I-stenosis yomgogodla ophakathi kwenzeka lapho umgwaqo owakhiwa umthambo womgogodla okhululekile. Le ndlela iyaziwa ngokuthi umsele wamagogasi, futhi uxoxwa ngezansi. Ukunciphisa kungase kubangelwe izinto eziningana ezivela ku-arthritis kuya ku-genetics. Izimbangela ze-canal stenosis nazo zixoxwe ngezansi.
Esikhathini esiningi, i-canal stenosis iyinkinga ehlobene nobudala.
Kuyinto isimo esiqhubekayo, okusho ukuthi siqhubeka siba sibi nakakhulu njengoba isikhathi siqhubeka.
I-Canal Spinal - Lapho konke kwenzeka khona
Ngokusho nje, umgogodla womgogodla umgodi phansi phakathi kwekholomu yakho ye-vertebral. Intambo yakho yomgogodla itholakala ngaphakathi kulo mgodi. Umthambo womgogodla uyisici esibalulekile kakhulu esimisweni sezinzwa zomphakathi, esakhiwa kuphela "cord", njengoba kuvame ukubizwa ngokuthi ubufushane, nobuchopho.
UDkt. John Toerge, DO, kanye nochwepheshe bokuvuselela imithi eMedstar National Rehabilitation Hospital eBethesda, eMaryland, uthi: "Umgogodla uyingxenye yesakhiwo futhi umgogodla uyingxenye kagesi futhi eqhubayo."
Ngamanye amazwi, i-Toerge iyaqhubeka, "umsele wenziwa ngethambo futhi usekela umzimba, futhi usekela ukunyakaza komgogodla. Ngakolunye uhlangothi, intambo yomgogodla inikeza izindlela zokudlulisela umqondo kusuka ebuchosheni nakwezinye izindawo yesimiso sezinzwa emzimbeni wonke. "
Kanye "nethambo," umgogodla womgogodla ugcwele izitsha zegazi, amafutha nezimpande zakho zomgogodla.
I-Toerge ichaza kabanzi ngemisebenzi yesakhiwo ngasinye ngokuthi labo ababili bavame ukusebenza ngokuzimela, ngaphandle uma umsele unciphile, okungukuthi, uma kwenzeka emgodini we-canal stenosis.
Ukunciphisa kungase kubangele izakhi zezinzwa zezintambo, futhi kuleso sikhathi lapho kutholakala khona ukuxilongwa kwe-canal stenosis.
Ukwehlisa umgogodla wokugulisa umgogodla kuphazamisa intambo yomgogodla kanye nezimpande zomgogodla , kusho uDkt. Judith Glaser, isazi somzimba nomuntu osebenza nge-acupuncturist ese-New Hyde Park, eNew York.
Futhi ngokusho kukaDkt. Sergio Gonzalez-Arias, umqondisi wezokwelapha weBaptist Health Neuroscience Centre eMamiami, eFlorida, intambo ecindezelekile ingabangela noma iyiphi inqwaba yezimpawu ezihlanganisa (kodwa hhayi kuphela) ubuhlungu, ubuthakathaka, ukuphazamiseka, ukugubha, kanye nesibindi kanye / noma izinkinga zesibindi. Uthi isibonakaliso sasendulo, siwukuthi i- neurogenic claudication . I-claudication ye-neurogenic ibhekisela ekugumbini okungase kuhlotshaniswe nokuhamba isikhathi eside noma ukuma.
Njengengxenye, nawe unesimiso sezinzwa zomzimba esinezinzwa ezisuka entanjeni. Lezi zinzwa ziphuma emgodleni ukusuka endaweni ohlangothini lwekholomu lomgogodla owaziwa ngokuthi i- intervertebral foramen , bese uqhubeka nazo zonke izindawo zomzimba wakho. Empeleni, umsebenzi wezinzwa zomzimba ukubona nokudlulisela ukuzwa - izinga lokushisa, ubuhlungu, ukujoyina nokuma komzimba nokuningi - nokuxhumana nokunyakaza kwemizwa kusuka emoyeni wakho ophakathi kuya emisipha yakho.
