Ingabe ubhekene nokucindezelwa kwemizwa emhlane wakho? Ake sixoxe nge-Foraminal Stenosis!

Iningi lethu liye labhekana nobuhlungu bomhlane, ubuhlungu obuvela emilenzeni, noma ukungazweli ezithweni zethu ngesikhathi esithile empilweni yethu. Ngezinye izikhathi sicabanga ukuthi izizathu zilula, kodwa empeleni kungase kube nendaba ejulile ngemuva kwayo. I-Foraminal Stenosis yisimo esingase senzeke emgogodleni wethu, kodwa abantu abaningi abazi ngakho. Ngakho-ke, ake sixoxe ngakho ngendlela elula namuhla, ngendlela ongayiqonda.

Kalula nje, kuyini i-foraminal stenosis?

Cabanga ngomgogodla wakho njengepayipi elikhulu. Intambo yethu yomgogodla idlula kule payipi. Kunezinzwa ezincane eziphuma kule ntambo yomgogodla, ezithwala imiyalezo emzimbeni wethu wonke, futhi zenze izinto ezifana nokuhambisa izitho zethu nokusinika umuzwa. Ngakho-ke, lezi zinzwa ziphuma entanjeni yomgogodla ngemigodi emincane ebizwa ngokuthi i-foramen . Uma sikhuluma iqiniso, izimbobo ezibizwa ngokuthi i-neural foramen . I-Foraminal stenosis yilapho lezo zimbobo zivaleka noma zincipha ngezizathu ezahlukahlukene. Njengalapho ipayipi lamanzi livaleka, kuba nzima ngamanzi ukuthi ageleze, lapho lezi zimbobo zivaleka, inzwa iyacindezelwa.

Cabanga ngalokho okwenzekayo lapho intambo kagesi ibhajwa emnyango. Intambo iyachotshozwa, futhi mhlawumbe ivimbele ugesi ukuthi ungahambi kahle. Yileyo ndlela ukucindezeleka kwemizwa okwenzeka ngayo. Imiyalezo ehamba ngemithambo ingaphazanyiswa, ibangele ubuhlungu, futhi ngezinye izikhathi ngisho nomonakalo ongunaphakade emthambo.

Kukuphi lapho lesi simo sivame kakhulu khona emhlane wethu?

Umgogodla wethu uhlukaniswe ngezigaba eziningana. Lesi simo, esibizwa ngokuthi i-foraminal stenosis, singavela kunoma iyiphi yalezi zigaba.

• Umgogodla Wesibeletho : Lena yindawo yesibili evame kakhulu lapho lesi simo sibonakala khona.
• Umgogodla Wesifuba: Le ndawo incane kancane.
• Umgogodla Wethambo: Yilapho i-foraminal stenosis ivame ukwenzeka khona.
• Umgogodla weSacral: Ngaphansi komgogodla.
• Umgogodla We-Coccygeal: Siwubiza ngokuthi yingxenye lapho kukhona khona ithambo lomsila.

Ingabe lesi yisifo esitholwa abantu abaningi?

Eqinisweni, lesi simo sivame kakhulu kunalokho ongakucabanga, ikakhulukazi kubantu abangaphezu kweminyaka engu-55. Siyanda njengoba ukhula. Kodwa ngokumangazayo, abantu abaningi abane-foraminal stenosis ababonisi zimpawu. Ezinye izifundo zisikisela ukuthi lapho abantu beneminyaka engu-60, cishe u-40% wabantu bane-lumbar stenosis ephakathi. Lokhu kungakhuphuka kufike ku-75% uma beneminyaka engu-80. Kodwa-ke, ngisho nasezimweni ezimbi kakhulu, cishe u-17.5% wabantu kuphela ababonisa izimpawu.

Ziyini izimpawu ze-foraminal stenosis?

