Ngaba unengxaki yokuxinana kwemithambo-luvo emqolo wakho? Makhe sithethe ngeForaminal Stenosis!

Uninzi lwethu lukhe lwafumana iintlungu zomqolo, iintlungu ezibangelwa kukudubula emilenzeni, okanye ukungaziva kakuhle kwamalungu ethu ngaxa lithile ebomini bethu. Ngamanye amaxesha sicinga ukuba izizathu zilula, kodwa kusenokwenzeka ukuba kukho ibali elinzulu emva kwayo. I-Foraminal Stenosis yimeko enokwenzeka emgogodleni wethu, kodwa abantu abaninzi abazi ngayo. Ngoko ke, masithethe ngayo ngendlela elula namhlanje, ngendlela onokuyiqonda.

Ngamafutshane, yintoni i-foraminal stenosis?

Cinga ngomqolo wakho njengombhobho omkhulu. Umthambo wethu womqolo udlula kule mbhobho. Kukho imithambo-luvo emincinci ephuma kule mbhobho yomgogodla, ethwala imiyalezo eya emzimbeni wethu wonke, kwaye yenza izinto ezifana nokushukumisa amalungu ethu kwaye isinike imvakalelo. Ngoko ke, le mithambo-luvo iphuma kwimbhobho yomgogodla ngemingxunya emincinci ebizwa ngokuba yi-foramen . Ngokuchanekileyo, imingxuma ebizwa ngokuba yi-neural foramen . I-Foraminal stenosis kuxa loo mingxunya ivalekile okanye incipha ngezizathu ezahlukeneyo. Njengaxa umbhobho wamanzi uvalekile, kuba nzima ukuba amanzi ahambe, xa le mingxunya ivalekile, umthambo uyacinezelwa.

Cinga ngento eyenzekayo xa ucingo lombane lubhajwe emnyango. Ucingo luyatyumka, mhlawumbi luze luthintele umbane ukuba ungahambi kakuhle. Yiyo le indlela okwenzeka ngayo ukucinezelwa kwemithambo-luvo . Imiyalezo ehamba ngemithambo-luvo inokuphazanyiswa, ibangele intlungu, kwaye ngamanye amaxesha ide yonakalise imithambo-luvo ngokusisigxina.

Le meko ixhaphake kakhulu phi emqolo wethu?

Umqolo wethu wahlulwe waba ngamacandelo aliqela. Le meko, ebizwa ngokuba yi-foraminal stenosis, inokwenzeka nakweyiphi na kwezi candelo.

• Umqolo Wesibeleko : Le yindawo yesibini eqhelekileyo apho le meko ibonakala khona.
• Umqolo Wesifuba: Le ndawo incinci kancinci.
• Umqolo weLumbar: Kulapho i-foraminal stenosis ixhaphake kakhulu khona.
• Umqolo weSacral: Ngasezantsi komqolo.
• Umqolo weCoccygeal: Siwubiza ngokuba yindawo apho kukho khona ithambo lomsila.

Ngaba esi sisifo esifunyanwa ngabantu abaninzi?

Enyanisweni, le meko ixhaphake kakhulu kunokuba unokucinga, ingakumbi kubantu abangaphezu kweminyaka engama-55 ubudala. Iyanda xa ukhula. Kodwa okumangalisayo kukuba, abantu abaninzi abane-foraminal stenosis ababonisi zimpawu. Ezinye izifundo zibonisa ukuba xa beneminyaka engama-60 ubudala, malunga nama-40% abantu bane-lumbar stenosis ephakathi. Oku kunokunyuka ukuya kuthi ga kwi-75% xa beneminyaka engama-80 ubudala. Nangona kunjalo, nangona kukho iimeko ezinzima, malunga ne-17.5% kuphela yabantu ababonisa iimpawu.

Zithini iimpawu ze-foraminal stenosis?

