Unobangela weFraminal Stenosis kwaye inyangwa njani?

Umxholo

• Iingcebiso zokuchonga
• Yintoni ebangela oku kwaye ngubani osemngciphekweni?
• Kufunyaniswa njani?
• Ukuhlela
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Ukulungiswa komsebenzi
• Ulungiso lwenyama
• Ugqirha
• Amayeza
• Ugqirha
• Ngaba iingxaki zinokwenzeka?
• Yintoni imbonakalo?

Yintoni i-foraminal stenosis?

I-Foraminal stenosis kukunciphisa okanye ukuqinisa ukuvuleka phakathi kwamathambo kumqolo wakho. Ezi zivulo zincinci zibizwa ngokuba ziiforamu. I-Foraminal stenosis luhlobo oluthile lwe-spinal stenosis.

Imithambo idlula nangona i-foramen evela kumqolo wakho womqolo ukuya kuwo wonke umzimba wakho. Xa i-foramen isondelelene ngaphakathi, iingcambu zemithambo-luvo ezidlula kuzo zinokuncinwa. I-nerve eqinisiweyo inokukhokelela kwi-radiculopathy-okanye iintlungu, ukuba ndindisholo, kunye nokuba buthathaka kwinxalenye yomzimba.

I-Foraminal stenosis kunye ne-pinched nerves ziqhelekile. Ngapha koko, phantse isiqingatha sabo bonke abantu abaphakathi kunye nabadala banoluhlobo oluthile lwe-spinal stenosis kunye ne-pinched nerves. Kodwa ayinguye wonke umntu one-foraminal stenosis oya kuthi abe neempawu. Abanye abantu banokuba neempawu eziza kwaye zihambe.

Awunakuthintela i-foraminal stenosis, kodwa ukuhlala usebenza ngokwasemzimbeni kunye nokugcina ubunzima obunempilo kunokunceda ukunciphisa umngcipheko. Sebenzisa ukuma kakuhle kunye nobuchule xa uhleli, udlala imidlalo, uzivocavoca, kwaye uphakamisa izinto ezinzima kunokunceda ukuthintela ukwenzakala emqolo. Ukulimala kungakhokelela kwi-stenosis kunye ne-pinched nerves.

Qhubeka ufunda ukuze ufunde ngeempawu, ukhetho kunyango, kunye nokunye.

Iingcebiso zokuchonga

Iimpawu ze-pinched nerves ngenxa ye-foraminal stenosis iyahluka ngokuxhomekeka ekubeni leliphi icala lomqolo wakho elichaphazelekayo.

I-stenosis yomlomo wesibeleko ikhula xa i foramen yentamo yakho imxinwa. Iimbambo ezinqanyuliweyo entanyeni yakho zinokubangela iintlungu ezibukhali okanye ezivuthayo eziqala entanyeni kwaye zihambe ngehlombe nengalo. Ingalo nesandla sakho zisenokuziva zibuthathaka kwaye zindindisholo “ngezikhonkwane neenaliti.”

Stenosis Thoracic ikhula xa i-foramen kwinxalenye ephezulu yomqolo wakho imxinwa. Iingcambu zemithambo-luvo ezixineneyo kweli candelo lomqolo zinokubangela iintlungu kunye nokuba ndindisholo okusongele ngaphambili kumzimba wakho. Le yeyona ndawo iqhelekileyo ukuba ichaphazeleke kwifominal stenosis.

I-Lumbar stenosis ikhula xa i-foramen yomqolo wakho osezantsi umxinwa. Umqolo osezantsi licandelo lomqolo wakho elinokuthi lichaphazeleke ngenxa ye-foraminal stenosis. Oku kunokuvakala njengentlungu, ukubetha, ukuba ndindisholo, kunye nobuthathaka kwimpundu, emlenzeni, kwaye ngamanye amaxesha unyawo. I-Sciatica ligama onokuliva kolu hlobo lwentlungu.

Intlungu yakho inokuba mandundu ngemisebenzi ethile, njengokugoba, ukujija, ukufikelela, ukukhwehlela okanye ukuthimla.

Yintoni ebangela oku kwaye ngubani osemngciphekweni?

Kungenzeka ukuba uhlakulele i-foraminal stenosis kunye ne-pinched nerves xa usaluphala. Isifo samathambo kunye nokunxiba kunye nokuqhekeka kokuphila kwemihla ngemihla kuhlala kukhokelela kutshintsho kumqolo wakho olinciphisa ifamen. Kodwa ukulimala kunokubangela i-stenosis, ngakumbi kubantu abancinci.

