Xa Unenkxalabo Nge-Pain Back In Kids

Intlungu ebuyiswe ngumthombo owaziwa kakuhle kubantu abadala, kodwa kwakhona ufumanisa ukuba kukho rhoqo abantwana nabaselula. Uninzi lwabazali abalindelanga ukuba abantwana banempilo bakhalaze ngenxa yentlungu-ingxaki abantu abayifumanayo njengesifo seminyaka emibini okanye emva. Nangona kunjalo, inyaniso kukuba iintlungu zentlungu zixhaphake kakhulu kubantwana nakwishumi elivisayo. Ngoko ukuba uziva uxhalabile, awuyedwa. Apha ungayifumana ulwazi malunga neentlungu zentlungu, kwaye xa ungadinga ukujonga ngakumbi umntwana wakho.

Intlungu ebuhlungu ifunyenwe ukuba ivele kubantwana nakwishumi elivisayo kwisantya se-10-30 ekhulwini labantu bonke ngonyaka! Nangona kungenakulindeleka kuwe, ubuhlungu bentlungu mhlawumbi aluqhelekanga njengoko ucinga. Ezinye zezizathu zokubangela ukuba intlungu emva kwezingane zixhaphake kakhulu zibandakanya ukuphakama kwamanqanaba aphezulu kunye namazinga aphezulu okukhuluphala , ukuphakama okuphezulu kunye nemisebenzi yemidlalo yonyaka, kunye nobunzima obukhulayo beeteksi ezigqithwe ngabafundi abaselula esikolweni.

Ezinye zeengxakini zentlungu emva kwexesha ziquka ukwazi ukuba ingxaki ingaba yingozi ngakumbi kunomda olula, kwaye ukwazi ukuba iimvavanyo ezizodwa zengqondo ziyakunceda . Ingxaki ngeemvavanyo zengqondo, ngokuqhelekileyo ziveza umntwana kumanqanaba aphezulu emisebe, kwaye azinakunceda ukuxilongwa. Oko kwathiwa, kukho izibonakaliso ezilumkiso zokukhangela ukunceda ukuqonda ukuba ingxaki yentlungu yangemva ingaba yingozi ngakumbi kumntu omncinci.

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Iimpawu Zokuxwayisa Ukuba wazi

Wonke umzali onomntwana okhononda ngeengxaki zentlungu ezenzekayo emva kokuba ingxaki enkulu ingenzeka. Nangona kukho izizathu ezinzulu zokubangela intlungu, ininzi yabantwana abaneentlungu ezinemiphumo ziba neempawu ezibangelwa ngumonakalo we-muscle okanye we-ligament, ngaphandle kwesakhiwo esingaqhelekanga.

Ezinye zeempawu zokulumkisa ukujonga ezinye iingxaki ezinzulu zibandakanya:

• Intlungu yobusuku (ingakumbi intlungu evusela umntwana wakho ebuthongweni)
• Iimpawu eziqhubekayo zentlungu
• Izibonakaliso zezifo eziqhelekileyo (umkhuhlane, ukubola, i-malaise, ukulahleka kwesisindo)
• Iimpawu eziqhubekayo ngaphezu kweeveki ezimbalwa
• Iimpawu kwiintsana kakhulu
• Inzosi yomlenze, ukutyhalaza, okanye ubuthathaka

Ezi zibonakaliso ezilumkiso azithethi ukuba kukho ingxaki enkulu, nangona kunjalo, bayilungelelwano olufanelekileyo lokuhlola ukujonga ukuba ngaba kuhloliswe ukuba kuhlolwe ngakumbi. Ngokomzekelo, intlungu ye-back muscle ingaqhubeka enyangeni, nangona kunjalo, ukuba iimpawu ziye zenzeka kwiiveki ezimbalwa, kulunge ukuqinisekisa ukuba ukuxilongwa kucacile.

Kaninzi

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Ubuhlungu Bentlungu

Njengoko kubonisiwe, intlungu ye-back muscle yinto ebangela kakhulu intlungu ebuhlungu kubantwana nakwishumi elivisayo, malunga neyesibini kwisithathu kubo bonke abantwana abakhonkxa ngenxa yentlungu emva koko bafumanisa le ndlela yokulimala.