Izimpawu zifana nezemizwa ecindezelwe . Lesi simo sibizwa nangokuthi i-Radiculopathy . Kungase kube nezimpawu ezilandelayo noma ngaphezulu:

• Ubuhlungu: Lolu uphawu oluyinhloko noluvame kakhulu. Akukhona nje kuphela ukuthi kukhona ubuhlungu emhlane nasentanyeni, kodwa futhi ubuhlungu bungasakazeka emsipheni buye engalweni noma emlenzeni.
• Ukungazweli noma ukuzwa ukuthuthumela (`Paresthesia`): Kungase kuzwakale sengathi "ukushaqeka kukagesi" noma sengathi izintuthwane ziyagijima.
• Ukuba ndikindiki: Indawo ethintekile ayizwakali futhi ayikwazi ukuzwa ukuthintwa .
• Ubuthakathaka bemisipha noma ukwehluleka ukulawula: Ungase uzizwe sengathi ingalo noma umlenze uyaphela amandla, noma ungase ukuthole kunzima ukuphakamisa into esindayo.

Indawo yezimpawu ibalulekile!

Kubaluleke kakhulu ukuthi udokotela azi ukuthi ubhekene nalezi zimpawu emzimbeni wakho kuphi, ukuze akwazi ukuxilonga nokwelapha lesi simo. Cabanga ngentambo yethu yomgogodla 'njengomgwaqo omkhulu', futhi imizwa ephuma kuyo ifana 'nezitebhisi'. Imiyalezo evela ebuchosheni, noma imiyalezo evela ezingxenyeni ezahlukene zomzimba eya ebuchosheni, kufanele idlule kule 'ndlela'. Ngakho-ke, uma unesibonakaliso esinjengalesi emlenzeni wakho, engalweni, noma kwenye indawo, udokotela angathola ukuthi yiliphi izinga lentambo yomgogodla elixhunywe kuleyo ngxenye yesikhumba ('dermatome') . Lokhu kuzoba usizo olukhulu ekuboneni indawo eqondile yenkinga.

Izimpawu zivela nini futhi kanjani

Kubalulekile futhi ukuthi udokotela wakho azi ukuthi izimpawu zakho zenzeka nini nokuthi wenzani. Isibonelo, umuntu one-lumbar foraminal stenosis angase abe nobuhlungu obuba bubi kakhulu lapho emi futhi bube ngcono lapho ehleli. Ukugcina idayari yezimpawu zakho (isib., ukuthi zaqala nini, zazinjani, nokuthi sezinesikhathi esingakanani zikhona) kungasiza udokotela wakho ukuba aqonde kangcono isimo sakho futhi asiphathe.

Kungani kwenzeka i-foraminal stenosis? Ziyini izimbangela?

Kunezimbangela eziningana ezingaba khona zalokhu. Kwabanye abantu, kungaba ngenxa yesizathu esisodwa, kanti kwabanye, kungaba yinhlanganisela yezizathu eziningana.

• Ukulimala : Ukulimala emhlane, njengalokho okubangelwa ukuwaLezi zimbobo zemizwa zingacindezelwa izinto ezifana nezicubu zesilonda , ama-disc aqhekekile noma aqhekekile (siwabiza ngokuthi "ama-disc ashelele"), kanye nokuqhekeka komgogodla.
• Ukuguga : Njengoba sikhula, amathambo ethu, amalunga, kanye nemisipha kuyaguga ngokwemvelo. Lokhu kwandisa nengozi yokuba ne-foraminal stenosis.
• Izimo zemisipha noma ukuvuvukala : Lokhu kungabangelwa nayizimo ezifana nesifo sediski esiwohlokayo , i-ankylosing spondylitis (lapho amalunga omgogodla evuvukala khona futhi ehlangana), kanye nesifo sethambo sikaPaget .
• Ukuhlinzwa Komgogodla: Lesi simo singase senzeke nangemva kokuhlinzwa komgogodla. Ngezinye izikhathi, isimo esibizwa ngokuthi i-Persistent Spinal Pain Syndrome (PSPS) singase senzeke nalapho ukuhlinzwa kobuhlungu bomgogodla kungaphumeleli.
• Ukukhula noma izimila: Ukukhula, izimila, noma izimila (ezingembi noma eziyingozi) emgogodleni kungacindezela imizwa. Izimila zamathambo (ama-osteophyte) (esizibiza ngokuthi “izimila zamathambo”) nazo zingavimba lezi zimbobo.
• Isakhiwo semvelo somgogodla: Umsele womgogodla uyancipha kancane ngokwemvelo njengoba wehla ngomgogodla. Lesi esinye sezizathu ezenza lesi simo sivame esifundeni se-lumbar .
• Umehluko wesimo somzimba: Abanye abantu bazalwa benesakhiwo somgogodla esihlukile kancane. Akusho ukuthi bayagula, kodwa kungabenza babe namathuba amaningi okuthola i-foraminal stenosis. Abantu abane -scoliosis ( ukugoba komgogodla) nabo basengozini.

