Yintoni i-Neuroforaminal Stenosis?
I-spinal stenosis ibinzana elibhekiselele ekunciphiseni kwesithuba esinye okanye ngaphezulu kwikholam yomgcini. Ngokuqhelekileyo uthetha, kuhlobene ne-arthritis, oko kuthetha ukuba ukucuthwa kudla ngokubangela ukuba utshintsho olwenzayo luqhutyelwa emathanjeni omgulane ngexesha elide kunye / okanye ngenxa yokulimala.
I-spinal stenosis inokuvela naphi na ubude bomgudu; nangona kunjalo, kudla ukufunyanwa kwi-lumbar (i-back back) kunye neengcango (intamo) kwimininzi.
Kukho iintlobo ezimbini ze-spinal stenosis: I-canal stenosis kunye ne-neuroforaminal stenosis. Igama elithi "central canal stenosis" lithetha ukunciphisa umgudu womgogodla, okuyiindawo ezingenanto phakathi kwendawo yokugcoba . Iimpawu ze-canal stenosis ziqheleke kwiindawo ezithile zomzimba ezenziwa ngumgangatho osisigxina osezantsi kunye nezantsi.
Central Canal Stenosis
Kwimeko ye-stalosis ye-canal stenosis (ingengomlomo wesibeleko,) le miqondiso ibandakanya i- neurogenic claudicatio n yinto efana neentlungu zentlungu emilenzeni eyenziwa ngokuhamba. Umngcipheko ophezulu wokwala omnye uphawu oluqhelekileyo.
I-stalosis ye-canal stalosis yomdaka ungabangela ukuphazamiseka kwintlawulo yakho yokuhamba; Oku kunokuchaphazela izinto ozenzayo ngezandla zakho ezifana nokubamba izikhwama, iipokethi okanye ezinye izinto, iingubo zeenkomfa kunye neengubo, ukudibanisa i-shoelaces nokubhala.
Ezinye iimpawu zentsholongwane ye-canal stenosis ziquka inguqu epheleleyo kwimvakalelo yakho yecala, ukuvakalelwa kukuba unobuthakathaka kunokuba wawukho ngaphambili, utshintsho kwimpembelelo yakho, isilonda kunye / okanye ukungasebenzi kwesantya, nokunye.
Neuroforaminal Stenosis
I-neuroforaminal stenosis yincinci eyenzeka kwi- foramina .
I-Foramina imingxuma ekhoyo kwicala lomgca womgcini; zincinci kunomgca womgudu. Amantongomane omlenze aphumayo i-foramina emva kokuxhunywa kwintambo yomgca. Ezi ntsholongwane ziza kuhamba kuzo zonke iindawo zomzimba ukuba zithathe uvakalelo kwaye zithwale kwingqondo ukuze zitshintshwe, kwaye ziphinde zibuyisele iimpembelelo zentshukumo ebuchosheni ukuya kwiimisipha.
UDkt. Robert Bray, i-neurosurgeon kwi-DISC Sports kunye ne-Spine Centre e-Marina del Rey, eCalifornia ithi ngokuchasene ne-canal stenosis, i-neuroforaminal stenosis iyaphazamisa i- nerve ekhoyo kuphela kwizinga elithile apho i- stenosis ikhona khona.
Ngamanye amagama, kwi-neuroforaminal spinal stenosis, ukuba inqanaba elithile lentsholongwane okanye amanqanaba (amanqanaba abizwa ngokuba ngamacandelo ) ayinalo utshintsho lwebony olubangelwa ukunciphisa i-foramina, kwaye iimpawu ezinxulumene naloo nqanaba aziyi kubakho. Oku akukuthinteli ukuba ube nempawu kuwo onke, nangona kunjalo. Ukuba amanye amacandelo omgudu wakho onqamlekileyo, unokuba nolwazi olunxulumene nentlungu kunye nezinye iimpawu ngenxa yoko.
Njengomgudu ophakathi kwe-canal stenosis, i-neurogenic claudication (kwakhona, intlungu yomlenze nokunyanyisa ukuhamba) ngumqondiso omnye we-neuroforaminal stenosis.
Enyanisweni, kuthathwa njengempawu eziqhelekileyo. I-neurogenic claudication ihambelana nokumisa, ngokukodwa indlela ukubeka ngayo umthambo wakho kukuchaphazela indawo kwi-foramina (echazwe ngasentla.)
Ucwaningo lwango-2017 lufumene ukuba i-flexible (bent forward) i-spine ikwandisa indawo kwi-foramina. Oku kuya kunciphisa izibonakaliso ngenxa yokuba inaliti inegumbi elingakumbi.
Yintoni Edala Ubunzima beStinal Stenosis?
Amagqabantshintshi emgodini angancinwa ngamanani amaninzi, uthi uDkt. Allen Wilkins waseManhattan Physical Medicine kunye nokuQuqulwa. Phakathi kwezona zinto ziqhelekileyo zi-disc, i-arthritis yamalungu angama-neighborhood, ama-disc bulges kunye nama-synovial cysts.
UDkt. Ali Bydon, uNjingalwazi oManyeneyo we-Neurosurgery, uMlawuli we-Colinal Column Biomechanics kunye neZiphumo zophando kwiLebhu yeYohn Hopkins Medical School, kunye noMlawuli wezoKliniki we-Spine Surgery kwi-Johns Hopkins Bayview Hospital Centre uyavuma, wongezelela ukuba i-disk space collapse, i-facet hypertrophy ( kufana novavanyo lukaDkt Wilkins lwesifo se-arthritis apha ngasentla) kunye ne- spondylolisthesis ezinye zezizathu ezinobangela.
"Yonke yale miqathango iyaba yinto eqhelekileyo xa abantu bebudala, kodwa kungabangela nokuba yingozi ngenxa yokulimala," kuchazwa nguBydon.
Kuphela nje ukuhamba kwexesha - kunye nefuthe lokuba uxanduva lwezobomi lunakho emthonjeni - luya kulala kwingcambu yakho ye-neuroforaminal stenosis. "I-neuroforaminal stenosis ibangelwa ukuguga nokuqheleka, ngokuguga komxube okanye xa idibeneyo ikhatywe kwaye ingapheli ixesha, phakathi kwezinye izizathu, uDkt. Bray uphetha.
Ukuba unomdla kwiindlela zokonyango ze-neuroforaminal stenosis, thetha nodokotela wakho. Ngolwazi jikelele, funda i- Neuralforaminal Stenosis Treatment .
Imithombo:
I-Email Interview. UWilkins, A., MD. Manhattan Physical Medicine kunye nokuvuselelwa. Inew york. Disemba 2013.
Freedman, B., Hoffler, C., Cameron, B., Rhee, J., Bawa, M., malone, D. Bent, M. Yoon, T. Ukuqhathaniswa kweSomography zeComputer ye-Computed of Stagnical Stinal Stenosis I-Myelopathy: I-Case-Control Study yase-Asian Spine J. Feb 2015. Kufumaneka: Matshi 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330215/
ULee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Uhlaziyo olutsha ngokuPhononongwa kweeNcwadi. I-Asian Spine J. Ngo-Okthoba 2015 Oktobha Ukufikeleleka: Matshi 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Ukuvandlakanywa kweenguqu kwimilinganiselo ye-neuroforaminal ye-lumbar kubaselula abasemagunyeni abasebenzisa i-MRI yesimo. Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511