Ukulimala kubandakanya ukuxhatshazwa kwemisipha kunye ne-ligament strains , ukuxhatshazwa ngokweqile, iingxaki zokuhamba, kunye neemeko ezingekho phantsi kwemisipha yomva. Ngokuqhelekileyo ukucinga, kuquka i-x-ray, i-CT, kunye ne-MRIs ayinakunceda ekwenzeni oku kuxilongwa, kwaye le mvavanyo ayidingi ngaphandle kokuba kukho izibonakaliso ezikhankanywe ngasentla. Njengoko naluphi na uvavanyo, kukho ukuhla kweengxaki zokuvavanya ngokugqithiseleyo (ukuchazwa kwimizila, kunye neemvavanyo zingakhokelela kwezinye iimvavanyo ezingadingekile okanye iinkqubo), ngoko kufuneka uxoxe nodokotela wakho ixabiso lokufumana nayiphi na isifundo esithile sokucinga.

Iintlungu zentlungu ephindaphindiweyo ziya kuphendula ngokuphumla nokuguqulwa kwimisebenzi. Unyango oluninzi lunokunika uncedo olusisiseko, kwaye nangona igalelo lexesha elide lonyango liyabonakala, ngokubanzi likhuselekile. Ezi zonyango zingabandakanya unyango , ukunyanga kwe-chiropractic , iinkqubo ezolula ( yoga ), okanye unyango lwe-massage.

Kaninzi

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Uxinzelelo lweeFractures

Ukuphazamiseka kwengcinezelo kuyenzeka kwintsipho. Uninzi lwamaxesha amaninzi ukuxinwa kwengcinezelo kuvela kwiintsholongwane, kwaye aba bafana abasenakuze bazi ukuba kunokulimala. Ngokuhamba kwexesha, iimpawu zokuphazamiseka kwengcinezelo zingabonakala.

Uhlobo oluqhelekileyo lokunyuka kwengcinezelo lomgudu lubizwa ngokuba yi-spondylolysis, ukulimala kwithambo emva komqolo wamagxa. Le nzakalo idla ngokuphindaphindiweyo kubaselula abadlala imidlalo ebandakanya ukuphindaphinda kwakhona (ukuguqa ngasemva) kwintsipho, njengama-gymnasts kunye nabanye. Ukuba ukuphazamiseka kwengcinezelo kwenzeka kumacala omabini omqolo wamagxa, oku kungabangela ukungazinzi kwikholamu yomgudu, okanye imeko ebizwa ngokuba yi- spondylolisthesis . Le meko, ebizwa nangokuthi "umlenze wesipelini," inokukhokelela ekubeni ulungelelaniso lwekholenda yokutshintsha.

Ukunyuka kwengcinezelo kubangelwa ukuba abantwana kunye nabazali banelisekile, kuba le nzakala ayiphilisi, kwaye ingabangela iimpawu ekufikeni kwentsha kunye nobutsha. Nangona kunjalo, uninzi lwabantwana kunye nabantwana abaselula abanokufumana i-spondylolysis baphathwa ngokungenasiphelo, kwaye ngokwenene benza ngcono ngokunyanga okungenasiphelo. Uphando lugcinwa kulabo abaneentlungu eziqhubekayo nangemva kweenyanga ezininzi zonyango olungenasigqeba, okanye ezo zigulane ezinamaqabunga amaninzi ezikhokelela ekulahlekeleni ukulungelelaniswa komgudu.

Iingqapheli zangexesha elide zibonisa ukuba ithuba lokuba neentlungu emva kokuba umntu omdala aluguqukanga ngenxa yobunzima bokuphuka kwengcinezelo yobuntwana. Nangona le nto ingaba ngumthombo weengxaki, ithuba lokuhlakulela intlungu emva kokudala akutshintshanga ngokuba ne-spondylolysis njengomntwana.

