Kyphosis

Kyphosis o le piʻo o le ivitū e mafua ai le punou poʻo le faʻataʻamilo o le tua. Lenei e tau atu i le hunchback poʻo slouching tulaga.

Kyphosis mafai ona tupu i soo se tausaga, e ui lava e seasea maua i le fanau mai.

O se ituaiga o kyphosis e tupu i talavou talavou ua lauiloa o le Scheuermann faamaʻi. E mafua mai i le faʻaipoipoga faʻatasi o ni ponaivi o le tuasivi (vertebrae) i le laina. O le mafuaʻaga o lenei tulaga e le o iloa. Kyphosis mafai foi ona tupu i talavou talavou oe maua cerebral palsy.

I tagata matutua, kyphosis mafai ona mafua mai i:

• Degenerative faʻamaʻi o le tuasivi (pei o le gugu poʻo le disk degeneration)
• Fractures mafua mai i le osteoporosis (osteoporotic compression gau)
• Manua (afaina)
• Faaseʻe o le tasi vertebra agai i luma i luga o le isi (spondylolisthesis)

Isi mafuaʻaga o kyphosis aofia ai:

• Nisi maʻi suka (endocrine) faʻamaʻi
• Faʻafitauli o le fesoʻotaʻiga o sela
• Siama (pei o le fatafata vaivai)
• Musele o le faʻasologa (kulupu o measina faʻaleaganuʻu e mafua ai vaivai maso ma leiloa o maso maso)
• Neurofibromatosis (faʻaletonu o le neura sela sela faia)
• Paget faamaʻi (faʻamaʻi e aofia ai le faʻaleagaina ma le toe faʻatupuina o ponaivi)
• Polio
• Scoliosis (o le faʻapipiʻiina o le tuasivi e masani ona pei o le C poʻo le S)
• Spina bifida (fananau mai le le atoatoa lea e le tapunia ai le ivitu ma tua o le tuasivi ae leʻi fanau mai)
• Tumua

Tiga i le ogatotonu poʻo le pito i lalo o le faʻailoga masani. O isi faʻailoga e mafai ona aofia ai nisi o mea nei:

• Foliga i tua foliga
• Agamalu ma malo i le tuasivi
• Le lavava
• Faigata manava (i tulaga ogaoga)

O suʻesuʻega faʻaletino e se tausi soifua maloloina faʻamaoniaina le faʻaletonu laʻau o le tuasivi. O le a suʻesuʻe foʻi le tautua mo soʻo se neula (neula) suiga. E aofia ai vaivaiga, supa, poʻo suiga i lagona i lalo ifo o le piʻo. E siaki foi e lau tautua ni eseesega o lau reflexes.

O suʻega e mafai ona okaina e aofia ai:

• Spine x-ray
• Pulmonary function test (pe a fai o le kyphosis e aafia ai le manava)
• MRI (pe a fai e iai le tuma, faʻamaʻi pipisi, poʻo faʻailoga o neula)
• Suʻega o ponaivi (pe a fai e iai le osteoporosis)

Togafitiga faalagolago i le mafuaʻaga o le faʻamaʻi:

• Fanau kyphosis manaʻomia faasaʻo taotoga i le amataga o tausaga.
• Scheuermann faamaʻi e togafitia i le fusifusia ma faʻamalositino togafitiga. O isi taimi e manaʻomia ai se taotoga mo lapoʻa (sili atu i le 60 tikeri), manava tiga.
• O faʻalavelave faʻapipiʻi mai le osteoporosis e mafai ona tuʻua na o oe peʻa leai ni faʻafitauli o le neula poʻo se tiga. Ae o le osteoporosis manaʻomia ona togafitia e fesoasoani puipuia ai i le lumanaʻei malepe. Mo le ogaoga o le tino poʻo le tiga mai le osteoporosis, o le taotoga o se filifiliga.
• Kyphosis mafua mai i siama poʻo tumo manaʻomia vave togafitiga, masani ma taotoga ma vailaʻau.

Togafitiga mo isi ituaiga o kyphosis faalagolago i le mafuaʻaga. E manaʻomia se taotoga pe a fai e tupu se faʻamaʻi o neura poʻo ni tiga tumau.

O talavou talavou ma faʻamaʻi Scheuermann e masani lava ona lelei, tusa lava pe latou te manaʻomia se taotoga. O le faʻamaʻi taofi pe a uma loa latou tupu. Afai o le kyphosis e mafua mai i le faʻaleagaina o soʻoga faʻamaʻi poʻo le tele compression gau, e manaʻomia se taotoga e faʻasaʻo ai le faaletonu ma faʻaleleia atili tiga.

Le togafitia kyphosis mafai mafua ai soʻo se tasi o mea nei:

• Faʻaitiitia le malosi gofie
• Faʻamalepeina o tua tiga
• Faʻamataʻu ole sisitema sisitema, e iai vaivaiga ole vae poʻo supa
• Faʻataʻamilo i tua le faʻalelei

O le togafitia ma le puipuia ole osteoporosis e mafai ona puipuia ai le tele o mataupu ole kyphosis i tagata matutua.O le vave iloa ma faʻamalosi mo le faʻamaʻi o Scheuermann e mafai ona faʻaititia ai le manaʻoga mo se taʻotoga, ae leai se auala e puipuia ai le faʻamaʻi.

Faʻamaʻi Scheuermann; Roundback; Hunchback; Kyphosis postural; Le ua tiga - kyphosis

• Auivi tuasivi
• Kyphosis

Deeney VF, Arnold J. Orthopedics. Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ma Davis 'Atlas o Pediatric Physical Diagnosis. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 22.

Magee DJ. Thoracic (dorsal) tuasivi. I: Magee DJ, ed. Orthopedic Tino iloiloga. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2014: mata 8.

Warner WC, Sawyer JR. Scoliosis ma kyphosis. I le: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopedics. 13th lomiga. Filatelefia, PA: Elsevier; 2017: mata 44.