Scoliosis

Uma kubonwa eceleni, umgogodla ojwayelekile uthatha uhlobo lwe-S olude, ingxenye engaphezulu yomhlane igobile ngaphandle kanti ingxenye engaphansi yomhlane igobile kancane ngaphakathi. Nokho, uma kubonwa ngemuva, umgogodla kufanele ubonakale njengomugqa oqondile kusukela emazantsi entanyeni kuya embotsheni. I-Scoliosis ukugoba kwecala lomgogodla.

I-Scoliosis ukugoba kwecala lomgogodla okuvamise ukutholakala kubantu abasebasha. Nakuba i-scoliosis ingaba khona kubantu abanezinhlungu ezinjenge-cerebral palsy ne-muscular dystrophy, imbangela ye-scoliosis eningi yabantwana ayaziwa.

Imikhakha eminingi ye-scoliosis ilula, kodwa ezinye izigobelo ziya mbi njengoba abantwana bekhula. I-scoliosis eqinile ingakwazi ukukhubaza. Ukugoba komgogodla okubi kakhulu kunganciphisa indawo ngaphakathi esifubeni, okwenza kube nzima ngaphefu ukusebenza kahle.

Abantwana abanesi-scoliosis olula balandelelwa eduze, ngokuvamile nge-X-rays, ukubona ukuthi ukugoba kuya mbi yini. Ezimweni eziningi, akukho ukwelashwa okudingekayo. Abanye abantwana bangadinga ukugqoka i-brace ukuvimbela ukugoba ukuba lungabi mbi. Abanye bangadinga ukuhlinzwa ukuqondisa izigobelo ezinzima kakhulu.

Izimpawu zescoliosis zingafaka: Amahlombe angalingani. Ibanga lehlombe elilodwa elibonakala liphakeme kunelinye. Ucingo olungalingani. Uhlangothi olulodwa lwezinyawo oluphakeme kunelinye. Omunye uhlangothi lwesigqoko sezinsimbi olukhomba phambili. Ukuphakama ohlangothini olulodwa lomhlane uma ubengwa phambili. Ezimweni eziningi zescoliosis, umgogodla uzophenduka noma uqhekeke ngaphezu kokugoba eceleni. Lokhu kubangela amaqhubu noma imisipha ohlangothini olulodwa lomzimba ukuba aphakame kunelinye. Yiya kudokotela wakho uma ubona izimpawu zescoliosis engwaneni yakho. Ukugoba okuncane kungakhula ungakwazi noma ingane yakho ingakwazi ngoba kubonakala kancane kancane futhi ngokuvamile akubangeli ubuhlungu. Ngezinye izikhathi, othisha, abangane nabalingani bezemidlalo yibona bokuqala ukubona i-scoliosis yengane.

Hamba uyobona udokotela wakho uma ubona izimpawu zescoliosis engwaneni yakho. Ukukhothama okuncane kungakhula ungakwazi noma ingane yakho ingakwazi ngoba kuvela kancane kancane futhi ngokuvamile akubangeli ubuhlungu. Ngezinye izikhathi, othisha, abangane nabalingani bezemidlalo yingabo bokuqala ukubona i-scoliosis yengane.

Abahlinzeki bezempilo abazi ukuthi yini ebangela uhlobo oluqhelekileyo lwescoliosis - nakuba kubonakala sengathi kuhilelekile izinto eziyizefa, ngoba le ngxaki ngezinye izikhathi ivela emindenini. Izinhlobo ezingavamile zescoliosis zingabangelwa yi:

• Izimo ezithile zezinzwa nemisipha, ezifana ne-cerebral palsy noma i-muscular dystrophy.
• Iingxaki zokuzalwa ezihlasela ukuthuthukiswa kwama-bone omqolo.
• Ukuhlinzwa kwangaphambili odongeni lwesibeletho njengengane.
• Ukulimala noma ukutheleleka komqolo.
• Ukungalingani komgogodla.

Izimbangela ezingozi zokuthuthukisa uhlobo oluvamile lwescoliosis zifaka:

• Ubudala. Izimpawu nezimpawu ziqala ngokuvamile ebusheni.
• Ubulili. Nakuba abafana namantombazane bobabili bathuthukisa i-scoliosis emaphakathi ngesilinganiso esifanayo, amantombazane anamathuba aphezulu kakhulu okukhula komgca nokuthi kudingeke ukwelashwa.
• Umlando womndeni. I-Scoliosis ingadluliselwa emindenini, kodwa abantwana abaningi abane-scoliosis abanalo umlando womndeni wesifo.

