Ukubethelela kubhekisele kwinkqubo apho izikhala zomgogodla, ezifana ne- foramina okanye umgudu wamagogasi , zihlala zihlala kwisiqwenga samathambo angenawo. Iingcambu zengcambu zengxube, ngokukodwa, zithintela indawo kwindawo.
Zomibini umgudu womgudu kunye ne-intervertebral foramina ziqulethe izicubu zesisindo - umgca womgogodla emgodini womgogodla, kunye neengcambu zomgcini weengcambu kwi-foramina.
Xa izicubu ezingavumelekanga, nokuba i-bone spur, iline ligament, ihambele izinto ezixubileyo okanye i-cyst synovial, ithatha inxalenye ethile okanye yonke indawo, ihamba kwiimbilini ezikhoyo apho.
Uqha ga mshelwano phakathi kwezicubu ezithintekayo kunye neentsholongwane apho izicubu zibeka khona ziza kubangela intlungu kunye / okanye ezinye iimpawu.
Xa unengxangxube yeengcambu zengxube, izicubu ezinamandla zixinzezela okanye zithukuthelise iingcambu zomgulane. Ingcambu yomthambo womgca ngumqoqo weentsholongwane eziye zaxhuma kwi-intambo yomgcini oyintloko kwaye zisendleleni yokuphuma ukuze zisebenze wonke umzimba. Umsebenzi wabo ukubuyisela ukuvakalelwa kunye nokunyanzeliswa kwimizimba kunye nezicubu kunye nokuvela kwingqondo. Iingcambu zesisu zomgulane zikhona kwi-foramina.
Iimpawu ezinxulumene nexinzelelo lweengcambu zentsholongwane, ngoko ke kwiimeko ezininzi zokungqubuzana, zibandakanya iintlungu ezibuhlungu kunye / okanye ubuthathaka, ukuphazamiseka okanye ukuvakalelwa kombane okuya emlenzeni omnye.
Yintoni Ebangelwa Ngumgudu Wokuxhamla?
Iingcambu zengcambu zentsholongwane zidla ngokubangela ukuba utshintsho olwenziwe kakubi kwizakhiwo zomgudu, kuquka i-disc, i-facet joints and other areas.
Utshintsho olwenziwe ngokugqithiseleyo luhlala ludibaniswa ne-centralal canal stenosis, okuyi-spinal stenosis echaphazela umgudu womgogodla.
Ikwadibaniswa ne-neuroforaminal stenosis, uhlobo lwesifo sokuguliswa kwesisu esithinta i-intervertebral foramina.
Ngaba Ngaba Unokuphefumula Okuthintela Ukukhusela?
Uhlolo lwe-2017 lweengxelo ezipapashwe kwiphepha leMpilo lifumene ukuba utyando olusisigxina (ukunyanzeliswa kwengqumbo yakho yomgudu, ngokukodwa umda ongaphantsi kwesithuba) ngokuqhelekileyo kuqhutywe kwangoko kunyango. Kodwa ngaba ufanele uhambe ukuya ekubeni utyando lokunciphisa uxinzelelo, oko kukuthi ngaphambi kokuba iimpawu zenzeke ngokwabo?
Ezinye iingcali zentsipho zikhuthaza oku.
Utyando olwenziwe ngokugqithisileyo luyindlela eyenziwa ngokuphindaphindiweyo ekhupha inxalenye ye-vertebra ukwenzela ukuba kubekho indawo yokwenza i-nerve impahla ukuba idlule ngaphandle kwayo.
Oko aba baqhubi bazama ukukuxelela - kwaye abaninzi bakholelwa ngokwenene-kukuba, nangona kunesifo esincinci, umngcipheko wokulimala kwentambo yomgogodla uphezulu ngenxa yokudibanisa.
Ukulimala kwentambo yomnxeba yingozi kakhulu engabangela ukufa okanye ukukhubazeka. Ngokuqhelekileyo kubangelwa yintlungu okanye impembelelo.
Ucwaningo luka-2015 nguTshints, kunye. al. Ipapashwe ngo-Oktobha umxholo wephepha le- Neurosurgery ibhekiselele kule ngxaki kuba, ababhali bathi, izigulane ezinesifo somlomo wesibeleko kodwa zinezibonakaliso ezincinci okanye akukho nanye into yokuba utyando lwe-compression linconywa kubo - kwakhona, ekufuneka linciphise okanye luphelise umngcipheko wokukhubazeka emva kwesiganeko esibuhlungu.
Abaphandi bavavanya izigulane ezingama-55 ze-cervical stenosis ezineemvavanyo kunye ne-x-ray. Izigulane nazo zaphandwa ngemibuzo efana nale:
- Ngaba ugqirha ugunyaze ukuhlinzwa kwentamo kuwe?
- Ingaba ugqirha wakha wachaza ukuba uya kukhubazeka emva kwesiganeko esibuhlungu?
- Ngethuba lexesha elilandelelweyo le sifundo, ngaba wakha isiganeko esibuhlungu?
Abaphandi bafumene ukuba i-18% yezigulane zenzeke isiganeko esibuhlungu emva kokutyunjwa, kodwa akukho namnye wabenzakalisa intambo yomthambo. Ababhali baphetha ngokuthi "ukuvela kwenzalo yomgudu wecala lomgudu (SCI) kulesi sigulane emva kwesifo esincinci sincinci kunokuba amaninzi amaninzi agqityiwe."
Ngokufanayo, ijaji isaphuma kule ndawo; yinto ebalulekileyo yokhuseleko lwezigulane kunye nenhlalakahle yokuba abaphandi bancoma ukuba kwenziwe olunye uphando lwezifundo.
Enye into ocinga ngayo kukuba kunokwenzeka ukulimaza yakho ingcambu yomgca ngexesha lokuhlinzwa. Ukuhlaziywa kweengxelo ze-2016 zifumene ukuba ezinye iintlobo ze-lumbar zovavanyo zentlambo zazidibene nomngcipheko ophezulu wokulimala okunjalo kunabanye. Umbhali ufumene ukuba, ngokuxhomekeke kulona hlobo lotyando kunye nesifundo esicatshulwayo, umgca wengozi ukusuka ku-0% kwi- laminectomy evulekile, edlalwa rhoqo kwiimeko zesiginxa somgulane ukuya kuma-45.8% xa i-bone morphogenic protein-2 tyenziswa nge-TFIL yokuhlinzwa. I-TFIL imele i-transformaminal lumbar interbody fusion; yinkqubo yokuxuba apho udokotela ohlinzayo engena emthonjeni wakho emva.
Khumbula ukuba isigqibo sokwenza utyando ekugqibeleni senu. Cinga ukuthatha ixesha elifanelekileyo ukuba ulinganise izinto ozikhethayo ngaphambi kokuba uvume.
Imithombo:
> Tshintsha, V. Ellingson, BM, Salamon, N., Holly, LT Ingozi ye-Spinal Cord Inobungozi Emva koxinzelelo oluncinane kwizigulane ezine-Preexisting Cervical Stenosis. Neurosurgery. 2015 Oktobha
> Epstein, N. Unobungozi obuninzi bentsholongwane eyenziwa ngokuhlinzwa okwenzakalayo okungapheliyo, ngokukodwa ukuxhamla kwe-interne fusion: Ukuphononongwa. Uphulo lwe-Neurol Int. Jan. 2016.
> Wu, D., MD, kunye. al. Amanyathelo angenelelo ophathelene ne-colervical spondylosis ngenxa yokugqitywa kwe-longitudinal ligament. Agasti 2017.