rakaderera rinogadzirwa nezvinhu zvepurasitiki uye rakagadzirirwa kuti rienderane nemuviri.

Kana mwana wako ane scoliosis iri pakati uye mapfupa achiri kukura, mushandi wehutano wako angakurudzira bhande. Kupfeka bhande hakuzoporese scoliosis kana kudzorera kukombama, asi kazhinji kunodzivirira kukombama kuti kusawedzere.

Rudzi runonyanya kuzivikanwa rwebhande rinogadzirwa nepurasitiki uye rakagadzirirwa kuti rienderane nemuviri. Bhande iri harioneke pasi pegumbeze, sezvo rinokwana pasi pemaoko uye kutenderera rib cage, kumashure kwepasi uye magaro.

Mabhande mazhinji anopfekwa pakati pamaawa gumi nematatu ne gumi nematanhatu pazuva. Kushanda kwakanaka kwebhande kunowedzera nehuwandu hwemaawa pazuva anopfekwa. Vana vanopfeka mabhande vanogona kazhinji kubatanidzwa mumabasa mazhinji uye vane miganho mishoma. Kana zvichidiwa, mwana anogona kubvisa bhande kuti abatane mumitambo kana mamwe mabasa emuviri.

Mabhande anomiswa kana pasina shanduko dzakawanda pakukura. Avhareji, vasikana vanopedza kukura kwavo pamakore gumi nemana, uye vakomana pamakore gumi nematanhatu, asi izvi zvinosiyana zvikuru nemunhu.

Scoliosis yakakomba kazhinji inowedzera nekufamba kwenguva, saka mushandi wehutano wako angakurudzira kuvhiyiwa kwe scoliosis kuti abatsire kururamisa kukombama uye kudzivirira kuti kusawedzere.

Sarudzo dzekuvhiyiwa dzinosanganisira:

• Spinal fusion. Muitiro uyu, vanachirurgi vanobatanidza mapfupa maviri kana kupfuura mumutsipa, anonzi vertebrae, pamwe chete kuitira kuti vasafambe vakazvimirira. Zvidimbu zvepfupa kana zvinhu zvakaita sepfupa zvinowanikwa pakati pevertebrae. Mabara emagetsi, makwiro, maburi kana waya kazhinji anobata chikamu ichocho chemutsipa chakarurama uye chisingafambi nepo zvinhu zvepfupa zvekare nezvitsva zvichiunganidzwa pamwe chete.
• Expanding rod. Kana scoliosis iri kukura nekukurumidza pazera duku, vanachirurgi vanogona kuisa bhande rimwe kana maviri anokura pamutsipa anogona kugadziriswa pakureba sezvo mwana achikura. Mabhande anorebeswa mwedzi mitatu kusvika mitanhatu kana kuvhiyiwa kana mukiriniki uchishandisa remote control.
• Vertebral body tethering. Iyi nzira inogona kuitwa kuburikidza nekucheka duku. Maburi anowanikwa pamucheto wekunze kwe kukombama kwemutsipa, uye tambo yakasimba, inofamba inopfuudzwa kuburikidza nemaburi. Kana tambo yakasimba, mutsipa unorurama. Sezvo mwana achikura, mutsipa ungarurama zvakanyanya.

Matambudziko ekushanda kwemutsipa anogona kusanganisira kubuda ropa, hutachiona kana kukuvara kwetatu.

Kurarama ne scoliosis kunogona kuoma kumunhu mudiki ari munzvimbo yakaoma yehupenyu. Vateen vanoomeswa nekuchinja kwemuviri uye matambudziko emoyo nemweya. Nekuwedzerwa kwechirwere che scoliosis, vechidiki vanogona kunzwa hasha, kusava nechokwadi uye kutya. Boka rakasimba, rinotsigira rehama rinogona kuva nemigumisiro yakakura pakugamuchirwa kwemwana kana teenager ye scoliosis, kuiswa kwechigadziko kana kurapwa kwekutendeuka. Kurudzira mwana wako kutaura neshamwari uye kukumbira rutsigiro rwavo. Funga kubatana neboka rinotsigira vabereki nevana vane scoliosis. Nhengo dzebato rinotsigira dzinogona kupa mazano, kutaura zvakaitika muhupenyu chaihwo uye kukubatsira kusangana nevamwe vanosangana nematambudziko akafanana.