Nakuba abantu abaningi abanescoliosis banesifo esilula, i-scoliosis ngezinye izikhathi ingabangela izinkinga, okuhlanganisa:

• Izinkinga zehlombe. Abantu ababe nescoliosis besebantwaneni bangase babe nethuba elikhulu lokuba nobuhlungu obuhlala njalo emhlombeni uma sekhulile, ikakhulu uma izicucu zabo zikhulu futhi azinaphiwo.
• Ukubonakala. Njengoba i-scoliosis ibi kakhulu, ingabangela izinguquko ezibonakalayo kakhulu — okuhlanganisa izingalo nezinqaba ezingalingani, ama-ribs avelele, nokuhamba kwesinqe nomzimba oya eceleni. Abantu abanescoliosis bavame ukuzizwa benesizungu ngokubonakala kwabo.

Iqembu lezeMpilo lizokuqala ngokuthatha umlando wezokwelapha oqondile futhi lingase libuze imibuzo mayelana nokukhula kwamuva. Ngesikhathi sokuhlolwa komzimba, umhlinzeki wakho angase abe nomntanakho emi bese eguqa phambili emadolweni, nezingalo zidlele phansi, ukuze abone ukuthi ingxenye eyodwa yebhokisi lezimpondo iphakeme kunelinye. Umhlinzeki wakho angase futhi enze ukuhlolwa kwezinzwa ukuze ahlole: Ubuthakathaka bemisipha. Ukungabi namqondo. Izimpendulo. Izivivinyo zezithombe I-X-rays elula ingaqinisekisa ukuxilongwa kwe-scoliosis futhi iveze ubungeke be-spinal curvature. Ukukhishwa okubuyelelweyo kokukhanya kungaba ukukhathazeka ngoba i-X-rays eziningi zizothathwa eminyakeni eminingi ukuze kubonwe ukuthi i-curve iyasiba yimbi. Ukuze kuncishiswe le ngozi, umhlinzeki wakho wezokunakekelwa kwezempilo angase aphakamise uhlobo lwesimiso sezithombe esisebenzisa amazinga aphansi kokukhanya ukuze udale imodeli ye-3D yomgogodla. Noma kunjalo, le sistim ayitholakali kuwo wonke amasiko ezempilo. I-Ultrasound ingenye indlela, yize ingase ibe ngaphansi kokunemba ekuqondeni ubungeke be-scoliosis curve. Ukucwaninga kwe-magnetic resonance (MRI) kungase kunconywe uma umhlinzeki wakho wezokunakekelwa kwezempilo ekholelwa ukuthi isimo esingaphansi - njengokungajwayelekile komgogodla - kubangela i-scoliosis. Ukunakekelwa eMayo Clinic Iqembu lethu lothando labaqeqeshwe beMayo Clinic lingakusiza ngezinkinga zakho zezempilo ezihlobene ne-scoliosis Qala Lapha Ulwazi Olwengeziwe Ukunakekelwa kwe-scoliosis eMayo Clinic MRI X-ray

Ukwelapha i-scoliosis kuyahlukahluka, kuye ngobubanzi bomgogodla. Abantwana abanomgogodla omncane kakhulu ngokuvamile abadingi ukwelashwa nhlobo, nakuba bangadinga ukuhlolwa njalo ukuze kubonwe ukuthi umgogodla uyaqina yini njengoba bekhula.

Ukubopha noma ukuhlinzwa kungadingeka uma umgogodla womhlane ukhulu noma mkhulu. Izici ezizocatshangelwa zihlanganisa:

• Ukuvuthwa. Uma amathambo engane eseyeka ukukhula, ingozi yokuthi umgogodla uqhubeke iphansi. Lokho futhi kusho ukuthi ama-brace anomphumela omkhulu kubantwana abamathambo abo asakhula. Ukuvuthwa kwamathambo kungahlolwa nge-X-rays yesandla.
• Ubukhulu bomgogodla. Imigogodla emikhulu inamathuba amaningi okuwohloka ngokuhamba kwesikhathi.
• Ubulili. Amantombazane anamathuba aphezulu kakhulu okuqhubeka kunamadodana.

Le brace encane yenziwe ngezinto zeplastiki futhi ihlanganiswe ukuze ihambisane nomzimba.

