Juvenile idiopathic scoliosis

Munyika mune nezvirwere zvizhinji nomuzongoza. Mumwe nevakariri kupfuura - idiopathic scoliosis. It kunoitika muna 80% nyaya. Akadana idiopathic scoliosis nemhando dzose undiagnosed mavambo. Mune mamwe manzwi, hazvibviri kumisa mhaka curvature pamusoro musana uyewo vachiberekwa abnormalities hatisi.

Chii yokupara idiopathic scoliosis?

Kune mhando nhatu idiopathic scoliosis. The nyore - kutanga, mwana. Unogona kuenda pachavo, pasina vanachiremba. The mhando chechipiri scoliosis - hwanana, izvo anovandudza kusvika makore gumi. Ichi chimiro kunoramba hunhu. Varwere vakanga dzinounzwa kuna akapfeka corset uye Chinyorwa kurapa.

Chechitatu Chirwere - yokupara idiopathic scoliosis. Rinotanga ari kuyaruka uye ndichibvunza kukura. Ndiro chimiro scoliosis ane kusagadzikana kunotoda mufananidzo zvikuru ngozi. Kufungidzira kukura chirwere hazvibviri nokuda hunhu kuyaruka muviri.

Mune dzimwe scoliosis mberi zvishoma nezvishoma uye pasina ngozi. Mune dzimwe kuyaruka vanopemberera zvarakasiya simba kubva kwose kwose. Pane zviitiko apo musana curvature ichiwedzerwa kunyange pashure kuyaruka. Asi ichi zvinoitika kashoma, kazhinji vane zera, kunoita chirwere ari kufambira.

Mhando dzakasiyana-siyana idiopathic scoliosis

Idiopathic scoliosis rakakamurwa mhando dzakawanda. Ivo kuvimba curvature pamusoro localization:

1. Lumbar (zvimwe lumbar) rinowanikwa pedyo rokutanga kana kuti rechipiri vertebra. Back marwadzo kutanga kunonoka pavaipfuura chirwere.
2. Idiopathic thoracal scoliosis anonzi thoracal. Zvakajairika mukono kuyaruka uye vana. Hosha kunooneka pacharo ari thoracal vertebrae. Kazhinji, ivo vanoramba vachida kurutivi rworudyi. Panyaya iyi, pamusoro chinhu chakakombama riri munzvimbo 10 kana 8 vertebrae. In chirwere chakakomba kutanga zvakakomba yematambudziko ari kufema uye cardiac nehurongwa.
3. Thoracolumbar curvature iri mupasi munzvimbo 11 uye rechi12 vertebrae. Kurwadziwa panzvimbo dzapasi musana.
4. Apo remuromo-thoracal curvature inochinjika zvinhu. Pamusoro riemukaari deformation riri munzvimbo 3-4 vertebrae. Ichi chimiro scoliosis ndiyo vachiberekwa.

Kune zvitatu marudzi chirwere, Classified maererano curvature yacho chinhu chakakombama. C - zvikuru nyore, zvokutanga. Zviri nyore uye anokurumidza kubata. S - paavhareji, Z - wokupedzisira, akaoma. mhando mbiri izvi zvakaoma kurapa. Mumwe chinhu chakakombama ane deformation yechipiri, iyo zvinoomesa mashoko navanachiremba mufananidzo chirwere.

mwero curvature

Idiopathic scoliosis ane madhigirii zvina curvature, zvichienderana angled wayo (nhamba dziri pamwero):

• rokutanga - kusvika 10;
• chechipiri - 25;
• wechitatu - 50;
• chechina - pamusoro 50.

maviri okutanga chokuita dhigirii pamusoro curvature wechiedza. Haringapiwi kukanganiswa nhengo dzomukati. Chinonyanya nengozi - ndiwo mwero curvature rwechitatu norwechina. Panyaya iyi, zvomukati inogona kukuvaradzwa kana kunyange kuchinja nzvimbo, iyo hwakazara zvakakomba matambudziko.

Zvinokonzera scoliosis

Idiopathic scoliosis haasati kugamuchira pasi zvakajeka zvikonzero nokuda izvo kukura zvokurwara. Kune vazhinji pfungwa, asi asingadi kupa munhu azere tsananguro pakati pavo. Idiopathic musana curvature kunogona kuitika nokuda:

• neuromuscular chirwere;
• zvokukura kusagadzikana mapfupa tishu;
• musculo-ligamentous insufficiency;
• kuparadzwa shwashwa nhungirwa.

In panowanikwa scoliosis pasina kukosha magene chinhu. Mukana idiopathic curvature ukashingairira mhuri pamwe varwere pamwe chirwere (kunyange kwechitatu mutsetse ukama).

symptomatology chirwere

The zvokurwara iri achiperekedzwa zviratidzo siyana, izvo kuvimba kwakaita chirwere. Idiopathic scoliosis 1 dhigirii achabatsirwa nyoro zviratidzo zvokurwara. Kumboda zviri kutyora kufema basa duku misha pechipfuva. Ndoda neuralgia rinowanikwa muchimiro pakubhiti kurwadziwa.

Zvakakomba siyana vari dzinoratidzwa curvature chetsinga syndromes. Vanogona kuratidzwa vakaomerwa kufamba maoko nemakumbo, kurasikirwa ganda nehanya. In chirwere yechipiri kunotanga:

• pulmonary fibrosis, apo chiedza inokura nonfunctional connective tishu;
• yakawedzera BP;
• It vakapemberera vanonzi moyo scoliosis umo akaremara muviri rwerudyi ventricle nokuda compression muchipfuva chake.

