Scoliosis

I-Scoliosis yindlela engavumelekanga yomqolo. Umqolo wakho ngumqolo wakho. Ihamba ngqo ngqo emqolo. Umqolo wonke umntu ngokwemvelo ujika kancinci. Kodwa abantu abane-scoliosis banomqolo ojikeleza kakhulu. Umqolo unokubonakala ngathi unobumba C okanye uS.

Uninzi lwexesha, unobangela we-scoliosis awaziwa. Oku kubizwa ngokuba yi-idiopathic scoliosis. Luhlobo oluqhelekileyo. Ihlelwe ngokobudala.

• Kubantwana abaneminyaka emi-3 nangaphantsi, ibizwa ngokuba yi-infantile scoliosis.
• Kubantwana abaneminyaka emi-4 ukuya kweli-10, ibizwa ngokuba yi-juvenile scoliosis.
• Kubantwana abaneminyaka eli-11 ukuya kweli-18, ibizwa ngokuba kukufikisa kwiscoliosis.

I-Scoliosis ihlala ichaphazela amantombazana. Abanye abantu banamathuba okuba bajike umqolo. Ukujika ngokubanzi kuya kusiba mandundu ngexesha lokukhula.

Ezinye iintlobo ze-scoliosis zi:

• I-congenital scoliosis: Olu hlobo lwe-scoliosis lukhona ekuzalweni. Kwenzeka xa iimbambo zomntwana okanye amathambo omqolo engenzi kakuhle.
• I-Neuromuscular scoliosis: Olu hlobo lubangelwa yingxaki yenkqubo yeemvakalelo echaphazela izihlunu. Iingxaki zinokubandakanya i-cerebral palsy, i-muscular dystrophy, i-spina bifida kunye nepoliyo.

Rhoqo, akukho zimpawu.

Ukuba kukho iimpawu, zinokubandakanya:

• Umqolo obuhlungu okanye iintlungu ezisezantsi eziya emilenzeni
• Ubuthathaka okanye ukudinwa emqolo emva kokuhlala okanye ukuma ixesha elide
• Iinyonga ezingalinganiyo okanye amagxa (elinye igxalaba linokuphakama kunelinye)
• Intlungu yamagxa
• Amagqabi omqolo ngaphezulu kwelinye icala

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uya kucelwa ukuba ugobe phambili. Oku kwenza ukuba umqolo wakho ubonakale lula. Kunokuba nzima ukubona utshintsho kumanqanaba okuqala e-scoliosis.

Uviwo lunokubonisa:

• Elinye igxalaba liphezulu kunelinye
• I-pelvis ithambekile

I-X-ray yomqolo yenziwe. I-X-ray ibalulekile kuba eyona nto kugoso lomqolo kunokuba kubi kunokubona ugqirha ngexesha loviwo.

Olunye uvavanyo lunokubandakanya:

• Imilinganiselo yejika lomqolo (ukuvavanywa kwescoliometer)
• I-X-ray yomqolo ukuze ubone ukuba i-curvature iguquguquka njani
  
• I-MRI yomqolo
• Ukuvavanywa kwe-CT yomqolo ukujonga utshintsho lwe-bony

Unyango luxhomekeke kwizinto ezininzi:

• Unobangela we-scoliosis
• Apho ijika ikhoyo kumqolo wakho
• Inkulu kangakanani ijika
• Ukuba umzimba wakho usakhula

Uninzi lwabantu abane-idiopathic scoliosis aludingi nyango. Kodwa kusafuneka ujongiwe ngugqirha rhoqo kwiinyanga ezintandathu.

Ukuba usakhula, ugqirha unokucebisa ukubuyisela emva. I-brace yangasemva ithintela ukugoba okungaphezulu. Zininzi iintlobo ezahlukeneyo zebrace. Luhlobo luni olufumanayo luxhomekeke kubungakanani kunye nendawo yegophe lakho. Umboneleli wakho uya kukhetha eyona ilungileyo kwaye akubonise indlela yokuyisebenzisa. I-brace yangasemva inokuhlengahlengiswa njengoko ukhula.

