Kugumburwa Kubva Pamupinyi Stenosis
Intermittent neurogenic claudication ndeimwe yemhando miviri miviri yemakumbo makumbo anowirirana nechitsika chekufamba. "Neurogenic" inoreva kuti zviratidzo zvinomuka apo mishonga inokonzerwa nemagariro e-lumbar spinal stenosis. Imwe mhando yezvinyorwa zvinopindirana-zvinyorwa zvinokonzera mutsara zvinowanzoenderana nehutachiona hwevascular disease (PVD).
Mikana ndeyekuti, zvose zviri zviviri zvinyorwa zvinopindirana zvichange zvakaita rutivi rwenzira, zvishoma nezvishoma, zvirongwa zvako zvekushanda, asi nzira iyo umwe neumwe anoita izvi zvakasiyana.
Nechipupuriro chemascular, mishonga yeropa yakamanikana kusvika pakanyanya kuwanda kweropa rinoyerera kuburikidza navo hazvina kukwana kugadzirisa zvido zvemuzasi wako. Muzviitiko zve-neurogenic claudication, yako lumbar spine (yakaderera shure) inogara munzvimbo yakareba kwenguva yakareba. Izvozvi, zvinotapudza kana chirwere chako chepelinha kana kuti neuroforamen yako kusvika pakananga maziso ane masero anowanzopfuura kuburikidza asina kukanganiswa anosimbiswa nefupa riri pedyo.
Zviratidzo
Neurogenic claudication inongova syndrome kana kuunganidza zviratidzo. Iyo yakabatana nekugadzirisa uye inogona kuratidzika semarwadzo muchepasi kumashure uye / kana gumbo semasumbu emakumbo. Kubatanidzwa kwepelinal stenosis nemamwe mashure ekudzoka akadai sokukwezva kunokonzera kudzvinyirira kunonzi lumbosacral nerve roots uye / kana kuti the cauda equina.
(The cauda equina-iyo inoreva muswe webhiza -isiri yakasununguka yemitsipa yakafanana nemuswe. "The cauda equina inowedzera pasi payo chikamu chikuru chemusana wecinara.
Zviratidzo zvepakati pezvinonzi neurogenic claudication zvinowanzoendeswa mberi nekufamba uye / kana kutambanudza musana kumashure (zvakare, kubvisa musana wako,) uye kununurwa nokukotama, kugara, uye / kana kupfugama mberi pachiuno.
Zvimwe zviratidzo zvepakati pezvinokonzerwa neurogenic claudication zvinosanganisira zvipukiso uye nheyo dzinoenda pasi petsoka dzako, uye utera. Zvinetso zvemuviri kana chekuya zvinogona kuitika kana chirwere cheurourogenic chakanyanya.
Nemhaka yokuti lumbar spinal stenosis inowedzera kwekufamba kwenguva uye haisi semugumisiro wenguva imwe chete, chiratidzo chinotora nguva zvishoma zvisati zvaonekwa, zvakare.
Kurapa
Kurapa kwechirwere chinonzi neurogenic kunotanga zvakakodzera. Chiremba wako anogona kupa mishonga inorwadza uye / kana chirwere chepanyama . Kana uri kuona chiremba wepanyama chekushaya chirwere chinonzi neurogenic claudication, zvichida iwe uchapiwa maitiro anosimbisa kuchinja mafungiro ako mberi.
Mimwe mishonga inogadziriswa ye lumbar spinal stenosis inosanganisira kugadzirisa basa rako, kupfeka mushure kana bhanhire, uye / kana kuva nemakumbo emagunha epidural kuti adzore kurwadziwa. Iyo North American Spine Society inotaura kuti rutivi rwemapinari epidurals injections (ine mishonga ye-steroid) inogona kubatsira kubvisa marwadzo kubva mukati memazwi neurogenic claudication (pamwe nehudhiculopathy) munguva yapakati. Vanotsanangura nguva yakasvibirira semwedzi 3 kusvika ku36.
Kana kuenderera mberi kurwadziwa kubva mukati memazwi eurourodicic neurogenic kunopindira zvikuru nemararamiro ako, zvinogona kuva chiratidzo chokuti unoda kuvhiyiwa zvakare.
Kazhinji, laminectomy (inozivikanwawo kuti chirwere chekudzivirira) ndiyo nzira inopiwa nokuda kwepelinal stenosis. Kurukurai zvaunogona kuita nachiremba wako kuti uve nechokwadi.
Mutsanangudzo iri muJanuary 6, 2010, magazini yeAriginal Medical Association , Dr. Alexander Haig nevamwe vake vakataura kuti kuvimbika, kune----board mitemo yekuongorora nekuchengetedza kwekuchengetedza kwepalist stenosis inoshaikwa. Izvi zvinogona kureva kuti vamwe vanachiremba vachashandisa MRI, CT scans uye / kana EMG miedzo kuongorora mamiriro ako, asi vamwe vangave vasina. Zvinogonawo kureva kuti vamwe vanachiremba vangangodaro vari "kukusimudzira" mukuvhiya kumashure pasina kutanga kupa mishonga yekuchengetedza mukana mukana.
Ita tsvakurudzo yako uye taura nachiremba wako pamusoro pezvose zvaunogona kusarudza usati wasarudza zvokuita.
Kunobva:
> Brunicardi, F. et.al. Schwartz's Surgery. Chitsauko 41. Neurosurgery. Chikamu II. Kunyatsofungisisa. McGraw-Hill. Inowanikwa paIndaneti: Access Medicine. May 2010.
> Comer, C., uye. al. Kuongororwa nekugadziriswa kwemagetsi anonzi neurogenic claudication anokonzerwa ne lumbar spinal stenosis mu UK inonyanya kushandiswa musculoskeletal service: kuongororwa kwezvino kuitwa pakati pe physiotherapists.BMC Musculoskeletal Disorders 2009.
> Andrew J. Haig, MD; Christy C. Tomkins, Ph.D. Kuongororwa uye Kutungamirirwa kweLumbar Spinal Stenosis. JAMA. 2010; 303 (1): 71-72.
> Nadeau, M., MD Kuvimbika kwekuparadzanisa neurogenic claudication kubva kujekesiti yemasculaya yakabva pane zviratidzo zvinoratidza. Can J Surg. Dec. 2013. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859778/
> North America Spine Society (NASS). Kuongororwa uye kurapwa kwechiremera lumbar spinal stenosis. Burr Ridge (IL): North American Spine Society (NASS); 2011.