An Bayyana Mahimman Bayanai Bakwai Bakwai
Scoliosis a cikin yara da na tsofaffi na iya kasancewa mai raɗaɗi, marar hankali, kuma mai yiwuwa mafi mahimmanci, zai iya rage yawan aikin da ke cikin huhu da zuciya. Saboda wannan, mutane da yawa suna son yin abin da suke bukata don kauce wa tiyata - amma menene wannan, daidai?
Duk da yake babu wata amsa mai mahimmanci, yin amfani da kayan aikin scoliosis musamman akan tashi.
Bayan tattaunawa game da matsalolin scoliosis da kwayar cutar, wannan labarin ya bayyana manyan makarantu 7 da suka dace da motsa jiki.
Scoliosis da Lung Matsala
Wani nazarin binciken da aka yi a shekarar 2015 da aka buga a New England Journal of Medicine ya gano cewa kadan fiye da kashi daya bisa uku na yara 176 da scoliosis da aka kiyasta sun kamu da cututtuka na huhu (aiki marar haɗari). Mawallafa sun ce irin wannan cutar baza'a iya gano shi ba tare da samfurin bincike (musamman, x-ray, CT scan ko MRI).
Ko da bayan da yara suka samu magunguna, kwayar cutar tace ta kasance (a cikin kashi 73 cikin 100).
Bugu da ƙari, binciken ya sami wani dangantaka, wannan lokacin tsakanin scoliosis da ƙananan ƙwayar cuta.
Ƙananan ƙwayar ƙwayar cuta, wanda aka sani da cutar ƙwayar cuta, shine matsalar daban-daban fiye da cutar kututtuka. Kamar yadda sunan ya nuna, yana nuna rage yawan iyawar huhu (wanda yake nufin ƙananan ƙarar iska zai iya shiga kuma fita daga cikin huhu lokacin numfashi).
Yawanci yana haifar da cututtuka ko sauya tsarin sutura.
Ƙa'idodin Musamman na Scoliosis - Aikin Kayan Spine Standard?
Yawancin tsarin kiwon lafiya na al'ada yana aiki a kan tsarin da ke motsa jiki, jituwa ta jiki, kuma a wasu lokutta masu ilimin chiropractic, zai iya taimakawa wajen maganin ciwo da kuma daidaitawa a lokuta na scoliosis.
Balance na taimakawa wajen sake yin aiki na jiki, wanda ke da amfani ga ayyukan yau da kullum, amma a zahiri ya fitar da hanyoyi, ka'idar ta tafi, yana bukatar tiyata.
Ba kowa ya gaskanta wannan ba.
Tunanin tunanin masu tayar da hankali a jiki da sauransu sun kasance a yanzu, a kan kararraki da kuma ta hanyar bunkasa jiki na bincike, gina bayanan PSSE. PSSE wani abu ne mai amfani da tsarin "ilimin likiotherapy scoliosis." Yana nufin wani shirin aikin likita wanda aka bai wa mai haƙuri a farfadowa na jiki don bi da maganin sciopiosic idiopathic. (Idiopathic yana nufin dalilin scoliosis ba a sani ba.)
Wani binciken na 2015 ya gano cewa kashi 22 cikin dari na 263 masu aikin ilimin scoliosis sunyi amfani da PSSE tare da marasa lafiya. Dalilai sun haɗa da:
- A matsayin daidaitaccen gyare-gyaren kafa, wanda shine magungunan marasa lafiya, ba tare da maganin ba, don ƙananan ƙananan hanyoyi.
- Don taimakawa wajen bunkasa kayan fasaha.
- Don inganta sakamakon aikin tiyata.
Rashin binciken bincike na gaskiya a halin yanzu, tare da fahimtar cewa PSSE ba mahimmanci ba ne a cikin tsarin kiwon lafiyar shine dalilai mafi girma guda biyu da suka sa sauran kashi 78% na masu warkarwa suka zabi kada suyi amfani da PSSE tare da marasa lafiyarsu, kamar yadda binciken.
Wancan ya ce, yawancin masu aikatawa a cikin "ba su amfani da su" suna neman karin bincike game da PSSE ba.
7 Makarantun Kasuwanci na PSSE
Duk da yake akwai wasu, ba a ba da izini ga likitoci a Amurka ko Ingila
Amma a Turai, yana ci gaba. A gaskiya, kowane nau'i na 7 na PSSE ya samo asali a Turai.
Babban makarantun farfadowa na ilimin likiotherapy na musamman ne kamar haka.
Lyon (Faransa)
Hanyar Lyon ita ce hanya mafi tsufa da ta shafi scoliosis. Ya fara a farkon karni na 18 tun lokacin da Dokta Gabriel Pravaz ya kafa cibiyar aikin likita a cikin birnin da sunan daya. A zamanin Pravaz, wa] ansu jiyya sun ha] a da halayyar motsa jiki, da motsa jiki akan "kayan haɓaka" wanda yayi kama da ladders (don ba da damar mai haƙuri ya yi aikin su a matsayin matsayi (da kuma daidaita yanayin haɓaka ga kansu) da sauransu.
