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KAJSHAVII SUTUNMuHRA

kachshavii-sutunmuhraKAJSHAVII SUTUNMuHRA (Gibbositas), yak nav illati sutunmuhra. K. s. ce nav meshavad: pahlui – skolioz (ba pahlu kaj shudani sutunmuhra), az pesh – lordoz (barjastagii sanduqi sina) va az aqib – kifoz. In guna kajiho bo mururi inkishofi organizm, khususan badi ba poy istodanu rohgardiro omukhtani tifl, tashakkul meyoband. Hodisai mazkurro na kajshavi, balki holati fiziologi menomand (lordozi fiziologi dar qismi gardan va sutunmuhra, kifozi fiziologi dar qismi gardan va sutunmuhra, kifozi fiziologi dar sina va chorband). Hangomi az pesh kaj shudani sutunmuhra az aqib khilofi onro mebinem; ba joi inkishofi murattabi fiziologi dar qismhoi qafasi sina va takhtapusht kuzapushtiyu barjastagii qafasi sina yo aksi on ba amal meoyad. Azbaski skoliozi fiziologi vujud nadorad, binobar in har guna K. s. – ro dar kadom hissai on naboshad, kajpahlui menomand.
Skolioz bisyor vaqt modarzodi (az inkishofi nodurusti muhrai arrapusht) boshad ham, ba on beshtar kudakoni sinnashon az 5 to 15-sola, khususan maktabbachagon giriftor meshavand. Tarzi nishasti nodurusti kudakon dar maktab boisi nobarobar taqsim shudani vaznini ba sutunmuhra va mushakhoi takhtapusht megardad. Sustii mushakhoi takhtapusht, tarzi nishasti nodurust, barjastagii shona – in hama nishonahoi ba yak taraf kaj shudani sutunmuhra meboshand. Badtar dar bandaki sutunmuhra digarguni ba amal omada, K. s. shakli ustuvorro megirad. Skolioz oqibati dar kudaki az sar guzaronidani bemorii rakhit ast. Odamoni kalonsol ba on az vazni behad ziyodu tulonii nobarobar ba mushakhoi takhtapusht (ba nom illati kasbii gijjaknavoz, duzanda, hammol) giriftor meshavand. Dar intihoi inkishofi ustukhonbandi K. s. sust rivoj meyobad va to darajae, ki dar kudakon mebinem, rafta namerasad. Skolioz bazan az shikastani sutunmuhra yo binobar bemori tagyir yoftani on (khususan az bemorii sil) beshtar rukh menamoyad. Inchunin az kutohii poy majburan ba yak taraf kaj shuda roh raftan sababi paydoishi skoliozi amali megardad.
K. s. hangomi takror yoftani shaklhoi skoliozi gayriirsi az on ogoz megardad, ki asnoi khasta shudani mushakhoi takhtapusht sutunmuhra andak ba yak taraf kaj meshavad. Pas az istirohat on barham mekhurad. In marhalai avval ast. Dar marhalai duyum shakli qafasi sina tagiyr meyobad, kitfu shonai tarafi barjasta nisbat ba fururafta bolotar buda, kaji betagiyr memonad; faoliyati sutunmuhra yakbora mahdud megardad. Har yak fishori jismoni khastagiovar buda, odam az dardi mushaku bayni qaburgaho (nevralgiya) shikoyat mekunad. Gayr az in skoliozi vaznin boisi tagiyr yoftani uzvhoi daruni gardida, kori onhoro mushkil mesozad.
Peshgirii skolioz nazar ba tabobati on samarabakhsh ast. Barobari paydo shudani nishonahoi avvalini skoliozi modarzod baroi kudak boyad tartibe tain shavad, ki kori tarafi noqisi sutunmuhraro oson kunad. Mashqhoi jismonie, ki dukhtur tavsiya kardaast (mash, bozihoi serharakat va g.), boyad qatiyan rioyavu ijro shavand; gayr az in qabuli vannahoi oftobi va havoi, istemoli khuroki sergizoro peshbini mekunand. Barvaqt muayyan namudani skoliozi modarzod va dar davomi muolija pursabrona ijro kardani hamai tavsiyahoi dukhtur, natijahoi khub mebakhshand.
Baroi peshgirii skoliozi bachaho, az jumla khonandagon, joi khobi hamvor, durust nishastan dar pasi parta va miz, ravshan kardani joi kor, gashtuguzor dar havoi toza, bozihoi serharakat, khuroki sergizo, khobi osuda, varzishi pagohiruzi va g. zarur meboshand.
