
caphoscoliosis

caphoscoliosis anedi coronal mariyu sagital vimanalalo vennemuka yokka asaadhaarana vakratanu vivaristundi. idhi kyphosis mariyu paarshvaguuni kalayika. eee kandaraala asthipanjara rugmata tarachugaa rogulalo oopiritittula takkuva ventilation, pulmonary hyper tension, rojuvaaree karyakalapalanu nirvahinchadamlo ibbandi, thootivaari madhya angeekaaram gurinchi aandolana nundi utpannamayye manasika samasyalu, mukhyamgaa yuva rogulalo vanti itara samasyalaku daariteestundi. idhi syringomyelia, friedreach ataxia, spina bifida, caphoscoliotic ehlers-danlos syndrome (keds), mariyu paraspinal kandaraala asamaana balaheenata kaaranamgaa duechen muscular dystrophylo kooda chudavachu.
sankethaalu mariyu lakshanaalu.
caphoscoliosis unna vyakti "s" ledhaa "c" aakaram, adhika raktapotu mariyu naraala rugmatalu vanti sambandhita rugmatala uniki ledhaa asaadhaarana nadakatho paatu asaadhaaranamaina gonthu chuupavachchu.
kyphosis.
kyphosis anedi thoracic mariyu trika praantaalalo sambhavinche vennemuka yokka adhika kumbhakara vakratanu suuchistumdi. 1va nundi 12va vennupuusa varaku unde saadhaarana thoracic vakrata 20 degreela nundi 45 degreela varaku konalato sahajamgaa sambhavinche kumbhakara aakaraanni kaligi untundi. vakrata 45 degreelanu daatinappudu, paristhitini kyphosis antaaru.
kyphosis, vakrata yokka paridhini batti, swaasa mariyu jeerna samasyalu, hridaya sambandha samasyalu mariyu naraala samasyalatho sahaa aneka lakshanaalaku daariteeyavachchu.
postural (slouchingku sambandhinchinadi), skiermans kyphosis (ekkuvagaa teenagerlalo kanipistundi), puttukatho vachhe, pooshakamaina, bolu emukala vyaadhi-prerita mariyu post traumatic vanti aneka rakaala kyphosis unnaayi.
kyphosis rakanni batti, vakrata yokka paridhi, roogi vayassu, bhangima diddubaatu, brace, physiotherapy mariyu shastrachikitsa kosam erpaatutho sahaa vividha chikitsalu sifaarsu cheyabadavachhu. vistrutamaina vaikalyam unna rogulalo shastrachikitsa chaalaa upayogakaramgaa untundi. vruddha rogulalo shastrachikitsa anantara samasyala raetu ekkuvagaa undavacchu.
paarshvaguuni.
paarshvaguuni anedi asaadhaarana vennemuka vakrata yokka oka roopaanni suuchistumdi, dheenilo vyakti yokka vennemuka "s" ledhaa "c" aakaraanni teesukuntundi. paarshvaguuni, bracing, saareeraka chikitsa mariyu vividha rakaala shastrachikitsalatho sahaa kyphosis kosam andubaatulo unna chikitsala roopaalanu kaligi undhi. saadhaaranamgaa, maanava vennemuka pakkaki neerugaa untundi, conny paarshvaguuni rogulalo, edama ledhaa kudi disalo padhi degreela vakrata undavacchu.
kaaranam.
caphoscoliosis anedi oka vyaktilo jeevitamlooni vividha dasalalo mariyu vividha kaaranaala valla vyaktamavutundi. chinna vayassulo balyam nundi yuktavayassu varaku unnappudu, spina bifida sahaa puttukatho vachhe asaadhaaranatala kaaranamgaa caphoscoliosis puttuka nundi undavacchu.
konni antuvyaadhulu vennupuusa ledhaa saadhaarana kshayavyadhi vanti caphoscoliosis abhivruddhiki kooda daariteestaayi. emuka mariyu mrudulaasthi abhivruddhiki sambandhinchina rugmata ayina osteocondrodisplasispla kooda eee vyaadhiki kaaranam kaavacchu.
