{"id":18171,"date":"2019-10-13T08:12:03","date_gmt":"2019-10-13T06:12:03","guid":{"rendered":"http:\/\/redaktori.com\/?p=18171"},"modified":"2019-10-13T08:12:03","modified_gmt":"2019-10-13T06:12:03","slug":"si-trajtohet-deformimi-i-shtylles-te-femijet-dhe-adoleshentet","status":"publish","type":"post","link":"https:\/\/redaktori.com\/?p=18171","title":{"rendered":"Si trajtohet deformimi i shtyll\u00ebs te f\u00ebmij\u00ebt dhe adoleshent\u00ebt"},"content":{"rendered":"

Skolioza zakonisht nuk shkakton asnj\u00eb dhembje, mosfunksionim neurologjik ose probleme t\u00eb frym\u00ebmarrjes. Shqet\u00ebsimi mbi pamjen kozmetike t\u00eb shpin\u00ebs shpesh \u00ebsht\u00eb shqet\u00ebsimi kryesor i pacientit dhe prindit. \u00cbsht\u00eb nj\u00eb s\u00ebmundje e ngadalt\u00eb dhe progresive, p\u00ebrgjith\u00ebsisht asimptomatike<\/em><\/strong><\/p>\n

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Skolioz\u00eb quhet deformimi q\u00eb vjen si rrjedhoj\u00eb e nj\u00eb kurbimi an\u00ebsor t\u00eb nj\u00eb segmenti t\u00eb shtyll\u00ebs kurrizore ndaj boshtit gjat\u00ebsor t\u00eb saj, gj\u00eb q\u00eb e b\u00ebn at\u00eb t\u00eb duket n\u00eb form\u00ebn \u201cS\u201d ose \u201cC\u201d, q\u00eb normalisht duhet t\u00eb jet\u00eb e drejt\u00eb e t\u00eb ket\u00eb form\u00ebn e \u201cI\u201d. Kirurgu ortoped, Ledian Fezollari shpjegon se skolioza mund t\u2019i shkaktoj\u00eb vertebrave (unazave) rrotullim gj\u00eb q\u00eb shkakton q\u00eb nj\u00ebra shpatull apo k\u00ebrdhokull (k\u00ebllq) t\u00eb jet\u00eb m\u00eb lart se tjetra.<\/p>\n

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Problemi<\/strong><\/p>\n

Termi \u201cidiopathic\u201d do t\u00eb thot\u00eb q\u00eb nuk i dihet shkaku nga vjen kjo s\u00ebmundje. Pra, Skolioza p\u00ebrfaq\u00ebson t\u00eb shtremb\u00ebruarit an\u00ebsor dhe rrotullues t\u00eb shtyll\u00ebs kurrizore. Kemi t\u00eb b\u00ebjm\u00eb me nj\u00eb d\u00ebmtim 3-dimensional. Nganj\u00ebher\u00eb rrotullimi p\u00ebrcakton edhe nj\u00eb deformim t\u00eb kafazit t\u00eb kraharorit dhe t\u00eb organeve q\u00eb p\u00ebrmbahen n\u00eb t\u00eb (zemra, mushk\u00ebrit\u00eb dhe diafragma).<\/p>\n

Klasifikimi i Skolioz\u00ebs<\/strong><\/p>\n

Skolioza mund t\u00eb ndodh\u00eb n\u00eb \u00e7do mosh\u00eb.<\/p>\n

Klasifikimi sipas mosh\u00ebs<\/strong><\/p>\n

Skolioza Adoleshente idiopatike ndodh pas mosh\u00ebs 10 vje\u00e7. Ajo \u00ebsht\u00eb lloji m\u00eb i zakonsh\u00ebm.<\/p>\n

Skolioza juvenile ndodh n\u00eb f\u00ebmij\u00ebt midis mosh\u00ebs 3 dhe 10 vje\u00e7. Kjo nuk \u00ebsht\u00eb e zakonshme.<\/p>\n

