Yini i-Neuroforaminal Stenosis?
I-stinalosis yomgogodla yimizuzu ebhekisela ekunciphiseni kwesinye isikhala noma ngaphezulu kwikholomu yomgogodla. Ngokuvamile, lihlobene ne-arthritis, okusho ukuthi ukunciphisa kuvame ukubangelwa izinguquko eziguqukayo ezenzeka emathanjeni omgogodla ngokuhamba kwesikhathi kanye / noma ngenxa yokulimala.
I-stenosis yomgogodla ingenzeka noma ikuphi ubude bomgogodla; Kodwa-ke, kutholakala ukuthi kutholakala endaweni ye-lumbar (ephansi emuva) nezindawo zomlomo wesibeletho (intamo) kakhulu.
Kunezinhlobo ezimbili ze-stenosis yomgogodla: I-canal stenosis kanye ne-neuroforaminal stenosis. Igama elithi "central canal stenosis" lisho ukugxila komgogodla womgogodla, okuyinto isikhala esingenalutho phakathi kwekholomu yomgogodla. Intambo yomgogodla itholakala ngaphakathi kwenzalo yomgogodla . Amagciwane ase-central canal stenosis ngokuvamile abhekana nazo ezingxenyeni zomzimba ezikhonjiswe yizinga elingaphansi lomgogodla futhi liphansi.
I-Central Canal Stenosis
Esimeni se-canal stalosis (hhayi umlomo wesibeletho,) lezi zimpawu zifaka phakathi i- neurogenic claudicatio n okuyinto uhlobo lokuhlunguphaza emilenzeni eyenziwa ngokuhamba. Ingozi eyengeziwe yokwa kweminye uphawu evamile.
Umgogodla we-cervical central canal stenosis ungadala ukukhubazeka ekuhambeni kwakho kwebhuku; lokhu kungathinta izinto ozenzile ngezandla zakho njengokubamba izikhwama, amabhantshi noma ezinye izinto, ama-shirts kanye nezingubo zokufaka izinkinobho, ukuhlanganisa ama-shoelaces nokubhala.
Ezinye izibonakaliso zesifo somlomo we-canal stenosis zihlanganisa ukuguqulwa okuphelele emibonweni yakho yokuzwa, umuzwa wokuthi unobuthakathaka kunakho ngaphambili, ukuguqula ekusebenziseni kwakho, isilonda kanye / noma ukungasebenzi kwesibindi, nokuningi.
I-Neuroforaminal Stenosis
I-neuroforaminal stenosis iyinkimbinkimbi eyenzeka emgqeni we- foramina .
I-foramina yizimbobo ezitholakala ngaphesheya kwikholomu yomgogodla; zincane kunomgogodla wesibeletho. Izinzwa zomgogodla ziphuma ku-foramina ngemva kokuhlanganisa i-spinal cord. Lezi zinzwa zibuyele kuzo zonke izindawo zomzimba ukuze zithole izinzwa futhi zithuthele ebuchosheni ukuze zichazwe, futhi ziphinde zidlulisele umfutho wokunyakaza kusuka ebuchosheni ukuya emisipha.
UDkt. Robert Bray, i-neurosurgeon e-DISC Sports naseSpine Centre e-Marina del Rey, eCalifornia ithi ngokungafani ne-canal stenosis, i-neuroforaminal stenosis iphazamisa isisindo esivele kuphela kwizinga elithile lapho i- stenosis ikhona khona.
Ngamanye amazwi, nge-neuroforaminal spinal stenosis, uma izinga elithile lomzimba noma amazinga (amazinga abizwa ngokuthi izingxenye ) awunayo izinguquko ze-bony eziholela ekunciphisweni kwe-foramina, khona-ke izimpawu ezihlobene nalolo zinga ngeke zibe khona. Lokhu akukuvimbeli ukuba ube nezimpawu nhlobo, noma kunjalo. Uma ezinye izingxenye zomgogodla wakho unciphise, ungase uzwe ubuhlungu obuhlobene nokunye nezinye izimpawu njengomphumela.
