Hnub no peb caw koj los tham txog kev tiv thaiv kab mob scoliosis hauv menyuam yaus. Qhov teeb meem no muaj ntau heev. Scoliosis yog to taub raws li ib tug curvature ntawm tus txha caj qaum nyob rau hauv txhua txoj kev thiab ib tug hloov nyob rau hauv cov duab ntawm lub vertebrae.
Nws yuav tsum tau hais tam sim ntawd tias qhov no tsis yog qhov tsis zoo rau tus menyuam lub ntsej muag xwb, tab sis muaj ntau yam teeb meem loj, los ntawm kev poob ntawm lub cev mus rau cov kab mob hauv lub cev.
Hauv qhov teeb meem no, qhov tseem ceeb yog txhawm rau txheeb xyuas tus kab mob thaum yau thiab pib kho. Tom qab tag nrho, tsuas yog tus me nyuam txha nraub qaum tuaj yeem kho tau. Hmoov tsis zoo, tab sis cov niam txiv nrhiav kev pab los ntawm tus kws kho mob lig (tam sim no thaum qhov teeb meem pom ntawm qhov muag liab qab). Thiab qhov no yog txhua yam, txawm hais tias muaj tus kab mob sib kis thoob plaws, vim tias scoliosis, uas muaj qhov sib txawv ntawm qhov hnyav, tau kuaj pom ntau dua 50% ntawm cov menyuam kawm ntawv.
Kev loj hlob ntawm tus kab mob ib txwm tshwm sim thaum menyuam yaus, thaum lub sijhawm muajintensive kev loj hlob ntawm lub cev pob txha. Nws yog vim li no uas scoliosis feem ntau hu ua "tus kab mob menyuam yaus". Ua tsaug rau cov txheej txheem niaj hnub ntawm kev kho mob, xws li cov teeb meem hauv cov menyuam yaus yog daws tau, txij li lub sijhawm no tus txha nraub qaum tseem tsis tau ua tiav. Txawm li cas los xij, rau cov neeg laus uas muaj hnub nyoog 20 xyoo, kev kho lub cev yog qhov nyuaj heev.
Yog vim li cas
Cia peb sim kawm ntxiv txog qhov ua rau thiab kev tiv thaiv kab mob scoliosis hauv menyuam yaus. Ntau tus niam txiv ntseeg tias tsuas yog ua rau tus kab mob no yog qhov tsis ncaj ncees lawm thaum kawm. Hauv qee txoj kev, lawv yog txoj cai, vim hais tias lub cev tsis raug thaum taug kev lossis zaum ua rau cov leeg so, thiab tsis muaj suab nrov hauv lawv ua rau curvature. Tab sis nws yog ib qho tsim nyog yuav tsum xyuam xim rau qhov tseeb tias qhov no nyob deb ntawm qhov ua rau scoliosis xwb.
Peb yuav muab cov npe ntawm ob peb ntawm lawv:
- deformations uas tshwm sim thaum yug me nyuam los yog lub sij hawm ntawm intrauterine kev loj hlob ntawm tus me nyuam;
- raug mob ntawm tus txha nraub qaum (tseem yog ib qho ntawm nws lub chaw haujlwm);
- kev faib khoom tsis raug thaum lub sijhawm ua kis las;
- nqa ib lub hnab rau ntawm ib pluaj;
- rickets;
- menyuam yaus lub hlwb palsy;
- avitaminosis;
- pleurisy;
- tuberculosis;
- luv ntawm ib ceg (txawm tias nws tsis pom qhov pom);
- kev tsis sib haum xeeb hauv kev loj hlob ntawm cov tav thiab vertebrae;
- muaj ntau qhov caws pliav thiab kub hnyiab thiab lwm yam.
Thaum ntxov, tus kab mob tsuas yog kuaj tau los ntawm tus kws tshaj lij. Yog li ntawd, nws tsim nyog xyuas tus me nyuam tsis tu ncua nrog tus kws kho mob orthopedic. Yog tias koj sau tshuaj kho tus menyuam raws sijhawm, ces qhov kev loj hlob ntawm tus kab mob tuaj yeem raug tso tseg.
