Cov txheej txheem:

Dab tsi yog scoliosis thiab yuav kho li cas
Dab tsi yog scoliosis thiab yuav kho li cas
Anonim

Cov ntxhais raug kev txom nyem ntau dua cov tub.

Dab tsi yog scoliosis thiab yuav kho li cas
Dab tsi yog scoliosis thiab yuav kho li cas

Dab tsi yog scoliosis

Scoliosis Scoliosis (los ntawm Greek hauv paus ntsiab lus "crooked") yog curvature ntawm qaum.

Duab
Duab

Ib txwm vertebral kem, thaum saib los ntawm sab nraum qab, yog ntsug thiab zoo kawg nkaus ncaj. Nrog scoliosis, nws khoov rau hauv ib qho kev taw qhia lossis lwm qhov.

Feem ntau, qhov curvature ntawm tus txha nraub qaum tshwm sim thaum muaj hnub nyoog 10-15 xyoo Scoliosis - Cov tsos mob, kev kuaj mob thiab kev kho mob, thaum lub sij hawm muaj kev loj hlob thiab puberty. Tab sis cov neeg laus thiab cov menyuam yaus kuj tuaj yeem cuam tshuam.

Nyob ntawm seb qhov khoov muaj zog npaum li cas, domestic orthopedics paub qhov txawv ntawm cov kab mob. Yog hais tias qhov sib txawv ntawm tus txha caj qaum los ntawm ntsug yog:

  • tsawg dua 10 degrees yog qib I scoliosis;
  • 11-30 degrees - qib II scoliosis;
  • 31-60 degrees - qib III scoliosis;
  • los ntawm 61 degrees thiab ntau dua - scoliosis ntawm IV degree.

Txawm li cas los xij, kev faib mus rau hauv qib yog feem ntau arbitrary. Piv txwv li, thaum xaiv ib txoj kev kho mob, American orthopedists siv Kev Kho Mob Rau Scoliosis ntawm ib qho kev sib txawv, qhov twg curvatures mus txog 20 degrees yog suav tias yog lub teeb, los ntawm 20 mus rau 40 - nruab nrab, tshaj 40 - hnyav.

Yog vim li cas scoliosis yog txaus ntshai

Rau feem ntau, nws tshwm sim nyob rau hauv ib tug me me daim ntawv, thiab nyob rau hauv ib tug tej yam theem, lub curvature yog nres, los yog tus txha nraub qaum rov qab los ntawm nws tus kheej. Tab sis nyob rau hauv ib co, tus txha caj qaum tseem deform. Thiab cov txheej txheem no tuaj yeem ua rau muaj ntau yam teeb meem, nrog rau cov mob hnyav heev. Ntawm no lawv yog Scoliosis:

  • Mob nraub qaum. Cov neeg uas muaj tus kab mob scoliosis thaum yau los yog cov uas tau khaws cia ntawm tus txha nraub qaum tsis txaus siab ntawm qhov mob nraub qaum ntau dua li tus neeg noj qab haus huv.
  • Txo kev hwm tus kheej thiab lwm yam teeb meem kev xav. Qhov pom qhov nkhaus ntawm lub nraub qaum hits cov tub ntxhais hluas ntau dua li lwm tus, vim lawv hnov ntxhiab ntau rau txhua qhov tsis zoo ntawm lawv tus kheej zoo li.
  • Ncua compression. Thaum tus txha nraub qaum yog nkhaus, cov hlab ntsha ib puag ncig yog qee zaum compressed. Thiab qhov no tuaj yeem ua rau muaj ntau yam teeb meem: los ntawm kev qaug zog ntawm ob txhais ceg kom tsis muaj lub zais zis tswj lossis erectile kawg (qhov no tsuas yog siv rau cov txiv neej, tau kawg).
  • Teeb meem mob ntsws thiab lub plawv. Hauv qhov xwm txheej hnyav, tus txha nqaj qaum nias lub cev sab hauv mus rau hauv siab. Qhov no ua rau lawv nyem. Raws li qhov tshwm sim, muaj teeb meem nrog kev ua pa thiab lub plawv dhia, thiab tseem ua rau muaj kev pheej hmoo ntawm kev mob ntsws - tib yam mob ntsws yuav dhau mus.

Cov menyuam ntxhais raug mob tshwj xeeb: lawv cov kab mob scoliosis yog 8 npaug ntau dua li Scoliosis - Cov tsos mob, kev kuaj mob thiab kev kho mob kom nce mus rau lub xeev ntawm kev mob hnyav thiab mob hnyav.

