Qaws Npauj

Kyphosis yog qhov nkhaus ntawm nqaj qaum uas ua rau khoov los sis voos ncig ntawm nraub qaum. Qhov no ua rau ib qho hunchback lossis slouching hwj tau lub cev.

Kab mob qog tuaj yeem tshwm sim tsis hais hnub nyoog li cas, txawm hais tias nws yeej muaj tsawg thaum yug los.

Ib hom mob ntsws (kyphosis) uas tshwm sim rau cov tub hluas ntxhais hluas lub npe hu ua Kab mob Scheuermann. Nws tshwm sim los ntawm kab tshoob kev kos ua ke ntawm ntau cov pob txha ntawm lub nqaj qaum (pob txha caj qaum) uake. Cov ua kom muaj tus mob no tseem tsis tau paub. Kab mob qog kuj tseem tuaj yeem tshwm sim hauv cov tub hluas ntxhais hluas uas muaj mob hlwb.

Rau cov neeg laus, mob kyphosis tuaj yeem tshwm sim los ntawm:

• Cov kab mob sib txawv ntawm nqaj qaum (xws li mob caj dab lossis disk degeneration)
• Kev mob puas vim yog txha (osteoporotic compression fractures)
• Raug mob (kev raug mob)
• Txo tau ntawm ib tus vertebra rau pem hauv ntej rau lwm qhov (spondylolisthesis)

Lwm yam ua rau mob kyphosis suav nrog:

• Qee cov kab mob hormone (endocrine)
• Kev sib txuas ntawm cov leeg tsis xis nyob
• Kab mob (xws li mob ntsws)
• Cov leeg mob ua ke (cov pab pawg los ntawm kev mob caj ces tsis zoo uas ua rau cov leeg tsis muaj zog thiab poob ntawm cov leeg nqaij)
• Neurofibromatosis (kev tsis sib haum xeeb hauv cov qog cov hlab ntshav hlav)
• Kab mob Paget (kev tsis sib haum xeeb uas cuam tshuam txog kev puas tsuaj rau pob txha thiab rov ua dua tshiab)
• Kab mob polio
• Scoliosis (nkhaus ntawm nqaj qaum feem ntau zoo li C lossis S)
• Spina bifida (mob hlwb yug uas tus txha caj qaum thiab tus txha caj qaum tsis txhob kaw ua ntej yug)
• Lub pob hlav

Kev hnov ​​mob hauv nruab nrab lossis qis nraub qaum yog qhov tshwm sim ntau tshaj plaws. Lwm cov tsos mob yuav muaj xws li cov hauv qab no:

• Hloov rov qab tsos
• Cov leeg thiab tawv tawv hauv nqaj qaum
• Nkees
• Ua pa nyuaj (hauv rooj plaub loj)

Kev soj ntsuam lub cev los ntawm tus kws kho mob lees paub qhov nkhaus tsis zoo ntawm tus txha nraub qaum. Tus kws zov me nyuam tseem yuav xyuas saib puas muaj cov pauv ntshav ntawm lub paj hlwb (neurological). Cov no suav nrog qhov tsis muaj zog, tuag tes tuag taw, lossis hloov pauv ntawm qhov hnov ​​nyob hauv qab nkhaus. Koj tus kws kho mob tseem yuav tshawb xyuas qhov txawv ntawm koj qhov reflexes.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

• Spine xoo hluav taws xob
• Kev kuaj mob ntsws ntsig (yog hais tias kyphosis cuam tshuam kev ua pa)
• MRI (yog tias nws yuav muaj qog, kis tau, lossis cov tsos mob ntawm lub paj hlwb)
• Kuaj pob txha ceev (yog tias muaj pob txha txha)

Kev kho yog nyob ntawm qhov ua kom muaj kev kub ntxhov:

• Congenital kyphosis xav tau kev phais mob kom zoo thaum menyuam yaus.
• Tus kab mob Scheuermann yog kho tau nrog kev kho ib ncig thiab kho lub cev. Qee zaum yuav tsum muaj kev phais kom loj (ntau dua 60 degrees), nkhaus thaiv mob.
• Compression fractures los ntawm osteoporosis tuaj yeem nyob ib leeg yog tias tsis muaj teeb meem hauv lub paj hlwb lossis mob mob. Tabsis cov kws kho pob txha yuav tsum tau kho txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau ua pauj kev poob tom ntej Rau kev ua kom mob hnyav lossis mob los ntawm txha, phais mob yog ib qho kev xaiv.
• Kyphosis tshwm sim los ntawm kev kis mob lossis cov qog yuav tsum tau kho sai, feem ntau nrog kev phais mob thiab tshuaj.

Kev kho mob rau lwm hom mob ntsws (kyphosis) yog nyob ntawm vim li cas. Yuav tsum muaj kev phais mob yog tias cov tsos mob ntawm lub paj hlwb lossis cov tsos mob tas li.

Cov tub ntxhais hluas hluas uas muaj tus kab mob Scheuermann zoo li yuav ua tau zoo, txawm tias lawv xav tau kev phais mob. Tus kab mob yuav nres thaum lawv tso tseg tsis so. Yog hais tias tus mob kyphosis vim yog kev sib txuam txhaws los yog ntau qhov kev sib tsoo ntau, kev phais yog xav kho qhov tsis xws thiab txhim kho qhov mob.

Yog tsis kho tus mob kyphosis tuaj yeem ua rau ib qho twg ntawm cov hauv qab no:

• Tsawg dua qhov ua tau mob ntsws
• Disable rov qab mob
• Cov kab mob hauv lub paj hlwb, nrog rau ceg tsis muaj zog lossis tuag tes tuag taw
• Hloov rov qab deformity

Kho thiab tiv thaiv osteoporosis tuaj yeem tiv thaiv ntau tus neeg mob kyphosis rau cov neeg laus.Kev paub thaum ntxov thiab kev zaws rau tus kab mob Scheuermann tuaj yeem txo qhov kev xav tau kev phais mob, tab sis tsis muaj txoj hauv kev los tiv thaiv tus mob.

Kab mob Scheuermann; Thaub Laus; Hunchback; Hnav cov mob ntsws; Mob caj dab - kyphosis

• Pob txha taub hau
• Qaws Npauj

Deeney VF, Arnold J. Orthopedics. Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 22.

Magee DJ. Thoracic (dorsal) nqaj qaum. Hauv: Magee DJ, ed. Kev Ntsuas Lub Pob Puam Lub CevCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 8.

Warner WC, Sawyer JR. Tus mob Scoliosis thiab tus mob kyphosis. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chaaj 44.