Risk factors
Ua ntej peb tig mus rau kev kho thiab tiv thaiv kab mob scoliosis hauv cov menyuam yaus, peb xav kom koj xav txog cov xwm txheej uas twb muaj lawm. Leej twg yuav kis tus kab mob no ntau dua? Cov qauv no tsis tuaj yeem rov hais dua: cov tub hluas yuav muaj tus kab mob no tsawg dua cov ntxhais. Vim li cas qhov no tshwm sim? Cov kws kho mob tseem tsis tuaj yeem nrhiav cov lus teb rau lo lus nug no, tab sis koj tsis tuaj yeem sib cav nrog cov txheeb cais.
Tsis tas li ntawd, cov menyuam yaus muaj kab mob muaj kev pheej hmoo:
- rickets;
- teeb meem ntawm lub paj hlwb;
- rheumatism.
Ntxiv rau, nws tsim nyog sau cia kev xeeb tub. Tau kawg, scoliosis tsis tau txais txiaj ntsig, tab sis ntau yam kab mob caj ces tuaj yeem ua rau nws tshwm sim. Peb tawm tswv yim los txiav txim siab txog keeb kwm yav dhau los hauv kev nthuav dav me ntsis hauv nqe lus nug tom ntej ntawm tsab xov xwm.
Hereditary factor
Ntau khub niam txiv hluas uas tab tom npaj los ua niam txiv txaus siab rau: puas tuaj yeem muaj tus kab mob scoliosis los ntawm niam txiv? Tau kawg tsis! Txawm hais tias muaj qee qhov kev sib raug zoo ntawm tus kab mob no thiab heredity. Muaj ntau hom kab mob uas cuam tshuam rau kev loj hlob ntawm pathology. Cov no suav nrog:
- muscular dystrophy;
- kab mob ntawm lub paj hlwb.
Yuav tsum nco ntsoov tias tsis muaj noob rau scoliosis li.
Yuav ua li cas kom tus menyuam tsis muaj teeb meem zoo sib xws? Kev ntsuas yuav tsum tau uativ thaiv scoliosis hauv cov menyuam yaus preschool. Kev mus ntsib kws kho hniav tsis tu ncua yuav pab txheeb xyuas qhov teeb meem thaum ntxov.
Views
Yog tias muaj hnub nyoog rau hauv tus account, muaj peb hom scoliosis:
- menyuam mos (mus txog peb xyoos);
- hluas (kaum - kaum plaub xyoos);
- teenager (15 - 17 xyoo).
thawj ntau yam ntawm peb cov npe feem ntau tshem tawm ntawm nws tus kheej. Qhov xwm txheej nruj dua yog pom nyob rau hauv cov tub ntxhais hluas scoliosis, uas yog tshwm sim los ntawm kev loj hlob sai ntawm cov pob txha.
Yog tus tub kawm ntawv muaj qhov quav, qhov no yog qhov laj thawj tseem ceeb rau kev hu rau tus kws kho mob orthopedist. Nws yog nrog stoop tias ntau tus niam txiv confuse thawj qib ntawm tus kab mob. Tias yog vim li cas nws thiaj li tsim nyog rau cov niam txiv los ntsuas kev tiv thaiv scoliosis hauv cov menyuam yaus. Yog tias koj hla thawj kauj ruam, ces cov tsos mob ntawm curvature pom ntawm qhov muag liab qab, thiab nws yog qhov nyuaj dua los kho lawv.
Kev faib tawm
Rau qhov kev kho kom raug ntawm qhov teeb meem hauv kev kho mob, nws yog ib txwm ua kom faib txhua hom scoliosis ua peb hom curvature thiab plaub degrees ntawm qhov hnyav.
Type of spinal curvature:
- C-puab curvature (ib arc ntawm curvature);
- S-puab (ob arcs);
- Z-shaped (peb arcs, yog hom nyuaj tshaj plaws).