Iimpawu ziyafana nezo ze-nerve ecinezelekileyo . Le meko siyibiza ngokuba yi-Radiculopathy . Enye okanye ngaphezulu kwezi mpawu zilandelayo inokubakho:

• Intlungu: Olu lolona phawu luphambili noluqhelekileyo. Ayipheleli nje ekubeni kukho intlungu emqolo nasentanyeni, kodwa intlungu ingadlula nakwimithambo-luvo iye engalweni okanye emlenzeni.
• Ukungaziva mnandi okanye ukurhawuzelela (`Paresthesia`): Kusenokuvakala ngathi "kuqhushumbe ngombane" okanye ngathi ziimbovane ziyabaleka.
• Ubungqindilili: Indawo echaphazelekayo ayizivakali kwaye ayikwazi ukuchukunyiswa .
• Ubuthathaka bemisipha okanye ukungakwazi ukulawula: Usenokuziva ngathi ingalo okanye umlenze uyaphelelwa ngamandla, okanye unokufumana kunzima ukuphakamisa ubunzima.

Indawo ezikuyo iimpawu ibalulekile!

Kubaluleke kakhulu ukuba ugqirha azi ukuba udibana phi emzimbeni wakho nezi mpawu, ukuze akwazi ukuxilonga nokunyanga imeko. Cinga ngentambo yethu yomqolo 'njengomgaqo omkhulu', kwaye imithambo-luvo ephuma kuyo ifana 'neendlela ezirhuqwayo'. Imiyalezo evela engqondweni, okanye imiyalezo evela kwiindawo ezahlukeneyo zomzimba eya engqondweni, kufuneka idlule kule 'ndlela'. Ngoko ke, ukuba unempawu efana nale emlenzeni wakho, engalweni, okanye naphi na, ugqirha unokufumanisa ukuba loluphi udidi lwentambo yomqolo oluqhagamshelwe kuloo nxalenye yolusu ('dermatome') . Oku kuya kuba luncedo olukhulu ekuchongeni indawo echanekileyo yengxaki.

Iimpawu zibonakala nini kwaye njani

Kubalulekile nokuba ugqirha wakho azi ukuba iimpawu zakho zenzeka nini kwaye wenza ntoni. Umzekelo, umntu one-lumbar foraminal stenosis unokuba neentlungu eziba mandundu xa emi kwaye ziphucuke xa ehleli. Ukugcina idayari yeempawu zakho (umz., ukuba zaqala nini, zazinjani, kwaye zide kangakanani) kunokunceda ugqirha wakho ukuba ayiqonde ngcono imeko yakho aze ayinyange.

Kutheni i-foraminal stenosis yenzeka? Zithini izizathu?

Zininzi izizathu ezinokubangela oku. Kwabanye abantu, kusenokuba ngenxa yesizathu esinye, ngelixa kwabanye, kusenokuba yindibaniselwano yezizathu ezahlukeneyo.

• Ukulimala : Ukulimala emqolo, okufana noko kubangelwe kukuwaLe mingxuma yemithambo-luvo inokucinezelwa zizinto ezifana nezicubu ezibomvu , iidiski eziqhekekileyo okanye ezivuvukileyo (sizibiza ngokuba "ziidiski ezityibilikileyo"), kunye nokuqhekeka komqolo.
• Ukwaluphala : Njengoko sikhula, amathambo ethu, amalungu, kunye nemisipha ziyawohloka ngokwemvelo. Oku kwandisa umngcipheko wokuba ne-foraminal stenosis.
• Iimeko zemisipha okanye ukudumba : Oku kunokubangelwa zizifo ezifana nesifo sediski esiwohlokayo , i-ankylosing spondylitis (apho amalungu omqolo avuvukala aze adibane), kunye nesifo sethambo sikaPaget .
• Utyando lomqolo: Le meko inokwenzeka nasemva kotyando lomqolo. Ngamanye amaxesha, imeko ebizwa ngokuba yiPersistent Spinal Pain Syndrome (PSPS) inokwenzeka naxa utyando lomqolo lungaphumelelanga.
• Iintsholongwane okanye amathumba: Iintsholongwane, amathumba, okanye amathumba (angengobungozi okanye anobungozi) emgogodleni zinokucinezela imithambo-luvo. Iintsholongwane zamathambo (ii-osteophytes) (esizibiza ngokuba "ziintsholongwane zamathambo") nazo zinokuvala ezi zingxunya.
• Ulwakhiwo lwendalo lomqolo: Umjelo womqolo uncipha kancinci ngokwendalo njengoko usiya emqolo. Esi sesinye sezizathu zokuba le meko ixhaphake kakhulu kummandla we-lumbar .
• Umahluko kwi-anatomy: Abanye abantu bazalwa benesakhiwo somqolo esahlukileyo kancinci. Oko akuthethi ukuba bayagula, kodwa kunokubenza babe namathuba amaninzi okufumana isifo se-foraminal stenosis. Abantu abane -scoliosis ( ukugoba komqolo) nabo basengozini.

