Ukwelashwa kwe-Lumbar Spinal Stenosis

I-stinalosis yomgogodla yimbangela ebangela ukucindezelwa kwemizwa yomgogodla emgodini womgogodla. Izimpawu ezivamile ze-stenosis ye-spinal stumosis (uma ukugxila kungxenyeni engezansi yekholomu yomgogodla) kufaka ubuhlungu, ukuphazamiseka, nokugubha emaphethelweni aphansi. Iziguli zivame ukukhathala kalula futhi zithole ukuthi zihamba kuphela ibanga elifushane ngaphandle kokuphumula-lokhu kuyimpawu ebizwa ngokuthi i-claudication. Ngokujwayelekile, isisu somgogodla kubangelwa inqubo yokunciphisa kancane kancane (i-arthritis) emgodleni ophansi. I-bone iqhuma, ukuvuvukala, nokubhujiswa kungaholela ekunciphiseni ezungeze izinzwa.

Ukwelashwa okuvamile kwe-spinal stenosis kuqala ngezinyathelo ezilula, kuhlanganise nokwelashwa ngokomzimba, imithi, nokuphumula. Uma lezi zindlela zokwelashwa zihluleka ukunciphisa ubuhlungu, ezinye iziguli zingakhetha ukwelashwa komgogodla ukuze zithole impumuzo ekuboniseni izimpawu ze-stenosis. Lezi zindlela ezivame kakhulu ukwelashwa kwesisu somgogodla.

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Ukwelashwa Kwemvelo

Isinyathelo sokuqala esivamile kunazo zonke ekwelapheni kwesisu somgogodla yindlela yokwelashwa ngokomzimba. Ukugcizelela ukwelashwa ngokomzimba kufakwa ekuqiniseni imisipha yangemuva, ekuthuthukiseni amandla emisipha yomzimba, nasekuthuthukiseni ukuma. Ngokusekela kangcono umgogodla, izimpawu zokucindezeleka kwemizwa zivame ukuthuthukiswa. Ucwaningo luye lwabonisa ngokuphindaphindiwe ukuthi iziguli ezine-spen stenosis eziqedela izinhlelo zokwelashwa zomzimba zinezinhlungu ezincane nokusebenza kangcono.

Okuningi

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Ukulahlekelwa kwesisindo

Ukulahlekelwa isisindo kuwumsebenzi onzima ezigulini ezinezinkinga zomlenze. Kodwa-ke, ukulahlekelwa ngisho nesisindo esincane isisindo esanele ekunciphiseni ubuhlungu. Ngokususa amapremu angu-10 noma ngaphezulu, umgogodla usekela kancane umthwalo, futhi ubuhlungu bungase bukhululeke ngokwanele.

Okuningi

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Imithi Yokulwa Nezivunguvungu

Imithi engaqedi ukuvuvukala (ama-NSAID) avame ukushiwo, futhi ngokuvamile iyakusiza ukukhulula ubuhlungu obuhlobene nobuhlungu bomgogodla. Ngokuncipha ukuvuvukala, le mithi inganciphisa ingcindezi ethile emithanjeni ecindezelekile. Ama-NSAID kufanele asetshenziswe ngaphansi kokuqondiswa udokotela wakho njengoba imiphumela emibi ijwayelekile, ikakhulukazi kubantu asebekhulile. Izinkinga zamathumbu ziyi-side effect effect, kodwa kukhona nokukhathazeka okwandayo mayelana nemiphumela emibi yezinhliziyo ezinesifo somzimba ezihambisana nokusetshenziswa kwesikhathi eside kwama-NSAID.

Okuningi

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Eminye Imithi

Imithi ye-oral steroid ingaba usizo eziqhingini zomzimba (ngokuzumayo) okuphazamiseka kwezimpawu. Imithi esetshenziswayo ihlanganisa i-Prednisone ne-Medrol. Njengama-NSAID, la mithi enamandla okulwa nokuvuvukala inciphisa ukuvuvukala nxazonke zezinzwa ezicindezelekile, ngaleyo ndlela zikhulule izimpawu.

Imithi yokwelapha i-narcotic inamandla okuphulukisa ubuhlungu kodwa kufanele isetshenziswe kancane. Le mithi ingaba nemiphumela emibi kakhulu, futhi ingabangela iziguli ukuba zithembele emithini.

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Ezinye zokwelapha

Ezinye izindlela zokwelapha zibandakanya ukukhwabanisa , ukubhucisa , ukwelashwa kwamagnet , izindlela zokwelapha zemvelo, nabanye. Akungabazeki ukuthi iziguli eziningi zithola ukukhululeka okukhulu kulezi zinhlobo zokwelapha. Ngenkathi izifundo zesayensi zihluleka ukusekela lezi zokwelashwa, iningi liba nemiphumela emibi embalwa futhi lilaphashwa ngendlela efanele.

Okuningi

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I-Epidural Steroid Injections

Izifo ze-cortisone zingenziwa ngqo endaweni yokucindezela. Njengemithi emilonyeni yokulwa nokuvuvukala, lo mqondo uwukukhulula ukucindezeleka emithanjeni. Lapho umjovo usetshenziswa, imithi ihanjiswa endaweni yesiginci somswakama, kunokuba ithathwe ngomlomo futhi uhambe kuwo wonke umzimba wakho.

Okuningi

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Ukuhlinzeka Ngokuhlinzeka Ngamafutha

Ukuhlinzwa okuphambene nomzimba kungacatshangwa uma zonke ezinye izindlela zokwelapha zihluleka ukwehlisa izimpawu zakho. Lapho ukuhlinza kwenziwa nge-stenosis yomgogodla, izinzwa zidonswa. Lokhu kusho ukuthi isidumbu esiningi, i-ligament, kanye nezicubu ezithambile zisuswe ukuze kuvunyelwe ikamelo elithile lezinzwa. Inqubo eyenziwe ixhomeke ngokuqondile lapho ukucindezela kwenzeka khona. Kuye ngokuthi yiziphi izicubu ezisusiwe, inqubo ingase ibizwe ngokuthi i-laminectomy (ukususwa kwethambo ngemuva komthambo womgogodla), i-foramenotomy (isusa ithambo emzungezini womgogodla), noma i-discectomy (isusa i- disc spinal ukuze inciphise ukucindezelwa).

_Imithombo:

_{Shen FH, et al. "Ukuphathwa Kwezingqalasizinda Zezinhlungu Ezibuhlungu Nezifo Ezibuhlungu Ezibuhlungu" J. Am. I-Acad. I-Ortho. Ngo-Agasti 2006; 14: 477 - 487.}

_{Issack PS, et al. "Ukuzivocavoca kwe-Lumbar Spinalative: Ukuhlolwa Nokuphathwa" J Am Acad Orthop Surg Agasti 2012 vol. 20 cha. 8 527-535.}