Indlela I-Neuralforaminal Stenosis Yenza Ubani Ubuhlungu
I-stenosis ye-Neuralforaminal uhlobo lwe-stenosis elinciphisa imigodi lapho izinzwa zomgogodla zidlula khona kuzo zonke izingxenye zomzimba kusuka emthonjeni womgogodla. Lezi zimbobo, ezaziwa ngokuthi i-foramen, zisezinhlangothini zekholomu yakho ye-vertebral kuwo wonke amazinga, noma ingxenye yesiginci. (Isigaba esisodwa sinqunywe ngenhla nangaphansi ngamalunga angama- intervertebral .)
Uma une-neuralforamenal stenosis, ukukhula kwe-bony noma ukukhubazeka-okuvamise ngenxa yokuguqulwa okuhlobene neminyaka kanye / noma ukuguqulwa okwenzekayo emgodleni - ukuzulazula esikhaleni esivame ukuhlinzekwa yi-foramen. Le ngqungqutheleni iyanciphisa inani lesikhala esitholakalayo kokuqukethwe, njengezinzwa zomgogodla (kanye nezinye izinto), ukuze zilungele kahle.
Izimpawu Ezivamile
Ngakho konke kusho ukuthini izimpawu zakho? Ukuqothulwa kuthinta kanjani indlela ozizwa ngayo uma une-stenosis ye-neuroforamenal?
Into yokuqala okumele uyikhumbule ukuthi izinzwa ezithintekayo nge-stenosis yakho ye-neuroformainal ziyizinzwa. Umsebenzi wabo ukudlulisela imiyalezo yokuzwa kanye nesenzo futhi kusuka ohlelweni lwakho lwezinzwa (oluhlanganisa ubuchopho bakho kanye nentambo yomgogodla wakho). Uma, ngenxa yesimo senhliziyo esitholakalayo ku-foramen yakho, izimpande zomuthi ziphazanyiswa ekusebenzeni umsebenzi wakhe - ngamanye amazwi, uma ucindezelwe noma uma ucatshangelwa ezinye izinto lapho uxhumana nezinhlaka ezakhelene nawo - cishe uzozizwa izimpawu ezihlobene nokuqeda ukuthi yini leyo nerve evame ukukwenza kuwe.
Uphawu oluyinhloko lwe-stenosis ye-neuroforamenal ngokuvamile i- radiculopathy . I-Radiculopathy ingahle ibhekwe njengobuhlungu, ukuphazamiseka, ukugoqa, ubuthakathaka, ukuvutha noma ukuzwa kwegesi okuwela phansi umlenze owodwa noma ingalo eyodwa (kuye ngokuthi ngabe ukuphosa kwakho kutholakala emhlane wakho ophansi noma entanyeni yakho.)
I-neuralforaminal stenosis akuyona yodwa isimo sezokwelashwa esingaba yiziphi izimpawu ezisemqoka.
I-disc ye-herniated yinye isibonelo.
UDkt. Allen Wilkins, MD, weManhattan Physical Medicine and Spine, uthi izimpawu ze-radiculopathy zivame ukuvela emaphethini athile eduze nomkhawulo lapho i-nerve igxile khona ukuhamba kwakho kwe-stenosis. Iphethini ngqo i-pre-determined futhi ihambelana nezindawo lapho izivunguvungu zivame ukuthonya ithonya labo. Lezi zindawo ziyaziwa njenge- dermatomes .
UDkt. Dr. By Bydon, uMnuz Professor of Neurosurgery, uMqondisi we-Spinal Column Biomechanics kanye neBook Outcomes Laboratory ku-Johns Hopkins Medical School kanye noMqondisi Wezokwelapha we-Spine Surgery kuJohns Hopkins Bayview Medical Centre uchaza i-dermatomes (uma kwenzeka i-neuroforaminal stenosis) ukusatshalaliswa eceleni kwezingalo noma imilenze ukuthi uma kukhona izimpawu, zihambisana nengcindezi ephoqelelwe. "Izimpawu ze-neuroforaminal stenosis zivame ukulandela lezi zindlela zokusabalalisa," usho kanje.