Ngaba oku kungabangela iingxaki?

Ixesha elininzi, i-foraminal stenosis ayibangeli iingxaki ezinkulu. Nangona kunjalo, ngamanye amaxesha oku kulandelayo kunokwenzeka:

• Intlungu engapheliyo: Intlungu engapheliyo nekunzima ukuyilawula.
• Intlungu ethile yemithambo-luvo, efana ne-sciatica: intlungu ebukhali ehamba emlenzeni.
• Ukonakala kwemithambo-luvo: Ukonakala kwemithambo-luvo kunokuba yinto engapheliyo.
• Ubuthathaka okanye ukukhubazeka kwemisipha elawulwa yimithambo-luvo efanelekileyo: Ilungu lisenokukhubazeka.
• Ukungakwazi ukuzibamba komchamo kunye namathumbu:Oku kubangelwa kukucinezelwa kwemithambo-luvo elawula isinyi kunye namathumbu. Ukuba oku kuyenzeka, kufuneka ubone ugqirha ngokukhawuleza.
• Iingxaki zengqondo ezibangelwa yintlungu: Ixhala , ukudakumba, njl.njl.
• Intlungu kunye nokuncipha kokuguquguquka kangangokuba awukwazi ukusebenza ngokomzimba okanye ukwenza imisebenzi yemihla ngemihla.

Oogqirha bayibona njani le nto?

Ugqirha uza kuqala akubuze ngeempawu zakho aze enze uvavanyo lomzimba. Emva koko banokuyalela i-MRI (Magnetic Resonance Imaging) scan ukuqinisekisa ukuxilongwa. I-MRI scan ingabonisa amathambo, imithambo-luvo, kunye nemisipha ngokucacileyo. Nangona kunjalo, khumbula ukuba i-foraminal stenosis inokubonwa kwi-MRI, kodwa abantu abaninzi abanazo iimpawu, ngoko ke i-MRI ayisoloko iyimfuneko. Kubantu abangenayo i-MRI (umzekelo, abo bane-pacemaker), i-CT (Computed Tomography) scan kunye ne-myelogram zezona ndlela zibalaseleyo. Ngamanye amaxesha ezinye iimvavanyo ezikhangela iingxaki zemithambo-luvo nazo zinokwenziwa. Umzekelo, i-electromyography (EMG) kunye nezifundo zokuqhuba imithambo-luvo . Ugqirha wakho uza kukuxelela ukuba kufuneka ezinye iimvavanyo ngokusekelwe kwimbali yakho yempilo kunye neemfuno zakho.

Zithini iindlela zonyango? Ngaba oku kunganyangeka?

