Kupindika msana wa mlingo woyamba: Zoyambitsa ndi Chithandizo

Padziko lonse, anthu mamiliyoni ambiri akuvutika ndi kupindika msana. Ambiri mwa nkhani odwala msinkhu wa zaka 12 mpaka 17. Izi anafotokoza chifukwa chakuti pa nthawi iyi mu thupi ndi lakuthwa kukula kulumpha fupa. odwala wamkulu zambiri sachedwa kupindika msana idiopathic kapena cholowa.

Kupindika msana digiri yoyamba si nkhani yamasewera kudziwa n'komwe imperceptible. The mwana ziribe kanthu zomwe si kudandaula, zowoneka kudziwa kupindika msana zitha dokotala amaganiziridwa matenda kukwanitsa makolo tcheru.

Zizindikiro

Kupindika msana amatanthauza 1 digiri siteji koyamba msana kupindika. Isanafalikire mu khomo lachiberekero, thoracic ndi lumbar msana. Masiku ano ndi matenda ambiri. Pa maziko anatsimikiza kupindika msana?

Mu chithunzi cha digiri kupindika msana koyamba monga hunched kumbuyo.

Zochenjera pang'ono asymmetry. Mu thoracic kupindika msana asymmetric masamba - pamwamba pa ena, ndi lumbar - ofooka anasonyeza asymmetry mafupa a chiuno m'chiuno.

Ana ndi kupindika msana noticeable asymmetry wa khungu makutu pa miyendo. Ziyenera adzanyamula kukumbukira kuti kupindika msana ana amaganizira m'chiuno dysplasia.

Zizindikiro za kupindika msana wa digirii 1 ndi ziwerengero zotsatirazi:

• Ululu komanso nkhawa pambuyo yaitali amayenda, kusewera masewera, ntchito iliyonse thupi.

• zomverera zosasangalatsa pa ubwenzi yaitali, mwamsanga kutopa kanthawi.

Symptomatology si nthawi zonse chionetsedwe. matenda ambiri anapeza koyamba siteji popanda zizindikiro zilizonse noticeable.

gulu la kupindika msana

Kupindika msana zimagawidwa pa malo angapo, izo zimatengera matenda, vutoli, mbali matenda, ndi mapindikidwe. Pali mitundu zotsatirazi matendawa:

• Kobadwa nako mawonekedwe. Kuwonetseredwa ndi zosayenera yoopsa Kukula kwa msana ndime tsamba chinachitika kulephera.

• mitundu anapeza angagwe atakumana chowawa: zosayenera kaimidwe atakhala, matenda osiyanasiyana zimene zinathandiza kuti kuphwanya minofu ndi mafupa minofu - ndi poliyo, rickets, syndrome Marfina, msana ndi chifuwa chachikulu, zotupa ndi zoopsa. Kupindika msana wa msana wa digirii amayamba iyamba kukhala ana chifukwa zosayenera kaimidwe kusukulu ya pulayimale. Kuti kupeza kupindika msana mulinso:

1. mawonekedwe Neurogenic - akufotokozera pamaso pa ena matenda a ubongo amene amayambitsa minofu kufooka;

2. mawonekedwe malo amodzi - akufotokozera mu m'munsi malekezero imbalances.

3. Idiopathic kupindika msana si chifukwa. 80% ya milandu.

Siteji ndi mtundu wa kupindika msana

Kupindika msana akufotokozera, izo zimatengera zinthu zingapo.

Kupindika msana ndi digiri yoyamba ya mwana - ndi gawo Chophweka, pali miyambo ina yofanana pang'ono. Komabe, ngati kupindika si kofunika chifukwa, angayambe kukhala gawo zovuta zambiri.

The chachiwiri - kupindika kale noticeable hump amayamba.

Gawo lotsiriza - kugonjetsedwa chinali pachifuwa, kupanga lalikulu costovertebral hump, msana sayenda amakhala negligible.

Pali mitundu ingapo ya curvatures, izo zimatengera kasinthidwe ndi:

• Mmodzi curving Arc - C-mtundu.

• Awiri curving Arc - S woboola mtundu.

• Atatu curving Arc - Z woboola mtundu.