Kaninzi

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Iingxaki zengxoxo

Iingxoxo ze-Disc zincinci kakhulu kubantwana kunabantu abadala, kodwa ziyakwenzeka, kwaye zingabangela iimpawu ezinzulu. Xa i-disc yokuhlanjululwa komgudu ivela, intambo encinci phakathi kwe-vertebrae ezimbini iphukile. Le ngxelo ye-disk iyanqunyulwa ngaphandle kwendawo yayo eqhelekileyo, kwaye iyakwazi ukumelana neentambo kunye nentambo yomgogodla.

Iimpawu zedayiti ye-disc zingabandakanya intlungu yomlenze, inqabile kunye nokubetha emilenzeni, ubuthathaka bemigangatho engaphantsi, kunye nobunzima bokuguqa okanye ukulungisa umlenze. Imivavanyo ye-MRI ingaba luncedo ekufumaneni i-disniation, njengoko i-ray-ray iya kuba yinto eqhelekileyo.

Kubantwana, izinto eziqhelekileyo zediski ziyaxhamla kwaye zincinci - zinamandla okukwazi ukumelana nemikhosi engaqhelekanga emgodini. Njengoko sikhula, i-disc ilahlekelwa ukunyaniseka kunye nokunyanzeliswa kwayo, kwaye iyakwazi ukuhlaselwa. Nangona kunjalo, nakwiqela elincinci, iidiski ziyakwazi ukuphazamiseka ngenxa yamandla amaninzi (ukulimala okubuhlungu) okanye isakhiwo esingaqhelekanga, kwaye kubangele ukuba le mpawu ye-herniation.

Ngokuqhelekileyo, ama-disc angagcinwa ngaphandle kokuhlinzwa, kodwa abantwana kunye nentsha enentlungu okanye iimpawu ezinobungozi obuninzi obunokubangela inzuzo ekuncedeni inkqubo yokukhupha uxinzelelo kwi-nerve.

Kaninzi

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Sulelo

Izifo zesifo somnxeba okanye i-discs ingaba sisifo esichengeni sokuxilongwa. Ngokuqhelekileyo ezenzeka kwiintsana eziselula okanye kwiintsholongwane, ukutheleleka emgodini kungenza izibonakaliso ezingacacanga ze-malaise, i-fever-grade-grade, kunye neentlungu zentlungu.

Ukuxilongwa kwentsholongwane yomgulane kubangelwa rhoqo ngenxa yezifundo ezingavamile zelabhoratri ezibonakalisa iimpawu zentsholongwane (inani eliphezulu lamhlophe yegazi) okanye ukuvuvukala (i-ESR okanye i-CRP ephakamileyo). Xa kukhankanywa, ngokuqhelekileyo iimvavanyo zengqondo zenziwa ukuqinisekisa indawo yentsholongwane.

Unyango lwentsholongwane lunokuthi lufezekiswe ngamayeza omzimba (amaninzi ahlala enikwa kwangaphakathi, ubuncinci de kube usulele uqale ukuphucula), nangona ngamanye amaxesha ukuhlinzwa kunokuqwalaselwa. Ngokugqithiseleyo utyando luyabonwa nje ukuba usulelo luye lwaphazamisa isakhiwo somgudu okanye ukuba usulelo alukwazi ukulawulwa ngokwaneleyo kunye nokusetyenziswa kwamagciwane.

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Ukulungelelaniswa okungavumelekanga

Iingxaki ngokulungelelanisa umgudu kungabangela ukukhubazeka okubonakalayo, kwaye kunokunxulumene nokuvela kweentlungu zentlungu. Kufuneka kuphawulwe, nangona kunjalo, ukuba iinguqu ezithembekileyo ezingakumbi, ezibonakalayo, zisoloko zingabangela iintlungu zentlungu. Ezi zimbini eziqhelekileyo eziphambene nomzimba wamanzi emzimbeni zihlaziyiweyo kunye ne -kyphosis kaSuermermann . I-Scoliosis yi-deformity eyenza ijika elifana ne-S ukuya emthonjeni xa ibonwa ngasemva. I-kyphosis ye-Scheuermann ibangela ukugoba okubukhali emgodini xa kubonwa ukusuka kwicala.