taruvaati vayassulalo, bolu emukala vyaadhi mariyu austio arthuritis vanti deerghakaalika ksheeninchina vyaadhulatoe badhapaduthunna rogulalo caphoscoliosis sambhavinchavachhu. eee rakamaina sambhavam saadhaaranamgaa 50 ellu paibadina rogulalo kanipistundi mariyu pradhanamgaa vennemuka mariyu prakkane unna kanajaalaalo nirmaanaatmaka maarpulaku aapaadinchabadindi. konnisaarlu, baadhaakaramaina gaayam kooda daani abhivruddhiki daariteestundi.
inca, caphoscoliosis yokka aneka idiopathic sanghatanalu unnaayi, ikkada khachitamaina kaaranam baga teliyadu conny janyu kaarakaala valla sambhavistundani anumaanistunnaaru.
rooga nirdhaarana.
caphoscoliotic ehlers-danlos syndromelo caphoscoliosis pradhana pramaanaalalo okati. idhi pload1 janyuvu ledhaa eff. keey. bii. pii. 14 janyuvulo mutation valla sambhavistundi. roganirdhaarana paramaanu pareeksha dwara nirdhaarinchabadutundi mariyu roogi pramaanaalu 1 mariyu pramaanaalu 2: puttukatho vachhe kandaraala hypotonia mariyu puttukatho vachhe ledhaa prarambha prarambha caphoscoliosis (pragatiseela ledhaa purogati laeni) nuu anusarinchinappudu suuchimchabadutumdi.
chikitsalu.
oka nirdishta chikitsa vidhananni enchukune nirnayam roogi vayassu, paristhitiki muula kaaranaanni ardham chesukovadam (i.ii. bhangima, puttukatho vachevi modalainavi.), mariyu rogiki shastrachikitsalo palgone pramaadaalu. diguva chikitsalatho paatu, gananeeyamaina hypoxemia unna rogulaku deerghakaalikamgaa oxygen avasaram kaavacchu.
bhouthika chikitsa.
vakrata yokka paridhi telikapaatidigaa mariyu antarleena kaaranam chedu bhangimagaa unnappudu, appudu saareeraka chikitsa chikitsa yokka modati varusa avutundi. emukalu mariyu mrudulaasthi yokka ksheeninchina vyaadhi unna vruddha rogula vishayamlo, asaadhaarana vakratala abhivruddhini alasyam cheyadaaniki, itara kaaranaalaku kooda bhouthika chikitsanu suuchimchavachchu. saareeraka chikitsa yokka praathamika lakshyam vennemuka kanajaalaanni balopetam cheyadam, vakratanu saadhyamainanta varaku saricheyadam ledhaa marinta nashtanni parimitam cheyadam.
venuka brace.
vaikalyaaniki antarleena kaaranam bhangima mariyu emukalu peragadam aagipoye mundu kanugonabadina sandarbhaallo, venuka kalupulanu upayoginchavacchu. brace kandaraalu mariyu emukalaku maddatu istundi, alaage vakratanu tagginchadaaniki diddubaatu ottidini vartimpajestundi. caphoscoliosis kosam kalupulu coronal mariyu sagital vimanalalo asaadhaarana vakratalato prabhaavavantamgaa maare vidhamgaa roopondinchabadaali. taja brace designlo CAD/CAM vadakam untundi, idhi germany vanti konni abhivruddhi chendina deshaalalo matrame andubaatulo undhi. vakrata samasyalanu saricheyadaaniki kalupula saamarthyaanni konni adhyayanalu vislaeshimchaayi. atuvanti oka adhyayanamlo, bracing 72 saatam mandhi rogulalo vijayavantamaina phalitaalaku daariteesindani mariyu dharinche gantalalo bracelatho balamgaa sambandham kaligi undani kanugonabadindi. ayithe, 18 gantalu ledhaa anthakante ekkuva kaalam varaku kalupulu dharinchadam anedi saareerakamgaa mariyu maanasikamgaa parimitam kaavacchu, mukhyamgaa teanage kaalanni parigananaloki teesukunnappudu.
