Uma uzwa igama elithi "ukukhubazeka," ungase ucabange ngezinhlamvu ezifihliwe ezibucayi - ngokuqinisekile akuyona into engathinta ingane yakho enempilo. Kodwa noma yikuphi ukuphika komgwaqo emgodleni - owaziwa ngokuthi i-scoliosis - kubhekwa njengokukhubazeka. Umgogodla nge-scoliosis uthatha ijika elifana nezinhlamvu C noma S; ngokuvamile, umgogodla ubukeka njengencwadi I.
Ukubamba futhi ukuyilawula kusenesikhathi kuyovame ukuyivimbela ukuba ingaqhubeki kuze kube sezingeni eliphezulu. Yilapho kuxoxwa khona izinhlelo zokuhlola izikole ze-scoliosis.
Isimo samanje
Cishe ingxenye yengxenye yase-United States inegunya lokuhlola i-scoliosis ezikoleni zabo. Ubufakazi kanye nombono wezobuchwepheshe kuhle kakhulu phakathi kwaphakathi kokuthi ukuthi lezi zinhlelo ziwusizo kangakanani.
Ngo-1996, i-US Preventative Services Task Force yahlaziya zonke izifundo ezazenziwe ngesihloko sezinhlelo zokuhlola i-scoliosis futhi zaphetha ukuthi akufanele zinconywe. Kodwa ngonyaka ka-2008, iqembu elibandakanya izinhlangano ezine zezokwelapha - i-American Academy of Orthopedic Surgeons, i-Scoliosis Research Society, i-Pediatric Orthopedic Society yaseNyakatho Melika, ne-American Academy of Pediatrics - ikhishwe isitatimende sesikhundla sokuthi ngeke sisekele noma yisiphi isinqumo ngokumelene nokuhlolwa kwesikole.
Isitatimende sabo simelela iphuzu lokubheka udokotela.
Bakholelwa ukuthi izinhlelo ze-scoliosis zokuhlola zizosiza ukubona lokhu kukhubazeka ekuqaleni, okufanayo, kungasiza ekuvimbeleni ukuhlinzwa okungenasidingo emuva . Futhi, ezindaweni ezingenamakhaya noma ezingalondoloziwe, ukuhlolwa esikoleni okusekelwe ezikoleni kungase kube yithuba lomntwana kuphela lokuthola usizo abaludinga ngesikhathi esifanele.
Ingemuva
Ukuhamba nge-scliosis kuyinto engavamile okwehlukana-kuya-side curve yomgogodla.
Kunezimbangela eziningi ze-scoliosis ezihlanganisa izifo ze-neurological, izinkinga ze-musculoskeletal noma izinkinga ezifakwe njengezifo ezifakwe njengefa, kepha isikhathi esiningi, imbangela ayifakazi.
Ukuhamba nge-scliosis ngebanga elingaziwa libizwa nge-idiopathic. Idiopathic scoliosis ihlukaniswa ngokusho kwengane yengane lapho ukubola kuqala kuqala:
- Ukuqala kokuqala kwe-scoliosis kuqala noma ngaphambi kweminyaka emithathu.
- I-juvenile scoliosis iqala phakathi kweminyaka emithathu neshumi.
- I-teenage scoliosis iqala kusukela phakathi kweminyaka eyishumi nesikhomba sithula.
Ungakwazi ukubona i-scoliosis kumntanakho uma wazi ukuthi ungabheka ini, kodwa abazali abaningi abaphuthelwa izimpawu. Izinhlelo zokuhlola zihloswe ukuba ziqoke nge-scoliosis ngenkathi ingane isencane ngokwanele ukuze izuze kakhulu ekwelapheni.
Qaphela Isidingo Sesikrini
I-Institute for Clinical Systems Improvement (iqembu elikhiqiza imihlahlandlela esekelwe ucwaningo lokuphatha izimo zezokwelapha) ithi isinqumo sokuhlola isikhombisi kufanele sishiywe kuwe, udokotela wakho kanye / noma ihhovisi lezokwelapha oya kuzo izinsiza zezempilo. Bathi izinhlelo zokuhlola zingase zingasebenzi ngoba azikho izindleko. Kanti, ochwepheshe abaqiniseki ukuthi izinhlelo zokuhlola ziyinto enhle ekubikezeleni ukuqala kwe-scoliosis.
Ngamanye amazwi, ukuhlinzeka uhlelo lokuhlola i-scoliosis esikoleni esifanele umzamo? Ingabe isebenza ngempela? Ochwepheshe abaningi abaqinisekisi.
