Kyphoscoliosis ea lesapo la mokokotlo thoracic: Types le Phekolo

Lesapo la mokokotlo, haeba a hantle thehoa, o na o fokolang etsang kou ea tlhaho. Ha ba ne ba nka ho tswa ho lehlakoreng ka thoracic le sacral a bends morao, 'me ka lumbar cervical le - pele. Ka lebaka la ho sebopeho sena, lesapo la mokokotlo e kgona ho Flex le monyang. Leha ho le joalo, ho na le Maemong a moo ha a hlaha kapa hamorao, nakong eo ke kobehileng mele, lesapo la mokokotlo koba deviates ho tloha ntho e tloaelehileng le. Le liphetoho tse ka etsoang ka litsela tse ngata. deformation joalo e matla ho feta le ho feta ho ba tšoara. The atileng ka ho fetisisa thoracic mokokotlo kyphoscoliosis har'a pathologies tšoanang.

kyphoscoliosis ke eng

Kyphoscoliosis - e hloka taolo pathological, e tšoauoa ka kotlobane la mokokotlo ka lifofane tse peli ka nako e tšoanang: ka anteroposterior le lateral, ke hore, 2 lefu - scoliosis le kyphosis - lumellane hammoho.

Kyphoscoliosis fetisisa pepesehileng bacha. Ho ea ka lipalo-palo, bolwetse ena ke 4 linako tse neng li tloaelehile ho feta ka bashanyana ba ho feta ka banana. Ha kyphoscoliosis thoracic lesapo la mokokotlo e bonoa motho e moholo, ho bolela hore e kotlobane o ne a sa ba phekola sa le ngoana 'me butle-butle, le ntshetsopele ya scoliosis le kyphosis, buuoa ka makhetlo a mokokotlo deformation.

mabaka a

Motheong oa lefu lena le thehiloe ho mabaka ana a latelang:

• The fokolisang tsa mesifa ea ka morao. Haeba tsoelo-pele 'meleng oa ngoana eo e bang teng insufficiently, mesifa ha a khone ho lokisa le ho hōla e eketsehileng la mokokotlo, e leng ho ka etsa hore motho a phetolo ya vertebrae ho bona ka bobona le deformation la mokokotlo.

• bophelo Sedentary. Kobehileng mele tafoleng, hammoho le ho se ikoetlise qholotsa e le qalo ea ho ba kotlobane lesapo la mokokotlo.

• Mathata a mathata sechabeng le kelellong. Inama hangata e develops ka semelo sa boiteko reflex ho sireletsa 'mele ho tloha lintlha kantle. Hangata, bothata e amanang le kgolo ya phahameng, overload maikutlong, tšusumetso ea kamehla ea batho ba bang.

• ho ikoetlisa Large. Ka tsela e feteletseng matla mojaro ka mesifa pectoral ka ho ba sieo ha hantle ntshetswa pele mesifa-svyazochnogogo sethusathuto ka 'na etsa hore inama ka bacha le etsa sefubeng sunken.

• lekane mojaro ka likarolong tse sa tšoaneng tsa 'mele. Ba bang ba tsa boitlhakiso lipapali hlahisa sehlopha se le seng feela mesifa e sa ame ba bang kaofela, e leng ho ka etsa hore deformation ea karolong e ngotsoeng lesapo la mokokotlo ka tataiso e itseng.

Ntle le tse ka holimo, e thunye kyphoscoliosis thoracic lesapo la mokokotlo le ka lintho tse kang ho imeloa kelellong a kelello, ho sithabela, 'me ho buuoa ka lesapo la mokokotlo, mafu a ea tsamaiso ea musculoskeletal (CP, pholio, osteochondrosis, lihlahala).

Lisosa tsa lefu lena ka 'na ba amanang le se fosahetseng prenatal ntshetsopeleng ya ngoana, hammoho le ho tswela pele ka lefa.

tlhophiso

Ho itšetlehile ka mabaka a hore ea tsosa le lefu lena, ho khetholla mefuta ea lefu lena.

