Kodi mukukumana ndi vuto la mitsempha kumbuyo kwanu? Tiyeni tikambirane za Foraminal Stenosis!

Ambiri aife tinakumanapo ndi ululu wa msana, kupweteka kwa miyendo, kapena dzanzi m'miyendo yathu nthawi ina m'miyoyo yathu. Nthawi zina timaganiza kuti zifukwa zake n'zosavuta, koma pakhoza kukhala nkhani yakuya kumbuyo kwake. Foraminal Stenosis ndi vuto lomwe lingachitike msana wathu, koma anthu ambiri sadziwa za izi. Chifukwa chake, tiyeni tikambirane za izi m'njira yosavuta lero, mwanjira yomwe mungamvetse.

Mwachidule, kodi foraminal stenosis ndi chiyani?

Ganizirani msana wanu ngati chubu chachikulu. Msana wathu umayenda kudzera mu chubu ichi. Pali mitsempha yaying'ono yomwe imatuluka mu msana uwu, yomwe imanyamula mauthenga ku thupi lathu lonse, ndipo imachita zinthu monga kusuntha miyendo yathu ndikutipatsa kumva. Chifukwa chake, mitsempha iyi imatuluka mu msana kudzera m'mabowo ang'onoang'ono otchedwa foramen . Kunena zoona, mabowo otchedwa neural foramen . Foraminal stenosis ndi pamene mabowo amenewo amatsekedwa kapena kuchepetsedwa pazifukwa zosiyanasiyana. Monga momwe chitoliro chamadzi chimatsekeka, zimakhala zovuta kuti madzi ayende, mabowo awa akatsekeka, mitsempha imatsekeka.

Taganizirani zomwe zimachitika waya wamagetsi akamangika pakhomo. Wayawo umaphwanyidwa, ndipo mwina umaletsa magetsi kuyenda bwino. Umu ndi momwe kupsinjika kwa mitsempha kumachitikira. Mauthenga oyenda mu mitsempha amatha kusokonezedwa, zomwe zimapangitsa ululu, ndipo nthawi zina ngakhale kuwonongeka kwamuyaya kwa mitsempha.

Kodi vuto limeneli ndi lofala kwambiri pati kumbuyo kwathu?

Msana wathu umagawidwa m'magawo angapo. Vutoli, lotchedwa foraminal stenosis, limatha kuchitika m'magawo aliwonsewa.

• Msana wa Msana : Apa ndi malo achiwiri omwe matendawa amapezeka kwambiri.
• Msana wa Chifuwa: Malo awa ndi ocheperako pang'ono.
• Lumbar Spine: Apa ndi pomwe foraminal stenosis imachitika kawirikawiri.
• Msana wa Sacral: Pansi pa msana.
• Msana wa Coccygeal: Timautcha kuti ndi gawo lomwe kuli fupa la mchira.

Kodi iyi ndi matenda omwe anthu ambiri amadwala?

Ndipotu, vutoli ndi lofala kwambiri kuposa momwe mungaganizire, makamaka kwa anthu azaka zopitirira 55. Limawonjezeka pamene mukukula. Koma chodabwitsa n'chakuti, anthu ambiri omwe ali ndi foraminal stenosis sasonyeza zizindikiro zilizonse. Kafukufuku wina akusonyeza kuti akafika zaka 60, pafupifupi 40% ya anthu amakhala ndi lumbar stenosis yochepa. Izi zitha kukwera kufika pafupifupi 75% akafika zaka 80. Komabe, ngakhale pakakhala milandu yoopsa, pafupifupi 17.5% yokha ya anthu omwe amasonyeza zizindikiro.

Kodi zizindikiro za foraminal stenosis ndi ziti?

Zizindikiro zake zimafanana ndi za mitsempha yotsekeka . Timatchanso kuti Radiculopathy . Chimodzi mwa zizindikiro zotsatirazi chingachitike:

• Ululu: Ichi ndiye chizindikiro chachikulu komanso chofala kwambiri. Sikuti ululu uli kumbuyo ndi pakhosi kokha, komanso ululu ukhoza kufalikira pansi pa mitsempha kupita ku dzanja kapena mwendo.
• Kumva dzanzi kapena kumva kunjenjemera (`Paresthesia`): Kungamveke ngati "kugwedezeka kwamagetsi" kapena ngati nyerere zikuthamanga.
• Kusanza: Malo okhudzidwawo ndi osanza ndipo sangathe kumva kukhudzidwa .
• Kufooka kwa minofu kapena kulephera kudziletsa: Mungamve ngati dzanja kapena mwendo wayamba dzanzi, kapena mungavutike kunyamula katundu wolemera.

