Txhua tus tib neeg spines muaj qhov nkhaus ib txwm nyob hauv tus qauv zoo li S, tab sis qee zaum tsis zoo ib yam (ib sab) nkhaus tsim, uas hu ua scoliosis. Scoliosis feem ntau tshwm sim thaum tseem hluas tsis paub vim li cas, txawm hais tias nws tseem tuaj yeem pib tom qab hauv lub neej thaum laus. Kev kuaj mob tus neeg laus scoliosis zoo ib yam rau kev kuaj mob thaum yau, tab sis qhov ua rau tus mob tuaj yeem qee zaum txawv.
Cov kauj ruam
Ntu 1 ntawm 3: Pom Cov Cim thiab Cov tsos mob ntawm Scoliosis hauv Tsev
Kauj Ruam 1. Saib rau lub xub pwg tsis ncaj
Muaj ntau qhov cim ntawm lub cev uas tuaj yeem qhia pom tias muaj tus mob scoliosis. Vim tias feem ntau ntawm scoliosis cuam tshuam rau nruab nrab-rau-sab nraub qaum (hu ua thoracic qaum), qib xub pwg tsis sib xws yog ib qho cim tshwm sim. Saib hauv daim iav nrog koj lub tsho tawm, so koj txhais caj npab, thiab saib yog tias koj lub xub pwg nyom tsis ncaj.
- "Humping" ntawm lub xub pwg hniav (ib qho uas tawm ntau dua) kuj tseem muaj nrog thoracic scoliosis. Khoov ntawm lub duav nrog koj lub tsho tawm thiab nug tus phooj ywg lossis tus neeg hauv tsev saib seb puas muaj ib lub xub pwg hniav tuaj ntau dua.
- Koj cov tav kuj tseem tuaj yeem cuam tshuam vim yog scoliosis, uas tuaj yeem ua rau koj lub xub pwg hniav tuaj yeem cuam tshuam ib yam.
- Nco ntsoov tias lub xub pwg nyom tsis sib xws kuj tseem muaj qee yam ntawm cov neeg ncaws pob uas siv ib txhais caj npab txhua lub sijhawm, xws li ntaus pob tesniv thiab ntaus pob ntaus pob.
Kauj Ruam 2. Saib rau lub taub hau uas tsis nyob hauv nruab nrab
Ntxiv rau lub xub pwg nyom tsis sib xws, saib rau lwm yam cim ntawm asymmetry hauv koj lub cev, xws li koj lub taub hau nyob nruab nrab ntawm koj lub cev lossis lub plab. Ob leeg thoracic thiab lumbar (qis nraub qaum) scoliosis ua rau lub cev qoj ib ce uas feem ntau tuaj yeem pom nyob rau hauv yuav ua li cas lub taub hau nyob hauv qhov seem ntawm lub cev.
- Vim yog cov tswv yim los ntawm qhov muag pom ntawm koj lub hlwb, koj lub taub hau feem ntau yog qib ua tiav, yog li yog nws zoo li koj nyob ntawm ib sab lossis nkhaus, qhov teeb meem yuav tshwm sim hauv koj lub cev (feem ntau yog koj tus txha nraub qaum).
- Sawv ntsug ntawm daim iav thiab muaj phooj ywg lossis ib tus neeg hauv tsev thaij duab ntawm koj hauv chav da dej. Saib daim duab kom pom cov cim ntawm kev khoov lossis asymmetry cuam tshuam nrog koj lub taub hau.
Kauj Ruam 3. Ntsuas qhov sib npaug ntawm koj lub duav / lub plab
Scoliosis hauv cheeb tsam qis dua lossis thaj tsam lumbar ntawm tus txha nraub qaum cuam tshuam qhov sib npaug thiab sib npaug ntawm koj lub plab. Ib sab yuav raug tsa thiab saib tsis zoo, uas ua rau koj lub duav tsis sib xws. Sawv ntsug ntawm daim iav nrog lub ris lossis luv luv xwb. Muab koj txhais tes tso rau saum koj lub duav ntawm ob sab ntawm koj cov pob txha pob txha (iliac crests) thiab saib seb lawv puas zoo ib yam.
- Txawm hais tias lub nraub qaum rov qab nrog lub xub pwg nyom tsis sib xws feem ntau tuaj yeem zais nrog cov khaub ncaws, lub plab tsis sib haum/lub duav yog feem ntau pom tseeb rau cov neeg saib, uas tuaj yeem ua rau koj mob siab rau nws.
