Ukuqhathaniswa kwe-scliosis yisifo esingathandeki sokuthola ukuthi ingane engamashumi amabili ngayinye isithola esiteji esithile sokuthuthukiswa, ikakhulukazi ngesikhathi se-spike ekukhuleni ngesikhathi sokukhulelwa. Kodwa-ke, izingane ezine kuphela eziphuma ku-1000 kuleli cala zidinga ukwelashwa. Kuze kube manje, awaziwa ukuthi kungani i-scoliosis yenzeka. Into eyodwa iqinisekile: akubangelwa ukuhleleka okuncane. Indlela ejwayelekile kakhulu ye-idiopathic scoliosis yi-curvature yomgogodla wengane ngakwesobunxele noma ngakwesokudla. Uma kuleso simo i-scoliosis ingelashwa - ingane yakho ingathola izinkinga ngenhliziyo nokuphefumula. Ukwehla kwesibindi noma ukuvuthwa kwe-lateral yomgogodla ezinganeni kuyinkinga yezinkulungwane nezinkulungwane zabazali. Ukuze ulungele ukuziphatha ngalesi simo, udinga ukuqala ukufunda lesi sifo ngokuningiliziwe. Ngakho ukusho, "ukwazi isitha ngokuqondile."
Yini i-scoliosis?
Uma ubheka umuntu osuka ngemuva, umgogodla wakhe kufanele "ubukeke" phezulu. Uma umgogodla ukhonjiswe ohlangothini - lokhu kuyi-scoliosis. Ukuvuthwa kungashiywa noma kwesokudla. Lona kanye igama elithi "scoliosis" livela egameni lesiGreki elisho ukuthi "ligwetshiwe." Ubukhulu be-scoliosis bungase bube bubucayi bube bubucayi bube bukhulu.
Isivunguvungu singase sitholakale engxenyeni engezansi yomgogodla (ukuvinjelwa kwe-lumbar), engxenyeni engenhla (isivunguvungu se-thoracic) noma udlule ukusuka phezulu kuze kube yingxenye engezansi yomgogodla (ukuvuthwa kwe-thoracolumbar). Kwezinye izimo, kunesivinini esiphindwe kabili - njengokuma kwencwadi S.
Uyini umehluko phakathi kwe-scoliosis nokuchotshozwa?
Uma ubheka umuntu ohlangothini, uzobona ukugoba okuncane komgogodla kusuka phambili kuya emuva - esisodwa esifundeni somlomo wesibeletho, esisodwa esihlokweni se-thoracic, nesinye esingaphansi. Okungajwayelekile, ukuvumbuluka okwedlula kakhudlwana komgogodla ongaphambili-emuva futhi kubizwa ngokuthi "kyphosis".
Izinhlobo nezimbangela ze-scoliosis.
I-scoliosis engakhiyo (i-functional or postural scoliosis).
Kulo hlobo lwe-scoliosis, umgogodla unesakhiwo esivamile, kodwa ubukeka ubugobile ngenxa yezinye izinto ezingavamile. Isibonelo, ngenxa yokungafani ebude bemilenze, ukuphazamiseka kwemisipha yemisipha yangemuva, njll. Ukuvuthwa, njengomthetho, kulula futhi kushiya ngokushesha lapho umuntu ephenduka noma ehamba phambili.
I-scoliosis yesakhiwo.
Kulezi zimo, ukuvinjelwa kuqondile futhi akunyamalala lapho isikhundla somzimba sishintsha. Kunezinhlobo ezahlukene ze-scoliosis yesakhiwo:
- I-Hypertonic. Lokhu kusho ukuthi imbangela yalokho okwenzekayo ayiziwa. Amaphesenti ayisishiyagalombili kwangu-10 yi-idiopathic scoliosis.
- I-Neuromuscular. Lokhu kusho ukuthi ukuvuthwa kubangelwa isimo esithinta imisipha nezinzwa zangemuva. Ngokwesibonelo, kungenzeka kwezinye izimo ze-dystrophy muscular, poliomyelitis, i-cerebral palsy noma i-neurofibromatosis. Ngamunye walezi zimo uneminye izimpawu nezinkinga ngaphezu kwe-scoliosis.
