Kyphosis

Kyphosis kahi ʻōwili o ke kuamoʻo e kumu i ke kūlou a i ʻole ke kolokolo ʻana o ke kua. Ke alakaʻi nei kēia i kahi kūka huki a i ʻole slouching postur.

Hiki i Kyphosis ke hana i kēlā me kēia makahiki, ʻoiai he kakaikahi ia i ka wā hānau.

ʻO kekahi ʻano o ka kyphosis e kū ana i nā ʻōpio ʻōpio i kapa ʻia ʻo Scheuermann maʻi. Hoʻokumu ʻia ia e ka male ʻana o kekahi iwi o ka iwi kuamoʻo (vertebrae) i ka lālani. ʻAʻole ʻike ʻia ke kumu o kēia ʻano. Hiki pū kekahi ke Kyphosis i nā ʻōpio ʻōpio i loaʻa i ka lolo lolo.

I nā mākua, hiki ke hoʻokumu ʻia ke kyphosis e:

• Nā maʻi degenerative o ka iwi kuamoʻo (e like me ka maʻi kōā a me ka hoʻohaʻahaʻa disk)
• Nā ʻāpana i hoʻokumu ʻia e ka osteoporosis (haʻihaʻi osteoporotic compression)
• Ka hōʻeha (trauma)
• Pāheʻe i kekahi vertebra i mua ma kahi (spondylolisthesis)

Nā kumu ʻē aʻe o ka kyphosis:

• ʻO kekahi mau maʻi hormone (endocrine)
• Nā maʻi maʻi pili
• Maʻiʻaʻai (e like me tuberculosis)
• Muscular dystrophy (pūʻulu o nā maʻi i hoʻoili ʻia e kumu i ka nāwaliwali o nā mākala a me ka nalo ʻana o nāʻiʻo muscle)
• Neurofibromatosis (maʻi ma loko o nā aʻa aʻa nerve e kū ai)
• ʻO ka maʻi Paget (maʻi e pili ana i ka luku a me ka ulu hou ʻana o ka iwi)
• Polio
• ʻO Scoliosis (ke nānā pinepine ʻia o ka iwi kuamoʻo e like me C a S)
• Spina bifida (hānau kīnā ʻole i pili ka iwi ʻaoʻao a me ka ʻōiwi i mua o ka hānau ʻana)
• Nā Tumors

ʻO ka ʻeha ma ka waena a i ʻole ke kua i lalo ka hōʻailona maʻamau. Hiki i nā ʻōuli ʻē aʻe ke hoʻopili i kekahi o kēia:

• Poepoe hope hiʻohiʻona
• Ka palupalu a me ka ʻoʻoleʻa i ka iwi kuamoʻo
• Ka luhi
• Hanu paʻakikī (i nā hihia koʻikoʻi)

ʻO ka hoʻokolokolo kino ʻana e ka mea mālama ola e hōʻoia ai i ka piko ʻole o ka iwi kuamoʻo. E nānā pū ka mea hāʻawi i nā loli ʻōnaehana (neurological). Hoʻopili kēia i ka nāwaliwali, lōlō, a i ʻole nā ​​loli i ka sensation ma lalo o ka piko. E nānā pū kāu mea hāʻawi i nā ʻokoʻa i kāu reflexes.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Spine x-ray
• Nā ho'āʻo hana pulmonary (inā pili ka kyphosis i ka hanu)
• MRI (inā paha he tumo, maʻi, a i ʻole ʻōuli ʻōnaehana ʻōnaehana)
• Hōʻaʻo hoʻohiwi iwi (inā paha he osteoporosis)

Pili ka mālama ʻana i ke kumu o ka maʻi.

• Pono nā kyphosis e hiki ai ke hoʻoponopono i ka wā ʻōpio.
• Lapaʻau ʻia ka maʻi ʻo Scheuermann me ka brace a me ka physical therapy. I kekahi manawa pono ka ʻoki no ka nui (ʻoi aku ma mua o 60 kekelē), ʻūlū ʻeha.
• Hiki ke waiho wale ʻia nā haʻihaʻi compression mai ka osteoporosis inā ʻaʻohe pilikia ʻōnaehana a me nā ʻeha. Akā pono e mālama ʻia ka osteoporosis e kōkua ai i ka pale ʻana i nā haʻihaʻi o ka wā e hiki mai ana. No ka deformity koʻikoʻi a i ʻole ʻeha mai ka osteoporosis, he koho ke ʻoki.
• Kyphosis kena ae la i ka maʻi 'ole a me ka puʻupuʻu pono ke kōkua koke, pinepine me ka ʻoki kino a me nā lāʻau.

ʻO ka mālama ʻana no nā ʻano kyphosis ʻē aʻe e pili ana i ke kumu. Pono ke ʻoki kino inā ulu nā ʻōuli ʻōnaehana a i ʻole ka ʻeha mau.

ʻO nā ʻōpio ʻōpio me Scheuermann maʻi e hana maikaʻi, ʻoiai inā pono lākou i kahi ʻoki. Kū ka maʻi i ka manawa a pau lākou i ka ulu. Inā ke kyphosis ma muli o ka degenerative ami maʻi a i ʻole he mau compression haʻi, pono ke ʻoki e hoʻoponopono i ka kīnā a hoʻomaikaʻi i ka ʻeha.

Kyphosis untreated hiki i kekahi o kēia mau mea:

• Ka emi o ka mana māmā
• Ka hoʻopau ʻole ʻana i ka ʻeha hope
• Nā ʻōnaehana ʻōnaehana hopohopo, e like me ka nāwaliwali o ka wāwae a i ʻole ka palapū
• Poepoe hoʻi deformity

ʻO ka mālama ʻana a me ka pale ʻana i ka osteoporosis hiki ke pale i nā hihia he nui o ka kyphosis i nā mākua makua.ʻO ka hōʻailona mua a me ka hoʻopaʻa ʻana no ka maʻi Scheuermann hiki ke hōʻemi i ka pono no ke kaha ʻana, akā ʻaʻohe ala e pale ai i ka maʻi.

Maʻi Scheuermann; Pāhili; Hunchback; Kyphosis postural; ʻEha ʻeha - kyphosis

• Iwi kuamoʻo
• Kyphosis

Deeney VF, Arnold J. Orthopedics. ʻO Zitelli BJ, McIntire SC, Nowalk AJ, ʻelua. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 22.

Magee DJ. Thoracic (dorsal) ʻōiwi. I: Magee DJ, hoʻoponopono. Helu Helu Orthopedic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2014: chap 8.

ʻO Warner WC, Sawyer JR. Scoliosis a me kyphosis. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 44.