Incroachment inoreva kushandiswa kwemasimba emumumvuri, akadai seforamina kana mugero wepasipinha , inotarirwa nechigunwe chemuviri chisiri chaipo. Nzira yekushungurudza midzi, kunyanya, inokanganisa nzvimbo munharaunda.
Izvo zvose chirwere chepasipinha uye intervertebral foramina zvine mishonga inotyisa - rupempa rwonzi mumugwagwa wepasipinha, uye musana wemagunha midzi muforamina.
Kana zvisikwa zvisingawanzoitiki, zvingava pfupa remapfupa, rakasvibiswa gumbo, rakabva raenda mumatare kana zvimwe scylovial cyst, rinotora chikamu chimwe kana nzvimbo yose, inopinda mumatope aripo imomo.
Kusangana pakati pezvinyama zvinoputika uye mitsipa iyo iyo miviri inogadzirisa inogona kukonzera marwadzo uye / kana zvimwe zviratidzo.
Paunenge uine ruzivo rwehutano hwemitsipa, hutsika hune simba hunoita kana hunovhiringidza maronda emusana. Mutsipa wespinha midzi ndeyekusanganiswa kwemitsipa yakave yakashambadza kubva pamutsipa mukuru wepelinha uye iri munzira yekubuda kunoshumira muviri wose. Basa ravo nderekudzosera kunzwa uye kufambisa mafungiro mune zvose nhengo uye zvisikwa uye kubva kuuropi. Mutsipa wesiperesi midzi inowanikwa muforamina.
Zviratidzo zvinowanzobatwa nehutano hwemitsipa, uye naizvozvo mumatambudziko mazhinji ekuputika, zvinosanganisira kurwadziwa shure uye / kana kushaya simba, kupera kana magetsi anonzwa achidzika pasi petsoka rimwe.
Chinokonzerei Nerve Root Kudzora?
Nzira inoputika inowanzokonzerwa nekuchinja kunokanganisa muzvivako zvepamusoro, kusanganisira diski, zvinyorwa zvezvikamu uye dzimwe nzvimbo.
Kuchinja kwechigadziro kunowanzobatanidzwa nechepakati ye canal stenosis, iyo inonzi spinal stenosis inokanganisa chirwere chemusana.
Inosanganisirawo neuroforaminal stenosis, rudzi rwepinini stenosis inobata intervertebral foramina.
Unofanira Kuve Nokuvhiya Kunodzivirira Kuita Chimbichimbi Here?
A 2017 kuongororwa kwezvidzidzo zvakabudiswa mupepanhau Medicine zvakawana kuti kuvhiringidzika kunorwadza kwekuputika (nemhaka yekuoma kwepenjini yako, kunyanya kureba kwenguva refu) inowanzoitwa nguva pfupi mukurapa. Asi iwe unofanira kuenda kune imwe nzvimbo kuti uve nechirwere chekudzivirira kudzvinyirira, kureva kuti zviratidzo zvisati zvazvizivikanisa?
Dzimwe nyanzvi dzepasi dzinokurudzira izvi.
Kuvhiyiwa kwekudarika kunowanzoitwa nenzira inoshandiswa kumashure iyo inobvisa chikamu che vertebra kuitira kuti nzvimbo yehutachiona iwedzere kusinganzwisisiki kuburikidza nenzvimbo yayo.)
Izvo izvo vanovhiya ava vanoedza kuedza kukuudza - uye vazhinji vanotenda zvechokwadi izvi - ndeyekuti kunyange nekutambudzika kwakanyanya, dambudziko rako remusana wechipfupa chakanyanya kudarika nekuda kwekuputika.
Mutsipa wechipfuva kukuvadzwa uku kukuvadza kwakanyanya kunogona kukonzera rufu kana kuora mwoyo. Inowanzokonzerwa nekushungurudzika kana kuitika.
Chidzidzo che 2015 chakaitwa Chang, et. al. rakabudiswa munaOctober magazini yeNeurosurgery yakarangarira munyaya iyi nokuti, vanyori vanoti, varwere vane kervical stenosis asi avo vanoona zviratidzo zvishoma kana kuti hapana nguva dzose vane chirwere chinodzvinyirirwa chakakurudzirwa kwavari- zvakare, chinofanirwa kuderedza kana kubvisa mukana wekufa mutezo shure kwechiitiko chinotyisa.
Vatsvakurudzi vakatsvaga 55 varwere vekervical stenosis vane chirwere uye x-ray. Vachiremba vakaongororwawo nemibvunzo yakadai seyi:
- Ane chiremba akakurudzira kuvhiyiwa mutsi kwauri here?
- Ane chiremba akamboratidza kuti iwe unenge wakaoma mutezo shure kwechiitiko chinotambudza here?
- Munguva yekutevera nguva yekudzidza iyi, wakamboona chiitiko chinotyisa here?
Vatsvakurudzi vakawana kuti 18 muzana yevarwere vakaona chiitiko chinotambudza mushure mekuvhiyiwa, asi hapana kana mumwe wavo akakuvadza mutsara waro. Vanyori vanopedzisa kuti "kuitika kwepaupa yekukuvara kwechigunzva (SCI) mumurwere uyu mushure mekusava nematambudziko maduku kunenge kuduku kudarika vazhinji vanachiremba vanofungidzira."
Zvakangofanana, juri rinenge riri kunze kweiyo; iyo inyaya yakakosha kune vakachengetedzwa mukuchengeteka uye hupenyu hwakanaka kuti vatsvakurudzi vanokurudzira kuti zvimwe zvidzidzo zvinotarisirwa zviitwe.
Chimwe chinhu chokufunga nezvazvo ndechekuti zvinogona kukuvadza mutsara wako mukati mekuvhiyiwa shure. Chirongwa che 2016 chekuongororwa chakawana kuti mamwe maitiro ekuvhiya kweropa rekumbar akabatanidzwa nehukuru hwekukuvadza kwakadai kune vamwe. Munyori wacho akawana kuti, zvichienderana nehuwandu hwekuvhiya uye chidzidzo chiri mubvunzo, njodzi inowanikwa kubva ku 0% nokuda kwekuzarura laminectomy , iyo inowanzoshandiswa mumagariro epinini stenosis kusvika kune 45.8% apo bone morphogenic protein-2 yakanga iri yakashandiswa neTFIL kuvhiyiwa. TFIL inomirira transforaminal lumbar interbody fusion; iyo inzira yekufurisa iyo chiremba anopinda mumutsipa wako kubva kumashure.
Yeuka kuti chisarudzo chekuvhiyiwa ndechekupedzisira. Funga kutora nguva yakakodzera kuongorora zvaunogona kuita usati wazvibvuma.
Sources:
> Chang, V. Ellingson, BM, Salamon, N., Holly, LT Dambudziko reApinal Cord Cord Inokuvadza Pashure Pechidiki Chirwere Chirwere Muvarwere Preexisting Cervical Stenosis. Neurosurgery. 2015 Gumiguru.
> Epstein, N. Zvimwe zvinokonzera nerve midzi zvinowanikwa nechepasipo inopisa chirwere chekuvhiya, kunyanya zvakanyanya lateral interbody fusion: A review. Surgery Neurol Int. Jan. 2016.
> Wu, D., MD, uye. al. Kugadziriswa kwepervical spondylosis nokuda kwekutsvaga kwemashure ekureba kwenguva refu. Aug 2017.