- Lub duav tsis sib xws cuam tshuam li cas lub ris zaum ntawm koj lub duav, uas cuam tshuam rau tus txheeb ze txhais ceg ntev ntawm lub ris. Yog li, cov neeg uas muaj tus mob scoliosis feem ntau pom tias ib ceg ceg luv dua lwm tus. Qee tus neeg txawm pom tias ib txhais ceg zoo li ntev dua lwm tus.
Kauj Ruam 4. Xav txog koj keeb kwm ntawm kev hloov ntawm daim tawv nqaij
Txawm hais tias kev hloov pauv ntawm daim tawv nqaij tsis tshwm sim hauv txhua kis ntawm scoliosis, qee tus neeg muaj kev hloov pauv tawv nqaij thaum ntxov hauv lub neej thiab tom qab ntawd txhim kho scoliosis tom qab. Yog tias qhov tsos lossis kev ntxhib los mos ntawm koj cov tawv nqaij hla koj tus txha nraub qaum ua rau me me, thaj ua plaub hau, qhov ntxhib thiab/lossis xim txawv txav, cov no tuaj yeem yog cov cim ntawm kev ua tsis zoo, lossis kev txhim kho txawv txav ntawm tus txha caj qaum thiab lub paj hlwb. Txawm li cas los xij, kev hloov pauv ntawm daim tawv nqaij feem ntau tshwm sim thaum ntxov hauv lub neej thiab ua rau scoliosis thaum tseem hluas.
- Nug koj tus txij nkawm lossis tus phooj ywg los tshuaj xyuas daim tawv nqaij ntawm koj lub nraub qaum nyob hauv qhov pom kev zoo. Kom lawv coj daim duab daws teeb meem siab thiab saib lossis nthuav tawm rau tus kws kho mob dermatologist rau kev pom zoo.
- Lwm qhov ua rau muaj kev hloov pauv ntawm daim tawv nqaij nyob tom nraub qaum tuaj yeem suav nrog mob caj dab, mob hauv qab, mob qog noj ntshav ntawm lub hnub ntau dhau thiab hloov pauv hormonal.
Kauj Ruam 5. Ceev faj txog qhov mob txha nraub qaum tas mus li
Cov neeg feem coob uas tsim idiopathic scoliosis, uas txhais tau tias los ntawm qhov tsis paub vim li cas, tsis hnov ntau lossis muaj mob los ntawm tus mob. Txawm li cas los xij, nruab nrab ntawm 20-25% ntawm cov neeg uas muaj tus mob scoliosis idiopathic hnov mob, uas feem ntau piav raws li qhov mob ib txwm nyob rau ib hnub raug ntaus los ntawm kev mob hnyav nrog mob hnyav.
- Sab nraub qaum lossis mob nraub qaum uas tsis zoo dua lossis ploj mus li ntawm ib lub lim tiam yuav tsum tau saib xyuas los ntawm kws tshaj lij kev noj qab haus huv. Yog tias koj tseem muaj ib qho ntawm cov cim qhia saum toj no, tom qab ntawd scoliosis yog qhov ua tau.
- Kev kho tus kheej (chiropractic, kho lub cev, zaws) tsis ua rau muaj kev cuam tshuam ntev mus rau qhov mob nraub qaum los ntawm scoliosis.
- Cov neeg laus scoliosis tshwm sim los ntawm kev mob qog noj ntshav, qog nqaij hlav, mob txha nraub qaum thiab/lossis mob leeg muaj qhov mob ntau dua piv rau idiopathic scoliosis uas pib thaum tseem hluas.
Ntu 2 ntawm 3: Nrhiav Kev Tshawb Fawb Txog Kab Mob Scoliosis
Kauj Ruam 1. Teem sijhawm nrog koj tus kws kho mob hauv tsev
Yog tias koj pom ib qho ntawm cov lus qhia lossis cov tsos mob saum toj no, mus ntsib koj tus kws kho mob thiab mob siab rau kom tau txais kev kuaj mob kom raug. Koj tus kws kho mob yuav tshuaj xyuas koj lub nraub qaum, tom qab xoo hluav taws xob txhawm rau txhawm rau txheeb xyuas qhov mob scoliosis lossis lwm yam mob. Kev tshuaj ntsuam xyuas scoliosis suav nrog tag nrho qhov ntev, tag nrho cov kab xoo hluav taws xob txhawm rau txhawm rau pom kev nkhaus thiab ntsuas hauv qib.
