Kurasikirwa kwemu musculoskeletal system inowanzotanga muhuduku, uye mukukura, vanhu vanotarisana nezvinetso zvavo. Juvenile kyphosis kana Sheyerman-Mau syndrome chimwe chezvirwere zvakadaro. Pasina nguva yakakodzera uye yakakodzera kurapwa, inobudirira, ichikonzera migumisiro ine ngozi.
Scheuerman-Mau chirwere - chii ichocho?
Ichi chirwere ndechimwe chiitiko chekuputika kwepamusoro. Mwana wechidiki kyphosis inosangana nechekudzidzira kwechikamu chayo chepamusoro, munzvimbo ye thoracic. Pathology inowanikwa munguva yekukura kwakasimba kwemuviri nekukura, pazera remakore 9-17. Vakomana nevanasikana vose vanozivikanwa zvakafanana nevana vechidiki kyphosis (Sheyerman-Mau chirwere). Nhamba yose yevechiri kuyaruka vane chirwere ichi chinopfuura 1%.
Sheyerman-Mau chirwere - zvinokonzera
Kunyange zvazvo nyanzvi dzakakundikana kutaurira nei vamwe vana vari nyore kuita kyphosis. Zvichida, chirwere chepamusoro cheSheyerman-Mau chinokonzerwa nehutano hwemagetsi. Ngozi yekuwedzera chirwere ichi inonyanya kukwirira kudai hama dzepedyo dziri pedyo, semuenzaniso, vabereki, dzinotambura nazvo. Chirwere cheSheyerman-Mau chinogonawo kuva nezvimwe zvinokonzera:
- kukanganisa kwekupa ropa kune miviri yepamusoro;
- Kukuvadzwa kwefupa kukura nzvimbo;
- osteoporosis ;
- compression fractures ;
- kukura zvakanyanya kwepafupa mapfupa kune dzimwe nzvimbo nechinangwa mune dzimwe nzvimbo;
- kukanganisa kwemabasa emisidhari yemudzimai;
- shifts mu hormonal balance.
Ndeipi ngozi kune chirwere cheSheyerman-Mau?
Iyo chirwere chevana vechidiki chyphosis haisi yekuuraya kwehutano, asi pasina kurapwa kunotungamirira kumigumisiro yakaipa. Matambudziko okutanga anobatanidza nehutano hwezviratidzo. Midzi yemutsipa wepelinha yakanyatsosimbiswa pasi pekuita kwekunyora. Munhu wacho anonzwa kurwadziwa kwakanyanya mumutsara uye mumisungo yemudhidhiyo. Gare gare, mushure memakore makumi maviri, pane kuparadzwa kwemashure neSheyerman-Mau chirwere pamusana pekugadzirisa kwechigadzirwa chechipiri:
- osteochondrosis;
- deforming spondylosis;
- intervertebral hernias;
- ossifying ligamentosis;
- spondylarthrosis;
- lumbulkoa;
- structural hyperlordosis;
- myelopathy yemutsipa wespelinha;
- atherosclerosis ye aorta nevamwe.
Sheyerman-Mau chirwere - zviratidzo
Ivana vechidiki kyphosis ye thoracic spine ine zviratidzo zvakasiyana zvichienderana nehuwandu hwehutachiona. Ivo vanosiyaniswa nezera:
- kubva pamakore makumi mapfumbamwe nemapfumbamwe;
- kubva pamakore gumi nemakumi maviri nemashanu;
- mushure memakore makumi maviri.
Chirwere cheShejerman-Mau - zvikamu
Kufambira mberi kwevana vechidiki kyphosis pakutanga pakutanga hakusi pamwe chete nezviratidzo. Zvikamu zvekukura kwechirwere cheSheyerman-Mau zvinosanganisira zvikamu zvinotevera:
- Orthopedic (latent). Mwana haana mhere-mhere, nyika yehutano inoramba ichitsvaga. Iko kune zvisingawanzoreki uye zviduku zvinorwadza shure mushure mekuita muviri. Pane kanyoro kanyoro kechiedza chemukati uye chiremera chekufamba kwayo.
- Kutanga kwemaurological manifestations. Chirwere cheSheyerman-Mau chinokonzera kushungurudza kwemidzi yemukati, nekuda kweiyo musikana anonzwa kurwadziwa shure, pakati pemakumbo epafudzi uye nzvimbo yepepanhau.
- Kutevedzana kwemaurologic matambudziko. Pathology inofambidzana neiyo inogadziriswa uye inoparadza mumusana. Marwadzo anova akaoma, dzimwe nguva haagoni kuregererwa. Kufamba kwemashure kunorema.
Sheyerman-Mau chirwere - kuongororwa
Ziva kuti chirwere chinorondedzerwa chinogona kunge chiri chekutanga, asi varwere vanowanzotarisirwa mukuvapo kwezvinetso. Pakupembera, nyanzvi yemapfupa anobvunzurudza munhu, anounganidza mhuri anamnesis. Izvo zvakanakisisa kusarudza kunyatsoziva kuti chirwere cheSheyerman-Mau chinonzi X - raira , zviratidzo zvekudzivirira kwe thoracic zvinowanzoonekwa mumufananidzo. Mukuwedzera, kududzirwa kwemajenya emagetsi akawanda kunowanikwa, akawanda Schmorl hernias anogona kuvapo.
