So eyi betumi ayɛ nea ɛde akyi ne kɔn mu yaw ba ankasa? (Foraminal Stenosis) .

So w’akyi yɛ wo yaw mpɛn pii? Anaasɛ wote nka sɛ wo ho yɛ wo yaw a ɛkɔ wo nsa so a ɛyaw a ɛwɔ wo kɔn mu ka ho? Mpɛn pii no, yɛn werɛ fi nneɛma a ɛtete saa, na yesusuw sɛ "eyi ne nea ɛba bere a woanyin" anaasɛ "ɛyɛ adwuma ne ɔbrɛ nti." Nanso ɛtɔ mmere bi a, ebia aduruyɛ mu ntease bi wɔ ɛyaw yi akyi a ɛsɛ sɛ yɛhwɛ so. Ɛnnɛ yɛreka tebea a ɛte saa ho asɛm, a ɛne Neural foraminal stenosis (Foraminal Stenosis tiawa). Ɛwom sɛ edin no yɛ den kakra de, nanso momma yɛnte asɛm no ase yiye.

Sɛ yɛbɛka no tiawa a, dɛn ne Foraminal Stenosis?

Susuw w’akyi berɛmo ho hwɛ. Ɛte sɛ nnompe nketewa (a wɔfrɛ no vertebrae) a wɔaboaboa ano wɔ wɔn ho wɔn ho so. Wɔbɔ akyi berɛmo a ɛhwɛ wo nipadua nyinaa so no ho ban wɔ akyi berɛmo no mu. Ɛyɛ akyi berɛmo a ɛyɛ nkorabata kɔ wo nsa, wo nan, ne wo nipadua no fã foforo biara.

Afei nea ɛho hia ne sɛ, ntokuru nketenkete te sɛ akwan nketewa wɔ akyi berɛmo no ntam ma ntini ahorow yi apue. Saa ntokuru yi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ neural foramina. Sɛ biribi nti saa ntokuru yi teateaa anaasɛ esiw ano a, dɛn na ɛba? Afei ntini a efi saa tokuru no mu ba no fi ase piapia. Ɛte sɛ nea obi tiatia nsu paipu so na nsu no gyae sen. Saa tebea a ɛma ntini mu yɛ den yi ne nea yɛfrɛ no Foraminal Stenosis .

Ɛhe na tebea yi betumi aba wɔ akyi berɛmo no mu?

Foraminal Stenosis betumi aba wɔ akyi berɛmo no mu baabiara. Ɛsono sɛnkyerɛnne ahorow a egyina baabi a ɛba so. Nneɛma atitiriw abiɛsa na ɛwɔ hɔ.

1. Awotwaa no mu Foraminal Stenosis

Eyi ne tebea a ɛba yɛn kɔn mu akyi berɛmo no ntam. Esiane sɛ yɛn kɔn yɛ nipadua no fã a ɛkeka ne ho pii na ɛsoa ti no mu duru nti, hokwan kɛse wɔ hɔ sɛ stenosis bɛba saa beae yi. Saa tebea yi betumi aka nnipa a wɔde bere pii hwɛ kɔmputa anaasɛ wɔda baabi a ɛnteɛ no.

2. Thoracic Foraminal Stenosis (akyi mfinimfini) .

Eyi nyɛ nea abu so kakra. Saa tebea yi betumi aba yɛn akyi fã a ɛwɔ soro, kyerɛ sɛ, akyi berɛmo a ɛwɔ koko akyi no mu. Eyi betumi aka mmati ne koko.

3. Lumbar Foraminal Stenosis (Akyi Akyi) .

Eyi nso yɛ ɔkwan a abu so yiye. Yɛn akyi ase yɛ yɛn nipadua no fã a ɛsoa emu duru kɛse na ɛkotow na ɛtrɛw kɛse. Enti, ɛda adi sɛ ntini a ɛwɔ saa beae yi no bɛbɔ. Eyi ne ade titiriw nti a " akyi yaw " a nnipa pii wɔ no akyi.

Dɛn ne nneɛma a ɛde Foraminal Stenosis ba?

