Mukati
Maladie de Scheuermann
Chii ?
Chirwere cheScheuermann chinoreva mamiriro emuzongoza akabatanidzwa nekukura kweskeleton iyo inokonzera deformation yemusana, kyphosis. Chirwere ichi, chine zita rachiremba weDanish uyo akachirondedzera muna 1920, chinoitika panguva yokuyaruka uye chinopa “kuzvimba” uye “kuvhima” chitarisiko kumunhu anenge abatwa. Inobata vana vane makore gumi kusvika gumi nemashanu, kazhinji vakomana kupfuura vasikana. Izvo zvipembenene zvinokonzerwa nekartilages uye vertebrae hazvigoneki, kunyange zvazvo chirwere chinomira kufambira mberi pakuguma kwekukura. Physiotherapy inobatsira munhu akabatwa kuchengetedza unyanzvi hwavo hwemotokari uye kuvhiyiwa kunogoneka chete mumhando dzakaoma zvikuru.
zviratidzo
Chirwere ichi kazhinji hachina symptomatic uye chinowanikwa sezvinei pa x-ray. Kuneta uye kuoma kwemhasuru zvinowanzova zviratidzo zvekutanga zvechirwere cheScheuermann. Zviratidzo zvinonyanya kuoneka pamwero wechikamu chezasi che dorsal spine (kana thoracic musana, pakati pemafudzi): yakawedzera kyphosis inoitika nekukura kwemapfupa uye cartilage uye arched deformation yemuzongoza inooneka, ichipa munhu akabatwa. “kuhwanda” kana “kuhunched” chitarisiko. Imwe bvunzo ndeyekutarisa iyo column muprofile apo mwana akasendamira mberi. Peak shape inooneka pachinzvimbo checurve pazasi pe thoracic spine. Iyo lumbar chikamu chemuzongoza inogona zvakare kuve yakaremara mukutendeuka kwayo uye scoliosis inoitika, mu20% yezviitiko, zvichikonzera kurwadziwa kwakanyanya. (1) Zvinofanira kuonekwa kuti zviratidzo zvetsinga hazviwanzoitiki, asi hazvibatanidzwi, uye kuti kurwadziwa kunokonzerwa hakuna kurongeka kuenzana nekupeta kwemusana.
Kwakatangira chirwere
Kwakabva chirwere cheScheuermann parizvino hachizivikanwi. Inogona kunge iri mechanical mhinduro kune kukuvara kana kudzokorora kushungurudza. Genetic factor inogonawo kunge iri pamavambo emapfupa uye cartilage fragility. Chokwadi, chimiro chemhuri chechirwere cheScheuermann chinotungamira vaongorori kune fungidziro yefomu yenhaka ine autosomal inotungamira kutapurirana.
Zvinhu zvinotyisa
Chimiro chekugara nemusana wakakotama chinofanira kudziviswa zvakanyanya sezvinobvira. Nokudaro, munhu anorwara nechirwere anofanira kusarudza basa risina kugara. Mutambo haufanirwe kurambidzwa asi chinhu chinowedzera kana chiri chisimba uye chinoshungurudza muviri wose uye musana kunyanya. Mitambo yakapfava yakadai sekushambira kana kufamba inofanirwa kufarirwa.
Kudzivirira uye kurapwa
Kurapa kwechirwere cheScheuermann kunosanganisira kusunungura musana, kudzora kushanduka kwayo, kuvandudza chimiro chemunhu anenge abatwa uye, pakupedzisira, kuderedza kukuvara nemarwadzo anokonzerwa. Dzinofanira kushandiswa nokukurumidza sezvinobvira munguva yekuyaruka.
Occupational therapy, physiotherapy uye ultrasound, infrared chiedza uye electrotherapy kurapwa kunobatsira kuderedza marwadzo ekudzokera shure uye kuoma uye kuchengetedza unyanzvi hwakanaka hwemotokari mumakumbo epamusoro nepamusoro. Mukuwedzera kune aya matanho ekuchengetedza, ihwowo mubvunzo wekushandisa masimba kuedza kutambanudza kyphosis kana kukura kusati kwapera: nekusimbisa mhasuru dzemusana nedumbu uye, kana curvature yakakosha , nekupfeka orthosis ( corset). Kutwasanudzwa kwemusana nekupindira kwekuvhiya kunongokurudzirwa mumhando dzakaoma, kureva kuti kana kyphosis yakavharidzirwa yakakura kudarika 60-70 ° uye mishonga yapfuura haina kuita kuti zvibvirire munhu wacho.