Kodi Neuroforaminal Stenosis Ndi Chiyani?
Mphepete mwa stinosis ndilo liwu limene limatanthawuza kupatula kamodzi kapena malo ambiri mumphepete mwa msana. Nthawi zambiri, zimakhudzana ndi nyamakazi, zomwe zimatanthawuza kuti kuchepetsa nthawi zambiri kumayambitsidwa ndi kusintha kosasintha kumene kumachitika m'kati mwa mafupa a msana ndi nthawi kapena / kapena chifukwa chovulala.
Mphepete mwa stinosis ikhoza kuchitika kulikonse kwa msana; Komabe, nthawi zambiri amapezeka m'dera lam'munsi (m'munsi) komanso m'mimba mwa khosi.
Pali mitundu iwiri ya spinosis: Pakati pa canal stenosis ndi neuroforaminal stenosis. Mawu akuti "pakati pa chingwe chotchedwa stalosis" amatanthauza kuchepa kwa msana wamtsempha, womwe uli malo osungira pakatikati pa msana wamphepete Mzere wa msana uli mkati mwa ngalande ya msana . Zizindikiro zapalenti za stenosis zimakhalapo m'madera ena a thupi lomwe limagwidwa ndi msana wam'mimba ndi kuchepa.
Central Canal Stenosis
Pankhani ya mitsempha yotchedwa canal stenosis (osati chiberekero,) zizindikirozi zimaphatikizansopo neurogenic claudicatio n yomwe ili mtundu wa kupweteka kwa miyendo yomwe imabweretsedwera ndi kuyenda. Chiopsezo chowonjezeka chogwera ndi chizindikiro china chofala.
Mphepete mwachitsulo ya canal stenosis ikhoza kuwonetsa kuwonongeka kwa buku lanu lokhazikika; izi zingakhudze zinthu zomwe mumachita ndi manja anu monga kutenga zikwama, ngolole kapena zinthu zina, malaya ophimba makina ndi malaya, kumanga zingwe ndi kulemba.
Zizindikilo zina za chiberekero cha pakati pa kansalu ya mitsempha zimakhala ndi kusintha kwakukulu mu malingaliro anu amalingaliro, kumverera kuti ndinu ofooka kusiyana ndi inu kale, kusintha kwanu, matumbo ndi / kapena chikhodzodzo chosagwira ntchito, ndi zina zambiri.
Neuroforaminal Stenosis
Neuroforaminal stenosis ndi yopapatiza yomwe imapezeka mu foramina .
Foramina ndi mabowo omwe ali mbali zonse za mzere wa msana; ndizochepa kuposa msinkhu wa msana. Mitsempha ya m'mimba imachokera ku foramina pambuyo pa nthambi ya msana. Mitsempha imeneyi imatha kupita kumadera onse a thupi kukatenga zozizwitsa ndi kuzifikitsa ku ubongo kutanthauzira, komanso kubwezeretsa zikoka zochokera ku ubongo kupita ku minofu.
Dr. Robert Bray, a neurosurgeon ku DISC Sports ndi Spine Center ku Marina del Rey, California amanena kuti mosiyana ndi pakati pa canal stenosis, mpweya wotchedwa neuroforaminal stenosis umasokoneza mitsempha yomwe ilipo pokhapokha pa mlingo womwe stenosis ilipo.
Mwa kuyankhula kwina, m'maganizo a mphutsi yamtsempha, ngati chiwerengero cha m'mimba kapena magulu (ziŵerengero zimatchedwa zigawo ) sizikhala ndi kusintha kosinthika komwe kumapangitsa kuti foramina ayambe kuchepa, ndiye zizindikiro zokhudzana ndi msinkhuwo sizidzakhalapo. Izi sizikulepheretsani kukhala ndi zizindikiro konse, komabe. Ngati zigawo zina za msana wanu zili zochepa, mukhoza kumva ululu wokhudzana ndi zizindikiro zina ndi zotsatira zake.
Monga momwe zilili pakati pa canal stenosis, kupweteka kwa m'mimba (kachiwiri, kupweteka kwa mwendo ndi kupondaponda pa kuyenda) ndi chizindikiro chimodzi cha mphuno ya neuroforaminal stenosis.
Ndipotu, zimatengedwa ngati chizindikiro chachizindikiro. Kulongosola kwa Neurogenic kumagwirizana ndi kukhazikika, makamaka momwe msana wako umakhudzira malo mu foramina (zomwe takambirana pamwambapa).
Kafukufuku wa 2017 anapeza kuti kusinthasintha (kutsogolo patsogolo) msana kumapangitsa malo mu foramina. Izi zimachepetsa zizindikiro chifukwa mitsempha imakhala ndi malo ambiri.
Kodi Chimachititsa Bwanji Maginito?
Dr. Allen Wilkins wa Manhattan Physical Medicine ndi Rehabilitation anati: "M'kati mwa msana mumatha kuchepetsedwa ndi zifukwa zingapo. Zina mwazofala ndizozizira, nyamakazi ya zigawo zozungulira zapakati, mabala a disc, ndi synovial cysts.
Dr Ali Bydon, Pulofesa Wothandizana ndi Zachilengedwe, Mtsogoleri wa Zamoyo Zachilengedwe za Bizinchanics ndi Laboratory Outcomes Laboratory ku Sukulu ya Zamankhwala ya Johns Hopkins, ndipo Mtsogoleri wa chipatala cha Spine Surgery ku Johns Hopkins Bayview Medical Center akuvomereza, naphatikizapo kuti malo osokoneza bongo akugwa, mbali ya hypertrophy (yomwe ili ofanana ndi Dr. Wilkins kuunika kwa nyamakazi yapamwamba pamwambapa) ndi ma spondylolisthesis ndi zina zomwe zingayambitse.
"Zonsezi zimakhala zofala kwambiri pamene anthu akula, koma amakhalanso ndi zotsatira za kuvulala koopsa," adatero Bydon.
Kutangotsala nthawi - kuphatikizapo zotsatira zomwe udindo wa moyo uli nawo pamtsempha wako - ukhoza kuima pamzu wa neuroforaminal stenosis. Dr. Bray anamaliza kunena kuti: "Nthenda yotchedwa Neuroforaminal stenosis imayambanso kuvala ndi kuwonongeka, mwa ukalamba wa mgwirizano kapena pamene ophatikizana avulala ndipo satha nthawi.
Ngati muli ndi chidwi ndi njira zothandizira mankhwala a neuroforaminal stenosis, lankhulani ndi dokotala wanu. Kuti mudziwe zambiri, werengani Chithandizo cha Neuralforaminal Stenosis .
Zotsatira:
Imelo Kucheza. Wilkins, A., MD. Manhattan Mankhwala ndi Kukonzanso. New York. December 2013.
Freedman, B., Hoffler, C., Cameron, B., Rhee, J., Bawa, M., malone, D. Bent, M. Yoon, T. Kufaniziridwa kwa Tomato Yomwe Yakuyimira Njira Zowunikira Matenda a Cervical Spinal Stenosis Myelopathy: Phunziro la Kulamulira Mlandu wa Asian Spine J. Feb 2015. Kupezeka: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330215/
Lee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Kusintha Kwaposachedwa ndi Kuwerengedwa kwa Mabuku. Asia Spine J. Oct. 2015 Oct. Kufikira: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Kuwunika kwa kusintha kwa miyeso ya lumbar neuroforaminal mu achinyamata achilendo omwe amagwiritsa ntchito MRI. Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511