Juvenile idiopathic yog qhov khoov pob

Nyob rau hauv lub ntiaj teb no muaj ntau cov kab mob ntawm cov nqaj qaum. Ib qho ntawm feem ntau - idiopathic khoov pob. Nws tshwm sim nyob rau hauv 80% ntawm cov neeg. Hu idiopathic khoov pob nrog tag nrho cov hom ntawm undiagnosed keeb kwm. Nyob rau hauv lwm yam lus, nws yog tsis yooj yim sua mus nrhiav kom tau qhov ua rau ntawm lub curvature ntawm cov nqaj qaum raws li congenital txawv txav yog tsis tuaj kawm ntawv.

Yuav ua li cas yog cov hluas idiopathic khoov pob?

Muaj peb hom kev idiopathic khoov pob. Qhov yooj yim - pib, tus me nyuam. Nws yuav txawm mus rau ntawm lawv tus kheej, tsis muaj tus pab kws kho mob. Qhov thib ob hom ntawm qhov khoov pob - hluas, uas muaj txog li kaum xyoo. Qhov no daim ntawv ntawm ib tug hnyav xwm. Cov neeg mob tau faib rau hnav ib corset thiab phau ntawv kho mob.

Qhov thib peb hom ntawm tus kab mob - hluas idiopathic khoov pob. Nws pib nyob rau hauv tiav nkauj tiav nraug thiab intensive kev loj hlob. Qhov no yog lub feem ntau txaus ntshai hauv daim ntawv ntawm qhov khoov pob muaj tsis ruaj tsis khov soj ntsuam daim duab. Twv seb txoj kev loj hlob ntawm tus kab mob nws yog tsis yooj yim sua vim qhov xwm ntawm tus tub ntxhais hluas lub cev.

Nyob rau hauv ib co yog qhov khoov pob loj zuj zus maj mam thiab tsis muaj teeb meem loj txim. Nyob rau hauv lwm yam cov hluas nquam paj nquam nruas muaj zog hloov los ntawm lub cai. Muaj mob qhov twg txha caj curvature yog nce txawm tias tom qab thaum tiav hluas. Tab sis qhov no tshwm sim tsis tshua, feem ntau yog nrog lub hnub nyoog, tus kab mob mob yog tub ceevxwm.

Hom ntawm idiopathic yog qhov khoov pob

Idiopathic khoov pob yog muab faib ua ob peb ntau yam. Lawv nyob ntawm seb lub curvature ntawm localization:

1. Lumbar (txwv tsis pub lumbar) tshwm nyob rau hauv lub cheeb tsam ntawm cov thawj los yog tus thib ob vertebra. Rov qab mob pib thaum ib tug lig theem ntawm tus kab mob.
2. Idiopathic thoracic khoov pob tseem hu ua thoracic. Nws yog ib qho nyob rau hauv cov txiv neej hluas thiab cov me nyuam yaus. Tus kab mob manifests nws tus kheej nyob rau hauv lub thoracic vertebrae. Nyob rau hauv Feem ntau, lawv yog khoov duav mus rau sab xis. Nyob rau hauv cov ntaub ntawv no, lub sab saum toj ntawm lub arc yog nyob rau hauv lub cheeb tsam ntawm 10 los yog 8 vertebrae. Rau hauv loj heev kab mob pib loj teeb meem nyob rau hauv lub ua pa thiab mob systems.
3. Thoracolumbar curvature yog laus nyob rau hauv lub cheeb tsam ntawm 11 thiab 12 vertebrae. Mob muaj nyob rau hauv lub qis rov qab.
4. Thaum lub tsev me nyuam-thoracic curvature warp nta. Lub sab saum toj ntawm lub arc deformation yog nyob rau hauv lub cheeb tsam ntawm 3-4 vertebrae. Qhov no daim ntawv ntawm qhov khoov pob yog congenital.

Muaj peb cov ntaub ntawv ntawm tus kab mob, txwv kom muab zais raws li lub curvature ntawm lub arc. C - lub feem ntau yooj yim, elementary. Nws yog yooj yim dua thiab sai los kho. S - qhov nruab nrab, Z - qhov kawg, feem ntau nyuaj. Cov ob hom yog yooj yim los kho. Txhua arc muaj ib theem deformation, uas complicates tus soj ntsuam daim duab ntawm tus kab mob.

degree ntawm curvature

Idiopathic khoov pob muaj plaub degrees ntawm curvature, nyob ntawm seb nws lub (cov nuj nqis yog nyob rau hauv degrees):

• thawj - txog li 10;
• thib ob - 25;
• peb - 50;
• plaub - tshaj 50.