Peshgirii skoliozhoi kasbi az durust rioya kardani tartibi mehnatu istirohat va varzishi badan dar vaqti kor iborat buda, mashgul shudan bo tarbiyai jismoni va sport nafaqat ba obutobi organizm musoidat mekunad, balki boisi purquvvatii mushakho megardad. Baroi bozdoshtani avji skoliozi amali pushidani poyafzori makhsusi ortopedi, istifodai asbobhoe, ki kutohii poyro nomalum mekunand, zarur ast.
Muolijai skolioz asosan tavassuti mashqhoi umumii taqviyatbakhsh va makhsus, ki shakli sutunmuhraro isloh mekunand, ba roh monda shudaast. Mashqhoi mazkur tahti nazorati dukhtur va metodist guzaronda meshavand. Bazan istifodai korset (miyonbandi makhsusi muolijavi)-ro niz tavsiya medihand. Agar bemori kuhna shuda boshad, onro tajili tabobat boyad kard.
Kifoz metavonad kamonshakl shavad (dar surate, ki yagon qismi sutunmuhra az aqib to andozae yo yakbora chand joi on andake kaj shuda boshad). Kifozi kamonshakl asosan dar qismati qafasi sinai sutunmuhra paydo meshavad, ki onro kuzapushti niz menomand.
Sababi inkishofi kuzapushti sustii modarzodi mushakhoi takhtapusht, rakhiti vaznini ayyomi kudaki, khamshuda nishastan (dar sari dastgoh yo miz va g.) meboshand. On nafaqat qomati odamro nuqsdor mekunad, balki ba ozod nafas giriftan va gardishi khun niz tasiri manfi merasonad. Odami kuzapusht kitfoni khamu ba pesh jasta va shikami ovezon dorad.
Peshgirii kuzapushti hamai on tadbirhoero darbar megirad, ki nisbati skolioz gufta guzashtem. Gayr az on, mashgul shudan bo varzishi makhsus, ijroi tainoti fizioterapevti va muolijai sanatoriyu kurorti zarurand. Sari vaqt ba dukhtur murojiat karda, peshi rohi avji K. s. – ro boyad girift.
Kuzapushtii yaktarafa beshtar dar qismi qafasisinagii sutunmuhra paydo meshavad, ki onro kuz menomand. Sababi asosii kuz bemorii sil (nig. Spondilit) va tazyiqi on binobar vazninii uzvhoi boloii badan ast, ki dar natija tana kutoh gardida, sanduqi sina jasta mebaroyad. In nav illat ba faoliyati uzvhoi darun, qobiliyati kori va hayoti shakhsii mariz tasiri sakht merasonad. Muolijai durustu sarivaqtii spondiliti sili, odatan, ba paydoishi kuz mone meshavad, zero on ba nigoh doshtani shakli durusti sutunmuhra to shifoi jarohati sil va barqaror gardidani ustuvorii sutunmuhra imkon medihad. Aksari kuzapushtho ashkhoseand, ki az bemorii sil shifo yofta boshand ham, lekin kuz meshavand (sababi in ba muolijai spondilit der shuru kardan ast). Barham dodani kuzapushti hatto bo rohi jarrohi niz hamesha imkonpazir nest.
Lordoz sababhoi bisyor dorad. Vay beshtar dar natijai bejoshavii irsii bugumhoi kosu ron ba vujud meoyad: vaqte ki markazi vazni badan ba pesh meaftad, baroi nigoh doshtani muvozanat badan ba aqib kham gashta, miyon kaj meshavad. Dar shikam jam shudani ravgani ziyod niz boisi avj giriftani kajii miyon megardad.
Lordoz bo tagyiri shakli sutunmuhra va dard, ki sababi on taqsimoti vaznini ba muhraho va az nav kashish khurdani mushakhoi sutunmuhra ast, zuhur meyobad. Harakati qismi osebdidai sutunmuhra mahdud meshavad. Aksaran hangomi lordoz uzvhoi darun (meda, ruda, gurda) poyon mefaroyand, az in ru kori onho ba tavri gunogun khalal meyobad.
Tabobati lordoz az bartaraf namudani sababhoi paydoishi on, varzishi makhsus va mash iborat ast (onhoro dukhtur tain mekunad). Aksaran dar majmui tadbirhoi muolijavi istifodai bandaj (miyonbandi makhsus), ki kori uzvhoi daruni shikamro oson karda, mushakhoi devorai peshi shikamro mustahkam nigoh medorad, ba nazar girifta meshavad.
Baroi roh nadodan ba shiddati lordoz hama tainoti dukhturro rioya kardan zarur ast. Bahri peshgirii K. s., ki ba illat yo kasalii ustukhonu bugumho vobastagi nadorand, ba durust nishastan targib namudani bachagon, vaqti khondanu navishtan rost nigoh doshtani qomat, mashgul shudan bo varzish, khususan ijroi mashqhoe, ki badanro obutob doda, ba mustaqimii sutunmuhra kumak merasonand, ahamiyati kalon dorand.

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