Chithandizo cha Lumbar Spinal Stenosis

Mthenda yamtsempha imayambitsa kupweteka kwa msana m'mphepete mwa msana. Zizindikiro zofanana ndi zimbudzi za m'mphepete mwa msana (pamene kupondaponda kumakhala kumunsi kwa msana wam'mimba) kumaphatikizapo kupweteka, kupweteka, ndi kumenyedwa m'munsi. Odwala nthawi zambiri amatha kutopa mosavuta ndipo amapeza kuti angoyenda pang'ono koma osapuma-ichi ndi chizindikiro chotchedwa claudication. Kawirikawiri, msana wam'mimba umayamba chifukwa cha kuchepa kwa nyamakazi (nyamakazi) m'munsi mwa msana. Mphuno imatulutsa, kutupa, ndi kupweteka kungayambitse kupweteketsa mitsempha.

Matenda ochizira amtundu wa msana amayamba ndi zosavuta, kuphatikizapo mankhwala, mankhwala, ndi kupuma. Ngati mankhwalawa sathandiza kuchepetsa ululu, odwala ena angasankhe opaleshoni ya msana kuti athe kupeza mpumulo ku zizindikiro za stenosis. Izi ndizo mankhwala ochiritsira kwambiri kwa spinal stenosis.

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Thandizo la Thupi

Njira yoyamba yothandizira matenda a msana ndi mankhwala. Kugwiritsidwa ntchito pa mankhwala opatsirana kumayikidwa pa kulimbitsa minofu ya kumbuyo, kukweza mphamvu zazikulu za minofu, ndi kupititsa patsogolo chitukuko. Powathandiza bwino msana, zizindikiro za mitsempha ya mitsempha nthawi zambiri zimakhala bwino. Kafukufuku wasonyeza mobwerezabwereza kuti odwala omwe ali ndi matenda a msana omwe amatha kumaliza mapulogalamu amatha kukhala ndi ululu wochepa komanso ntchito yabwino.

Zambiri

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Kuchepetsa Kulemera

Kutaya thupi ndi ntchito yovuta kwa odwala omwe ali ndi vuto la miyendo. Komabe, kutayika ngakhale zochepa zolemetsa nthawi zambiri ndizokwanira kuthana ndi ululu. Pochotsa ngakhale mapaundi 10 kapena kuposerapo, msana umathandiza kuchepa kwa katundu, ndipo ululu ukhoza kumasulidwa mokwanira.

Zambiri

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Mankhwala Oletsa Kupweteka

Mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) amatchulidwa kawirikawiri, ndipo nthawi zambiri amathandiza kupweteka komwe kumayambitsa matenda a msana. Mwa kuchepetsa kutupa, mankhwalawa amatha kupanikizika ndi mavuto ena pa mitsempha yothandizidwa. NSAID ziyenera kugwiritsidwa ntchito pang'onopang'ono ndi dokotala wanu monga zotsatira zake, makamaka okalamba. Matenda a m'mimba ndi omwe amathandiza kwambiri, komabe palinso nkhaŵa yowonjezereka yokhudzana ndi zotsatira za mtima wa mthupi.

Zambiri

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Mankhwala Ena

Mankhwala a oral steroid angathandize m'zigawo zoopsa (zozidzidzimutsa) zozizwitsa. Mankhwala ogwiritsidwa ntchito monga Prednisone ndi Medrol. Monga NSAID, mankhwala amphamvu otsutsa-kutupa amachepetsa kutupa kuzungulira mitsempha yowonjezereka, potero amathetsa zizindikiro.

Mankhwala osokoneza bongo amatha kupweteka kwambiri koma ayenera kugwiritsidwa ntchito mochepa. Mankhwalawa akhoza kukhala ndi zotsatira zoyipa kwambiri, ndipo amachititsanso odwala kuti azidalira mankhwala.

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Njira Zochiritsira Zina

Njira zina zochiritsira zimaphatikizapo kutsekemera , kupaka minofu , maginito mankhwala , mankhwala achilengedwe, ndi ena. Palibe kukayikira kuti odwala ambiri amapeza mpumulo wa mankhwalawa. Ngakhale kuti sayansi ikulephera kuthandizira mankhwalawa, ambiri amakhala ndi zotsatira zochepa ndipo ndi mankhwala oyenera kuyesera.

Zambiri

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Epidural Steroid Injections

Mankhwala a cortisone angaperekedwe mwachindunji kumalo osokonezeka. Monga mankhwala opatsirana odzitamandira, lingaliro ndi kuthetsa vutoli pamatenda. Pamene jekeseni ikugwiritsidwa ntchito, mankhwala amaperekedwa kumalo a msana wamtsempha, osati kumatengedwa pamlomo ndi kuyenda m'thupi lanu lonse.

Zambiri

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Opaleshoni Yamakono

Kuchita opaleshoni yapansi kungaganizidwe ngati mankhwala ena onse amalephera kuchepetsa zizindikiro zanu. Pamene opaleshoni imachitidwa kwa spin stenosis, mitsempha imatonthozedwa. Izi zikutanthauza kuti mafupa, mitsempha yambiri, ndi minofu yofewa imachotsedwa kuti pakhale malo ambiri a mitsempha. Ndondomekoyi imachitika molingana ndi kumene kuli kupanikizika kumeneku. Malinga ndi zomwe minofu imachotsedwa, njirayi ikhoza kutchedwa laminectomy (kuchotsa fupa kumbuyo kwa msana wa msana), foramenotomy (kuchotsa fupa pamtunda wa msana), kapena discectomy (kuchotsa mpweya wa msana kuti athetse mphamvu).

_Zotsatira:

_{Shen FH, ndi al. "Kupanga Nonsurgical Management of Acute and Chronic Low Back Pain" J. Am. Acad. Ortho. Kukula, August 2006; 14: 477 - 487.}

_{Issack PS, ndi al. "Lumbar Stinal Stenosis: Kufufuza ndi Kulamulira" J Am Acad Orthop Surgery August 2012 vol. 20 ayi. 8 527-535.}