I-pathologies yesistimu ye-musculoskelet ngokuvamile iqala kusukela ebuntwaneni, futhi lapho umuntu esemdala, abantu babhekene nezinkinga zabo. I-kyphosis ye-Juvenile noma i-Sheyerman-Mau syndrome ingenye yezifo ezinjalo. Ngaphandle kokwelashwa okufika ngesikhathi futhi okulungile, kuyaqhubeka, kubangele imiphumela eyingozi.
Isifo se-Scheuerman-Mau - siyini?
Lesi sifo siyisimo esikhethekile sokuvinjelwa komgogodla. I-kyphosis yezingane ihambisane nokuchithwa kwengxenye yayo engenhla, esifundeni se-thoracic. Ukukhubazeka kwenzeka esikhathini sokuthuthukiswa okukhulu komzimba nokukhula, eneminyaka engu-9-17. Bobabili abafana namantombazane baxilongwa nge-kyphosis yezingane (iSheyerman-Mau). Ingqikithi yenani lezingane ezinesifo esingaphansi kwe-1%.
Isifo sikaSheyerman-Mau - izimbangela
Ngesikhathi ochwepheshe behluleka ukukhomba ukuthi kungani ezinye izingane zijwayele ukuqhutshwa komzimba. Ngokusobala, isifo somgogodla kaSheyerman-Mau sisuka ekuhlosweni kwezakhi zofuzo. Ingozi yokuthuthukisa lesi sifo iphezulu nakakhulu uma izihlobo eziseduze zegazi, isibonelo, abazali, zihlupheka ngakho. Isifo se-Sheyerman-Mau singase sibe nezinye izimbangela:
- ukwephulwa kwegazi kunemizimba ye-vertebral;
- ukulimala kwezindawo zokukhula kwamathambo;
- i-osteoporosis ;
- i-compression fractures ;
- ukukhula ngokweqile kwamathambo emathambo kwezinye izindawo ngokulahlekelwa kwezinye izindawo;
- ukwephula imisebenzi yemisipha yomlomo wesibeletho;
- shift in the balance ye-hormonal.
Yini eyingozi eSheyerman-Mau?
I-syndrome ye-kyphosis yabantwana ayiyona ingozi ebulalayo, kodwa ngaphandle kokwelashwa kuholela emiphumeleni enzima. Izinkinga zakuqala zihlobene nokubonakaliswa kwezinzwa. Izimpande zomgogodla zicindezelwa kakhulu ngaphansi kwesenzo sokucindezela. Lo muntu uzizwa ubuhlungu obukhulu emgodini nomsizi womshini. Kamuva, emva kweminyaka engama-20, kukhona ukubhujiswa kwengemuva nesifo seSheyerman-Mau ngemuva kwesizinda semikhakha yesibili:
- i-osteochondrosis;
- i-deforming spondylosis;
- i-intervertebral hernias;
- ukususa ligamentosis;
- i-spondylarthrosis;
- lumbulgia;
- i-hyperlordosis yesakhiwo;
- ukubhekwa kwemithi yomgogodla;
- ukuphefumula kwamathambo e-aorta nezinye.
Isifo se-Sheyerman-Mau - izimpawu
I-kyphosis yezingane ezisemgogodleni we-thoracic inezibonakaliso ezahlukene ngokuya ngesilinganiso se-pathology. Zazihlukaniswa nobudala:
- kusukela eminyakeni eyi-8 kuya kwengu-14;
- kusukela eminyakeni eyi-15 kuya kweyengu-20-21;
- emva kweminyaka engu-20.
Isifo seShejerman-Mau - izigaba
Ukuqhubeka kwengcindezi yezingane ezisencane akuhambisani nanoma yimaphi izimpawu. Izigaba zokuthuthukiswa kwesifo seSheyerman-Mau zihlanganisa lezi zigaba ezilandelayo:
- I-Orthopediki (i-latent). Ingane ayikho izikhalo, isimo sempilo sihlala sivamile. Kunezinhlungu ezingavamile futhi ezincane emuva emuva kokusebenza ngokomzimba. Kunomvuthwandaba omncane we-thoracic umgogodla nomkhawulo wokuhamba kwawo.
- Ukubonakaliswa kokuqala kwezinzwa. Isifo sikaSheyerman-Mau sibangela ukucwiliswa kwezimpande zesibindi, ngenxa yalokho intombazane ezwa ubuhlungu obuya emuva, phakathi kwamahlombe ehlombe kanye nendawo yomshini.
- Izixazululo zamuva ze-neurologic. I-pathology ihambisane nezinguquko ezingenhla ezonakalisa futhi ezilimazayo emgodleni. Izinhlungu ziba namandla, ngezinye izikhathi azikwazi ukubekezelela. Ukuhamba komhlane kunciphise kakhulu.
Isifo se-Sheyerman-Mau - ukuxilongwa
Ukubona ukuthi i-pathology echazwe kanjani ingase ibe sesiteji sokuqala, kepha iziguli zingaphathwa kangcono lapho zikhona izinkinga. Emtholampilo udokotela wezinzwa uphenya lo muntu, uqoqa umndeni we-anamnesis. Ikhethelo elihle lokuthola kahle ukuthi isifo seSheyerman-Mau yi- X - ray , izimpawu zesifo somzimba se-thoracic zibonakala ngokushesha esithombeni. Ngaphezu kwalokho, ukuguqulwa kwemigqa ye-vertebrae eminingana kuyatholakala, eziningi ze-Schmorl hernias zikhona.