Malo omwe zizindikiro zili ndi vuto ndi ofunikira!

Ndikofunikira kwambiri kuti dokotala adziwe komwe muli ndi zizindikiro izi m'thupi lanu, kuti athe kuzindikira ndikuchiza vutoli. Ganizirani za msana wathu ngati 'msewu waukulu', ndipo mitsempha yomwe imatulukamo ili ngati 'ma ramps'. Mauthenga ochokera ku ubongo, kapena mauthenga ochokera m'mbali zosiyanasiyana za thupi kupita ku ubongo, ayenera kudutsa mu 'msewu' uwu. Chifukwa chake, ngati muli ndi chizindikiro chonga ichi mwendo wanu, mkono, kapena kwina kulikonse, dokotalayo akhoza kupeza mulingo wa mitsempha ya msana yomwe yalumikizidwa ndi gawo la khungu (`dermatome`) . Izi zidzakuthandizani kwambiri kudziwa komwe vutoli lachitikira.

Nthawi ndi momwe zizindikiro zimaonekera

Ndikofunikanso kuti dokotala wanu adziwe nthawi yomwe zizindikiro zanu zimayamba komanso zomwe mukuchita. Mwachitsanzo, munthu amene ali ndi lumbar foraminal stenosis akhoza kukhala ndi ululu womwe umakula kwambiri akaimirira ndipo umakula bwino akakhala pansi. Kulemba zizindikiro zanu (monga nthawi yomwe zinayamba, momwe zinalili, komanso nthawi yomwe zakhalapo) kungathandize dokotala wanu kumvetsetsa bwino vuto lanu ndikuchiza.

N’chifukwa chiyani foraminal stenosis imachitika? Kodi zimayambitsa chiyani?

Pali zifukwa zingapo zomwe zingayambitse izi. Kwa anthu ena, zitha kukhala chifukwa cha chifukwa chimodzi, pomwe kwa ena, zitha kukhala chifukwa cha zifukwa zingapo.

• Kuvulala : Kuvulala kwa msana, monga komwe kumachitika chifukwa cha kugwaMabowo a mitsempha awa amatha kupanikizika ndi zinthu monga minofu ya zipsera , ma disc otupa kapena otupa (timawatcha kuti "ma disc otsetsereka"), ndi kusweka kwa msana.
• Ukalamba : Pamene tikukalamba, mafupa athu, zimfundo, ndi mitsempha yathu zimafooka mwachibadwa. Izi zimawonjezeranso chiopsezo chokhala ndi foraminal stenosis.
• Matenda a minofu ndi mafupa : Izi zitha kuyambitsidwanso ndi matenda monga matenda a disk osachiritsika , ankylosing spondylitis (momwe mafupa a msana amatupa ndikuphatikizana), ndi matenda a Paget a mafupa .
• Opaleshoni ya msana: Vutoli likhoza kuchitikanso pambuyo pa opaleshoni ya msana. Nthawi zina, vuto lotchedwa Persistent Spinal Pain Syndrome (PSPS) likhoza kuchitikanso pamene opaleshoni ya ululu wa msana sinapambane.
• Zomera kapena zotupa: Zomera, zotupa, kapena zotupa (zosavulaza kapena zoyipa) m'msana zimatha kupondereza mitsempha. Zomera za mafupa (osteophytes) (zomwe timazitcha "zomera za mafupa") zimathanso kutseka mipata iyi.
• Kapangidwe kachilengedwe ka msana: Msana umachepa pang'ono mwachibadwa ukamayenda pansi pa msana. Ichi ndi chimodzi mwa zifukwa zomwe vutoli limachitikira kwambiri m'chigawo cha lumbar .
• Kusiyana kwa kapangidwe ka thupi: Anthu ena amabadwa ndi kapangidwe kosiyana pang'ono ka msana. Sizitanthauza kuti amadwala, koma zimatha kuwapangitsa kukhala ndi vuto la foraminal stenosis. Anthu omwe ali ndi scoliosis ( kupindika kwa msana) nawonso ali pachiwopsezo.

Kodi izi zingayambitse mavuto?

