Created at:1/16/2025
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I-Scoliosis yisimo lapho umgogodla wakho ukhonjwa eceleni ngesimo se-S noma se-C esikhundleni sokuqhubeka uqonde phansi emhlane wakho. Iningi lamacala limnene futhi alibangeli izinkinga ezinzima, nakuba abanye abantu bangase babe nobuhlungu emhlane noma baphawule ukuthi isimo sabo sibonakala singalingani.
Lokhu kuqina komgogodla kuchaphazela cishe abantu abangu-2-3%, futhi kuvame ukutholakala ebuntwaneni noma ebudaleni lapho ukukhula okusheshayo kwenza ukuqina kubonakale kakhulu. Izindaba ezinhle ukuthi ngokubeka iliso okufanele nokwelashwa uma kudingeka, abantu abaningi abane-scoliosis baphila impilo evamile, esebenzayo ngokuphelele.
Abantu abaningi abane-scoliosis ebuthakathaka abanawo nhlobo izimpawu, yingakho lesi simo ngezinye izikhathi singaphawulwa iminyaka eminingi. Uma izimpawu zivele, ngokuvamile zihambisana nendlela umgogodla oqine ngayo echaphazela isimo sakho somzimba nokuhlanganiswa komzimba.
Nazi izimpawu ezivame kakhulu ongaziqaphela:
Abanye abantu nabo baba nokungakhululeki komzimba, ikakhulukazi njengoba bekhula. Ubuhlungu emhlane yikhonkco eliqhelekile, nakuba kubalulekile ukuqaphela ukuthi abantu abaningi abane-scoliosis abazange babe nobuhlungu obukhulu.
Ezimweni ezinzima kakhulu, izimpawu ezengeziwe zingafaka:
Lezi zimpawu ezinzima ngokuvamile zivele kuphela lapho ukuqina komgogodla kuqine kakhulu, ngokuvamile ukulinganisa ngaphezulu kwamazinga angu-70-80 kuma-X-rays.
I-Scoliosis iza ngezinhlobo eziningana ezahlukene, nokuqonda ukuthi yiluphi uhlobo olukhona kusiza ekutholeni indlela engcono kakhulu yokwelapha. Ukwahlukaniswa ngokuvamile kuncike ekutheni lesi simo sithuthukiswa nini nokuthi yini esibangela.
Izinhlobo ezivame kakhulu zifaka:
I-Scoliosis ye-Idiopathic ihlukaniswe ngokwengeziwe ngokweminye yeminyaka yokuqala. I-Scoliosis ye-Idiopathic yengane ivela ngaphambi kweminyaka engu-3, i-juvenile ivela phakathi kweminyaka engu-4-9, kanti i-scoliosis ye-Idiopathic yentsha ikhula phakathi kweminyaka engu-10-18.
I-Scoliosis ye-Idiopathic yentsha yilona uhlobo oluvamile kakhulu, ikakhulukazi kubantwana besifazane ngesikhathi sokukhula kwabo okusheshayo. Lesi sikhathi sibalulekile ngoba ukukhula okusheshayo kungenza ukuqina kuqhubeke ngokushesha.
Impendulo eqotho ukuthi asiyazi ukuthi yini ebangela iningi lamacala e-scoliosis. Cishe ama-80% amacala abizwa ngokuthi “idiopathic,” okuyinkulumo yezokwelapha okusho ukuthi “asingakwazi ukubona imbangela eqondile.”
Nokho, siyazi ukuthi i-genetics idlala indima. Uma othile emndenini wakho ene-scoliosis, kungenzeka kakhulu ukuthi uzothola futhi, nakuba kungeyona iwaranti.
Ngamacala lapho singakwazi ukuthola imbangela, nazi izimbangela eziyinhloko:
Kubalulekile ukuqeda amaqhinga avamile lapha. Isimo esibi somzimba, ukuthwala izikhwama zesikole ezisindayo, noma ukulala ngezikhundla ezithile akubangeli i-scoliosis, nakuba lezi zinto zingenza ukuqina okukhona kubonakale kakhulu.