Uma usola izinkinga ze-neurological nezinye izinkinga, lezi zinhlobo zocwaningo ezilandelayo:
- ikhompiyutha ne-magnetic resonance imaging yomgogodla;
- i-electromyography;
- i-dopplerography.
Ngokuvamile isiguli sidinga iseluleko esikhethekile:
- i-neurologist;
- i-cardiologist;
- i-neurosurgeon;
- i-pulmonologist.
Isifo se-Sheyerman-Mau - ukwelashwa
Ukwelashwa kwe-kyphosis yabantwana kuyinkimbinkimbi futhi kuhlala isikhathi eside. Izindlela eziyinhloko, indlela yokwelapha isifo se-Sheyerman-Mau, zihlambalaza, imiphumela yombhalo kanye nemvelo:
- i-electroneurostimulation;
- ukwelashwa kwe-ultrasound;
- amasondo anezimo zesimo;
- ukwelashwa kwe-diadynamic;
- ithonya elimangalisayo;
- ukwelapha ukuphazamiseka;
- i-traction yomgogodla nabanye.
Indlela eyinhloko yokwelapha isifo se-Sheyerman-Mau ukuvivinya umzimba okuvamile. Imithwalo yemvelo kufanele ibe nenjongo futhi icabange, ngokucabangela isigaba sokukhubazeka kanye nokuba khona kwezinkinga. Ekuqaleni kokwelashwa (izinyanga zokuqala ezingu-2-3) izokuvocavoca kuzodingeka zenziwe nsuku zonke. Ngemuva kokubonakala kokuthuthukiswa, ukuvivinya umzimba kwenziwa njalo emva kwezinsuku ezimbili.
Izifo zikaSheyerman-Mau - LFK
Ukuzivocavoca kwenzelwa ngamunye ngesiguli ngasinye ngokuhambisana nobudala bakhe, ukuqina kyphosis kanye nokuhamba okulinganiselwe kwesikhala. Ukuzivocavoca kwesifo seSheyerman-Mau kufaka amabhlogo ayisisekelo ayisihlanu:
- ukuqinisa imisipha emihle;
- ukuphumuza kwemisipha yentamo futhi ephansi emuva;
- ukulandelana kwemisipha ye-pectoral;
- ukuqinisa imisipha yomgogodla;
- ukuphefumula umzimba.
Ngaphezu kwalokho, ungahlanganyela kwezinye zezemidlalo, ngaphandle kwalabo abadinga ukuqhuma-basketball, ukuzivocavoca ngentambo yokudlula, i-volleyball nokunye okunjalo. Kuwusizo ukugibela ibhayisikili ngesifo seSheyerman-Mau (ezindaweni eziphambene nezindawo zasemadolobheni), ukubhukuda, ukuhamba ngezinyathelo zokuhamba. Emva kokubonakala kokuthuthukiswa okuqhubekayo gymnastics kwenziwa nge ukulinganisa, 3 kg abesifazane kanye 5 kg amadoda.
Ukugula kwesifo sikaSheyerman-Mau
Ezimweni ezinzima zokweluleka kwikholomu yomgogodla, ukwelashwa okulondolozayo akusizi ngalutho. Uma isifo se-Sheierman-Mau sithuthukile kancane kancane futhi senza ukucindezeleka okuqhubekayo, ukubunjwa kwe-hump kanye nokuguquguquka okungenakuguquka kwamathambo, ukuhlinzekwa okuhlinzekwa okuhlinzekwayo kunqunywe. Izimpawu zokuqaliswa kwayo yizici ezilandelayo:
- i-angle of kyphosis engaphezu kwama-degree angu-75;
- ukwephulwa kwezitho zokujikeleza nokuphefumula;
- ubuhlungu obukhulu;
- umkhawulo oveziwe wokuhamba komhlane.
Ukusebenza kuhilela ukufaka emithonjeni yezokwelapha ze-hypoallergenic ezenziwe nge-metal - screws, hook hook kanye namathanga. Benza imisebenzi eminingana:
- ukusekelwa kwikholamu yomgogodla;
- Ukuqondisa emuva;
- ukuqinisa umgogodla;
- isandiso.
Ukuhamba kukaSheyerman-Mau
Ukuchazwa kwe-kyphosis yabantwana kuxhomeke esiteji sokuqhubeka kwe-pathology, iminyaka yesiguli kanye nobukhulu bezimpawu ezikhona. Ngesikhathi ukugula kwentsha uSheyerman-Mau kutholakala esiteshini esilandelayo noma lapho kukhona khona ukubonakaliswa kokuqala kwegazi, ukwelashwa kwakhe kuzothatha izinyanga ezimbalwa. Uma umuntu eqhubeka elandela ukuma kwakhe, khombisa indlela ephilayo esebenzayo futhi eyiyo, njalo ahlanganyele emfundweni yemvelo, isibikezelo sinomusa.
Noma iyiphi i-anomaly ejulile yomgogodla ne-Sheyerman-Mau isifo esibi kunokwelapha. Izinkinga ngendlela ye-osteochondrosis, lumbulgia, i-osteoarthritis nezinye izifo zingabangela ushintsho olungenakuguqulwa ngendlela yokuma emuva futhi luyeke ukuhamba kwalo. Ezimweni ezinjalo, i-kyphosis yezingane ingancishiswa, kepha ukukhubazeka akukwazi ukwelashwa ngokuphelele.