Njengoba ungabona, izinhlelo ze-peripheral and central nerve zihlobene; okufanayo, babhekwa njengezinhlangano ezihlukene.
Okubangela Ukwelapha Okuphakathi Kakhulu Nokusinda Kwesifo
I-arthritis yomgogodla ivame ukuyisisekelo se-canal stenosis. I-arthritis ingathuthuka ezimpandeni zesisu zomgogodla kanye nomsele, i-Toerge icacisa.
Lapho i-arthritis ithinta izimpande zesisu somgogodla, ibizwa ngokuthi i- neuroformaninal stenosis .
Kodwa izakhi zofuzo zingadlala indima, futhi.
Ngamanye amazwi, abantu abathile bazalwa nje ngemigodi emincane yomgogodla. "Abanye abantu bane-canal encane nomgogodla omkhulu womgogodla noma umsele omkhulu nomgogodla omncane wokugogwa, kanti lesi simo sokugcina siyisimo esingcono," kusho uTogege.
Akukhona lokho kuphela, kodwa ukuhlukahluka okuhlukahlukene ngobukhulu bomgogodla wakho we-umgogodla olinganiselwe nobukhulu bomgogodla wakho kungenzeka. I-Toerge ingitshela ukuthi lezi zohlukaniso zixazulula kakhulu izimpikiswano abantu ababhekene nazo nezifo zabo eziphakathi kwe-canal stenosis.
I-Glaser yanezela isifo esihlahleni ohlwini lwezimbangela ze-canal stenosis, echaza ukuthi nakuba zingavamile, ngezinye izikhathi zibhekwa njengezimbangela eziyinhloko.
Izinkinga ze-Disc, kuhlanganise nokuhlaselwa nokulahlekelwa ukuphakama kwediski, kungase kubangele ukugcoba komgogodla wokugwinya.
Izwi kusuka
Kodwa ukuhlala ukuphila okuhlala phansi kuyingozi enkulu kunazo zonke, i-Toerge iphetha. Lokhu kungenxa yokuthi udinga ukusebenzisa imisipha yakho njalo ukuze uhlale unomakhalekhukhwini futhi usebenze. Uma indlela yakho yokuphila ehlala phansi iholela ekulahlekelweni komzimba, "umphumela ungaba nemiphumela emibi kakhulu."
Ukwakhiwa kwe-acupuncture kunganikeza indlela eyodwa yokuthuthukisa ukukhubazeka kwakho okusebenza ngokomzimba ngenxa ye-canal stenosis. Ucwaningo olwenziwa ngo-2018 olwanyatheliswa ku- BMC Complementary Alternative Medicine lwathola ukuthi ukukhwabanisa kwakuphumelela kakhulu kunokuzivocavoca ukuze kusetshenziswe ngcono umzimba futhi kuphumelele kunemithi yokwaneliseka kwesiguli. Abacwaningi basikisela ukuthi odokotela neziguli bafaka imiphumela yabo lapho benza izinqumo zokwelashwa nge-lumbar stenosis yomgogodla.
> Imithombo:
> I-imeyili Ingxoxo. I-Glaser, J. DO, i-LAC, Imithi Yokubuyisela E-New Hyde Park, NY January 2014.
> I-imeyili Ingxoxo. U-Gonzalez-Arias, uSergio MD, uMqondisi Wezokwelapha, Isikhungo se-Baptist Health Neuroscience, eMiami, FL. Januwari 2014.
> Oka, H., et. al. Ucwaningo lokuqhathanisa ngezinqubo ezintathu zokwelashwa ezigculisayo ezigulini ezine-stenosis e-lumbar stenosis: i-lumbar stenosis yomgogodla nge-acupuncture kanye nokwelashwa ngokomzimba (isifundo se-LAP). I-BMC ihambisana ne-Altern Med. Jan. 2018.
> I-imeyili Ingxoxo. I-Toerge, J. DO, Isibhedlela se-MedStar National Rehabilitation Hospital, uBethesda, MD. Januwari 2014.