Apo patinonzwa nezve scoliosis , nguva yakawanda iyo hurukuro inotarisa kuti kusvibisa uku kunobata sei vechidiki nevechiri kuyaruka. Zvechokwadi, kuziva kuti iwe une scoliosis ndiyo dambudziko guru kune wechidiki.
Asi scoliosis inobatawo vanhu vakuru. Zvinodaro mune imwe yenzira mbiri-kana sekuenderera mberi kwe scoliosis yakagadzirwa pakutanga kwehupenyu kana semamiriro akasiyana zvakakwana, anozivikanwa sevanhu vakuru vanopera zvidzidzo.
Muchidimbu idiopathic scoliosis, izwi rokuti " idiopathic " rinoreva kuti nyanzvi-chiremba wako, vatsvakurudzi vari mumharapara, nevamwe vanoziva-havagoni kutaurira chinokonzera. Idiopathic scoliosis ndiyo inowanzosiyana ye scoliosis uye inobata zvose vana nevakuru.
Tsanangudzo Yakakurumidza ye Scoliosis
Pasinei nokuti ndeapi rudzi rwe scoliosis ratinotaura nezvazvo kana kuti yakava nemakore akapi, ruzivosiyumu inoratidzika iyo mutsara inoita mazamu anoenda kurutivi. Inogona kunongobatanidza chete rimwe rutivi kune kurudyi kana kuruboshwe, kana, iwe unogona kunge unozivikanwa se "S" curve scoliosis. Mutsara we "S" unoumba miviri ye-scoliotic-imwe iri kumusoro iyo inowira kurudyi kana kuruboshwe uye kuratidzika kwepasi pasi kune chinotarisana neicho pamusoro.
Idiopathic scoliosis muvanhu vakuru inotarisa zvakafanana neyevana. Iwe unogona kuona kuti rimwe remapfudzi ako rakasimudzwa rakakwirira kudarika rimwe, uye iwe unogonawo kuva nerambo "hump" kune rumwe rutivi rwemukati mako.
Rubvu "hump" inonyanya kukwirira kunoratidzika kune rumwe rutivi rwembambo dzako. Izvi zvinowanzoitika pamucheto wekudzivirira wemakona, nokuti musana munharaunda iyo unodhonza nenyundo kumashure.
Scoliosis Kuziva uye Kurapa
Scoliosis inowanikwa kakawanda ne x-ray uye kuongororwa kweCobb kuongororwa kwemafirimu.
Kana mheta yako kana mavhareji ari madigiri 50 kana mukuru wako chiremba angangokurudzira kushanda. Kuti zvive zviduku zvemadhigirii, kazhinji kuputika, maitiro uye kuchengetedza (kwete-chirwere) kunopiwa. Zvirwere zvepachirwere zvirwere zvinogona kupiwa, zvakare.
Kazhinji kutaura, scoliosis curves inokura pakutanga kwehupenyu haina kuwana yakawanda kudarika 30 degrees, maererano ne Scoliosis Research Society (SRS). SarS inoti mwana wechidiki andiopathic curve anoyera madigiri makumi matatu kana kuti asingasviki anotarisa kuti asafambire mberi sezvo murwere ane makore. Asi kana kuvhara kwako kwaive nemadhigirii makumi mashanu pawakanga uchiri muduku, kuwedzera pakati pe55 kusvika 2 degrees pagore kunogoneka. Muchiitiko ichi, zvakakosha kuva ne scoliosis yako ichiongororwa nguva dzose nemusana wechipfuva.
Vakuru Vechikoro Vanofungisisa Zvikuru
Iye zvino zvaunoziva pamusoro peidiopathic scoliosis muvechidiki, ngativei kuedza kunzwisisa zvinhu zvakasiyana-siyana zvechiitiko ichi sezvo zvinokanganisa kukwegura kwevanhu.
Scoliosis kana kwete, vagari vakura uye vakwegura vanotanga kukura kuchinja kunopera mumutsana. Saka kana iwe uri mukuru uye une adult idiopathic scoliosis, iwe uchave uine zviratidzo zvakawanda kupfuura wechidiki ne idiopathic scoliosis, maererano neSRS.
Zvimwe zviratidzo zvinowanikwa zvakabatana neArthritis uye zvinogona kuitika munzvimbo dzepamusoro dzinowanzosvibisa kuderera-iyo inowanzove iyo mazaruriro aripo. Kuvhurwa kuripo kuti kubvumira rwonzi rwomupfupa uye maronda emupfupa apfuure. Kuzarurirwa kwakadaro kunosanganisira mugero wemusana, uko mamiriro ezvinhu anozivikanwa semusana we canal stenosis angasimuka, uye intervertebral foramina, iyo iri pamativi emutsara wepelinha pazvikamu zvose.
Mutsipa wemasipiresi midzi inobva kunze kwehutano usati wasvika muhutano hwemunhu umwe wese anoshumira muviri wose. Muchikwata chemweya, rumwe rudzi rwe stenosis runogona kukura runonzi neuro foraminal stenosis.
Stenosis ishoko rinoreva kunamisa kwezvivako izvi nekuda kwekuchinja kunopera mufupa.
Iyo intervertebral disc ndiyo imwe nzvimbo inowanzowera.