Fiye da shekara ɗari bayan haka, an saka simintin gyare-gyare da takalmin gyare-gyare a yarjejeniyar, da farko tare da takalmin Lyon kuma daga bisani tare da samfurin ARTbrace na zamani. ARTbrace ya maye gurbin Lyon, kuma wannan ya yi ritaya da yin amfani da katako.
Hanyar Lyon ta fi mayar da hankali ga yin amfani da takalmin katakon takalmin gyare-gyare, kodayake samfurin scoliosis na musamman ya kasance wani ɓangare na shirin.
Harkokin Kimiyya na Kimiyya na Scoliosis (Italiya)
Harkokin Kimiyyar Kimiyyar Kimiyyar Kimiyya a Scoliosis (sashin SEAS) an tsara shi ne ɗayan ɗai bisa ga abin da aka tabbatar. Yana bi hanyar Lyon - ko da yake ya fara da yawa daga baya, a shekarun 1960 - lokacin da Antonio Negrini da Nevia Verzini suka kafa cibiyar a Vigevano, Italiya. A shekara ta 2002, an canja sunan sunan cibiyar ta Italiya Scoliosis Spinal Institute.
Hanyar SEAS tana mayar da hankali kan aikin gyaran kai tsaye na 3D na scoliosis ta hanyar samun ilimi na haƙuri (farko) sannan kuma tayi bayani game da rashin lafiyarsu. Ma'anar ita ce, tare da fahimtar duka nakasar da kuma yadda za a gyara shi, mai haƙuri zai ba da ikon yin hankali ga ƙofar. Wadannan gyare-gyare suna aikatawa a kowane gefen gaba-gaba, gefe zuwa gefe da juyawa.
Ana kuma ba da kayan aiki don taimakawa wajen tabbatar da ƙuƙwalwar ƙafa kuma ta kula da sabon aikin gyara. SAI masu aiki suna da hankali don tsara kayan aiki da shaidun likita suka fi sabunta.
Schroth (Jamus)
Wani al'amari na iyali, Hanyar Schroth ta fara ne a shekara ta 1910 lokacin da mai shekaru 16 da haihuwa, Katharina Schroth, ya dauki maganin ta a hannunsa. Ta sa takalmin gyare-gyaren karfe, amma dukiyar balloons ta dauki hankalinta kamar yadda za'a iya samuwa don rage yawan ƙwayar a gefe.
Gabatarwar Schroth ta kasance numfashi a cikin gefen haɗin gwal yayin kallon kanta a gaban madubi. Shekaru ɗaya daga baya, Schroth ta fara ɗakin shan magani a makarantar inda ta yi amfani da kayan aikin aiki bisa ga masu bincike na matasa don kulawa da ilmantar da marasa lafiya. A ƙarshen shekarun 1930, hanyar Schroth ita ce asibitin da aka fi sani da sanannen likitancin magani.
Bayan yakin duniya na biyu, Schroth da 'yarta suka koma Jamus ta Yamma suka fara asibitin a can, inda yarinyar Schroth ya zama likitan likitancin Hans-Rudolph Weiss, daga bisani ya zama darektan likita (har zuwa 2008). A shekara ta 2009, Weiss ya kafa kansa don samar da sabon gyaran gyare-gyaren gyare-gyare da kuma farfadowa wanda ya dogara ne akan hanyar Schroth. Amma asibitin a Yammacin Jamus na ci gaba har yau.
Kamar yadda za ka ga, yawancin hanyoyin da PSSE ke fuskanta ko dai suna dogara akan ko aro daga hanyar Schroth.
Barcelona Scoliosis Physical Farrapy School
Cibiyar farfadowa na Scoliosis ta Barcelona ita ce hanyar da aka gyara ta hanyar Schroth (aka bayyana a sama). Kafin kimanin shekara ta 2009, makarantar Barcelona ita ce cibiyar Schroth. An kafa shi ne a cikin shekarun 1960 ta hanyar likitan kwalliya Elena Salva wanda ya sadu da Katharina Schroth da 'yarta a wannan lokacin a Jamus.
Schroths ya baiwa Salva sabon hangen nesa a kan scoliosis wadda ta koma ta komawa kasarta ta Spain. Shekaru 40, ta yi amfani da hanyar Schroth; bayan haka, ta haifar da aikin a cikin wani nau'i na ƙwarewa, sananne-motsa jiki da kuma horo na wulakanci.
A Barcelona Scoliosis Physical Early School, an dauki mutum m tare da marasa lafiya. Ana koyar da su don inganta adadin su na 3D da kuma siffar ta yin amfani da hawan numfashi da kuma fasaha na muscle. Cibiyar makarantar Barcelona tana biye da ka'idar "ciwo mai juyayi" wadda ta bayyana cewa matsayi na scoliosis yana inganta ci gaba da ɗakunan.
