Xa siva malunga ne- scoliosis , inkoliso yexesha xa incoko ibonisa ukuba le ntsholongwane ithinta njani intsha nentsha. Ngokuqinisekileyo, ukufumanisa ukuba u-scoliosis ngumngeni omkhulu kumntu oselula.
Kodwa i-scoliosis inokuchaphazela abantu abadala. Iyenjenjalo ngenye yeendlela ezimbini-mhlawumbi ngokuqhubeka kwe-scoliosis ephuhlisiwe ebomini okanye njengemeko ehlukileyo ngokupheleleyo, eyaziwa ngokuba ngumntu omdala owehlayo.
Kwi-adult idiopathic scoliosis, igama elithi " idiopathic " lithetha ukuba iingcali-ugqirha wakho, abaphandi kwintsimi yomthi, kunye nabanye abakwaziyo-abakwazi ukuxelela oko kubangela. Idiopathic scoliosis yindlela eqhelekileyo yokuhlaziya kunye neyabantwana kunye nabantu abadala.
Inkcazelo ngokukhawuleza ye-Scoliosis
Kungakhathaliseki ukuba luhlobo luni lwe-scoliosis esithetha ngalo okanye kwiliphi elidala ubudala, ukuhamba kwe-scoliosis yinto ephosakeleyo apho umlenze uphula iirvebhu eziya kwicala. Inokubandakanya umjelo owodwa ukuya ngasekunene okanye ngakwesobunxele, okanye, unokuthi ube nolwaziwa ngokuba yi-"S" curveosis. Ikhefu elithi "S" linamaritha amabili e-scoliotic-enye ephezulu ehamba ngakwesokudla okanye ekhohlo kunye nekhava elingaphantsi elibhekiselele kwicala elibhekiselele kwelinye phezulu.
Idiopathic scoliosis kubantu abadala zibukeka zifana noko kubantwana. Ungabona ukuba elinye lamahlombe akho liphakamileyo liphezulu kunezinye, kwaye unokuba nombambo "u-hump" kwicala elinye eliphakathi kwakho.
Umbhobho othi "i-hump" ngowona uphakamileyo ophawulwe kwelinye icala lentshukumo yakho. Oku ngokuqhelekileyo kuvela kwicala lokugqithisa kwekhava, kuba umgudu kuloo ndawo uqhuba iimbambo emva.
I-Scoliosis Diagnosis and Treatment
I-Scoliosis iyalinganiswa ngokuphindaphindiweyo ngu-x-ray kunye nohlalutyo lwama-movie e- Cobb olulandelayo.
Ukuba i-curve okanye ii-curves ziyi-degrees ezingama-50 okanye ngakumbi ugqirha wakho uya kuphakamisa ukusebenza. Ngeengcingo zee-degrees ezincinci, ngokuqhelekileyo ukunyuka, ukusetyenziswa kunye nokunyamekela (non-surgical) kunikezelwa. Iingxube zomzimba zesisu zomzimba zinganikwa, ngokunjalo.
Ngokuqhelekileyo, i-curliosis curve eziphuhliswa kwangoko ebomini azifumani zikhulu kunama-degrees angama-30, ngokwe-Scoliosis Research Society (SRS). I-SRS ithi iikhebhu ze-idiopathic eziselula ezilinganisa i-degrees ezingama-30 okanye ngaphantsi zithatha ukungaqhubeki njengokuba isiguli sigqitha. Kodwa ukuba i-curve yakho yayingama-50 degrees xa uselula, ukuqhubela phambili phakathi kwe -5 ukuya kwi-2 degrees ngonyaka kunokwenzeka. Kule meko, kubalulekile ukuba u-scoliosis yakho ihlolwe rhoqo ngongcali wezandla.
Abantu abadala abakwiSikhuseli baxubusha ngokukhethekileyo
Ngoku ukuba uyazi nge-idiopathic scoliosis kubantu abaselula, makhe sizame ukuqonda iimpawu ezizodwa zeli meko njengoko zichaphazela abantu abaguga.
Ukuxhaswa okanye ukungaxhomeki, abantu abadala kunye nabalupheleyo bavame ukuhlakulela utshintsho olwenziwe lukhuni emgodini. Ngoko ukuba unomdala kwaye unabantu abadala abadala be-idiopathic scoliosis, mhlawumbi uya kuba neempawu ezingaphezulu kunesishumi kunye ne-idiopathic scoliosis, ngokwe-SRS.
Ezi zimpawu ezongezelelweyo zihambelana ne-arthritis kwaye zinokuvela kwimimandla yomgudu ogqithiseleyo ekuhlaleni-edla ukuba yindawo apho kuvulwa khona. Izivulo zikhona ukuze kuvunyelwe intambo yomgogodla kunye nemisipha yomgudu. Izivulo ezinjalo ziquka umgudu womgudu, apho imeko eyaziwa njengendawo yokugaya i-canal stenosis inokuphuhliswa, kunye ne-intervertebral foramina, ekhoyo kumacala omgca wesipelini kuwo onke amanqanaba.
Iingcambu zesisu zomgulane ziphuma ngaphandle kwe-oamina ngaphambi kokuba zixhamle kwiimbilini zodwa ezikhonza lonke umzimba. Kwi-foramina, olunye uhlobo lwe-stenosis lungakhula ngokuthi i-neuro foraminal stenosis.
I-Stenosis iyigama elibhekiselele ekunciphiseni kwezi zithuba ngenxa yokuguqulwa kwesifo kwithambo.
