Thoracal scoliosis. Scoliosis of nomuzongoza - kurapwa. thoracal scoliosis of muzongoza - Zviratidzo

Scoliosis chinonzi deformation pamusoro nomuzongoza, apo nezvechinhu chimwe lateral curvature uye mawa vachishandisa kutenderera vertebral miviri. Kazhinji, maperembudzi chirwere muuduku. With kukura yomwana scoliosis mberi. Saka Kumwe kuchinja kunotanga huchawedzera raidudzwa.

Kazhinji, chirwere yakavhiringidzika ne kutyora mamiriro, kana paine curvature pamusoro nomuzongoza, vertebral miviri asi haachinji nzvimbo yavo. Kuisa chirwere ichi, kutyorwa dzakadaro fanira.

Zvinofanira kucherechedzwa kuti scoliosis angatanga remuromo-thoracal nomuzongoza, uyewo curvature pechipfuva, loin uye nebemhe.

etiology

Muna 80% nyaya mhaka chirwere chinoramba isingazivikanwi, saka kutaura idiopathic scoliosis. Kana iwe kutaridzwa etiological zvinhu zvinoita kuti vachiberekwa curvature anogona kutaurwa zvinotevera:

• Fusion of vertebrae;

• Fusion mbabvu (dzichiri thoracal scoliosis);

• kuvapo saibva vertebrae, zvemamiriro pokumuka pezvakaitwa dzavo uye Pazvibato (kuchinja pathological kwakadaro kutungamirira chokwadi kuti ari nomuzongoza hwapedyo asymmetrically).

Zvinokonzera uye mhando vawana scoliosis

Somugumisiro zvinhu chokuita muviri kubva kunze, kuva curvature yacho nomuzongoza, iyo chirwere pashure pokuberekwa.

Unogona kusarudza zvinotevera mhando vachiberekwa scoliosis:

1. Neurogenic - kunoitika apo maronda ose tsinga. Iva post-poriyo chinopedza musana kukuvara, palsy panguva kana myopathy. zvirwere izvi zvinokonzera kuoma injini tsinga. Izvi zvinotungamirira dysfunction tsandanyama kuti dzinotsigira kwakakodzera muviri chinzvimbo.

2. rachitic - akaona kushayikwa vhitamini D, vaine hypotension, tsandanyama, mapfupa wakarebesa, osteoporosis.

3. kunofambira mberi - zvakabatana pasi deformation kana chiuno anoiswa mukati isiri nzvimbo, iyo inotungamirira deformation yacho nomuzongoza.

4. Idiopathic - Kazhinji chirwere muvana pashure pemakore 10.

thoracal scoliosis: nekuomarara

Inowanzotorwa nomuzongoza ane vasiri Bends, achiita afanane tsamba S. Kana scoliosis curvature pamusoro musana pane inosiyana. Kunokonzera zvaizopedza yorusvingo kubva huru akabatana, asi zvakaoma zvikuru zvokurwara ichi inogona kugadziriswa.

Muzviitiko zvizhinji chirwere mativi scoliosis pamusoro thoracal nomuzongoza. Zvichienderana pakona pamusoro curvature ari oga nekuomarara kwakadaro:

• lightweight - curving angled rinosvika hapana anopfuura 10 °;

• avhareji kwokuomerwa - nhamba 10-25 °;

• rinorema - curvature ungasvika 50 °;

• orema - dzinoratidzwa micheto deformation uye curvature angled rinopfuura 50 °.

Zvinofanira kucherechedzwa kuti mukutanga chirwere, mumwe chete curvature pamusoro musana anogona kuonekwa divi, asi vakabva kuumbwa uye mumwe icho vemunyika pasi wokutanga, asi tiite negwara. kuruboshwe madziro thoracal scoliosis haana kusiyana inokosha (musiyano uri chete scoliotic riemukaari mirayiridzo).

Kuratidzwa remuromo-thoracal muzongoza curvature

Izvi zvinonzi scoliosis thoracal. Ichi chimiro chirwere kunoratidzwa ndechokuti kwokutanga curvature kuti chinhu chakakombama chinhu pfupi uye pamawere uye yechipiri harina kudzika chaizvo uye refu.

Zvinofanira kucherechedzwa kuti scoliosis hariwanikwi, asi ane hunhu kunotoda mufananidzo, iyo chokuita kubatanidzwa mune pathological muitiro, kwete chete remuromo vertebrae, asi mapfupa chiso.

