Ha re utloa ka scoliosis , boholo ba nako moqoqo o shebana le kamoo bokooa bona bo amang bacha le bacha kateng. Ka sebele, ho fumana hore u na le scoliosis ke bothata bo boholo ho mocha.
Empa scoliosis e boetse e ama batho ba baholo. E etsa joalo ka e 'ngoe ea litsela tse peli-ebang ke ho tsoelapele ha scoliosis e tsoetseng pele bophelong kapa e le boemo bo fapaneng ka ho feletseng, bo tsejoang e le motho e moholo ea fokolang ea scoliosis.
Nakong e kholo ea idiopathic scoliosis, lentsoe " idiopathic " le bolela hore litsebi-ngaka ea hau, bafuputsi sebakeng sa mokokotlo, le ba bang ba tsebang-ba ke ke ba bolela hore na sesosa sa eng. Mofuta oa mofuta o tloaelehileng oa scoliosis mme o ama bana le batho ba baholo.
Tlhaloso e Potlakileng ea Scoliosis
Ho sa tsotellehe hore na ke mofuta ofe oa scoliosis eo re buang ka eona kapa hore na o lilemo li kae, scoliosis ke bofokoli boo mokokotlo o leng ho oona o hlahisang maqhubu a eang ka lehlakore. E ka kenyelletsa sekhahla se le seng ka ho le letona kapa ka ho le letšehali, kapa, u ka ba le se tsejoang e le "S" curve scoliosis. Lekhalo la "S" le na le mekhahlelo e 'meli ea scoliotic-e' ngoe ka holimo e eang ka ho le letona kapa ka ho le letšehali le lekhalo le tlaase le le leng le le leng ho ea ka lehlakoreng le leng holimo.
Idiopathic scoliosis ho batho ba baholo e shebahala ho le joalo ho bana. U ka hlokomela hore e 'ngoe ea mahetleng a hau a phahametse ho feta e' ngoe, mme u ka ba le nthong "hump" ka lehlakoreng le leng la bohareng ba hau.
Nthong e "hump" ka ho khetheha e phahame ka lehlakoreng le leng la khopo ea hau. Hangata sena se etsahala ka lehlakoreng le leng la khohlopo, hobane mokokotlo sebakeng seo o phunya likhopo morao.
Tlhahlobo ea Scoliosis le Phekolo
Scoliosis e lekantsoe hangata ka x-ray le tlhahlobo ea mahlaseli a Cobb ka mor'a moo.
Haeba sekhahla sa hao kapa li-curve li le likhato tse 50 kapa ho feta moo ngaka ea hao ea meriana e tla khothaletsa ts'ebetso. Bakeng sa likarolo tse nyenyane, hangata ho qhoqhoa, ho ikoetlisa le tlhokomelo ea boits'oaro (e sa buuoang). Ho ka fuoa liente tse nang le sekhahla sa mongobo, hape.
Ka kakaretso, scoliosis curves e hlahang pele ho bophelo ha e fumane boholo ho feta likhato tse 30, ho ea ka Scoliosis Research Society (SRS). SRS e re lithapo tsa bocha tsa bocha tsa bocha li lekanya likhato tse 30 kapa tse seng kae ha li khone ho hatela pele ha mokuli a le lilemo li kae. Empa haeba khefu ea hau e ne e le likhato tse 50 ha u sa le monyenyane, ho ka etsahala hore ho be le phaello pakeng tsa .5 ho ea ho 2 likhato ka selemo. Tabeng ena, ke habohlokoa hore scoliosis ea hau e hlahlojoe hangata ke setsebi sa mokokotlo.
Boholo ba Scoliosis bo nahanne ka ho ikhethang
Hona joale kaha u tseba ka lidiopathic scoliosis ho bacha, a re lekang ho utloisisa likarolo tse ikhethang tsa boemo bona ha li ntse li ama botsofali.
Scoliosis kapa che, baahi ba baholo le ba tsofetseng ba atisa ho hlahisa liphetoho tse senyehang mokokotlong. Kahoo haeba u se u le moholo mme u na le motho e moholo ea idiopathic scoliosis, mohlomong o na le matšoao a mangata ho feta mocha ea nang le idiopathic scoliosis, ho latela SRS.
Matšoao ana a mang a amana le ramatiki 'me a ka' na a hlaha likarolong tsa mokokotlo tse tloaelehileng haholo ho ea ho senyeha-tse atisang ho ba moo ho buuoang teng. Mengolo e teng ho lumella mohala oa mokokotlo le methapo ea mokokotlo ho feta. Mabala a joalo a kenyeletsa mokoti oa mokokotlo, moo boemo bo tsejoang e le bohareng ba canal stenosis bo ka 'nang ba hlaha, le ho kheloha ha foramina, e leng mahlakoreng a mokokotlo oa mokokotlo maemong' ohle.
Metso ea methapo ea lesapo la mokokotlo e tsoa ka foramina pele e kenngoa ka methapo ea motho e mong e sebeletsang 'mele oohle. Ka foramina, mofuta o mong oa stenosis o ka 'na oa e-ba le neuro foraminal stenosis.
Stenosis ke lentsoe le bolelang ho fokotseha ha libaka tsena ka lebaka la liphetoho tse senyehang ka masapo.
The intervertebral disc ke sebaka se seng seo hangata se fokolang.