Nthawi zambiri, foraminal stenosis siimayambitsa mavuto aakulu. Komabe, nthawi zina zotsatirazi zimatha kuchitika:

• Ululu wosatha: Ululu wopitirira komanso wovuta kuuletsa.
• Ululu wa mitsempha yeniyeni, monga sciatica: ululu wakuthwa womwe umayenda pansi pa mwendo.
• Kuwonongeka kwa mitsempha: Kuwonongeka kwa mitsempha kungakhale kosatha.
• Kufooka kapena kufooka kwa minofu yolamulidwa ndi mitsempha yofunikira: Chiwalo chikhoza kufooka.
• Kusadziletsa kwa mkodzo ndi matumbo:Izi zimachitika chifukwa cha kupsinjika kwa mitsempha yomwe imayang'anira chikhodzodzo ndi matumbo. Ngati izi zitachitika, muyenera kuwona dokotala nthawi yomweyo.
• Mavuto amisala omwe amayamba chifukwa cha ululu: Nkhawa , kuvutika maganizo, ndi zina zotero.
• Ululu ndi kuchepa kwa kusinthasintha mpaka kufika poti sangathe kuchita masewera olimbitsa thupi kapena kuchita ntchito za tsiku ndi tsiku.

Kodi madokotala amazindikira bwanji izi?

Dokotala adzakufunsani kaye za zizindikiro zanu ndikukuyesani thupi. Kenako angakupatseni scan ya MRI (Magnetic Resonance Imaging) kuti atsimikizire matendawa. Scan ya MRI ingawonetse mafupa, mitsempha, ndi minofu momveka bwino. Komabe, kumbukirani kuti foraminal stenosis imatha kuwoneka pa MRI, koma anthu ambiri alibe zizindikiro, kotero MRI si nthawi zonse yofunikira. Kwa anthu omwe sangathe kuchita MRI (monga omwe ali ndi pacemaker), scan ya CT (Computed Tomography) ndi myelogram ndi njira zabwino kwambiri. Nthawi zina mayeso ena omwe amafufuza mavuto a mitsempha angachitikenso. Mwachitsanzo, electromyography (EMG) ndi maphunziro oyendetsera mitsempha . Dokotala wanu adzakuuzani ngati mayeso ena akufunika kutengera mbiri yanu yaumoyo ndi zosowa zanu.

Kodi mankhwala ake ndi otani? Kodi mankhwalawa angachiritsidwe?

Foraminal stenosis imatha kuchiritsidwa, ndipo mwa anthu ena imatha kukonzedwa kwathunthu. Pali njira zingapo zochiritsira. Komabe, chithandizo choyenera kwa inu chingasiyane kutengera thanzi lanu, chomwe chimayambitsa stenosis, ndi zina. Dokotala wanu ndiye munthu wabwino kwambiri wokulangizani pa izi. Ngati mulibe zizindikiro, nthawi zambiri, palibe chithandizo chofunikira. Mankhwala ochiritsira nthawi zambiri amaganiziridwa mukakhala ndi zizindikiro zoyambirira, monga kupweteka. Ngati mavuto, monga kutayika kwa mkodzo kapena kufooka kwa minofu, achitika, chithandizo cholowererapo kapena opaleshoni nthawi zambiri amafunika. Mankhwala amatha kugawidwa m'mitundu itatu yayikulu:

1. Mankhwala Osasintha

Izi nthawi zambiri zimakhala njira zoyamba zochiritsira. Izi nthawi zambiri zimaphatikizapo kumwa mankhwala ndi kusintha zochita.

• Kupuma pang'ono: Ngati vutoli layamba chifukwa cha kuvulala ndi kutupa, kuchepetsa kuyenda kungathandize. Komabe, kupuma mokwanira pabedi nthawi zambiri sikuvomerezeka.
• Kuchiza thupi: Izi zitha kuwonjezera mphamvu zakuthupi ndi kusinthasintha, ndikuchepetsa mphamvu ya zizindikiro.
• Mankhwala oletsa kutupa pakamwa: Mankhwala monga NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) amatha kuchepetsa kutupa kozungulira mitsempha ndikuchepetsa zizindikiro.
• Mankhwala a steroid omwa: Awa amaperekedwanso kuti achepetse kutupa.
• Mankhwala a opioid omwa: Mankhwalawa amaperekedwa kwa kanthawi kochepa chifukwa cha ululu waukulu. Komabe, saperekedwa nthawi zonse chifukwa cha chiopsezo cha chizolowezi.

2. Mankhwala Ochiritsira

Izi ndi njira zochiritsira zosapitirira muyeso. Nthawi zina jakisoni wa mankhwala, monga ma steroids, mu mitsempha yokhudzidwayo angathandize. Jakisoniyu amachitidwa pansi pa X-ray kuti atsimikizire kuti mankhwalawo akupita pamalo oyenera. Jakisoniyu nthawi zina amatha kuchedwetsa kufunikira kwa opaleshoni.

