So w’akyi ayɛ kurukuruwa dodo? (Lordosis/Swayback) Momma yɛnka eyi ho asɛm!

So woahwɛ ahwehwɛ mu na woahu sɛnea w’akyi berɛmo te pɛn? Yɛn akyi berɛmo yɛ adebɔ a ɛyɛ nwonwa. Sɛnea ɛte no, ɛwɔ nsensanee nketenkete kakraa bi. Nanso, ɛtɔ mmere bi a, saa curves yi betumi ayɛ nea ɛboro so kakra. Tebea a ɛte saa no mu biako a yɛrebɛka ho asɛm nnɛ no, wɔfrɛ no `(Lordosis)`. Nnipa binom nso frɛ no `(Swayback)`.

Dɛn ne ``Lordosis'' yi? Momma yɛnte ase tiawa, ɛnte saa?

Okay, susuw ho saa kwan yi so. Yɛn akyi berɛmo, titiriw wɔ kɔn (a wɔsan frɛ no ``Cervical spine'') ne akyi (a wɔsan frɛ no ``Lumbar spine''), fi awosu mu no, ɛwɔ mu a ɛkɔ akyiri kakra. Ɛte sɛ nkyerɛwde ''C''. Saa curve yi ne nea ɛboa yɛn ma yegyina hɔ tẽẽ na yɛtwe ahodwiriw bere a yɛnantew no. Eyi yɛ ade a ɛfata.

Nanso, `(Lordosis)` ne bere a saa abɔde mu kurukuruwa yi, kyerɛ sɛ, akyi berɛmo no a ɛkɔ anim no bɛyɛ nea ɛboro so . Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ obi kɔ awotwaa no akyi berɛmo no mu digrii 30 kosi 40 na n’akyi akyi berɛmo no mu yɛ kurukuruwa digrii 40 kosi 60 a, ɛyɛ ade a ɛfata. Sɛ ɛboro saa a, yɛfrɛ no `(Lordosis)`.

Ɛwom sɛ wɔtaa hu tebea yi wɔ mmofra nkumaa mu de, nanso mpɛn pii no, bere a wɔrenyin no, ɛno ara fi hɔ. Afei nso, nnipa dodow no ara nhia ayaresa titiriw biara wɔ ho. Ɛtɔ mmere bi a oduruyɛfo no bɛkyerɛw apɔw-mu-teɛteɛ a ɛnyɛ den na ama woatumi agyina hɔ yiye.

Nsonsonoe bɛn na ɛwɔ `(Lordosis)`, `(Scoliosis)` ne `(Kyphosis)` ntam?

Eyinom abiɛsa nyinaa yɛ tebea horow a ɛne akyi berɛmo no a ɛkɔ akyiri wɔ abusuabɔ. Nanso, nsonsonoe no gyina akyi berɛmo no fã a ɛka ne ɔfã bɛn na ɛkɔ no so.

• (Lordosis): Eyi ne bere a sɛnea yɛadi kan aka ho asɛm no, abɔde mu kotow a ɛkɔ anim wɔ kɔn ne akyi no yɛ nea ɛboro so .
• Scoliosis: Eyi yɛ akyi berɛmo a ɛkɔ nkyɛnkyɛn, na ɛtɔ mmere bi a, ɛkyinkyin kakra. Eyi taa ba mmofra ne mpanyimfo nkumaa so. Fa no sɛ ɛyɛ kurukuruwa a ɛwɔ akyi berɛmo mu a ɛte sɛ nkyerɛwde ‘S’.
• Kyphosis: Eyi ne bere a akyi berɛmo a ɛyɛ akyi berɛmo no fã a ɛda kɔn ne mpampam awiei ntam no kɔ akyi dodo . Nnipa a wɔwɔ saa tebea yi de wɔn mmati abɔ wɔn anim na wɔhwɛ sɛ wɔabɔ wɔn tirim.

So wote nsonsonoe a ɛwɔ mu no ase? Sɛ yɛbɛka no tiawa a, `(Lordosis)` kyerɛ sɛ wobɛkotow akɔ n’anim, `(Scoliosis)` kyerɛ sɛ wobɛkotow akɔ nkyɛnkyɛn, na `(Kyphosis)` kyerɛ sɛ wobɛkotow akɔ akyi (kyphosis).

Hena na ɛda adi sɛ obenya saa ``Lordosis'' yi?

Saa tebea yi betumi ato obiara ankasa, nanso akuw binom taa nya bi.

• Nnipa a wɔadi boro mfe 50: Ebia eyi fi nsakrae a ɛba akyi berɛmo mu bere a yɛrenyin no.
• Mmofra nkumaa a wonyin ntɛmntɛm: Bere a wɔn nipadua nyin ntɛmntɛm no, nsakrae ahorow yi betumi aba akyi berɛmo mu.
• Ɛnanom a wɔyem: Saa tebea yi betumi aba esiane nhyɛso a ɛba akyi berɛmo so esiane akokoaa no mu duru nti.