shastrachikitsa.
vaikalyam yokka paridhi ekkuvagaa unnappudu, swaasa vanti saareeraka vidhullo samasyalanu kaliginchinappudu, rojuvaaree kaaryakalaapaalaku antaraayam kaliginchinappudu ledhaa vayojanulaku soundaryaparamgaa aamodayogyam kanappudu shastrachikitsa saadhaaranamgaa suuchimchabadutumdi. rogiki braaslu vanti itara chikitsalu ikapai prabhaavavantamgaa laeni vayassu daatinappudu kooda idhi salaha ivvabadutundi. caphoscoliosis anedi rogiki rendu rakaala vakrata vaikalyam undani suuchistumdi.
shastrachikitsa cheyinchukovalane nirnayam saadhaaranamgaa sanklishtamgaa untundi, conny vaikalyam swaasa vanti keelakamaina saareeraka vidhulaku aatamkam kaliginchadam praarambhinchinappudu ledhaa rojuvaaree karyakalapalanu chaalaa badhakaramga chesinappudu anivaaryamavutundi. konnisaarlu, rogulu vaari prarambha yuktavayassulo shastrachikitsa cheyinchukovadaaniki enchukovachhu, endukante atuvanti vaikalyam undatam valla vaari sahacharula nundi tiraskarana vanti saamaajika samasyalu erpadataayi ledhaa vaari vaikalyam vaarini pani cheyakunda nirodhistundi. taruvaati vayassulo ituvanti vaikalyam kaliginchina vruddha rogula vishayamlo, daaniki kaaranamaina antarleena vyaadhi uniki, pragatiseela ksheenata aasinchabadindaa, physiotherapy ledhaa mandulanu upayoginche sampradaayavaada chikitsalu balaheenapariche noppi nundi upasamanam ivvadamlo viphalamaithe vanti itara amsaalanu pariganinchaali.
vennemukanu saricheyadaaniki mariyu vaikalyam yokka purogatini nirodhinchadaaniki shastrachikitsa prayatninchabadutundi. shastrachikitsalo harrington raad ledhaa veptor vanti vennemuka implantla vadakam undavacchu.
diddubaatu vennemuka shastrachikitsa yokka pramaadaalu.
vruddha rogulapai drushti saarinchina oka adhyayanamlo, sagatu vayassu 60.7 samvatsaraalu unna 72 kesulalo, sanklishtatala raetu chaalaa ekkuvagaa undani kanugonnaru. namoonaalo samasyala raetu 22 saatam varaku ekkuvagaa undhi. vruddha rogula vishayamlo, shastrachikitsanu vaerae empika lenappudu matrame pariganinchaalani, vyaadhi purogati dasalo unnappudu, mariyu sampradaayavaada chikitsalu ikapai noppitho sahayapadaleni meraku jeevana naanhyata ksheeninchindani adhyayanam etthi choopindi.
vennemuka vaikalyam diddubaatu kosam aneka shastrachikitsa vidhanalu unnaayi, veetilo puurva bhaagam matrame, prushtha bhaagam matrame mariyu puurva bhaagam matrame unnaayi. eee rojullo atyanta prachuryam pondina saanketikata posterior vennupuusa kaalam resection ledhaa pvcr. pii. vii. sii. aarr. nuu vislaeshimchina adhyayanaalalo okati, vennemuka shastrachikitsa chesetappudu etuvanti naraala samasyalanu nivaarinchadaaniki sarjanku sahaayapadatamlo neurogenic motor evocade potential (enn. emm. ii. pii) paryaveekshanha anae saanketikatanu upayoginchadam valla kalige prayojanaanni kooda gurtinchindi.

