Uma sizwa nge- scoliosis , isikhathi esiningi ingxoxo isho ukuthi lokhu ukukhubazeka kuthinta kanjani intsha kanye nentsha. Ngokuqinisekile, ukuthola ukuthi une-scoliosis kuyinselele enkulu kumuntu osemusha.
Kodwa i-scoliosis nayo ithinta abantu abadala. Kwenza kanjalo ngeyinye yezindlela ezimbili-njengokungaqhubeki kwe-scoliosis eyasungulwa kusenesikhathi empilweni noma njengesimo esihluke ngokuphelele, esibizwa ngokuthi i-adult degenerative scoliosis.
Ku-adult idiopathic scoliosis, igama elithi " idiopathic " libhekisela ekutheni ochwepheshe-udokotela wakho, abacwaningi emkhakheni wezinsipho, nabanye abakwaziyo-bangasho ukuthi kubangelwa yini. Idiopathic scoliosis yilona uhlobo oluvame kakhulu lwe-scoliosis futhi luthinta kokubili izingane kanye nabantu abadala.
Incazelo Esheshayo Ye-Scoliosis
Kungakhathaliseki ukuthi yiluphi uhlobo lwe-scoliosis esikukhulumayo noma ukuthi yikuphi ubudala obubhekene nalo, ukuhamba nge-scoliosis kungukukhubazeka lapho umgogodla uqala khona amagundane ahamba ohlangothini. Kungabandakanya ijika elilodwa ngakwesokudla noma ngakwesobunxele, noma, ungase ube nolwazi olubizwa ngokuthi "i-S" i-curve scoliosis. Ijika "S" liqukethe amakhilomitha amabili e-scoliotic-eyodwa phezulu okuhamba ngakwesokudla noma kwesobunxele kanye nekhava elingaphansi elihambelana nesiqondana nomunye ngaphezulu.
Idiopathic scoliosis kubantu abadala ibukeka kufana nezingane. Ungabona ukuthi elinye lamahlombe akho liphakeme liphakeme kunalolu, futhi ungase ube nombuthano "u-hump" ohlangothini olulodwa lwangaphakathi lakho.
Isibambo esithi "hump" ngokuyisisekelo siphezulu ephawulekayo ohlangothini olulodwa lwezintambo zakho. Lokhu ngokuvamile kwenzeka eceleni kwe-convex yecala, ngoba umgogodla wendawo uqhuma izimbambo emuva.
Ukuhlolwa kwe-Scoliosis kanye nokwelashwa
Ukuqhathaniswa kwe-scliosis kubalwa kaningi nge-ray ray kanye nokuhlaziywa kwe- Cobb angle yamafilimu.
Uma ijika lakho noma ama-curve ama-degree angu-50 noma ngaphezulu udokotela wakho ohlinzayo cishe uncoma ukusebenza. Ukuze uthole ama-degrees amancane, ngokuvamile ukukhwabanisa, ukuvivinya umzimba nokunakekelwa okungaqondakali (okungewona ukuhlinzwa) kunikezwa. Amapayipi omgogodla we-spinal anganikezwa, futhi.
Ngokuvamile, i-curliosis curve ezithuthuka kusencane empilweni ayitholi ama-degree angaphezu kuka-30, ngokwe-Scoliosis Research Society (SRS). I-SRS ithi ijika le-idiopathic elisencane elilinganisa ama-degree angama-30 noma ngaphansi livame ukungaphuthuki njengoba isiguli sikhula. Kodwa uma ijika lakho lalingama-degrees angu-50 lapho usencane, ukukhula phakathi kuka -5 kuya ku-2 degrees ngonyaka kungenzeka. Kulesi simo, kubalulekile ukuthi ukuhlolwa kwakho kwe-scoliosis kuhlolwe njalo nguchwepheshe wezinsipho.
Ukuqashwa kwabantu abadala kubalulekile
Manje ukuthi uyazi nge-idiopathic scoliosis kubantu abasha, ake sizame ukuqonda izici eziyingqayizivele zalesi simo njengoba zithinta abantu asebekhulile.
Ukwehla kwesibindi noma cha, izakhamizi ezikhulile kanye nabantu asebekhulile bathambekela ekuthuthukiseni izinguquko ezishintshayo emgodini. Ngakho uma ungumuntu okhulile futhi une-adult idiopathic scoliosis, cishe uzoba nezimpawu eziningi kune-teenager nge-idiopathic scoliosis, ngokwe-SRS.
Lezi zimpawu ezengeziwe zihlobene ne-arthritis futhi zingase zivele ezindaweni zomgogodla ovame kakhulu ukuwohloka-okuvame ukuba lapho ukuvuleka khona. Ukuvuleka kukhona lapho kuvunyelwe intambo yomgogodla nemisipha yomgogodla. Ukuvula okunjalo kuhlanganisa umgogodla womgogodla, lapho isimo esaziwa ngokuthi i-canal stenosis singase sikhule, kanye ne-intervertebral foramina, etholakala ezinhlangothini zekholomu lomgogodla kuwo wonke amazinga.
Izimpande zamasipha omgogodla ziphuma ngaphandle kobunzima ngaphambi kokufaka izinzwa zomuntu ngamunye ezikhonza wonke umzimba. Ku-foramina, olunye uhlobo lwe-stenosis lungakhula ngokuthi i-neuro foraminal stenosis.
I-stenosis iyigama elibhekisela ekunciphiseni kwalezi zikhala ngenxa yezinguquko eziguqukayo ezitheni.
I-disc intervertebral yinye indawo ngokuvamile evame ukuguqulwa.
