Kyphosis

I-Kyphosis kukugoba komqolo okubangela ukugoba okanye ukujikeleza umva. Oku kukhokelela ekuzingeleni ngasemva okanye kwislouching posture.

I-kyphosis inokwenzeka nakweyiphi na iminyaka, nangona kunqabile ekuzalweni.

Uhlobo lwe-kyphosis olwenzeka kulutsha oluncinci luyaziwa ngokuba sisifo seScheuermann. Kubangelwa kukudibana kunye kwamathambo omqolo (i-vertebrae) ngokulandelelana. Unobangela wale meko akaziwa. I-Kyphosis inokwenzeka nakwishumi elivisayo kulutsha olunokukhubazeka kwengqondo.

Kubantu abadala, i-kyphosis inokubangelwa:

• Izifo eziguqulwayo zomqolo (ezinje ngesifo samathambo okanye ukonakala kwediski)
• Ukuqhekeka okubangelwa yi-osteoporosis (i-osteoporotic compression fractures)
• Ukonzakala (umothuko)
• Ukutyibilika kwe-vertebra enye uye phambili kwenye (i-spondylolisthesis)

Ezinye izizathu ze-kyphosis zibandakanya:

• Izifo ezithile zehomoni (endocrine)
• Ukuphazamiseka kwezicubu ezinxibelelanayo
• Usulelo (njengesifo sephepha)
• I-muscular dystrophy (iqela leengxaki zokufumana ilifa ezibangela ubuthathaka bemisipha kunye nelahleko yemisipha)
• I-Neurofibromatosis (ukuphazamiseka apho ifom yeethishu yamathambo ifom)
• Isifo sePaget (ingxaki ebandakanya ukutshatyalaliswa kwethambo ngokungaqhelekanga kunye nokuphinda ubuye)
• Ipoliyo
• I-Scoliosis (ukugoba komqolo kuhlala kujongeka njenge-C okanye i-S)
• Ispina bifida (isiphene sokuzalwa apho umqolo kunye nomjelo womqolo ungavali ngaphambi kokuzalwa)
• Amathumba

Ubuhlungu embindini okanye ezantsi ngoyena mpawu uqhelekileyo. Ezinye iimpawu zingabandakanya nayiphi na kwezi zilandelayo:

• Imbonakalo yokujikeleza umva
• Ukuthantamisa kunye nokuqina emqolo
• Ukudinwa
• Ubunzima bokuphefumla (kwiimeko ezinzima)

Uvavanyo lomzimba ngumboneleli wezempilo luqinisekisa igophe elingaqhelekanga lomqolo. Umboneleli uya kujonga naluphi na utshintsho lweenkqubo zemithambo-luvo. Oku kubandakanya ubuthathaka, ukukhubazeka, okanye utshintsho kwimvakalelo engezantsi kwegophe. Umboneleli wakho uya kujonga umohluko kwingqondo yakho.

Uvavanyo olunoku-odolwa lubandakanya:

• Umqolo x-ray
• Uvavanyo lomsebenzi wePulmonary (ukuba i-kyphosis ichaphazela ukuphefumla)
• I-MRI (ukuba kunokubakho ithumba, usulelo, okanye iimpawu zenkqubo yeemvakalelo)
• Uvavanyo lokuxinana kwethambo (ukuba kunokubakho i-osteoporosis)

Unyango luxhomekeke kwisizathu sokuphazamiseka:

• I-kyphosis ye-Congenital ifuna utyando lolungiso esemncinci.
• Isifo seScheuermann siyanyangwa ngokuqiniswa kunye nonyango lomzimba. Ngamanye amaxesha utyando luyafuneka ezinkulu (ngaphezulu kweedigri ezingama-60), amagophe abuhlungu.
• Ukuxineka koqhekeko olusuka kwi-osteoporosis lunokushiywa lodwa ukuba akukho zingxaki kwinkqubo yovalo okanye iintlungu. Kodwa i-osteoporosis kufuneka inyangwe ukunceda ukuthintela ukwaphuka kwexesha elizayo. Ngenxa yokukhubazeka okukhulu okanye iintlungu ezivela kwi-osteoporosis, utyando lukhetho.
• I-Kyphosis ebangelwa lusulelo okanye ithumba ifuna unyango olukhawulezileyo, rhoqo ngotyando kunye namayeza.

Unyango lwezinye iintlobo ze-kyphosis luxhomekeke kwisizathu. Utyando luyafuneka ukuba iimpawu zenkqubo yemithambo-luvo okanye iintlungu zihlala zikhula.

Ulutsha oluncinci olunesifo seScheuermann ludla ngokwenza kakuhle, nokuba lufuna utyando. Esi sifo siyema nje ukuba ziyeke ukukhula. Ukuba i-kyphosis ibangelwa sisifo esidibeneyo sokudakumba okanye ukuphuka kocinezelo oluninzi, kufuneka kwenziwe utyando ukulungisa isiphako kunye nokuphucula iintlungu.

I-kyphosis enganyangekiyo inokubangela nayiphi na kwezi zinto zilandelayo:

• Ukwehla kwamandla emiphunga
• Ukukhubaza iintlungu zangasemva
• Iimpawu zenkqubo yemithambo-luvo, kubandakanya ubuthathaka emlenzeni okanye ukukhubazeka
• Umva wokukhubazeka umva

Ukunyanga kunye nokuthintela i-osteoporosis kunokuthintela iimeko ezininzi ze-kyphosis kubantu abadala.Ukuchongwa kwangoko kunye nokuqaqanjelwa sisifo i-Scheuermann kungasinciphisa isidingo sotyando, kodwa akukho ndlela yakuthintela isifo.

Isifo seScheuermann; Ukubuyela umva; Ukubuyisa umva; Yangasemva kyphosis; Intlungu yomqala - kyphosis

• Umqolo womqolo
• Kyphosis

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UMagee DJ. I-Thoracic (dorsal) umqolo. Ku: Magee DJ, ed. Uvavanyo lwe-Orthopedic Physical. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2014: isahl 8.

IWarner WC, iSawyer JR. Scoliosis kunye ne kyphosis. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 44.