Scoliosis ntawm nraub qaum: cov tsos mob, qib, kev kho mob, kev tawm dag zog

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Scoliosis hauv nraub qaum yog ib yam kab mob txaus ntshai thiab muaj ntau yam uas tau kuaj pom hauv cov neeg laus thiab menyuam yaus. Nws tshwm sim rau qhov sib txawv thiab hauv txhua qhov chaw ntawm tus txha nraub qaum. Yog tias qhov no pathology tsis raug tshem tawm, qhov no tuaj yeem ua rau muaj qee yam teeb meem hauv lub cev thiab lub cev. Qhov mob ntawm lub nraub qaum yog tus cwj pwm los ntawm curvature ntawm tus txha nraub qaum mus rau sab xis, sab laug, pem hauv ntej thiab rov qab, tab sis muaj cov xwm txheej thaum nws nyob ib ncig ntawm tag nrho nws cov axes. Feem ntau, scoliosis raug kuaj pom hauv cov neeg mob hnub nyoog qis dua, hauv cov menyuam yaus hnub nyoog 5 txog 7 xyoos, thiab tshwj xeeb tshaj yog txaus ntshai rau cov menyuam yaus tsim cov kab mob.

Hauv cov tshuaj niaj hnub no, kuj tseem muaj kab mob scoliotic, uas tsis muaj kev hloov pauv ntawm tus txha caj qaum, tab sis kev tsis sib haum xeeb ntawm cov leeg nqaij tau sau tseg. Raws li qhov tshwm sim, lub lateral curvature ntawm lub nraub qaum tsim. Yuav ua li cas ntxiv dag zog rau koj nraub qaum nrog scoliosis? Nws yog ib qho tsim nyog yuav tsum mus rau kev kawm lub cev, zaws. Los ntawm kev ntxiv dag zog rau cov leeg, koj tuaj yeem zam ntau yamteeb meem thiab kab mob. Nyob rau thawj lub cim ntawm cov teeb meem nrog lub nraub qaum thiab qaum, nws yog qhov zoo dua los sab laj nrog kws kho mob hlwb, thiab yog tias koj muaj ko taw tiaj tus, koj yuav tsum tau sab laj nrog tus kws kho mob orthopedist.

Kev tshwm sim thiab kev loj hlob

Scoliosis nyob rau tom qab yog suav tias yog txheej txheem multifactorial. Nyob rau hauv xyoo tas los no, ntau qhov kev tshawb fawb tau ua tiav hauv cov tshuaj, uas tau pab txheeb xyuas qee cov koom haum uas ua rau muaj kev pheej hmoo ntawm kev tsim cov kab mob txaus ntshai no. Cov no suav nrog:

1. Osteopenia thiab osteoporosis. Cov tub ntxhais hluas uas muaj qhov curvature loj heev tau kuaj pom tias muaj cov pob txha pob txha pob txha tsawg.
2. Cov tub ntxhais hluas idiopathic scoliosis. Qhov kev ua txhaum cai no tshwm sim vim qhov me me ntawm cov pob txha thaum lub sij hawm loj hlob ntawm lub cev thiab, vim li ntawd, sab nraub qaum.
3. nce qib scoliosis. Cov mob no cuam tshuam tsis zoo rau platelet calmodulin, uas maj mam txo.
4. CHD7 yog cov noob caj ces cuam tshuam nrog kev txhim kho ntawm idiopathic spinal curvature.

Cov kws tshaj lij txheeb xyuas peb cov lus qhia hauv etiology ntawm tus kab mob. Hauv qhov no, muaj idiopathic, degenerative thiab neuromuscular hom scoliosis, thaum ua rau pathology yuav muaj ntau haiv neeg. Tej yam tshwm sim muaj xws li:

• Yog tias nws tsis tuaj yeem tsim qhov ua rau ntawm qhov nkhaus ntawm lub nraub qaum, ces tus neeg mob tau kuaj pom tias "idiopathic scoliosis" (95% ntawm cov neeg mob);
• kev tsis sib haum xeeb.
• Neuromuscular kab mob uasnrog asymmetry ntawm cov leeg leeg.
• Rov qab nrog scoliosis tshwm sim hauv cov neeg mob uas tsis sib npaug ntawm qhov qis qis.
• Cov txheej txheem mob hauv tus txha caj qaum.
• Tus kab mob uas muaj kab mob degenerative disc nrog cov kev hloov pauv.
• Ehlers-Danlos lossis Prader-Vill syndrome.
• Cov kab mob tsis zoo uas cuam tshuam nrog lub hlwb thiab txha caj qaum, kis tau thaum lub sijhawm yug menyuam.
• Mob nraub qaum vim yog scoliosis vim kev puas tsuaj rau lub intervertebral disc.
• Atrophy thiab dystrophy ntawm cov leeg nqaij ntawm nraub qaum.
• YProteus lossis Marfan Syndrome.
• Hereditary pathology, uas yog tus cwj pwm los ntawm cov txheej txheem txawv txav ntawm kev loj hlob ntawm cov paj hlwb, vim li ntawd, ib qho neoplasm tau txais hauv cov ntaub so ntswg.
• Kev mob ntawm cov ntaub so ntswg ntawm ib hom kab mob.

Tsuas yog tus kws kho mob tshwj xeeb hauv tsev kho mob tom qab kuaj xyuas kom meej tuaj yeem txiav txim siab qhov ua rau tus mob no. Raws li cov txiaj ntsig tau txais, kev kho mob tau sau tseg, uas feem ntau tau txais txiaj ntsig zoo. Koj yuav tsum tsis txhob koom nrog kev kho tus kheej, vim qhov no tuaj yeem ua rau muaj qhov tsis zoo thiab lwm yam tsis zoo.

Pab pawg thiab qhov hnyav ntawm scoliosis

Cov kws tshaj lij txheeb xyuas tsib pawg tseem ceeb ntawm tus kab mob nraub qaum no. Nrog rau kev kuaj mob kom raug, cov txheej txheem kho tau yooj yim.

pab pawg Scoliosis hauv qab:

1. Curvature ntawm cov leeg nqaij. Hauv qhov xwm txheej no, tus neeg mob tau tsim cov leeg nqaij tsis zoo thiabligaments, vim li ntawd, lawv tsis tuaj yeem muab kev txhim kho zoo ntawm tus txha nraub qaum (rachitic scoliosis).
2. Curvature ntawm neurogenic keeb kwm. Kev kuaj mob hauv cov neeg mob uas muaj kab mob xws li poliomyelitis, spastic paralysis, sciatica. Cov pab pawg no kuj suav nrog cov kab mob rov qab, uas yog tshwm sim los ntawm kev hloov pauv ntawm cov kab mob intervertebral ntawm tus txha nraub qaum.
3. Congenital curvature. Kev kuaj mob hauv cov menyuam yaus vim kev txhim kho pob txha tsis zoo thaum tseem nyob hauv plab.
4. Curvature los ntawm cov kab mob ntawm cheeb tsam thoracic: pleural empyema, kub hnyiab hauv thaj chaw loj, phais.
5. Scoliosis nyob rau sab nraub qaum, qhov ua rau muaj qhov tshwm sim uas tseem tsis tau kawm.

Kev faib tawm ntawm cov kab mob no kuj nyob ntawm lub chaw haujlwm ntawm tus txha nqaj qaum. Muaj ntau hom kab mob scoliosis xws li:

1. Slouching. Lub thoracic nkhaus tau nce siab nyob rau saum toj, thaum lub lumbar cheeb tsam yog ncaj.
2. Rov qab yog puag ncig. Thoracic curvature yog nyob thoob plaws hauv seem ntawm tus txha nraub qaum.
3. Pab rov qab yog concave. Kev ua txhaum cai yog pom nyob rau hauv cheeb tsam lumbar.
4. Rov qab yog round-concave. Ib txhij nce flexion hauv cheeb tsam thoracic thiab lumbar raug kuaj pom.
5. Pab rov qab yog tiaj-concave. Curvature nyob rau hauv lub hauv siab cheeb tsam yog txo los ntawm ib tug ib txwm los yog me ntsis ntxiv lumbar nkhaus.

Hauv cov tshuaj niaj hnub no, muaj ntau qib ntawm pathology. Txhua tus ntawm lawv muaj nws tus yam ntxwv,coj mus rau hauv tus account hauv kev kuaj mob. Scoliosis ntawm sab nraub qaum ntawm qib 1 yog tus cwj pwm los ntawm kev sib txawv ntawm tus txha nraub qaum hauv kaum degrees, thiab nws qhov sib tw me ntsis kuj tseem raug sau tseg. Koj tuaj yeem txiav txim siab qhov ua txhaum cai siv x-ray.