Uma ingane yakho inenkinga ye-scoliosis ephakathi futhi amathambo asakhula, umhlinzeki wakho wezempilo angase acebise i-brace. Ukugqoka i-brace ngeke kululamise i-scoliosis noma uguqule umgogodla, kodwa ngokuvamile kuvimbela umgogodla ekuqinisweni.

Uhlobo oluvamile lwe-brace yenziwe ngeplastiki futhi ihlanganiswe ukuze ihambisane nomzimba. Le brace cishe ayibonakali ngaphansi kwempahla, njengoba ifaneleka ngaphansi kwama-arms futhi izungezile i-rib cage, umhlane ophansi nama-hips.

I-brace eningi igqokwe phakathi kwamahora angu-13 kuya kwangu-16 ngosuku. Umphumela we-brace uyakhula ngenani lama-hora ngosuku elikhokhelwayo. Abantwana abagqoka ama-brace ngokuvamile bangabamba iqhaza emisebenzini eminingi futhi banezinkinga ezimbalwa. Uma kunesidingo, ingane ingasusa i-brace ukuze ithathe indawo emidlalweni noma kwezinye imisebenzi yomzimba.

Ama-brace ayayeka lapho kungekho zinguquko ezengeziwe ekujuleni. Ngokuphakathi, amantombazane aqeda ukukhula kwawo eminyakeni engu-14, namadoda eminyakeni engu-16, kodwa lokhu kuyahlukahluka kakhulu ngumuntu.

I-scoliosis eqinile ngokuvamile iyaqhubeka ngokuhamba kwesikhathi, ngakho umhlinzeki wakho wezempilo angase aphakamise ukuhlinzwa kwe-scoliosis ukuze usize ukulungisa umgogodla nokuvimbela ukuba uqine.

Izinketho zokwelapha zihlanganisa:

• Ukuxuba komgogodla. Kule nqubo, ochwepheshe bokuhlinzwa bahlanganisa amathambo amabili noma ngaphezulu emgogodleni, okuthiwa yi-vertebrae, ndawonye ukuze angakwazi ukuhamba ngokuzimela. Izingcezu zamathambo noma into efana namathambo ibekwe phakathi kwe-vertebrae. Ama-rods, ama-hooks, amasikrufu noma izingcingo zethusi ngokuvamile zigcina ingxenye yomhlane uqondile futhi zimi ngesikhathi amathambo amadala namasha ehlangana ndawonye.
• Ukukhulisa i-rod. Uma i-scoliosis iqhubeka ngokushesha ebuntwaneni, ochwepheshe bokuhlinzwa bangafaka i-rod eyodwa noma ezimbili ezikhula eceleni komgogodla ongahlala ubude njengoba ingane ikhula. Ama-rods ayandisiwe njalo ngenyanga ezintathu kuya kweziyisithupha ngokuhlinzwa noma ekliniki usebenzisa i-remote control.
• Ukubopha komzimba we-vertebral. Le nqubo ingenziwa ngokusika okuncane. Amasikrufu abekwe eceleni komgogodla womhlane, futhi intambo eqinile, eguquguqukayo ihlanganiswe ngamasikrufu. Uma intambo iqiniswe, umgogodla uqondile. Njengoba ingane ikhula, umgogodla ungaqondile nakakhulu.

Ukuhlupheka kokwelapha komgogodla kungafaka ukuphuza igazi, ukutheleleka noma ukonakala kwama-nerve.

Ukubhekana ne-scoliosis kungaba nzima kumuntu osemncane esigabeni sokuphila esiyinkimbinkimbi kakade. Abavuthayo bayehluleka ngezinguquko zomzimba nezinselele zomzwelo kanye nomphakathi. Ngokwengezwa kokuxilongwa kwe-scoliosis, intsha ingase izizwe ithukuthele, ingakhululekile, futhi yesabe. Iqembu eliqinile, elisekela labangane lingaba nomthelela omkhulu ekwamukeleni umntwana noma owesilisa i-scoliosis, ukufakwa kwesibopho noma ukwelashwa okuhlinzwayo. Khuthaza umntanakho ukuba akhulume nabangane futhi acela ukwesekwa kwabo. Cabanga ngokujoyina iqembu lokusekela abazali nabantwana abane-scoliosis. Amalungu eqembu lokusekela anganikeza iseluleko, adlulisele okuhlangenwe nakho kwangempela, futhi akusize uxhumane nabanye ababhekene nezinselele ezifanayo.