copenhagen vyaadhi

konnisaarlu copenhagen syndrome ledhaa pragatiseela naan-infectius antrior vennupuusa fusion (powf) anie piluvabade copenhagen vyaadhi, vilakshanhamaina radiological lakshanaalatoo kuudina pratyaekamaina vennemuka rugmata. idhi teliyani kaaranam kaligina arudaina baalya vyaadhi, idhi purushula kante (60 saatam) streelanu konchem ekkuvagaa prabhaavitam chestundi. praabalyam teliyadu, conny 1949 nundi copenhagen vyaadhi unna sumaru 80-100 vyaktulu nivedinchabaddaaru. ayithe, vyaadhi yokka arudaina kaaranamgaa inca chaalaa takkuva parisoedhanalu unnaayi. eee vyaadhi chaalaa arudu, arudaina vyaadhula jaateeya samstha vaari databaselo copenhagen vyaadhi gurinchi kooda prastaavinchaledu.
mri scanlalo chudagaliginatluga, copenhagen vyaadhi veepu diguva bhaganni prabhaavitam chestundi. idhi vennemuka yokka thoracolumber praantamloo puurva vennupuusa sareeram yokka pragatiseela kalayika dwara vargeekarinchabadutundi.
pradarsana.
copenhagen vyaadhi unna vyaktulu tarachugaa lakshanarahitamgaa untaaru, conny kondaru vennunoppi, nadavadamlo ibbandi mariyu meda mariyu vennumukatoe sahaa vennemuka drudhatvam vanti lakshanaalatoo kyphosis thoo undavacchu. kyphosis 85 degreela varaku koonaalaku purogaminchavacchu. vyaadhi samvatsaraalugaa abhivruddhi chendutunnappudu puurti emuka anchylosis sambhavistundi.
radiological phalitaalu tudi platelalo puurva vaikalyalanu chuupavachchu, idhi nirdishta praantaalalo vennupuusa madhya irukainatlu untundi. sambandhita end plaetla kotha mariyu kramaraahityam kooda kanipistundi. dheeni taruvaata kalayika jarugutundi, ayithe kalayika saadhaaranamgaa vyaadhi yokka taruvaati dasallo tappa venuka disk pradaesamloe kanipinchadu.
clinical adhyayanalu mariyu cases nivedikalu.
15 yella purushudu
vennemuka drudhatvamtho kuudina majer thoracolumber kyphosis thoo 15 yella purushudu. ayithe, noppi, paarshvaguuni, naraala lakshanaalu ledhaa kadalikalo ibbandi vantivi kanipinchaledu. vennemuka yokka mri, radiography kanugonnavi mariyu sacroliac keella kadalika lekapovadam dwara, copenhagen vyaadhi nirdhaarana cheyabadindi. eee vyaktilo, pareeksha phalitaalu puurva vennupuusa shareera kalayika, alaage bahulasthayi kati puurva disk space elemeteration mariyu kothanu choopinchaayi. end plaetla irukaina mariyu kotha baalyamlone sambhavinchavachhu mariyu koumaaradasalo kooda purogati chendavacchu. irukainadi venukaku vistarinchavacchu, idhi puurti vennupuusa kalayikaku daariteestundi. eee 15 yella magavaarilo, vyaktiki chikitsa cheyadaaniki cheyadaaniki yokka trans-pedical osteotomy cheyabadindi.