I-braces yangasemva isebenza kakuhle kubantu abangaphezu kweminyaka eyi-10. I-braces ayisebenzi kulabo abane-congenital okanye i-neuromuscular scoliosis.

Unokufuna utyando ukuba umjikelo womqolo unzima okanye uba mandundu ngokukhawuleza.

Utyando lubandakanya ukulungisa ijika kangangoko kunokwenzeka:

• Utyando lwenziwe ngokusikwa ngasemva, kwindawo yesisu, okanye phantsi kweembambo.
• Amathambo omqolo agcinwe endaweni ene-1 okanye 2 yeentonga zentsimbi. Iirandi zigcinwe phantsi ngamagwegwe kunye nezikrufu kude kuphole ithambo.
• Emva kotyando, unokufuna ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana okwethutyana ukugcina umqolo usamile.

Unyango lwe-Scoliosis lunokubandakanya:

• Inkxaso yeemvakalelo: Abanye abantwana, ngakumbi ulutsha, banokuthi bazoyike xa besebenzisa izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana.
• Unyango lomzimba kunye nezinye iingcali ukunceda ukucacisa unyango kwaye uqiniseke ukuba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana zingena ngokuchanekileyo.

Funa inkxaso kunye nolwazi oluninzi kwimibutho ekhethekileyo kwi-scoliosis.

Umntu ophethe i-scoliosis wenza kakuhle ngokuxhomekeke kuhlobo, unobangela kunye nobukhali begophe. Okukhona kunzima ukugoba, kokukhona kuya kuba kubi ngakumbi emva kokuba umntwana eyekile ukukhula.

Abantu abane-scoliosis encinci benza kakuhle nge-brace. Bahlala bengenangxaki zexesha elide. Umqolo obuhlungu unokubakho xa umntu esiba mdala.

Imbonakalo yabo bane-neuromuscular or congenital scoliosis iyahluka. Banokuba nesinye isifo esibi, njenge-cerebral palsy okanye i-muscular dystrophy, ke iinjongo zabo zahluke kakhulu. Rhoqo, injongo yoqhaqho kukuvumela umntwana akwazi ukuhlala nkqo kwisitulo esinamavili.

I-Congenital scoliosis kunzima ukuyinyanga kwaye ihlala ifuna utyando oluninzi.

Iingxaki ze-scoliosis zingabandakanya:

• Iingxaki zokuphefumla (kwi-scoliosis enzima)
• Intlungu ebuyela emva
• Ukuzithemba okuphantsi
• Intlungu eqhubekayo ukuba kukho ukunxiba kunye nokuqhekeka kwamathambo omqolo
• Usulelo lomqolo emva kotyando
• Umqolo okanye umonakalo we-nerve ovela kugoso olungalunganga okanye uqhaqho lomqolo
• Ukuvuza kolwelo lomqolo

Shayela umnikezeli wakho ukuba ukrokrela ukuba umntwana wakho unokuba ne-scoliosis.

Ukuhlolwa rhoqo kwescoliosis ngoku kwenziwa kwizikolo eziphakathi. Ukuvavanywa okunjalo kuncede ekufumaneni i-scoliosis kwangoko kubantwana abaninzi. Umva kunye nokuqiniswa kwemisipha esiswini kunokunceda ukuzinzisa ukugoba.

Ukujikeleza komqolo; Usana lwe-scoliosis; Ulutsha oluncinci

• Ukubulawa - yintoni oza kuyibuza ugqirha wakho - umntwana

• Scoliosis
• Umqolo womqolo
• Scoliosis
• Amagqabi omqolo
• Iimpawu zescoliosis
• Phambili vavanyo
• Iscoliosis brace
• Ukuhlanganiswa komqolo

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UNegrini S, uDi Felice F, uDonzelli S, uZaina F. Scoliosis kunye ne-kyphosis. Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 153.

Ngokuqinisekileyo i-DR, uLaBagnara M, uSmith JS, uShaffrey CI. Ukukhubazeka komqolo kwabantwana kunye nokulungiswa kokukhubazeka. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 158.