Ingabe lokhu kungabangela izinkinga?

Esikhathini esiningi, i-foraminal stenosis ayibangeli izinkinga ezinkulu. Kodwa-ke, ngezinye izikhathi okulandelayo kungenzeka:

• Ubuhlungu obungapheli: Ubuhlungu obuqhubekayo futhi okunzima ukulawula.
• Ubuhlungu obuthile bemizwa, njenge-sciatica: ubuhlungu obuhlabayo obuhamba phansi emlenzeni.
• Ukulimala kwemizwa: Ukulimala kwemizwa kungaba yinto ehlala njalo.
• Ubuthakathaka noma ukukhubazeka kwemisipha elawulwa yi-nerve efanele: Isitho singase sikhubazekile.
• Ukungakwazi ukuzibamba komchamo kanye namathumbu:Lokhu kubangelwa ukucindezelwa kwemizwa elawula isinyi namathumbu. Uma lokhu kwenzeka, kufanele ubonane nodokotela ngokushesha.
• Izinkinga zengqondo ezibangelwa ubuhlungu: Ukukhathazeka , ukucindezeleka, njll.
• Ubuhlungu kanye nokuncipha kokuguquguquka kuze kube sezingeni lokungakwazi ukusebenza ngokomzimba noma ukwenza imisebenzi yansuku zonke.

Odokotela bakuthola kanjani lokhu?

Udokotela uzoqala ngokukubuza ngezimpawu zakho bese enza ukuhlolwa ngokomzimba. Bangase ba-ode ukuskena kwe-MRI (Magnetic Resonance Imaging) ukuqinisekisa ukuxilongwa. Ukuskena kwe-MRI kungabonisa amathambo, imizwa, kanye nemisipha ngokucacile. Kodwa-ke, khumbula ukuthi i-foraminal stenosis ingabonakala ku-MRI, kodwa abantu abaningi abanazo izimpawu, ngakho-ke i-MRI ayidingeki ngaso sonke isikhathi. Kubantu abangakwazi ukwenza i-MRI (isibonelo, labo abane-pacemaker), ukuskena kwe-CT (Computed Tomography) kanye ne-myelogram kuyizinketho ezinhle kakhulu. Ngezinye izikhathi ezinye izivivinyo ezifuna izinkinga zemizwa nazo zingenziwa. Isibonelo, i-electromyography (EMG) kanye nezifundo zokuqhuba imizwa . Udokotela wakho uzokutshela ukuthi kudingeka ezinye izivivinyo ngokusekelwe emlandweni wakho wezempilo nezidingo zakho.

Yiziphi izindlela zokwelapha? Ingabe lokhu kungelapheka?