3. Mankhwala Opaleshoni

Masiku ano, opaleshoni yochepetsa msana nthawi zambiri imachitika pogwiritsa ntchito njira yochepetsera ululu . Izi zikutanthauza kuti mabala ang'onoang'ono amagwiritsidwa ntchito, zomwe zimachepetsa kutuluka magazi, kupweteka, komanso nthawi yochira. Pali mitundu ingapo ya opaleshoni yomwe ingachite:

• Opaleshoni ya foramen: Foraminotomy ndi opaleshoni yokulitsa dzenje (neural foramen) lomwe mitsempha imatulukira. Foraminectomy ndi yofanana, koma imachotsanso minofu ina yozungulira kuti dzenjelo likhale lalikulu.
• Opaleshoni ya mafupa a facet: Facetectomy ndi kuchotsa mafupa onse a facet kuti achepetse kupanikizika kwa msana ndi mitsempha.
• Opaleshoni ya Lamina: Laminotomy ndi kuchotsa chidutswa chaching'ono cha fupa ndi minofu yofewa kuchokera ku vertebra kuti achepetse kupsinjika kwa msana kapena mitsempha. Laminectomy ndi kuchotsa gawo lalikulu lapakati la vertebra.
• Kuchotsa mafupa otupa: Ngati mafupa otupa (osteophytes) akukankhira mitsempha, kuwachotsa kumachepetsanso kupanikizika.
• Cholimbikitsa Msana: Izi zimaphatikizapo kuyika cholimbikitsa magetsi mu gawo la msana. Cholimbikitsa ichi chimatumiza mphamvu yamagetsi yaying'ono ku maselo omwe ali mu msana. Mphamvu iyi imaletsa maselo amenewo kutumiza zizindikiro za ululu. Izi zitha kukhala zothandiza ngati opaleshoni sikuyenda bwino kapena ngati singachitike.

Kodi mavuto/zotsatira zake za chithandizo ndi ziti?

Popeza pali mankhwala ambiri, mavuto ndi zotsatira zake zimasiyana. Komanso, nthawi yochira komanso zomwe mungayembekezere mutalandira chithandizo zimatha kusiyana malinga ndi munthu. Dokotala wanu angakuuzeni bwino za zotsatirapo zomwe mungakumane nazo komanso nthawi yochira.

Kodi ndingachepetse kapena kuletsa kwathunthu kupezeka kwa foraminal stenosis?

Foraminal stenosis ndi chinthu chomwe chimachitika mwanjira yosayembekezereka, ndipo nthawi zina sichisonyeza zizindikiro zilizonse. Chifukwa chake,Pakadali pano palibe njira yopewera izi kapena kuchepetsa chiopsezo.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi foraminal stenosis?

Kawirikawiri, vutoli limakhala losaonekera. Anthu ena amapezeka nalo akamayesedwa pazifukwa zina. Ena sadziwa kuti ali nalo. Foraminal stenosis ingayambitse kupweteka kwa msana musanayambe zizindikiro zilizonse za mitsempha. Ngati muli ndi ululu wa msana kwa milungu yoposa ingapo, onani dokotala. Dokotala wanu akhoza kudziwa ngati ululu wanu ukuchokera ku foraminal stenosis kapena china chake, kapena kukutumizani kwa katswiri. Ngati muli ndi zizindikiro zoopsa monga dzanzi, kumva kuwawa, kapena kufooka kwa minofu - makamaka ngati zikukhudza manja kapena miyendo yanu - onani dokotala mwamsanga. Ngati foraminal stenosis yanu ndi yoopsa kwambiri moti ingayambitse zizindikirozi, ingayambitse kuwonongeka kwa mitsempha ndi mavuto ena akuluakulu.

Kodi stenosis ya foraminal imatenga nthawi yayitali bwanji?

Izi zitha kukhala zakanthawi kapena zosatha. Ngati zachitika chifukwa cha chinthu cha kanthawi kochepa, monga kutupa chifukwa cha kuvulala pang'ono, zitha kutha zokha. Komabe, ngati zikugwirizana ndi vuto losatha, kapena ngati zimachitika mutachita opaleshoni, kapena ngati zili chifukwa cha mawonekedwe achilengedwe a msana wanu, mwina zitha kukhala zosatha.

Kodi chiyembekezo cha foraminal stenosis ndi chiyani?