Yuav ua li cas kom paub scoliosis

Kev mob ntawm tus txha caj qaum tuaj yeem pom tau yooj yim los ntawm cov cim sab nraud ntawm Scoliosis - Cov tsos mob, kuaj mob thiab kev kho mob:

  • lub xub pwg nyom ntawm qhov siab sib txawv;
  • lub taub hau tsis nyob ncaj nraim ntawm lub plab mog, zoo li yog hloov me ntsis mus rau sab;
  • ib lub scapula protrudes ntau dua li lwm tus;
  • cov tav protrude ntau zog ntawm ib sab, lub duav kab tsis kab rov tav;
  • Qee zaum cov tsos mob lossis kev ntxhib los mos ntawm daim tawv nqaij saum qaum qaum hloov: dimples, xim xim, cov plaub hau ntau dhau los tshwm rau nws.

Ntawm no yog ib qho piv txwv classic ntawm tus txha nraub qaum.

Scoliosis
Scoliosis

Thaum mus ntsib kws kho mob

Yog tias koj pom cov tsos mob me me ntawm scoliosis hauv koj tus kheej lossis koj tus menyuam, tam sim ntawd hu rau tus kws kho mob orthopedist.

Image
Image

Yuri Koryukalov neurophysiologist, rehabilitologist, tus neeg sib tw ntawm biological sciences, tus sau ntawm cov cuab yeej rau kev kho thiab complex txoj kev kho ntawm qaum Cordus thiab Sacrus

Qee cov niam txiv tsis xyuam xim rau qhov mob me me, tab sis thaum lub sij hawm cov tub ntxhais hluas muaj kev loj hlob, nws tuaj yeem txav los ntawm thawj qib mus rau qib thib ob lossis thib peb. Tom qab ntawd qhov curvature ntawm tus txha nraub qaum yuav ua tsis tau tsuas yog pom tseeb, tab sis kuj cuam tshuam rau kev ua haujlwm ntawm cov nruab nrog cev thiab cov ntshav ncig.

Hauv cov menyuam yaus, tus mob scoliosis me me tuaj yeem ploj mus ntawm nws tus kheej lub sijhawm, tab sis nws yog qhov zoo dua tsis txhob pheej hmoo thiab mus ntsib kws kho mob.

Yuav kuaj xyuas thiab kho tus mob scoliosis li cas

Txhawm rau kom nkag siab tias tus neeg mob muaj qhov curvature ntawm tus txha nraub qaum, tus kws tshaj lij orthopedist yuav tsum tau kuaj lub cev. Thiab koj tuaj yeem pom tias lub xeev tau khiav ntau npaum li cas nrog kev pab los ntawm X-ray.

Yog hais tias qhov curvature me me, mus txog 20 degrees, yuav tsis muaj kev kho mob. Kev kho mob Scoliosis. Nws yog txaus rau cov tub ntxhais hluas mus ntsib kws kho mob rau Txhua yam koj yuav tsum paub txog scoliosis txhua 4-6 lub hlis txhawm rau txhawm rau ua tam sim yog tias tus kab mob scoliosis nce. Cov neeg laus tsis tau pom txhua, txij li tom qab ua tiav cov theem kev loj hlob, qhov curvature, raws li txoj cai, tsis ua phem.

Nrog kev khoov me ntsis, kev txhim kho ntawm scoliosis tuaj yeem raug tshem tawm nrog kev pab ntawm zaws thiab kho lub cev. Cov txheej txheem no raug muab los ntawm kws kho mob. Hauv cov xwm txheej hnyav dua, corsets thiab txha caj qaum yog siv los tshem tawm spasm ntawm cov leeg paravertebral.

Yuri Koryukalov neurophysiologist thiab rehabilitologist

Yog tias qhov curvature nyob nruab nrab ntawm 20 thiab 40 degrees, tus hluas yuav xav tau ib lub corset. Cov cuab yeej no tsis kho, nws txoj haujlwm yog los tiv thaiv tus txha nraub qaum los ntawm kev khoov ntau dua. Ib zaug ntxiv, corset tsuas yog kws kho mob tau sau tseg. Tus me nyuam yuav tau hnav nws li 16 mus rau 23 teev hauv ib hnub rau ntau xyoo kom txog rau thaum lub sijhawm loj hlob tiav. Nws ntseeg tau los ntawm Scoliosis: Kev kuaj mob thiab Kev Kho Mob uas nyob rau hauv cov ntxhais no theem tshwm sim ob xyoos tom qab thawj coj khaub ncaws, thiab nyob rau hauv cov tub hluas - thaum lub sij hawm lub sij hawm thaum lub hwj txwv thiab cov plaub hau ntawm lub puab tsaig pib nquag loj hlob.