Skolioza infantile (f\u00ebminore) ndodh n\u00eb f\u00ebmij\u00ebt m\u00eb t\u00eb vegj\u00ebl se 3 vje\u00e7. Kjo mund t\u00eb rezultoj\u00eb nga anomnali t\u00eb lindura t\u00eb vertebrave, sindroma t\u00eb ndryshme, \u00e7rregullime neurologjike, ose p\u00ebr arsye t\u00eb panjohura (idiopatike).<\/p>\n

Klasifikimi sipas shkakut:<\/p>\n

80% e tyre jan\u00eb me origjin\u00eb idiopatike (pa nj\u00eb shkak t\u00eb njohur).<\/p>\n

Skolioza kongjenitale, q\u00eb e marrin origjin\u00ebn nga defekte t\u00eb organogjenez\u00ebs gjat\u00eb periudh\u00ebs embrionale.<\/p>\n

Skolioza neuromuskulare (nga poliomieliti, osteodistrofia etj).<\/p>\n

Frekuenca e skolioz\u00ebs<\/strong><\/p>\n

Skolioza \u00ebsht\u00eb rreth 7 her\u00eb m\u00eb e shpesht\u00eb tek femrat se tek meshkujt, dhe shfaqet m\u00eb s\u00eb shumti n\u00eb moshat nga 3 n\u00eb 10 vje\u00e7.<\/p>\n

5% e popullsis\u00eb bot\u00ebrore \u00ebsht\u00eb e prekur, prej t\u00eb cil\u00ebve 81% nuk dihen shkaqet, 15% e lindur dhe rreth 10% nervore-muskulare.<\/p>\n

Kurba e Skolioz\u00ebs e matur t\u00eb pakt\u00ebn 10 \u00b0 ndodh n\u00eb 1.5% n\u00eb 3.0% t\u00eb popullsis\u00eb.<\/p>\n

Kurba q\u00eb tejkalon 20\u00b0 ndodh n\u00eb 0.3% n\u00eb 0.5% t\u00eb popullsis\u00eb.<\/p>\n

Kurba q\u00eb tejkalon 30\u00b0 ndodh n\u00eb 0.2% n\u00eb 0.3% t\u00eb popullsis\u00eb.<\/p>\n

Kurba t\u00eb vogla kurrizore ndodhin me frekuenc\u00eb t\u00eb ngjashme n\u00eb djem dhe vajza, por vajzat kan\u00eb m\u00eb shum\u00eb t\u00eb ngjar\u00eb q\u00eb t\u00eb ken\u00eb nj\u00eb kurb\u00eb progresive t\u00eb madhe skoliotike q\u00eb do t\u00eb k\u00ebrkoj\u00eb trajtim.<\/p>\n

Shenjat<\/strong><\/p>\n

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Skolioza zakonisht nuk shkakton asnj\u00eb dhimbje, mosfunksionim neurologjik, ose probleme t\u00eb frym\u00ebmarrjes. Shqet\u00ebsimi mbi pamjen kozmetike t\u00eb shpin\u00ebs shpesh \u00ebsht\u00eb shqet\u00ebsimi kryesor i pacientit dhe prind\u00ebrit. Pra \u00ebsht\u00eb nj\u00eb s\u00ebmundje e ngadalt\u00eb dhe progresive, p\u00ebrgjith\u00ebsisht asimptomatike. Shpesh jan\u00eb prind\u00ebrit ose pediatri t\u00eb par\u00ebt q\u00eb v\u00ebn\u00eb re q\u00eb di\u00e7ka ka ndryshuar n\u00eb q\u00ebndrimin e f\u00ebmij\u00ebs. N\u00eb raste t\u00eb rralla mund t\u00eb shfaqen shqet\u00ebsime n\u00eb kolon\u00ebn vertebrale apo lodhje muskulare pas sforcimit fizik. P\u00ebrgjith\u00ebsisht f\u00ebmija \u00ebsht\u00eb i qet\u00eb, fle mir\u00eb dhe vazhdon t\u00eb kryej\u00eb normalisht veprimtarit\u00eb e tij t\u00eb p\u00ebrditshme.<\/p>\n

