Zempilo, Diseases and nemibandela
Zokufota thoracic. Zokufota yomqolo - unyango. zokufota thoracic yomqolo - Iimpawu
Zokufota kuthiwa deformation yomqolo, apho uqala ugobile osecaleni nokujikeleziswa ngaxeshanye imizimba vertebral. Njengoko umthetho, esi sifo olufunyanwa kubantwana. Ngokukhula zokufota yomntwana nga inkqubela. utshintsho yezifo kanjalo ucaca ngakumbi.
Lidla esi sifo edidekile kunye lunyhasho ukuma, xa kukho ugobile yomqolo, imizimba vertebral kodwa oko akuthethi ukutshintsha indawo yabo. Ukuze ukubeka le sifo, komgomo ezinjalo inegunya.
Kufuneka kuqatshelwe ukuba zokufota uyakwazi ukuphuhlisa umqolo wesibeleko-thoracic, kwakunye ugobile esifubeni, inkciyo kunye nomsila wayo.
umyalezo weimeyile
Ngowe-80% amatyala unobangela sifo kuhlala ayaziwa, ngoko uthethe zokufota idiopathic. Ukuba awukhankanyi izinto etiological akhokelela esime naso ukuze kuchazwe oku kulandelayo:
• ngxubevange amathambo;
• fusion yeembambo (okhulayo zokufota thoracic);
• phambi omqolo ubuntwana, uphuhliso okungaqhelekanga lweenkqubo zazo nezibambo (utshintsho zophendlo lwezifo ezifana kukhokelela kukuba le umnqonqo iphuhlisa asymmetrically).
Oonobangela kunye neentlobo zokufota ezifunyenwe
Ngenxa yoko izinto ezichaphazela umzimba evela ngaphandle, ukuphuhlisa ugobile yomqolo, nto leyo banesifo emva kokuzalwa.
Ungakhetha ezi ntlobo zilandelayo zokufota naso:
1. Neurogenic - yenzeka xa izitshanguba-luvo. Ukuphuhlisa post-ipoliyo sisiba mandundu kukwenzakala umnqonqo, abanedumbe lengqondo okanye myopathy. Ezi zifo ezibangela ukushwabana luvo motor. Oku kukhokelela kwekhono kwemisipha ezixhasa umzimba kwindawo efanelekileyo.
2. rachitic - yabonakala ukuswela ivithamin D, luphawulwa hypotension, imisipha, ukukhubazeka ithambo, kwamathambo.
3. Static - eqhagamshelwe deformation emhlabeni xa isinqe ibekwa kwindawo engalunganga, nto leyo ekhokelela deformation yomqolo.
4. Idiopathic - ngokuqhelekileyo olufunyanwa ngabantwana emva kweminyaka eli-10.
zokufota thoracic: ubucaka
Umnqonqo zesiqhelo ukugoba komzimba, ebangela oko kufana unobumba S. Xa zokufota ugobile yomqolo kukho nobukhulu obahlukeneyo. Kukokona engile offset ukusuka axis engundoqo, i nzima ngakumbi le ngezifo na alungiswe.
• ayisindi - enomva engile ifikelela akukho ngaphezulu kwe-10 °;
• ebukhulwini avareji - eli nani 10-25 °;
• heavy - ugobile besukelana 50 °;
• nzima kakhulu - elintlangothi esibonakala deformation kunye isibiyeli ugobile amakhulu ° 50.
Kufuneka kuqatshelwe ukuba ekuqaleni sifo, omnye kuphela ugobile yomqolo kunokubonwa ecaleni, kodwa kamva ibunjiwe omnye nto yenzelwe ngaphantsi yokuqala, kodwa wayalela kwelinye icala. ekhohlo kabini zokufota thoracic akanayo ezahlukene (umahluko kuphela scoliotic arc indlela).
Zokubonisa wesibeleko-thoracic umqolo ugobile
Oku kubizwa ngokuba zokufota thoracic. Olu hlobo esi sifo sizibonakalisa yi kukuba ugobile kokuqala i arc mifutshane kwaye amawa, kwaye zamabanga kakhulu azinabunzulu elide.
Kufuneka kuqatshelwe ukuba zokufota kunqabile, kodwa umfanekiso mpawu lwezonyango, nto leyo inxulunyaniswa ukubandakanyeka kwinkqubo lwezidumbu, kuphela omqolo wesibeleko, kodwa amathambo yobuso.