Ezimweni ezingavamile, i-scoliosis ingathuthuka ngenxa yama-tumors asemgogodleni noma eduze kwawo, izifo ze-connective tissue ezifana ne-Marfan syndrome, noma ukuhlinzwa kwesifuba okudlule okuchaphazela ukukhula komgogodla.
Kufanele ubheke udokotela uma uqaphela noma yiziphi izimpawu zokungalingani komzimba kuwe noma engwaneni yakho, ngisho noma kungenalo ubuhlungu. Ukutholakala kwasekuqaleni kukunika ithuba elihle kakhulu lokuqapha isimo nokungenela uma ukuqina kuqhubeka.
Hlela i-aphoyintimenti uma uqaphela noma yikuphi kwalokhu kushintsha:
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu:
Lezi zimpawu ezinzima zingabonisa ukuthi ukuqina komgogodla kuchaphazela uhlelo lwakho lwezinzwa noma izitho zakho zangaphakathi, okudinga ukuhlolwa ngokushesha.
Kubantwana nabasha, ukuhlolwa okuvamile ngesikhathi sokukhula okusheshayo kubaluleke kakhulu ngoba ukuqina kungaqhubeka ngokushesha ngalezi zikhathi.
Izinto eziningana zingandisa amathuba akho okuthola i-scoliosis, nakuba ukuba nalezi zimbangela zengozi akusho ukuthi uzothola ngokuqinisekile lesi simo. Ukuziqonda kungakusiza uhlale uxolo ngezimpawu zokuqala.
Izimbangela eziyinhloko zengozi zifaka:
Ezinye izimbangela zengozi ezingavamile ezifanele ukwazi zifaka ukuba uzalwe ngaphambi kwesikhathi, izifo ezithile ze-genetic ezifana ne-Marfan syndrome, nokuhlinzwa kwesifuba njengengane encane.
Ngokuthakazelisayo, ngenkathi amantombazane engozi enkulu yokuthola i-scoliosis ngokujwayelekile, abafana namantombazane banesilinganiso esilinganayo sokuqina okumnene. Umehluko uvela ekuqhubekeni - ukuqina kwamantombazane kungenzeka kakhulu ukuthi kuzoba sibi futhi kudinge ukwelashwa.
Abantu abaningi abane-scoliosis abanawo nhlobo izinhlanganisela ezinzima, ikakhulukazi ngokuqina okumnene. Nokho, kubalulekile ukuqonda ukuthi yini engase ibe khona uma ukuqina kuqina noma kungaphathwa.
Izinhlanganisela ezivame kakhulu ongahlangabezana nazo zifaka:
Izinhlanganisela ezinzima kakhulu ziyimfihlo kodwa zingase zivele ngokuqina okukhulu (ngokuvamile ngaphezulu kwamazinga angu-70-80). Lokhu kungafaka ukuphefumula okunzima, ukucindezeleka kwenhliziyo, futhi ezimweni ezinzima kakhulu, ukulimala komgogodla.
Ngesikhathi sokukhulelwa, abesifazane abane-scoliosis bangase babe nobuhlungu emhlane obukhulu, nakuba abaningi bangaba nokukhulelwa okuvamile nokubeletha. Ukukhathazeka okuyinhloko uma ukuqina kuchaphazela ukusebenza kwamaphaphu kakhulu.
Ithonya lokuzwelana akufanele lihlale licashile. Abanye abantu, ikakhulukazi intsha, balwa nezinkinga zesithombe somzimba noma bazizwa benesizungu ngokubonakala kwabo, okuqondakalayo futhi kufanele kuphathwe ngokusekelwa.
Ngeshwa, ayikho indlela ebonakalayo yokuvimbela i-scoliosis ye-idiopathic ngoba asiqondi ngokuphelele ukuthi yini ebangela. Lokhu kungase kuzwakale kukhungathekisa, kodwa khumbula ukuthi iningi lamacala limnene futhi lilawuleka.