Matenda ambiri a foraminal stenosis samayambitsa zizindikiro. Ngakhale ndi stenosis yoopsa, anthu pafupifupi 17.5% okha ndi omwe amakhala ndi zizindikiro. Ngati mulibe zizindikiro, palibe chifukwa chodera nkhawa (dokotala wanu adzakuuzani zomwe mungachite). Ngati zizindikirozo zichitika, malingaliro amatha kusintha. Zizindikiro zochepa zitha kuthetsedwa ndi chithandizo. Kwa anthu ena, chithandizo chingathandize kuchepetsa kuipiraipira kwa zizindikiro. Ngati foraminal stenosis ndi yoopsa, chithandizo chachangu, monga opaleshoni, nthawi zambiri chimafunika kuti vutoli lisakule kwambiri komanso/kapena kuti aletse kuwonongeka kwa mitsempha kosatha kapena mavuto ena.

Kodi ndimadzisamalira bwanji ngati ndili ndi foraminal stenosis?

Ngati muli ndi foraminal stenosis, nthawi zambiri simuyenera kuchita chilichonse chapadera kapena kusintha chilichonse mpaka mutayamba kumva zizindikiro. Ngati muli ndi ululu wamsana, mutha kuyesa kuthana nawo nokha poyamba. Komabe, ngati zikupitirira patatha milungu ingapo, pitani kwa dokotala.

Dziwani: Ululu ndi chizindikiro chomwe simuyenera kunyalanyaza kapena kuyesa kuchichiza nokha ngati chakhalapo kwa milungu yoposa ingapo. Ululu wosatha pakapita nthawi ungasinthe momwe thupi lanu ndi ubongo wanu zimagwirira ntchito zizindikiro za ululu, zomwe zimapangitsa kuti mukhale ndi matenda monga Central Pain Syndrome.

Ngati dokotala wanu akuzindikirani kuti muli ndi foraminal stenosis, adzakutsogolerani momwe mungadzisamalire nokha ndikukuthandizani kusankha njira zamankhwala zomwe zikupezeka.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mukuvutika ndi msana mwadzidzidzi, makamaka chifukwa cha kuvulala, kapena ngati mwadzidzidzi mukumva zizindikiro zoti mwina muli ndi vuto ndi msana wanu kapena mitsempha, pitani kuchipatala chapafupi. Zizindikirozi zikuphatikizapo:

• Kufooka kwadzidzidzi kwa minofu m'miyendo imodzi kapena yonse.
• Simungathe kulamulira kutuluka kwa mkodzo kapena ndowe.
• Ululu waukulu kwambiri moti sungathe kuchita zinthu zako za tsiku ndi tsiku.

Kodi stenosis ya foraminal ndi yoopsa bwanji?

Kawirikawiri vutoli si vuto lalikulu. Anthu ambiri sadziwa kuti ali nalo chifukwa alibe zizindikiro. Limakhala lalikulu ngati kupsinjika kwa mitsempha kwakula kwambiri moti kungayambitse kufooka kwa minofu, dzanzi, kapena kutaya kumverera.

Kodi kusiyana pakati pa Stenosis ya Msana ndi Foraminal Stenosis ndi kotani?

Foraminal stenosis ndi mtundu wa spinal stenosis . Imakhudza dera linalake la msana, lomwe limatulutsa mitsempha kupita ku ziwalo zina za thupi (neural foramen). Spinal stenosis ikhoza kukhala kuchepa kwa gawo lililonse la msana, osati neural foramen yokha. Ikhozanso kukhala kuphatikiza zonse ziwiri.

Kodi chithandizo chabwino kwambiri cha Foraminal Stenosis ndi chiti?

Chithandizo chabwino kwambiri cha izi chingasiyane malinga ndi munthu. Chithandizo chomwe chimathandiza munthu wina sichingathandize wina. Dokotala wanu angakufotokozereni bwino mankhwala omwe alipo, makamaka omwe angakuthandizeni kwambiri komanso omwe angakukwaniritseni zolinga zanu.

(Uthenga Wopita Nawo Kunyumba)

Chifukwa chake, chinthu chofunikira kwambiri chomwe mungaphunzire za Foraminal Stenosis ndikuti ngati muli ndi zizindikiro monga kupweteka kwa msana, dzanzi, kumva kuwawa, kapena kutaya kumva m'miyendo yanu, musangozinyalanyaza. Chofunika kwambiri ndikuwona dokotala ndikupeza vuto lenileni. Nthawi zambiri, pali mankhwala abwino a vutoli lotchedwa Foraminal Stenosis. Ngati muzindikira msanga, muli ndi mwayi wabwino wolilamulira ndikulichiritsa lisanayambitse mavuto akulu komanso kuwonongeka kwa mitsempha kosatha. Kenako mudzatha kuchita zinthu zomwe mumakonda popanda kuchepetsa moyo wanu. Foraminal stenosis, kupweteka kwa msana, kupsinjika kwa mitsempha, dzanzi, msana, MRI, chithandizo cha thupi