Umzekelo, esinye sezizathu ze-foraminal stenosis kukuqhuma okanye idiski ye-herniated.Ezi diski zokukhusela phakathi kwamathambo akho omqolo zinokuphuma endaweni okanye zonakaliswe. Iidiski ezixineneyo zicinezela kwiforamu kunye nengcambu yentsimbi. Oku kunokwenzeka ukuba kwenzeke kumqolo wakho osezantsi.

Ukukhula kwethambo ngaphakathi nakwiindawo ezijikeleze iifomam yakho nako kunokucofa imithambo-luvo ebalekayo. I-Bone spurs form ngenxa yokulimala okanye iimeko ezonakalisayo njenge-osteoarthritis.

Ezinye izizathu eziqhelekileyo ze-foraminal stenosis zibandakanya:

• ukwandiswa kwemisipha ejikeleze umqolo
• spondylolisthesis
• amaqhuma okanye amathumba
• isifo samathambo, esifana nesifo sikaPaget
• iimeko zofuzo, ezinje ngokuba mncinci

Kufunyaniswa njani?

Ukuba unentlungu ekhupha phantsi ingalo yakho okanye umlenze okanye iimvakalelo zokuba ndindisholo ezihlala iintsuku ezininzi, kuya kufuneka ubone nogqirha wakho.

Ngexesha lokuqeshwa kwakho, ugqirha wakho uya kuqala ngovavanyo lomzimba. Baza kujonga intshukumo yakho, amandla emisipha, inqanaba lentlungu kunye nokuqaqamba, kunye nengqondo.

Ugqirha wakho unokuyalela ezinye iindlela zokucinga kunye nolunye uvavanyo ukuze aqinisekise isifo:

• I-X-ray ingasetyenziselwa ukubona ulungelelwaniso lwamathambo omqolo wakho kunye nokunciphisa i-foramen.
• Iskena seMRI sinokubona umonakalo kwizicubu ezithambileyo, ezinje ngemisipha kunye neediski.
• Iiskrini ze-CT zingabonisa iinkcukacha ngakumbi kune-X-ray, ukuvumela ugqirha wakho ukuba abone i-bone spurs kufuphi ne-foramen.
• I-Electromyography kunye nezifundo zokuqhutywa kwemithambo-luvo zenziwa kunye ukubona ukuba umthambo wakho usebenza ngokufanelekileyo. Olu vavanyo lunceda ugqirha wakho abone ukuba iimpawu zakho zibangelwa luxinzelelo lweengcambu zomqolo okanye yenye imeko.
• Ukuskena kwamathambo kunokufumanisa isifo samathambo, ukwaphuka, usulelo kunye nezidumba.

Ukuhlela

Ugqirha wakho okanye ugqirha we-radiologist ofunda ii-MRIs zakho kwinqanaba lokunciphisa i-foramen yakho.

• ibakala 0 = akukho foreninal stenosis
• ibakala 1 = stenosis emnene engenabungqina botshintsho lomzimba kwingcambu yentliziyo
• Ibakala 2 = i-stenosis ngokulinganayo ngaphandle kotshintsho olwenzeka kwiingcambu zentliziyo
• Ibanga lesi-3 = i-foraminal stenosis ebonakalisa ukuwa kweengcambu

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Kuxhomekeka kwisizathu kunye nobukrakra be-foraminal stenosis yakho kunye ne-pinched nerves, unyango oluninzi luyafumaneka ukunciphisa ukungonwabi kwakho.

Kwiimeko ezininzi, iimbambo ezinqanyuliweyo-ngakumbi entanyeni- ziya kuba ngcono ngaphandle konyango ngaphandle kokuzolula, ukuguqulwa komsebenzi, kunye namayeza okuphelisa iintlungu.

Ukulungiswa komsebenzi

Ukuba uqaqanjelwa yintlungu, ukuba ndindisholo, kunye nobuthathaka bethambo elirhabaxa, unokufuna ukuphumla iintsuku ezimbalwa. Kodwa musa ukungasebenzi ixesha elide, okanye iimpawu zakho zinokuba mandundu. Kuya kufuneka uphephe iintshukumo ezibangela iintlungu ezibukhali, kodwa akufuneki ungashukumi. Ukusebenzisa iipakethe ezibandayo kwiintsuku ezimbalwa zokuqala, kulandele iipakethe ezifudumeleyo okanye iphedi yokufudumeza, kunokunceda ukunciphisa iintlungu zakho.