On kuongororwa, chiremba anogona kuona rakapinza torticollis, asymmetrical ziso placement kana slanting mhino localization. Uyezve, rokuongorora deformation rokumusoro chipfuva uye pamafudzi namabhanhire. Mutsipa murwere anotarira kutapudzwa, pamuuyo wake trapezius tsandanyama nehasha anoita, zvakaoma kururamiswa, kunyanya paya mharuro mushonga.

In chakakomba bhokisi wakarebesa uye thoracal vertebrae dzinoti thoracal scoliosis. Zvakakosha kuziva zvokurwara ichi panguva apo kumagumo nomuzongoza inotungamirwa (by makore 20-21). Zvikasadaro, marapirwo kungava tariro.

Clinic thoracal scoliosis

The chirwere chinogona kuonekwa nevanhu vanoongorora mashoko kuti yaunganidzwa pakuongorora murwere. Saka, kana uine scoliosis pamusoro thoracal nomuzongoza, unogona nemaziso kucherechedza curved mutsetse nenzira iri nomuzongoza, asymmetrical placement pakati pamafudzi, akamutsa mashizha uye yakabudikira dumbu nemhaka sizvo mamiriro.

Kunze ziso zviratidzo, thoracal scoliosis kunoratidzwa nedzimwe zvichemo kudivi murwere. Kazhinji, vanhu yakadaro curvature yacho nomuzongoza vanopemberera chipfuva kusanzwa uye marwadzo munharaunda pakati pamafudzi mashizha, izvo zvinogona kunzi kuti kukanganisa pamusoro pezvakaitwa etsinga. Varwere zvakakomba vakachengeta atadze kushanda zvakanaka pamusoro kufema ezvinhu, mwoyo.

Mimwe kunoita, uye kuruboshwe madziro uye zvakarurama madziro scoliosis pamusoro thoracal nomuzongoza kunotungamirira anatomical abnormalities ari maumbirwo kwete chete chipfuva asiwo mudumbu, achiperekedzwa Kumwe kuchinja kunotanga munyika zvomudumbu ino.

Diagnostics

thoracal scoliosis, zviratidzo izvo zvinogona kurwara-kunotsanangurwa, zvinoda kurapwa, nekuti mabatiro kutyorwa akadaro chikamu marangwanda iri tibudirire mukutanga mabatiro okurapwa.

Mukutanga nzendo chirwere kuita X-ray mu maberere maviri haagoni chete kuzosimbisa pamberi scoliosis, asiwo kuona zvakakodzera zvikuru kurapwa nzira. Zvinofanira kurangarirwa kuti curvature kuti musana anogona kuitika concomitant zvirwere zvakakomba. Usava kugovera uremu muviri kuti scoliosis kunotungamirira chinopedza zvachinja vertebrae pamusoro musana dorsopathies uyewo osteochondrosis uye intervertebral heniya.

Rokuongorora scoliosis zvinogoneka chinoabatsira. Kana ukatarira yakakwirira kuoneka pamafudzi siyana uye curved mutsara vertebrae, iyo inonyanya raidudzwa kana murwere anozendama mberi.

Kana uchifarira, zvinoita sokunge scoliosis pamusoro thoracal nomuzongoza, mufananidzo zvokurwara ichi rinotaurwa pazasi.

scoliosis kurapwa

Zvipatara kubudirira kunoenderana nenguva kuongorora chirwere. Sei nokukurumidza kuona zvokurwara ichi, zvikuru mikana kuti migumisiro yakanaka.

Zvinofanira kucherechedzwa kuti mumwe murwere akapa munhu zano kuchirapa kupindira. Panguva ino chirwere uye kufungawo peculiarities vayo kosi. Kazhinji, kana nechirwere scoliosis pamusoro thoracal nomuzongoza, kurapwa rinoitwa mumatanho matatu:

• Direct nezvainoita vertebral mbiru, iyo akawana lateral curvature;

• nzira nokuti rakasungwa scoliosis;

• asunga yakarurama nzvimbo nomuzongoza vakachiwana pashure mushonga.

Zvinofanira kucherechedzwa kuti chinonetsa ndicho pachikuva. Varwere hazvitsivi zvakakwana kuteerera izvozvo, saka scoliosis yakatanga zvakare. Ndokusaka zvichikosha kutevedza zvose zvinodiwa chiremba, kutanga tsandanyama ari shure uye kupedza nokururamiswa mamiriro. Zvipatara zvinofanira revatema uye zvinosanganisira kuchinja marapiro, uye kana zvakakodzera - kuvhiyiwa.

physiotherapy

Chimwe chedzidziso nzira iri kuchinja kuchirapa muviri mishonga. ndiyo abudirire zvikuru yakagadzirwa yakatarwa kurovedza kuti uduku hakusi chete vapore asiwo somushonga kushanda. Its chikuru chinangwa - achidzikisa mutoro pamusoro nomuzongoza, kubvisa tsandanyama imbalances, kusimbisa shwashwa midziyo uye paumbwe zvakarurama mamiriro.

