I-Neural Foraminal Stenosis

Umxholo

• Ziintoni iimpawu?
• Yintoni unobangela?
• Inyangwa njani?
• Amatyala aphakathi
• Iimeko ezinzima
• Ngaba zikhona iingxaki?
• Nini ukubona ugqirha
• Imbonakalo ye-neural foraminal stenosis

Ushwankathelo

I-Neural foraminal stenosis, okanye i-neural foraminal nyembamba, luhlobo lwe-spinal stenosis. Kwenzeka xa ukuvuleka okuncinci phakathi kwamathambo kumqolo wakho, obizwa ngokuba yi-neural foramina, umxinwa okanye uqinise. Iingcambu zentliziyo eziphuma kwikholamu yomqolo ngokusebenzisa i-neural foramina zinokucinezeleka, zikhokelele kwintlungu, ukuba ndindisholo, okanye ubuthathaka.

Abanye abantu, le meko ayibangeli zimpawu kwaye ayifuni nyango. Nangona kunjalo, iimeko ezinzima ze-neural foraminal stenosis zinokubangela ukukhubazeka.

Ukuba iimpawu zenzeka, zihlala zenzeka kwicala lomzimba apho iingcambu zesisongo ziba pinched. Kwi-neural foraminal stenosis yasekhohlo, umzekelo, iimpawu ziya kuthi zivele kwicala lasekhohlo lentamo, ingalo, umva, okanye umlenze.

Xa omabini amacala omsele we-foraminal emxinwa, kubhekiswa kuwo njenge-bilateral neural foraminal stenosis.

Ziintoni iimpawu?

Iimeko ezinobunzima be-neural foraminal stenosis zihlala zingakhange zibangele naziphi na iimpawu kwaphela. Ukuba i-neural foramen inciphise ngokwaneleyo ukuba ingcambu ye-nerve icinezelwe, inokukhokelela ku:

• intlungu yomqolo okanye yentamo
• Ukuba ndindisholo okanye ukuba buthathaka kwesandla, ingalo, unyawo okanye umlenze
• iintlungu zokudubula zihla ngengalo
• I-sciatica, intlungu yokudubula ehamba ukusuka kumqolo wakho osezantsi ngeempundu zakho nasemlenzeni wakho
• ubuthathaka bengalo, isandla, okanye umlenze
• iingxaki zokuhamba kunye nokulinganisela

Iimpawu zihlala ziqala kancinci kancinci kwaye ziye zisiba mandundu ngokuhamba kwexesha. Ziyenzeka kwicala elinye okanye kumacala omabini omqolo. Iimpawu zisenokwahluka ngokuxhomekeke ekubeni leliphi icala lomqolo ocothayo kwaye ucofe imithambo-luvo:

• I-stenosis yomlomo wesibeleko ivela kwii-neural foramens zentamo.
• I-Thoracic stenosis ivela kwinxalenye ephezulu yomqolo.
• I-Lumbar stenosis ikhula kwi-neural foramina yomqolo ongezantsi.

Yintoni unobangela?

I-Neural foraminal stenosis yenzeka xa into inciphisa izithuba phakathi kwamathambo omqolo wakho. Umngcipheko we-neural foraminal stenosis uyanda ngokobudala. Kungenxa yokuba ukunxiba okuqhelekileyo kunye neenyembezi ezinxulunyaniswa nokuguga kunokukhokelela ekunciphiseni. Njengoko sikhula, iidiski ezisemqolo zilahleka ukuphakama, ziqala ukoma, kwaye ziqale ukukhukhumala.

Kubantu abancinci, ukonzakala kunye neemeko ezinokubangela imeko.

Izizathu ze-neural foraminal stenosis zibandakanya:

• ithambo likhupha kwiimeko ezonakalisayo, njenge-osteoarthritis
• Ukuzalwa ndinomqolo omxinwa
• isifo samathambo, esifana nesifo sikaPaget sethambo
• idiski ekhulayo (ye-herniated)
• iigaments eziqinisiweyo kufutshane nomqolo
• ukwenzakala okanye ukwenzakala
• scoliosis, okanye igophe elingaqhelekanga lomqolo
• Ubuncinci, njengeachondroplasia
• amathumba (anqabile)

Inyangwa njani?

