It is a "Skolios" in Greek, which is translated as "wrong."With this word, doctors indicate the curvature of the spinal column.Moreover, not all curvature, namely a lateral deviation of the vertical axis of the spine.The fact is that normal our spine is not perfectly neither perfect.The bandages available on the front and back (Lordose and Kifoza) protect our spine from excessive load with the maintenance of the body in a certain position when moving and carrier.Negative processes in our body are developed only in cases where these kyphosis and lordoses are expressed by excess permissible norms.
Main problems
However, even a small degree of side bending (scoliosis) spine always pathology.And the point is not only in cosmetic defects.Although a characteristic repulsive look with a pronounced or progressive scoliosis is always a tragedy for a person who wants to live a high life.This is especially true of young boys and girls.It is indeed in the period of children and young people (up to 15-16 years) to diagnose a significant part of Scoliosis.
The main problem is that due to the change in configuration and the volume of breasts with the pronounced side curved, the internal organs always suffer (the heart, lungs, stomach, liver, hoses, large vessels).In men tolerance, physical effort decreases, women have problems with conceiving, carrying pregnancy and childbirth.Moreover, very often the side deformation of the spine is only the surface part of the iceberg, which is a sign of much more serious pathology - tumor, tuberculosis, endocrine disorders.
Reasons
So why is the spine deformed?Before you answer the question, you should decide on the types of scoliosis.In her core, scoliosis can be structural and unstructured.Structural skillosis develops due to anatomical changes in the structure of bone tissue vertebrae, as well as muscle, nerves and ligamental apparatus located nearby.Such excitineures can be obtained and injected, and about a quarter of all diagnosed accounts for the latter.
Among the main reasons for the development of structural scoliosis, they differ:
- The mast of the development of intrauterine leading to the dysplastic disorders of one or more vertebrae
- Congenital chest development disorders - Lack of ribs, additional ribs
- Congenital Tissue Pathology - Neurofibromatosis, Marfan Syndrome
- Brain failure due to child cerebral paralysis (cerebral paralysis), leading to breaches on the interior of certain parts of the spine
- Osteoporosis (bone spine) spine in rahuts, patriordic glands diseases, lack of food intake with food
- Osteomyelitis vertebrae
- Dystrophic changes in grurvik, thoracic and lumbar muscles
- Damage to tuberculosis on the vertebrae
- Spine injuries
- Spine tumors.
An unconstructive scoliosis, as follows from the name itself, is the lateral deviations of the axis pillar with a unchanged structure of vertebrae.As a rule, such squares most often acquired with the exception of cases where the curvature is compensatory in nature with convenient anatomical impairments of pelvis or lower extremities.The causes of such schools are most often:
- Pelvic injuries and lower extremities
- Congenital shortcomings of pelvis and lower extremities
- Constantly irregular posture in schoolgirls
- Internal organs diseases with asymmetrically expressed pain syndrome
- Muscle inflammation (Misos)
- Burns, soft fabric scars on one side.
In these cases, to remove the curvature of the spine, it is sufficient to cure a fundamental disease, so many neductural scoliosis is easily reversible.In this regard, some doctors usually do not consider the restructuring deformation for scoliosis in general.
Recently, cases of developing scoliosis with vague causes have become more common.This is such a - waskined idiopathic scoliosis.He occurs in young people, during a period of rapid body growth.Moreover, girls suffer from idiopathic scoliosis several times more often than young men.Obviously, this is due to the relatively weak muscles of the back of the female, which cannot attach a spine in a full muscle frame.Unbalanced diet with low calcium salts, and the general passion for young people with carbonated drinks plays not the last role in the development of idiopathic scoliosis.As you know, carbon dioxide in bubbles and orthophosphoric acid in synthetic inclusions contribute to rinsing calcium salt from the body.
Varieties and degrees
Depending on the localization, Scoliosis can be cervical, chest, lumbar or mixed (cervix.It is possible to have one or more curved arches.Given the scoliosis in the form of C (with 1 arch), in the shape of a letter S (with 2 ports) and z in the form of the letter Z (with 3 ports).The presence of 2 or 3 ports is most likely to be compensatory.With a scoliosis shaped c, the axle of the spinal column deviates.In an effort to compensate, the spine folds in the opposite direction.In this regard, Scoliosis is divided into compensation and incompensitive.In compensation spinal curvature, the vertical line is lowered from 7. Grlićka krevnik passes through the switch between the buttocks.
The curvature of the spine is often combined.For example, in the thoracic area, in addition to the side curvature, a pathological cyfosis or simply coat of arms was observed.In these cases, talking about thoracic cyfoscolysis.In addition, with large degrees of Scoliosis, in addition to the lateral relocation of the vertebral, Thuria is noticed.In literal translation, it means twisting.Indeed, with a lot of scoliosis, the rook bone tissue curl along the vertical axis.
Depending on the size of the angle of curvature, 4 degrees of scoliosis differs:
- 1 degree- The curvature angle does not exceed 10 degrees.Asymmetry by eye is practically not determined.Fucking, unequal level of brackets, pays attention.