Congenital kyphoscoliosis. Amanang le e sa tloaelehang sebopeho sa vertebrae motho le sebopeho kapa connate likhopo eketsehileng. lefu lena hangata ka lemoha ka ho bana ba lilemo li likhoeli tse 6 le ka mekhahlelo ea pele ea ntshetsopele, e ke ho le bonolo ho phekola.

Lefa kyphoscoliosis. Tšoauoa ka semelo o tšoanang oa ho hōla ha palo ea meloko e le e futsitseng ka mofuta le 'muso o hlaheletseng.

Fumanweng kyphoscoliosis. Ho bonahala eka lebaka la ho mele lokang, khatello ea kelello a kelello, ho sithabela le mekhoa ea ho buoa ka mokokotlo, itseng mafu a ea tsamaiso ea musculoskeletal.

Idiopathic kyphoscoliosis. tepelletse maikutlong ena lokela ho etsoa maemong a moo sesosa sa ho kotlobane la mokokotlo ka se utloisisa. Mofuta o tloaelehileng haholo oa scoliosis idiopathic develops ka bacha ka ho ba sethaleng sa kholo ee ka potlako (dilemo 11-15).

Kotsi ho feta lefu lena

Kyphoscoliosis ea lesapo la mokokotlo thoracic, haeba untreated, ka 'na hampe ama ea ka tšebetso ea litho tse ka hare, haholo-holo tsamaiso matšoafo. Haeba o khahlanong le tsamaiso ea sefubeng matšoafo ba fokotswa ka bophahamo ba modumo, le ho hema mesifa mojaro eketseha, ho na le lekana khase phapanyetsano le phokotso consequent ka boemo ba oksijene maling. Ka lebaka leo, methapo, 'me esita le ha pelo.

liphetoho Pathological ka lesapo la mokokotlo le bakela tsubuhlellano ka ho sa feleng tsa dibopeho tsa lona, hammoho le mesifa okolopozvonkovyh. Hangata kyphoscoliosis itlhomme pele ho holofatsang disk lefu, sebopeho sa protrusions intervertebral hernia le hore ke thunye ntshetsopeleng ya mafu a methapo ea kutlo.

Ho phaella moo, kyphoscoliosis a ka baka tšenyo e ka tsamaiso genitourinary.

le matšoao

makgetheng Kyphoscoliosis ka sehloohong ke tsena:

• slouching ha a lutse le tsamaea;
• mahlaba kotokaka ka mesifa ea molala le ho khutla;
• bohloko ka mokokotlong, haholo-holo ka mor'a ho lula nako e telele a le boemong mong;
• ho tsekela, ho fokola, le mokhathala;
• bohloko e ka pelong, arrhythmia;
• dyspnea ka Mokhathala kgolo.

Mokhahlelo oa ho qetela ha lefu le tšoauoa ka deformation ea morpheme le noka. Mokuli e tšoenngoa tšebelisano ea mekhatlo, tseo ho ka etsa hore tahlehelo ea tsamaiso.

tlhathoba

Tabeng ea belaelloa ka hore e kotlobane ea orilla ho lokela ho lefa a etetse Masapo sithabela, maemong a mang, u ka 'na ha hlokahala thuso ea boloetse ba methapo e. Ho theha hlahloba ea "kyphoscoliosis" haholo-holo e fana ka setsebi Link tlhlahlobo atlholang tekanyo le mofuta wa kotlobane wa, o hlahloba mabotho a mesifa tsamaiso, reflexes tendon, 'me letlalo nahanela.

Haeba u belaella hore deformation ke e-x-ray ba lesapo la mokokotlo ka dipeakanyo fapaneng. Bakeng sa fumanoe nepahetseng haholoanyane ka linako tse ling ho hlokahala hore ho retelehela ho dithekeniki joalo tlhahlobo kang CT le MRI.

sethaleng sa lefu lena

Kyphoscoliosis tsa thoracic lengolo la lesapo la mokokotlo 1. Tsamaea le o fokolang lateral battlefield le sotha hanyenyane. Skew angle tabeng ena ha e feta 55 °.