12 yella mahila
12 yella mahila pragatiseela thoracolumber caphoscoliosis mariyu meda kadalikanu parimitam chese saamarthyaanni kaligi undhi. puttinapudu, split card vaikalyam kanugonabadindi, conny etuvanti jokyalu jaragaledu. aame puurti padaveekaalamlo janminchindi. aame talli vayassu 27 samvatsaraalu mariyu aame tandri vayassu 32 samvatsaraalu, iddaroo aarogyamgaa unnaaru mariyu okaritho okaru sambandham kaligi laeru. 9 samvatsaraala vayassulo, aame vennemuka vangi, vangi, thala kadilinchadamlo samasyalanu edurkovadam praarambhinchindi. aame kooda noppitho baadhapadindi, mukhyamgaa osipital mariyu subosypital praantaalalo, mariyu dhooram nadavadaniki samasyalu unnaayi. chinnatanamlo, motaru abhivruddhilo swalpa jaapyam minaha, aame saadhaaranamgaa abhivruddhi chendindi. 12 samvatsaraala vayassulo, saareeraka pareekshalo aame etthu aame vayassuku anugunamgaa sagatu kante gananeeyamgaa takkuvagaa undani, alaage nadavadaniki parimita saamardhyamtho, mukhyamgaa vangadaaniki medalo drudhatvam undani telindi. idhi avayavaalalo saapeksha snayuvu hyperloxityni kooda gurtinchindi. garbhasaya vennemuka, garbhaasayapu vennemuka sthaayi mariyu lambosacral jaayintto sahaa moodu vennupuusa sthaayilalo sambhavinchina powf aameku unnatlu nirdhaarana ayindi. vennupuusa vaikalyam yokka vivaraalanu pondadaaniki oka siti skaan upayoginchabadindi, idhi garbhasaya vennemukapai aksham yokka parshwa dravyaraasini dravyaraasini thoo kalipinatlu, kalipinatlu mariyu mariyu kalayikanu mariyu mariyu kalayikanu choopinchindi. adanamgaa, aameku citus inverses viseralis kooda unnatlu kanugonabadindi.
8 yella purushudu
15 nelala magavadu caphoscoliosis mariyu drudhatvamtho baadhapadutunnaadu. ataniki karnika septal lopam mariyu chikitsa cheyabadina pulmonary sequestration charitra undhi. ataniki puurva end plate akramatvam kooda unnatlu kanugonabadindi. ataniki 8 samvatsaraala vayassulo, kyphosis teevramgaa (85 degreelu) ksheeninchindi mariyu eee samayamlo ataniki bahulasthayi puurva end plate irukaina mariyu puurva end plate edema unnatlu imaging choopinchindi. vennemuka shastrachikitsa jarigindi.
12 yella purushudu
pragatiseela thoracolumber kyphosis charitra kaligina 12 yella magavadu thoracolumber junction vadda rendu sthaayila madhya daadaapu puurti puurva kalayikanu kaligi unnatlu kanugonabadindi, t12-l1 mariyu l1-l2. idhi radiography mariyu mr imaging vadakam dwara nirnayinchabadindi. athani vaikalyaaniki chikitsa cheyadaaniki, athanu puurva vidudala mariyu vennemuka parikaraalanu kaligi unnadu. itara vaidya samasyala kaaranamgaa chikitsa aalasyamgaa jarigindi.
9 yella mahila
9 yella aadavaariki vennemuka drudhatvam, paarshvaguuni, alaage avayavaala podavulo vyatyaasam kanipinchindi. aame pulmonary stenosisto janminchindi mariyu aaa samayamlo aneka cardiac shastrachikitsalu chesindi. balyam antataa, aame chinna etthu galadigaa gurtinchabadindi. 10 samvatsaraala vayassulo, mr imaging imaging mariyu mariyu vadda ghana kalayikanu choopinchindi mariyu radiography encandromatosis gayalanu choopinchindi. aameku prushtha rekhansha vennemuka snayuvu yokka asthipanjaram kaligi unna kontha kutumba charitra kooda undhi, ayithe idhi stree paristhitiki sambandhinchinadaa anedi teliyadu.
