Scoliosis

Scoliosis ndi kupindika kwachilendo msana. Msana wanu ndiwo msana wanu. Ikuyenda molunjika kumbuyo kwanu. Msana wa aliyense mwachilengedwe umakhotakhota pang'ono. Koma anthu omwe ali ndi scoliosis ali ndi msana wopindika kwambiri. Msana ukhoza kuwoneka ngati chilembo C kapena S.

Nthawi zambiri, chifukwa cha scoliosis sichidziwika. Izi zimatchedwa idiopathic scoliosis. Ndiwo mtundu wofala kwambiri. Amagawidwa ndi zaka.

• Kwa ana a zaka zitatu ndi zochepa, amatchedwa infantile scoliosis.
• Kwa ana a zaka zapakati pa 4 mpaka 10, amatchedwa juvenile scoliosis.
• Kwa ana azaka 11 mpaka 18 amatchedwa achinyamata scoliosis.

Scoliosis nthawi zambiri imakhudza atsikana. Anthu ena amatha kukhala ndi msana. Kupindika kumawonjezeka kwambiri pakukula.

Mitundu ina ya scoliosis ndi iyi:

• Congenital scoliosis: Mtundu uwu wa scoliosis umakhalapo pobadwa. Zimachitika nthiti za mwana kapena mafupa a msana sizipangidwe bwino.
• Neuromuscular scoliosis: Mtundu uwu umayambitsidwa ndi vuto lamanjenje lomwe limakhudza minofu. Mavuto atha kuphatikizira kufooka kwa ubongo, kupindika kwa minofu, msana, ndi poliyo.

Nthawi zambiri, palibe zisonyezo.

Ngati pali zizindikiro, zitha kuphatikiza:

• Msana kapena kupweteka kwakumbuyo komwe kumagwera miyendo
• Kufooka kapena kumva kutopa kumsana mutakhala kapena kuyimirira kwa nthawi yayitali
• Chiuno kapena mapewa osagwirizana (phewa limodzi likhoza kukhala lalitali kuposa linzake)
• Kupweteka pamapewa
• Mphepete amapindika mbali imodzi

Wothandizira zaumoyo adzayesa. Mudzafunsidwa kuti mugwadire patsogolo. Izi zimapangitsa msana wanu kukhala wosavuta kuwona. Zingakhale zovuta kuwona kusintha koyambirira kwa scoliosis.

Mayeso atha kuwonetsa:

• Phewa limodzi ndi lalitali kuposa linzake
• Chiuno chimapendekeka

X-ray ya msana yachitika. Ma X-ray ndiofunikira chifukwa kupindika kwenikweni kwa msana kumatha kukhala koyipitsitsa kuposa komwe dokotala angawone mukamayesedwa.

Mayesero ena atha kuphatikizira:

• Kuyeza kwa msana (kuyesa scoliometer)
• X-ray ya msana kuti awone momwe kupindika kumasinthira
  
• MRI ya msana
• Kujambula kwa CT kwa msana kuti muwone kusintha kwa mafupa

Chithandizo chimadalira zinthu zambiri:

• Chifukwa cha scoliosis
• Komwe kukhazikika kuli pamsana panu
• Kukula kwake ndi kotani
• Ngati thupi lanu likukulabe

Anthu ambiri omwe ali ndi idiopathic scoliosis safuna chithandizo. Koma muyenera kuyang'anabe ndi dokotala pafupifupi miyezi isanu ndi umodzi iliyonse.

Ngati mukukula, dokotala wanu angakulimbikitseni kumbuyo. Kulimba kumbuyo kumalepheretsa kupindika kwina. Pali mitundu yambiri ya ma brace. Mtundu womwe mumapeza umadalira kukula ndi malo omwe mumayambira. Wothandizira anu adzakusankhirani zabwino kwambiri ndikuwonetsani momwe mungagwiritsire ntchito. Ma brace am'mbuyo amatha kusintha mukamakula.

