Kafukufuku waposachedwapa amasonyeza kuti mankhwala opatsirana am'mimba a msana wam'mimba amatulutsa zotsatira zomwezo monga opaleshoni ya stenosis.
Ngati muli ndi ululu wopweteka msana kapena ululu wopweteka m'mimba kuchokera ku lumbar spinal stenosis, mukhoza kupindula ndi mankhwala omwe akuthandizani kuti mukhale opambana komanso kuchepetsa ululu wanu. Wodwala wanu wathanzi angakuphunzitseni momwe mungasamalire bwino zizindikiro zanu mwa kuchita masewera olimbitsa thupi komanso kuwongolera .
Zizindikiro za lumbar msana stenosis kawirikawiri zimaphatikizapo:
- Ululu wammbuyo
- Kupweteka kwa miyendo kapena kukwapula kwa mimba komwe kuli koyipa ndi kuyenda ndi bwino pokhala
- Kuvuta kuyenda chifukwa cha ululu
- Kukhala ndi malo obwerera kumbuyo komwe kumakhala kochepa pang'ono
Nthaŵi zina dokotala wanu angakulimbikitseni kuti mupite kukaonana ndi dokotala wina opaleshoni kuti akuthandizeni kuchepetsa ululu wochokera m'mimba ya msana. Dokotalayo amatha kuchita opaleshoni yotchedwa lumbar laminectomy , njira yomwe imapangitsa kuti mitsempha yanu isokonezeke kumbuyo kwanu pochotsa mafupa a m'mimba.
Koma kodi opaleshoni ndiyo njira yabwino yosamalira lumbar spinal stenosis?
Nkhani Yokhudza Opaleshoni ya Spinal Stenosis
Kafukufuku amene adafalitsidwa mu 2015 m'nyuzipepala ya Annals ya Internal Medicine anayerekezera zotsatira za nthawi yaitali za opaleshoni komanso mankhwala opatsirana kwa mimba ya m'mimba. Phunziroli, odwala okwana 169 omwe anayenera kuchitidwa opaleshoni ya spinal stenosis anagwiritsidwa ntchito m'modzi mwa magulu awiri-odwala 87 anachitidwa opaleshoni, ndipo ophunzira 82 adachita nawo pulogalamu yochiritsira ya lumbar stenosis.
Pamapeto pa phunzirolo, odwala opaleshoni 74 ndi odwala 72 PT anagwiritsidwa ntchito pofufuza ndondomeko.
Chotsatira chachikulu chiyeso mu phunziroli chinali mphambu pa Fomu Yachidule 36, muyeso wa thupi. Zotsatira zina zinali zofunikira za thupi pamaphunziro osiyanasiyana atatha phunzirolo.
Pambuyo pa miyezi 24, panalibe kusiyana kwakukulu pakati pa magulu awiriwa. Zinalibe kanthu ngati mwachita opaleshoni kapena mumagwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito lumbar spinal stenosis - patadutsa zaka 2, ntchito yanu yonseyo inali yofanana.
Ophunzira ena anadutsa kuchokera kuchipatala kuchipatala; Mwachiwonekere, palibe wogwira nawo ntchito yokhoza kuwoloka mawonekedwe ku PT - kamene opaleshoniyo yachitidwa, zatha.
Ngozi Zopaleshoni za Spinal Stenosis
Palibe njira yopaleshoni yopanda ngozi. Mavuto a opaleshoni ya opaleshoni ya spinal stenosis akuphatikizapo, koma sali ochepa:
- Kutenga
- Kutaya magazi
- Imfa
- Kufa ziwalo kapena paresis
- Kulephera kuthetsa bwino matenda anu kapena kuwonjezereka kwa zizindikiro zanu
Zowopsazi sizodziwika, ndipo muyenera kukambirana za ngozi za opaleshoni iliyonse ndi dokotala musanayambe kuchita.
Ngozi za Thandizo la Thupi la Mthenda Yam'mimba
Kuopsa kwa kutenga nawo mbali m'thupi la lumbar spinal stenosis ndizochepa. Zingaphatikizepo izi:
- Kulephera kuthetsa zizindikiro zanu kapena kuwonjezereka kwa zizindikiro zanu
- Kupsinjika kwa minofu kwakanthawi, komwe kumatchedwa DOMS
Popeza mankhwala opatsirana amatha kukhala oyenerera ku lumbar spinal stenosis ndipo zoopsa ndizochepa, yesero la machitachita a PT ndi kuwongolera pambuyo pake kungakhale kusankha bwino poyang'aniridwa ndi laminectomy opaleshoni ya stenosis.
Pulogalamu yanu yamakono iyenera kukhala yogwira ntchito, ndipo PT yanu iyenera kukuphunzitsani machitidwe oyenerera kuti athetse mavuto a msana wanu ndikuwongolera kuyenda kwanu. Chochitika choipitsitsa: PT sichikuthandizani kuthetsa zizindikiro zanu ndipo mumasankha kuti muchitire opaleshoni yanu. Si njira ziwiri, komabe. Mukhoza kuyamba PT ndikusankha kuti muchitire opaleshoni, koma simungayambe opaleshoni ndikusankha kuchita njira yowonjezera yosamalira.
Ngati muli ndi opaleshoni yapamtundu wa spinal stenosis, mukhoza kupindula ndi chithandizo chamankhwala mutatha opaleshoni yanu ya kumbuyo kukuthandizani kuthetsa ululu wanu ndikubwezeretsanso mlingo wanu woyenda ndi kuyenda.
Pansi
Malingana ndi kafukufukuyu, zotsatira za zaka ziwiri za opaleshoni ya lumbar stenosis ndi mankhwala opatsirana kwa lumbar stenosis zimawoneka chimodzimodzi. Izi sizikutanthauza kuti muyenera kupewa opaleshoni nthawi zonse - anthu ena amapindula ndi opaleshoni ya spin stenosis. Izi zikutanthauza kuti dokotala wanu akufotokozereni za kuopsa ndi zopindulitsa zomwe zikugwirizana ndi opaleshoniyi, ndipo ayenera kukupatsani njira zina zopaleshoni. Mankhwalawa ayenera kukhala amodzi mwa njira zimenezo, monga zatsimikiziridwa kuti zimapereka mpumulo wopumula ndi ntchito yabwino ya spin stenosis ndi zochepa zoopsa.
Mawu ochokera
Ngati muli ndi lumbar spinal stenosis, pitani kuchipatala kuti mudziwe njira yabwino yothetsera vuto lanu. Ngati opaleshoni ya msana ndi imodzi mwazimene mungasankhe, onetsetsani kuti mufunse za kugwira ntchito yogwiritsira ntchito lumbar spinal stenosis kuti muyesetse kusamalira zizindikiro zanu ndikuwongolera kuyenda kwanu. Kafukufuku amasonyeza kuti mungakhale ndi zotsatira zofanana ndi PT poyerekeza ndi opaleshoni ya msana wam'mimba.
Chitsime: Delitto, A. etal. Kuchita opaleshoni pogwiritsa ntchito mankhwala osokoneza bongo a lumbar spinal stenosis: mayesero osadziwika. Ann Intern Med. 162 (7) April, 2015. 465-73.