Txoj kev thiab lub sijhawm ntawm kev kho mob ncaj qha tsis yog nyob ntawm hom kab mob nkaus xwb, tab sis kuj nyob ntawm qhov hnyav. Nyob rau hauv tag nrho, nws yog kev cai rau ib leeg tawm plaub ntawm lawv; rau cov ncauj lus kom ntxaws ntxiv, kojnrhiav hauv lub rooj.
| Degree | Lub kaum ntse ntse (hauv degrees) | piav qhia txog qhov teeb meem |
| 1 degree | 1 to 10 | Yuav luag tsis pom kev rau tus neeg nruab nrab. Cov yam ntxwv tshwj xeeb: lub xub pwg nyom txo qis, me ntsis stoop. Kev ntsuas los tiv thaiv scoliosis hauv cov menyuam yaus hauv qhov no suav nrog: kev kho mob qoj ib ce (physiotherapy ce) thiab gymnastics. |
| 2 degree | 11 to 25 | Pom kev hloov pauv, tej zaum yuav muaj kev hloov pauv ntawm lub plab mog. Nyob rau hauv cov ntaub ntawv no, yuav tsum tau ib tug tshwj xeeb ntawm ce ce los tiv thaiv kev hloov ntawm scoliosis mus rau qib peb. |
| 3 degree | 26 to 50 | Distinctive feature: tsim ntawm tus nqi hump lossis lawv retraction, pelvis yog oblique. Hauv qhov no, kev kho mob nyuaj yog tsim nyog. Kev kho qhov xwm txheej, txawm tias nyuaj, tseem ua tau. |
| 4 degree | ntau tshaj 50 | Qib plaub yog xyaum tsis kho. Tag nrho cov vertebrae yog deformed, cov leeg yog stretched |
Yog tias koj tsis ua raws li kev tiv thaiv thiab kho tus kab mob scoliosis hauv cov menyuam yaus, nws nce nrawm heev. Txhua hnub lub sijhawm los kho tus txha nraub qaum yog tsawg dua. Tsis txhob ncua sijhawm mus ntsib kws kho mob, suab lub tswb kom sai li sai tau thaum thawj cov cim pib. Ua rau koj tus menyuam noj qab nyob zoo thiab zoo siab rau yav tom ntej.
Muaj Teeb Meem
Raws li tau hais dhau los, kev tiv thaiv kab mob scoliosis hauv cov menyuam yaus hnub nyoog kawm ntawv thiab cov menyuam kawm ntawv preschool yog qhov yuav tsum tau ua. Yog tias koj tsis kho qhov pib ntawm tus kab mob, ces nws yuav pib sai heev.kev vam meej. Lus hauv ib xyoos, me ntsis stoop tuaj yeem txhim kho mus rau qib 4 scoliosis, uas yuav luag tsis tuaj yeem kho.
kev tsis ua haujlwm ua rau dab tsi? Cov teeb meem hauv qab no tuaj yeem ua tau:
- tus txha caj qaum yog deformed loj heev;
- a rib hump forms;
- ua tau asymmetry ntawm cov pob txha pelvic;
- muscular dystrophy;
- mob taub hau;
- ntsws ntim txo;
- kev ua haujlwm ntawm cov hlab plawv yog cuam tshuam.
Nws tseem ceeb heev kom paub tias scoliosis ua rau muaj ntau yam teeb meem tsis yog nyob tom qab xwb.
Symptoms
Raws li tau hais ua ntej, scoliosis ntawm thawj theem tsis tshwm sim nws tus kheej kiag li. Tus me nyuam zoo siab, ua lub neej nquag. Tsuas yog ib qho me me nrog lub xub pwg nyom me ntsis tuaj yeem pom, tus menyuam yuav tsis yws txog qhov mob lossis tsis xis nyob.
Txawm li cas los xij, yog tias koj tsis ua dab tsi, scoliosis yuav loj hlob mus rau theem ob, thaum cov paib twb pom lawm txawm tias tsis yog tus kws tshaj lij. Koj tuaj yeem pom cov yam ntxwv hauv qab no:
- taub hau yuav luag tas;
- stoop;
- pawg xub pwg;
- xub pwg tsis nyob hauv kab.
