Ukuba ugqirha wakho ekunikezele ukuxilongwa kwe-stalosis yokuqhafaza, (i-acronym LRS) unokuthi ukhanda ikhanda lakho. Kuthetha ntoni kwihlabathi?
Ukuze siphume ngokufanelekileyo eli gama ma siqale ekupheleni, ngegama elithi stenosis.
I-Stenosis iyigama eliqhelekileyo lonyango elithetha ukunciphisa. Ngokubhekiselele kwimpilo yangasemva, ngokuqhelekileyo ibhekisela kuyo nayiphi na imeko eyenza ukunciphisa iindwendwe ezithintela ngayo umgca okanye intambo yomgogodla.
Nge-spen stenosis ngokukodwa, izakhiwo zesibindi zineendawo ezincinci ezizungezile. Ngenxa yoko, iimbilini zingasondela kunye neethambo, izinto ezixutywayo ze-disc okanye ezinye izicubu, ezingabangela intlungu kunye nezinye iimpawu. Iimpawu zingabandakanywa ukugqithisa intlungu engaphantsi, ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhayo, okuyiyo i-cramping eyenzekayo xa uhamba, ubuthathaka, ugugu kunye / okanye ukuvakalelwa kombane okuhla komlenze omnye okanye ingalo. Kwezinye iimeko, iimpawu ezingqalileyo eziphazamisayo isilonda okanye isisu senzeke, ngokunjalo.
Emva koko, machaze "ukuhamba kwexesha elide."
Uninzi lwezifo luquka ukubhekisela kwendawo yengxaki, kwaye yintoni kanye eyenzekayo xa uhlangabezana nekota ye-stalosis.
Yintoni, kwaye iphi i-Recess Lateral?
Kwaziwa nangokuthi ukungena kukaLee, i-recess lateral yithuba ngaphakathi kwidonal yomgudu osemacaleni . (I-Lateral ligama lonyango "kwicala.") Ngenxa yoko, ikwafumaneka kwakhona kumngcambu wesigulane .
Ngaphakathi komgudu womgogodla, ongowona mgangatho ophakathi ohamba ubude bomqolo wamagxa, umqolo wecala uchazwa yimida ekhethekileyo.
Imida yoLuhlu lwaMva
I-recess recess ineemida ezi-5. Okokuqala ngumqolo we- vertebral body ; ngelixa libonakala lingaqondakali, umva we-vertebral body wenza umda wangaphambili wexesha lokugqibela.
Ngomdla wokwenza ucoceko, kukulungele ukufaka umda we-vertebral body, obizwa ngokuba ngumda we-endplate, kunye neyona nxalenye yangaphandle yediski ye-intervertebral, ebizwa ngokuba ngumda we disc, kuluhlu lwezakhiwo ezibandakanya phambili ikhefu lokuhamba. I-disvertebral disc yinkxalabo yokuxakeka ekhoyo phakathi kwamabini amathambo omlenze.
Oku kulandelayo umda wecala lomqolo wokugqibela. Lo mda wenziwa ngumbumba othiwa i-pedicle. I-pedicle yincinci encinci yethambo ephuma kumqolo we-vertebral body; inxalenye yendandatho yebony e kufuphi nomzimba we-vertebral. Le ndandatho yeethambo ibaluleke kakhulu kwimisebenzi yomninzi.
Kukho ii-pedicles ezimbini emva komzimba ngamnye we-vertebral-ilungelo kunye nekhohlo.
Ixesha elidlulileyo i-pedicle yi-lamina, efumaneka kufuphi nomva we-bony ring ngaphezu komzimba we-vertebral. Njengoko uza kubona, ukuhlangana phakathi kwe-pedicle kunye ne-lamina kubaluleke kakhulu ekucaciseni umda wecala lomqolo wokugqibela. Oku kungenxa yokuba ezinye izicucu zethambo ezinceda ukucacisa imida, okanye ubuncinci ekuncedeni kwethu ukuchaneka ngokucacileyo le ndawo, zivela kulo mhlangano. Ezi nxalenye zincinci, ezivela kwiithambo zibizwa ngokuba yiinkqubo, kwaye ngamnye unalo igama lakhe elikhethiweyo.
Ngokomzekelo, kufuphi ne-pedicle, iinkqubo ezijikelezayo ziyakwandisa ngokubanzi ngapha nangapha kwaye zinikeza ii-sites imisipha kunye nemigqa ukuze ifake. Iinkqubo ezitshintshileyo ziindawo zokuhlala emathanjeni omgulane kwindawo yakho ye-thoracic edibanisa kwiimbambo.
