Indlela i-Neuralforaminal Stenosis ibangela ngayo ubuhlungu
I-neuralforaminal stenosis ngumhlobo we-stenosis othoba imingxuma ekudluleleni kuyo umgudu wendlela yokuphuma kuyo yonke indawo yomzimba ukusuka kwintambo yomgogodla. Ezi zimbobo, ezibizwa ngokuba yi-foramen, zifumaneka kumacala omqolo wakho we-vertebral kuwo onke amanqanaba, okanye kwicandelo lomgudu. (Icandelo elinye lichazwe ngasentla nangezantsi ngamalungu angama- intervertebral .)
Xa une-stenosis ye-neuralforamenal, ukukhula kwebony okanye i-malformations - edlalwa ngenxa yeenguqu ezinxulumene neminyaka kunye / okanye ukuguqulwa kwesigxina ezenzeka kwindawo yokugqithisa umlenze kwisithuba esivame ukunikezelwa yi-foramen. Le ntambo iyanciphisa inani leendawo ezikhoyo kwizinto eziqulethwe, njengentsimbi yomgulane (kunye nezinye izinto), ukuze zilungele kakuhle.
Iimpawu eziqhelekileyo
Ngoko ke ukuthini konke oku kuthetha ntoni kwiimpawu zakho? Ukudibana kukuchaphazela njani indlela oziva ngayo xa unesifo se-neuroforamal stenosis?
Into yokuqala yokugcina engqondweni kukuba iimbilini ezichaphazelekayo nge-stenosis yakho ye-neuroformainal ziyi-nerves. Umsebenzi wabo ukuhambisa imiyalezo yentshukumo kunye nesenzo esivela kwi-system yakho ye-nervous system (equkethe ingqondo yakho kunye nentambo yomthambo wakho). Ukuba, ngenxa yentsholongwane ekhoyo kwi-foramen yakho, ingcambu yomgca iphazamiseka ekubeni ingenzi umsebenzi wayo - ngamanye amagama, ukuba icinezelwa okanye ingacatshangiswa njengoko idibanisa kunye nezakhiwo ezingumakhelwane - uya kuba nomuva unxulumene neempawu ezinxulumene nokuqhekeza yintoni loo ntsho iyenzela yona ngokuqhelekileyo.
Uphawu oluphambili lwe-neuroforamalal stenosis ngokuqhelekileyo luyingozi ye- radiculopathy . I-Radiculopathy ingaba neentlungu, ukuphazamiseka, ukubetha, ukubuthathaka, ukutshisa okanye ukuvalelwa kombane okuya emlenzeni omnye okanye ingalo enye (kuxhomekeka ukuba ingaba i-stenosis yakho ikhona kumqolo wakho osezantsi okanye entanyeni yakho.)
I-neuralforaminal stenosis ayiyona imeko yonyango kuphela apho i-radiculopathy yimiqondiso ephambili.
I-disc ye-herniated ngumnye umzekelo.
UDkt. Allen Wilkins, MD, weManhattan Physical Medicine and Spine, uthi izibonakaliso ze-radiculopathy zivame ukuvela kwipatheni ethile kunye nomgca apho i-nerve ichaphazeleka ngayo ukuhamba kwe-stenosis. Iphethini echanekileyo imiselwe ngaphambili kwaye iyahambelana nemimandla apho amaninzi asebenza khona. Le mimandla iyaziwa njengama- dermatomes .
UDkt. Ali Bydon, uNjingalwazi oManyeneyo we-Neurosurgery, uMlawuli we-Colinal Column Biomechanics kunye neZiphumo zokuPhepha kwiLebhu yeSikolo saseYohn Hopkins kunye noMlawuli wezonyango kwi-Johns Hopkins Bayview Medical Centre uchaza i-dermatomes (kwimeko ye-neuroforaminal stenosis) njengemizila ukuhanjiswa kunye neengalo okanye imilenze ukuba xa kukho izibonakaliso, zilungelelanisa nesibindi esicindezelweyo. Uthi: "Iimpawu ze-neuroforaminal stenosis zivame ukulandela le ndlela yokuhambisa," ushilo.
