Tus Mob Scoliosis

Scoliosis yog qhov nkhaus ntawm nqaj qaum. Koj tus txha nraub qaum yog koj lub nraub qaum. Nws khiav ncaj nraim rau koj nraub qaum. Txhua tus txha nraub qaum ib txwm nkhaus me ntsis. Tab sis cov neeg muaj scoliosis muaj caj qaum uas nkhaus ntau dhau. Lub nraub qaum yuav zoo li tsab ntawv C lossis S.

Yuav luag txhua lub sijhawm, qhov ua rau ntawm scoliosis tsis paub txog. Qhov no yog hu ua idiopathic scoliosis. Nws yog hom feem ntau. Nws yog pawg raws hnub nyoog.

• Hauv cov menyuam hnub nyoog 3 thiab yau dua, nws hu ua scileosis infantile.
• Hauv cov menyuam hnub nyoog 4 txog 10 xyoo, nws hu ua hluas pob txha caj qaum.
• Hauv cov menyuam hnub nyoog 11 txog 18 xyoo, nws hu ua tus menyuam hluas scoliosis.

Tus mob Scoliosis feem ntau cuam tshuam rau cov ntxhais. Qee tus neeg feem ntau yuav muaj qhov nkhaus ntawm nqaj qaum. Kev nkhaus feem ntau yuav xum zuj zus thaum lub zog loj tuaj.

Lwm hom scoliosis yog:

• Congenital scoliosis: Tus mob scoliosis no tshwm sim thaum yug los. Nws tshwm sim thaum tus menyuam cov pob tw lossis lub pob txha caj qaum tsis ua kom zoo.
• Neuromuscular scoliosis: Hom no tshwm sim los ntawm teeb meem ntawm cov leeg hlwb uas cuam tshuam rau cov leeg. Cov teeb meem tuaj yeem suav nrog kev mob hlwb, mob nqaij pob txha, mob pob txha txha nqaj qaum, thiab mob polio.

Feem ntau, tsis muaj tsos mob dab tsi.

Yog tias muaj cov tsos mob, lawv yuav suav nrog:

• Mob nraub qaum lossis sab nraub qaum uas yog nqis tes qis
• Tsis muaj zog lossis nkees nkees hauv lub nqaj nraub qaum tom qab zaum lossis sawv ntev
• Lub duav tsis xws lossis lub xub pwg (ib lub xub pwg yuav siab dua lwm tus)
• Mob lub xub pwg
• Ntse qaij nkhaus ntau rau ib sab

Tus kws kho mob yuav kuaj xyuas lub cev. Koj yuav tau thov kom khoov mus tom ntej. Qhov no ua rau koj tus txha caj qaum pom yooj yim. Nws yuav nyuaj rau pom cov kev hloov pauv thaum nyuam qhuav pib ntawm scoliosis.

Qhov ntsuas yuav tuaj yeem qhia:

• Ib sab xub pwg yog siab dua lwm lub
• Lub plab mog qaij qaug

Xoo hluav taws xob ntawm nraub qaum yog ua tiav. Kev xoo hluav taws xob tseem ceeb heev vim tias qhov tiag tiag ntawm qhov nqaj qaum yuav mob heev dua qhov uas koj tus kws kho mob pom thaum kuaj.

Lwm yam kev ntsuam xyuas yuav suav nrog:

• Kev ntsuas tus txha nraub qaum (ntsuas scoliometer)
• Xoo hluav taws xob xoo qaum ntawm tus txha nraub qaum kom pom qhov hloov pauv sai npaum li cas
  
• MRI ntawm tus nqaj qaum
• CT scan ntawm tus txha nqaj qaum los saib qhov hloov pauv

Kev kho mob mas nyob ntawm ntau yam:

• Qhov ua rau ntawm scoliosis
• Qhov twg nkhaus yog nyob rau hauv koj tus txha nraub qaum
• Loj npaum li cas ntawm nkhaus
• Yog koj lub cev tseem tab tom hlob

Cov neeg feem coob uas muaj tus mob idiopathic scoliosis tsis xav tau kev kho mob. Tab sis koj tseem yuav tsum tau soj ntsuam los ntawm kws kho mob txog txhua txhua 6 lub hlis.

Yog tias koj tseem tab tom loj hlob, koj tus kws kho mob yuav pom zoo kom rov qab txham. Ib txoj phuam rov qab tiv thaiv ntxiv kev nkhaus. Muaj ntau yam sib txawv ntawm kev zawm hniav. Dab tsi uas koj tau txais yog nyob ntawm qhov loj me thiab qhov chaw ntawm koj txoj kev nkhaus. Koj tus kws kho mob yuav xaiv qhov zoo tshaj plaws rau koj thiab qhia koj siv nws. Cov tes rub rov qab tuaj yeem hloov kho raws li koj loj tuaj.