- I-osteopathic. Lokhu kusho ukungafani kwamathambo amathambo.
- Congenital. Lokhu kusho ukuthi umgogodla awukwakhiwa ngendlela efanele uma ingane ikhula esibelethweni.
Ubani ogula nge-idiopathic scoliosis?
Idiopathic scoliosis ingahlakulela kunoma yisiphi isigaba sokuthuthukiswa kwengane. Ayaziwa ukuthi kanjani futhi kungani ikhula. Lokhu akubangenxa yokuma okubi futhi awukwazi ukukuvimbela.
I-Scoliosis ivame ukukhula ngenkathi kukhula ekukhuleni ngesikhathi sokukhulelwa nokukhula kwentsha. Lokhu kuvamile. Abangu-1 kwabangu-20 abantwana abaneminyaka engama-9 kuya kwengu-14 bathola izinga elithile le-scoliosis. Ezimweni eziningi, lokhu kuyi-"soft" scoliosis engadingi ukwelashwa. Kodwa kuyadingeka ukuthi uvakashele udokotela ngezikhathi ezithile ukuze ubone ukuwohloka okungenzeka ngesikhathi. Leli fomu le-scoliosis lithinta cishe inani elifanayo labafana namantombazane. Kodwa-ke, i-scoliosis ephakathi noma enzima ivame kakhulu emantombazaneni.
Idiopathic scoliosis akuyona nje isifo esiyifa. Nokho, kunezici ezithile zofuzo kwezinye izimo. Cishe eyodwa-yesine yamacala, kunomunye noma amanye amalungu omndeni anesifo esifanayo.
Izimpawu zokwehlukana kwezingane ezinganeni.
Ezimweni eziningi, ukuqala kwe-scoliosis kuncane futhi kuvame ukungabi nobuhlungu. Ngezinye izikhathi kusukela esigabeni esincane kuya esilinganisweni, i-scoliosis ingahle ingabonakali ngane noma abazali bayo. Lokhu kubangelwa ukuthi iqiniso livame ukukhula ngesikhathi lapho izingane ziba zimele ngokwengeziwe (kusukela eminyakeni eyi-9 ukuya kwengu-14). Abazali abakwazi ukubona ukubuyiselwa emuva kwengane futhi babone inkinga ngesikhathi.
Kodwa-ke, i-scoliosis engathí sina ingabangela ukubonakala kwengane ukuthi ingadli kahle. Lokhu kungenxa yokuthi uma umgogodla ugobile ohlangothini, amathambo amancane awenza ama-vertebrae abuye aguquke kakhulu. Lokhu kudonsela eceleni yonke imisipha ehlangene nomgogodla, imigqa kanye nezimbambo. Ngenxa yalokho:
- Uma i-scoliosis isesifundeni se-thoracic, khona-ke izimbambo kanye nama-scapulas zinamathele njengenqwaba ehlangothini olulodwa. I-degree of scoliosis, eyisivinini esikhulu. Ngaphezu kwalokho, ihlombe elilodwa lingase lihlale liphansi kunomunye, futhi elinye ibanga lingaphezulu kunelilodwa.
- Uma i-scoliosis engxenyeni ye-lumbar (engezansi ngemuva), khona-ke ungakwazi "ukukala" i-pelvis, kuphela ukugxila phambili, nomlenze owodwa ungaba mfushane kunezinye.
Uma i-scoliosis iba lukhuni futhi ingapholi nganoma iyiphi indlela, ingabangela izinkinga kamuva ekuphileni komntwana. Isibonelo, ubuhlungu obungapheli emhlane bangaphumelela, kungase kube nezinkinga ngokuphefumula noma inhliziyo, uma ukukhishwa kwesimo esifubeni kungathí sina.
Indlela yokuthola i-idiopathic scoliosis?