Kodwa ekuqaleni uthatha i-scoliosis kumntanakho, kungenzeka ukuthi uzokwazi ukugwema ukuhlinzwa. Ukuthola izimpawu ze-scoliosis kuyisinyathelo sokuqala esisebenzayo sokunqanda ukuqhubekela phambili kwamakhondo.
Ngombono wami, kufanele usebenzise wonke amathuba okuthola lesi simo. Lokhu kungabandakanya ukuhlolwa esikoleni sakho, noma kungenzeka. Ezinye izindlela zihlanganisa ukucela udokotela wakho womndeni ukuba ahlolisise ingane yakho futhi afunde ukuthi ungabheka kanjani i-scoliosis ngokwakho.
Uma usebenzisa ngokunenzuzo lokhu, unganciphisa ingozi yokulahleka kwe-scoliosis ekhona.
Ngokuvamile, izibonakaliso ze-scoliosis azibonakalwanga kuze kuvele ukukhula kwengane kwengane. Ochwepheshe batusa ukuthi amantombazane ahlolwe kabili, aphakathi kweminyaka engu-10 no-12, nokuthi abafana bahlolwa ngesikhathi esisodwa phakathi kweminyaka engama-13 no-15. (Amantombazane asemngciphekweni ophakeme wokukhipha i-scoliosis kunabantwana, ikakhulukazi emigodini emikhulu.) Kukhokha ukuhlala uqaphile ukuze ushintshe ekuthumeni kwengane yakho ngokujwayelekile. Uma ubona izibonakaliso noma noma yikuphi "ukucisha" mayelana nokuhamba kwazo, cela udokotela wakho ukuthi ahlole.
Kwenzekani Ngemva Kokuhlola?
Uma ukuhlolwa kwesikole kungatholi i-scoliosis, ukulandela okulandelayo kuphela okudingayo ukuqhubeka nemizamo yakho yokuthola. Qhubeka ubukela ukuhamba kwengane yakho. Futhi uma udokotela wakho wezingane engenzi ukuhlolwa ngenkathi uhlola isistimu yakho, qalisa inqubo ngokumbuza ngakho.
Uma ukuhlolwa kwesikole kubonisa ukuthi kungenzeka ukuthi i-scoliosis, uzodluliselwa kudokotela ukuze uthole ukuxilongwa. Okungenani, udokotela uzothatha i-x ray. Uzobala i-Angle Cobb kusukela ku-ray-x-isilinganiso sezinga lesigxobo sesigqabha esiseceleni.
Isinqumo sokuthi iyiphi inkambo yokwelashwa okufanele isithathe ngokuyinhloko isekelwe kwi-Angle Cobb. Uma kungama-degrees angu-15 noma ngaphansi, kungenzeka ukuthi ukuhlolwa okuvamile kuyinto edingekayo. Lawa ma-check-ups kumele aqaphele ama-curve (ama) wokuqhubekela phambili. Uma i-Cobb Angle iphakathi kuka-20 no-40 degrees, kungase kudingeke ukuthi i-back brace iyimfuneko ukumisa ijika ukuze liqhubeke. Uma i-degrees engaphezu kuka-40, udokotela wakho cishe uncoma ukuhlinzwa ukuze aqondise umgogodla.
Lapho Uqala khona
Uma kuziwa ekwelapheni kwe-scoliosis, isikhathi siyisisekelo. Kungakhathaliseki ukuthi uqaphele ukuthi kungenzeka ukuthi ubuchophozi bube khona ngemiphumela yesikole sokuhlola isikole, ukuhlolwa kokujwayelekile kwidokotela noma ukubhekwa kwakho okungaqondakali, ekuqaleni uthola ukuthi utholakala, ngokushesha uzokwazi ukubhekana nayo nokwelashwa. Kubantu abathile, ukwelashwa kwasekuseni kuyisici esinqumayo ekugwemeni ukuhlinzeka okukhulu komgogodla . Ezimweni eziningi, kungasiza ukuyeka ijika ukuba lingabi nakakhulu, futhi usize ingane yakho ukuba igweme ukukhubazeka okusobala.
> Imithombo:
> Richards >, SB >, Vitale, MG. Ukuhlolwa kwe-Idiopathic Scoliosis kuma-Adolescents. Isitatimende solwazi. I-Bone Bone Joint Surg Ngo-2008.
> I-Scoliosis Research Society. I-Fact Sheets. I-Scoliosis I-Media and Guide Guide.
> I-US Preventive Task Forst (USPSTF) .Ukuvikela i-Idiopathic Scoliosis kuma-Adolescents Incomo Isitatimende. AHRQ.