Kumbukirani kuti ngakhale zolakwika zazing'ono pa siteji koyamba kungachititse kuti mavuto aakulu, anomalies lalikulu, ngati palibe kanthu akutengedwa pa mankhwala a kupindika msana.

zinthu kukulitsa

Yozizira nsanja matenda kuganizira zomwe ngodya ali kupindika. losavuta The imatengedwa gawo loyamba la matenda. Ndi iye n'kuyamba kukhala ndi ndondomeko nthenda. Kupindika msana digiri yoyamba chizindikiro amakhala ndi zosaposa 10. Madokotala ndi zinthu zotsatirazi, zimene zimachititsa kuti kudwala msana:

• kuvulala a msana ndi zotupa;

• minofu zachilengedwe connective matenda;

• kufooka kwa mafupa;

• matenda kaimidwe kuyambira ubwana;

• kutengera za kumtundu;

• kupwetekedwa kwa mafupa a chiuno ndi malekezero.

Nthawi zambiri kupindika msana amawapeza mu unyamata, pachimake cha matenda kuchokera zaka 10 mpaka 15. Atsikana, matenda kumachitika kawirikawiri pa nthawi. Ambiri mwina chifukwa fupa fragility ndi kufooka kwa dongosolo akulu. Nthawi zambiri ana anakhazikitsa idiopathic kupindika msana wa mlingo woyamba. Pali mfundo kuti chitukuko zingakhudze zinthu monga akusowa calcium, chibadwa, kukula mofulumira, ndi mkhutu kaimidwe.

Mawonetseredwe siteji koyamba

Pali kumanzere amaganiza ndi ufulu amaganiza view wa kupindika msana pa. Ndipo kumanzere amaganiza kupindika msana wa mlingo woyamba ndi ofala. Pa yomweyo mavuto matenda amene asunga limodzi ndi matenda a hemodynamic ndi mtundu kupuma. Siteji koyamba amakhala ndi msana C woboola pakati. Komanso pali mapangidwe mwapang'onopang'ono Arc yokhota kumapeto, kotero kulipidwa kuchepetsa pakati yokoka. Pa siteji koyamba, Arc aumbike chosowa kwambiri. Msana mawonekedwe 1 digiri S woboola pakati angayambe pokhapokha ngati pali zolakwika lachibadwa. Nthawi zambiri amadwala msana thoracic, pamene mtsikana m'kati khosi ndi kuchepetsa kumbuyo.

Kupindika msana thoracic digiri yoyamba amakhala ndi mawonetseredwe ang'onoang'ono matenda. Pakhala pang'ono noticeable kupindika, kawirikawiri - ululu kumbuyo. Zizindikiro ndi pafupifupi kwina, choncho makolo ambiri si kofunika ndi kuwerama yaing'ono, kupindika kaimidwe. Koma M'pofunikanso kukumbukira kuti mlingo woyamba - sitepe yofunika kwambiri. Zotsatira akudalira ngati nthawi anatengedwa miyezo mankhwala. Apo ayi, matenda kukhala msana kasinthidwe - kusintha adzayamba njira sizingasinthe.

Amaganiza kupindika msana wa digiri yoyamba

Kupindika msana lagawidwa ndi kumanzere amaganiza ndi ufulu amaganiza pa malo, umene chapamwamba kupindika msana njingayo. kudwala Izi n'koopsa anatomical chisokonezo dongosolo fupa, komanso zotheka sizingasinthe kusintha ziwalo mkati.

Pakuti kumanzere kupindika msana kuonongeka ziwalo, ili kumanzere (mtima, mapapo, m'mimba zopangitsa). Akukhulupirira kuti mlingo woyamba wa kupindika msana ana amagwirizana ndi kufooka, ndi kukula wolimba ndi dongosolo akulu. Komabe, pali nthawi imene kupindika msana ndi chifukwa cha kuvutika kobadwa nako nyumba fupa ndi Mitsemphayi msana. kuyan'anila zotheka:

• pamaso pa muyeso (achikalekale) vertebrae;

• vertebrae munthu kukhala abnormally;

• kuthekera splicing pafupi vertebrae;

• nthenda chitukuko cha lumbosacral lonse.

Ngati msana ali kuyan'anila zimenezi, dzanja lamanja kupindika dera thoracic uoneke ali aang'ono. Pofika chaka cha moyo mwana akhoza matenda.

diagnostics

Mafupa dokotala akhoza kupanga matenda "kupindika msana" pamaziko a mosamala mtima. Aliyense ndondomeko pathologic zimapangitsa chithunzi matenda ndi ndipamene maziko staging za kusintha kumene kunachitika msana. dokotala limalipira mwapadera kwa asymmetry alipo wa masamba, arches costal ndi ntchafu, komanso zopatuka thupi olamulira thupi la msana. Matendawa analengedwa mu malo awa:

• ataima malo ndi mikono adatchithisira pamodzi thupi;

• wodwalayo amatsamira patsogolo za 90 madigiri.