Kwezinye izimo, i-scoliosis icacile. Kodwa-ke, amanye amacala alula awasobala. Ukuhlolwa okusheshayo ngudokotela noma umhlengikazi kungaba lula kakhulu - cela umntwana ukuba alandele phambili. I-bulge ngemuva kwesifuba ibonakala ngokucacile uma iguqulwa phambili. Uma udokotela ethola ukuthi i-scoliosis, ingane, njengombuso, iya engcweti.
Izithombe ze-X zingabonisa isithombe esiphelele somgogodla. Kusukela ezithombeni, isazi singalinganisa i-angle of curvature. Lokhu kunikeza umqondo wobunzima besimo kanye namathuba okuwohloka kwawo.
Ukwelashwa kwe-scoliosis ezinganeni.
Ukwelashwa kuncike ezintweni ezihlukahlukene, ezifana nobudala bomntwana, izinga lokukhula kwalo, ubukhulu bokukhubazeka, indawo eqondile ye-scoliosis (isibonelo, phezulu noma ephansi emuva), kanye namathuba angathuthuka. Ukwelashwa kuhlanganisa ukubonwa, ukulungiswa nokuhlinzwa.
Ukuqaphela nokuhlaziywa.
Ezimweni eziningi, i-scoliosis ilula futhi ayidingi ukwelashwa. Isimo singase sithuthuke ngokuhamba kwesikhathi noma sibi kakhulu njengoba ingane ikhula. Ngakho-ke, ochwepheshe angalungiselela ukuhlolwa okuvamile.
- Kuzingane ezisencane, ukubuyekezwa kungaba njalo ezinyangeni ezintathu kuya kwezi-6 noma kunjalo. Emva kokukhula okuyinhloko kwamathambo kuphela ngemva kokukhulelwa, ukushaywa kwe-scoliosis ngokuvamile akuqhubeki. Ezimweni eziningi, njengomthetho, ayikho imingcele emidlalo noma eminye imisebenzi. Kwezinye izimo, isazi singase sincome imisebenzi ethile ngendlela yokugwema amandla ezemidlalo noma ukuvocavoca.
- Ezinganeni ezincane, ukubuyekezwa kungaba njalo. Ezimweni eziningi, isimo sithuthuka njengoba ingane ikhula. Nokho, kwezinye izimo, i-scoliosis iyaqhubeka ngokushesha futhi ukwelashwa kungadingeka.
Ukulungisa i-corset.
Uma i-scoliosis isilinganiselwe noma iqhubeka, udokotela angacelwa ukuba agqoke i-corset. I-corset ayiphatheli i-scoliosis! Inhloso yalo ukuvimbela ukuwohloka njengoba ingane ikhula. Ngakho-ke, lokhu kuvame ukusetshenziswa kakhulu uma i-scoliosis itholakale ngaphambi noma ekuqaleni kwesantsha. I-corset igqoke, ingasusi, iningi lusuku nobusuku. Ingane ingaholela impilo evamile ngalesi sikhathi. Noma kunjalo, ukuyisebenzisa kuyinkinga futhi udokotela uzokukwazisa ngezenzo nezingozi zokusebenzisa i-corset.
Ukuhlinzwa.
Ukwelashwa emgodleni yindlela kuphela yokulungisa izifo eziningana. Lokhu kusebenza okude futhi okuyinkimbinkimbi, okuvame ukushiwo kuphela ezimweni ezinzima kakhulu. Noma kunjalo, imiphumela yokusebenza ngokuvamile inhle.
Endabeni ye-scoliosis noma i-lateral curvature yengane yomgogodla ebantwaneni, into ebaluleke kakhulu ukuqaphela izinguquko ngesikhathi futhi uxhumane nodokotela. Mhlawumbe, akukho ukwelashwa okhethekile okudingekayo. Kodwa nje ungayinaki le nkinga ngethemba lokuthi "mhlawumbe" alifanele. Ngempela, ngokuthuthukiswa kokukhubazeka komgogodla, ingane ingase ibe nezinkinga eziningi ezinzima kakhulu ukubhekana nayo. Yebo, futhi ukubonakala kwe-scoliosis kungaphathwa kahle. Ngakho uma usho lokhu kutholakala, akudingeki ukwethuke noma uphumule. Futhi ngokuqinisekile uzobhekana nalokhu.