Mmene Neuralforaminal Stenosis Imayambitsa Mavuto
Neuralforaminal stenosis ndi mtundu wa stenosis umene umachepetsa mabowo momwe mitsempha ya m'mphepete imatha kupitilira kumbali zonse za thupi kuchokera mu msana. Mabowo amenewa, omwe amadziwika kuti asamen, ali pambali pa ndondomeko yanu yoyenda pamtunda uliwonse, kapena gawo la msana. (Mbali imodzi imalembedwa pamwamba ndi pansipa ndi zigawo zosakanikirana .)
Pamene muli ndi neuralforamenal stenosis, kukula kosavuta kapena kupwetekedwa - zomwe nthawi zambiri zimakhala chifukwa cha kusintha kwa zaka zakubadwa ndi / kapena kusinthika kumene kumachitika msana - kumangoyenda pa malo omwe kawirikawiri amaperekedwa ndi foramen. Kugonjetsa kumeneku, kumachepetsanso kuchuluka kwa malo omwe alipo, monga mitsempha ya msana (komanso zinthu zina), kuti zikhale zoyenera.
Zizindikiro Zodziwika
Kotero kodi zonsezi zikutanthauza chiyani ku zizindikiro zanu? Kodi kusokoneza kumakhudza bwanji mmene mumamvera mukakhala ndi stenosis ya neuroforamenal?
Chinthu choyamba kukumbukira ndikuti mitsempha yomwe imakhudzidwa ndi matenda a mphuno ya mitsempha ndi mitsempha yokha. Ntchito yawo ndi kufotokozera mauthenga okhudzidwa ndi zochita zanu komanso kuchokera m'kati mwanu (yomwe ili ndi ubongo wanu ndi msana wanu). Ngati, chifukwa cha kupwetekedwa kwapezeka mu mthunzi wako, mitsempha imasokonezeka kuti isagwire ntchito yake - mwa kulankhula kwina, ngati ikanikakamizidwa kapena inakwiyidwanso pamene ikukhudzana ndi zomangamanga - mwina mumakhala ndi zizindikiro zokhudzana ndi zozizwitsa chimene mitsempha imeneyo imakuchitirani inu.
Chizindikiro chachikulu cha neuroforamenal stenosis kawirikawiri ndi radiculopathy . Mankhwala opatsirana pogonana angakhale owawa ngati kupweteka, kupweteka, kupota, kufooka, kutentha kapena magetsi omwe amatsika mwendo umodzi kapena mkono umodzi (malingana ndi momwe stenosis yanu iliri kumbuyo kwanu kapena khosi lanu.)
Neuralforaminal stenosis siye yokha yachipatala yomwe radiculopathy ndizo zizindikiro zazikulu.
Chitsanzo china cha diseni ya herniated.
Dr. Allen Wilkins, MD, wa Manhattan Physical Medicine and Spine, akuti zizindikiro za radiculopathy zimakhala zikuchitika pamtundu wina womwe umakhudzidwa ndi mitsempha yanu ya stenosis. Ndondomeko yeniyeniyo ndiyomwe yatsimikiziridwa kale ndipo ikugwirizana ndi malo omwe mitsempha imakhala nayo mphamvu. Zigawo zimenezi zimadziwika kuti dermatomes .
Dr. Ali Bydon, Pulofesa Wothandizira wa Zachilengedwe, Mtsogoleri wa Zamoyo Zachilengedwe za Bizinchanics ndi Laboratory Outcomes Laboratory ku Sukulu ya Zamankhwala ya Johns Hopkins ndi Mtsogoleri wa Chipatala cha Opaleshoni Zachilengedwe ku Johns Hopkins Bayview Medical Center akufotokozera zizindikiro za dermatomes (pa nkhani ya neuroforaminal stenosis) ngati mizere Kugawa pamanja kapena miyendo kuti zizindikiro zikapezeka, zimagwirizanitsa ndi mitsempha yomwe ikugwedezeka. "Zizindikiro za neuroforaminal stenosis zimakonda kutsata njirazi," akutero.
"Kupweteka kwa mitsempha ya chiberekero kudzachititsa zizindikiro mu mikono; Kuchuluka kwa mitsempha ya thoracic yomwe imachititsa kuti zizindikiro mu thorax ndi kupanikizika kwa mitsempha mu mphalapala zam'mimba zimayambitsa zizindikiro m'mabowo ndi miyendo, "akutero.
Dr. Robert Bray, katswiri wa sayansi ya ubongo ku DISC Sports ndi Spine Center ku Marina del Rey, California akuvomereza ndipo akufotokoza kuti "mitsempha iliyonse ili ndi ntchito yosiyana pamanja kapena mwendo.
Mwachitsanzo, amandiuza, m'khosi, mitsempha ya C-5 ikuyendetsa phawa ndi minofu, pamene mitsempha ya msinkhu wa C-6 imasunthira. Pansi kumbuyo, mitsempha ya L-4 imayendetsa mitsempha ya quadriceps, mitsempha ya L-5 imasuntha zina mwa ng'ombe ndi chala chachikulu. M'dera lanu la sacral, akuti, Mitsempha ya S-1 imalamulira mbali zina za ng'ombe ndi zala zazing'ono.
"Mitsempha yapamwamba yomwe ili ndi stenosed mu foramen idzawonetsa radiculopathy kumalo komwe imakhudza kapena kuyendetsa. Ndicho chifukwa chake mumamva kapena kuona zizindikiro pamtundu wina," akutero Bray.
Wilkins akuwonjezera kuti malingana ndi zinthu zingapo kuphatikizapo matupi anu omwe amatha, momwe njira ya neuroforaminal stenosis imayambira ndi zomwe zimagwidwa ndi msana, zizindikiro zikhoza kusiyana ndi wodwala mpaka wodwala.
Komabe, kawirikawiri, pamene mitsempha yowonjezeredwa, Wilkins amati kupweteka ndi chinthu choyamba kuchiwonetsera, ndiye kuti kumverera kapena kugwedeza kumatha kuyamba, ndipo potsiriza, kufooka kwa magalimoto komwe kumakhudza mitsempha yokhudzidwa kungabweretse.
Wilkins ananenanso kuti anthu omwe ali ndi neural foramina stenosis amamva ululu, kupweteka kwa minofu, kufooka kwapakati, kumapeto kwa chimfine ndi kumangirira, kumayaka moto kumapeto. Awonjezeranso kuti odwala amatha kufotokozera ululu wowawa komanso kupweteka kapena kutentha m'madera omwe akukhudzidwa nawo. Akumva kuchepa ndi kutayika kwa magalimoto, zomwe zimagwirizana ndi mitsempha ya mitsempha ingakhalepo, adatero.
Dr Bydon akutsimikizira kuti zizindikirozi zingakhale chifukwa cha kupanikizika kwa mitsempha pamene imachoka msana. Pogwirizana ndi zizindikiro zina zotchulidwa pamwambapa, akuti, mitsempha yothandizidwa chifukwa cha neuralforamenal stenosis ikhoza kumverera ngati kupweteka kofuula kumapeto.
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, Director of Neurosurgery Pulogalamu Yophunzira Yophunzira, Mtsogoleri wa Maphunziro a Zachilengedwe a Biinalchanics ndi Laboratory Surgery 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.