Kyphoscoliosis ea lesapo la mokokotlo thoracic tsa likhato 2. Tabeng ena, e le ho ohla na ho feta bonahatsoa lateral kotlobane le torsion.

Kyphoscoliosis 3 likhato. E tšoauoa ke liphetoho ka deformation ea sefuba, 'me sebopeho sa khopo hump.

Kyphoscoliosis 4 likhato. Ho nka beha eseng feela kotlobane lesapo la mokokotlo le sefuba, empa masapo a noka ka.

Thehiloeng mofuta battlefield lateral ba lesapo la mokokotlo ka thōko ka ho le letšehali-tsehelitseng le letona le ka lehlakoreng kyphoscoliosis ea lesapo la mokokotlo thoracic.

Mekhoa ea phekolo

Ho itšetlehile ka ho ba sethaleng sa ntshetsopele ya kyphoscoliosis resorted ho phekolo mekhoa e tloaetsoeng le ho buoa.

Ka tloaelo ho, ka mekhahlelo ea pele ea kotlobane hantle amenable ho kalafo mekhoa e tloaetsoeng. E 'ngoe ea libakeng tse khōlō tsa thibelo le fumane pholiso mekhoa e tloaetsoeng kyphoscoliosis -lechebnaya thuto meleng. Ho ikoetlisa phekolo ka kyphoscoliosis ea lesapo la mokokotlo thoracic ke ho sebelisa letoto la tsa boitlhakiso khethehileng ikemiseditse ho sebopeho le e matlafatsang ea tsamaiso mesifa, hammoho le ho ikhatholla le otlolla lihlopha itseng mesifa. All e khethileng ka bomong ke ngaka ho phekola.

Dira dithutiso tsa thoracic mokokotlo kyphoscoliosis lokela ho phethahatsoa ka tlas'a bookameli ba morupeli oa ho ikoetlisa ka phekolo, ka lebaka la mokhoa o nepahetseng oa tshebetso bona e itšetlehile ka ho atleha ha mehato phekolo.

Ho phaella tabeng ea ho ikoetlisa, e ka kalafo mekhoa e tloaetsoeng ho bakuli laetsoeng ho apara corsets lokise masapo, ea physiotherapy, hlaba motho ka linalete, ea physiotherapy, phekolo sililoa, dipilisi le lithethefatsi-ba khahlanong le a hlabang.

Ho buoa mokhoa o sebelisoang deformations matla ka ho fetisisa (kyphoscoliosis thoracic mokokotlo sehlopheng 3 le 4). Tabeng ena etsoa osteo-polasetiki ho buuoa, kapa hotel ho buoa endocorrector khalemelo. Khetho ea ho qetela e hangata ka ho fetisisa sebelisoa. mozindo lona larileng ka fixation la mokokotlo ka tsela sebopeho tšepe, eo e bopile ka etsang kou lona fisioloji. Ka mor'a ho buuoa joalo, bakuli ba hloka nako e telele phekolo.

mehato e thibelang

E le hore ho laola le ho thibela ntshetsopele ya bolwetse lesapo la mokokotlo lokela ho khomarela ho ea ka melao e itseng:

• Boroko ka materase a tiile. Ha sena se e nkoa e le mele ho fetisisa bakeng sa ho robala ka khutlela hae, eseng ka lehlakoreng la hae.

• Ha ba jereng mekotla e se ho laela le ka mahetla e tšoanang. Tabeng ena, ho molemo ho khetha mochila hore mojaro e aba evenly.

• Ho hlomella mosebetsing e le hore e ile a thusa ho boloka mele nepahetse.

• Ha ho sekamela ho kyphoscoliosis contraindicated le phahamisa litšepe, ho qhoma le ho ema ka leoto le le leng.

Kyphoscoliosis - lefu thabiseng haholo e bakang bohloko bohlokoa le ka tsamaisana le mathata a tebileng. Ke hobane'ng ha ho ke ea bohlokoa hakaale ho thibela ho hlaha le ntshetsopele ya lefu lena. Haeba matšoao a ntse ile ba o ile a ikutloa, ha aa lokela ho lieha, ho batla thuso ea litsebi u hloka hang-hang.