- Kev ntsuas tus qauv siv los ntawm cov kws kho mob thiab kws saib xyuas neeg mob feem ntau los tshuaj xyuas kab mob scoliosis yog hu ua Adas's Forward Bend Test - tus neeg khoov rau pem hauv ntej 90 degrees ntawm lub duav thiab qhov sib npaug ntawm lawv lub nraub qaum thiab xub pwg raug tshuaj xyuas.
- Txoj kab nkhaus raug ntsuas ntawm xoo hluav taws xob los ntawm Cobb Method thiab kuaj mob ntawm scoliosis yog tias nws siab dua 10 degrees.
- Ib qho MRI lossis CT scan kuj tseem yuav pom zoo yog tias muaj kev txhawj xeeb txog kev txha caj qaum txhaws lossis lwm yam txawv txav.
Kauj Ruam 2. Pom koj tus kws kho mob txhawm rau kuaj mob txha nraub qaum
Lwm hom kws kho mob uas tau kawm paub zoo txog teeb meem ntawm tus txha nqaj qaum thiab kho yog chiropractors. Koj tus kws kho mob hauv tsev neeg yuav tsis yooj yim los tshuaj xyuas thiab txheeb xyuas teeb meem hauv koj lub nraub qaum vim tsis muaj kev paub lossis kev qhia paub, yog li koj tus kws kho mob pob txha tuaj yeem yog lwm txoj hauv kev zoo. Chiropractors tseem ua qhov kev kuaj mob txha nraub qaum, kuaj cov pob txha thiab ua kom lub cev txha nraub qaum xoo hluav taws xob ua ntej ntsuas qhov mob.
- Feem ntau, txoj kab nkhaus scoliotic ntawm tus nqaj qaum tsuas yog txiav txim siab hauv tsev kho mob yog tias nws ntau dua li 25 txog 30 degrees.
- Kev kho tus txha nqaj qaum thiab lwm yam kev kho mob uas muaj feem cuam tshuam (xws li kev txhawb nqa cov leeg hluav taws xob) tuaj yeem muab sijhawm luv rau cov neeg uas muaj scoliosis, tab sis nws tsis kho lossis daws qhov teeb meem.
Kauj Ruam 3. Tau txais kev xa mus rau kws kho mob orthopedic
Tus kws kho mob orthopedic yog tus kws tshwj xeeb pob txha thiab sib koom tes uas tseem tuaj yeem kuaj mob ntawm cov neeg laus scoliosis. Koj tus kws kho mob hauv tsev neeg tuaj yeem xa koj mus rau ib tus uas mob siab rau mob txha nraub qaum yog tias koj tus mob scoliosis tshwm sim nruab nrab-rau-hnyav. Tshwj xeeb tshaj yog, txoj kab nkhaus scoliotic ntau dua 45 txog 50 degrees tau muab cais ua qhov hnyav thiab feem ntau xav tau kev kho mob hnyav dua, xws li cov txheej txheem phais mob.
- Kev phais txha nraub qaum rau cov neeg laus qee zaum pom zoo thaum lawv txoj kab nkhaus ntau dua 50 degrees thiab lawv muaj cov hlab ntsha puas tsuaj uas cuam tshuam rau lawv ob txhais ceg, lub plab thiab/lossis zais zis.
- Kev phais tuaj yeem cuam tshuam tus txha nqaj decompression, fusion thiab/lossis ntxig cov pas hlau txhawm rau txhawm rau txha nraub qaum. Ribs kuj tseem yuav raug tshem tawm kom tso pa yooj yim dua.
- Kev hnav tus txha nqaj qaum tsuas yog ua tau zoo rau cov menyuam yaus uas muaj tus mob scoliosis uas tsis tau txog lub cev pob txha. Nrog rau cov neeg laus, lawv tus txha nqaj qaum tau nres loj hlob, yog li bracing tsis muaj txiaj ntsig.
Ntu 3 ntawm 3: Nkag Siab Qhov Ua Rau
Kauj Ruam 1. Nkag siab tias feem ntau tsis tau kuaj pom los ntawm menyuam yaus
Cov neeg laus scoliosis feem ntau yog tshwm sim los ntawm kev kho lossis tsis paub qhov tseeb ntawm menyuam yaus scoliosis. Yog tias qhov ua rau ntawm tus txha nqaj qaum thaum tseem tsis tau paub, nws hu ua idiopathic scoliosis thiab pawg no suav nrog txog 80% ntawm txhua kis. Yog tias koj yug los nrog tus mob, nws raug xa mus ua tus menyuam yaus scoliosis. Feem ntau cov menyuam hauv plab tseem yog idiopathic.