Le mibandela mibili iyahlukahluka, kodwa imigaqo yonyango ifana . Kwiimeko ezimbi kakhulu, ukubonwa yonyango olufanelekileyo kakhulu. Emva kokuba ukukhubazeka kuye kwaqhubekela phambili kwinqanaba elibalulekileyo (limisele ukulinganisa kwam angles abonwa kwiimifanekiso ze-x-ray) i-brace ingaqwalaselwa. Kuphela ukukhubazeka kakhulu kunokuthi kuqwalaselwe njengolukhetho kunyango lwemiqathango. Nangona ukuhlinzwa kuqwalaselwa, ukukhubazeka komgudu kunokuqhubeka, njengoko ukulungiswa ngokupheleleyo kwe-deformity kunokubangela ezininzi iingxaki kunokuba ulungiso oluthile.

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Ukuxhamla

Izidumbu ezininzi ezihlukileyo kunye neenthambo ezibi ziyakwenzeka kumqolo wamagxa. Ngamanye amaxesha oku kubangela intlungu ebalulekileyo, ngamanye amaxesha angatholakala ngaphandle kokubangela iimpawu. Nangona izilonda zomgulane ziyimbangela engavamile yintlungu ebuyiswe kubantwana nakwishumi elivisayo, kufuneka kuthathelwe ingqalelo njengokuba inokwenzeka, nokuba ingaqhelekanga, ixilongwe.

Ezinye zeempawu ezilumkiso ezikhankanywe ngaphambili zingabandakanywa nezihlamba, ngokukodwa isikhalazo sosizi ebusuku, okanye isikhalazo sokugula okanye ukulahleka kwesisindo. Intlungu ebuhlungu ngokubambisana nale miqondiso inokuphakamisa inkxalabo malunga nezicubu ezinokwenzeka, kwaye iimvavanyo zengcinga ziyakunceda ukuba ichane ukuba ngaba oko kukwazi ukuxilongwa.

Unyango lwezitho zomzimba zomthambo luyatshintsha ngokuxhomekeka kwimeko ethile yesifo. Ngaphandle kwezidumbu ezinobungozi (ezingenanto) zingadinga ukuhlinzwa njengokuba ngamanye amaxesha izicubu ezingaphendulwanga zingakhokelela ekukhutheni komgudu. Izicubu ezinomhlaza emgodini zidinga ukudibanisa unyango olunokubandakanya imishanguzo, imisebe kunye nokuhlinzwa.

_Imithombo:

_{Shah SA, uSaller J. Uvavanyo kunye nokuxilongwa kwe-Pain Back in Children and Adolescents "J Am Acad Orthop Surg. 2016 Jan; 24 (1): 37-45.}

ILizwi

Intlungu ebuhlungu kubantwana nakwishumi elivisayo ayiyinto engavamile kwaye iya kuba yinto eqhelekileyo ngaphezu kwexesha. Ingxenye yale nto ingenxa yokutshintsha kwezenzo zabantwana, kwaye inxenye ingenxa yenguqu kwiimeko zabantwana. Ukuba umntwana wakho enentlungu, mhlawumbi xa idibene neempawu ezilumkileyo ezikhankanywe, kuyafaneleka ukuba umbonwe ngugqirha wakho. Ukuqalisa unyango olufanelekileyo, kunye nokuqinisekisa ukuba iimpawu ziphucuka, kunokukunceda ukuqinisekisa ukuba le ngxaki ayiqhubeki. Ukuba iimpawu zibuhlungu okanye zingavamile, ukuphonononga okunye kunokuba kuyimfuneko ukuqinisekisa ukuba isizathu esingaqhelekanga senhlungu asikho. Iindaba ezilungileyo, kubantwana kunye nabazali ngokufanayo, uninzi lwabantwana abanezikhalazo zentlungu emva koko bafumana impumulo ehlala ihlala njalo. Nangona intlungu yangemva ingaphazamisa imidlalo kunye neminye imisebenzi, kunye neprogram efanelekileyo yokonyango, aba bantwana basoloko bebuyela kwimisebenzi epheleleyo ngaphandle kweengxaki eziqhubekayo zokungahambi kakuhle.