I-Scoliosis

I-Scoliosis ukugoba okungavamile komgogodla. Umgogodla wakho uwumgogodla wakho. Igijima iqonde ngqo emhlane wakho. Umgogodla wawo wonke umuntu ngokwemvelo ugobe kancane. Kepha abantu abane-scoliosis banomgogodla ogobe kakhulu. Umgogodla ungabukeka njengohlamvu C noma uS.

Isikhathi esiningi, imbangela ye-scoliosis ayaziwa. Lokhu kubizwa nge-idiopathic scoliosis. Luhlobo oluvame kakhulu. Iqoqwe ngokweminyaka.

• Ezinganeni ezineminyaka engu-3 nangaphansi, kubizwa ngokuthi yi-infantile scoliosis.
• Ezinganeni ezineminyaka engu-4 kuya kwengu-10, ibizwa ngokuthi i-juvenile scoliosis.
• Ezinganeni ezineminyaka engu-11 kuya ku-18, ibizwa ngokuthi i-teenage scoliosis.

I-Scoliosis ivame ukuthinta amantombazane. Abanye abantu banamathuba amaningi okuthi babe nokugoba komgogodla. Ukujika ngokuvamile kuba kubi kakhulu ngesikhathi sokukhula.

Ezinye izinhlobo ze-scoliosis yilezi:

• I-Congenital scoliosis: Lolu hlobo lwe-scoliosis lukhona lapho kuzalwa. Kwenzeka lapho izimbambo zengane noma amathambo omgogodla engakheki kahle.
• I-Neuromuscular scoliosis: Lolu hlobo lubangelwa inkinga yesistimu yezinzwa ethinta imisipha. Izinkinga zingafaka i-cerebral palsy, muscular dystrophy, i-spina bifida, ne-polio.

Ngokuvamile, azikho izimpawu.

Uma kunezimpawu, zingafaka:

• Ubuhlungu beqolo noma iqolo elisehla emilenzeni
• Ubuthakathaka noma umuzwa okhathele emgogodleni ngemuva kokuhlala noma ukuma isikhathi eside
• Izinqe noma amahlombe angalingani (ihlombe elilodwa lingaphakama kunelinye)
• Ubuhlungu behlombe
• Umgogodla ujika ngaphezulu kolunye uhlangothi

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Uzocelwa ukuba ugobe phambili. Lokhu kwenza umgogodla wakho ubonakale kalula. Kungaba nzima ukubona izinguquko ezigabeni zokuqala ze-scoliosis.

Ukuhlolwa kungakhombisa:

• Elinye ihlombe liphakeme kunelinye
• Isinqe sitshekile

Ama-X-ray womgogodla ayenziwe. Ama-X-ray abalulekile ngoba ukugoqeka kwangempela komgogodla kungaba kubi kakhulu kunalokho udokotela wakho angakubona ngesikhathi sokuhlolwa.

Ezinye izivivinyo zingafaka:

• Isilinganiso sejika lomgogodla (ukuhlolwa kwe-scoliometer)
• Ama-X-ray womgogodla ukubona ukuthi i-curvature iguquguquka kanjani
  
• I-MRI yomgogodla
• I-CT scan yomgogodla ukubheka izinguquko zamathambo

Ukwelashwa kuncike ezintweni eziningi:

• Imbangela ye-scoliosis
• Lapho ijika likumgogodla wakho
• Likhulu kangakanani ijika
• Uma umzimba wakho usakhula

Iningi labantu abane-idiopathic scoliosis abadingi ukwelashwa. Kepha kusafanele uhlolwe udokotela njalo ezinyangeni eziyisithupha.

Uma usakhula, udokotela wakho angancoma ukubuyisela emuva. I-brace yangemuva ivimbela ukugoba okuqhubekayo. Kunezinhlobo eziningi ezahlukahlukene zama-brace. Uhlobo olutholayo luxhomeke kubukhulu nendawo yejika lakho. Umhlinzeki wakho uzokukhethela okuhle kakhulu futhi akubonise ukuthi uyisebenzisa kanjani. Ama-brace emuva angashintshwa njengoba ukhula.

Ama-back brace asebenza kahle kubantu abaneminyaka engaphezu kwengu-10. Ama-brace awasebenzi kulabo abane-scoliosis yokuzalwa noma ye-neuromuscular.