Diagnoza<\/strong><\/p>\n

Mjeku do t\u2019i k\u00ebrkoj\u00eb f\u00ebmij\u00ebs tuaj p\u00ebr t\u00eb p\u00ebrkulet p\u00ebrpara, gj\u00eb e cila do t\u00eb tregoj\u00eb ndonj\u00eb deformim. Kjo quhet \u201cTesti i p\u00ebrkuljes p\u00ebrpara t\u00eb Adamit\u201d. Mjeku gjithashtu do t\u00eb kontrolloj\u00eb p\u00ebr ndonj\u00eb mosp\u00ebrputhjet n\u00eb gjat\u00ebsi t\u00eb gjymtyr\u00ebve, gjetjet abnormale neurologjike apo shkaqe t\u00eb tjera t\u00eb mundshme.<\/p>\n

Investigimi dhe testet<\/strong><\/p>\n

Shum\u00eb shkolla rregullisht kryejn\u00eb depistim t\u00eb skolioz\u00ebs te nx\u00ebn\u00ebsit. K\u00ebto depistime zakonisht b\u00ebhen gjat\u00eb viteve t\u00eb shkoll\u00ebs s\u00eb mesme dhe 9 -vje\u00e7are. F\u00ebmija juaj mund t\u00eb marr\u00eb nj\u00eb rekomandim p\u00ebr skolioz\u00eb nga nj\u00eb mjek bazuar n\u00eb rezultatet e depistimit t\u00eb shkoll\u00ebs. Diagnoza diferenciale duhet b\u00ebr\u00eb nd\u00ebrmjet skolioz\u00ebs anatomike me rrotullim, dhe t\u00eb ashtuquajtur\u00ebs \u201cskolioz\u00eb funksionale\u201d, e cila \u00ebsht\u00eb nj\u00eb patologji q\u00eb trajtohet shum\u00eb m\u00eb thjesht, meq\u00eb n\u00eb baz\u00ebn e saj nuk ka defektet kockore.<\/p>\n

Skolioza konfirmohet nga nj\u00eb x-ray t\u00eb shpin\u00ebs. Mjeku juaj do t\u00eb mas\u00eb shkall\u00ebn e kurb\u00ebs, si\u00e7 tregohet n\u00eb x-ray.<\/p>\n

N\u00ebse nuk trajtohet, kurbat q\u00eb tejkalojn\u00eb 50\u00b0 mund t\u00eb \u00e7ojn\u00eb n\u00eb probleme afatgjat\u00eb. P\u00ebrkeq\u00ebsimi progresiv i kurb\u00ebs skoliotike q\u00eb mund t\u00eb ndodh\u00eb n\u00eb disa pacient\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb kapacitet t\u00eb zvog\u00ebluar t\u00eb mushk\u00ebrive dhe zhvillimin e s\u00ebmundjeve restriktive t\u00eb mushk\u00ebrive. Shqet\u00ebsimet kozmetike jan\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr shum\u00eb pacient\u00eb. Incidenca e dhimbjes s\u00eb shpin\u00ebs apo mesit e pacient\u00ebve me skolioz\u00eb \u00ebsht\u00eb e ngjashme me at\u00eb t\u00eb popullsis\u00eb s\u00eb p\u00ebrgjithshme.<\/p>\n

