The intervertebral foramen ndi malo ofunikira pamutu wa msana chifukwa amapereka mitsempha yomwe imachokera mu msana. Mawu akuti "foramen" ndi mawonekedwe amodzi, pamene "foramina" ndi mawonekedwe ambiri.
The intervertebral foramen ndi kutsegulira komwe kumapangidwa ndi vertebrae iwiri yoyandikana nayo. Mphindi ya msana , stacking imapezeka pansi pambali pa mafupa (otchedwa matupi).
Kumbuyo kwa thupi la vertebra ndi phokoso la fupa. Poyang'ana vertebra kuchokera kumbali zonse, thupi ndi phokoso la mphete zimapanga mawonekedwe ofanana. Phando limapangidwa ndi msonkhano wa "mizati" ya chingwe ndi fupa pansipa. Gowo ili ndi intervertebral foramen.
Mitsempha yamtsempha ikamachoka pamphuno ya msana (chimbudzi cha pakatikati cha mitsempha ya msana, mu dzenje lina lotchedwa mphako wamtsempha,) amachoka pamphepete mwa intervertebral foramina. Mitsempha imapitirizabe kuthamangira mbali zonse za thupi.
Neuroforaminal Spinal Stenosis
Vuto lalikulu lomwe limakhudza neuroforamina ndi stinosis ya msana. Stenosis ndi nthawi yachipatala yomwe imatanthauzanso kuchepa. Matenda a msana amakhala, koma nthawi zonse, matenda okhudzana ndi msinkhu wokhudzana ndi nyamakazi.
Matenda a m'mimba amatha kuchitika m'malo awiri: Mng'oma wa msana ndi neuroforamina. Pamene msana wa stinosis umapezeka mumtsinje wa msana, umatchedwa central channelal stenosis.
Pamene msana wa stinosis umapezeka mu neuroforamina, umatchedwa neuroforaminal stenosis.
Ndikumva ululu chifukwa cha neuroforaminal spinal stenosis, nyamakazi yokhudzana ndi nyamakazi ya mafupa (yomwe imatchedwanso bone spurs kapena osteophytes) yomwe ilipo mu "imodzi" kapena "yambiri" ya "mitsempha" mu mitsempha yomwe imadutsamo.
Pamene akuchita izi, amatha kupweteka kapena zizindikiro zina pansi pa mwendo kapena mkono. Mtundu uwu umatchedwa kupweteka kwambiri ngati mutamva ululu wokha, kapena radiculopathy ngati kupweteka kukuphatikizapo zowawa zina.
Chizindikiro chachikulu cha neuroforaminal stenosis ndi chitsimikizo cha neurogenic - mtundu wosweka umene umagwirizana ndi chikhalidwe chanu. Nthaŵi zambiri, anthu omwe ali ndi msana wam'mimba amamva bwino akamagwedezeka (kugwedezeka patsogolo) pa thunthu, ndipo poyipiritsa pamsana. Zizindikilo zina zimaphatikizapo kufooka ndi / kapena kuyenda kovuta kuposa kutalika kwake.
Kuchiza kwa stenosis nthawi zambiri kumapangitsa kuchepetsa kupweteka ndi kuteteza zizindikiro za mitsempha kuti zichitike kapena zikuipiraipira. Simukufunikira kuchitidwa opaleshoni ngati muli ndi spinal stenosis, koma ngati zizindikiro zanu zikugwirizana ndi zomwe mukupeza pa X-ray, dokotala wanu angakuuzeni - makamaka ngati muli ndi chimodzi kapena zingapo zotsatirazi:
- Kuchuluka kwa mankhwala (kupweteka, mapini ndi singano, kumverera kwa magetsi ndi / kapena kufooka kutsika mkono kapena mwendo,)
- Kulongosola kwa Neurogenic kumbuyo kwanu (kutchulidwa pamwambapa)
- Myelopathy m'khosi mwako ndi / kapena kumtunda kapena kumbuyo (zizindikiro za myelopathy zimagwirizana ndi msana ndipo zimachitika pakatikati pa mphako ya stenosis.)
- Kuwonjezera kupweteka.
Nthawi yonseyi, mankhwala osamalitsa (ie mankhwala osagwira ntchito akugwiritsidwa ntchito.) Izi zingakhale ndi mankhwala ndi mankhwala.