In zvakakomba chirwere chinogona kuitika, kana pulmonary mwoyo chirwere. Mune dzimwe nhengo sokuti mira, maoko nemakumbo kutanga kuzvimba, vakawedzera chiropa uye chirwatata. Kukudziridza gastritis uye chisingaperi bronchitis.

Nokuda curvature pamusoro musana zvakasimba akaremara vertebrae, discs vanokurudzirwa. Somugumisiro, miganhu vari yakaumbwa uye heniya. Unogona kugamuchira musana ano apo thoracal kuzvimba kare. Externally, unoonekwa kuti musana riri kusachengeteka kukuru akachinjikana.

Zvinoumba Mabatirwo scoliosis

Idiopathic scoliosis, izvo kurapwa mberi kunobva zvichibvira curvatures inotaura kushandiswa kuchirapa modalities anoverengeka. Kana functionality pamusoro musana kuchinja zvinokonzerwa abnormalities mumuviri, kurapwa chinotungamirwa kubvisa zvinokonzera.

Kana musana kururama anokonzerwa siyana pakureba makumbo ari kurairirwa inokosha vachibatsira shangu uye insoles. Muchiitiko chino, zvakasiyana kunodiwa zvachose. Infantile idiopathic scoliosis, unowanikwa achiri mucheche uye kukura makore matatu, kazhinji kugadzirisa nomuzvarirwo.

Neuromuscular zvokurwara howa kunoitika nokuda zvemamiriro kukura pfupa kubva muzongoza hurongwa. Somugumisiro, chirwere anotora kunoramba chimiro. Panyaya iyi, inoratidza kuti kuvhiyiwa.

mishonga

Zvichienderana zviratidzo chirwere, ayo dhigirii uye chokubuda prescriber. Irwadziwe ushandiswe nonsteroidal Anti-anogumbura yomuchipatara ( "meloxicam", "Ibuprofen", etc.). Nokuti nokubviswa kwetsandanyama vanotumirwa tsandanyama relaxants (semuenzaniso, "Mydocalm"). Panguva mushonga, karusiyamu zvokuwedzera vari rakapa, bisphosphonates uye mavhitaminzi.

sejari

Idiopathic scoliosis inogona yakatarwa pakuvhiya kana mamwe marapiro vasina zvakatungamirira yakanaka. Somugumisiro, murwere inochengeterwa pakurwadziwa, hadzina kubviswa kunyange zvinodhaka.

The chirwere anotanga mberi zvakatonyanya, uye yakatenuka nomuzongoza pedyo madhigirii 45. Surgery - ichi chinhu zvakanyanyisa chiyero. anodyara akaisa kana zvakakodzera.

tichibatsirwa physiotherapy kurapwa

Physiotherapy - a fanira chikamu nzwisisika kurapwa. Munguva nekurwara tsandanyama kuita yekudyidzana akaderedzwa, pane utera. Naizvozvo physiotherapy kuendeswa:

• kubvisa chinonzi dystrophy;
• marwadzo rutapudzo;
• Kudzikamiswa of muzongoza;
• kuvandudzwa tsandanyama contractility.

Nokuti mamiriro kururamiswa akashandisa autoreklinatsiya kunofambira mberi kutandara uye pasi pemvura muzongoza traction. Kubva myostimulating nzira yakatarwa kupomba, uye rakadzika-Frequency electrotherapy. Nokuti nokururamiswa locomotor dysfunction akashandiswa:

• vibration kurapa;
• radon uye rehydrogen sulfide mabhati;
• peloidotherapy;
• kuchirapa masaja;
• traction kurapa;
• pasi pemvura nemvura;
• Chinyorwa kurapa.

Kuti uvandudze muviri akaita ultraviolet irradiation uye yavaibvisa chloride dzokugezera. chinokosha muviri (panyama kurapa) dzinopiwa munhu kunzwisisa. Unconventional nzira rikashandiswa yoga.

Contraindications nokuti physiotherapy

Pasinei chokwadi kuti idiopathic scoliosis ikarapwa ainyanya kuburikidza mumuviri kurapa, nokuti chikumbiro chacho, kune vakawanda contraindications:

• namamota ari muzongoza;
• akaratidza osteoporosis;
• hypermobility of vertebrae;
• Tibhii, izvo zvinoonekwa rezasi shure;
• sprains kana mitswe kuti intervertebral mapfundo.

Uyewo, physiotherapy haana kushandisa kana ganda nharaunda kubatwa, pane urema (maronda, maronda, etc.).

dziviriro chirwere

Kuti adzivise vakadzi vane pamuviri scoliosis vanofanira vhitamini B12 uye folic asidhi gadziriro. Zvakakodzera kudzora mamiriro vechiduku vachiri kuyaruka, havabvumirwi kugara hunched. Vana havafaniri kupedza nguva yakawanda shure dhesiki uye kombiyuta.

anofanira kuvapo zvokudya mavhitaminzi, vana uye kuyaruka. Kuita muviri daily. Hazvina here kusuma vana mitambo yakadai nevolleyball uye kushambira. Kana vakafugama mamiriro kugadziridzwa yaifanira mukutanga nzendo chirwere.