Ukuba uye wafumanisa ukuba une-neuralforamenal stenosis (eyokungqinisiswa kwesinye okanye ukuvuleka okunye kwicala lomgca we-vertebral eyaziwa ngokuba yi- foramen ) amathuba oye wafumana iimpawu ze- radiculopathy . I-Radiculopathy iyenzeka xa ingcambu yomgulane imiselwe phezu kwayo (ekuthiwa yi-impingement okanye ukudibanisa.)
I-Radiculopathy ixhaphakile kwiimeko ze-arthritis ephazamisayo kunye ne-disc.
Iimpawu zibonakaliswa njengentlungu, ukubetha, ukuphazamiseka kunye / okanye ubuthathaka obuphantsi kwexesha elichaphazelekayo. Ukubhekisela, i-sciatica yenye uhlobo lwe-radiculopathy.
Kodwa ukunciphisa i-neuroforaminal kungabangela nezinye iimpawu, ngokunjalo. Ezi ziquka ukuhlaselwa kweemisipha, intlungu ebuhlungu, ukuvutha komlilo kunye nobuthathaka obunokwenzeka kunye / okanye ukunciphisa imizwa, ngokutsho kuka-Allen Wilkins, MD, weManhattan Physical Medicine ne-Spine.
Izinketho zokwelashwa kwe-Neuralforamenal Stenosis
Whew! Oku kufana nokubaninzi ukujongana nayo! Unokuzibuza ukuba kukho into onokuyenza ukuze uzive ungcono kwaye "uhlale emdlalweni" weembopheleleko zobomi emva kokuxilongwa kwe-stenosis ye-neuralforamenal.
Ewe ilapho. Futhi mhlawumbi awudingi ukuhlinzwa.
"Amaphesenti angama-90 kwizigulane ezine-neuroforaminal zincinci ziphucula iimpawu zabo ngeendlela ezithile zokungasebenzi," kutsho uDkt. Ali Bydon, uProfesa oNxulumeneyo we-Neurosurgery, uMlawuli we-Spinal Column Biomechanics kunye neZiphumo zokuPhupha kwiZiko lezonyango kwi-Johns Hopkins kunye noMlawuli wezonyango. Uphando lwezobuchopho kwi-Johns Hopkins Bayview yeZonyango.
I-Bydon ithi ukuba i-stenosis ye-neuralforamenal, unyango lokuqala luquka amayeza kunye ne- non-steroidal anti-inflammatory drugs . Ukongeza kule nto, unokwenza unyango lwangokwenyama ukuze ulwebise kwaye ulomeleze izenzo ezijolise entanyeni okanye kwimisipha yangemva. Ingonyango yakho yeP PT ingaquka ukushisa, iqhwa kunye / okanye i-ultrasound, kunye.
Kwaye, ekugqibeleni, i-Bydon ibonisa ukuba unyango olunokwenziwa kwengqondo, umzekelo, ukuthetha unyango kunye / okanye unyango lokuphucula, kunye nokuhlalisa umzimba kunokunceda ukunciphisa iimpawu.
UDkt. Robert Bray, i-neurosurgeon kwi-DISC Sports kunye neZiko lokuPhepha kwi-Marina del Rey, eCalifornia, uyongezelela ukuba unyango lwamaziko lungabandakanya umsebenzi kwi-posture yakho. I-stroosis ye-neuroforamen edlalwa yinto engafanelekanga kwintamo, uthi. Uyaqhubeka achaza ukuba ukujikeleza kwe-back back kwandisa ukwandiswa kwentamo okuya kuthi iyancipha ngakumbi i-neuroforamin kule ndawo.
"Ukuzivocavoca okuchanekileyo kwinqanaba le-shoulder to shoulder to the stabilization foraminal stenosis, uthi, ukongeza ukuba iindlela zendabuko zokomeleza unyango zingasiluncedo kakhulu xa zidibene nokulungiswa kokunyanzelisa .
I-Bydon ithi enye indlela yokunciphisa intlungu enxulumene ne-neuralforaminal kunye nokunyanzelwa kweengcambu zengcinezelo yentsholongwane ye-epidural steroid . Injongo yoluhlobo lomjovo ukunciphisa ukuvuvukala kunye / okanye ukuphazamisa ingcambu yakho . Amachiza athobisayo ajoyiweyo ngeengcambu zentsholongwane, ngokuqhelekileyo ngoncedo lwe-fluoroscopy okanye omnye umfanekiso okhokela iteknoloji, uyazisa.
UBray uyavuma kwaye uyongezelela ukuba ukuba unesifo esibi, i-nervo yakho iya kuvuba. Oku kuthetha ukuba idlula emhadeni (i-foramen) encinci. Injecting steroid mayeza emzimbeni weengcambu kunciphisa ukuvuvukala, utsho. Kwaye xa udibanisa le nyango kunye nenkqubo yokwelapha kwenzelwe ukuphuhlisa ukuhamba kakuhle, unokufumana iresiphi yokuphucula intlungu yemilinganiselo ye-neuralforamalal stenosis.
Yintoni ephantsi? Ngaba Ukunciphisa I-Neuralforaminal Kudinga Ukuhlinzwa?
Uninzi lwamaxesha, akukho. Kodwa xa uzama imithi kunye / okanye unyango lomzimba kwiiveki ezi-6 ukuya kwii-8 ngaphandle kokukhululeka kweentlungu, kusenokuba ixesha lokuqwalasela ukuhlinzwa, u-Bydon uthi.
I-Bydon ibonisa ukubona ugqirha onogqirha xa ufumana utshintsho olunzulu kunye / okanye ubuthathaka ekuhambeni kwakho kwi-stenosis yakho ye-neuralforamenal.
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 onxulumene ne-Neurosurgery, u-Mlawuli we-Neurosurgery Medical Student Education, uMlawuli we-Neurosurgery i-Undergraduate Education Student, uMlawuli we-Colinal Column Biomechanics kunye neZiphumo zokuPhupha kwiYunivesithi yaseYohn Hopkins, uMlawuli wezonyango kwi-Johns Hopkins Bayview. Disemba 2013.
I-Email Interview. UWilkins, A., MD. Manhattan Physical Medicine kunye nokuvuselelwa. Inew york. Disemba 2013.