copenhagen vyaadhitho badhapaduthunna 10 mandhi vyaktula puurvaanvaya vislaeshanha
copenhagen vyaadhiki shastrachikitsa mariyu shastrachikitsa rahitamgaa chikitsa pondina vyaktula pradarsana, nirvahana mariyu clinical phalitaanni baga ardham chesukovadaniki oka puurvaanvaya adhyayanam nirvahinchabadindi. eee adhyayanamlo copenhagen vyaadhitho badhapaduthunna 10 mandhi vyaktulu unnaaru; eduguru vyaktulu shastrachikitsa cheyani chikitsa pondaaru mariyu mugguriki shastrachikitsa cheyabadina chikitsa cheyabadindi. eee adhyayanam sumaru 14.7 samvatsaraala (sagatu) loe vyaktulatoe anusarinchabadindi. aarogya sambandhita jeevana naanhyatanu (hcrql) osvestree disability index (odiai), short phaaram 12 health survey (sf-12) mariyu vijuval analog scale (vaas) dwara kolustaaru. vennunoppi vyaktulalo sarvasaadhaaranam. roganirdhaarana samayamlo kriyaatmaka skorlanu chivari phaalo-aptho polchinappudu gananeeyamaina vyatyaasam kanipinchaledani phalitaalu choopinchaayi. adanamgaa, operative mariyu naan-operative chikitsa samuuhaala madhya functional skorlalo gananeeyamaina vyatyaasam kanipinchaledu.
eee adhyayanamlo kriyaatmaka phalitaala pareekshala aadhaaramgaa, copenhagen vyaadhi kalakramena sthiramgaa untundi ledhaa chinna merugudalalanu kaligi untundi. operative mariyu naan-operative chikitsalu kyphosis yokka teevrataram kaavadaaniki vividha sthaayilalo antaraayam kaliginchavacchu. ayithe, idhi lakshanaalalo maarpulatoe sambandham kaligi undadu.
rooga nirdhaarana.
copenhagen vyaadhi saadhaaranamgaa uddeshapoorvakamgaa kakunda anukokunda kanugonabadutundi. radiological lakshanaalu unnappudu powf nirdhaarananu nirdhaarinchadaaniki mri skaanlu (anukuulamainavi) mariyu ex-raelanu upayogistaaru. mri anedi intervertebral anchylosis yokka paridhini drushyamaanam cheyadaaniki upayoginchabadutundi. puttina ventane sekarinchina radiographlanu rooga nirdhaarana kosam upayogistaaru, endukante mundastu gurtimpu twaragaa nirvahanaku daariteestundi.
thoracolumber vennemuka ex-raelanu tarachugaa rooga nirdhaarananu nirdhaarinchadaaniki upayogistaaru, mariyu konni pramukha lakshanaalalo puurva intervertebral disknu chitikedu cheyadam, fusion chivariki migilina vennupuusa vaipu velutundi. sagittal mri imaging vennemuka yokka khachitamaina skaanlanu andistundi, idhi antuvyaadhi kaani kalayikanu chooputundi. vennupuusalooni samasyalanu gurtinchadaaniki kooda siti skaanlanu upayoginchavacchu, conny eee rakamaina roganirdhaaranaku prastutam saahityam nundi gananeeyamaina maddatu ledhu. vennupuusa vaikalyala paridhini spashtam cheyadaaniki cheyadaaniki. tii. skaanlanu upayoginchavacchu, mariyu osteogenesis imperfecta vanti bahula puttukatho vachhe vennemuka lopaalu, copenhagen vyaadhitho paatu raavacchu kabatti, bhedaatmaka rooga nirdhaaranalo sahaayapadavachhu.
chikitsa.
chikitsa empikalalo vennemuka bracing, shastrachikitsa empikalu mariyu deerghakaalika noppi nirvahana unnaayi. fusion prakriyaloo abhivruddhi yokka vividha dasalu untaayi kabatti, bahula vibhaga vidhananni upayoginchi kyphosis purogatini nilipiveyavacchu. sagittal asamatulyatanu nivaarinchadaaniki keella shastravaidyudi aadhvaryamlo kramam tappakunda vaidya pareekshalu mariyu daggari paryaveekshanha chaalaa mukhyamainavi. lardosis mariyu kyphosis rendoo sambhavinchavachhu mariyu chaalaa tarachugaa shastrachikitsa diddubaatu, saareeraka chikitsa mariyu shotha nirodhaka mandula dwara tadanugunamgaa chikitsa cheyali.