I-Foraminal stenosis inokunyangeka, kwaye kwabanye abantu inokulungiswa ngokupheleleyo. Kukho iindlela ezahlukeneyo zonyango. Nangona kunjalo, unyango olufanelekileyo kuwe lunokwahluka ngokuxhomekeke kwimeko yakho yempilo, unobangela we-stenosis, kunye nezinye izinto. Ugqirha wakho ngumntu ongcono ukukunika ingcebiso ngale nto. Ukuba awunazo iimpawu, uninzi lwexesha, akukho nyango lufunekayo. Unyango oluzinzileyo luhlala luqwalaselwa xa uneempawu zokuqala, ezifana nentlungu. Ukuba kukho iingxaki, ezinje ngokulahlekelwa kulawulo lomchamo okanye ubuthathaka bemisipha,, unyango olungenelelayo okanye utyando luhlala lufuneka. Unyango lunokwahlulwa lube ziintlobo ezintathu eziphambili:

1. Unyango oluGcinileyo

Ezi zihlala zizinto zokuqala ekufuneka uqale ngazo. Oku kudla ngokubandakanya ukuthatha amayeza nokutshintsha imisebenzi.

• Ukuphumla okulinganiselweyo: Ukuba imeko ibangelwa kukwenzakala kunye nokudumba, ukunciphisa intshukumo kunokunceda. Nangona kunjalo, ukuphumla ngokupheleleyo ebhedini akukhuthazwa.
• Unyango lomzimba: Oku kunokunyusa amandla omzimba kunye nokuguquguquka, kwaye kunciphise impembelelo yeempawu.
• Amayeza okulwa nokuvuvukala ngomlomo: Amayeza anjengee -NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo eze-steroidal) anokunciphisa ukudumba okujikeleze imithambo-luvo kwaye anciphise iimpawu.
• Amayeza e-steroid athathwa ngomlomo: La mayeza anikwa ukunciphisa ukudumba.
• Amayeza e-opioid athathwa ngomlomo: La anikwa ixesha elifutshane xa kukho iintlungu eziqatha. Nangona kunjalo, awanikwa rhoqo ngenxa yomngcipheko wokuba likhoboka lawo.

2. Unyango oluNgxamisekileyo

Ezi zingaphezulu nje konyango oluqhelekileyo. Ngamanye amaxesha ukujova amayeza, anjengee-steroids, kwimithambo-luvo echaphazelekayo kunokunceda. Ezi zijovo zenziwa phantsi kwe-X-ray ukuqinisekisa ukuba iyeza lifika kwindawo efanelekileyo. Ezi zijovo ngamanye amaxesha zinokulibazisa isidingo sotyando.

3. Unyango lotyando

Kule mihla, utyando lokususa uxinzelelo lomqolo ludla ngokwenziwa ngendlela engaphantsi kakhulu . Oku kuthetha ukuba kusetyenziswa imingxunya emincinci, nto leyo enciphisa ukopha, iintlungu, kunye nexesha lokuchacha. Kukho iintlobo ezahlukeneyo zotyando ezinokwenziwa:

• Utyando lweForamen: IForaminotomy lutyando lokwandisa umngxuma (neural foramen) apho umthambo uphuma khona. IForaminectomy iyafana, kodwa ikwasusa ezinye zezicubu ezijikelezileyo ukuze umngxuma ube mkhulu.
• Utyando lwe-Facet joint: I-Facetectomy kukususwa kwe-facet joint yonke ukuze kuncitshiswe uxinzelelo kwi-spinal cord kunye ne-nerves.
• Utyando lweLamina: I-Laminotomy kukususwa kweqhekeza elincinci lethambo kunye nezicubu ezithambileyo kwi-vertebra ukuze kuncitshiswe uxinzelelo kwi-spinal cord okanye kwi-nerve. I-Laminectomy kukususwa kwenxalenye enkulu esembindini we-vertebra.
• Ukususwa kwethambo eliqhumayo: Ukuba ithambo eliqhumayo (ii-osteophytes) licinezela imithambo-luvo, ukuzisusa kuya kunciphisa uxinzelelo.
• Isishukumisi seNtsimbi yoMgogodla: Oku kuquka ukufaka isishukumisi sombane kwinxalenye yeNtsimbi yoMgogodla. Esi sishukumisi sithumela umbane omncinci kwiiseli ezikwiNtsimbi yoMgogodla. Esi sishukumisi sithintela ezo seli ekuthumeleni imiqondiso yentlungu. Oku kunokuba luncedo ukuba utyando aluphumelelanga okanye alunakwenziwa.