Yog tias lub kaum sab xis ntawm lub nraub qaum yog nyob rau hauv 11-24 degrees thiab muaj qhov sib tw ntawm tus txha nraub qaum, ces peb tuaj yeem hais tau tias tus neeg mob muaj tus mob scoliosis ntawm 2nd degree. Tsis tas li ntawd, tus kws kho mob tshwj xeeb thaum kuaj tus neeg mob yuav ceeb toom txog kev khoov khoov. Raws li rau x-ray, koj tuaj yeem pom qhov deformation ntawm vertebrae ntawm nws.

Scoliosis 3 degrees. Nrog rau qhov kev ua txhaum no, lub kaum sab xis ntawm curvature raug kuaj pom nyob rau hauv thaj tsam ntawm 24-41 degrees. Raws li rau lub deformation ntawm lub vertebrae, nws yog heev pronounced, nyob rau hauv muaj zog cheeb tsam ntawm kev ua txhaum cai lawv ua wedge-shaped, muaj ib tug hump.

4 degree ntawm rov qab scoliosis (daim duab ntawm cov kab mob yuav pab ua tib zoo kawm txhua theem sib cais) yog sawv cev los ntawm lub kaum sab xis ntawm curvature nyob rau hauv 41-92 degrees, thaum daim duab yuav disfigured. Nyob rau hauv tus neeg mob nrog qhov sib txawv no, lub posterior thiab anterior costal humps tau sau tseg, thiab deformation ntawm lub plab mog thiab cheeb tsam thoracic kuj pom meej. Tus neeg mob tau kuaj pom tias muaj kyphoscoliosis ntawm lub hauv siab.

pawg pheej hmoo suav nrog cov neeg mob xws li:

• xeeb tub;
• Cov menyuam yaus lossis cov hluas uas loj hlob sai thiab tsis rog rau lawv pawg hnub nyoog;
• ib tug me nyuam uas siv sij hawm ntau ua si suab paj nruag xws li violin lossisaccordion.

Tsis tas li ntawd, pawg no ntawm cov menyuam hnub nyoog 3 txog 17 xyoo uas tau ua kom lub cev muaj zog tuaj yeem raug ntaus nqi rau pawg pheej hmoo.

Children's scoliosis

Hom kev curvature feem ntau ntawm cov menyuam yaus yog idiopathic. Lub kaum sab xis Cobb nyob rau hauv qhov teeb meem no yuav ntau tshaj 10 degrees, thiab tsis muaj deviations nyob rau hauv lub sagittal dav hlau. Tab sis qhov kev kuaj mob tuaj yeem hloov pauv tom qab hnub nyoog 18 xyoo, thaum lub cev yuav tsim ntau dua. Hauv qhov xwm txheej no, nws raug nquahu kom ua raws li kev saib xyuas ntawm cov kws tshaj lij, raug kuaj tsis tu ncua.

Koj tuaj yeem txiav txim siab lub kaum sab xis ntawm qhov nkhaus ntawm tus txha nraub qaum siv X-ray hauv qhov kev ua haujlwm sab hauv-posterior. Yog hais tias ib tug me nyuam muaj scoliosis ntawm sab nraub qaum (cov duab tau nthuav tawm hauv kab lus no) pib tsim los ntawm lub hnub nyoog thaum ntxov, yog li ntawd, nws yuav muaj kev cuam tshuam loj heev ntawm tus txha caj qaum. Tus neeg mob laus zuj zus tuaj, qhov xwm txheej yuav tshwm sim ntau dua (muab tias tsis muaj kev kho kom raug). Hauv qhov no, cov kws tshaj lij pom zoo kom phais kho tus txha nraub qaum.

Qeb ntawm idiopathic scoliosis nyob ntawm hnub nyoog:

• infantile (cov menyuam yaus hnub nyoog qis dua peb xyoos);
• menyuam yaus (4 mus rau cuaj xyoos);
• teenage (puberty).

Txhua yam ntawm cov khoom nthuav tawm muaj nws tus yam ntxwv, lub sijhawm ntawm kev txhim kho, teeb meem, thiab theem ntawm kev kho mob. Txhim kho cov leeg nraub qaum nrog scoliosis yog pom zoo nyob rau hauv ib qho twgCov xwm txheej, kev tawm dag zog raug xaiv rau txhua tus neeg mob ib tus zuj zus, nyob ntawm qhov xwm txheej, qhov xwm txheej, qeb hnub nyoog thiab kev loj hlob ntawm curvature.