Cov cim hauv qab no yuav pab kom paub txog kev hloov mus rau qib thib peb:
- qhov nkhaus ntawm tus txha caj qaum;
- rov qab tsis xis nyob;
- mob taub hau;
- tejzaum lub plawv dhia;
- ua tsis taus pa tshwm.
Diagnosis
YogTxhawm rau kuaj xyuas qhov teeb meem hauv qhov me me, kev sab laj nrog tus kws kho mob orthopedist yog qhov tsim nyog, tom qab ntawd rau cov tub ntxhais kawm theem pib, cov niam txiv tuaj yeem ua qhov no ntawm lawv tus kheej.
Qhia koj tus menyuam kom tshem cov khaub ncaws ntawm lawv lub cev thiab tig rov los rau koj. Cia tus me nyuam sawv ntsug rau pem hauv ntej thiab cia ob txhais npab dai rau hauv lub xeev so. Yam koj xav tau los ntsuas hauv txoj haujlwm no:
- lub xub pwg hniav yuav tsum nyob rau tib qhov siab;
- qhov kev ncua deb ntawm lub cev thiab caj npab yuav tsum yog tib yam ntawm ob sab.
Kev sim tom ntej: tus menyuam sawv nrog nws nraub qaum rau koj, rov qab ncaj, txhais caj npab nias rau lub cev. Yog tias tus me nyuam muaj scoliosis, ces koj yuav pom cov yam ntxwv hauv qab no:
- xub pwg asymmetry;
- qhov siab ntawm txhais tes qis tsis zoo ib yam;
- kab pelvis tsis sib npaug rau lub dav hlau ncaj.
Yog tias koj pom cov tsos mob ntawm tus kab mob no, koj yuav tsum ceev nrooj hu rau tus kws kho mob orthopedist thiab pib kho. Tab sis nws tseem ceeb heev uas yuav tsum nco ntsoov tias kev tiv thaiv kab mob scoliosis hauv cov menyuam yaus hnub nyoog kawm ntawv yuav tsis ua mob rau leej twg. Koj tuaj yeem muab tus menyuam ua luam dej lossis gymnastics. Yog tias qhov no ua tsis tau, ces kev them nyiaj tshwj xeeb thiab kev tswj lub cev yuav txaus.
Kev kho mob
Kev tiv thaiv kab mob scoliosis yooj yim dua li kho. Nws yog qhov zoo dua los tiv thaiv kab mob dua li kho nws. Txawm li cas los xij, yog tias koj plam lub sijhawm thiab tus menyuam xav tau kev kho mob, tus kws kho mob yuav qhia ib lossis ntau qhov kev ntsuas kom tshem tau tus mob no.
xaiv kev kho mob suav nrog:
- corset uas kho tus menyuam txha nraub qaum kom raugtxoj hauj lwm;
- kev tawm dag zog (kev kho lub cev);
- massage;
- ua luam dej;
- kho mob phais (tsis tshua siv);
- tshuaj (tsis tshua siv rau cov mob hnyav heev).
YGymnastics
Tam sim no peb yuav tham me ntsis txog kev tawm dag zog rau kev tiv thaiv kab mob scoliosis hauv cov menyuam yaus thiab nws txoj kev kho mob. Kev tawm dag zog yuav tsum tau saib xyuas los ntawm tus kws tshaj lij. Raws li kev txhawb nqa ncaj ncees, cov niam txiv raug txhawb kom ua haujlwm nrog lawv cov menyuam. Kev tawm dag zog tsis tu ncua yog tus yuam sij rau kev rov ua tiav.
Lub complex yuav tsum tau muab los ntawm kws kho mob. Qhov no coj mus rau hauv tus account ob lub hnub nyoog ntawm tus menyuam thiab qib ntawm curvature ntawm tus txha nraub qaum.
Dab tsi yog kev tawm dag zog rau kev tiv thaiv kab mob scoliosis hauv menyuam yaus? Xav txog lawv ntau yam, muab qhov teeb meem ntawm qhov teeb meem.