Bothata ba ho fokola ha masapo, lefu leo ka lona u lahleheloang ke masapo ka potlako ho feta leo u ka le hlahisang, le ka potlakisa liphello tsa ho senyeha ha scoliosis, ho ea ka phuputso e phatlalalitsoeng ho European Spine Journal . Ho fokola ha masapo ho eketsa boholo ba li-curve (s), bafuputsi ba re.
Bafuputsi ba phaella ka hore ha o e-na le lefu la ho fokola ha masapo le batho ba baholo ba idiopathic scoliosis, li-joints le li-capsules tsa bona, hammoho le li-discssebral li-spin le li-spinal ligaments li ka 'na tsa senyeha,' me li ka hlahisa stenosis. Ho fokola ha masapo ho atisa ho ama haholo-holo basali ba nang le menopause.
Bothata bo bong bo amang bophelo bo amang batho ba hōlileng ho feta ba bang. Haeba u boloka kotsi ena, tlhaho ea hau ea tlhaho e ka 'na ea itšetleha kapa ea ema. Ho khumama ke boemo bo tsejoang e le hyperkyphosis. Ho ka 'na ha e-ba joalo haeba u e-na le stenosis hobane ho khumama ha mokokotlo ho ba bonolo haholoanyane.
Bothata ke hore ho ema ka nako e telele ho ka u senya, 'me ho etsa hore u boloke letheka le mangole a lutse ka nako e telele e le hore u lefelle. Mangole a kobehileng le letheka a thusa hore u lule u lokile nyeoeng ena. Hammoho le matšoao a mang a batho ba baholo ba lefu lena, matšeliso ana a ka 'na a etsa hore u fokotsehe hanyane ka hanyane bokhoni ba hau ba ho sebetsa kapa ho etsa kemiso ea hau ea letsatsi le letsatsi.
Ho buuoa
Tlhokomelo ea meriana e hlokang tlhokomelo e sa akarelletseng ho buuoa-e atisa ho etsoa ha khohlopo ea hau e ka tlase ho likhato tse 50. Empa haeba tsela e tsitsitseng e sitoa ho fokotsa matšoao a hao, bohloko ba mokokotlo kapa oa leoto bo sitisa, ho se leka-lekane ha lesapo la mokokotlo ho holofatsa, kapa / kapa u fumana u thibeloa haholo ka ho tsamaisa le ho sebetsa, u ka 'na ua hloka opereishene.
Koetliso ea batho ba baholo ba scoliosis e na le lintho tse ngata, ho ea ka Scoliosis Research Society. E ka thusa ho tsosolosa teka-tekanyo, ho fokotsa bohloko, ho lokisa boemo ba hao, ho tsitsisa mokokotlo oa mokokotlo le / kapa ho fokotsa khatello ho methapo ea hau. SRS e thathamisa mekhoa e latelang e latelang:
- Ho fokotsa khatello ea meriana ke mokhoa o fokolang o fokolang khatello ea methapo. Liphetoho tse amanang le botsofali tse amanang le lilemo li ka lebisa ho stenosis, kapa tse fokolang libukeng tsa mokokotlo, le hore ho fokotseha ho joalo ho ka halefisa methapo ea hau. The Scoliosis Research Society e lemosa hore microdecompression e ka eketsa dikgwedi tsa hao tsa di-curve, haholo-holo haeba o kena tshebetsong le di-curve tse fetang digree tse 30. Ba boetse ba bolela hore mofuta ona oa opereishene o atisa ho etsoa ka mokhoa o le mong feela-e seng litekanyetso tse ngata.
- Fusion e ka etsoa ho tsitsisa mokokotlo ka mokhoa o otlolohileng haholoanyane. Fusion e sebelisa lisebelisoa tsa lesapo la bone, ebang li entsoe ka motsoako, ho tloha lerong la hao kapa ho tswa ho cadaver (e ntšetsoa pele ka eona pele e fihla ho uena) e le sebaka sa nakoana sa masapo. Joale, ka mora ho ts'ebetso, ho na le nako ea pholiso. Katleho e ikemiselitsoe ka mor'a nako ena ka hore na masapo a haufi a kopane joang.
- Ho tsitsisa ts'ebetso ho tšoana le ho fusion hoo ho beha mokokotlo oa hau mokokotlong "ho nepahetseng ho feta" le ho o lumella hore o fuse ka tsela eo. Phapang ke hore ts'ebetso ea ho buuoa e sebelisa tšebeliso ea li-instrumentation-li-screws, lipoleiti, li-hook, likhoele le tse ling tse kang ho thusa ho boela ho beha mokokotlo oa mokokotlo.
- Osteotomy e akarelletsa ho itšeha le ho fetola likarolo tsa mokokotlo. Likarolo tsa mokokotlo li na le li-vertebrae tse peli tse haufi (masapo a mokokotlo) le disc e lulang pakeng tsa bona. 'Me osteotoma e ka akarelletsa karolo e fetang e le' ngoe ea mokokotlo.
> Mehloli:
> Aebi, M. The Adult Scoliosis Eur Spine J. Mohope oa 2005, http://www.ncbi.nlm.nih.gov/pubmed/16328223
> Scoliosis Research Society. Scoliosis. SRS websaete ea hau. http://www.srs.org/patients-and-families/conditions-and-treatments/adults/scoliosis
> Lefapheng la K'hamphani ea Radiology ea University of Washington. Scoliosis. UW Dept of Radiology http://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/