Saa tebea yi ka wo nipadua dɛn?

Lordosis ka wo gyinabea titiriw. Ɔkwan a ɛka wo nipadua no gyina baabi a tebea no wɔ wɔ akyi berɛmo no mu so.

• Cervical lordosis: Eyi ne bere a wo kɔn no kɔ w’anim sen sɛnea ɛte daa no. Wɔ nsɛm bi a ɛntaa nsi koraa mu no , eyi betumi aka dwumadi ahorow a ɛfa kɔn ne menewa ho, te sɛ kasa ne menewa mpo.
• Akyi ase `(Lordosis)` (wɔsan frɛ no `(Swayback)`): Wɔ eyi mu no, w’asen ne w’asen pue kɔ akyi, na wo yafunu pue kɔ w’anim. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ woda fam a, wubehu ɔkwan kɛse bi a ɛda w’akyi fam ne fam ntam. Sɛ eyi mu yɛ den dodo a , ebia ɛbɛyɛ den ama wo sɛ wubedi wo nsu ne wo nsu mu, nanso eyi nso ho yɛ na koraa.

Nea ɛho hia sen biara ne sɛ, sɛ akyi berɛmo no kurukuruwa no mu yɛ den yiye a, ebetumi ayɛ den araa ma ɛrentumi nyɛ yiye sɛ wɔbɛkanyan kɔn anaa akyi berɛmo no yiye.

Dɛn ne `(Lordosis)` ho sɛnkyerɛnne?

Nnipa pii wɔ ``Lordosis'' a wɔnkyerɛ nipadua mu sɛnkyerɛnne biara. Nokwarem no, ebia wunnim mpo sɛ wowɔ saa tebea yi gye sɛ oduruyɛfo bi ka kyerɛ wo.

Mpɛn pii no, nsakrae a ɛba wo gyinabea mu no na afoforo hu sen biara. Nhwɛsoɔ:

• Wo ti ne wo kɔn apue akɔ w’anim sen sɛnea ɛte daa.
• Ɛte sɛ nea wɔapia asen no akɔ anim .
• Nea ne nan ase puepue wɔ n’akyi no .
• Sɛ wɔtrɛw asase no mu a, ɔkwan kɛse bi da n’akyi ase.

Sɛ akyi berɛmo no kurukuruwa no yɛ kɛseɛ ɛnam ``lordosis'' nti a, wobɛtumi ate ɛyaw wɔ wo kɔn anaa w'akyi, na ɛbɛtumi nso ayɛ den ama wo sɛ wobɛkanyan wo nipadua no sɛdeɛ ɛteɛ.

Dɛn ne nneɛma a ɛde `(Lordosis)` ba?

Mpɛn pii no, ``Lordosis'' nya nkɔso a biribiara nni hɔ a ɛde ba (wɔfrɛ eyi ``Idiopathic'' wɔ aduruyɛ ho nyansahu mu). Ɛne sɛ, ɛba ara kwa. Mpɛn pii no, wontumi nhu biribiara a ɛde ``Swayback'' tebea a ɛba mmofra nkumaa mu no ba. Wobetumi nso ahu wɔ nnipa a wɔwɔ tebea bi a ɛma akyi atifi kotow kɔ akyi (``Thoracic kyphosis'').

Nanso, ayaresa tebea horow bi nso betumi de ``Lordosis.`` Sɛ nhwɛso no:

• Spondylolisthesis: Eyi ne bere a akyi berɛmo (dompe) biako a ɛwɔ akyi berɛmo no mu no hwe ase kɔ n’anim.
• Achondroplasia: Eyi yɛ awosu mu tebea a ɛma obi tenten yɛ tiaa.
• Nnompe mu yare: Wɔ eyi mu no, nnompe no yɛ mmerɛw na ɛyɛ mmerɛw.
• Osteosarcoma: Eyi yɛ kokoram bi a ɛba nnompe mu.
• Muscular dystrophy: Eyi yɛ yare a ɛma ntini ahorow no yɛ mmerɛw nkakrankakra.
• (Kyphosis): Lordosis nso betumi aba esiane hunchback tebea a yɛadi kan aka ho asɛm no nti.
• (Amemene mu yare a ɛnsakra):Eyi yɛ tebea a amemene no sɛe, sɛ nhwɛso no, Cerebral Palsy.

Ɔkwan bɛn so na wobetumi ahu `(Lordosis)`?

Wo duruyɛfo no nam nipadua mu nhwehwɛmu so bɛhwɛ sɛ lordosis wɔ hɔ anaa.