I-disvertebral disc yinye indawo ehlala ihlaselwa.
I-osteoporosis, isifo apho ulahlekelwa yinyama ngokukhawuleza kunokuba unokuyivelisa, unokukhawuleza umphumo we-degenerative scoliosis, ngokutsho kwiphando elipapashwe kwi- European Spine Journal . I-osteoporosis ikwandisa umlinganiselo weerve (s), abaphandi bathi.
Abaphandi bongezelela ukuba xa unesifo se-osteoporosis kunye ne-adult idiopathic scoliosis, i-joint joints kunye ne-capsules zabo, kunye ne-disverbral disks kunye nemigqa yesigxina mhlawumbi iya kuzinza, kwaye inokuphuhlisa i-stenosis. I-osteoporosis ihlala ithintela i-post-menopausal females.
Inkomfa yokunyanzeliswa kwesiphala yenye impilo echaphazela abantu asebekhulile ngaphezu kwabanye. Ukuba uqhubeka nokulimala, ukuthambekela kwakho kwendalo kunokuxhomekeka okanye kuqhube phambili. Ukugubha isimo esibizwa ngokuba yi-hyperkyphosis. Kuyafana nokuba unesifo sokuqhafaza ngenxa yokuba ukugoba phambili komgudu kuthatha ukukhululeka.
Ingxaki kukuba ukunyameka okuphambili kunokukuphosa ukulinganisela, kwaye kubangela ukuba ugcine iinqumlo zakho kunye namadolo akhokile ngokungapheliyo ukuze uhlawule. Amadolo aguqwayo kunye namacangca anokukunceda uhlale uqonde kule meko. Kanye kunye nezinye iimpawu ze-idiopathic ze-scoliosis, le ntlawulo ingakhokelela ekunciphiseni ngokuthe ngcembe ekusebenzeni kwakho okanye uqhube umgangatho wakho wemihla ngemihla.
Ukuhlinzwa
Unyango olulondolozo lwamayeza alubandakanyi ukuhlinzwa-luvame ukulingwa xa i-curve yakho ingaphantsi kwamadridi ama-50. Kodwa ukuba umzila okhuselekileyo ungaphumeleli ukukhupha iimpawu zakho, intlungu yakho okanye umlenze wakho umlenze ukhubaze, ukungalingani kwamagqabi okukhubaza kukukhubaza, kunye / okanye ufumene unqande kakhulu ngokunyakaza kunye nomsebenzi, unokufuna ukuhlinzwa.
Ukuhlinzwa ngokunyanga kwabantu abadala kwenza izinto ezininzi, ngokwe-Scoliosis Research Society. Inokukunceda ukubuyisela ukulinganisela, ukunciphisa intlungu, ukulungisa ukulungelelanisa kwakho, ukuzinzisa umlenze wakho kunye / okanye ukunciphisa uxinzelelo kwiimbilini zakho. I-SRS dwelisa le nkqubo ilandelayo:
- Ukunyuswa kwezinto ezincinci kuyinkqubo encinci yokungena emncinci ekuncediseni uxinzelelo kumagudu. Utshintsho olunxulumene nobudala obubangelwa yixesha elidala lunokubangela ukuba isifo se-stenosis, okanye sancinci kwiindawo ezivulekileyo kumqolo wamagxa, kwaye ukunciphisa okunjalo kunokubangela ukuba uthathwe. I-Scoliosis Research Society iyicetyisa ukuba i-microdecompression inokunyusa iidreyi zee-curve, ngakumbi ukuba ungena kwinkqubo ephezulu kunee-degrees ezingama-30. Bathi kwakhona lolu hlobo lotyando luye lwenziwe kuphela kwinqanaba le-vertebral-kungekhona amanqanaba amaninzi.
- Ukuxuba kungenziwa ukwenzela ukuzinzisa umlenze ngokucacileyo. I-Fusion isebenzisa izinto zokufakelwa kweethambo, nokuba zihlanganiswe, ukusuka kwithambo lakho okanye kwi-cadaver (iyabiliswa ngaphambi kokuba ifike kuwe) njengengxowamalo yethambo lesigxina. Emva koko, emva kwenkqubo, kukho ixesha lokuphilisa. Impumelelo imiselwe emva kweli xesha ngokuthi amathambo afanele ahlangane njani.
- Ukuzinza okuphambeneyo kufana nokuxuba kwinto ebeka umlenze wakho "ulungelelwano oluchanekileyo" kwaye luvumele ukuba lufake ngendlela efanayo. Ukwahlukana kukuba ukuzinzisa ukusetyenziswa kukusebenzisa ukusebenzisa izixhobo, iiplates, izitshixo, iintonga kunye nezinto ezifana nokukunceda ukubeka kwakhona umlenze wakho.
- I-Osteotomy ibandakanya ukusika nokulungisa imiqolo yomqolo. Amagqabi omgumbe anama-vertebrae amancinane (amathambo omgulane) ne-disc ehlala phakathi kwabo. Kwaye i-osteotomy ingabandakanya ngaphezulu kweyodwa.
> Imithombo:
> Aebi, M. I-Adult Scoliosis J. Eur Spine J. NgoDisemba 2005. http://www.ncbi.nlm.nih.gov/pubmed/16328223
> I-Scoliosis Research Society. Scoliosis. Kwiwebhusayithi ye-SRS. http://www.srs.org/patients-and-families/conditions-and-treatments/adults/scoliosis
> Isebe leYunivesithi yaseWashington yeRadioology. Scoliosis. UW Dept of Radiology http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/