Ma brace am'mbuyo amagwira ntchito bwino pakati pa anthu opitilira zaka 10. Ma braces sagwira ntchito kwa iwo omwe ali ndi kobadwa nako kapena neuromuscular scoliosis.

Mungafunike kuchitidwa opaleshoni ngati msana wokhotakhota ukukula kapena kukulirakulira mwachangu.

Kuchita opaleshoni kumaphatikizapo kukonza khola momwe angathere:

• Kuchita opaleshoni kumachitika podula kumbuyo, m'mimba, kapena pansi pa nthiti.
• Mafupa a msana amakhala m'malo ndi ndodo 1 kapena 2 zachitsulo. Nthitizo zimagwiridwa pansi ndi ngowe ndi zomangira mpaka fupa lichira pamodzi.
• Pambuyo pa opaleshoni, mungafunike kuvala zolimba kwakanthawi kuti msana usadetsedwe.

Chithandizo cha Scoliosis chingaphatikizepo:

• Kuthandiza pamtima: Ana ena, makamaka achinyamata, amatha kudzidalira akamagwiritsa ntchito kulimba kumbuyo.
• Thandizo lamankhwala ndi akatswiri ena kuti athandizire kufotokoza zamankhwala ndikuonetsetsa kuti brace ikugwirizana bwino.

Funsani chithandizo ndi zina zambiri kuchokera kumabungwe omwe amagwiritsa ntchito scoliosis.

Momwe munthu amachitira ndi scoliosis zimadalira mtundu, chifukwa, komanso kuuma kwake. Kupindika kokhwima kwambiri, kumangokulirakulirabe mwana atasiya kukula.

Anthu omwe ali ndi scoliosis ochepa amachita bwino ndi ma brace. Nthawi zambiri samakhala ndi mavuto okhalitsa. Ululu wammbuyo ukhoza kutheka kwambiri munthuyo akakula.

Maonekedwe a iwo omwe ali ndi neuromuscular kapena congenital scoliosis amasiyana. Amatha kukhala ndi vuto lina lalikulu, monga ubongo wam'mimba kapena matenda am'mimba, chifukwa chake zolinga zawo ndizosiyana kwambiri. Nthawi zambiri, cholinga cha opareshoni ndikungolola mwana kuti azitha kukhala pa njinga ya olumala.

Congenital scoliosis ndi yovuta kuchiza ndipo nthawi zambiri imafuna maopaleshoni ambiri.

Zovuta za scoliosis zitha kuphatikiza:

• Mavuto opumira (mu scoliosis yoopsa)
• Kupweteka kumbuyo kwenikweni
• Kudzidalira kotsika
• Kupweteka kosalekeza ngati mafupa a msana akutha
• Matenda a msana atatha opaleshoni
• Msana kapena kuwonongeka kwa mitsempha kuchokera kopindika kosakhazikika kapena opaleshoni ya msana
• Kutuluka kwa madzimadzi amtsempha

Itanani omwe akukuthandizani ngati mukuganiza kuti mwana wanu ali ndi scoliosis.

Kuwonetsa pafupipafupi scoliosis tsopano kumachitika m'masukulu apakati. Kuwunika kotereku kwathandizira kuzindikira kuti ana ambiri ali ndi scoliosis yoyambirira. Kulimbitsa kumbuyo ndi m'mimba kulimbitsa kumatha kuthandizira kukhazikika.

Kupindika msana; Wakhanda scoliosis; Wachinyamata scoliosis

• Anesthesia - zomwe mungafunse dokotala - mwana

• Scoliosis
• Mafupa msana
• Scoliosis
• Mphepete mwa msana
• Zizindikiro za scoliosis
• Forward unakhota mayeso
• Scoliosis kulimba
• Kusakanikirana kwa msana

Mistovich RJ, Spiegel DA. Msana. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 699.

Negrini S, Di Felice F, Donzelli S, Zaina F. Scoliosis ndi kyphosis. Mu: Frontera WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 153.

Zachidziwikire DR, LaBagnara M, Smith JS, Shaffrey CI. Zofooka za msana kwa ana ndi kukonza zolakwika. Mu: Steinmetz MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 158.