Nokho, ungathatha izinyathelo zokuthola ngokushesha futhi uvikele izinhlanganisela:
Abanye abantu bayazibuza ukuthi ukuzivocavoca noma ukulungisa isimo somzimba kungavimbela i-scoliosis, kodwa ayikho ubufakazi besayensi bokuthi lezi zindlela zisebenza ekuvimbeleni. Isimo esihle somzimba namandla e-core kuwusizo empilweni enhle yomgogodla, kodwa ngeke kuvimbele i-scoliosis ukuthi ithuthuke.
Iqhinga elihle kakhulu “lokuvimbela” ngempela ukutholakala kwasekuqaleni nokuqapha okufanele, okuvumela ukungenela ngaphambi kokuba ukuqina kuqine kakhulu.
Ukuhlola i-scoliosis ngokuvamile kuqala ngokuhlolwa komzimba okulula udokotela wakho angakwenza ehhovisi. Inqubo ilula futhi ayinazo izinqubo ezingakhululeki.
Udokotela wakho cishe uzakucela ukuba ukhonje phambili esibayeni ngenkathi ehlola umgogodla wakho ngemuva. Lo “vivinyo lokuqina phambili luka-Adams” lenza ukuqina komgogodla kubonakale kakhulu futhi kusiza ekutholeni noma yikuphi ukungalingani emhlane wakho.
Uma i-scoliosis ikhona, isinyathelo esilandelayo ngokuvamile yi-X-ray yomgogodla wakho. Leli thuluzi le-imaging libonisa izinga eliqondile lokuqina futhi kusiza ekutholeni ubukhulu besimo sakho.
Inqubo yokuhlola ngokuvamile ifaka:
Ezimweni ezithile, udokotela wakho angase a-ode amavivinyo engeziwe afana ne-MRI ukuze akhiphe izimo eziyinhloko, ikakhulukazi uma unezimpawu zezinzwa noma uma iphethini yokuqina ingavamile.
Ubukhulu be-scoliosis luqapha ngama-degrees usebenzisa okuthile okuthiwa yi-Cobb angle. Ukuqina okungaphansi kwamazinga angu-10 akucabangelwa i-scoliosis, kuyilapho ukuqina okungaphezulu kwamazinga angu-50 ngokuvamile kucabangelwa ukuba nzima.
Ukwelashwa kwe-scoliosis kuncike ikakhulu ekutheni ukuqina kwakho kunzima kangakanani, ukuthi kungenzeka yini ukuthi kuzoba sibi, nokuthi kuchaphazela kanjani impilo yakho yansuku zonke. Izindaba ezinhle ukuthi iningi lamacala lidinga ukubhekwa kuphela, hhayi ukwelashwa okusebenzayo.
Ngokuqina okumnene (ama-degrees angu-10-25), indlela ngokuvamile “ukulinda nokuqapha.” Lokhu kusho ukuhlolwa okuvamile ukuqapha ukuthi ukuqina kuqhubeka yini, ngokuvamile njalo ngenyanga ezingu-4-6 ngezikhathi zokukhula okusheshayo.
Ukuqina okuphakathi nendawo (ama-degrees angu-25-45) kubantwana abakhulayo ngokuvamile kudinga ukubopha. Ukubopha akulungisi ukuqina okukhona kodwa kungavimbela ukuthi kuqhubeke ngesikhathi sokukhula okusheshayo.
Izinketho zokwelapha zifaka:
Ukuhlinzwa, uma kudingeka, ngokuvamile kufaka ukuxuba komgogodla - ukuxhuma ama-vertebrae aqine ngama-bone grafts nama-metal rods ukuqondise futhi uzinzise umgogodla. Lokhu yikhuhlinzwa elikhulu kodwa liphumelela kakhulu ekuyekiseni ukuqhubeka kokuqina.
Ukuphathwa kobuhlungu futhi kuyisigaba esibalulekile sokwelapha kulabo abanawo ubuhlungu. Lokhu kungafaka ukwelashwa ngokomzimba, imithi yobuhlungu, noma izindlela ezihlukile ezifana nokunakekelwa kwe-chiropractic.