Zithini iingxaki/iziphumo ebezingalindelekanga zonyango?

Ngenxa yokuba kukho unyango oluninzi, iingxaki kunye neziphumo ebezingalindelekanga ziyahluka. Kwakhona, ixesha lokuchacha kunye noko ungakulindela emva konyango kunokwahluka kumntu nomntu. Ugqirha wakho unokuchaza ngcono iziphumo ebezingalindelekanga onokuzifumana kunye nexesha lokuchacha.

Ngaba ndingayinciphisa okanye ndiyithintele ngokupheleleyo into yokuba i-foraminal stenosis ingenzeki?

I-Foraminal stenosis yinto eyenzeka ngeendlela ezingalindelekanga, kwaye ngamanye amaxesha ayibonisi zimpawu.Okwangoku akukho ndlela yokuthintela oku okanye yokunciphisa umngcipheko.

Yintoni endimele ndiyilindele ukuba ndine-foraminal stenosis?

Amaxesha amaninzi, le meko ayibonakali. Abanye abantu bafunyanwa benayo ngexesha lokuhlolwa ngesinye isizathu. Abanye abazi ukuba banayo. I-Foraminal stenosis inokubangela iintlungu zomqolo ngaphambi kokuba kuvele naziphi na iimpawu zemithambo-luvo. Ukuba uneentlungu zomqolo kangangeeveki ezimbalwa, bona ugqirha. Ugqirha wakho unokufumanisa ukuba iintlungu zakho zibangelwa yi-foraminal stenosis okanye enye into, okanye akuthumele kwingcali. Ukuba uneempawu ezinzima ezifana nokungaziva, ukurhawuzelelwa, okanye ubuthathaka bemisipha - ingakumbi ukuba zichaphazela iingalo okanye imilenze yakho - bona ugqirha ngokukhawuleza. Ukuba i-foraminal stenosis yakho inzima ngokwaneleyo ukubangela ezi mpawu, inokukhokelela ekonakaleni kwemithambo-luvo kunye nezinye iingxaki ezinkulu.

Ihlala ixesha elingakanani i-foraminal stenosis?

Oku kunokuba kokwexeshana okanye kube yinto engapheliyo. Ukuba kubangelwa yinto yexeshana elifutshane, njengokudumba ngenxa yokwenzakala okuncinci, kusenokuphela ngokwako. Nangona kunjalo, ukuba kunxulunyaniswa nesifo esingapheliyo, okanye ukuba kwenzeka emva kotyando, okanye ukuba kungenxa yesimo sendalo somqolo wakho, kusenokwenzeka ukuba kube yinto engapheliyo.

Iyintoni imbono ye-foraminal stenosis?

Uninzi lweemeko ze-foraminal stenosis azibangeli zimpawu. Nokuba i-stenosis inzima, ngabantu abamalunga ne-17.5% kuphela abafumana iimpawu. Ukuba awunazo iimpawu, akukho sizathu sokukhathazeka (ugqirha wakho uza kukuxelela kanye into omawuyenze). Ukuba iimpawu ziyenzeka, imeko inokutshintsha. Iimpawu ezincinci zinokulawulwa ngonyango. Kwabanye abantu, unyango lunokunceda ukulawula ukonakala kweempawu. Ukuba i-foraminal stenosis inzima, unyango olukhawulezileyo, olufana notyando, ludla ngokufuneka ukuthintela imeko ukuba ingabi mandundu okanye ukuthintela umonakalo wemithambo-luvo osisigxina okanye ezinye iingxaki ukuba zingenzeki.

Ndingazinyamekela njani ukuba ndine-foraminal stenosis?