I-Foraminal stenosis ingelashwa, kanti kwabanye abantu ingalungiswa ngokuphelele. Kunezindlela eziningana zokwelapha. Kodwa-ke, ukwelashwa okufanele wena kungahluka kuye ngesimo sakho sempilo, imbangela ye-stenosis, nezinye izici. Udokotela wakho ungumuntu ongcono kakhulu wokukweluleka ngalokhu. Uma ungenazo izimpawu, isikhathi esiningi, akukho ukwelashwa okudingekayo. Ukwelashwa okulondolozayo kuvame ukucatshangelwa uma unezimpawu zokuqala, njengobuhlungu. Uma kuvela izinkinga, njengokulahlekelwa ukulawula umchamo noma ubuthakathaka bemisipha,, ukwelashwa okungenelelayo noma ukuhlinzwa kuvame ukudingeka. Ukwelashwa kungahlukaniswa ngezinhlobo ezintathu eziyinhloko:

1. Ukwelashwa Okulondolozayo

Lokhu ngokuvamile kuyindlela yokuqala yokwelapha okufanele uqale ngayo. Lokhu kuvame ukuhilela ukuphuza imithi nokushintsha imisebenzi.

• Ukuphumula okuhlobene: Uma lesi simo sibangelwa ukulimala nokuvuvukala, ukunciphisa ukunyakaza kungasiza. Kodwa-ke, ukuphumula embhedeni ngokuphelele akukhuthazwa.
• Ukwelashwa ngokomzimba: Lokhu kungandisa amandla omzimba kanye nokuguquguquka, futhi kunciphise umthelela wezimpawu.
• Imithi yomlomo yokulwa nokuvuvukala: Imithi efana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) inganciphisa ukuvuvukala okuzungeze inzwa futhi inciphise izimpawu.
• Imithi ye-steroid yomlomo: Le mithi inikezwa futhi ukunciphisa ukuvuvukala.
• Imithi ye-opioid ephuzwayo: Le mithi inikezwa isikhathi esifushane ngenxa yobuhlungu obukhulu. Kodwa-ke, ayinikezwa njalo ngenxa yengozi yokulutha.

2. Ukwelashwa Okungenelelayo

Lokhu kungaphezu nje kokwelashwa okulondolozayo. Ngezinye izikhathi ukujova ngemithi, njenge-steroids, emthanjeni othintekile kungasiza. Lokhu kujova kwenziwa ngaphansi kwe-X-ray ukuqinisekisa ukuthi umuthi uya endaweni efanele. Lokhu kujova ngezinye izikhathi kungabambezela isidingo sokuhlinzwa.

3. Ukwelashwa Kokuhlinzwa

Kulezi zinsuku, ukuhlinzwa kokunciphisa ukucindezeleka komgogodla kuvame ukwenziwa kusetshenziswa indlela engangenisi kakhulu . Lokhu kusho ukuthi kusetshenziswa ukusikwa okuncane, okunciphisa ukopha, ubuhlungu, kanye nesikhathi sokululama. Kunezinhlobo eziningana zokuhlinzwa ezingenziwa:

• Ukuhlinzwa kwe-Foramen: I-Foraminotomy iwukuhlinzwa okwandisa imbobo (i-neural foramen) lapho inzwa iphuma khona. I-Foraminectomy iyafana, kodwa futhi isusa ezinye izicubu ezizungezile ukuze yenze imbobo ibe nkulu.
• Ukuhlinzwa Kwamalunga E-Facet: I-Facetectomy ukususwa kwelungu lonke le-facet ukuze kuncishiswe ingcindezi emgogodleni nasezinzwa.
• Ukuhlinzwa kwe-Lamina: I-Laminotomy ukususwa kwengcezu encane yethambo nezicubu ezithambile ku-vertebra ukuze kuncishiswe ingcindezi emgogodleni noma emithanjeni. I-Laminectomy ukususwa kwengxenye enkulu ephakathi ye-vertebra.
• Ukususwa kwethambo eliqhumayo: Uma ama-bone spurs (ama-osteophyte) ecindezela imizwa, ukuwasusa kuzonciphisa nokucindezeleka.
• Isikhuthazi Sentambo Yomgogodla: Lokhu kuhilela ukufaka isikhuthazi sikagesi engxenyeni yomgogodla. Lesi sikhuthazi sithumela ugesi omncane emaseli asentanjeni yomgogodla. Lo mbane uvimbela lawo maseli ekuthumeleni izimpawu zobuhlungu. Lokhu kungaba usizo uma ukuhlinzwa kungaphumeleli noma kungenziwa.