Ungadinga ukuhlinzwa uma ijika lomgogodla linzima noma liba libi ngokushesha okukhulu.

Ukuhlinzwa kuhilela ukulungisa ijika ngangokunokwenzeka:

• Ukuhlinzwa kwenziwa ngokusika ngemuva, esiswini, noma ngaphansi kwezimbambo.
• Amathambo omgogodla abanjwa endaweni enezinduku zensimbi ezi-1 noma ezi-2. Izinduku zibanjwa phansi ngezingwegwe nezikulufi kuze kuphole ithambo ndawonye.
• Ngemuva kokuhlinzwa, kungadingeka ukuthi ugqoke isibopho okwesikhashana ukugcina umgogodla unganyakazi.

Ukwelashwa kwe-Scoliosis kungafaka futhi:

• Ukusekelwa ngokomzwelo: Ezinye izingane, ikakhulukazi intsha, zingazenyeza lapho zisebenzisa isibopho sangemuva.
• Ukwelashwa ngokomzimba kanye nabanye ochwepheshe ukusiza ukuchaza ukwelashwa nokuqinisekisa ukuthi izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane zilingana kahle.

Funa ukwesekwa kanye nolwazi oluthe xaxa ezinhlanganweni ezigxile ku-scoliosis.

Ukuthi umuntu one-scoliosis wenza kahle kangakanani kuya ngohlobo, imbangela nobukhulu bejika. Lapho ugobile unamandla ngokwengeziwe, cishe kuzoba kubi nakakhulu lapho ingane iyeka ukukhula.

Abantu abane-scoliosis emnene benza kahle ngama-brace. Imvamisa abanazo izinkinga zesikhathi eside. Ubuhlungu bokubuyela emuva kungenzeka kakhulu uma umuntu ekhula.

Umbono walabo abane-neuromuscular or congenital scoliosis uyahluka. Bangaba nesinye isifo esibucayi, njenge-cerebral palsy noma i-muscular dystrophy, ngakho-ke izinhloso zabo zihluke kakhulu. Imvamisa, inhloso yokuhlinzwa ukuvumela nje ingane ukuthi ikwazi ukuhlala iqonde esihlalweni sabakhubazekile.

I-Congenital scoliosis kunzima ukuyelapha futhi imvamisa idinga ukuhlinzwa okuningi.

Izinkinga ze-scoliosis zingafaka:

• Izinkinga zokuphefumula (ku-scoliosis enzima)
• Ubuhlungu obuphansi emuva
• Ukuzethemba okuphansi
• Ubuhlungu obuqhubekayo uma kukhona ukuwohloka kwamathambo omgogodla
• Ukutheleleka komgogodla ngemuva kokuhlinzwa
• Umgogodla noma ukulimala kwezinzwa okuvela ejikeni elingalungisiwe noma ekuhlinzweni komgogodla
• Ukuvuza koketshezi lomgogodla

Shayela umhlinzeki wakho uma usola ukuthi ingane yakho kungenzeka ine-scoliosis.

Ukuhlolwa njalo kwe-scoliosis manje kwenziwa ezikoleni eziphakathi. Ukuhlolwa okunjalo kusize ukuthola i-scoliosis yokuqala ezinganeni eziningi. Ukuqiniswa kwemisipha yangemuva nasesiswini kungasiza ekuqiniseni ukugobeka.

Ukugoba komgogodla; I-Infantile scoliosis; I-juvenile scoliosis

• I-Anesthesia - okufanele ubuze udokotela wakho - ingane

• I-Scoliosis
• Umgogodla wamathambo
• I-Scoliosis
• Amajika omgogodla
• Izimpawu ze-scoliosis
• Phambili test bend
• I-Scoliosis brace
• Ukuhlanganiswa komgogodla

UMistovich RJ, uSpiegel DA. Umgogodla. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 699.

UNegrini S, uDi Felice F, uDonzelli S, uZaina F. Scoliosis kanye ne-kyphosis. Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 153.

Impela i-DR, uLaBagnara M, uSmith JS, uShaffrey CI. Ukukhubazeka komgogodla wezingane nokulungiswa kokukhubazeka. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 158.