Kuthamanga Kuchokera ku Mthenda Yam'mimba
Kuphatikizika kwapadera kwa m'magazi ndi chimodzi mwa mitundu ikuluikulu ya kupweteka kwa mwendo yogwirizana ndi kuyenda. "Neurogenic" imatanthawuza kuti zizindikiro zimayamba pamene mitsempha yomwe imakhudzidwa kwambiri ndi matenda a lumbar spinal stenosis. Mtundu wina wa zizindikiro zozizwitsa zapakati pafupipafupi nthawi zambiri zimakhala chifukwa cha mitsempha ya m'mimba (PVD).
Mwayi wokha, mitundu yonse iwiriyi idzakhala mbali ya njanji, ngakhale pang'ono, malingaliro anu okugwira ntchito, koma njira imene aliyense amachitira izi ndi zosiyana.
Ndi mitsempha yambiri, mitsempha ya mitsempha yaing'ono mpaka kufika pamene magazi ochulukira mwa iwo sali okwanira kukwaniritsa zofuna zanu pamunsi. Ngati matenda a mpweya wodwalayo amatha, khungu lanu kameneka limakhala pamalo otalika kwa nthawi yaitali. Izi zimapangitsa kuti mitsempha yanu ya msana kapena ya neuroforamen ikhale yochepa kwambiri mpaka pamene mitsempha yambiri yomwe imadutsa mwachisawawa imakhala yolimba ndi fupa lapafupi.
Zizindikiro
Kulongosola kwa Neurogenic ndiko kwenikweni matenda kapena zizindikiro za zizindikiro. Zimakhudzana ndi kuimirira ndipo zingasonyeze ngati kupweteka kumbuyo komanso / kapena mwendo ngati minofu ya minofu. Kuphatikiza kwa msana wamtsempha ndi nsana zina monga kubwezeretsa kumapangitsa kuti miyendo ya lumbosacral iwonongeke komanso / kapena cauda equina.
(Cauda equina-zomwe zikutanthauza mchira wa kavalo-ndi mthunzi wosasunthika wa mitsempha yomwe imakhala ngati mchira. Khomo la cauda palina limapita pansi pa mbali yaikulu ya msana wa msana.
Zizindikiro za kupatsirana mwadzidzidzi kumaphatikizapo kuyenda ndi / kapena kupititsa msana kumbuyo (kachiwiri, kugwedeza kumbuyo kwanu,) ndi kumasulidwa ndi kugwa pansi, kukhala pansi, kapena / kupitilira pachiuno.
Zizindikilo zina za kupatsirana kwa m'mimba mwazitsulo zimaphatikizapo zikhomo ndi singano zomwe zimadutsa mwendo wanu, ndi zofooka. Matenda a chikhodzodzo kapena chikhodzodzo angapangitse ngati chingwe chowombera ndi choopsa.
Chifukwa chakuti mphutsi yamtsempha imatuluka m'kupita kwanthawi ndipo sizimangokhalapo chifukwa cha nthawi imodzi, zizindikiro zimatenga nthawi pang'ono zisanaonekere.
Chithandizo
Chithandizo cha mankhwala osokoneza bongo amayamba moyenera. Dokotala wanu angapereke mankhwala opweteka ndi / kapena mankhwala opatsirana . Ngati mukuwona wodwala wodwalayo kuti awonongeke, ndiye kuti mudzapatsidwa machitidwe omwe amatsindika kusintha kwa msana wanu.
Njira zina zothandizira kuti thupi lanu likhale lopweteka limaphatikizapo kusintha ntchito yanu, kuvala nsana kumbuyo kapena belt, ndi / kapena kukhala ndi jekeseni wamtsempha kuti muthetse kupweteka. Nyuzipepala ya North America Spine imanena kuti mndandanda wa mapiritsi opatsirana m'magazi (ndi mankhwala a steroid) angathandize kuthetsa ululu kuchokera ku matenda a neurogenic claudication (komanso radiculopathy) m'katikati. Amatanthauzira malire a miyezi 3 mpaka 36.
Ngati kupitiriza kupweteka kwa matenda osokoneza bongo kumakhudza kwambiri moyo wanu, zikhoza kukhala chizindikiro kuti mukufunikira opaleshoni yatsopano.
Kawirikawiri, laminectomy (yomwe imadziwikanso kuti opaleshoni yachinyengo) ndiyo njira yoperekedwa kwa spinal stenosis. Kambiranani zadongosolo lanu ndi dokotala kuti mutsimikizire.
M'buku la January 6, 2010, magazini ya Journal of the American Medical Association , Dr. Alexander Haig ndi anzake ankanena kuti malamulo odalirika komanso othandiza kuti asamalidwe ndi kuperewera kwa msana. Izi zikutanthauza kuti madokotala ena amagwiritsa ntchito MRI, CT scans ndi / kapena EMG mayeso kuti adziwe matenda anu, pamene ena sangathe. Zingatanthauzenso kuti madokotala ena akhoza kukhala "kukupangitsani" kuti mupite opaleshoni yatsopano musanapereke chithandizo chodziletsa choyamba.
Chitani kafukufuku wanu ndi kuyankhula ndi dokotala wanu za zonse zomwe mungasankhe musanaganize zoyenera kuchita.
Chitsime:
> Brunicardi, F. et.al. Opaleshoni ya Schwartz. Chaputala 41. Maphunziro a Edzi. Gawo II. Mfundo Zenizeni. McGraw-Hill. Kupezeka pa intaneti: Access Medicine. May 2010.
> Bwerani, C., ndi. al. Kufufuza ndi kasamalidwe ka mankhwala osokoneza bongo omwe amapezeka ndi khunyu kameneka kameneka kameneka kameneka kakugwira ntchito ku UK kofunika kwambiri pamasisitomala: ntchito yofufuza pakati pa physiotherapists.BMC Musculoskeletal Disorders 2009.
> Andrew J. Haig, MD; Christy C. Tomkins, Ph.D. Kuzindikira ndi Kulamulira kwa Lumbar Spinal Stenosis. JAMA. 2010; 303 (1): 71-72.
> Nadeau, M., MD Kutsimikizika kuti kusiyana pakati pa matenda a m'mimba ndi mitsempha ya m'mimba kumaphatikizapo kuwonetsera kwachidziwitso. Kodi J Surg Dec. 2013. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859778/
> Bungwe la North American Spine Society (NASS). Kuzindikira ndi chithandizo cha kuchepa kwa lumbar spinal stenosis. Burr Ridge (IL): Bungwe la North America Spine (NASS); 2011.