Yiziphi izinkinga/imiphumela emibi yokwelashwa?

Ngenxa yokuthi kunezindlela eziningi zokwelapha, izinkinga nemiphumela emibi iyahlukahluka. Futhi, isikhathi sokululama nokuthi yini ongayilindela ngemva kokwelashwa kungahluka kumuntu nomuntu. Udokotela wakho angachaza kangcono imiphumela emibi ongase uyizwe kanye nesikhathi sokululama.

Ngingakwazi yini ukunciphisa noma ukuvimbela ngokuphelele ukwenzeka kwe-foraminal stenosis?

I-Foraminal stenosis yinto eyenzeka ngezindlela ezingalindelekile, futhi ngezinye izikhathi ayibonisi zimpawu. Ngakho-ke,Okwamanje ayikho indlela yokuvimbela lokhu noma yokunciphisa ingozi.

Yini okufanele ngiyilindele uma ngine-foraminal stenosis?

Ngokuvamile, lesi simo asibonakali. Abanye abantu batholakala benaso ngesikhathi sokuskena ngesinye isizathu. Abanye abazi ukuthi banaso. I-Foraminal stenosis ingabangela ubuhlungu emhlane ngaphambi kokuba kuvele noma yiziphi izimpawu zemizwa. Uma unezinhlungu emhlane isikhathi esingaphezu kwamasonto ambalwa, bona udokotela. Udokotela wakho anganquma ukuthi ubuhlungu bakho bubangelwa yi-foraminal stenosis noma okunye, noma akuthumele kuchwepheshe. Uma unezimpawu ezinzima njengokungazweli, ukuqaqamba, noma ubuthakathaka bemisipha - ikakhulukazi uma kuthinta izingalo noma imilenze yakho - bona udokotela ngokushesha okukhulu. Uma i-foraminal stenosis yakho inzima ngokwanele ukubangela lezi zimpawu, ingaholela ekulimaleni kwezinzwa kanye nezinye izinkinga ezinkulu.

I-foraminal stenosis ihlala isikhathi esingakanani?

Lokhu kungaba okwesikhashana noma kube unomphela. Uma kubangelwa yinto yesikhashana, njengokuvuvukala ngenxa yokulimala okuncane, kungase kuphele ngokwako. Kodwa-ke, uma kuhlotshaniswa nesimo esingamahlalakhona, noma uma kwenzeka ngemva kokuhlinzwa, noma uma kungenxa yesimo semvelo somgogodla wakho, kungenzeka ukuthi kube unomphela.

Iyini inhloso ye-foraminal stenosis?

Iningi lamacala e-foraminal stenosis awabangeli izimpawu. Ngisho noma i-stenosis inzima, cishe abantu abayi-17.5% kuphela abathola izimpawu. Uma ungenazo izimpawu, asikho isizathu sokukhathazeka (udokotela wakho uzokutshela ukuthi wenzeni ngqo). Uma izimpawu zenzeka, isimo singashintsha. Izimpawu ezincane zingalawulwa ngokwelashwa. Kwabanye abantu, ukwelashwa kungasiza ekulawuleni ukwanda kwezimpawu. Uma i-foraminal stenosis inzima, ukwelashwa okusheshayo, njengokuhlinzwa, kuvame ukudingeka ukuze kuvinjelwe isimo ukuthi singabi sibi kakhulu kanye/noma ukuvimba ukulimala kwemizwa okungapheli noma ezinye izinkinga ukuthi zenzeke.

Ngingazinakekela kanjani uma ngine-foraminal stenosis?

Uma une-foraminal stenosis, ngokuvamile awudingi ukwenza lutho olukhethekile noma wenze noma yiziphi izinguquko uze uqale ukuzwa izimpawu. Uma unobuhlungu emhlane, ungazama ukubulawula wedwa ekuqaleni. Kodwa-ke, uma buqhubeka ngemva kwamasonto ambalwa, bona udokotela.