Thawj ob txog kev mus rau cov neeg kawm ntawv ntawm lub curvature ntawm lub teeb. Yuav tsis muaj cuam tshuam hauv nruab nrog cev. Cov feem ntau txaus ntshai - yog tus thib peb thiab thib plaub degree ntawm curvature. Nyob rau hauv cov ntaub ntawv no, lub hauv nruab nrog cev yuav raug puas los yog txawm hloov qhov chaw, uas yog fraught nrog loj mob.

Ua rau qhov khoov pob

Idiopathic khoov pob twb tsis tau tau txais ib tug ntshiab daim ntawv teev cov yog vim li cas vim li uas tus tsim pathology. Muaj ntau ntau theories, tab sis tsis muab ib tug tag nrho cov lus piav qhia txog ib yam ntawm lawv. Idiopathic txha caj curvature yuav tshwm sim vim:

• neuromuscular kab mob;
• kev loj hlob mob ntawm pob txha cov ntaub so ntswg;
• musculo-ligamentous insufficiency;
• kev puas tsuaj ntawm cov pob txha mos sprout.

Nyob rau hauv qhov tshwm sim ntawm qhov khoov pob tsis tseem ceeb caj tau. Cov kev pheej hmoo ntawm idiopathic curvature yog siab nyob rau hauv cov tsev neeg nrog cov neeg mob uas muaj tus kab mob (txawm mus rau lub thib peb kab ntawm kinship).

symptomatology ntawm tus kab mob

Lub pathology yog los ntawm ntau yam tsos mob, uas nyob ntawm seb raws li ntawm tus kab mob no. Idiopathic khoov pob 1 degree yog nrog los ntawm tshwm sim me me ntawm pathology. Yeej nws yog ib tug ua txhaum ntawm lub pa muaj nuj nqi ntawm lub me me xaav ntawm lub hauv siab. Ntau tsawg neuralgia tshwm sim nyob rau hauv daim ntawv ntawm cov encircling tus mob.

Loj ntaub ntawv yog yus muaj los ntawm ib tug curvature neurological syndromes. Lawv yuav tsum tau qhia nyob rau hauv limiting lub zog ntawm caj npab thiab txhais ceg, tsis ntawm daim tawv nqaij rhiab heev. Nyob rau hauv theem ob tus kab mob pib:

• pulmonary fibrosis, thaum lub teeb hlob nonfunctional connective cov ntaub so ntswg;
• nce ntshav siab;
• Nws kev zoo siab rau hauv lub thiaj li hu ua lub plawv ntawm khoov pob nyob rau hauv uas lub deformed lub cev ntawm txoj cai ventricle vim lub compression ntawm nws lub hauv siab.

Rau hauv loj heev kab mob no yuav tshwm sim, los yog koj muaj teebmeem kev kab mob plawv. Nyob rau hauv lwm yam kabmob zoo nkaus li teev, nqua pib o, nce siab thiab tus po. Tsim gastritis thiab ntev bronchitis.

Vim lub curvature ntawm cov nqaj qaum xav deformed pob txha caj qaum, discs yog txav mus li. Raws li ib tug tshwm sim, protrusions raug tsim thiab hernia. Tej zaum koj yuav tau txais ib tug txha caj hump thaum lub thoracic su dhau los. Externally, nws yog pom tias cov nqaj qaum yog ib tug mob kaum sab xis.

Nta ntawm kev kho mob ntawm qhov khoov pob

Idiopathic yog qhov khoov pob, uas kho mob ntxiv nyob rau hauv lub tau curvatures hais qhov kev siv ntawm ob peb kho modalities. Yog hais tias lub functionality ntawm cov nqaj qaum hloov tshwm sim los ntawm kev txawv txav nyob rau hauv lub cev, kev kho mob yog qhia rau xa cov ua.

Thaum tus txha caj distortions tshwm sim los ntawm qhov sib txawv ntev ntawm ob txhais ceg yog kho los ntawm tshwj xeeb orthopedic nkawm khau thiab insoles. Nyob rau hauv cov ntaub ntawv no, ib tug txawv kev kho mob uas yuav tsum tau ntawm tag nrho cov. Infantile idiopathic yog qhov khoov pob, uas zoo nkaus li nyob rau hauv kiag thiab loj hlob mus rau peb xyoos ntawm hnub nyoog, feem ntau daws nthawv.

