Yu kin fil bak pen, pen na yu leg, ɔ yu kin fil swɛ we yu tinap ɔ waka fɔ sɔm tɛm? Sɔntɛnde, di tin we kin mek dis apin nɔ kin simpul lɛk aw yu tink. Tide wi de tɔk bɔt wan sik we dɛn kɔl ‘ spinal stenosis ’, we kin apin to bɔku pipul dɛn, bɔt dɛn nɔ kin no am fayn fayn wan. We yu yɛri dis, i kin tan lɛk se na big sik, bɔt nɔ fred. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na Spinal Stenosis simpul wan?
Tink bɔt wi spayna lɛk tiub. di spεnal kכd, di men nεv we de kכri mεsej frכm wi bren to di rεst כf wi bכdi, de rכn tru dis tכb. dis tכb, di spεnal kanal, de stat fכ sכmtεm as tεm bikoz fכ difrεn rizin dεm. fכ mεdikal tεm dεm, dεn kכl dis spεnal kanal we de sכmtεm sכmtεm stεnosis .
we di spεs we de insay dכn dכn dis we, dat mכst imכtant nεv kכd (di spεnal kכd) εn di כda nεv dεm we de branch kכmכt frכm am de bigin fכ sכk εn kכmprεs. Na da tɛm de sɔm sayn dɛm lɛk bak pen, yu leg dɛm wae de swɛt, ɛn wae yu de fil se yu nɔr ebul fɔ kɔntrol yu leg.
Tu men kayn spεnal stεnosis de:
dis kכndyushכn kin sheb to tu men tכp dεm dipכnt usay i de apin na di spayna.
- sεvikal stεnosis : Dis na we di spεnal kanal we de na wi nεk de sכmtεm sכmtεm.
- Lumbar Stenosis: Dis na we di spεnal kanal de sכmtεm na di lכw tכd pat pan di spayna. Dis na di kayn we we pipul dɛn kin gɛt mɔ.
Bɔrku tɛm, di men tin wae kin mek dis sik na ɔstiɔ-arayt, we na wan sik we de ambɔg di jɔyn dɛn we kin apin we pɔsin de ol. as di kushכn kכtilaj bitwin wi vεrbra dεm de west, di vεrbra dεm de rכb pan dεn wan dεm. fכ ansa dis, di bכdi de mek nyu bon spur dεm. Dis ekstra bon kin mek di ples smɔl mɔ.
Wetin na di kɔmɔn sayn dɛm fɔ dis?
Nɔto ɔlman kin gɛt di sik. Bɔt if dɛn du dat, bɔku tɛm dɛn kin bi tin dɛn lɛk bak pen , stiffness, ɛn numbness. Lɛ wi luk wae ɔda patikyula sayn dɛm kin kam wit dis.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Sciatica we gɛt sik | Shap pen we de stat na di lכw bכk כ bכtכk εn travul dכn di leg lεk lεkrεkt shכk. |
| I nɔ izi fɔ waka (Foot Drop) . | Pen ɛn wik na yu leg, we kin mek yu fil lɛk se yu fut de nak di grɔn we yu de waka. Di pen kin wɔs we yu tinap ɔ waka. |
| Lɔs pan Blad/Bɔwel Kɔntrol | (Cauda Equina Syndrome) - Dis na wan sik we rili siriɔs. dis kכndyushכn de apin bikoz fכ di siriכs kכmpreshכn pan di nεv dεm we de kכnekt di blad εn di intestines. Dis na mɛdikal imejensi. Yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
| Nεv rut kכmprεshכn (Radiculopathy) . | pen, sכm, כ wik na di an εn leg dεm bikoz fכ kכmpreshכn di nεv rכt dεm we de kכmכt na di spayna. |
| Kכmprεshכn na di spεnal kכd (Myelopathy) . | di an εn di leg dεm we de sכmtεm sכmtεm εn wik bikoz fכ di kכmpreshכn na di spεnal kכd. |
Wetin na di men tin dɛm wae kin mek yu gɛt spɛshal stenɔsis?
As wi bin dɔn tɔk, na di men tin we kin mek pɔsin gɛt at at sik. Apat frɔm dat, bɔku ɔda tin dɛn kin de we kin mek pɔsin gɛt dis sik.
| Mek | Wetin De Apin |
|---|---|
| Disk dɛn we gɛt Herniated | wan disk bitwin di vεrbra dεm de bכst, we de mek di tin we lεk jεli insay de lik kכmכt εn prεs pan di nεv dεm. |
| Injuri dɛn we pɔsin kin gɛt | Na fraktrɔs ɔ sprain na di spayna bikɔs ɔf aksidɛnt. |
| Tumɔs dɛn | Kεnsar כ כda kayn tכmכro dεm we de gro na di spεnal kanal. |
| Ligamɛnt dɛn we dɔn tik | di ligament dεm we de kכnekt wi bon dεm tכgeda de tik as tεm de go εn kכmכt na di kכva. |
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
- Fɔ dɔn pas 50 ia na di men tin we kin mek pɔsin gɛt dis sik.
- Uman dɛn kin gɛt dis sik mɔ.
- If dɛn dɔn du ɔpreshɔn pan yu bak bifo dis tɛm.
- fכ sכm pipul dεm, dis kכndyushכn kin divεlכp we dεn yכng, bitwin 30-50 ia, bikoz fכ sכm spεnal abnכmaliti dεm we dεn bכn wit (e.g., skoliosis ).