Hanyar DoboMed (Poland)
Hanyar Dobomed ita ce haɗuwa da hanya na Schroth da kuma mafi yawan hanyoyin da ake kira Klapp. An kafa shi a 1940, hanyar Klapp ta dogara ne akan lura cewa dabbobin dabba ba su da alama su sami scoliosis, yayin da mutane, wadanda suke da kwashe-kwashe, suna yi. Hanyar Klapp yayi aiki mafi kyau don maganganun ƙwayar cuta fiye da batutuwan ƙira, amma maganganun pelvic suna da muhimmanci ga goyon baya a cikin postoliosis da yanayin da suka shafi hakan.
Tare da fasaha daga hanyar Klapp, hanyar Dobomed tana amfani da amfani da numfashi na motsa jiki na Schroth.
Hanyar Dobomed ta haɓaka a shekara ta 1979 daga likitan kasar Poland da likitan aikin likita mai suna Krystyna Dobosiewicz. A cikin 'yan shekarun nan, ya zama tsaka-tsakin yau da kullum a cikin magungunan likitoci na likitoci a Poland. Ana amfani da wannan hanyar tare da ba tare da takalmin katakon gyaran kafa ba, kuma Sashen Harkokin Gidawa a Jami'ar Medical University na Katowice ya karbe shi, a matsayin rashin lafiya.
Hanyar Shift Method (London)
Dokar Min Mehta ta haɓaka shi a 1984, kuma an yi shi a asibitin Royal National Orthopedic a London. A halin yanzu a ƙarƙashin jagorancin Tony Betts, likita mai ilimin likita. Da farko, an yi amfani da hanya kawai don zalunta yara, amma yanzu ana ba wa manya. Hanyar wannan tana dauke da kayan aikin motsi na Schroth da Dodomed. Ana sa ido akan magance matsayi wanda ya ɓace daga tsakiyar layin. Hanyar Shiftar Yankin tana bi da marasa lafiya da kuma post-op.
A cikin yara, hanya mai jagorantar hanyar Shiftar Yankin ita ce, ƙila za a iya amfani da girma a matsayin ƙarfin gyara a tsarin gudanarwa. Hakanan ana yin gyaran motsi na katako na tsawon lokaci don tsayayya da tsarin; wannan yana ƙara hawan motsi kuma yana taimaka sake sake zubar da kashin baya. Har ila yau, yana taimaka wajen haɗakar da hangen nesa na matsayi. Makasudin yin gyare-gyare na kwakwalwa na gefe shi ne ya shafi yadda ƙirar ta tasowa.
Ana yin amfani da ƙwayoyin ƙarfafawa ta hanyar amfani da ƙananan hanyoyi na ƙananan ƙwayar ciki , da tsokoki da kuma tsokoki a kan kafar kafar (scapula).
A cikin tsofaffi, makasudin ya fi game da rage da kuma kulawa da ciwo da ake haifar da matsayi yayin da yake gudun hijira daga tsakiyar tsakiyar jikin.
Aiki na Kasuwancin Scoliosis (Poland)
An kirkiro aikin likita na Farko na Scoliosis (FITS) a shekara ta 2004 daga Marianna Białek da likitan ilimin likitan kwallisanci Andsteze M'hango. Wannan hanyar ta PSSE ta haɗu tare da gyaran abubuwa daga wasu motsa jiki na scoliosis. An yi amfani dasu a hanyoyi da yawa: A kan kansa don gyara gyare-gyare, tare da takalmin katakon gyaran kafa, kuma a matsayin likita na farko da kuma bayan tiyata. An kuma bada FITS ga wasu al'amurran da suka shafi al'amurra kamar su kyamarar Scheuermann .
Ka fahimci da kuma godiya da Siffar Kulawa da Kwarewar Scoliosis
Kodayake kowane kusanci zuwa PSSE yana da mahimmanci burin - don gyara nakasar scoliosis ta 3D ta sake mayar da kashin baya, ƙuƙwalwa, kafadu da ƙuƙwalwa - mafi yawan sun sanya hatimi a kan magani.
Ayyukan Scoliosis musamman suna ba tare da takalmin katakon gyaran kafa . Amma kamar yadda ka iya nunawa daga sama, wannan ba wata doka ba ce mai saurin gaske. Zai yiwu, dangane da mai haƙuri, da mataki na kwana da likita, tare da wasu abubuwa, don amfani da PSSE a matsayin magani na musamman.
Ko ta yaya, maganin scoliosis yana buƙatar kulawa da juna tare da kallo, physiotherapy, da kuma wani lokaci psychotherapy da tiyata da ke samar da nau'i na m magani.
> Sources:
> F. Bruder Stapleton, MD na nazarin McPhail GL et al. J Pediatr . 2015.
> Maganin Lung Za a iya Kaddamar da Shi daga Mai Girma Scoliosis. NEJM Journal Watch . 2015.
> Kotwicki T. et al. Gudanarwa mafi kyau na ilimin sciopiosis na matashi a lokacin yaro. Ado lafiyar lafiya Med . 2013.
> Marti C. et al. Scoliosis Research Society 'yan halaye game da ilimin jiki da kuma ilimin kimiyya na physiotherapeutic takamaiman gwaje-gwaje na matasan tsokanar maganin sciopiosis. Scoliosis . 2015.