- 2 degrees- The curvature angle is 11 to 25 degrees.It has already been observed in that measure.There is asymmetry of shoulder and pelvis brackets that is visible in the eye.Due to pathological muscular tension, the muscular roller was formed in the lumbar area from the concave side, and in the chest - with convex.
- 3 degrees- Write is from 26 to 50 degrees.The visible deformation of the chest - western intercostal spaces C on the concave side of curvature and conformed with convex.The weakening of the abdominal press, forming the inner coat of arms.
- 4 degrees- The curvature angle exceeds 50 degrees.Cosmetic defect and all previous signs are expressed.Low tolerance even a little physical effort.In addition to muscle-bone system, the inland bodies suffer.
The angle may vary depending on the position of the body, while combined stable and unstable scoliosis.With unstable scoliosis, it decreases in false position when the load on the spinal column decreases.With stable curvature of the spine, this value remains unchanged.
Symptoms
Recently, orthopedists often use the term "scoliotic disease."And indicate a complex of negative changes that occur in the body during the curvature of the spine.As a rule, the scali disease is developed in childhood and adolescence, during the formation of a musculos-bone system.At this point, there is a high probability that Scoliosis will progress.
Obviously, intervertebral discs play an important role in increasing the corners of curvature.With lateral movement, the disk experiences unequal pressure from the body of vertebrae.On the concave side that pressure is greater, with convex - less.As a result, the disc is more worn from Scoliosis, the pathological tension of the muscles (muscle roller) and the torsion of the vertebrae - all leads to the appearance of a disk of the disk and further increase the corners of curvature.
With a spine with a skeliotic disease, the breasts change to others.It is considered such a word of the rib - on the convex side of curvature, interstate spaces are expanded, and with concave - on the contrary, they were sown.With a fourth degree schedule, the deformation of the chest is to pronounce that the lower ribs on the side of curvature in contact with the rowing of Ilian bones.
Due to the strong deformation of the chest, difficult excursions during breathing during breathing.As a result, the body with a difficult scoliosis does not receive the necessary amount of oxygen - thus - the collected chronic hypoxia develops with violations of all metabolic processes in the body.The pathology is worsening by the fact that the internal volume and the form of chest of chest.Therefore, blood circulation through vessels, the lungs suffer, the form of heart change, develops a chronic cardiovascular malfunction.
Similar changes occur in the abdominal orgbal and lumbosacral scoliosis.The motor stomach and hose were reduced with subsequent enzymatic insufficiency of digestive glands.All this is just getting worse with metabolic disorders.These violations often lead to belated sexual maturation of boys and girls.In addition, due to lumbar scoliosis, the bowls are curved second time.This creates problems for future mothers with gestation and birth.
Diagnostics
Diagnosis of scoliosis, especially large degrees, as a rule, is not difficult.To detect the deformation of the spine, a common visual examination is often enough.Visible curvature of spine, shoulder asymmetry, shoulder blades, the secondary curvature of the pelvis and shortening the lower limbs on the curvature side are noticeable.
In the presence of at least one of these signs, the radiography of the spinal column is indicated.X -Ray determines the configuration, degree and localization of curvature.During the inspection and radiological examination, it is possible to determine whether scoliosis is compensated and stable.She recently expanded a qualitatively new method of researching magnetic resonance of the spine (MRI), during which the three-dimensional image of the spine can be obtained on the monitor screen.With significant curvions, the work of internal bodies should be explored - to perform spirometry, electrocardiography and performed the ultrasound of the hearts and internal bodies.
Treatment
The treatment of scoliosis can also be performed conservatively and immediately.Conservative methods include drug treatment, massage, physiotherapy procedures and manual therapy.It should be borne in mind that the finally creating your spine ends in 20 years, and after this age, the correction of curvature is almost impossible.With scoliosis 1-2 degrees, efforts are focused on achieving the initial, normal spine configuration.With a pronounced scoliosis 3. - 4. degree, this is unattainable, the main thing is stabilizing your spine and prevent the progress of scoliosis.
Medications (Hiroprotectors, Vitamins, General Strengthening Medications) in the treatment of scoliosis only play auxiliary role.To strengthen the muscles, eliminate muscle roller, and even largely for the stabilization of the spine with massage and manual therapy.A good effect is given to the exercise of physiotherapy.But here, with inadequate physical effort, the instability of the spine has improved, and Scoliosis is progressing.Therefore, a set of exercises is developed for each patient individually, taking into account the localization and severity of curvature.With a large degree of scoliosis, running, strength, jumps, on open games are contraindicated.
A very good result gives a correction of position - an optimal pose that contributes to the normalization of the position is created.For this, special devices are used, orthopedic cots where young patients spend a significant part of their time.With the inefficiency of conservative measures, the advancement of curvature, surgical treatment intended for the stabilization of the spine.The surgical correction is not shown in early childhood, is carried out in adolescence, when the formation of the spine is almost completed.