Neuromuscular pathology hom tshwm sim vim mus tsis meej txoj kev loj hlob ntawm cov pob txha ntawm cov nqaj qaum system. Raws li ib tug tshwm sim, tus kab mob yuav siv sij hawm ib tug hnyav daim ntawv. Nyob rau hauv cov ntaub ntawv no, lub hais rau kev phais.

tshuaj

Nyob ntawm seb cov tsos mob ntawm tus kab mob, nws degree thiab txaus prescriber. Nyob rau hauv mob heev tshuaj nonsteroidal anti-inflammatory agents ( "meloxicam", "Ibuprofen", thiab lwm yam). Rau kev tshem tawm ntawm nqaij chua raug nqaij hnaiv (e.g., "Mydocalm"). Thaum lub sij hawm txoj kev kho, calcium pab yog muab, bisphosphonates thiab vitamins.

phais

Idiopathic khoov pob yuav tsau by phais yog lwm yam kev kho tau tsis coj mus rau qhov zoo tau. Raws li ib tug tshwm sim, tus neeg mob yog muab nyob rau hauv kev mob, yog tsis tshem tawm txawm tshuaj.

Tus kab mob pib loj hlob txawm ntau, thiab tus nqes hav ntawm cov nqaj qaum ze rau 45 degrees. Phais - qhov no yog ib qho huab ntsuas. kev cog hniav tso yog tias tsim nyog.

nrog rau cov kev pab los ntawm physiotherapy kev kho mob

Physiotherapy - ib tug yuav tsum yog ib feem ntawm lub kev kho mob. Thaum lub sij hawm tus mob ntawm cov nqaij leeg kev ua si yog ho txo, muaj yog ib tug tsis muaj zog. Yog li ntawd physiotherapy raws kev coj kom:

• xa npag dystrophy;
• mob yuav txo tau;
• stabilization ntawm cov nqaj qaum;
• kev txhim kho cov leeg contractility.

Rau hwj tau lub cev kho siv autoreklinatsiya zoo li qub so thiab underwater tus txha nqaj traction. Los ntawm myostimulating hom kev kawm tsa mem tes, thiab lub tsawg zaus electrotherapy. Rau kev kho ntawm locomotor kawg siv:

• kev co kev kho;
• saib puas muaj radon thiab hydrogen sulfide da;
• peloidotherapy;
• kho zaws;
• traction txoj kev kho;
• underwater da dej;
• phau ntawv kho mob.

Yuav kom txhim kho metabolism ua ultraviolet irradiation thiab sodium tshuaj dawb da. tshwj xeeb ce (physical therapy) yog muab tso rau ib tug neeg txoj. Unconventional txoj kev thov yoga.

Contraindications rau physiotherapy

Txawm tias muaj tseeb hais tias idiopathic khoov pob yog kho mas los ntawm lub cev txoj kev kho, rau nws daim ntawv thov, muaj ib tug xov tooj ntawm contraindications:

• hlav nyob rau hauv lub txha nqaj;
• qhia txha;
• hypermobility ntawm lub pob txha caj qaum;
• Mob Ntsws, uas yog manifested nyob rau hauv lub qis rov qab;
• sprains los yog cov pob txha lov ntawm intervertebral pob qij txha.

Tsis tas li ntawd, physiotherapy tsis thov yog tias daim tawv nqaij cheeb tsam yuav tsum tau kho, muaj tsis xws luag (wounds, ulcers, thiab lwm yam).

tiv thaiv kab mob

Yuav kom tiv thaiv yog qhov khoov pob cev xeeb tub cov poj niam yuav tsum coj vitamin B12 thiab folic acid npaj. Nws yog tsim nyog los tswj cov hwj tau lub cev ntawm cov me nyuam thiab cov hluas, lawv yuav tsis pub mus zaum hunched. Cov me nyuam yuav tsum tsis txhob siv ib tug ntau lub sij hawm tom qab ib lub rooj thiab lub computer.

yuav tsum tam sim no nyob rau hauv cov khoom noj ntawm cov vitamins, cov me nyuam thiab cov tub ntxhais hluas. Ua txhua hnub ce. Nws yog ib advisable kom paub cov me nyuam rau tej kev ua si raws li ntaus pob thiab ua luam dej. Thaum lub dabtsi yog khoov hwj tau lub cev hloov li cas lawm yuav tsum tau nqa tawm nyob rau hauv thaum ntxov ua sawv ntawm tus kab mob.