Kazhinji, Zvinokurudzirwa kuita kurovedza izvo kusimbisa boka tsandanyama anotsigira nomuzongoza, uye vanewo kwokururamisa kuchinja ayo curvature, vanatsiridze kufema nerevane uye anewo bracing zvainoita muviri.

Kazhinji yakarumbidza kuita zvinotevera mhando kurovedza:

• Nhema kumusana kwako, mabvi hwakakungwa, simudza chiuno, kutenda kwako kushayiswe ari thoracal nharaunda;

• Positive kushanda ari dzinodzengerera pamusoro pamatanda panguva iyo kuti zvishoma nezvishoma tenderera kuti mutumbi kurutivi;

• Nhema pamusoro dumbu rako uye kusimudza muviri zvokuti akabvuma mashoko thoracal muzongoza;

• kwete mberi kusvika curvature, zvakakodzera panguva pamafudzi kuti tsvimbo, kuti kirasipi ake uye kufamba nayo saka mazuva ose 2 kwemaawa;

• kushandisa "bhasikoro" anewo kunobatsirawo mu musana curvature.

Kana pane scoliosis pakati thoracal nomuzongoza, chiitwa yaifanira panguva anononoka kumhanya. Mushure kirasi zvinobatsira zororo kwemaminitsi 20, norutivi rwayo.

Sick asi muviri kurapa, Dzakamukurudzirawo kupfeka chaiwo corset, kushambira.

masaja

Pakarepo ndinofanira kutaura kuti zviitiko apo murwere anotambura scoliosis kwenguva yakareba, uye vari musana mbiru akataurwa Kumwe kuchinja kunotanga kuti masaja haripi yakanaka mugumisiro. Kazhinji, izvozvo chinotarisirwa pana 1 kana 2 inosiyana curvature. Massage rinoitwa ari kiriniki kana chipatara. A seti kurovedza vanosarudzwa nomumwe zvichienderana muchimiro nekuomarara maperembudzi, mabasa ose 6 mwedzi.

Kana kuona scoliosis pamusoro thoracal nomuzongoza, masaja rinoitwa pamwe kwairayirwa nhoroondo kutungamirirwa deformation. Nekuti kurutivi rumwe rutivi scoliotic chematenga tsandanyama vari kugara inzwi, asi chiremba anoshandisa nzira kuti pave kuzvivaraidza. Kune rimwe divi tsandanyama fibers yareba uye simba, saka kuva masaja nzira kuti waizovatungamirira kuti inzwi uye kusimbisa.

Zvinofanira kucherechedzwa kuti kuzvidzora vanokwizwa scoliosis iri contraindicated nokuda kwemashifiti ayo nzira vanogona kumutsa kuwedzera kuoma uye kanganisa murwere ezvinhu.

Kuvhiya Mabatirwo scoliosis

Pasinei mukuru nenhanho mushonga ano, zvikuru scoliosis vanonetsa kugadzirisa. Inobudirira zvikuru kurapa ndiko kushandiswa simbi anodyara.

Kuvhiya kupindira rinoitwa nenzira mbiri:

1. Front nomuzongoza kuunganidza (kana multi-pamwero discectomy pamwe mawa deformation kururamiswa). Kuvhiya kwakadaro anoitwa pasi zvavo yokutindivadza. Chinonyanya Zvakanyanya Kunaka Panguva Yepamuviri zvabuda mushure kuvhiyiwa - vasanyanye pakona pamusoro scoliotic arc 30 kusvika 54 °.

2. Galpelviktraktsiya pavanoparidza kurangwa deformities. Kuvhiya Izvi kunyange rikurumidze uye kunobatsira kuderedza muzongoza vachikotama angled 22 °.

Kana nechirwere scoliosis pamusoro thoracal nomuzongoza, pakurapa surgically nguva dzose kunoderedza rumbabvu ano. Chikonzero ndechokuti pashure kumwezve kushanda intercostal nzvimbo, uye kuoma kunoderedza.

Chinonetsa anonzi ari kuvhiya dambudziko scoliosis muvana, nekuti musana wavo kunoramba kukura, uye kushandiswa simbi zvivako kungaita kuti chirwere che "crankshaft". Ndokusaka Mabatirwo scoliosis muvana pasi simba chaiyo yakarongeka, izvo zvinogona ngazviwedzerwe sezvo murwere kukura.