Trajtimi- Indikacionet<\/strong><\/p>\n

Lloji i trajtimit t\u00eb nevojsh\u00ebm varet nga lloji dhe shkalla e kurb\u00ebs, mosha e f\u00ebmij\u00ebs, dhe numri i viteve t\u00eb rritjes s\u00eb mbetur deri sa f\u00ebmija t\u00eb arrij\u00eb pjekurin\u00eb skeletike. Duke pasur parasysh ecurin\u00eb e ngadalt\u00eb t\u00eb s\u00ebmundjes, k\u00ebshillohet t\u00eb kryhet, rreth mosh\u00ebs 5-6 vje\u00e7, nj\u00eb vizit\u00eb kontrolli e tipit parandalues. M\u00eb pas do t\u00eb jet\u00eb ortopedi ai q\u00eb do t\u00eb vendos\u00eb n\u00ebse duhen kryer ekzaminime t\u00eb m\u00ebtejshme. Kjo s\u00ebmundje duhet diagnostikuar shpejt (maksimumi brenda mosh\u00ebs 13 vje\u00e7). Pas k\u00ebsaj moshe b\u00ebhet e v\u00ebshtir\u00eb arritja e rezultateve t\u00eb mira, sepse k\u00ebrcet q\u00eb quhen \u201ck\u00ebrce t\u00eb rritjes\u201d fillojn\u00eb gradualisht t\u00eb mbyllen, duke e b\u00ebr\u00eb struktur\u00ebn kockore q\u00eb duam t\u00eb korrigjojm\u00eb m\u00eb pak t\u00eb \u201cmodelueshme\u201d. Pra, kjo \u00ebsht\u00eb nj\u00eb patologji e cila duhet trajtuar brenda mosh\u00ebs s\u00eb adoleshenc\u00ebs, me mjekime fizioterapeutike (gjimnastik\u00eb posturale), korrigjuese (stabilizues t\u00eb kolon\u00ebs \u2013 korse) apo kirurgjikale (stabilizime), n\u00eb var\u00ebsi t\u00eb rastit.<\/p>\n

Trajtimi Jo-Kirurgjikal<\/strong><\/p>\n

Ky opsion \u00ebsht\u00eb i p\u00ebrshtatsh\u00ebm kur kurba \u00ebsht\u00eb e but\u00eb (m\u00eb pak se 20\u00b0) ose n\u00ebse f\u00ebmija \u00ebsht\u00eb af\u00ebr maturimit skeletik. Megjithat\u00eb, mjeku mund t\u2019ju k\u00ebrkoj\u00eb rikontrolle t\u00eb her\u00ebpashershme p\u00ebr t\u00eb par\u00eb kurb\u00ebn n\u00ebse \u00ebsht\u00eb progresive apo \u00ebsht\u00eb duke u p\u00ebrkeq\u00ebsuar. Mund t\u2019ju k\u00ebrkohet q\u00eb t\u00eb vizitoheni \u00e7do 3-6 muaj p\u00ebr riekzaminim. Shumica e rasteve t\u00eb scolioz\u00ebs s\u00eb identifikuar nga skrinimi n\u00eb shkoll\u00eb, b\u00ebjn\u00eb pjes\u00eb n\u00eb k\u00ebt\u00eb kategori.<\/p>\n

Bracing-Vendosja e Korseve<\/strong><\/p>\n

Q\u00ebllimi i vendosjes s\u00eb korseve \u00ebsht\u00eb p\u00ebr t\u00eb parandaluar p\u00ebrkeq\u00ebsimin e skolioz\u00ebs. Korset\u00eb mund t\u00eb jen\u00eb efektive n\u00ebse f\u00ebmija \u00ebsht\u00eb ende n\u00eb rritje dhe ka nj\u00eb lakim kurrizor n\u00eb mes t\u00eb 25\u00b0 dhe 45\u00b0. Ka disa lloje t\u00eb korseve, shumica jan\u00eb n\u00ebn krah\u00eb.<\/p>\n

Ortopedi juaj do t\u2019ju rekomandoj\u00eb nj\u00eb korse dhe do t\u2019ju tregojn\u00eb se sa koh\u00eb duhet t\u00eb mbani veshur \u00e7do dit\u00eb. Veshja e nj\u00eb korseje nuk ndikon n\u00eb pjes\u00ebmarrje n\u00eb aktivitetet sportive.<\/p>\n

Trajtimi Kirurgjikal<\/strong><\/p>\n

N\u00ebse kurba \u00ebsht\u00eb m\u00eb shum\u00eb se 45\u00b0 dhe f\u00ebmija \u00ebsht\u00eb ende n\u00eb rritje, mjeku mund t\u00eb rekomandoj\u00eb kirurgji-operacion. N\u00ebse pacienti ka arritur pjekurin\u00eb skeletike, operacioni mund t\u00eb jet\u00eb ende i rekomanduar p\u00ebr skoliozat q\u00eb tejkalojn\u00eb 50\u00b0 n\u00eb 5\u00b0.<\/p>\n