Cov leeg txha caj qaum ua haujlwm tau zoo tshaj plaws rau cov neeg muaj hnub nyoog 10. Cov hlua khi tsis ua hauj lwm rau cov neeg muaj tus mob txha caj qaum los yog neuromuscular.

Koj yuav tsum tau phais yog tias tus nqaj qaum qaum yog mob hnyav los yog mob heev sai sai.

Kev phais cuam tshuam nrog kev kho cov nkhaus ntau li ntau tau:

• Kev phais mob yog txiav nrog kev txiav los ntawm nraub qaum, thaj chaw hauv plab, lossis hauv qab.
• Lub pob txha caj qaum tau tuav nyob rau hauv qhov chaw nrog 1 lossis 2 tus pas hlau. Cov pas nrig tau tuav cia nrog hooks thiab screws kom txog thaum lub pob txha kho tau ua ke.
• Tom qab phais tas, koj yuav tsum hnav ib ce rau ib pliag kom txha caj qaum.

Scoliosis kev kho mob kuj yuav suav nrog:

• Kev txhawb zog siab: Qee tus menyuam yaus, tshwj xeeb tshaj yog cov hluas, yuav yog tus neeg paub txog tus kheej thaum siv caj dab rov los.
• Kev kho lub cev thiab lwm tus kws tshaj lij los pab piav qhia txog cov kev kho mob thiab paub tseeb tias cov brace haum kho tau

Nrhiav kev pabcuam thiab cov ntaub ntawv ntau ntxiv los ntawm cov koomhaum uas paub tshwj xeeb hauv scoliosis.

Tus neeg mob scoliosis zoo npaum li cas nyob ntawm hom, ua rau, thiab mob hnyav ntawm qhov nkhaus. Qhov hnyav dua qhov nkhaus, qhov yuav tshwm sim ntau dua tom qab tus menyuam nres zuj zus.

Cov neeg muaj mob me scoliosis ua tau zoo nrog kev zawm hniav. Lawv feem ntau tsis muaj teeb meem ntev ntev. Mob nraub qaum muaj feem ntau thaum tus neeg twg laus dua.

Outlook rau cov muaj neuromuscular lossis mob txha caj qaum mob txha hom sib txawv. Tej zaum lawv yuav muaj lwm yam kev mob loj ntxiv, xws li mob hlwb lossis mob leeg nqaij, ces lawv cov hom phiaj muaj ntau yam sib txawv. Feem ntau, lub hom phiaj ntawm kev phais mob tsuas yog cia tus menyuam tuaj yeem zaum ntawm lub rooj zaum muaj log.

Congenital scoliosis nyuaj kho thiab feem ntau yuav tsum tau phais ntau yam.

Teeb meem ntawm scoliosis tuaj yeem suav nrog:

• Cov teeb meem ua pa (hauv scoliosis hnyav)
• Tsawg rov qab mob
• Tsawg dua tus kheej
• Pheej mob yog tias nws hnav thiab tsim kua muag ntawm cov nqaj qaum
• Kev mob nraub qaum tom qab kev phais mob
• Kev mob hlwb lossis pob txha puas tsuaj los ntawm kev nkhaus tsis ua txawv txav lossis pob txha phais
• Xau ntawm txha nqaj qaum

Hu rau koj tus kws khomob yog koj xav tias koj tus menyuam muaj mob scoliosis.

Kev soj ntsuam kab mob scoliosis tam sim no tau ua hauv tsev kawm theem nrab. Cov kev kuaj li no tau pab pom muaj tus mob scoliosis rau ntau tus menyuam yaus. Tom qab thiab lub plab pob txha muaj zog tuaj yeem pab tsim kho lub nkhaus.

Cov leeg txha caj qaum; Cov menyuam mos scoliosis; Cov hluas scoliosis

• Tshuaj loog - dab tsi yuav nug koj tus kws kho mob - menyuam

• Tus Mob Scoliosis
• Pob txha taub hau
• Tus Mob Scoliosis
• Leeg nrob qaum
• Cov cim ntawm scoliosis
• Ncaj nraim mus kuaj
• Tus txhav txhav
• Cov pob txha caj qaum

Mistovich RJ, Spiegel DA. Lub nraub qaum. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 699.

Negrini S, Di Felice F, Donzelli S, Zaina F. Scoliosis thiab kyphosis. Hauv: Frontera WR, Nyiaj JK, Rizzo TD Jr, eds. Qhov tseem ceeb ntawm Cov Tshuaj Txhim Kho Lub Cev thiab Kev Kho Mob: Cov mob ntawm lub cev tsis meej, mob, thiab kho kom rov zooCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 153.

Muaj tseeb DR, LaBagnara M, Smith JS, Shaffrey CI. Pediatric pob txha caj qaum deformities thiab deformity kev kho. Hauv: Steinmetz MP, Benzel EC, eds. Benzel Tus Phais HloovCov. 4 tug ed. Philadelphia, PA: Elsevier; 2017: cha 158.