Kutsimikiza matenda a wodwalayo walangizidwa msana X-ray. zonsezi ndi zokwanira osati kukhazikitsa matenda zolondola, kudziwa kukula kwa matendawa, komanso kuona comorbidities zotheka.

Njira zochizira

Mankhwala matenda oyambirira siteji ntchito njira zingapo:

• ntchito mankhwala;

• kutikitirako physiotherapy;

• mankhwala thupi;

• njira konzanso thupi pa mlingo woyamba wa kupindika msana.

Ngati inu ntchito mankhwala, inu sikuchiritsa kupindika msana, ngakhale pa siteji m'banda chitukuko. Medicaments ntchito mu kufanana kwa ndiyotani pakuchotsa chowawitsa, kuchotsa kutupa zotheka. Ikani ndi immunomodulators, zowonjezera calcium. A mbali yaikulu mankhwalawa kupindika msana wa digirii ya atumwi ankaimba, ndithudi, olimbitsa. Izi zimathandiza kulimbitsa minofu ziziyenda chitukuko msana. Koma ayenera kuganizira kuti kuchulukana tingatengere olakwika, kumapangitsanso Kusakhazikika kwa vertebrae ndipo akhoza imathandizira kupitirira kwa matenda. Mfundo za mankhwala thupi zochokera munthu njira kwa wodwala aliyense. Zotsatira wamkulu wa chithandizocho zimawonedwa pa siteji koyamba za chitukuko cha kupindika msana. Chitani akufotokozera dokotala zolimbitsa thupi mankhwala, cholinga cha ntchito - kulimbitsa minofu. kukonza kupindika. Nawo ndondomeko za konzanso thupi anthu ambiri za galimoto ya msana wake kubwerera mwakale. Komanso, tikulimbikitsidwa kuchita kupuma kokoka, kusambira ndi kupita kwa kutikita a.

kutikita

Pamene kupindika msana woyamba digiri njira kutikita ntchito yapadera. Chifukwa mavuto mantha minofu kumbuyo. Kuchokera mbali, ndilo otukukira kunja, iwo ali wofooka ndi anawonjezera, ku khundu mbali minofu yomangika ndi zachilendo odulidwa. Komanso, kutikita n'kofunika osati chabe, komanso mapewa, chifuwa, mikono, matako. Kutikita bwino magazi, relieves katundu kwa minofu. Self-kutikita ali contraindicated mu matenda. Izo ziyenera kugwira katswiri. Pamene kusuntha cholakwika likhoza kuvutika zinthu ndi kuvutika chikhalidwe cha vertebrae lapansi.

Kusambira. Aphunzitsiwa

njira kwambiri ya chithandizo cha kupindika msana imatengedwa kuti kusambira. Magulu ayenera kusamala mlingo mofulumira kuyenda ndi zimamuchulukira zoletsedwa. Ntchito imatengedwa yabwino kwa mphindi 60 patsiku.

Kulimbikitsa msana ndi Zochita tikuyivomereza mu masewero olimbitsa thupi ndi kuyang'aniridwa ndi mlangizi. minofu chimalimba, kukhala oumitsidwa, bwino kusunga msana. Patapita masiku 20-30 ya nthawi yoyenera, odwala zindikirani kuti kutopa akamaphwera, izo zimakhala zosavuta kusunga nsana wanu mu malo woongoka.

Mankhwalawa kupindika msana 1 mmene komanso amachita physiotherapy. Imeneyi timapitiriza ndi kukonzanso chotsatira cha maphunziro gymnastic. Physiotherapy zikuphatikizapo akulu electrostimulation, electrophoresis, mankhwala matenthedwe.

kupewa

Ulamuliro waukulu ndi kupewa kupindika msana - kaimidwe yolondola, nthawizonse molunjika.

Kugwira minofu mu malo abwino muyenera nthawi zonse kuchita, kulimbitsa minofu kumbuyo. Mphamvu motero kukhala zolondola, wolemera mu mapuloteni ndi mavitamini a gulu B.

Ena orthopedists amalangiza kwa kupindika msana kuvala corset wapadera. Moot. Pa nthawi zonse kuvala chofukizira chimenecho chimachokera kusowa kwa minofu thupi, iwo kukhala aulesi ndi ofooka. Gwiritsani yekha tikusowa corset pansi pa katundu, ngati n'koyenera maola angapo patsiku.

Nthawi zambiri kulabadira kukula, koma Zochita lamanja phindu lenileni kuti nsana wanu.

Kawirikawiri kukaona dotolo mafupa. Izo younikira patsogolo matenda ndi kusintha dongosolo mankhwala.