- Ib qho piv txwv uas ib txwm ua los ntawm scoliosis suav nrog spina bifida, nqaij leeg dystrophy thiab lub paj hlwb tuag tes tuag taw.
- Kwv yees li 40% ntawm cov neeg mob scoliosis laus tau ntsib tsawg kawg ntawm kev txhim kho me me ntawm lawv cov nqaj qaum.
Kauj Ruam 2. Ceev faj yog tias koj mob caj dab
Txawm hais tias feem ntau ntawm cov neeg laus ntawm tus mob scoliosis yog ob qho tib si thaum yug thiab idiopathic, txog li 20% ntawm cov neeg mob tshwm sim los ntawm kev paub tsis zoo ntawm tus txha nraub qaum, xws li mob caj dab. Hom kab mob sib kis feem ntau ntawm tus txha nqaj qaum yog "hnav thiab rhuav" hom hu ua osteoarthritis, uas feem ntau cuam tshuam rau qis qis nraub qaum vim tias nws hnyav ntau tshaj los ntawm lub cev sab saud. Osteoarthritis ntawm tus txha nraub qaum cuam tshuam rau cov neeg feem coob (rau qib sib txawv) laus dua hnub nyoog 55 xyoos.
- Cov discs thiab cov pob qij txha txuas lub lumbar vertebrae feem ntau hnav nrog lub hnub nyoog, thiab qee zaum tsis xwm yeem, uas ua rau muaj npe nyob ib sab lossis scoliosis thiab tsis sib xws lub duav / lub plab. Qhov no tuaj yeem pom yooj yim ntawm x-rays.
- Koj txoj kev pheej hmoo ntawm kev txhim kho pob txha txha caj qaum yog ntau dua yog tias koj rog dhau, nyob tsis tswm, ua ntau zaum, thiab noj zaub mov tsis zoo uas tsis muaj cov zaub mov, vitamins thiab protein ntau.
- Kev mob caj dab hnyav tuaj yeem kho nrog cov txheej txheem phais mob uas fuse thiab ncaj tus txha nraub qaum.
Kauj Ruam 3. Saib rau pob txha txha nqaj qaum
Lwm qhov ua rau qis qis ntawm cov neeg laus scoliosis yog pob txha (poob pob txha pob txha) ntawm tus nqaj qaum. Osteoporosis feem ntau cuam tshuam rau sab nraub qaum thoracic, thiab vim nws ua rau cov pob txha tawg, lub vertebrae nyob ntawd nws thiaj li tawg thiab tawg. Feem ntau cov pob txha txha nqaj qaum ua rau lub nraub qaum pom, thiab qee zaum vim yog kev sib tsoo tsis sib xws, tus txha nraub qaum kuj tseem teev rau sab (ib sab) los tsim cov pob txha.
- Osteoporosis muaj ntau dua nyob hauv Caucasian thiab Asian cov poj niam nrog me me (nyias) tsim, tshwj xeeb tshaj yog cov uas nyob tsis tswm thiab tsis tawm dag zog ntau.
- Qhov tsis muaj zaub mov noj, tshwj xeeb tshaj yog cov calcium thiab vitamin D, ua rau koj muaj kev pheej hmoo txhim kho pob txha.
- Osteoporotic txha nraub qaum kuj tuaj yeem pom yooj yim ntawm xoo hluav taws xob thiab kuaj pom los ntawm koj tsev neeg kws kho mob lossis kws kho mob pob txha.
- Kev kho mob suav nrog cov txheej txheem phais, ua kom hnyav hnyav thiab noj zaub mov kom zoo.
Lub tswv yim
- Scoliosis cuam tshuam ntawm 2 txog 3% ntawm cov neeg Asmeskas, uas suav nrog kwv yees li ntawm rau rau cuaj lab tus tib neeg.
- Hnub nyoog pib rau scoliosis feem ntau yog hnub nyoog 10 txog 15 xyoos, txawm hais tias nws tuaj yeem txhim kho thaum tseem hluas thiab neeg laus.
- Scoliosis cuam tshuam rau txiv neej thiab poj niam txog kev sib npaug, txawm hais tias cov poj niam hluas muaj kev pheej hmoo ntau dua (yim npaug ntau dua) ntawm kev tsim kho ntau dua thiab ua rau lub cev tsis zoo.
- Scoliotic nkhaus ntau dua 100 degrees hauv cov neeg laus tsis tshua muaj, tab sis lawv tuaj yeem ua rau muaj kev phom sij rau lub neej yog tias tus txha nqaj qaum thiab tav tav sib tw txaus kom lub plawv thiab lub ntsws tsis ua haujlwm zoo.