Ngosuku loviwo, ugqirha siqaphela torticollis elibukhali, ukubekwa iliso azilingani okanye ungasuki impumlo zalapha. Ukongezelela, ukuhlola deformation yesifuba ongentla umbhinqo negxalaba. entanyeni yesigulane ubuhle asisifutshane, enyeleni trapezius izihlunu zakhe wenza kabukhali, kunzima ukuba ilungiswe, ingakumbi lokwaluka kamva unyango.
Xa ukukhubazeka esifubeni kwaye omqolo thoracic zibonisa zokufota thoracic. Kubalulekile ukuchonga oku ngezifo ngexesha xa iziphelo ukuyilwa umqolo (yi kweminyaka engama-20-21). Kungenjalo, unyango inokuba lithemba.
Clinic zokufota thoracic
Isifo kungabonwa ngokuvavanya data efunyenwe yi uviwo malunga nesigulane eso. Ngoko ke, ukuba unayo zokufota yomqolo thoracic, ungenza abangaboniyo phawula umgca egosogoso kwicala yomqolo, ukufakwa azilingani bamagxa, waphakamisa yabe kunye lithe tso esisu ngenxa somzimba ezingachanekanga.
Ngamanye phambili, kunye zokufota ekhohlo-enamehlo ekunene-inxenye yomqolo thoracic kukhokelela ukungaqheleki yokwakheka kubume hayi nje esifubeni kodwa isisu, ephelekwa utshintsho zophendlo lwezifo kwinkqubo yokwetyisa.
ekuxilongweni
zokufota thoracic, iimpawu ezithi zibe kakubi elichaziweyo, kufuna unyango, ngokuba unyango komgomo ezinjalo kwicala asemzimbeni iphumelela kakhulu unyango kwangoko unyango.
Kumanqanaba okuqala sifo ekwenzeni X-ray in uqikelelo ezimbini awunakuqiniseka kuphela kukho zokufota, kodwa ukufumanisa ezona ndlela zifanelekileyo unyango. Kufuneka kukhunjulwe ukuba ugobile yomqolo kuyenzeka kwezifo ezihamba. ukwabiwa engafanelekanga yobunzima umzimba zokufota kukhokelela utshintsho sisiba mandundu kwi amathambo le dorsopathies umnqonqo kwakunye osteochondrosis kunye Ithemba intervertebral.
Nokuxilonga zokufota kunokwenzeka ngeliso lenyama. Xa usibona ubude emagxeni ezahlukeneyo buqapheleke kunye umgca egosogoso ngayo amalungu omqolo, leyo kuba kubi ngakumbi ukuba isigulane asondele.
Ukuba unomdla, kubonakala ngathi zokufota yomqolo thoracic, ifoto le ngezifo ithiwe thaca apha ngasezantsi.
unyango zokufota
Therapy impumelelo ixhomekeke isigulo kwangethuba. Indlela ukuchonga ngokukhawuleza kule ngezifo, amathuba ukufumana iziphumo ezincumisayo.
Kufuneka kuqatshelwe ukuba isigulane ngalunye olunikezelwayo isicwangciso ngamnye zongenelelo zonyango. Kweli nqanaba isifo kwaye uthabathe zibe awohluke ngenxa yawo. Ngokuqhelekileyo, xa kwafunyaniswa ukuba zokufota yomqolo thoracic, unyango oluqhutywa kwizigaba ezintathu:
• ifuthe ngqo kwi umhlathi vertebral, apho wafumana ugobile lateral;
• iinkqubo ukulungiswa zokufota;
• nokukhusela indawo echanekileyo yomqolo afunyenwe emva konyango.
Kufuneka kuqatshelwe ukuba inzima linqanam lokugqibela. Izigulane musa ukunikela ingqalelo ngokwaneleyo kuyo, ngoko ke zokufota kuphuhliswa kwakhona. Yiyo loo nto kubalulekile ukuba avumelane nazo zonke iimfuno kwagqirha, ukuphuhlisa izihlunu emqolo ukuchitha ukulungiswa komzimba. Therapy kufuneka ibandakanyiwe kwaye ziquka unyango ngendeb ', yaye ukuba kuyimfuneko - uqhaqho.
ukuyifundisa
Eyona ndlela nezi endala nezinyangayo ekusebenziseni unyango. iphumelela ingakumbi iseti eyenzelwe ngokukhethekileyo beemvavanyo ubuntwana nje kwimo kuphela kodwa isiphumo amayeza. Eyona njongo yayo iphambili - kuncitshiswe umthwalo yomqolo, ukuphelisa ukungalingani kwezihlunu, ukomeleza izixhobo lungu kunye ukuyilwa kokuma echanekileyo.
