Kyphosis

Kyphosis iko kukamhina kwemuzongoza kunokonzeresa kukotama kana kutenderera musana. Izvi zvinotungamira kune hunchback kana slouching mamiriro.

Kyphosis inogona kuitika chero pazera, kunyangwe isingawanzo pakuzvarwa.

Rudzi rwe kyphosis runoitika mune vechidiki vachiri kuyaruka inozivikanwa seScheuermann chirwere. Izvo zvinokonzereswa nekusangana pamwe chete kwemamwe mapfupa emusana (vertebrae) mumutsara. Chikonzero cheichi chiitiko hachizivikanwe. Kyphosis inogona zvakare kuitika kune vechidiki vachiri kuyaruka vane cerebral palsy.

Muvanhu vakuru, kyphosis inogona kukonzerwa ne:

• Zvirwere zvinodzora zvemuzongoza (senge arthritis kana diski kupera)
• Kutsemuka kunokonzerwa neosteoporosis (osteoporotic compression kutsemuka)
• Kukuvadza (kushungurudzika)
• Kutsvedza kweimwe vertebra kumberi pane imwe (spondylolisthesis)

Zvimwe zvikonzero zve kyphosis zvinosanganisira:

• Humwe hutachiona (endocrine) hosha
• Kubatana matissue kusagadzikana
• Utachiona (hwakadai setibhii)
• Muscular dystrophy (boka rezvinetso zvakagarwa nhaka izvo zvinokonzeresa kushaya simba kwemhasuru uye kurasikirwa kwemhasuru yemhasuru)
• Neurofibromatosis (kusagadzikana uko kune tsinga dzemhasuru matomu fomu)
• Paget chirwere (kusagadzikana uko kunosanganisira kusanzwisisika kwemapfupa kuparadzwa uye kudzokerazve)
• Poriyo
• Scoliosis (kukombama kwemuzongoza kunowanzoita kunge C kana S)
• Spina bifida (kuremara kwekuberekwa umo musana uye musana wemuzongoza usingavhare asati aberekwa)
• Mamota

Marwadzo ari pakati kana ezasi kumashure ndicho chiratidzo chinowanzoonekwa. Zvimwe zviratidzo zvinogona kusanganisira chero yeanotevera:

• Kutenderera kumashure kutaridzika
• Unyoro uye kuomarara mumuzongoza
• Kuneta
• Kunetseka kufema (mune zvakakomba zviitiko)

Kuongorora kwepanyama nemupi wezvehutano anosimbisa iyo isina kujairika curve yemuzongoza. Iye mupi anotarisawo chero hunyanzvi hwehurongwa (hwemitsipa) shanduko. Izvi zvinosanganisira kushaya simba, kuoma mitezo, kana shanduko mukunzwa pazasi pe curve. Wako mupi anozoongororawo misiyano mumafungiro ako.

Miedzo inogona kurairwa inosanganisira:

• Mutsara x-ray
• Pulmonary basa bvunzo (kana kyphosis inokanganisa kufema)
• MRI (kana pangave paine bundu, hutachiona, kana zviratidzo zvehurongwa hwetsinga)
• Bone density bvunzo (kana pangave ne osteoporosis)

Kurapa kunoenderana nechikonzero chechirwere ichi:

• Congenital kyphosis inoda kugadziriswa kwekuvhiya pazera diki.
• Scheuermann chirwere chinorapwa ne brace uye muviri kurapwa. Dzimwe nguva kuvhiyiwa kunodiwa kune akakura (anopfuura makumi matanhatu madhigirii), anorwadza ma curves.
• Kumanikidza kutsemuka kubva ku osteoporosis kunogona kusiiwa kuri kwega kana pasina matambudziko ehurongwa hwemitsipa kana kurwadziwa. Asi iyo osteoporosis inoda kurapwa kuti ibatsire kudzivirira kutsemuka mune ramangwana. Nekuremara kwakakomba kana kurwadziwa kubva ku osteoporosis, kuvhiya ndeimwe sarudzo.
• Kyphosis inokonzerwa nehutachiona kana bundu inoda kurapwa nekukurumidza, kazhinji nekuvhiya nemishonga.

Kurapa kwemamwe marudzi e kyphosis kunoenderana nechikonzero. Kuvhiya kunodiwa kana zviratidzo zvehurongwa hwemitsipa kana kurwadziwa kusingaperi kuchikura.

Vechidiki vechidiki vane chirwere cheScheuermann vanowanzoita zvakanaka, kunyangwe kana vachida kuvhiyiwa. Chirwere chinomira kana dzamira kukura. Kana iyo kyphosis iri nekuda kwekudzikira kwekubatana kwechirwere kana kuwanda kwekumanikidza kupwanya, kuvhiya kunodiwa kugadzirisa kukanganisa uye nekuvandudza kurwadziwa.

Kusarapwa kyphosis kunogona kukonzera chero cheanotevera:

• Kupera kwemapapu kugona
• Kuremadza kurwadziwa shure
• Kutya system zviratidzo, zvinosanganisira gumbo kushaya simba kana kuoma mitezo
• Kutenderedza kumashure kuremara

Kurapa uye kudzivirira osteoporosis kunogona kudzivirira zviitiko zvakawanda zve kyphosis muvakuru vanhu vakuru.Kuongorora kwekutanga uye kutsigira chirwere cheScheuermann kunogona kudzikisa kudiwa kwekuvhiyiwa, asi hapana nzira yekudzivirira chirwere ichi.

Chirwere cheScheuermann; Roundback; Hunchback; Postural kyphosis; Neck kurwadziwa - kyphosis

• Skeletal musana
• Kyphosis

Deeney VF, Arnold J. Orthopedics. Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Magee DJ. Thoracic (dorsal) musana. Mune: Magee DJ, ed. Orthopedic Kuongorora Kwemuviri. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014: chits.

Warner WC, Sawyer JR. Scoliosis uye kyphosis. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 44.