"Ukunyanzeliswa kwentsholongwane yomlomo kuya kubangela iimpawu kwiingalo; Ukunyanzeliswa kwemizwa ye-thoracic kubangela ukuba iimpawu kwi-thorax kunye noxinzelelo lweentsholongwane kwi- lumbar spine ziza kubangela iimpawu kumagqabi nasemilenzeni, "utsho.
UDkt. Robert Bray, i-neurosurgeon kwi-DISC Sports kunye neZiko lokuPhala kwi-Marina del Rey, eCalifornia iyavuma kwaye ichaza ukuba "inyolo nganye inomsebenzi ohlukeneyo kwingalo nasemlenzeni.
Ngokomzekelo, undixelele, entanyeni, i-C-5 iigulane ihambisa ihlombe kunye ne-biceps muscle, ngelixa i-nerve kwizinga le-C-6 lihamba phambili. Kwi-back back, i-L-4 neentsimbi zilawula i-quadriceps muscle, i-L-5 inyoyi ihambisa enye ithole kunye neenzwane ezinkulu. Kwindawo yakho ye-sacral, uthi, i-S-1 izisongela zilawula ezinye iinxalenye zethole kunye neenzwane ezincinane.
"I-nervous person that stenosed in foramen iya kubonisa i-radiculopathy kwindawo ethile ichaphazelayo okanye iyayilawula. Yingakho uvakalelwa okanye ufumana iimpawu kwipatheni ethile," kuchaza uBray.
UWilkins wongezelela ukuba kuxhomekeka kwizinto ezininzi kuquka nezakhiwo zakho ze-anatomical, indlela yokuguqulwa kwe-neuroforaminal stenosis kunye neyiphi i-spinal segments echaphazelekayo, iimpawu ziyahlukahluka kwisigulane ukuya kwisigulane.
Kodwa ngokuqhelekileyo, xa i-nerve icinezelekile, uWilkins uthi intlungu yinto yokuqala yokubonakalisa, ngoko uvakalelo okanye ukugubungela ukugqithisa ukuqala, kwaye ekugqibeleni, ubuthakathaka obuthile obuchaphazelekayo kwi-nerve echaphazelekayo kunokubangela.
UWilkins uphinda uxela ukuba abantu abane-neural foramina stenosis bafumana ubunzima obukhulu, ubuhlungu besiphako, ubuthathaka obunzima, ukuphela kweengcipheko kunye nokugubungela, ukutshisa ukuvutha komlilo kwiphepha. Udibanisa ukuba izigulane zichaza kakuhle intlungu ebuhlungu kunye nokutshitshiswa okanye ukuvutha kwendawo echaphazelekayo. Ukuvuthwa kwexabiso kunye nokulahleka kwemoto, okuhambelanayo nokubandakanya ingcambu yesondlo ingabakho, utsho.
UDkt. Bydon uqinisekisa ukuba le mpawu ingakho ngenxa yokunyanzeliswa kwentsholongwane njengoko iphuma emthonjeni. Ngokunye nezinye iimpawu ezikhankanywe ngasentla, uthi, i-nervous compressed ngenxa ye-neuralforamal stenosis inokuvakalelwa njengentlungu ebetha phantsi.
Imithombo
I-Email Interview. Bray ,, uRobert S. Jr., MD. I-DISC yeZiko leMidlalo kunye neNcinci. Marina del Rey, CA. Disemba 2013.
I-Email Interview. Bydon, A., MD. UNjingalwazi oManyeneyo we-Neurosurgery, u-Co-Director of Neurosurgery Medical Student Education, uMlawuli we-Neurosurgery i-Undergraduate Education Student, uMlawuli we-Colinal Column Biomechanics kunye neZiphumo zokuPhupha kwiYunivesithi yaseJohn Hopkins, uMlawuli wezonyango kwi-Johns Hopkins Bayview. Disemba 2013.
I-Email Interview. UWilkins, A., MD. Manhattan Physical Medicine kunye nokuvuselelwa. Inew york. Disemba 2013.