I-pedicles yenza iziganeko ezinkulu xa ukhangele umfanekiso wesithambo somgudu kwaye uzama ukugqiba ukuba yintoni. Ukufikelela kwiinkqubo ezihambayo, i-pedicle ikhona ngaphambili, kwaye i-lamina ifumaneka ngasemva.
Ezinye iziqwenga zethambo ezivela kwindawo phakathi kwe-pedicle kunye ne-lamina ziyiinkqubo zengxoxo. Iinkqubo zoqhagamshelwano ezisuka kwelinye ithambo lomgca lidibanisa kunye neenkqubo zokulandelana ezilandelayo, zombini ngasentla nangezansi, ukwakha idibanti ehlangeneyo.
Konke, amaqabane omnxeba anika umgca womgcinini ubuninzi bokuzinza kwawo.
Enye yale nkqubo ethile-uphakamileyo (indlela ephezulu ngaphezu kwezokwelapha) inika inxalenye yomda we-backed real.
Elinye inxalenye yomda we-backed recess yanikwa i-ligamentum flavum. Kwiintlobo ezininzi ezinamathele emthonjeni, i-ligamentum flavum yiyo edibanisa phakathi kwe-lamina yamathambo omgulane ngaphakathi ngaphakathi kwimbhobho yomgudu. Umsebenzi we-ligamentum flavum ukukhusela kwi-injection yediski; yenza njalo ngokukugcina ukuguqa phambili kakhulu.
Ukuqhawula emva kweStenosis
Masizihlanganise ngoku ngoku. Njengoko ubonile, i-recess lateral iyinxalenye yomsele womgudu kwaye unokuba yingozi kwi-spinal stenosis.
Utshintsho olunexesha elidala kumathambo, amaqumrhu omzimba (awakhiwe ngeenkqubo ezikhankanywe ngasentla) kunye / okanye iigamente zingabangela ukuba lezi zakhiwo zibe ngandlela-thile zenzeke, kwaye ngoko-mncinci, indawo esiyibiza ngokuthi i-recess lateral, kunye nezinye iindinyana ezenziwe ngokuxhuma amathambo emgulane. Kwaye ngenxa yokusondela kwabo, izicubu ezinzima (kunye neziqhelekanga) "zinokungena" kwiingcambu zomlenze osondeleyo kunye / okanye umgca wokugcoba oqhelekileyo ukudlulayo kwi-recess lateral. Oku kubizwa ngokuthi ukudibanisa okanye ukutsalwa. Xa kuqhutyelwa ingxabano , kunokubangela intlungu evelele kunye nezinye iimpawu.
Ngenxa yokuba i-recess lateral iyinxalenye yomsele womgogodla, xa i-stenosis ivela khona, ikwahlula njenge- centralal canal stenosis ebonakalayo kwi-canal. Kule meko, izibonakaliso ze-myelopathy ziyakwenza. Izibonakaliso ze-Myelopathy zibangelwa ukucasuka okanye ukunyanzeliswa kwentambo yomthambo.
Ngokomzekelo, ukuphuhliswa kwe-stalosis ye-lateral stenosis iyakwenzeka xa utshintsho olunxulumene nobudala kwi-ligamentum flavum. Ukutshintshwa okunjalo kunokubandakanya ukuqina, ukulahleka kwamandla kunye nokulahlekelwa ukulahleka kwinqanaba apho kuqhutyelwa khona ingqungquthela engaphakathi kwintambo yomgudu.
Yaye ke, i-ligamentum flavum enamandla idala umgudu ongaphantsi womgudu-uphawu oluphawulekayo lwe-canal stenosis. Ukuba i-buckling impinges kwi-spinal cord, ingabangela izibonakaliso ze-myelopathy.
> Imithombo:
> Demirayak, D., kunye. al. Iziphumo zezonyango kunye neziphumo ze-Radiological Posterior Lumbar Interface Fusion kunye nokuxhatshazwa ngaphandle kweComputer Instrumentation for Recentlyal Recess Stenosis Asia Spine J. Oktoba 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591442/
> Bartynskia, uWalter S. Lina, uLuka. I-Lumbar Root Compression kwi-Recessed Recess: UMasipala uNgqamaniso, iMyelography eqhelekileyo, kunye ne-CT Myelography Ukuqhathaniswa nokuqinisekiswa kokuThengiswa. I-American Journal ye-Neuroradiology. http://www.ajnr.org/content/24/3/348.full#ref-list-1
> Ipaki, J., Lee, J., Park, S., Riew, K. I-Hypertrophy ye-ligamentum flavum kwi-lumbar stinalosis egciniweyo ehambisana ne-proteinase inhibitor eyongeziweyo. I-Bone Joint Surg Am. Dec 2005.
> Rajesh P., iSininal Stenosis. SlideShare.net .. http://www.slideshare.net/upenderus/spinal-stenosis-32618373