Njenge-canal stenosis ephakathi, i-neurogenic claudication (futhi, ubuhlungu bomlenze nokucindezela ekuhambeni) yisifo esisodwa se-stenosis ye-neuroforaminal.
Eqinisweni, kubhekwa njengesilingo sasendulo. I-claudication ye-neurogenic ihlobene nokuhlehliswa, ikakhulukazi indlela ukubeka ngayo umgogodla kuthinta isikhala ku-foramina (okukhulunywe ngayo ngenhla.)
Ucwaningo lwango-2017 lwathola ukuthi ukuguquguquka (ukuqhuma phambili) umgogodla kwandisa isikhala endaweni ye-foramina. Lokhu kuvame ukunciphisa izimpawu ngoba le nerve inekamelo elingaphezulu.
Yini Ebangela Ukuqina Kwesibindi?
Izindlela zokuhamba emgodleni zinganciphisa izici eziningana, kusho uDkt. Allen Wilkins waseManhattan Physical Medicine nokuvuselelwa. Phakathi kwezinto ezivame kakhulu kukhona ama-disc, ama-arthritis ama-facet joints joints, ama-disc bulges, nama-cysts synovial.
UDkt. Ali Bydon, uMnuz Professor of Neurosurgery, uMqondisi we-Spinal Column Biomechanics kanye neBook Outcomes Laboratory ku-Johns Hopkins Medical School, futhi uMqondisi wezokwelapha we-Spine Surgery eJohns Hopkins Bayview Medical Center uyavuma, wanezela ukuthi i-disk space collapse, i-facet hypertrophy (okuyiyona okufana noDkt. Wilkins ukuhlolwa kwe-facet arthritis ngenhla) kanye ne- spondylolisthesis ezinye izimbangela ezikhona.
"Yonke yalezi zimo iba yinto evamile njengoba abantu bekhula, kodwa futhi kungabangela ukulimala okubuhlungu," kusho u-Bydon.
Kulula ukuhamba kwesikhathi - kuhlanganiswe nomphumela wokuthi imithwalo yempilo ibe nomgogodla wakho - ingase ilale emmpandeni we-neuroforaminal stenosis yakho. "I-neuroforaminal stenosis ibangelwa ukugqoka nokudiliza okuvamile, ngokuguga kokubambisana noma lapho kuhlangene nokulimala futhi kungapheli isikhathi, phakathi kwezinye izizathu, uDkt. Bray uphetha.
Uma unesithakazelo kokhetho lwezokwelapha lwe-neuroforaminal stenosis, khuluma nodokotela wakho. Ukuze uthole ulwazi olujwayelekile, funda Ukwelashwa Kwe-Neuralforaminal Stenosis .
Imithombo:
I-imeyili Ingxoxo. UWilkins, A., MD. Manhattan Physical Medicine nokuvuselelwa. I-New York. Disemba 2013.
Freedman, B., Hoffler, C., Cameron, B., Rhee, J., Bawa, M., malone, D. Bent, M. Yoon, T. Ukuqhathaniswa kwemizamo ye-computed Tomography yokubona ukuqina kwesisu somlomo wesibeletho esihlangene ne-Cervical Stinal Stenosis I-Myelopathy: I-Case-Control Study Asian Spine J. Feb 2015. Ukutholakala: NgoMashi 2016. http://www.ncbi.nlm.nih.gov/pmc/article/PMC4330215/
U-Lee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Ukubuyekezwa Kwamuva Kubuyekezwa Kwezincwadi. I-Asian Spine J. Okthoba 2015 Okthoba Ukufinyeleleka: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Ukuhlolwa kwezinguquko ezilinganisweni zobukhulu be-neuroforaminal kubantu abadala abanobuhlungu abasebenzisa i-MRI yesimo. I-Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511