Mpɛn pii no, nsakrae a ɛyɛ mmerɛw a ɛba akyi berɛmo no mu a ɛba bere a obi nyin no na ɛde tebea yi ba. Eyi kyerɛ sɛ ɛnyɛ biribi a ɛba da koro pɛ, na mmom ɛyɛ biribi a ɛkɔ so nkakrankakra. Sɛ ɛno da nkyɛn a, ebia ntease afoforo wɔ hɔ.

Nsɛnkyerɛnne bɛn na ebia wowɔ?

Ɛnyɛ obiara na ɔwɔ yare no ho sɛnkyerɛnne. Ebia nnipa binom behu no wɔ ɔkwan bi so wɔ scan so. Sɛ sɛnkyerɛnne ahorow ba ampa a, ɛtaa ba na ɛkɔ, na ebetumi ayɛ mmerɛw. Nsɛnkyerɛnne no gyina baabi a ntini no mia so.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn . Oduruyɛfo no bedi kan abisa w’ayaresa ho abakɔsɛm na wahwɛ wo yiye. Wɔbɛhwɛ baabi a wotumi keka wo ho, mmeae a ɛyɛ yaw, ne ntini ahorow (reflexes) dwumadi.

Ɛno akyi no, wobetumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii de si yare no so dua na wɔahu sɛnea emu yɛ den:

• X-ray: Ebetumi ahwehwɛ sɛ nnompe no abubu, nnompe a ɛyɛ mmerɛw, anaa nneɛma afoforo a ɛnteɛ wɔ akyi berɛmo no mu.
• MRI Scan: Eyi ne ɔkwan a ɛyɛ pɛpɛɛpɛ sen biara a wobɛfa so ahu sɛnea ntini a ɛyɛ mmerɛw te sɛ ntini, ntini a ɛda akyi berɛmo ntam, ne ntini a ɛwɔ akyi no te. Ebetumi akyerɛ sɛ wɔabɔ ntini bi mu pɛpɛɛpɛ a.
• CT Scan: Eyi nso betumi ama wɔanya akyi berɛmo ne nneɛma a atwa ho ahyia ho mfonini a ɛkɔ akyiri.
• Myelogram: Eyi yɛ sɔhwɛ titiriw bi. Wɔde aduru titiriw bi gu akyi berɛmo no mu na wɔyɛ CT anaa MRI mfonini. Eyi ma wotumi hu sɛnea akyi berɛmo mu nsu no sen ne faako a ntini a ɛtwetwe no wɔ no pefee.

Ayaresa ahorow bɛn na ɛwɔ hɔ?

Ayaresa no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne baabi a ntini a asɛe no kodu so. Mpɛn pii no, wo duruyɛfo bedi kan asɔ ayaresa a ɛnyɛ oprehyɛn ahwɛ.

Ayaresa a ɛnyɛ oprehyɛn

• Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru a wɔde kum ɛyaw ne nnuru a ekum ɔyare mmoawa (NSAIDs), nnuru a ɛma ntini mu dwo, ne ebia steroid a wɔde twitwiw wo mu.
• Apɔw-mu-teɛteɛ: Eyi ho hia yiye. Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ pɔtee bi a ɛbɛma w’akyi ne wo yafunu mu ntini ayɛ den, ama woatumi ayɛ nsakrae kɛse, na ɛyaw no so atew.
• Gyinabea Nsiesiei: Sɛ wugyina hɔ yiye bere a wugyina hɔ, wote ase, anaa woreyɛ adwuma a, ɛde nhyɛso a ɛho nhia ba w’akyi ne wo kɔn so. Ɛho hia yiye sɛ wusua sɛnea wogyina hɔ yiye ho ade.
• Ahyɛnsode a Wɔde Bɛhyɛ: Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aduru a wɔde hyɛ akyi anaa kɔn mu.

Sɛɛgyiri

Sɛ atifi hɔ ayaresa ahorow no mmoa, sɛ ɛyaw no yɛ nea wontumi nnyina ano, na ɛreka wo da biara da asetra kɛse a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn. Wɔfrɛ saa oprehyɛn yi foraminotomy .