Qaphela: Ubuhlungu buyimpawu okungafanele ungayinaki noma uzame ukuzelapha wedwa uma sebukhona isikhathi esingaphezu kwamasonto ambalwa. Ubuhlungu obungapheli ngokuhamba kwesikhathi bungashintsha indlela umzimba wakho nobuchopho bakho obucubungula ngayo izimpawu zobuhlungu, okuholela ezimweni ezifana ne-Central Pain Syndrome.

Uma udokotela wakho ekuxilonga ukuthi une-foraminal stenosis, uzokuqondisa ukuthi ungazinakekela kanjani futhi akusize ukhethe izindlela zokwelapha ezitholakalayo.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unesihlungu esibuhlungu esiphuthumayo, esibuhlungu emhlane, ikakhulukazi ngenxa yokulimala, noma uma uvele ube nezimpawu zokuthi ungaba nenkinga ngomgogodla wakho noma imizwa, hamba uye ekamelweni eliphuthumayo eliseduze. Izimpawu ezinjalo zifaka:

• Ubuthakathaka bemisipha ngokuzumayo emlenzeni owodwa noma yomibili.
• Awukwazi ukulawula ukugeleza komchamo noma kwendle.
• Ubuhlungu obukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke.

Ingakanani ingozi ye-foraminal stenosis?

Lesi ngokuvamile akuyona inkinga enkulu. Abantu abaningi abazi nokuthi banayo ngoba abanazo izimpawu. Kuba yimbi kakhulu uma ukucindezeleka kwemizwa kukhulu ngokwanele ukubangela ubuthakathaka bemisipha, ukungazweli, noma ukulahlekelwa umuzwa.

Uyini umehluko phakathi kwe-Spinal Stenosis kanye ne-Foraminal Stenosis?

I-Foraminal stenosis uhlobo lwe -spinal stenosis . Ithinta indawo ethile yomgogodla, indawo lapho imizwa iphuma khona emgogodleni iye kwezinye izingxenye zomzimba (i-neural foramen). I-spinal stenosis ingaba ukuncishiswa kwanoma iyiphi ingxenye yomgogodla, hhayi nje i-neural foramen. Kungaba futhi inhlanganisela yakho kokubili.

Yikuphi ukwelashwa okungcono kakhulu kwe-Foraminal Stenosis?

Ukwelashwa okungcono kakhulu kwalokhu kungahluka kumuntu nomuntu. Ukwelashwa okusiza umuntu oyedwa kungase kungamsizi omunye. Udokotela wakho angakuchazela kangcono ukwelashwa okutholakalayo, ikakhulukazi lokho okuzokusiza kakhulu futhi okuzofanelana nemigomo nezidingo zakho.

(Umyalezo Wokuya Nawe Ekhaya)

Ngakho-ke, into ebaluleke kakhulu ongayifunda nge-Foraminal Stenosis ukuthi uma unezimpawu ezifana nobuhlungu bomhlane, ukungazweli, ukuqaqamba, noma ukulahlekelwa umuzwa ezithweni zakho, ungazinaki nje. Into ebaluleke kakhulu ukubona udokotela bese uthola ukuthi inkinga iyini ngempela. Ezimweni eziningi, kunezindlela zokwelapha ezinhle zalesi simo esibizwa ngokuthi i-Foraminal Stenosis. Uma usibona kusenesikhathi, unethuba elihle lokusilawula nokuselapha ngaphambi kokuba sibangele izinkinga ezinkulu kanye nomonakalo wezinzwa unomphela. Khona-ke uzokwazi ukwenza izinto ozithandayo ngaphandle kokunciphisa impilo yakho. I-Foraminal stenosis, ubuhlungu bomhlane, ukucindezelwa kwezinzwa, ukungazweli, umgogodla, i-MRI, ukwelashwa ngokomzimba