Kyphosis

Kyphosis ke ho kobeha ha mokokotlo ho bakang ho khumama kapa ho pota mokokotlo. Sena se lebisa boemong ba ho tsoma kapa ho robala.

Kyphosis e ka hlaha ka nako efe kapa efe, leha e le ntho e sa tloaelehang ha motho a hlaha.

Mofuta oa kyphosis o hlahang ho bacha o tsejoa e le lefu la Scheuermann. E bakoa ke ho kopana ha masapo a 'maloa a mokokotlo (vertebrae) ka tatellano. Ha ho tsejoe sesosa sa boemo bona. Kyphosis e ka hlaha hape ho bacha ba lilemong tsa bocha ba nang le lefu la boko.

Ho batho ba baholo, kyphosis e ka bakoa ke:

• Maloetse a fokolang a mokokotlo (joalo ka ramatiki kapa ho senyeha ha disk)
• Ho robeha ha maikutlo ho bakoang ke lefu la masapo (lefu la ho hatelloa ha masapo a mabeli)
• Kotsi (khatello ea maikutlo)
• Ho thella ha vertebra e le 'ngoe ho ea ho e' ngoe (spondylolisthesis)

Lisosa tse ling tsa kyphosis li kenyelletsa:

• Maloetse a itseng a li-hormone (endocrine)
• Mathata a amanang le lisele
• Tšoaetso (joalo ka lefuba)
• Muscular dystrophy (sehlopha sa mathata a futsitsoeng a bakang bofokoli ba mesifa le tahlehelo ea lisele tsa mesifa)
• Neurofibromatosis (bothata boo lihlahala tsa methapo ea kutlo li thehoang ho tsona)
• Lefu la Paget (lefu le amanang le tšenyo e sa tloaelehang ea masapo le ho hlaphoheloa hape)
• Pholio
• Scoliosis (ho kobeha ha mokokotlo hangata ho shebahala joalo ka C kapa S)
• Spina bifida (sekoli sa tsoalo moo mokokotlo le kanale ea mokokotlo li sa koaloeng pele ho tsoalo)
• Lihlahala

Bohloko bo bohareng kapa bo ka morao ke letšoao le tloaelehileng haholo. Matšoao a mang a ka kenyelletsa efe kapa efe ea tse latelang:

• Ponahalo e chitja ka morao
• Bonolo le ho satalla mokokotlong
• Mokhathala
• Ho phefumoloha ho thata (maemong a boima)

Ho hlahlojoa ke 'mele ke mofani oa tlhokomelo ea bophelo ho netefatsa ho kobeha ho sa tloaelehang ha mokokotlo. Mofani oa thepa o tla batla liphetoho tse ling tsa methapo ea kutlo. Tsena li kenyelletsa bofokoli, ho shoa litho, kapa liphetoho tsa maikutlo a ka tlase ho lekhalo. Mofani oa hau o tla hlahloba liphapang tsa maikutlo a hau.

Liteko tse ka laeloang li kenyelletsa:

• X-ray ea mokokotlo
• Liteko tsa tšebetso ea pulmonary (haeba kyphosis e ama ho hema)
• MRI (haeba ho ka ba le hlahala, tšoaetso, kapa matšoao a tsamaiso ea methapo)
• Teko ea letsoalo la masapo (haeba ho ka ba le lefu la masapo)

Kalafo e ipapisitse le sesosa sa lefu lena:

• Congenital kyphosis e hloka ho etsoa opereishene e lokisang bonyenyaneng.
• Lefu la Scheuermann le alafshoa ka moroko le kalafo ea 'mele. Ka linako tse ling ho hlokahala opereishene bakeng sa li-curve tse kholo (tse fetang li-degree tsa 60).
• Ho robeha ha maikutlo ho tsoang ho masapo ho ka sala ho le mong haeba ho se na mathata a tsamaiso ea methapo kapa bohloko. Empa lefu la masapo le hloka ho phekoloa ho thusa ho thibela ho robeha ha nako e tlang. Bakeng sa ho holofala kapa bohloko bo bakoang ke lefu la masapo, ho buuoa ke khetho.
• Kyphosis e bakoang ke tšoaetso kapa hlahala e hloka kalafo e potlakileng, hangata ka ho buuoa le meriana.

Kalafo ea mefuta e meng ea kyphosis e ipapisitse le sesosa. Ho hlokahala opereishene haeba matšoao a tsamaiso ea methapo kapa bohloko bo sa feleng bo hlaha.

Bacha ba bacha ba nang le lefu la Scheuermann ba tloaetse ho sebetsa hantle, leha ba hloka ho buuoa. Lefu lena le emisa hang ha li khaotsa ho hōla. Haeba kyphosis e bakoa ke lefu le kopaneng la mmele kapa ho robeha ha khatello ea maikutlo makhetlo a mangata, ho hlokahala ho buuoa ho lokisa sekoli le ho ntlafatsa bohloko.

Kyphosis e sa sebetsanoeng e ka baka e 'ngoe ea tse latelang:

• Ho fokotsa matla a matšoafo
• Ho holofatsa bohloko ba mokokotlo
• Matšoao a sistimi ea methapo, ho kenyelletsa bofokoli ba leoto kapa ho holofala
• Ho holofala ha mokokotlo

Ho phekola le ho thibela lefu la masapo ho ka thibela maemo a mangata a kyphosis ho batho ba baholo.Ho fumana lefu la Scheuermann kapele le ho itšireletsa ho ka fokotsa tlhoko ea ho buuoa, empa ha ho na mokhoa oa ho thibela lefu lena.

Lefu la Scheuermann; Roundback; Mokokotlo; Poso kyphosis; Bohloko ba molala - kyphosis

• Mokokotlo oa masapo
• Kyphosis

Deeney VF, Arnold J. Orthopedics. Zitelli BJ, McIntire SC, Nowalk AJ, li-eds. Zitelli le Davis ’Atlas of Pediatric Physical Diagnosis. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 22.

Magee DJ. Mokokotlo oa mokokotlo. Ka: Magee DJ, ed. Tlhahlobo ea 'mele ea Orthopedic. La 6th. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 8.

Warner WC, Sawyer JR. Scoliosis le kyphosis. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 44.