Vim qhov tsim ntawm scoliosis hauv tus menyuam hnub nyoog qis dua tsib xyoos, muaj kev pheej hmoo siab ntawm kev tsim teeb meem nrog lub plawv thiab cov hlab ntsha, raws li cov kab mob ua pa txwv, ntshav siab thiab cor pulmonale raug kuaj pom.

Scoliosis hauv cov neeg laus

Kev ua kom cov leeg nraub qaum hauv scoliosis yuav tsum tau ua thaum muaj hnub nyoog. Cov kev tawm dag zog raug xaiv ib tus zuj zus rau txhua tus neeg mob, nyob ntawm tus mob thiab tsis saib xyuas tus kab mob. Qhov no pathology feem ntau kuaj pom nyob rau hauv cov poj niam dua li cov txiv neej. Neuromuscular scoliosis txhim kho nrog qhov tsis xws luag hauv cov leeg nqaij lossis cov paj hlwb. Raws li rau hom degenerative, nws tshwm sim hauv cov neeg mob hnub nyoog qis dua 45 xyoo. Idiopathic tub ntxhais hluas scoliosis, yog tias kho kho tsis tau ua tiav, tseem nyob mus txog thaum kawg ntawm lub neej.

Hauv cov neeg mob laus, ib hom degenerative ntawm curvature ntawm tus txha nraub qaum tuaj yeem txhim kho, txawm tias tsis muaj cov neeg ua ntej. Hauv qhov xwm txheej no, lub kaum sab xis Cobb yuav nyob rau hauv 12 degrees, sagittal deformity thiab axial rotation yog kuaj nyob rau hauv parallel. Degenerative scoliosis pib nrog kev puas tsuaj ntawm intervertebral discs. Yog tias tus neeg mob tau kuaj pom cov kab mob xws li osteochondrosis lossis osteoporosis, ces qhov teeb meem yuav tshwm sim sai dua, ua rautseem ceeb deterioration thiab mob hnyav.

Dab tsi cuam tshuam rau lub cev? Yuav ua li cas nqa cov khoom hnyav kom raug?

Yog tias koj lub nraub qaum mob nrog scoliosis, koj yuav tsum tau xyuam xim tsis yog tsuas yog ua kom muaj zog, tab sis kuj yog qhov tseeb tseem ceeb xws li txaj, khaub ncaws, khau thiab lwm yam.

Yuav ua li cas cuam tshuam rau lub cev?

1. Qhov chaw peb pw. Cov kws tshaj lij pom zoo xaiv qhov tawv tawv rau pw tsaug zog, tshwj xeeb orthopedic txaj. Nws yog qhov zoo tshaj rau pw ntawm koj lub plab lossis nraub qaum. Raws li lub hauv ncoo, nws yuav tsum tsis txhob voluminous thiab mos.
2. Zoo. Cov khaub ncaws nruj, tshwj xeeb tshaj yog thaum hluas, tuaj yeem pab txhawb kev loj hlob ntawm tus txha caj qaum, uas yuav cuam tshuam rau kev loj hlob thiab kev loj hlob ntawm thaj chaw thoracic. Raws li rau khau, lawv yuav tsum muaj tseeb rau qhov loj. Yog tias nws raug xaiv tsis raug, ces qhov tshwm sim ntawm kev tsim cov ko taw tiaj tus thiab, vim li ntawd, scoliosis nce. Thaum kuaj mob clubfoot, nws raug nquahu kom nrhiav kev tawm tswv yim tam sim los ntawm tus kws kho mob orthopedist, pib qoj ib ce, zaws, qoj ib ce kho mob. Cov neeg mob ntawm cov hnub nyoog laus uas kuaj pom muaj tus kab mob scoliosis yuav tsum nyiam hnav khau nrog pob taws.
3. Nqa ib lub hnab hauv ib txhais tes xwb. Qhov no suav hais tias yog ib txoj hauv kev zoo los txhim kho tus txha caj qaum. Cov neeg laus thiab menyuam yaus raug qhia kom hnav cov hnab ev ntawv uas haum zoo, nrog lub xub pwg dav thiab lub nraub qaum tawv.
4. Khoom siv ntawm chaw ua haujlwm. Nws yuav tsum zoo lit thiab xis. Lub duav thiab lub hauv caug pob qij txha yuav tsum tau khoov ntawm lub kaum sab xis thaum zaum. Lub teeb pom kev tsis zoo yog qhov tsis zoocuam tshuam tsis tsuas yog qhov zoo ntawm lub zeem muag, tab sis kuj khoov lub nraub qaum, vim tias vim tsis muaj lub teeb, ib tus yuav tsum tau hoonch thiab khoov qis. Nws yuav tsum nco ntsoov tias kev ua haujlwm sedentary ua rau muaj kev ntxhov siab ntau ntawm cov leeg txha caj qaum thiab txha caj qaum. Thaum koj ua haujlwm, koj yuav tsum tau lean ntawm ob lub luj tshib, ob txhais ceg thiab nraub qaum yuav tsum kov lub nraub qaum ntawm lub rooj zaum, thaum lub lumbar nkhaus tau khaws cia tag nrho. Lub nrig muab tso rau ntawm lub hauv siab thiab lub rooj.
5. Ib hom kev ua haujlwm zoo. Yog tias tus neeg ua haujlwm nyob hauv ib qho chaw zaum ntev heev, nws yuav tsum tau ua 15 feeb ua haujlwm txhua teev. Gymnastics pab ncab thiab ntxiv dag zog rau cov leeg ntawm lub nraub qaum thiab tag nrho lub cev. Cov kws tshaj lij pom zoo tias yog tias koj lub nraub qaum mob nrog scoliosis, sau npe rau ntu kis las, taug kev ntau dua thiab teem sijhawm ua luam dej.

