I-central spenosis stenosis - isimo esivame ukuhlobene nenqubo yokuguga - ibonakala ngokuncipha okuqhubekayo ngobubanzi bomngcele wakho omkhulu. Lokhu kuncipha kuvele kuthiwa "ukunciphisa." (I-Stenosis iyigama elivamile lezokwelapha elisho ukunciphisa.)
Inkinga yindlela yokugoma yomgogodla yindlini yomgogodla wakho, okuyingxenye yesistimu ye-central central.
Njengoba isakhiwo esikhulu se-system central senzwa, intambo iqukethe izicubu ezibucayi kakhulu ezithwala ukuthumela imilayezo yomuzwa nokusebenza kuzo zonke izindawo zomzimba wakho
IZIMPENDULO ZENKANZI ZOKUPHILA-ZOKUBA ZABENZA KANJANI
Uma ububanzi bomsele bungancipha, umphumela ungaba ukucindezelwa kwentambo yomgogodla. Lokhu kungaholela ezinqumweni eziningi esizoxoxa ngezansi, kufaka phakathi ubuhlungu, ubuthakathaka, ukuphazamiseka nokugubha, kanye nabanye.
Okuhlobene: I- Neurogenic Claudication
UDkt. Sergio Gonzalez-Arias, umqondisi wezokwelapha we-Baptist Health Neuroscience Centre eMiami, eFlorida uthi ukucindezeleka komgogodla kungaphazamisa ukusebenza kwakho ngendlela ephawulekayo.
Ochwepheshe bavame ukubhekisela emgodini we-canal stenosis ngokuthi "i-cascade eguquguqukayo," kusho u-Gonzalez-Arias. "I-cascade ekhubazekayo ingumphumela ongabangela ukuqina nokugubha komzimba kwamathambo, kanye nokulahlekelwa kwe-intervertebral dis disc ukuphakama , nokuqina kwezicubu ezithambile, ezifana ne-ligamentum flavum. "(I-ligamentum flavum iyigciwane eliphuzi elizungeze umgogodla womgogodla nokuzungeze izinzwa eziphuma)
Okuhlobene: I- Spinal LIgaments
U-Gonzalez-Arias uthi uma i-ligamentum flavum ikhula, ikhiqiza ingxenyana emgodini womgogodla ohlotshaniswa nengxenyeni ye-napkin eduze kwe-napkin. Lesi sakhi, singase siholele ekucindezelweni kwezinzwa ezisemgodini kanye nemisipha ezingeni lokucindezela okuphuma ohlangothini lomgogodla.
UKUKHULULELA IZIMPENDULO ZAKHO
Ngakho lokho kusho ukuthini kuwe? U-Gonzales-Arias uqinisekisa ukuthi ukuqhuma okweqile kungaholela ekuthuthukisweni kwezinkanyezi zezimpawu, kufaka phakathi, njengoba kukhulunywe ngenhla, ukuphazamiseka kanye nobuthakathaka, kodwa futhi ukuhlushwa emlenzeni owodwa noma emigqeni eminingi, futhi, ezimweni ezimbi, isisu nesisindo somzimba.
"Uma izibonakaliso zikhona, zivame ukufana nobuhlungu ngemuva, noma ngaphandle kokubuthakathaka, ukuphazamiseka kanye / noma ukuchoboza imilenze eyodwa noma zombili. Lezi zimpawu ngokuvamile zihlotshaniswa nokuhamba isikhathi eside noma ukuma, futhi kukhululekile ngokuhlala futhi / noma ukugxila phambili, "ungitshela.
Uma uqhubeka, uyaqhubeka, umgogodla wakho unwetshiwe (cabanga ngesandiso njengoba uphendule umhlane wakho) isikhundla, esivimba ngokwengeziwe umgogodla womgogodla. Ngokuphambene nalokho, uma uhlala, umgogodla wakho uhamba, uvula umsele futhi ngaleyo ndlela usize ukukhulula ubuhlungu, uthi.
UDkt. John Toerge, udokotela we-osteopathic, uprofesa wezokwelapha eGeorgetown University kanye noMqondisi Wezokwelapha we-Musculoskeletal Institute e-National Rehabilitation Hospital eWashington, DC Nakuba evumelana noGonzalez-Arias ukuhlola kwezimpawu zomphakathi we-canal stenosis, uthi ukungakwazi ukuhamba amabanga amade ngaphandle kokuthatha ukuphumula yisimpawu esiyinhloko salesi simo.
Uma une-canal stenosis ephakathi, uyaxwayisa, ungase uhlakulele umlenze noma ubuhlungu emuva lapho uhamba, futhi ungathola ukuthi udinga imizuzu embalwa ukuhlala ukuze uvumele izimpawu zakho ziphele. I-Toerge yanezela ukuthi ngezinye izikhathi abantu bazizwa behamba kangcono ngemva kwenqola yokuthenga noma into efanayo. Uphawula ukuthi ngisho nokuthinta okulula emotweni yenqola kuyanele ukunciphisa umlenze kanye / noma ubuhlungu emuva.
U-Gonzalez-Arias uyavuma, ethi iziguli zivame ukubika ukuthi ukusebenzisa inqola yezitolo kwenza kube lula ukuhamba. Uyanezela ukuthi iziguli zibuye zibike ngokuhamba kwesikhathi ibanga abakwazi ukuhamba ngaphandle kobuhlungu zivame ukwehla.
Izindaba ezinhle kukhona into ongayenza ukuze usize ukunciphisa ubuhlungu futhi uthuthukise ukusebenza kwakho kwansuku zonke. Ukwelapha ngokomzimba okukufundisayo ukuthi ungakuqinisa kanjani futhi uhambisane nomzimba wakho kungasiza ekunciphiseni izimpawu zakho, izinhlinzeko ze-Toerge.
Imithombo:
I-imeyili Ingxoxo. UGonzalzs-Arias, uSergio MD, uMqondisi Wezokwelapha, Isikhungo se-Baptist Health Neuroscience, eMiami, eFlorida. Januwari 2014.
I-imeyili Ingxoxo. I-Toerge, J. DO, i-Medical Director Musculoskeletal Institute National Rehabilitation Hospital, eWashington, DC. Januwari 2014.