Kana iwe unokakavara neurological nezvimwe zvinetso, mhando dzinotevera dzekutsvakurudza:
- kombiyuta uye magnetic resonance imaging yemutsana;
- electromyography;
- dopplerography.
Kazhinji murwere anoda mazano anyanzvi:
- neurologist;
- cardiologist;
- a neurosurgeon;
- pulmonologist.
Sheyerman-Mau chirwere - kurapwa
Kurapa kwevana vechidiki kyphosis kwakaoma uye kunogara kwenguva refu. Iyo nzira huru, nzira yekubata nayo chirwere cheSheyerman-Mau, inoshambadza, inogadzirisa uye yehutano matambudziko:
- electroneurostimulation;
- ultrasound therapy;
- sinusoidal modulated currents;
- diadynamic therapy;
- maginethi simba;
- kupindira kwehutano;
- spinal traction nevamwe.
Nzira yakakosha yekurapa chirwere cheSheyerman-Mau inogara ichirovedza muviri. Zviremwa zvepanyama zvinofanira kuva zvine chinangwa uye zvinofungisisa, zvichifunga nezvenhandare yezvirwere uye kuvapo kwezvinetso. Pakutanga kwerapi (yemwedzi 2-3 yekutanga) gymnastics ichafanirwa kuitwa zuva rega rega. Mushure mekuonekwa kwekuvandudzika, maitiro anoitwa kamwe kamwe mazuva maviri.
Zvirwere zveSheyerman-Mau - LFK
Gymnastics inokurudzirwa mumwe nomumwe kumurwere mumwe nomumwe maererano nezera rake, kusuruvara kwekyphosis uye kusagadzikana kufamba kwepamusoro. Kudzidzira kwechirwere cheSheyerman-Mau kunosanganisira 5 zvidzidzo zvinokosha:
- kusimbisa mitsipa inobwinya;
- kusununguka kwemisungo yemutsipa uye kuderedza shure;
- tsvina ye pectoral muscle;
- kusimbisa mishonga yechipfubu chemumhino;
- kupfutidzira maitiro.
Mukuwedzera, iwe unogona kuita mune dzimwe mimwe mitambo, kunze kweiyo inoda kubhururuka-basketball, kudzidzira netambo yokudarika, volleyball nezvimwe zvakadaro. Inobatsira kutasva bhasikoro neSheyerman-Mau chirwere (panzvimbo dzakapoteredza uye mumaguta), kushambira, kufamba kurapa. Mushure mekuonekwa kwekuvandudzwa kunoramba kuripo gymnastics inoitwa nekurema, 3 kg yevakadzi uye 5 kg yevarume.
Sheyerman-Mau chirwere - kushanda
Mumatambudziko akaoma ekuputika kwemutsara wepasipera, chirwere chekuchengetedza hachiwanzobatsira. Kana chirwere cheSheierman-Mau chichiri kufambira mberi zvishoma nezvishoma uye chakaita kuti tisava nemafungiro akaoma, maitiro akaoma uye kusagadziriswa kwemafupa emapfupa, kupindira kwekuvhiya kunorayirwa. Zviratidzo zvekushandiswa kwayo ndezvizvi zvinotevera:
- kona ye kyphosis inopfuura 75 degrees;
- kukanganisa kweropa uye nhengo dzokufema;
- kurwadziwa kukuru;
- chirevo chinonzi chirevo chekufamba kwemashure.
Kuvhiya kunosanganisira kuisa mukati mehutano hwemagariro e hypoallergenic akaitwa nesimbi - screws, hooks uye tambo. Vanoita mabasa akawanda:
- rubatsiro rwemutsara wemupfupa;
- Kurongedza kwemashure;
- kusimbisa musana;
- kuwedzera.
Ekisodho yeSheyerman-Mau chirwere
Kufanirwa kwevana vechidiki kyphosis kunobva pachikamu chekufambira mberi kwehutano, nguva yemurwere uye kuoma kwezviratidzo zviripo. Apo chirwere chevechiri kuyaruka Sheyerman-Mau akawanikwa mune imwe nzvimbo yakanyarara kana pakuvapo kwekutanga kwezviratidzo zvehutano, kurapa kwake kuchatora mwedzi yakawanda. Kana munhu achienderera mberi kutevera zvaanoda, tungamira nzira yakashanda uye yakarurama yehupenyu, nguva dzose ugoita muchikoro chemuviri, izvo zvinotarisirwa zvakanaka.
Chero chipi nechipi chakakomba chakakomberedzwa nemusana pamwe neSheyerman-Mau chirwere chakaipa kudarika kurapwa. Matambudziko anowanzoitwa osteochondrosis, lumbulgia, osteoarthritis nedzimwe zvirwere zvinogona kukonzera kuchinja kusinganzwisisiki mumamiriro ezvinhu kumashure uye kunogadzirisa kufamba kwayo. Mumamiriro ezvinhu akadaro, mwana wechidiki kyphosis anogona kuderedzwa, asi chirwere hachigone kupora zvachose.