Ɔbɛhwɛ sɛnea wogyina hɔ na wahwɛ sɛ w’akyi berɛmo no mu ayɛ kurukuruwa a ɛnyɛ ne kwan so anaa. Ɔsan nso bɛhwɛ sɛ curve no yɛ ``flexible.'' Wei kyerɛ sɛ sɛ wobɔ wo kɔn anaa w'akyi ase a, curve no ne no kɔ. Sɛ ɛyɛ nea ɛyɛ mmerɛw saa a, ɛnyɛ den koraa sɛ wubehia ayaresa anaa oprehyɛn.

Oduruyɛfo no betumi ahwɛ nso sɛ wowɔ akyi berɛmo mu haw afoforo te sɛ scoliosis anaa kyphosis anaa.

Sɔhwɛ bɛn na wɔde hu `(Lordosis)`?

Sɛ wo duruyɛfo hu lordosis ho sɛnkyerɛnne wɔ w’akyi berɛmo mu a, ebia ɔbɛhyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu bi na ama wɔahu nea ɛrekɔ so wɔ wo nipadua mu ankasa. Ebia eyinom bi ne:

• (X-ray ahorow) .
• (MRI - Magnetic Resonance Mfonini a Wɔde Yɛ Nneɛma) .
• (CT scan - Kɔmputa so Tomography mfonini) .

Saa sɔhwɛ ahorow yi betumi ahu baabi pɔtee a akyi berɛmo no akyeakyea ne nea ɛde ba.

Ɔkwan bɛn so na wɔsa `(Lordosis)`?

Ayaresa a wɔde sa lordosis no gyina baabi a ɛwɔ w’akyi berɛmo mu ne sɛnkyerɛnne ahorow a worehu esiane eyi nti so.

Nnipa dodow no ara nhia ayaresa biara. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ kɔn anaa akyi yaw a, mpɛn pii no, nnuru a wɔde kum ɛyaw a wɔtɔn (NSAIDs, te sɛ aspirin anaa ibuprofen) ne apɔw-mu-teɛteɛ a wɔde trɛw wo mu na ɛhyɛ wo den nkutoo ne ayaresa. Nanso kae sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woanom NSAID bɛboro nnafua 10 bere koro mu.

Ɛda adi kɛse sɛ ebehia sɛ wokɔ wo duruyɛfo nkyɛn asram kakraa biara kɔhwɛ sɛ w’akyi berɛmo no a ɛyɛ kurukuruwa no akɔ soro anaa.

Nanso, sɛ saa curve yi kɔ soro bere kɔ so, anaasɛ ɛnyɛ nea ɛyɛ mmerɛw a, oduruyɛfo no betumi akyerɛ ayaresa ahorow te sɛ:

• Apɔw-mu-teɛteɛ: Ebia wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ ne ntrɛwmu a ɛbɛma ntini a atwa w’akyi berɛmo ho ahyia no den. Apɔw-mu-teɛteɛ ntumi ntew w’akyi berɛmo a ɛyɛ kurukuruwa no so anaasɛ ɛnsa lordosis koraa. Nanso, nhwehwɛmu ada no adi sɛ ɛno ne ɔkwan a eye sen biara a wɔfa so tew sɛnkyerɛnne te sɛ kɔn ne akyi yaw so. Sɛ wɔhyɛ asen, asen, asen, ne glutes den a, ebetumi aboa kɛse ma wogyina hɔ yiye.
• Sɛ wohyɛ akyi aduru (`Bracing`):Wɔ eyi mu no, wɔbɛma wo brace a wɔayɛ no sɛnea wopɛ sɛ wohyɛ. Eyi bɛma w’akyi berɛmo no aboa na amma ankɔ akyiri bio. Oduruyɛfo no bɛkyerɛ wo bere tenten a ɛsɛ sɛ wohyɛ ne bere tenten a ɛsɛ sɛ wohyɛ. Anyɛ yiye koraa no, ɛsɛ sɛ nnipa dodow no ara hyɛ no nnɔnhwerew 20 da biara.
• Lordosis Oprehyɛn: Wɔntaa nhia sɛ wɔyɛ Lordosis oprehyɛn. Nanso sɛ akyi berɛmo no a ɛyɛ kurukuruwa no mu yɛ den anaasɛ bere kɔ so no, ɛyɛ kɛse a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ akyi berɛmo no mu oprehyɛn a wɔde afra akyi na ama akyi berɛmo no ateɛteɛ na wɔatew kurukuruwa no so. Ebia eyi nso bɛfa nnompe a wɔde hyɛ nipadua mu ho. Wo oprehyɛn anaa wo duruyɛfo bɛkyerɛ wo oprehyɛn ko a ɛsɛ sɛ woyɛ ne bere tenten a ebegye ansa na wo ho atɔ wo.

Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho?

Sɛ wowɔ lordosis a, ɛnkyerɛ sɛ ɛsɛ sɛ wugyae apɔw-mu-teɛteɛ anaa agodie. Nokwarem no, sɛ wokɔ so yɛ nnam a , ebetumi aboa ma ntini a atwa w’akyi berɛmo ho ahyia no ayɛ den na aboa ma wo sɛnkyerɛnne ahorow no bi so atew. Nanso, sɛ wɔyɛ wo oprehyɛn de siesie w’akyi berɛmo no a, ebia ebehia sɛ wokwati apɔw-mu-teɛteɛ ahorow bi kosi sɛ wo ho bɛtɔ wo. Bisa wo oprehyɛn ho ɔbenfo anaa wo duruyɛfo no eyi ho asɛm.

Sɛnea oduruyɛfo no ka no, hwɛ no na hwɛ nsakrae a aba w’akyi berɛmo mu.

Afei nso, aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe a wubedi akyi no ye yiye ma w’akwahosan nyinaa.

Sɛ wuhu nsakrae biara wɔ w’akyi, titiriw sɛ wunya sɛnkyerɛnne foforo te sɛ ɛyaw, anaasɛ sɛ wo ho yɛ wo yaw wɔ w’akwaa mu a, hwɛ hu sɛ wo ne oduruyɛfo bɛkasa.

So metumi asiw Lordosis ano sɛ ɛrennya?

Ɔkwan biara nni hɔ a wobetumi afa so asiw lordosis ano ankasa. Ebetumi aba a ntease biara nnim (idiopathic) anaasɛ akwahosan tebea foforo na ɛde ba. Nanso, biribiara nni hɔ a wubetumi ayɛ de asiw ano. Nanso, wo nipadua a wobɛma ayɛ nea ɛyɛ mmerɛw na wohyɛ wo ntini atitiriw no den no ne ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ no so.

Sɛ mewɔ `(Lordosis)` a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Ɛho nhia sɛ Lordosis nya w’asetra so nkɛntɛnso kɛse. Nnipa dodow no ara nhia ayaresa mpo wɔ ho. Sɛ ɛho behia sɛ wɔsa yare mpo a, ɛda adi sɛ ɛbɛhwehwɛ sɛ wɔde nnuru a wɔde sa ɛyaw anaa apɔw-mu-teɛteɛ na ama obi agyina hɔ yiye.

Bere a mmofra a wɔwɔ ``Lordosis'' nyin, na wɔn akyi berɛmo ne wɔn nipadua a aka no nyin no, saa tebea yi taa kɔ n'ankasa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ w’akyi yɛ wo yaw a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa.

Bisa wo duruyɛfo mpɛn dodow a ɛsɛ sɛ wuhu no. Ɔbɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ woba bɛhwɛ sɛ nsakrae bi aba w’akyi berɛmo no mu.

Titiriw sɛ wo ho yɛ wo yaw, wo ho kyere wo, anaasɛ wote nka sɛ anyinam ahoɔden rebɔ wo a, kɔ oduruyɛfo nkyɛn ntɛm ara.Eyinom betumi ayɛ ɔhaw afoforo a ebia emu yɛ den kɛse a ɛwɔ akyi berɛmo no ho sɛnkyerɛnne.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm bi te sɛ eyinom:

• Lordosis bɛn na mewɔ?
• So mehia ayaresa?
• Mpɛn ahe na ɛsɛ sɛ mema wɔhwɛ m’akyi berɛmo mu?
• So mewɔ asiane mu sɛ menya akyi haw afoforo?

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Nnipa dodow no ara dwen wɔn nnompe ho bere a biribi asɛe wɔn nkutoo. Lordosis yɛ saa nneɛma no mu biako. Titiriw esiane sɛ ebia worennya yare no ho sɛnkyerɛnne biara da na ebia wunhu mpo sɛ w’akyi berɛmo ayɛ kurukuruwa dodo nti. Bere a ebetumi ayɛ hu kakra sɛ wubesusuw sɛ w’akyi berɛmo resakra a wunhu mpo no, enhia sɛ lordosis nya w’asetra anaa nneɛma a w’ani gye ho no so nkɛntɛnso kɛse.

Sɛ wuhu nsakrae bi wɔ w’akyi anaa wo gyinabea mu a, akyinnye biara nni ho sɛ wo ne oduruyɛfo nkasa. Mma wo ho nnyɛ wo hu, mpɛn pii no ebetumi ayɛ biribi a ɛnyɛ den.

` Lordosis, Swayback, Scoliosis, Akyi berɛmo, Gyinabea, Akyi Ɛyaw, Nipadua mu Ayaresa