Kev mob scoliosis hnyav dua yog kho phais los ntawm kev sib tsoo lub vertebrae los yog muab ib tug pas nrig raws tus txha nraub qaum kom tiv thaiv nws los ntawm kev khoov.

Hais txog kev tawm dag zog thiab zaws, lawv cov txiaj ntsig hauv kev kho mob scoliosis tsis tau muaj pov thawj. Hloov chaw, lawv ntxiv dag zog rau cov leeg nraub qaum uas txhawb nqa tus txha nraub qaum thiab yog li tiv thaiv tus kab mob los ntawm kev loj hlob.

scoliosis tuaj qhov twg thiab nws tshwm sim li cas?

Ntau zaus tshaj tsis, cov kws kho mob tau lees paub tias lawv tsis paub. Hauv 80% ntawm cov neeg mob, Scoliosis yog dab tsi thiab nws ua li cas? scoliosis hu ua idiopathic - uas yog, qhov ua rau tsis tuaj yeem tsim. Cov kws kho mob ceev faj qhia rau Scoliosis tias qhov curvature ntawm tus txha caj qaum tej zaum yuav yog ib yam kab mob, txij li tus kab mob no feem ntau kis hauv tsev neeg. Tab sis qhov no tsis tau muaj pov thawj.

Txawm li cas los xij, hauv qee kis, qhov ua rau scoliosis tseem yog crystal ntshiab. Thiab qhov no tsis yog hais tias tus cwj pwm ntawm zaum hunched tshaj.

Ntawm no yog hom scoliosis, keeb kwm ntawm cov kws kho mob xam pom.

  • Tsis yog qauv. Nyob rau hauv cov ntaub ntawv no, tus txha nqaj yog kiag li noj qab nyob zoo: nws cia li zoo li nkhaus. Yog vim li cas rau qhov no yog cov leeg nqaij spasms, lossis qee qhov mob sab hauv (piv txwv li, appendicitis), lossis asymmetry ntawm lub cev (piv txwv li, thaum ib ceg ntev dua li lwm tus). Hom scoliosis no ploj mus ntawm nws tus kheej yog tias cov xwm txheej uas ua rau nws raug tshem tawm.
  • Cov qauv tsim. Hom kab mob scoliosis no tsis muaj tseeb. Nws yog provoked los ntawm cov kab mob loj: cerebral palsy, muscular dystrophy, qog thiab genetic txiav txim tej yam kev mob xws li Down's syndrome los yog Marfan's syndrome.
  • Congenital. Nws tshwm sim txawm tias ua ntej yug me nyuam vim tsis tsim nyog tsim ntawm vertebrae.
  • Degenerative. Nrog lub hnub nyoog, cov pob qij txha thiab discs ntawm tus txha nraub qaum hnav tawm vim qhov kev ntxhov siab tas li, tshwj xeeb tshaj yog nyob rau sab nraub qaum. Yog li ntawd, dhau sij hawm, ib qho curvature yuav tsim nyob rau hauv qhov chaw ntawm tus txha nraub qaum. Nws yog ib qho laj thawj uas hom scoliosis no tsuas yog tshwm sim hauv cov neeg laus xwb.

Yuav ua li cas tiv thaiv scoliosis

Scoliosis tsis tuaj yeem tiv thaiv tau. Tab sis, yog tias nws yog ib qho xwm txheej idiopathic, Pediatric thiab Adolescent Scoliosis: Nyob Nrog tus txha nraub qaum tuaj yeem raug ncua thaum ntxov tshaj plaws. Ntxiv mus, los ntawm txoj kev yooj yim ncaj ncees.

Txhawm rau txo qhov kev pheej hmoo ntawm tus kab mob scoliosis, txij li 4-5 xyoos sim xa cov menyuam mus rau cov koom haum kis las lossis muab cov chav kawm nrog tus kws qhia tsawg kawg ib teev peb zaug hauv ib lub lis piam.

Yuri Koryukalov neurophysiologist thiab rehabilitologist

Nws tseem yog ib qho tseem ceeb uas yuav tsum tau saib xyuas tus cwj pwm kom tus txha nraub qaum tau siv los ua qhov tseeb anatomically - nruj nreem upright - txoj hauj lwm.

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