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs bɔt yu sik. Dɔn i go chɛk yu bɔdi. I kin prɛs di say dɛn na yu bak we de mek yu fil pen, ɛn i kin chɛk aw yu de waka ɛn di we aw yu tinap.
Fɔ kɔnfɔm dis kɔndishɔn kɔrɛkt wan, dɛn fɔ du imej tɛst.
- MRI Scan : Dis kin tek wan rili klia tri-dimenshכnal (3D) imej fכ di spayna. I kin si klia wan tin dɛn lɛk we di nɛf dɛn kin pinch, di disk we dɔn pwɛl, ɛn di tumbu dɛn.
- CT Scan: Dis na X-ray teknik bak we de mek tri-dimɛnshɔnal pikchɔ dɛn. Sɔntɛnde, dɛn kin put day na di bɔdi. Dis kin ɛp fɔ no prɔblɛm dɛn nɔto jɔs di bon dɛn bɔt na di sɔft tisu dɛn bak.
Wetin na di tritmɛnt dɛm fɔ dis?
di fכs εn imכtant tin fכ se na dat, dεn stil nכ de fכ mεk di spεnal stenosis.Bɔt bɔku tritmɛnt dɛn de we go ɛp yu fɔ kɔntrol di sik dɛn, fɔ mek yu nɔ fil pen, ɛn ɛp yu fɔ liv nɔmal layf. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu.
- Di tin dɛm wae de mek pɔrsin fil pen: Fɔ jenɛral pen, yu kin yuse sɔm mɛrɛsin dɛm wae de fɔ shɔt tɛm lɛk paracetamol ɛn ibuprofen. Fɔ mek yu gɛt pen fɔ lɔng tɛm, yu dɔktɔ kin tɛl yu fɔ tek sɔm mɛrɛsin dɛn we de mek yu fil bad ɛn ɔda mɛrɛsin dɛn fɔ mek yu gɛt pen na yu nerv.
- Kɔtikosterɔyd Injɛkshɔn: Dɛn kin injɛkt wan stɛroyd dairekt na di say we yu de fil pen ɛn swel. Dis kin mek yu fil fri kwik kwik wan frɔm pen, bɔt nɔr kin pɔsibul ɔltɛm bikɔs ɔf di sayd ɛfɛkt dɛm.
- Fizik Tɛrapi: Dis na tritmɛnt we rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go disayn sɔm ɛgzampul dɛn we go fayn fɔ yu. Dɛn ɛgzampul ya kin mek yu bak ɛn bɛlɛ mɔsul dɛn strɔng ɛn mek yu nɔ gɛt bɔku prɛshɔn pan yu spayna.
- Ɔpreshɔn: Dɛn kin tink bɔt ɔpreshɔn pan siriɔs kes dɛm, lɛk we no ɔda tritmɛnt nɔ ɛp, we i nɔ izi fɔ waka, ɔ we i nɔ ebul fɔ kɔntrol di urinary. difrεn kayn כpεrayshכn dεm de (e.g., Laminectomy) we de mek spεs usay di nεv de kכmprεs. Ɔpreshɔn na di las tin we dɛn kin du. Yu fɔ tɔk bɔt am wit yu dɔktɔ bifo yu disayd fɔ du sɔntin.
Tin dɛn we yu kin du na os ɛn tin dɛn we yu fɔ avɔyd
Apat frɔm di tritmɛnt we yu dɔktɔ de gi yu, yu kin gɛt bɔku fridɔm frɔm smɔl chenj dɛn na yu layf.
- Ɛksesaiz: If yu dɔktɔ gri fɔ du am, du ɛksesaiz saful saful lɛk fɔ waka ɛn swim.
- Ɔt ɛn kol kɔmprɛs: Ɔt kɔmprɛs de mek di mɔsul dɛn rilaks. Ays pak de ridyus di swɛlin. Si us we de mek yu fil fri.
- Gud pozishɔn: Tinap stret we yu tinap ɛn sidɔm. If yu es ebi ebi tin, bɛn na yu ni, nɔto yu bak.
- Lɔs yu wet: We yu bɔdi wet pasmak, dat kin mek yu bak gɛt mɔ prɛshɔn. If yu lɔs smɔl wet, dat kin mek yu nɔ fil pen bad bad wan.
- Nɔ smok: Smok kin rili bad fɔ yu spɛnal wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- di spεnal stεnosis na we di spεs we de insay di spayna de sכmtεm sכmtεm. Dis kin mek yu nerv kɔmprɛs, pen, ɛn swɛ.
- Ej ɛn at at sik na di men tin we kin mek i gɛt dis sik, bɔt i kin apin bak to yɔŋ pipul dɛn.
- Bak pen, pen we de rayt dɔŋ di leg (sciatica), ɛn i nɔ izi fɔ waka na di kɔmɔn sayn dɛm.
- If yu nɔ ebul fɔ kɔntrol yu urine ɔ yu stɔl wantɛm wantɛm, na mɛdikal imejensi . Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn dis sik ɔltogɛda, dɛn kin kɔntrol di sayn dɛm fayn fayn wan wit mɛrɛsin, tritmɛnt fɔ yu bɔdi, ɛn chenj in layf. Ɔltɛm fala wetin yu dɔktɔ tɛl yu fɔ du.
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