malagelada mariyu itarulu. operative ledhaa naan-operative chikitsalanu batti functional skorlu mariyu rogalakshana pradarsana gananeeyamgaa bhinnamgaa levani kanugonnaru. ayithe, chikitsa empika kyphosis purogatini prabhaavitam chestundi. thoracolumber vennemukalo kalayika puurtayina tarvaata, purogati yuktavayassuloki sthirapadutundi mariyu lakshanaalu kramamga taggutaayi. rekhansha imagingto deerghakaalika phaalo-up yokka konni cases nivedikalu unnaayi. samarthatha mariyu bracing rakaalapai kooda parimita samacharam undhi, mariyu vaidyula maargadarsakaalaku sambandhinchi marinta samacharam avasaram.
rooga niruupana.
copenhagen vyaadhi teevramaina samasyalaku daariteeyadu kabatti rooga niruupana saanukuula vaipu untundi. ayithe, eee vyaadhi unna vyaktulalo takkuva vennunoppi mariyu junctional thoracolumber noppi chaalaa saadhaaranam.
kaumaradasa mariyu yuktavayassu dwara, vennupuusa yokka vilakshana puurva kalayika kalayika poortayye varaku purogamistune untundi. eee vyaadhi pradhana naraala lakshanaalu ledhaa noppiki daariteeyakapoyinappatiki, copenhagen vyaadhitho nivasinche vyaktulu ippatikee edho oka rakamaina kaiphosisto jeevinchaalsi untundi. purogatini track cheyadaaniki deerghakaalika phaalo-up sifaarsu cheyabadindi, conny drukpatham saadhaaranamgaa anukuulamgaa untundi.
charitra.
taruvaata copenhagen vyadhiga piluvabade pragatiseela naan-infectius puurva vennupuusa kalayika (powf) nuu nuu 14 yella baaludilo nutson modatisaarigaa puurtigaa varninchaaru. eee vyaadhi yokka prarambha dasalu skierman vyaadhini pooli untaayi, ikkada vennupuusa sareeraala perugudala praantamloo bhangam undhi, idhi vennemukalo cheelika aakarapu vaikalyaaniki daariteestundi. ayithe, copenhagen vyaadhiloo vennupoosalo vaikalyam skierman vyaadhi kante bhinnamgaa abhivruddhi chendutundi. copenhagen vyaadhiloo, pakkane unna end plate eroshanlatho intervertebral disk yokka puurva goda irukainadi. disk sthalam tolaginchabade varaku irukainadi konasaagutundi, phalitamgaa emuka anchylosis ledhaa keellalo drudhatvam mariyu chivariki puurva vennupuusa sareeram kalayikaku daariteestundi. ayithe, skiermans vyaadhiloo, peddalu vaari vayojana jeevitamlo aankailosisnu abhivruddhi cheyadam chaalaa arudu.
atipedda kesu nivedikalu university hospital off copenhagen nundi vachayi, idhi konnisaarlu copenhagen vyaadhini puttina ventane teesukunna radiographla nundi nirdhaarinchavacchani suuchistumdi, mariyu kyphosis yokka purogati vayojana jeevitamlo kakunda koumaaradasalo vaegamgaa abhivruddhi chendutundi. copenhagen vyaadhi unna chaalaa mandhi vyaktulu itara noppi ledhaa naraala lakshanaalanu nivedinchanappatiki, vennemuka bracing kaiphosisnu taggistundani choopabadindi. konni sandarbhaallo, vennemuka bracing kooda kaiphosisnu tippikodutundani choopinchindi, ayinappatikee vennemuka bracing prabhaavampai parimita dayta mariyu clinical trials ippatikee unnaayi.
eee vyaadhi chaalaa arudu, chaalaa kesulu airopalo kanipistaayi mariyu uttara americalo chaalaa takkuva kesulu nivedinchabaddaayi.
paribhasha.
copenhagen vyaadhi daani paerunu pondindi endukante ekkuva kesulu copenhagen vishwavidyaalaya aasupatrilo kanugonabaddayi.