Yuav kom tsis txhob ua mob rau tus txha nraub qaum, nws yog ib qho tsim nyog tsis yog xaiv lub txaj thiab hauv ncoo zoo los yog muab cov chaw ua haujlwm, tab sis kuj nqa cov khoom hnyav uas tsis muaj kev phom sij rau kev noj qab haus huv. Nws raug nquahu kom siv lub hauv paus ntsiab lus jack. Tsis txhob nqa qhov hnyav los ntawm txoj haujlwm inclined.

Ua ntej tshaj, nws yog qhov zoo dua los zaum, ces nqa lub nra. Lub nraub qaum yuav tsum ncaj ncaj, zoo dua nrog lub lumbar nkhaus. Nws raug nquahu kom mloog zoo rau kev ua haujlwm ntawm cov leeg ntawm cov leeg qis, thiab tsis yog tus txha nraub qaum. Yog tias ua tau, nias qhov hnyav rau hauv siab, nyob rau hauv rooj plaub uas lub load yuav sib npaug.

Ib ntu ntu tau pom zoo ua raws thaum txo qhov hnyav. Yog tias koj nkees heev, ces tus mob no yuav ua rau muaj kev ntxhov siab ntawm tus txha caj qaum thiab tuaj yeem ua rau mob. Thaum ua haujlwm hnyav, koj tuaj yeem siv cov corsets tshwj xeeb rau sab nraub qaum los ntawm scoliosis.

Txoj cai thiab sab laug curvature ntawm nraub qaum

Hom kab mob no tau kuaj pom hauv thaj av ntawm tus txha caj qaum, tus nqi hump tau sau tseg nyob rau hauv tib lub sijhawm, vim tias tus ncej yog deformed. Yog hais tias tus neeg mob muaj txoj cai-sab curvature ntawm lub caj dab, qhov kev xav ntawm kev mob kev nkeeg thiab cephalgia tuaj yeem tsim txom. Txoj cai-sided scoliosis ntawm lub lumbar qaum yog nrog cov tsos mob ntawm tus mob nyob rau hauv cov neeg mob ntawm cov hnub nyoog ntawm 20 mus rau 35 xyoo. Ob yam kab mob no tsis tshua muaj tshwm sim.

Sab laug-sab scoliosis feem ntau pom hauv cov neeg laus. Yog tias 1 lossis 2 mob hnyav tau kuaj pom, ces tsis muaj cov tsos mob tshwm sim. Raws li kev ntsuam xyuas, deformation ntawm cov leeg ntawm thaj tsam lumbar tau tshwm sim. Nyob rau hauv thawj theem ntawm tus kab mob, tus neeg mob yws ntawm qhov mob hnyav, ib tug protruding iliac crest. Tsim sab laug-sided scoliosis ntawm lub hauv siab nrog kev ua txhaum ntawm T1-T12. Hom kab mob no tsis tshua muaj tshwm sim. Nyob rau theem thib peb ntawm scoliosis, cov kws tshaj lij nco txog qhov sib luag ntawm lub cev sab sauv thiab lub ntsej muag, thaj chaw thoracic txwv tsis pub txav mus los, thiab cov txheej txheem ua pa cuam tshuam. Yog tias qhov xwm txheej tsis raug saib xyuas, tom qab ntawd hauv 80% ntawm qhov tshwm sim ntawm kev kho yuav zoo.