- First degree. Kev ua kom muaj zog, ua pa thiab ua kom muaj zog yog siv ntawm no. Tsis tshua muaj heev, thiab nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij, lawv ua haujlwm asymmetric.
- Second degree. Kev txhawb nqa dav dav, ua pa, tsawg zaus - asymmetric thiab detorsion ce.
- qib peb thiab plaub. Hauv qhov no, nws yog qhov tsim nyog los ua tus kheej cov lus qhia. Tag nrho cov complex ntawm ce yog siv ntawm no. Contraindications yog cov kev txav uas tuaj yeem ua rau kom yooj yim ntawm tus txha caj qaum. Pawg no suav nrog kev tig, qaij, thiab lwm yam.
Cov chav kawm zoo li no feem ntau muaj tsis pub ntau tshaj plaub zaug hauv ib lub lis piam. Lub sijhawm ntawm ib zaj lus qhia yuav tsum tsis pub tshaj 45 feeb. Kev tawm dag zograug xaiv ib tus zuj zus, suav nrog qee yam:
- kev ua siab ntev;
- degree ntawm scoliosis;
- hnub;
- sijhawm kho.
Kev ua kom tiav yuav tsum tsis txhob nrawm. Txhua qhov kev tawm dag zog muaj qhov qeeb lossis nruab nrab, thiab lawv lub hom phiaj yog kev loj hlob ntawm cov leeg thiab kev hloov kho ntawm tus txha caj qaum. Thaum ua cov complex, nws yog tsim nyog los coj mus rau hauv tus account lub fact tias cov me nyuam nrog scoliosis muaj pathological hloov nyob rau hauv lub plawv thiab lub ntsws. Yog li ntawd koj yuav tsum saib xyuas tus neeg mob lub plawv thiab ntshav siab.
Swimming
Kev Ua luam dej muaj qhov tshwj xeeb hauv kev kho qhov teeb meem no. Dab tsi yog qhov txiaj ntsig ntawm kev ua si nawv no?
- Nyob ib leeg ntawm tus txha nraub qaum.
- Spinal traction tso cai rau koj tshem tawm qhov chaw loj hlob ntawm cov pob txha.
- Kev koom nrog txhua pawg leeg.
- Ib qho teeb meem hauv qhov asymmetry ntawm vertebrae.
- Txhim kho kev sib koom tes ntawm kev txav.
Scoliosis 1 degree. Tsuas yog ob txoj kev ua luam dej xwb - lub misstroke thiab nkag (vim lawv sib luag).
Scoliosis 3 thiab 2 degrees. Asymmetry. Tom qab paub cov qauv zoo li no, kho cov kev tawm dag zog tau ua.
Scoliosis 4 degrees. Kev tawm dag zog rau lub cev ua pa, gymnastics nrog symmetrical ce. Nws tsis suav nrog kev ua luam dej hauv txoj haujlwm ncaj ncees thiab kev tawm dag zog uas ua rau tus txha nraub qaum.
massage
Kev ntsuas los tiv thaiv scoliosis hauv menyuam yaushnub nyoog preschool thiab kev kho mob ntawm tus kab mob no muaj xws li zaws. Lub luag haujlwm tseem ceeb ntawm kev zaws hauv kev kho tus kab mob no:
- relieve spasm los ntawm cov leeg ua haujlwm dhau;
- nce lub suab ntawm cov leeg tsis muaj zog uas ua rau poob qab hauv kev loj hlob.
Yog li, zaws yog lub sijhawm tseem ceeb hauv kev kho mob nyuaj thiab tiv thaiv nws. Txoj kev no tsis yog tsuas yog kev txhawb nqa dav dav xwb, tab sis kuj tseem txhawb kev kho cov kev hloov pauv hauv cov leeg. Cov tom kawg yog ib qho mob rau tus kab mob no, txij li thaum cov leeg nqaij ntau dhau, cov hauv qab no tau pom:
- foci ntawm hypertonicity;
- hyperplasia;
- qaug zog ntawm cov leeg nqaij.
