Central spinal stenosis - vuto limene nthawi zambiri limakhudzana ndi ukalamba - amadziwika ndi kuchepa kwa pakati pa kanjini yanu. Kutsika kumeneku kumangotchedwa "kuchepa." (Stenosis ndi nthawi yachipatala yomwe imatanthauza kuchepa.)
Vuto ndi ndondomeko ya msana ndi nyumba ya msana wako, yomwe ili gawo la mchitidwe wamanjenje.
Monga chida chachikulu cha kayendedwe kabwino ka mitsempha, chingwecho chimakhala ndi minofu yowopsya yomwe imayambitsa kutumiza mauthenga akumverera ndikugwira ntchito kumadera onse a thupi lanu
ZIZINDIKIRO ZA ZINYAMATA ZOTHANDIZA ZIMENE ZIMACHITIKA
Pamene kutalika kwa chingwechi kumachepetsedwera, zotsatira zake zikhoza kukhala kupanikizika kwa msana. Izi zingayambitse zizindikiro zambiri zomwe tidzakambirana m'munsimu, kuphatikizapo ululu, zofooka, kusowa kofooka ndi kupunduka, komanso ena.
Zokhudzana: Neurogenic Claudication
Dr. Sergio Gonzalez-Arias, mtsogoleri wa zachipatala wa Baptist Health Neuroscience Center ku Miami, Florida ananena kuti kupsinjika kwa msana kumatha kuwononga ntchito yanu mwachindunji.
Anatero Gonzalez-Arias akufotokoza kuti akatswiri ambiri amatchula kuti "stenosis" yomwe imakhala yotentha kwambiri. "Kuwonongeka kwa matenda osokoneza bongo ndi chinthu chodabwitsa chomwe chingapangitse kuti kuphulika ndi kutentha kwa mafupa, komanso kuwonongeka kwa malo osokonezeka , ndi kuphulika kwa tizilombo tofewa, monga ligamentum flavum. "(ligamentum flavum ndi mzere wachikasu kuzungulira ngalande zam'mimba ndi kuzungulira mitsempha yotuluka)
Zokhudzana: Zam'mimba Zamtundu
Gonzalez-Arias amanena kuti pamene ligamentum flavum imakula, imapangitsa kuti phokoso likhale lozungulira pamtambo wa msana womwe umagwirizana ndi mphete yophimba pamphepete. Izi zimayambitsa kupweteka kwa mitsempha yomwe ili mkati mwa ngalande komanso mitsempha pamlingo wa mpweya umene umachoka pamphepete mwa msana.
KUCHITA NDI ZINTHU ZANU
Kotero kodi izo zikutanthauza chiyani kwa inu? Gonzales-Arias akunena kuti kuwonongeka kwa matendawa kungachititse kukula kwa magulu a zizindikiro, kuphatikizapo, monga tafotokozera pamwambapa, kufooka ndi kufooka, komanso kumangokhalira kudumpha m'milingo imodzi kapena yambiri, ndipo, podwala kwambiri, chikhodzodzo ndi / kapena matumbo.
"Pamene zizindikiro zilipo, nthawi zambiri zimakhala zowawa m'mbuyo, mopanda kufooka, kumangirira komanso / kapena kupweteka kwa miyendo yonse kapena miyendo yonse. Zizindikirozi zimagwirizanitsidwa ndi kuyenda nthawi yaitali kapena kuimirira, komanso kumasulidwa ndi kukhala ndi / kapena kutsamira patsogolo, "anandiuza.
Mukaimirira, akupitiriza, msana wanu umakhala wochulukirapo (ganizirani zowonjezereka ngati mukugwedeza nsana yanu), yomwe imatsekanso chitoliro cha msana. Mosiyana ndi zimenezo, mukakhala pansi, msana wanu umakhala wopota, womwe umatsegula ngalandeyi ndipo imathandizira kuchepetsa ululu, akuti.
Dr. John Toerge, dokotala wa osteopathic, ndi pulofesa wa zamankhwala ku Yunivesite ya Georgetown ndi Mkulu wa Zamankhwala wa Musculoskeletal Institute ku National Rehabilitation Hospital ku Washington, DC Pamene akugwirizana ndi Gonzalez-Arias pofufuza zizindikiro za pakati pa canal, akuti Kulephera kuyenda maulendo ataliatali popanda kupuma ndiko chizindikiro chachikulu cha chikhalidwe ichi.
Ngati muli ndi pakatikati ya canal stenosis, amachenjeza, mukhoza kuyamba kupweteka mwendo kapena kupweteka pobwerera, ndipo mungapeze kuti mukusowa mphindi zingapo kuti mulole zizindikiro zanu zichepe. Chifuwa chimaphatikizapo kuti nthaŵi zina anthu amamva bwino kuyenda kumbuyo kwa galimoto kapena chinthu chomwecho. Akulongosola kuti ngakhale kugwira kochepa pa ngolo yogula ndikwanira kuchepetsa mwendo ndi / kapena ululu wammbuyo.
Gonzalez-Arias akuvomereza, akunena kuti odwala nthawi zambiri amanena kuti kugwiritsa ntchito galimoto yamakono kumakhala kosavuta kuyenda. Awonjezeranso kuti odwala amafotokozanso kuti nthawi yomwe amatha kuyenda popanda ululu amachepetsa kuchepa.
Uthenga wabwino ulipo chinachake chimene mungachite kuti muthe kuchepetsa ululu ndi kusintha ntchito zanu za tsiku ndi tsiku. Thandizo la thupi lomwe limakuphunzitsani momwe mungalimbikitsire maziko anu ndi kulimbitsa thupi lanu lingathandize kuchepetsa zizindikiro zanu, zopereka za Toerge.
Zotsatira:
Imelo Kucheza. Gonzalzs-Arias, Sergio MD, Mkulu wa Zamankhwala, Bungwe la Baptist Health Neuroscience Center, Miami, Florida. January 2014.
Imelo Kucheza. Toerge, J. DO, Medical Director Musculoskeletal Institute National Rehabilitation Hospital, Washington, DC. January 2014.