Kev nkhaus ntawm tus txha nraub qaum ntawm qhov sib txawv ntawm nraub qaum

Scoliosis tuaj yeem yog qhov sib txawv. Nyob ntawm qhov no, kev kho yog kho, nws raug nquahu kom ua kev tawm dag zog. Txhaishom kab mob muaj peev xwm tsuas yog tus kws kho mob tshwj xeeb tom qab kuaj xyuas tus neeg mob.

Nyob rau hauv cov tshuaj niaj hnub no, muaj xws li pawg ntawm tus txha caj qaum xws li:

1. lub siab. Nws feem ntau kuaj pom hauv cov neeg mob hluas. Feem ntau ntawm cov ntxhais. Nws yog yuav luag tsis yooj yim sua kom pom nyob rau hauv thawj theem, txij li thaum tsis muaj visualization ntawm curvature. Hauv qhov no, tus neeg mob tuaj yeem yws yws ntawm kev qaug zog, mob nraub qaum, nrog rau kev taug kev luv luv. Provoking yam: sedentary txoj kev ua neej, tsis zoo posture, hnyav loads nyob rau tom qab, teeb meem nrog rau cov leeg thiab ligaments, hereditary factor, txo qis ntawm qhov ntev sib txawv, raug mob. Nws yog ib qho nyuaj rau kuaj xyuas thoracic scoliosis nyob rau theem pib. Raws li rau qib thib ob, tom qab ntawd nrog nws muaj qhov asymmetry ntawm lub ncauj tsev menyuam thiab lub duav, uas tseem nyob hauv txhua txoj haujlwm. Qhov thib peb theem yog tus cwj pwm los ntawm lub protrusion ntawm costal arches, tsis muaj zog cov leeg nqaij nyob rau hauv lub plab mog. Kev tawm dag zog rau sab nraub qaum nrog scoliosis ntawm 1 lossis lwm qib yog xaiv tshwj xeeb los ntawm tus kws tshaj lij. Qib plaub ntawm pathology yog tus cwj pwm los ntawm kev hais tawm tus nqi hump, nrog rau cov kab mob sib kis ntawm cov hlab plawv.
2. Lumbar. Hauv qhov xwm txheej no, lub nraub qaum yuav nkhaus ntau rau sab laug. Qhov teeb meem no tuaj yeem tshwm sim los ntawm cov xwm txheej xws li kev sib txawv ntawm kev loj hlob hauv lub sijhawm perinatal, kev raug mob, kev loj hlob hnyav, overload ntawm qaum. Koj tuaj yeem txiav txim siab pawg no ntawm scoliosis pom lossis siv x-ray. Lub rib hump yuav tsum tsis tuaj, txij liqhov khoov feem ntau tsis cuam tshuam rau cheeb tsam thoracic.
3. Thoracolumbar. Muaj ib txhij curvature ntawm tus txha nraub qaum ntawm T1 thiab L5. Tus neeg mob zoo li tus nab writhing. Qhov kev ua txhaum cai no ua rau tus neeg mob tsis xis nyob, thiab tuaj yeem kho tau ntev.
4. sib tov. Kev kuaj mob ntawm cov poj niam pej xeem. Xws li kev sib xyaw ua ke ntawm txoj cai-sab thoracic curvature nrog sab laug-sided lumbar ua txhaum. Yog tsis muaj kev kho mob tsim nyog ua rau muaj qhov tshwm sim loj.

Cov leeg ntawm nraub qaum nrog scoliosis nyob rau hauv txhua rooj plaub raug kev txom nyem heev, thiab thiaj li yuav txo tau qhov nro nyob rau hauv lub nraub qaum, nws yog ib qho tsim nyog yuav tau ua qoj ib ce, qoj ib ce kho.

Diagnosis

Yuav kom kuaj tau qhov tseeb, tus neeg mob yuav tsum tau mus kuaj. Raws li cov txiaj ntsig tau txais, tus kws kho mob tshwj xeeb tsis yog tsuas yog txiav txim siab txog tus kab mob, nws qib thiab qhov hnyav, tab sis kuj tau sau cov kev kho mob rov qab scoliosis. Txhawm rau kom tau txais txiaj ntsig zoo, koj yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo thiab siv kev tiv thaiv.