Ulungiso lwenyama

Ukolula kunye nokuzilolonga okhethekileyo kunokusetyenziselwa ukuzinzisa umqolo wakho, ukuphucula uluhlu lwentshukumo, kunye nokuvula indawo yokuba kudlule iingcambu zakho zemithambo-luvo. Ukomeleza izihlunu ezixhasa umqolo wakho kunokuthintela umonakalo ongaphezulu. Ukuphulukana nobunzima nako kunokuthatha uxinzelelo kumqolo wakho kunye neengcambu zemithambo-luvo.

Ugqirha

Ukuba une-nerve encinciwe entanyeni yakho, ugqirha wakho unokucebisa ukuba unxibe intambo yomqala okanye ikhola ethambileyo yomlomo wesibeleko. Iya kunciphisa intshukumo yakho kwaye uvumele izihlunu zakho zentamo ziphumle.

Kuya kufuneka inxitywe ixesha elifutshane kuphela kuba ukuba uyinxiba ixesha elide, izihlunu ezisentanyeni yakho zinokuba buthathaka. Ugqirha wakho uya kukubonelela ngokuthe ngqo malunga nokuba uyinxiba nini kwaye uza kuhlala ixesha elingakanani.

Oogqirha ngokubanzi abacebisi ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana eluhlwini lwalo naluphi na uhlobo lweethambo ezikhonkxiweyo kumqolo osezantsi.

Amayeza

Iindidi ezahlukeneyo zamayeza zinokusetyenziselwa ukunciphisa iintlungu:

• Izidakamizwa ezichasayo ezichasayo (i-NSAID): Amayeza afana ne-aspirin (iBufferin), ibuprofen (Advil), kunye ne-naproxen (Aleve), anokunciphisa ukudumba kwaye anike isiqabu seentlungu.

• IiSteroids: I-corticosteroids yomlomo, njenge-prednisone (iDeltasone), inokunceda ukunciphisa iintlungu ngokunciphisa ukudumba okujikeleze inzwa ecaphukisayo. Ii-Steroids zinokujojelwa kufutshane ne-nerve echaphazelekayo ukunciphisa ukudumba kunye nentlungu.
• Iziyobisi: Ukuba iintlungu zakho zinzima kwaye ezinye iindlela zonyango azisebenzi, ugqirha wakho unokumisela iintlungu zokuthomalalisa iintlungu. Ngokuqhelekileyo zisetyenziselwa ixesha elifutshane kuphela.

Ugqirha

Ukuba unyango olulondolozayo alukhululi iimpawu zakho, wena kunye nogqirha wakho unokuqwalasela ukuhlinzwa. Uhlobo loqhaqho luya kuxhomekeka kwindawo ye-stenosis kwaye yintoni ebangela oko. Ukuba idiski ye-herniated icofa ingcambu yakho, emva koko utyando lokususa idiski ekhulayo inokuba sisisombululo.

Inkqubo encinci yokuhlasela ebizwa ngokuba yi-foraminotomy inokuba lolunye ukhetho. Yandisa indawo edlula kuyo le luvo ngokususa izithintelo, ezinje ngethambo elikhukulayo, kwiiforamu.

Ngaba iingxaki zinokwenzeka?

Ngamanye amaxesha i-foraminal stenosis inokuhamba kunye ne-stenosis yomqolo womqolo ngokwawo. Xa intambo yomgogodla icinezelwe, iimpawu zinokuba nzima ngakumbi kunexa iingcambu zemithambo-luvo zicinyiwe.

Ezi mpawu zinokubandakanya:

• ubuzizi
• ingxaki ekusebenziseni izandla zakho
• ubunzima bokuhamba
• ubuthathaka

Yintoni imbonakalo?

Abantu babantu abane-foraminal stenosis baya kufumana isiqabu kunyango lwasekhaya. Uqhaqho kunqabile ukuba luyimfuneko. Ngamanye amaxesha, nasemva kokuba iimpawu zakho zisombulule iiveki okanye iminyaka, banokubuya. Landela imiyalelo kagqirha wakho ngokubhekisele kunyango lomzimba kunye nokulungiswa kwemisebenzi, kwaye iintlungu zakho ezixineneyo zinokuba yinto yexesha elidlulileyo.