"Ukucindezelwa kwezinzwa zomlomo wesibeletho kuzobangela izimpawu ezandleni; Ukucindezeleka kwemizwa ye-thoracic kubangele ukuthi izimpawu ezitholakala emgodini we-thorax kanye nokucindezeleka kwezibilini emgodleni we- lumbar zizokwenza izimpawu emagqabeni nasemilenzeni, "usho kanje.
UDkt. Robert Bray, i-neurosurgeon e-DISC Sports naseSpine Center e-Marina del Rey, eCalifornia uyavuma futhi uchaze ukuthi "inzwa ngayinye inomsebenzi ohlukile engalweni nasemlenzeni.
Isibonelo, uyangitshela, entanyeni, isisindo se-C-5 sishukumisa imisipha ye-shoulder and biceps, kanti isisindo sezinga le-C-6 lihamba phambili. Emuva ophansi, izinzwa ze-L-4 zilawula imisipha ye-quadriceps, inzwa ye-L-5 ishukumisela enye ithole kanye nezinzwane ezinkulu. Endaweni yakho ye-sacral uthi, izinzwa ze-S-1 zilawula ezinye izingxenye zethole nezinzwane ezincane.
"I-nervous person that is stenosed in the foramen izoveza ukukhanya kwe-radiospathy endaweni ethize eyithinta noma yokulawula. Yingakho uzizwa noma uhlangabezana nezimpawu kwiphethini ethile," kuchaza uBray.
UWilkins wanezela ukuthi kuye ngokuthi izinto eziningana zihlanganisa nezakhiwo zakho ezithile, indlela i-neuroforaminal stenosis eqala ngayo nokuthi yiziphi izingxenye zomgogodla ezithintekile, izimpawu zingase zihluke ngesineke kuya kwesiguli.
Kodwa-ke, ngokuvamile lapho i-nerve icindezelekile, uWilkins uthi ubuhlungu buyinto yokuqala yokubonisa, khona-ke ukuzwa noma ukuqubuzana kwe-numbness kuqala, futhi ekugcineni, ubuthakathaka obuthile obubhekene nesibindi esithintekile kungabangela.
UWilkins ubika nokuthi abantu abanesifo se-neural foramina stenosis bavame ukuzwa ubuhlungu, ukuphazamiseka kwemisipha, ubuthakathaka obuqhelile, ukuphela komphetho nokugubha, ukucabangela ukushisa okuvuthayo eceleni komkhawulo. Uyanezela ukuthi iziguli zichaza ngokuzwakalayo ubuhlungu obunzima nokuzwa noma ukuvutha endaweni ehilelekile. Ukwehla kwesisindo nokulahleka kwemoto, okuhambisana nokubandakanya izimpande zesisindo kungase kube khona, uthi.
UDkt. Bydon uqinisekisa ukuthi lezi zimpawu zingabangwa ngenxa yokucindezeleka kwenzwa njengoba iphuma emgodleni. Kanye nezinye izimpawu ezibalwe ngenhla, uthi, isisindo esicindezelekile ngenxa ye-neuralforamenal stenosis singase sibe nomuzwa wokuthi ubuhlungu bokudubula phansi.
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. I-Associate Professor of Neurosurgery, Co-Director of Neurosurgery Medical Student Education, uMqondisi we-Neurosurgery Undergraduate Education Education, uMqondisi we-Spinal Column Biomechanics kanye ne-Surgical Outcomes Laboratory kuJohns Hopkins University, uMqondisi Wezokwelapha we-Spine Surgery ku-Johns Hopkins Bayview Medical Centre. Disemba 2013.
I-imeyili Ingxoxo. UWilkins, A., MD. Manhattan Physical Medicine nokuvuselelwa. I-New York. Disemba 2013.