UKyphosis

I-Kyphosis ukugoba komgogodla obangela ukugoba noma ukusonga emuva. Lokhu kuholela ekuzindeni kwe-hunchback noma slouching.

I-Kyphosis ingenzeka nganoma yisiphi isikhathi, yize kungavamile lapho kuzalwa.

Uhlobo lwe-kyphosis olwenzeka entsheni esencane lwaziwa njengesifo seScheuermann. Kubangelwa ukuhlangana ndawonye kwamathambo amaningi omgogodla (ama-vertebrae) ngokulandelana. Imbangela yalesi simo ayikaziwa. I-Kyphosis ingenzeka nentsha esencane ene-cerebral palsy.

Kubantu abadala, i-kyphosis ingabangelwa:

• Izifo eziwohlokayo zomgogodla (njenge-arthritis noma ukwehla kwediski)
• Ukwephuka okubangelwa i-osteoporosis (i-osteoporotic compression fractures)
• Ukulimala (ukuhlukumezeka)
• Ukushelela kwe-vertebra eyodwa phambili kwenye (i-spondylolisthesis)

Ezinye izimbangela ze-kyphosis zifaka:

• Izifo ezithile ze-hormone (endocrine)
• Izinkinga zezicubu ezixhumanayo
• Ukutheleleka (njengesifo sofuba)
• I-muscular dystrophy (iqembu lezinkinga ezizuzwe njengefa ezibanga ubuthakathaka bemisipha nokulahleka kwezicubu zemisipha)
• I-Neurofibromatosis (ukuphazamiseka lapho kwakhiwa khona izicubu zezicubu zomzimba)
• Isifo sePaget (ukuphazamiseka okubandakanya ukubhujiswa kwamathambo okungavamile nokubuyela esimweni)
• Uvendle
• I-Scoliosis (ukugoba komgogodla kuvame ukubukeka njenge-C noma i-S)
• ISpina bifida (ukukhubazeka kokuzalwa lapho umgogodla nomsele womgogodla ungavali ngaphambi kokuzalwa)
• Izimila

Ubuhlungu maphakathi noma emuva emuva uphawu oluvame kakhulu. Ezinye izimpawu zingafaka noma yikuphi okulandelayo:

• Ukubukeka okuyindilinga emuva
• Ubumnene nokuqina emgogodleni
• Ukukhathala
• Ukuphefumula kanzima (ezimweni ezinzima)

Ukuhlolwa ngokomzimba ngumhlinzeki wokunakekelwa kwezempilo kuqinisekisa ijika elingavamile lomgogodla. Umhlinzeki uzophinde afune noma yiziphi izinguquko zesistimu yezinzwa (zezinzwa). Lokhu kufaka phakathi ubuthakathaka, ukukhubazeka, noma izinguquko ekuzizweleni ngaphansi kwejika. Umhlinzeki wakho uzophinde ahlole umehluko emiqondweni yakho.

Izivivinyo ezinga-odwa zifaka:

• I-x-ray yomgogodla
• Ukuhlolwa komsebenzi wePulmonary (uma i-kyphosis ithinta ukuphefumula)
• I-MRI (uma kungaba khona isimila, ukutheleleka, noma izimpawu zesistimu yezinzwa)
• Ukuhlolwa kwesisindo samathambo (uma kungenzeka kube ne-osteoporosis)

Ukwelashwa kuya ngesizathu sokuphazamiseka:

• I-kyphosis yokuzalwa idinga ukuhlinzwa kokulungisa isencane.
• Isifo se-Scheuermann siphathwa nge-brace kanye nokwelashwa komzimba. Kwesinye isikhathi ukuhlinzwa kuyadingeka ngamakhulu (amakhulu kune-60 degrees), amajika abuhlungu.
• Ukucindezela ukuqhekeka okuvela e-osteoporosis kungashiywa kukodwa uma kungekho zinkinga zesistimu yezinzwa noma ubuhlungu. Kepha i-osteoporosis idinga ukwelashwa ukusiza ukuvimbela ukuqhekeka okuzayo. Ngokukhubazeka okukhulu noma ubuhlungu obuvela ku-osteoporosis, ukuhlinzwa kuyindlela yokukhetha.
• I-Kyphosis ebangelwa ukutheleleka noma isimila idinga ukwelashwa ngokushesha, imvamisa ngokuhlinzwa nangemithi.

Ukwelashwa kwezinye izinhlobo ze-kyphosis kuya ngesizathu. Ukuhlinzwa kuyadingeka uma izimpawu zesistimu yezinzwa noma ubuhlungu obungapheli bukhula.

Intsha esencane enesifo i-Scheuermann ijwayele ukwenza kahle, noma ngabe idinga ukuhlinzwa. Lesi sifo siyayeka uma ziyeka ukukhula. Uma i-kyphosis ingenxa yesifo esihlangene esiwohlokayo noma ukuphuka kokucindezelwa okuningi, kudingeka ukuhlinzwa ukuze kulungiswe isici futhi kuthuthukiswe nobuhlungu.

I-kyphosis engalashwa ingadala noma yikuphi okulandelayo:

• Ukwehla kwamandla emaphaphu
• Ukukhubaza ubuhlungu emuva
• Izimpawu zesistimu yezinzwa, kufaka phakathi ubuthakathaka bomlenze noma ukukhubazeka
• Ukukhubazeka okubuyiselwe emuva

Ukwelapha nokuvimbela i-osteoporosis kungavimbela amacala amaningi we-kyphosis kubantu abadala asebekhulile.Ukuxilongwa kusenesikhathi kanye nokubamba iqhaza kwesifo se-Scheuermann kunganciphisa isidingo sokuhlinzwa, kepha ayikho indlela yokuvikela lesi sifo.

Isifo seScheuermann; Roundback; I-Hunchback; I-postural kyphosis; Ubuhlungu bezintambo - kyphosis

• Umgogodla wamathambo
• UKyphosis

UDeeney VF, u-Arnold J. Orthopedics. UZitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.

Magee DJ. Umgogodla we-Thoracic (dorsal). Ku: Magee DJ, ed. Ukuhlolwa Komzimba Wamathambo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 8.

I-Warner WC, iSawyer JR. I-Scoliosis ne-kyphosis. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 44.