Massage pab tshem tawm tag nrho cov teeb meem saum toj no. Yog li ntawd, qhov tsis sib xws ntawm cov nqaj qaum yog txo. Tag nrho cov no ua rau muaj kev cuam tshuam ntawm kev loj hlob ntawm tus kab mob. Ntxiv rau txhua yam uas tau hais ua ntej, zaws muaj lwm yam teebmeem:
- txo qis;
- kev ua kom zoo dua qub.
Thaum kawg ntawm ntu no, nws tsim nyog sau cia tias qhov zaws tau raug sau tseg rau txhua qib ntawm tus kab mob.
Physiotherapy
Cov txheej txheem yuav tsum tau muab los ntawm tus kws kho mob tuaj koom. Lawv pab tsis tau tsuas yog kom tshem tau ntawm scoliosis, tab sis kuj tiv thaiv nws. Tsis tas li ntawd, qee qhov kev kho mob physiotherapy yog muab los kho cov teeb meem ntawm tus kab mob. Tag nrho cov ntawm lawv yog tsom rau kev ua kom lub cev tsis muaj zog thiab ua kom cov ntshav ncig. Physiotherapy suav nrog:
- magnetotherapy;
- electrostimulation;
- ultrasound;
- paraffin;
- electrophoresis.
Corset
Peb tau txiav txim siab ntau yam kev ntsuas los tiv thaiv kab mob scoliosis hauv cov menyuam yaus hnub nyoog kawm ntawv thiab preschool. Tab sis hnav corset tshwj xeeb yog tsim tshwj xeeb rau kev kho mob ntawm 2, 3 lossis 4 theem ntawm curvature ntawm tus txha caj qaum.
Kev siv sijhawm ntev thiab tsim nyog yuav pab kom tshem tau tus kab mob zoo. Thov nco ntsoov tias corset yuav tsum tsuas yog xaiv los ntawm tus kws kho mob uas tuaj koom kom haum rau koj tus menyuam kom zoo tshaj plaws.
Cov lus pom zoo rau kev hnav nws suav nrog: hnav khaub ncaws hauv qab corset nrog me me ntawm seams thiab irregularities.
tiv thaiv kab mob
Ntau tus niam txiv nug cov lus nug: Dab tsi yog lub luag haujlwm ntawm tus kws saib xyuas neeg mob hauv kev tiv thaiv kab mob scoliosis hauv menyuam yaus? Cia peb sim teb cov lus nug no kom meej thiab meej. Tus nais maum yuav tsum paub cov hauv paus ntawm orthopedics. Tsis tas li ntawd, ib txoj hauj lwm nyuaj heev poob ntawm nws lub xub pwg nyom - los tsim kev sib cuag nrog tus neeg mob. Nws lub luag haujlwm yog npaj tus menyuam rau kev kuaj xyuas tus txha caj qaum, piv txwv li, rau MRI lossis CT scan. Nws yog los ntawm kev npaj kom raug uas qhov tseeb ntawm qhov tshwm sim nyob ntawm. Ob lub luag haujlwm ntxiv - pab nrog kev tawm dag zog, cov lus pom zoo rau niam txiv.
Txoj hauv kev zoo tshaj los tiv thaiv scoliosis hauv cov menyuam yaus - gymnastics, ua haujlwm txhua hnub thaum sawv ntxov, tuav lub cev thaum taug kev lossis zaum. Tsis tas li ntawd, muaj ob peb qhov kev pom zoo ntxiv:
- siv lub txaj orthopedic;
- tswj hwm qhov kev ua si ntawm tus menyuam (kev ua si nquag yuav tsum hloov nrog kev ua si siab);
- khoom noj kom raug;
- xaiv cov ntaub ntawv tsim nyog thiab lwm yam.
Cov lus qhia yooj yim no yuav pab kom zam tau tus kab mob no thiab ua rau koj tus menyuam noj qab nyob zoo thiab zoo siab rau yav tom ntej. Kev thov rov hais dua rau lub sijhawm rau tus kws tshaj lij yuav ceeb toom koj txog qhov tshwm sim loj. Nco ntsoov tias kab mob no yooj yim dua los tiv thaiv dua li kho.