Unyango lwe-neural foraminal stenosis luxhomekeke kubukrakra bale meko. Ukuba iimpawu zakho zincinci, ugqirha wakho unokuncoma nje ukubeka iliso kwimeko yakho ukuqinisekisa ukuba ayibi nzima. Unokufuna ukuphumla iintsuku ezimbalwa.

Amatyala aphakathi

Ukuba iimpawu zakho ziyakhathaza, ugqirha wakho unokucebisa ukuba ubaphathe ngamayeza okanye unyango lomzimba.

Amanye amayeza anokunceda ukunyanga iimpawu ze-neural foraminal stenosis zibandakanya:

• Ukudambisa iintlungu ngaphezulu kwe-counter njenge-ibuprofen (Motrin IB, Advil), naproxen (Aleve), okanye i-acetaminophen (iTylenol)
• Ukunciphisa iintlungu, njenge-oxycodone (i-Roxicodone, i-Oxaydo) okanye i-hydrocodone (i-Vicodin)
• amayeza okulwa nokuthimba anceda ukunciphisa iintlungu zentliziyo, ezinje nge-gabapentin (Neurontin) kunye ne-pregabalin (Lyrica)
• Inaliti yecorticosteroid ukunciphisa ukudumba

Unyango lomzimba lunokunceda ukomeleza izihlunu ezingqonge, ukuphucula ukuhamba kwakho, wolule umqolo, kwaye ulungise ukuma kwakho. Kwi-stenosis yomlomo wesibeleko, ugqirha wakho unokukucebisa ukuba unxibe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ekuthiwa yikhola yomlomo wesibeleko. Le ndandatho ithambileyo, igcweleyo ivumela izihlunu ezisentanyeni yakho ukuba ziphumle kwaye zinciphise ukucofa kweengcambu zentsimbi entanyeni yakho.

Iimeko ezinzima

Ukuba iimpawu zakho zinzima, utyando lunokufuneka ukuze ugqirha wakho andise i-neural foramen ecinezela inzwa yakho. Olu tyando luyinto encinci kwaye luyenziwa nge-endoscope. Kuphela kukusikwa okuncinci kakhulu okufunekayo ngugqirha wotyando. Inkqubo inokubandakanya:

• i-laminotomy okanye i-laminectomy, esusa amathambo, amanxeba, okanye i-ligament ebangela ukunciphisa
• foraminotomy, okanye ukwandisa i-foramina
• laminoforaminotomy, ebandakanya zombini ezi ndlela

Kwiidiski ze-herniated, ugqirha wakho unokwenza utyando ukususa idiski.

Ngaba zikhona iingxaki?

Nangona ingaqhelekanga, i-neural foraminal stenosis enganyangekiyo inokukhokelela ku:

• ubuthathaka obungapheliyo
• ukungahambelani nomchamo (xa ulahlekelwa kukulawula isinyi sakho)
• ukukhubazeka

Nini ukubona ugqirha

Kuya kufuneka ubone ugqirha wakho ukuba uva iintlungu okanye ubundindisholo bukhanyisa ingalo okanye umlenze ongahambanga kwiintsuku ezimbalwa. Funa unyango ngokukhawuleza ukuba kukho oku kulandelayo:

• Intlungu iza emva kokonzakala kakhulu okanye ingozi.
• Iintlungu ngequbuliso ziba nzima.
• Awunakho ukulawula isinyi okanye amathumbu akho.
• Naliphi na ilungu lomzimba wakho liba buthathaka okanye likhubazeke.

Imbonakalo ye-neural foraminal stenosis

Uninzi lweemeko ze-neural foraminal stenosis ziphucula ngokwazo okanye ngonyango lwasekhaya olulondolozayo, njengamayeza okuphelisa iintlungu, i-yoga ethambileyo kunye nonyango lomzimba. Utyando aludli ngokuba yimfuneko, kodwa kuthathelwa ingqalelo njengesisombululo esifanelekileyo kwimeko ye-neural foraminal stenosis.

Emva kotyando, uninzi lwabantu luyakwazi ukubuyela kubomi bemihla ngemihla kwiintsuku nje ezimbalwa, kodwa kusenokufuneka ukunqande ukuphakamisa okunzima iinyanga ezimbalwa.

Nangona utyando lwe-foraminal luhlala luphumelela kakhulu, iingxaki zomqolo zisenokwenzeka kwixa elizayo.