Nakuba ungakwazi ukwelapha i-scoliosis ekhaya, kunezinto eziningana ongazenza ukuze ulawule izimpawu futhi usekele impilo yakho enhle yomgogodla. Lezi zindlela zisebenza kangcono kakhulu kanye nokunakekelwa kwezokwelapha kochwepheshe.
Ukusebenza kuyinye yezinto ezibaluleke kakhulu ongazenza. Ukuzivocavoca okuvamile kusiza ekugcineni ukuqina, amandla, futhi kunganciphisa ubuhlungu kubantu abaningi abane-scoliosis.
Izindlela zokuphatha ekhaya ezisiza zifaka:
Qaphela nemisebenzi yakho yansuku zonke. Ukuthatha ama-breaks ekuhlaleni isikhathi eside, ukusebenzisa izindawo zokusebenza ezisebenzayo, nokuqeda imisebenzi ebangela ubuhlungu obukhulu kungenza umehluko omkhulu ezingeni lakho lokuthula.
Uma ugqoka ukubopha, ukulandela isimiso sokugqoka esibekiwe kubalulekile ekusebenzeni. Lokhu kungase kube inselele, ikakhulukazi kubantu abasha, kodwa ukuzinza kukunika ithuba elihle kakhulu lokuvimbela ukuqhubeka kokuqina.
Gcina idayari yezimpawu ukuze uqaphele ukuthi yini esiza futhi yini engasizi. Lolu lwazi lungaba usizo eqenjini lakho lezokunakekelwa kwezempilo ekulungiseni uhlelo lwakho lokwelapha.
Ukuba ulungile nge-aphoyintimenti yakho ye-scoliosis kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi ungakhohlwa ukuxoxa ngezinkinga ezibalulekile. Ukuzilungiselela kancane kuhamba ibanga elide.
Ngaphambi kwe-aphoyintimenti yakho, buthana nanoma yimaphi ama-X-rays adlule noma amarekhodi ezokwelapha ahlobene nomgogodla wakho. Uma lokhu kuyi-follow-up visit, ukwazi ukuthi ama-X-rays akho okugcina athathwe nini kungasiza udokotela wakho ukuthi aqonde ukuthi kudingeka yini izithombe ezintsha.
Zilungiselele ngolwazi mayelana:
Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi se-aphoyintimenti. Imibuzo evamile ingafaka ukubuza ngokumisa imisebenzi, amathuba okuqhubeka kokuqina, noma izimpawu zokubheka.
Uma uletha ingane noma intsha, bazilungiselele ukuthi yini okufanele bayilindele ngesikhathi sokuhlolwa. Baziqondise ukuthi kuzodingeka bakhonje phambili futhi bangase badinge ama-X-rays, kodwa qinisekisa ukuthi lezi zinqubo azinawo ubuhlungu.
Into ebaluleke kakhulu okumele uyikhumbule nge-scoliosis ukuthi ngokuvamile isimo esilawuleka esingadingi ukulinganiselwa impilo yakho kakhulu. Nakuba ukuxilongwa kungase kuzwakale kukhungathekisa ekuqaleni, abantu abaningi abane-scoliosis baphila impilo evamile, esebenzayo ngokuphelele.
Ukutholakala kwasekuqaleni nokuqapha okufanele yizithuluzi zakho ezinhle kakhulu zokulawula i-scoliosis ngokuphumelelayo. Kungakhathaliseki ukuthi ukuqina kwakho kumnene futhi kudinga ukubhekwa kuphela, noma kunzima futhi kudinga ukwelashwa, ukuhlala uhileleke neqembu lakho lezokunakekelwa kwezempilo kukunika imiphumela emihle kakhulu.
Khumbula ukuthi ukuba ne-scoliosis akuchazi wena noma ukulinganiselwe ngokuzenzakalelayo ukuthi yini ongayenza. Abaningi abadlali bezemidlalo, abadansi, nabantu abasemisebenzini enzima ngokomzimba bane-scoliosis futhi basebenza emazingeni aphezulu.