Amaninzi Kucetyiswa ukuba enze ezi ntlobo zilandelayo ukuzilolonga:
• lala ngomqolo yakho, namadolo zityediwe, phakamisa isinqe, uthambisa kummandla thoracic;
• isiphumo Positive semouse kwi bar apho ukutshintsha kancinane umntla ukuya kwicala;
• amanga kwi isisu sakho uze uphose umzimba ukuze wagoba kwalapho thoracic;
• Musa inkqubela ugobile, kuyimfuneko kwi emagxeni ukuba kulunamathelisa, ukuba bebambene ngezandla zakhe, sihambe ngayo ukuze yonke imihla iiyure ezi-2;
• ukusebenzisa i "ibhayisekile" Kwakhona kunempembelelo entle esime spinal.
Xa kukho zokufota yomqolo thoracic, lo msebenzi kufuneka wenziwe ngonyawo lonwabu. Emva kokuba iklasi uluncedo ukuphumla imizuzu engama-20, ulele ngecala.
unyango abagulayo kodwa umthambo, kwakhona kucetyiswa ukuba ukunxiba corset okhethekileyo, zokudada.
ukuphulula umzimba womntu ngobunono
Ngoko nangoko ndiya kuthi ukuba kwiimeko apho isigulane unesifo zokufota ixesha elide, kwaye kwikholam spinal ichazwa utshintsho lwezidumbu, yokuthanjiswa ukukunika iziphumo ezidibanisayo.
Xa bona zokufota yomqolo thoracic, yokuthanjiswa lwenziwa nge-akhawunti imbopheleleko yenu indlela deformation. Ngenxa yokuba kwelinye icala izihlunu arch scoliotic bakwimeko ilizwi rhoqo, lo therapist usebenzisa ubuchule ezikhuthaza lokuphumla. Kwelinye icala imicu izihlunu anaba kwaye buthathaka, ngoko kufuneka ayibobuchule yokuthanjiswa eyayiza kukhokelela ukuba sehlise nokuqinisa.
Kufuneka kuqatshelwe ukuba self-yokuthanjiswa for zokufota into contraindicated ngenxa amaqhinga yayo engagunyaziswanga ukuze bandiqumbise ukwanda koxinzelelo kwaye imoshe imeko yesigulane.
unyango zoqhaqho zokufota
Nangona izinga eliphezulu zezonyango namhlanje, zokufota kakhulu kunzima ukuba alungise. Unyango kakhulu ngempumelelo ukusetyenziswa implants yesinyithi.
ungenelelo Surgical yenziwa ngeendlela ezimbini:
1. umqolo vivo Front (okanye discectomy-level ezininzi ngokulungiswa deformation ngaxeshanye). utyando olunjalo olwenziwa phantsi Ukubulawa jikelele. Ezi ziphumo kangangoko emva kotyando - ukuhla kwi engile arc scoliotic of °-30 ukuya kuma-54.
2. Galpelviktraktsiya libambisene kunye nokulungiswa sengozini. Le ahlinzwe ngempumelelo nangakumbi kwaye inceda ukwehlisa ngumqolo ugoba engile ° 22.
Xa kwafunyaniswa zokufota yomqolo thoracic, unyango intsumpa kusoloko kunciphisa i elisemqolo ubambo. Isizathu kukuba emva eyandisiweyo isithuba operation intercostal, kunye uhlobo kunciphisa.
Eyona nto inzima ithathwa unyango zoqhaqho zokufota ebantwaneni, ngenxa yokuba umqolo yabo iyakhula rhoqo, kwaye ukusetyenziswa kwezakhiwo yesinyithi kungakhokelela ekubeni syndrome of "crankshaft". Kungenxa yoko le nto ukunyanga zokufota kubantwana phantsi isakhiwo ekhethekileyo eliguqukayo, leyo zingandiswa lokukhula yesigulane.
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