Uma uthola ukuthi une-stenosis ye-neuralforamenal (okuyinto ukululaza kwesinye noma ukuvuleka okunye eceleni kwekholomu ye-vertebral eyaziwa ngokuthi i- foramen ) amathuba oye wabhekana nezimpawu ze- radiculopathy . I-Radiculopathy ivela lapho izimpande zamasipha omgogodla zifakwa phezu (okubizwa ngokuthi ukungena noma ukuxoshwa.)
I-Radiculopathy ivame kakhulu ezimweni ze-arthritis ephazamisayo ne-disc herniated.
Izimpawu ngokuvamile zibonakaliswa njengobuhlungu, ukugubha, ukuphazamiseka kanye / noma ubuthakathaka behla emkhawulweni osithintekile. Ukuze uthole inkomba, i-sciatica yindlela ehlukile yokwazisa i-radiculopathy.
Kodwa ukucwiliswa kwe-neuroforaminal kungaholela kwezinye izimpawu, futhi. Lezi zingase zihlanganise ukungcoliswa kwemisipha, ubuhlungu obunzima, izinzwa ezishisayo kanye nobuthakathaka obunokwenzeka kanye / noma ukunciphisa izinzwa, ngokusho kuka-Allen Wilkins, MD, weManhattan Physical Medicine and Spine.
Izinketho zokwelapha ze-Neuralforamenal Stenosis
Whew! Lokho kuzwakala sengathi kuningi okumelwe ukwenze! Ungase uzibuze ukuthi kukhona yini ongayenza ukuze uzizwe ungcono futhi "uhlale emdlalweni" wemithwalo yemfanelo yempilo ngemuva kokuxilongwa kwe-stenosis ye-neuralforamenal.
Yebo ikhona. Futhi cishe ngeke udinga ukuhlinzeka ngakho.
"Iziguli ezingamaphesenti angamashumi ayisishiyagalolunye zinezinzwa zokuphuza i-neuroforaminal zithuthukisa izimpawu zazo ngezinye izinhlobo zokuphatha okungezona osebenzayo," kusho uDkt. Ali Bydon, uProfesa we-Neurosurgery, uMqondisi we-Spinal Column Biomechanics kanye ne-Surgical Outcomes Laboratory ku-Johns Hopkins Medical School noMqondisi wezokwelapha I-Spine Surgery ku-Johns Hopkins Bayview Medical Centre.
I-Bydon ithi ngenxa ye-stenosis ye-neuralforamenal, ukwelashwa kokuqala komgwaqo kunemithi yokwelashwa kanye / noma izidakamizwa ezingezona ukuvuvukala okungezona-steroidal . Ngaphezu kwalokhu, ungaya ekwelapheni ngokomzimba wokwelula nokuqinisa umzimba ohlose intamo noma imisipha yangemuva. Ukwelashwa kwe-PT kungabandakanya ukushisa, iqhwa kanye / noma i-ultrasound, futhi.
Futhi ekugcineni, i-Bydon ibonisa ukuthi ukwelashwa kwengqondo, isibonelo, ukukhulumisana kanye / noma ukuphumula okuphumuzayo, kanye nokusikhipha imithi kungasiza ekunciphiseni izimpawu.
UDkt. Robert Bray, i-neurosurgeon e-DISC Sports naseSpine Center e-Marina del Rey, eCalifornia, uyanezela ukuthi ukwelashwa ngokomzimba kungase kuhlanganise nomsebenzi ekuhleleni kwakho. I-stenosis ye-neuroforamenal ivame ukuthinteka ukuma okubi entanyeni, uthi. Uyaqhubeka echaza ukuthi ukugoqa kwengenhla yangaphezulu kwandisa ukunwetshwa kwentamo okuzoqhubeka nokunciphisa i-neuroforamin kule ndawo.
"Ukuzivocavoca okulindelekile ukuthi kulungiswe ukuhlunga kwe-staminosis ye-foraminal stenosis," esho, wanezela ukuthi izindlela zendabuko zokuqinisa ukwelapha ngokomzimba zingasiza kakhulu uma zihambisana nokuzilungisa kokuzilungisa .
I-Bydon ithi enye indlela yokunciphisa ubuhlungu obuhlobene nokunciphisa kwe-neuralforaminal kanye nokucindezeleka kwezimpande zayo ezihambisana ne-nerve izimpande ze-epidural steroid . Umgomo walolu hlobo lomjovo ukunciphisa ukuvuvukala kanye / noma ukuphazamisa izimpande zakho zezinzwa . Imithi ephumuzayo ijojowe nxazonke zomshukela wezinzwa, ngokuvamile nge-fluoroscopy noma enye i-image guiding technology, uyangitshela.
UBra uyavuma futhi uyanezela ukuthi uma une-flare-up ephawulekayo, inzwa yakho cishe iyovuvukala. Lokhu kusho ukuthi udlula emgodini (i-foramen) encane kakhulu. Ukujova imithi ye-steroid ezungeze izimpande zesibindi kunciphisa ukuvuvukala, usho. Futhi uma uhlanganisa lokhu ukwelashwa ngohlelo lwezokwelapha olwenzelwe ukuthuthukisa ukuhleleka okuhle, ungase uthole iresiphi yokuphumula ubuhlungu bezinga elilinganiselwe lezinzwa ze-neuralforamenal stenosis, uphendula.
Yini Eyisisekelo? Ingabe I-Neuralforaminal Narrowing Need Surgery?
Iningi lezikhathi, cha. Kodwa uma uzama imithi kanye / noma ukwelapha ngokomzimba amasonto ayisithupha kuya kwangu-8 ngaphandle kokukhululeka kobuhlungu, kungase kube yisikhathi sokucubungula ukuhlinzwa, kusho u-Bydon.
I-Bydon iphakamisa ukubona udokotela ohlinzayo wezinzwa uma ubona ushintsho lwezinzwa kanye / noma ubuthakathaka ekuqaleni kwesikhathi se-neuralforamenal stenosis.
Imithombo:
I-imeyili Ingxoxo. UBra, uRobert S. Jr., MD. I-DISC Isikhungo sezemidlalo nesivinini. Marina del Rey, CA. Disemba 2013.
I-imeyili Ingxoxo. Bydon, A., MD. U-Associate Professor of Neurosurgery, umqondisi we-Neurosurgery Medical Student Education, uMqondisi we-Neurosurgery Undergraduate Education Student, uMqondisi we-Spinal Column Biomechanics kanye ne-Surgical Outcomes Laboratory kuJohns Hopkins University, uMqondisi Wezokwelapha we-Spine Surgery ku-Johns Hopkins Bayview Medical Center. Disemba 2013.
I-imeyili Ingxoxo. UWilkins, A., MD. Manhattan Physical Medicine nokuvuselelwa. I-New York. Disemba 2013.