Osteoporosis, chirwere umo iwe unorasikirwa nefupa rinokurumidza kupfuura iwe unogona kuzvibudisa, unogona kukurumidzira migumisiro yekuderedza chikoro, maererano nekuongorora kwakabudiswa muEuropean Spine Journal . Osteoporosis inowedzera huwandu hwenhizha (s), vatsvakurudzi vanoti.
Vatsvakurudzi vanowedzera kuti kana iwe uine osteoporosis uye munhu mukuru idiopathic scoliosis, zvinyorwa zvomuviri uye makutu avo, pamwe ne-intervertebral discs uye maginal ligaments zvingangodedzwa, uye inogona kukura stenosis. Osteoporosis inowedzera kuchinja mushure-menopausal madzimai.
Rimwe dambudziko rekuputsika kwemusana ndeimwe dambudziko rehutano rinobata vakwegura kupfuura vamwe. Kana iwe ukatsigira kukuvara uku, unhu hwako hwepanyama hunogona kumira kana kumira mberi. Kudengenyeka ichi ndicho chiitiko chinonzi hyperkyphosis. Izvo zvinogona kuva zvechokwadi kana iwe une stenosis nokuti kupfugama mberi kwepamusoro kunowedzera kuva kwakanyanya.
Dambudziko nderokuti kunyatsosimudzira mberi kunogona kukukanda kure, uye kukuita kuti uchengetedze chiuno chako nemabvi zvakagadzikana nguva dzose kuitira kuti uwane chikwereti. Mabvi akafugama nemaguno zvinobatsira kuti uchengetedze munyaya iyi. Pamwe pamwe nevamwe vakuru idiopathic scoliosis zviratidzo, izvi zvinogona kutungamirira kukura zvishoma nezvishoma mukukwanisa kwako kuita kana kuita zvaunogara uchiita.
Surgery
Kuchengetedza kurapwa-kurapwa kunosanganisa kuvhiyiwa-kunowanzotongwa apo yako yevhavha iri pasi pe2 degrees. Asi kana nzira yakachengetedza inokundikana kubvisa zvirwere zvako, kurwadziwa kwako kumakumbo kana kumakumbo kunokanganisa, kusaita kwako kwepamuviri kusina kukwanisa, uye / kana iwe unowana iwe wakanyanyiswa zvakanyanya maererano nekufamba uye basa, unogona kuvhiyiwa.
Kurapa kwevanhu vakuru vanoita zvinhu zvakawanda, maererano neScolliosis Research Society. Inogona kubatsira kuderedza kuenzanisa, kuderedza marwadzo, kururamisa kurongeka kwako, kugadzirisa musana wako uye / kana kubvisa zvinetso pamisungo yako. Iro SRS inorondedzera zvinotevera zvinotarisirwa sezvinowanzoitika:
- Kushanda kwepabonde chinhu chinopedzisira chisingaiti chinobatsira kuderedza kushungurudzwa kwemitsipa. Kuchinja kwehutano hwehutano hunoita kuti uwane stenosis, kana kuderera mumashure emutsara wepasipera, uye kuti kuderedza uku kunogona kutsamwisa mitsipa yako. Chikoro cheScliosis Research Society chinonyevera kuti microdecompression inogona kuwedzera madigiri ako ekudzivirira, kunyanya kana iwe ukapinda muitiro nenzira ine mazai makuru kupfuura 30 degrees. Vanotaurawo kuti rudzi urwu rwekuvhiya runowanzoitwa pane imwe chete yepamusoro-kwete mazinga akawanda.
- Fusion inogona kuitwa kuti igare yakadzika musana mune imwe nzvimbo yakajeka. Fusion inoshandisa pfupa rakagadziriswa, zvichigadzirwa, kubva pfupa rako pachako kana kubva kune cadaver (inotanga kushandiswa isati yasvika kwauri) sechishandiswa chenguva pfupa. Zvadaro, mushure mekuitwa, pane nguva yekuporesa. Kubudirira kunogadziriswa mushure mekunge panguva ino nemapfupa akafanana akabatana pamwe chete.
- Kugadziriswa kwakagadzikana kwakafanana nekukanganiswa mune kuti inowedzera musana wako mu "kurongeka kwakanyanya" uye unobvumira kuti fuse nenzira iyo. Misiyano ndeyokuti kugadzirisa kushanda kunoshandisa kushandiswa kweiyo instrumentation-zvinyorwa, mahwendefa, zvikoreko, tsvimbo uye zvakadai kubatsira kubvisazve musana wako.
- Osteotomy inosanganisira kudzvora uye kuisa mutsara pamagwati. Mutsara wemumakumbo ane mairi maviri ari pedo vertebrae (mumapfupa emupfu) uye disc inogara pakati pavo. Uye osteotomy inogona kusanganisira zvinopfuura imwechete yemumumhanyi.
> Sources:
> Aebi, M. The Adult Scoliosis Eur Spine J. 2005 Dec. http://www.ncbi.nlm.nih.gov/pubmed/16328223
> Scoliosis Research Society. Scoliosis. SRS website. http://www.srs.org/patients-and-families/conditions-and-treatments/adults/scoliosis
> University of Washington Department of Radiology. Scoliosis. UW Dept of Radiology http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/