I-osteoporosis, isifo lapho ulahlekelwe khona amathambo ngokushesha kunokuba ungayikhiqiza, ingase isheshe imiphumela ye-scoliosis eguquguqukayo, ngokusho kocwaningo olwanyatheliswa kuyi- European Spine Journal . I-osteoporosis ikwandisa izinga le-curve (s), abacwaningi bathi.
Abacwaningi bangezela ukuthi uma une-osteoporosis kanye nomuntu omdala we-idiopathic scoliosis, izingxube zezinhlamvu nama-capsules awo, kanye nama-disc intervertebral kanye nemigqa yomgogodla cishe izobe ihlaziywe, futhi ingase ihlakulele i-stenosis. I-osteoporosis ivame ukuthinta ama-post-menopausal abesifazane kakhulu.
Ukuphulwa komzimba komgogodla kungenye inkinga yezempilo ethinta abantu asebekhulile kunabanye. Uma ugcine lokhu kulimala, ukuthambekela kwakho kwemvelo kungase kube ukuthembela noma ukuqhubekela phambili. Ukugoba kuyinto isimo esibizwa ngokuthi hyperkyphosis. Kungenzeka okufanayo uma une-stenosis ngoba ukugoqa phambili komgogodla kubonakala kukhululekile.
Inkinga yukuthi ukuma okunamandla okuphambili kungakunqanda, futhi kubangele ugcine iziqhumane zakho namadolo akhokhelwa njalo ukuze uhlawule. Amadolo nezinsimbi ezinamaphiko asiza ukugcina ulungile kulokhu. Kanye nezinye izimpawu zokudala ze-idiopathic scoliosis, lokhu isinxephezelo kungaholela ekuncipheni kancane kancane ekusebenzeni kwakho noma ukwenza isimiso sakho esijwayelekile nsuku zonke.
Ukuhlinzwa
Ukuphathwa kokwelapha okuzimele okungahlanganisi ukuhlinzwa-kuvame ukuvivinywa uma ijika lakho lingaphansi kwama-degree angu-50. Kodwa uma umzila oqaphayo uhluleka ukunciphisa izimpawu zakho, ubuhlungu bakho bomhlane noma umlenze buyakhubaza, ukungalingani kwakho komgogodla kukukhubaza, futhi / noma ukuthola ukuthi uvinjelwe kakhulu ngokuhamba nokusebenza, ungadinga ukuhlinzwa.
Ukuhlinzeka nge-scoliosis abadala kwenza izinto eziningi, ngokusho kwe-Scoliosis Research Society. Kungasiza ukubuyisela ukulinganisela, ukunciphisa ubuhlungu, ukulungisa ukulungiswa kwakho, ukuqinisa umgogodla wakho kanye / noma ukunciphisa ingcindezi emithanjeni yakho. I-SRS ihlonza izinqubo ezilandelayo njengezona ezivame kakhulu:
- Ukunciphisa ukucindezeleka okuncane kuyinkambiso encane eyasiza ekunciphiseni ukucindezeleka emithanjeni. Izinguquko ezihlobene nokuguqulwa kwezidala zingaholela ekuguleni kwesisu, noma ekunciphiseni emaphoyiseni omgogodla, nokuthi ukunciphisa okunjalo kungacasula imizwa yakho. I-Scoliosis Research Society iyaxwayisa ukuthi ukucindezeleka okuncane kungakhuphula amadigri akho okuphuza, ikakhulukazi uma ungena enkambweni nge-curve ezingaphezu kwama-degree amathathu. Bathi futhi lolu hlobo lohlinzekwa luvame ukwenza kuphela ngezinga elilodwa lomzimba-hhayi amazinga amaningi.
- Ukuhlanganiswa kungenziwa ukuze kuqiniswe umgogodla endaweni eqondile. I-Fusion isebenzisa izinto ze-bone graft, noma zokwenziwa, kusuka esitokisini sakho noma kusuka ku-cadaver (inzalo ngaphambili kokuthi ifike kuwe) njengengxenye yesikhashana lesithambo. Ngemva kwalokho, ngemuva kwenqubo, kukhona isikhathi sokuphulukisa. Ukuphumelela kunqunywa emva kwalesi sikhathi ngokuthi amathambo aseduze ahlangane kanjani.
- Ukuqiniswa kokuhlinzekela kufana nokuhlanganiswa kokuthi ubeka umgogodla wakho "ukulungiswa okunamandla" futhi uyakuvumela ukuba ufinyelele ngale ndlela. Umehluko wukuthi ukuqiniswa kokuhlinzwa kusebenzisa ukusetshenziswa kwe-instrumentation-izikrini, amapuleti, izingwegwe, izinduku nokunye okufana nokusiza ukubeka kabusha umgogodla wakho.
- I-osteotomy ihilela ukusika nokuguqula izingxenye zomgogodla. Izigaba zomgogodla ziqukethe ama-vertebrae amabili aseduze (amathambo omgogodla) ne-disc ehlala phakathi kwabo. Futhi i-osteotomy ingabandakanya okungaphezu kweyodwa ingxenye yomgogodla.
> Imithombo:
> Aebi, M. I-Adult Scoliosis Eur Spine J. 2005 Dec. http://www.ncbi.nlm.nih.gov/pubmed/16328223
> I-Scoliosis Research Society. I-Scoliosis. Iwebhusayithi ye-SRS. http://www.srs.org/patients-and-families/conditions-and-treatments/adults/scoliosis
> Umnyango we-Radiology we-University of Washington. I-Scoliosis. UW Dept of Radiology http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/