Kev kuaj mob scoliosis suav nrog cov txheej txheem xws li:

1. Kev xeem ua haujlwm. Lawv hais txog kev tshawb fawb uas pab tshem tawm cov hlab ntsha thiab cov leeg nqaij pathologies. Tsis tas li ntawd, cov txheej txheem no yuav pab ntsuas qhov chaw ntawm lub xub pwg nyom thiab iliac crests, cov txheej txheem spinous, tus txha caj qaum. Kev xeem flexion yog qhov yuav tsum tau ua.
2. X-ray. Cov txheej txheem no ua rau kev soj ntsuam ntawm qib ntawm scoliosis. Daim duab yog muab tso rau hauv qhov chaw zaum lossis sawv ntsug. Xws liDiagnostics yog suav hais tias feem ntau siv thiab siv tau, nws yog cov ntaub ntawv zoo heev. Txoj kev tshawb no pab tus kws kho mob tshwj xeeb kom paub qhov txawv ntawm idiopathic-type scoliosis los ntawm kev tsis sib haum xeeb. Radiography txiav txim lub kaum sab xis ntawm curvature, rotation thiab torsion. Txij li txoj kev no yog tus cwj pwm los ntawm kev siv hluav taws xob ntau ntxiv, nws raug nquahu kom siv cov duab qis. Lawv txo lub sij hawm raug tus neeg mob, tab sis tsuas yog pab txiav txim lub kaum sab xis ntawm curvature ntawm lub nraub qaum.
3. Sib nqus resonance thiab suav tomography tau zoo heev hauv kev kuaj mob no. Qhov tsis zoo ntawm kev xeem tsuas yog tus nqi siab.
4. Kev ntsuas qhov ua txhaum cai siv daim duab. Cov txheej txheem muaj tus nqi qis, muaj, thiab tsis muaj hluav taws xob hluav taws xob. Minus - qhov tseeb tsis tseem ceeb, tab sis tsis muaj contraindications. Txhawm rau kom tau txais cov ntaub ntawv tshawb fawb tseeb, nws raug pom zoo kom ua raws li cov cai uas tau lees paub: daim duab yog coj los tiv thaiv keeb kwm yav dhau los ntawm lub xov tooj ntawm tes (1010 cm), siv lub koob yees duab, teeb pom kev zoo sab hauv, daim duab yuav tsum muaj. ob peb daim duab nyob rau hauv tag nrho kev loj hlob thiab los ntawm txawv sab. Cov txheej txheem no tso cai rau koj los soj ntsuam tus kab mob hauv qhov muaj zog, txhawm rau txhim kho seb qhov curvature puas nce lossis tsis tau.

Kev kuaj mob ntxov (preclinical, subclinical thiab kho mob theem ntawm pathology) suav nrog kev kuaj pom, suav kho qhov muag tomography, EMG, OSP, kev txiav txim siab ntawm neuropeptides. Kev saib xyuas yog them rau tus txha nraub qaum, qaum qaum thiab lub hlwb, cov leeg corset.

Yuav ua li cas kho rov qab scoliosis?

Nyob zookev ua ub no tau muab faib ua ob peb pawg. Thawj suav nrog cov chaw xws li kev kho cov tshuaj hormonal, kev ua haujlwm ntawm lub hlwb thiab qaum qaum thiab ANS, vertebral loj hlob aav, rov qab cov leeg nqaij. Cov pab pawg thib ob ntawm kev ntsuas muab cov keeb kwm zoo rau kev ua tiav ntawm thawj txoj hauv kev. Nws suav nrog kev tawm dag zog rau lub nraub qaum nrog scoliosis, ntau hom kev zaws, ua luam dej, hnav corset. Yog tias tus neeg mob tau kuaj pom tus kab mob theem kawg, koj yuav tsum tsis txhob suav rau qhov tshwm sim tam sim ntawd, cov txheej txheem rov qab yuav siv li rau xyoo.

