I-spinal stenosis yinto eqhelekileyo enokubangela iimpawu zentlungu kunye nasemlenzeni. Iingxaki eziqhelekileyo ezinxulumene nesisu somgulane zenzeka xa iimbilini ezihla emilenzeni zixineke kumgudu wamagxa. Oku kunokukhokelela ekubuhlungu, ukuphazamiseka, kunye nobuthathaka kwimilenze.
Kukho izimbangela ezininzi zesisu somnxeba, kodwa zonke zidibene nokulahleka kwendawo efumanekayo kwimisipha yomgudu. Ngoko ke, xa ufumanisa ukuxilongwa kwe-spinal stenosis, ugqirha wakho uza kukhangela iimpawu zokunyanzeliswa kunye nokujikeleza umgudu womgudu. Ngezantsi kukho ezinye iimvavanyo eziqhelekileyo ezisetyenziselwa ukukunceda ukuxilongwa kwe-spinal stenosis.
Imbali Yonyango kunye noVavanyo
Imbali yonyango iyona nto ibaluleke kakhulu ukuxilonga i-stenosis njengoko iya kuxela ugqirha wakho malunga neempawu zakho, izizathu ezinokubangela ukuba u-stinal stagnosis, kunye nezinye izizathu ezibangelwa intlungu .
Uvavanyo olusemzimbeni kwisigulane ngesifo sokugulisa umthambo luya kunika ugqirha ulwazi malunga nendawo apho ukunyanzeliswa kwemizwa kukhoyo khona. Ezinye izinto ezibalulekileyo kufuneka ziphandweyo nayiphi na indawo yezinto ezingaqhelekanga okanye ubunzima, ubunjani beengcamango zakho, kunye naluphi na ubuthakathaka be-muscular.
X-Ray
I-x-ray yinkqubo elula, elula ukwenza inkqubo, kwaye ingozi ye-x-ray ayinto encinci. I-x-ray iya kubonisa ugqirha wakho amathambo omgudu wakho. I-ray-ray iyakunceda ifuna izimbangela zesisu somgulane kubandakanya izibilini, ukulimala okubuhlungu, isifo samathambo okanye ukungaqhelekanga.
Uvavanyo lweMRI
I-MRI isiye isifundo esiqhelekileyo esasetyenziswa ngokubanzi ukufumanisa i-spinal stenosis. I- MRI isebenzisa izibonakaliso zamagnetic (esikhundleni se-x-ray) ukuvelisa imifanekiso yomgudu. I-MRIs iyanceda kuba zibonisa izakhiwo ezininzi, kubandakanywa imisipha , imisipha, kunye nemigqalane kunokuba ibonwe kwi-ray-ray okanye kwi-SC scans. Ii-MRIs zinceda ekuboniseni ngokuchanekileyo oko kubangela uxinzelelo kwiimbilini zomgudu, kunye nendawo echanekileyo yengxaki
IMyelogram
I-myelogram iyi-x-ray, ene-twist eyongeziweyo. Idayi ifakwe kwi- spinal fluid ejikeleze intambo yomgudu kunye neentsholongwane. Idayi ibonisa i-x-ray ejikeleze le misonto ngaphandle kokuba akukho ndawo ejikeleze iimbulunga. Ngenxa yokusetyenziswa kwe-MRIs, i-myelograms ayincinci eyenziwa kule mihla. Nangona kunjalo, zinokuba luncedo kwezinye iimeko apho izigulane zingenako ukufumana i-MRI, ngokomzekelo kwizigulane ezinezigulane zentliziyo.
CT Scan
I-scan ye-CT nayo ifana ne-x-ray, kodwa inikeza iqondo elingcono lokuhlukana kwamathambo emzimbeni wakho; ngamanye amagama, unokubona ngaphezulu, kuba ezinye izakhiwo zibonisa kwi-CT scan. I-CT , ebizwa rhoqo ngokuthi 'iCAT', yenza ukuba ugqirha wakho abe nembono efanelekileyo kwimimandla yoxinzelelo ngaphakathi komgudu wamagxa.
Scan Scan
I-scan scan ayiyilo vavanyo oluya kuhlola umthambo wesisu, kodwa kunokuba luncedo ukukhangela iingxaki ezinokuthi zihambelane ne-spinal stenosis. I-scan scan iyenziwa ngokujoba izinto ezifakwe kwi-radio e-vein, eli nqaku liyakhangwa kwiindawo eziphezulu zethambo. Ukutshekishwa kwesefu kunokusetyenziswa xa kukho inkxalabo yefractures, izicubu, izifo kunye nezinye izizathu ezinokubangelwa kwe-spinal stenosis.
Unyango lweSpinal Stenosis
Unyango lwe-spinal stenosis luyakwazi ukufezekiswa ngeendlela ezilula, ezingenasiphene. Ngokuqhelekileyo imeko evumela ukuvuvukala ukuphelisa, ukuphucula umqolo wamagxa, nokunciphisa uxinzelelo kumqolo kunganciphisa impawu ngokwaneleyo.
Nangona kunjalo, kukho iimeko apho abantu banemiqondiso engapheliyo nangona unyango olungaphelelanga. Kule meko, inqubo yokucwangcisa ukudala indawo eninzi yamagulane angagqithwa.
Imithombo:
Issack PS, et al. "I-Lumbar Stinal Stenerosis: Uvavanyo kunye noLawulo" J Am Acad Orthop Surg Agasti 2012 vol. 20 ayi. 8 527-535.