Ngati mwapezeka kuti muli ndi neuralforamenal stenosis (yomwe ndi yoperewera imodzi kapena malo ena otseguka pambali ya chingwe chodziwika bwino chotchedwa foramen ) mwakhala mukukumana ndi zizindikiro za radiculopathy . Kuchuluka kwa mankhwala akupezeka pamene mizu ya mitsempha ya msana imayikidwa pa (yotchedwa kukopa kapena kuthamanga.)
Kuchuluka kwa mankhwala akufala m'thupi la nyamakazi komanso nyamakazi.
Zizindikiro kawirikawiri zimawonetsa ngati kupweteka, kukhumudwa, kufooka ndi / kapena kufooka kumatsikira kumapeto kwake. Pofotokoza, sciatica ndi mtundu umodzi wa radiculopathy.
Koma nthenda yotchedwa neuroforaminal narrowing ingapangire zizindikiro zina, komanso. Izi zingaphatikizepo mitsempha ya minofu, ululu wopweteka, kutentha kwambiri komanso kufooketsa, malinga ndi Allen Wilkins, MD, Manhattan Physical Medicine and Spine.
Neuralforamenal Stenosis Treatment Options
Whew! Izo zimamveka ngati zambiri zoti zithetse nazo! Mwinamwake mukudabwa ngati pali chinachake chimene mungachite kuti mukhale omasuka komanso "kukhalabe mu masewera" a maudindo a moyo mutatha kupeza matenda a neuralforamenal stenosis.
Inde, alipo. Ndipo mwina simungasowe opaleshoni.
"Odwala 90 pa 100 alionse omwe ali ndi matenda ochepetsa matenda a neuroforaminal amathandiza kuti zizindikiro zawo zizikhala bwino," akutero Dr. Ali Bydon, Pulofesa Wodzipereka wa Neurosurgery, Mtsogoleri wa Spinal Column Biomechanics ndi Laboratory Surgery Laboratory pa Sukulu ya Zamankhwala ya Johns Hopkins ndi Mtsogoleri wa Zipatala Opaleshoni Yamakono ku Johns Hopkins Bayview Medical Center.
Bydon amati kwa neuralforamenal stenosis, mankhwala opatsirana oyamba amakhala ndi mankhwala opweteka komanso / kapena mankhwala osamva . Kuphatikiza pa izi, mukhoza kupita kuchipatala kuti mukhale ndi zovuta zolimbitsa thupi ndi zolimbikitsa zomwe zimayang'ana pamutu kapena kumbuyo. Thandizo lanu la PT limaphatikizapo kutentha, ayezi ndi / kapena ultrasound, komanso.
Ndipo potsiriza, Bydon amasonyeza kuti chithandizo chakumudziwa, mwachitsanzo, kuyankhula ndi mankhwala / kapena kupuma kwabwino, komanso kupiritsa minofu kungathandizenso kuchepetsa zizindikiro.
Dr. Robert Bray, a neurosurgeon ku DISC Sports ndi Spine Center ku Marina del Rey, California, akuwonjezera kuti mankhwala ophatikizapo angaphatikizepo ntchito pa malo anu. Iye akuti, "Euroforamenal stenosis nthawi zambiri imakhudzidwa ndi kupwetekedwa koipa m'khosi." Amapitiriza kufotokoza kuti kuzungulira kumtunda kumawonjezera kukula kwa khosi lomwe limapangitsa kuti neuroforamin m'derali ipitirize kuchepa.
"Zochita zomwe zimalumikiza paphewa kuti zikhale zocheperachepera, zimakhala zochepetsetsa kwa foraminal stenosis," adatero, kuwonjezera kuti njira zamakono zochiritsira mankhwala zingakhale zothandiza kwambiri pokhapokha ngati zikuwongolera zochitika .
Bydon akuti njira ina yothandizira kuchepetsa ululu wokhudzana ndi neuralforaminal narrowing ndi matenda a mitsempha ya epidural steroid . Cholinga cha jekeseni uwu ndi kuchepetsa kutupa ndi / kapena kutaya mizu yanu. Mankhwala otonthoza amaloledwa pamtunda wa mitsempha, kawirikawiri pogwiritsa ntchito fluoroscopy kapena mafano ena othandizira zipangizo zamakono, amandiuza.
Bray akugwirizana ndipo akuwonjezera kuti ngati muli ndi vuto lalikulu, mitsempha yanu idzaphulika. Izi zikutanthauza kuti ikudutsa mu dzenje (foramen) lomwe ndiloling'ono kwambiri. Mankhwala oteteza steroid kuzungulira mitsempha imachepetsa kutupa, akuti. Ndipo mukamaphatikizapo mankhwalawa ndi pulogalamu yachipatala yokonzedwa kuti mupange kukhazikika kwabwino, mukhoza kukhala ndi njira yopumula kupweteka kwa nthenda yoyenera ya neuralforamenal stenosis, iye akufotokoza.
Kodi Chofunika Ndi Chiyani? Kodi Neuralforaminal Chofunika Kwambiri Kuchita Opaleshoni?
Nthawi zambiri, ayi. Koma kodi muyenera kuyesa mankhwala ndi / kapena mankhwala opitirira masabata 6 mpaka 8 popanda kupweteka kwachisoni, nthawi ikhoza kuganizira opaleshoni, Bydon akuti.
Bydon akuwonetseratu kuti mukuwona opaleshoni ya msana ngati mukuwona kusintha kosintha ndi / kapena kufooka kumayambiriro anu pa neuralforamenal stenosis.
Zotsatira:
Imelo Kucheza. Bray ,, Robert S. Jr., MD. DisC Sports & Spine Center. Marina del Rey, CA. December 2013.
Imelo Kucheza. Bydon, A., MD. Pulofesa wa Neurosurgery, Co-Director of Neurosurgery Medical Student Education, Mtsogoleri wa Maphunziro a Maphunziro a Zophunzira za M'zaka zapakati pa Maphunziro a Zophunzira zapamwamba, Mtsogoleri wa Maphunziro a Zamtundu wa Spinal Column ndi Biologychanics ndi Laboratory Outcomes Laboratory ku Yunivesite ya Johns Hopkins, Mtsogoleri wa Chipatala cha Opaleshoni Zachilengedwe ku Johns Hopkins Bayview Medical Center. December 2013.
Imelo Kucheza. Wilkins, A., MD. Manhattan Mankhwala ndi Kukonzanso. New York. December 2013.