Procedura<\/strong><\/p>\n

Para operacionit, mund t\u2019ju k\u00ebrkohet p\u00ebr t\u00eb dhuruar gjak (e cila do t\u00eb p\u00ebrdoret gjat\u00eb operacionit, n\u00ebse \u00ebsht\u00eb e nevojshme).<\/p>\n

Implantet q\u00eb p\u00ebrdoren p\u00ebrb\u00ebhen nga shufra, grepa, vida, dhe \/ ose tela t\u00eb cilat sh\u00ebrbejn\u00eb p\u00ebr t\u00eb drejtuar shpin\u00ebn. Merret graft kockor nga banka e kockave nga kockat e legenit t\u00eb vet\u00eb f\u00ebmij\u00ebs q\u00eb p\u00ebrdoren p\u00ebr t\u00eb rritur konsolidimin dhe sh\u00ebrimin e shtyll\u00ebs kurrizore.<\/p>\n

Pas operacionit, pacient\u00ebt zakonisht ecin nga dita e dyt\u00eb, pa patur nevoj\u00eb p\u00ebr nj\u00eb korse, dalin nga spitali brenda 1 jave, dhe shpejt mund t\u00eb rifilloj\u00eb aktivitetet e tyre t\u00eb p\u00ebrditshme.<\/p>\n

\u00a0Rezultatet afatgjat\u00eb pas kirurgjis\u00eb<\/strong><\/p>\n

Pacient\u00ebt zakonisht nuk p\u00ebrjetojn\u00eb shum\u00eb dhimbje sa \u00e7\u2019kan\u00eb n\u00eb faz\u00ebn e rehabilitimit pas operacionit. Nj\u00eb kthim n\u00eb aktivitetet sportive \u00ebsht\u00eb e mundur 6-9 muaj pas operacionit. Megjithat\u00eb, p\u00ebr shkak t\u00eb kufizimit t\u00eb p\u00ebrhersh\u00ebm t\u00eb disa l\u00ebvizjeve t\u00eb shpin\u00ebs pas operacionit, pjes\u00ebmarrja n\u00eb sporte t\u00eb kontaktit, t\u00eb tilla si futboll apo regbi, nuk rekomandohen. Operacioni i skolioz\u00ebs nuk ndikon n\u00eb shtatzanit\u00eb e ardhshme apo n\u00eb lindje te pacientet femra.<\/p>\n","protected":false},"excerpt":{"rendered":"

Skolioza zakonisht nuk shkakton asnj\u00eb dhembje, mosfunksionim neurologjik ose probleme t\u00eb frym\u00ebmarrjes. Shqet\u00ebsimi mbi pamjen kozmetike t\u00eb shpin\u00ebs shpesh \u00ebsht\u00eb shqet\u00ebsimi kryesor i pacientit dhe prindit. \u00cbsht\u00eb nj\u00eb s\u00ebmundje e ngadalt\u00eb dhe progresive, p\u00ebrgjith\u00ebsisht asimptomatike     Skolioz\u00eb quhet deformimi q\u00eb vjen si rrjedhoj\u00eb e nj\u00eb kurbimi an\u00ebsor t\u00eb nj\u00eb segmenti t\u00eb shtyll\u00ebs kurrizore ndaj […]<\/p>\n","protected":false},"author":1,"featured_media":18172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[18,21],"tags":[],"yoast_head":"\nSi trajtohet deformimi i shtyll\u00ebs te f\u00ebmij\u00ebt dhe adoleshent\u00ebt - Informohu qart\u00ebsisht!<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/redaktori.com\/?p=18171\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Si trajtohet deformimi i shtyll\u00ebs te f\u00ebmij\u00ebt dhe adoleshent\u00ebt - Informohu qart\u00ebsisht!\" \/>\n<meta property=\"og:description\" content=\"Skolioza zakonisht nuk shkakton asnj\u00eb dhembje, mosfunksionim neurologjik ose probleme t\u00eb frym\u00ebmarrjes. 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