Ukuba une-foraminal stenosis, awudingi ukwenza nantoni na ekhethekileyo okanye wenze naluphi na utshintsho ude uqale ukuziva iimpawu. Ukuba uneentlungu zomqolo, ungazama ukuzilawula ngokwakho ekuqaleni. Nangona kunjalo, ukuba ziyaqhubeka emva kweeveki ezimbalwa, bona ugqirha.

Qaphela: Intlungu luphawu ekufuneka ungalutyesheli okanye uzame ukulinyanga wedwa ukuba sele lukhona kangangeeveki ezimbalwa. Intlungu engapheliyo ngokuhamba kwexesha inokutshintsha indlela umzimba wakho kunye nengqondo yakho ezisebenza ngayo imiqondiso yentlungu, nto leyo ekhokelela kwiimeko ezifana neCentral Pain Syndrome.

Ukuba ugqirha wakho ufumanisa ukuba une-foraminal stenosis, uya kukubonisa indlela yokuzinyamekela aze akuncede ukhethe iindlela zonyango ezikhoyo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unentlungu ebuhlungu engxamisekileyo, ingakumbi xa usenzakele, okanye ukuba ngequbuliso ubonakalisa iimpawu zokuba unokuba nengxaki ngomqolo okanye kwimithambo-luvo yakho, yiya kwigumbi likaxakeka elikufutshane. Ezi mpawu ziquka:

• Ubuthathaka bemisipha ngequbuliso kwimilenze enye okanye yomibini.
• Awunakulawula ukuhamba komchamo okanye indle.
• Intlungu inzima kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla.

Ingakanani ingozi ye-foraminal stenosis?

Esi asisosifo sinzima kangako. Abantu abaninzi abazi nokuba banaso kuba abanazo iimpawu. Siba sibi kakhulu kuphela xa uxinzelelo lwemithambo-luvo lunzima ngokwaneleyo ukubangela ubuthathaka bemisipha, ukuba ndindisholo, okanye ukuphelelwa zimvakalelo.

Yintoni umahluko phakathi kweSpinal Stenosis kunye neForaminal Stenosis?

I-Foraminal stenosis luhlobo lwe -spinal stenosis . Ichaphazela indawo ethile yomqolo, indawo apho imithambo-luvo iphuma khona ukuze iye kwezinye iindawo zomzimba (i-neural foramen). I-spinal stenosis inokuba kukuncitshiswa kwayo nayiphi na inxalenye yomqolo, kungekuphela nje kwe-neural foramen. Inokuba yindibaniselwano yazo zombini.

Yeyiphi eyona ndlela ilungileyo yonyango lweForaminal Stenosis?

Unyango olungcono kakhulu koku lunokwahluka kumntu nomntu. Unyango olunceda omnye umntu lusenokungancedi omnye. Ugqirha wakho unokukuchazela ngcono unyango olufumanekayo kuwe, ingakumbi olo luya kukunceda kakhulu kwaye luya kuhambelana neenjongo zakho neemfuno zakho.

(Umyalezo oya nawo ekhaya)

Ngoko ke, eyona nto ibalulekileyo onokuyifunda ngeForaminal Stenosis kukuba ukuba uneempawu ezifana neentlungu zomqolo, ukungaziva, ukurhawuzelelwa, okanye ukulahlekelwa zimvakalelo emilenzeni yakho, musa ukuzityeshela nje. Eyona nto ibalulekileyo kukubona ugqirha uze ufumane ukuba yintoni kanye kanye ingxaki. Kwiimeko ezininzi, kukho unyango olufanelekileyo lwesi simo esibizwa ngokuba yiForaminal Stenosis. Ukuba uyiqaphela kwangethuba, unethuba elihle lokuyilawula nokuyinyanga ngaphambi kokuba ibangele iingxaki ezinkulu kunye nomonakalo osisigxina wemithambo-luvo. Emva koko uya kukwazi ukwenza izinto ozithandayo ngaphandle kokunciphisa ubomi bakho. IForaminal stenosis, iintlungu zomqolo, ukucinezelwa kwemithambo-luvo, ukungaziva, umqolo, iMRI, unyango lomzimba