Kev kho mob ntawm curvature nyob rau hauv cov neeg laus yog cov txheej txheem siv sij hawm. Tus neeg mob tau pom zoo kom hnav ib txoj siv, muab cov insoles tshwj xeeb hauv khau. Corsets rau sab nraub qaum los ntawm scoliosis pab kho lub cev, muaj kev cuam tshuam rau ntau yam curvatures. Txhawm rau txhawb lub cev, cov ntaub qhwv kuj tseem siv los tuav cov discs intervertebral thiab cov axis ntawm tus txha nraub qaum. Nyob rau hauv cov xwm txheej zoo li no, cov leeg nqaij tsis muaj peev xwm ua rau muaj qhov tsis zoo rau sab nraub qaum. Tab sis nws yuav tsum tau borne nyob rau hauv lub siab hais tias lawv muaj tsis tsuas yog tsis zoo yam, tab sis kuj contraindications. Lawv yuav tsum tau hnav ntev ntev - ob peb xyoos. Lawv tuaj yeem ua rau cov ntaub so ntswg atrophy, cuam tshuam cov ntshav ntws hauv thaj tsam lumbar, thiab provoke kev txhim kho pob txha. Tsis tas li ntawd, hom ntaub qhwv no yog txwv tsis pub hnav thaum lub caij yug menyuam.

Yog tias tus neeg mob muaj mob nraub qaum hnyav vim yog tus kab mob scoliosis, tom qab ntawd muab tshuaj kho mob. Nws raug nquahu kom noj cov vitamin complexes, ntau yam tshuaj kho kom zoo. Analgesics pab daws qhov tsis xis nyob thiabtsis kaj siab. Muaj tsawg zaus, yog tias tsim nyog, kev kho tshuaj hormone yog sau.

Nrog rau cov kab mob no, nws raug nquahu kom ua tib zoo saib xyuas koj txoj kev ua neej. Tso tseg txoj kev ua neej nyob sedentary, npaj koj qhov chaw ua haujlwm kom zoo. Nws yog qhov zoo dua mus rau hauv kev ua si, ua luam dej. Txhua txhua hnub, nws raug nquahu kom ua cov kev tawm dag zog rau sab nraub qaum nrog scoliosis, uas yog xaiv los ntawm tus kws kho mob tshwj xeeb rau txhua tus neeg mob, kom lub nra hnyav thiab tshem tawm cov leeg nqaij.

Yog kuaj pom qhov curvature, ces tsis txhob hnov qab txog kev noj zaub mov kom raug. Kev noj zaub mov yuav tsum sib npaug. Nws yog ib qho tsim nyog muab cov khoom noj ntsim, rog rog, nqaij haus luam yeeb, pickles, dej cawv. Nws raug pom zoo kom tsom mus rau cov zaub mov cog, cov khoom noj siv mis, cov khoom noj, cov nqaij ntshiv thiab qe tau tso cai. Kev noj zaub mov yuav pab ua kom muaj zaub mov noj. Cov ntsiab lus tseem ceeb ntawm kev noj zaub mov zoo li no yog cov poov tshuaj thiab magnesium ntsev, qhov txaus ntawm cov vitamin D.

Surgery

Yuav ua li cas yog tias rov qab scoliosis ntawm theem kawg? Txhawm rau tshem tawm qhov curvature ntawm qib 4, kev phais yog ua. Yog hais tias tus kab mob no tau kuaj pom nyob rau hauv ib tug hluas los yog ib tug me nyuam, xws li kev kho mob yuav khaws cia txoj kev loj hlob ntawm tus txha caj qaum, dlhos lub nraub qaum, tswj thiab restore lub physiological nkhaus ntawm lub frontal thiab sagittal profile thiab sib npaug ntawm lub cev. Kev phais tiv thaiv kev txhim kho tom ntej ntawm cov txheej txheem deformation.

Kev ua haujlwm tau qhia rau cov neeg mob uas nws lub kaum sab xis Cobb ntau dua 50 degrees thiab nws hnub nyoog qis dua 13 xyoos. Lub sij hawmrov qab tuaj yeem siv sijhawm ntau lub hlis. Nws suav nrog kev ntxiv dag zog rau sab nraub qaum nrog scoliosis nrog kev tawm dag zog, noj zaub mov kom zoo thiab kev ua kom rov qab. Lub meej contraindications ntawm lub lag luam muaj xws li mob hnyav ntawm tus neeg mob, mob pathologies nyob rau hauv lub cev, tsim lub peev xwm tseem ceeb ntawm lub ntsws nyob rau hauv lub hnub nyoog norm, tsis txaus ntshav txaus, kab mob ntawm lub plawv system.

Kev cuam tshuam kev phais yuav raug ncua rau qee lub sijhawm vim muaj cov kab mob thiab pathologies hauv lub cev xws li hormonal imbalance, kab mob ntawm lub raum thiab daim siab, ntshav, benign thiab malignant neoplasms, exacerbation ntawm cov txheej txheem ntev thiab lwm yam.