Ukuqonda ukulinganisela okufanele kokubhekwa, ukwelashwa uma kudingeka, nokugcina impilo enhle, esebenzayo ehambisana nesimo sakho esithile.
I-Scoliosis ayikwazi “ukwelashwa” ngendlela evamile, kodwa ingaphathwa kahle kakhulu. Ukuqina okumnene ngokuvamile kuhlala kuzinzile kulo lonke impilo ngaphandle kokwelashwa. Ukuqina okuphakathi nendawo kungavikelwa ekuqhubekeni ngokubopha ngezikhathi zokukhula. Ukuqina okukhulu kungalungiswa ngokuhlinzwa, nakuba ukuqina okuthile ngokuvamile kuhlala khona. Umgomo wokwelapha ukumisa ukuqhubeka nokugcina umsebenzi, hhayi ngokuqinisekile ukufinyelela emgogodleni oqondile ngokuphelele.
Lokhu kuncike ezintweni eziningana, kufaka phakathi ubukhulu bokuqina kwakho nokuthi usakhula yini. Kubantu abadala, ukuqina okungaphansi kwamazinga angu-30 akwenzeki ukuthi kuqhubeke kakhulu. Ukuqina okuvela kuma-degrees angu-30-50 kungase kuqhubeke kancane (cishe ama-degrees angu-1-2 ngonyaka). Ukuqina okungaphezulu kwamazinga angu-50 kungenzeka kakhulu ukuthi kuqhubeke kulo lonke impilo. Nokho, ngisho nalapho ukuqina kuqhubeka ebudaleni, ushintsho ngokuvamile luhamba kancane futhi lulawuleka ngokunakekelwa okufanele.
Abantu abaningi abane-scoliosis bangasebenza ezemidlalo nasemisebenzini yomzimba ngaphandle kokulinganiselwa. Eqinisweni, ukusebenza kuvame ukukhuthazwa njengoba kusiza ekugcineni amandla nokuqina. Ezinye imidlalo yokuxhumana zingase zilinganiselwe uma une-scoliosis enzima noma une-spinal fusion surgery, kodwa lezi zigqiwo kufanele zenziwe ngabanye nodokotela wakho. Ukubhukuda kuwusizo ikakhulu kubantu abane-scoliosis njengoba kunikeza ukuzivocavoca okuhle ngaphandle kokucindezela umgogodla.
Cha, abantu abaningi abane-scoliosis ebuthakathaka noma ephakathi nendawo abazange babe nobuhlungu obukhulu. Ubuhlungu emhlane buvamile kubantu abadala abane-scoliosis kunabantwana noma intsha. Uma ubuhlungu buvela, ngokuvamile buhlobene nokukhathala kwemisipha ngenxa yokubuyisela ukuqina komgogodla, kunokuba yikho ukuqina ngokwakho. Ukuqina okukhulu kungenzeka kakhulu ukuba kubangele ubuhlungu, kodwa ngisho nalapho, izindlela zokuphatha ubuhlungu ezisebenzayo ziyatholakala.
Ukuhlinzwa ngokuvamile kunconywa ngokuqina okungaphezulu kwamazinga angu-45-50 kubantwana abakhulayo noma ukuqina okungaphezulu kwamazinga angu-50 kubantu abadala, ikakhulukazi uma kuqhubeka nokuqhubeka. Nokho, isinqumo asisekelwe kuphela ezingeni lokuqina. Udokotela wakho uzobheka futhi iminyaka yakho, amandla akho okukhula asalele, izimpawu, nokuthi ukuqina kuchaphazela kanjani ikhwalithi yakho yokuphila. Abanye abantu abanezinga lokuqina elikhulu bakhetha ukungabi nokuhlinzwa futhi baphathe isimo sabo ngokuqapha, nakuba lokhu kudinga ukuqapha okucophelelayo ngezinhlanganisela ezingase zivele.