Unyango lwe-Lumbar Spinal Stenosis

I-spinal stenosis ngumqathango obangela ukunyanzeliswa kwemiqolo yomgogodla emgodini womgogodla. Iimpawu eziphawulekayo zesifo sokugaya umthambo (xa ukunciphisa kwinqanaba elincinci lomqolo wamagxa) kubandakanya ubuhlungu, ukuphazamiseka, kunye nokugubungela kwiindawo eziphantsi. Izigulane zihlala zidinwa ngokulula kwaye zifumanisa ukuba zihamba nje umgama omncinci ngaphandle kokuphumla-oku kuyimpawu ebizwa ngokuba yi-claudication. Ngokuqhelekileyo, i-spinal stenosis ibangelwa yinkqubo yokunciphisa ngokuqhubekayo (i-arthritis) kwisigxina esingaphantsi. I-Bone igxuma, ukuvuvukala, kunye nokutshatyalaliswa kunokubangela ukunciphisa kwiisondlo.

Unyango oluqhelekileyo lwe-spinal stenosis luqala ngamanyathelo alula, kubandakanya unyango lwamaziko, amayeza kunye nokuphumla. Ukuba ezi zonyango zihluleka ukunciphisa intlungu, ezinye izigulana zingakhetha ukwenziwa kocwangco ukuze ufumane ukukhululeka kwiimpawu ze-stenosis. Ezi ziyonyango eziqhelekileyo zonyango lomgogodla.

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Ulungiso lwenyama

Isinyathelo sokuqala esona siqhelo kunyango lwe-spinal stenosis ngumzimba wonyango. Ukugxininiswa kwonyango lomzimba lubekwe ekuqiniseni imisipha yangemuva, ukuphucula amandla omzimba osisiseko kunye nokuphucula ukuhamba. Ngokuxhasa ngokubhetele umlenze, iimpawu zengcinezelo yentsholongwane zivame ukuphuculwa. Ucwaningo luye lwabonisa ngokuphindaphindiweyo ukuba izigulane ezine-spinal stenosis ezigqibeleleyo iinkqubo zonyango zonyango zineentlungu ezincinane kunye nomsebenzi ongcono.

Kaninzi

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Ukuhla ukusinda

Ukulahlekelwa isisindo ngumsebenzi onzima kwizigulane ezineengxaki zomlenze. Nangona kunjalo, ukulahlekelwa ngumlinganiselo omncinci kubambeka isinyathelo esaneleyo ekunciphiseni ubuhlungu. Ngokususa iipounds ezili-10 okanye ngaphezulu, umgudu uxhasa ngaphantsi komthwalo, kwaye intlungu inokukhutshwa ngokwaneleyo.

Kaninzi

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Imithi echasayo

Iimvavanyo ezichasene nezidakamizwa (non-steroidal anti-inflammatory) (i-NSAID) ziqhelekileyo, kwaye zihlala zikunceda ukukhulula intlungu enxulumene nesisu somthambo. Ngokunciphisa ukuvuvukala, la mayeza angakunciphisa uxinzelelo oluthile kwiimbilini ezixinzelelweyo. Ii-NSAID kufuneka zisetyenziswe phantsi kolawulo lugqirha lwakho njengemiphumo emibi eqhelekileyo, ngakumbi kubantu abadala. Iingxaki zesisu zisisigxina, kodwa kukho inkxalabo ekwandayo malunga nemiphumo emibi echaphazelekayo kunye nokusetyenziswa kwexesha elide le-NSAID.

Kaninzi

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Amanye amayeza

Imithi ye-Oral steroid ingaba luncedo kwizicwangciso ze-acute (ngokukhawuleza) ukuphazamiseka kwempawu. Amachiza asetyenziswayo afaka iPrednisone kunye neMedrol. Njengama-NSAID, le miyeza enamandla yokulwa nokuvuvukala inciphisa ukuvuvukala malunga neentsholongwane ezixinzelelekileyo, ngaloo ndlela iyanciphisa iimpawu.

Imithi yokwaphuza i-Narcotic iyanciphisa ubuhlungu obukhulu kodwa kufuneka isetyenziswe ngokukhawuleza. Ezi zonyango zingaba nemiphumo emibi kakhulu, kwaye zingenza ukuba izigulane zixhomekeke kumachiza.

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Ezinye unyango

Ezinye iindlela zonyango zibandakanya ukwenziwa kwe-acupuncture , massage , i- magnet, unyango lwezilwanyana kunye nabanye. Akungabazeki ukuba izigulane ezininzi zifumana uxolo olukhulu kulezi zifo zonyango. Nangona uphando lwezenzululwazi alukwazi ukuxhasa ezi zonyango, ezininzi zinempembelelo embalwa kwaye ziyeza unyango ukuba zizame.

Kaninzi

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I-Epidural Steroid Injections

Izigulane ze-cortisone zingalawulwa ngokuthe ngqo kwindawo yoxinzelelo. Njengamachiza omlomo olwaphulo-mthetho, le ngcamango ikunciphisa ukunyanzeliswa kwiimbilini. Xa ijojo isetyenziswe, iyeza linikezelwa kwingingqi yesisu somgulane, kunokuba uthathwe ngomlomo kwaye uhamba emzimbeni wakho.

Kaninzi

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Uphando lwezobuchopho

Utyando lwenzululwazi lunokuqwalaselwa ukuba zonke ezinye unyango zihluleka ukunciphisa iimpawu zakho. Xa utyando luqhutyelwa u-spinal stenosis, iimbilini zithinteka. Oku kuthetha ukuba i-bone excessively, i-ligament, kunye nezicubu ezithambileyo zisuswe ukuvumela indawo engakumbi kwiimvungu. Inkqubo eyenziwa ixhomekeka ngokuchanekileyo apho kuqhutyelwa khona uxinzelelo. Kuxhomekeke kwiziphi izicubu ezisuswayo, inqubo ingabizwa ngokuthi i-laminectomy (ukususwa kwethambo emva kwethambo lomgudu), i-foramenotomy (ukususa ithambo kumjikelezo wamagulane), okanye i-discectomy (ukususa i- disinctomy ukukhupha ingcinezelo).

_Imithombo:

_{Shen FH, et al. "Ulawulo lwezonyango lwe-Acute and Chronic Chronic Back Pain" J. Am. Acad. IOrn. Ugqirha, Agasti 2006; 14: 477 - 487.}

_{Issack PS, et al. "I-Lumbar Stinal Stenerosis: Uvavanyo kunye noLawulo" J Am Acad Orthop Surg Agasti 2012 vol. 20 ayi. 8 527-535.}