Nzira yeNeuralforaminal Stenosis Inokonzera Sei kurwadziwa?
Neuralforaminal stenosis rudzi rwe stenosis runopfigira masango ayo mawere emusana anopfuura achienda kumativi ose emuviri kubva mumutsipa wespelinha. Makomba aya, anozivikanwa seforamen, ari pamativi emakona ako ekutenderera kune ose mazinga, kana chikamu chemukati. (Chikamu chimwe chinotarirwa kumusoro nepamusoro nemajovhe echinyorwa .)
Paunenge uine neuralforamenal stenosis, kukura kwebony kana kusagadzikana - izvo zvinowanzokonzerwa nekuchinja kwezera uye / kana kukanganisika kunoitika mumutsana - kuputika pane nzvimbo inowanzopiwa neforamen. Izvo zvinyorwa, zvakare, zvinoderedza huwandu hwenzvimbo inowanika mune zviri mukati, zvakadai semasana emutsipa (pamwe nezvimwe zvinhu), kuti igare yakakodzera.
Zviratidzo Zvinozivikanwa
Saka zvinorevei izvo zvinoreva zviratidzo zvako? Kupindirana kunobata sei mararamiro aunoita kana une neuroforamenal stenosis?
Chinhu chokutanga kuchengeta mupfungwa ndechokuti mishonga inokanganiswa neurouropmainal stenosis inongova-mitsipa. Basa ravo nderokutaura mazwi ekunzwa uye maitiro kune uye kubva munharaunda yenyu yepamusoro yenheyo (iyo inoumba uropi hwako nemutsara wako). Kana, nekuda kwekushaya stenosis inowanikwa mumvura yako, chirwere chemvura chinokanganiswa kubva pakuita basa rayo - mune mamwe mazwi, kana rakamanikidzwa kana kuti rakatsamwiswa sezvo rinosangana nemasangano akavakidzani - iwe unogona kunge uine zviratidzo zvine chokuita nekupera iyo nerve iyo inowanzoitirwa iwe.
Chiratidzo chikuru che neuroforamenal stenosis kazhinji radiculopathy . Radiculopathy inogona kuonekwa sekurwadziwa, kushaya simba, kupera, kushaya simba, kupisa kana kupisa kwemagetsi anowira pasi rimwe gumbo kana imwe ruoko (zvichienderana nokuti stenosis yako inowanikwa mumutsipa wako wezasi kana mutsipa wako.)
Neuralforaminal stenosis haisi yega yega yehutano iyo radiculopathy ndiyo zviratidzo zvikuru.
Imwe tsvina yeylandeni ndeyeimwe muenzaniso.
Dr. Allen Wilkins, MD, weManhattan Physical Medicine and Spine, inotaura kuti zviratidzo zve radiculopathy zvinowanzoitika mune imwe nzira pamwe chete nechepamusoro apo iyo nerve inokanganiswa nekufamba kwako kwetenstenosis. Nzira chaiyo inotanga kusarudzwa uye inofananidzwa kune dzimwe nzvimbo umo maitiro anowanzoshandisa simba ravo. Iyi nharaunda inozivikanwa seedermatomes .
Dhiyabhorosi By Byron, Associate Professor of Neurosurgery, Mutungamiri weSpinal Column Biomechanics uye Zvokuvhiya Zvakawanikwa Laboratory paJohn Hopkins Medical School uye Clinical Director of Spine Surgery paJohn Hopkins Bayview Medical Center inotsanangura dermatomes (munyaya ye neuroforaminal stenosis) semiganhu ye kugoverwa pamwe nemaoko kana makumbo apo apo zviratidzo zviripo, zvinopindirana nehutano huri kunyorwa. "Zviratidzo zve-neuroforaminal stenosis zvinowanzoenderana nemigwagwa yekuparadzira," anodaro.
"Kuoma kwemitsipa yekervical kunokonzera zviratidzo mumaoko; kuwirirana kwemitsipa inonzi thoracic inokonzera zviratidzo mumutsara uye kuwedzerwa kwemitsipa iri mumakumbo emakumbo kunokonzera zviratidzo mumashure nemakumbo, "anodaro.
Dr. Robert Bray, neurosurgeon paDIYC Sports neSpine Center muMarina del Rey, California anobvumirana uye anotsanangura kuti "nhengo imwe neimwe ine basa rakasiyana muhudyu kana gumbo.
Semuenzaniso, anondiudza, mumutsipa, mutsara weC-5 unofambisa mapepa uye biceps musungo, asi ruzivo rwemazinga eC-6 runotungamira mberi. Muchidimbu chemashure, mitsipa ye-L-4 inodzora mutsara we quadriceps, mutezo weL-5 unotora imwe yemhuru uye zvigunwe zvikuru. Munharaunda yako ye sacral, anoti, S-1 nerve inodzora zvimwe zvikamu zvemhuru uye zviduku zviduku.
"Mutsipa unonzi stenosed muforamen ucharatidza radiculopathy munzvimbo chaiyo inobata kana kutonga.Ndicho chikonzero iwe unonzwa kana kuona zviratidzo mune imwe nzira," Bray anotsanangura.
Wilkins anowedzera kuti zvichienderana nezvinhu zvakasiyana-siyana zvinosanganisira maitiro ako chaiwo, nzira iyo neuroforaminal stenosis inokura uye iyo maronda emumumvuri akabatwa, zviratidzo zvinogona kusiyana nezvirwere kune murwere.
Kakawanda, kunyange, kana musungo uchinetseka, Wilkins anoti kurwadziwa ndicho chinhu chokutanga kuratidza, saka kunzwisisika kana kutinhira kunotanga kunotanga, uye pakupedzisira, motokari yemhepo inoshandiswa kune nharo yakagadzikana inogona kuguma.
Wilkins anotaurawo kuti vanhu vane neural foramina stenosis vanowanzosangana nemarwadzo, kusvibiswa kwemaviri, kupera kwekushaya simba, kupera kwekushaya simba uye kugunzva, kupisa kupisa kutsva kumucheto. Anowedzera kuti varwere vanowanzofananidza marwadzo anorwadza uye kurira kana kutsva kunzwa munharaunda inobatanidzwa. Kuderedza kusuruvara uye kurasikirwa kwema motokari, zvinokonzerwa nekubatanidzwa kwemishuti inogona kunge iripo, anodaro.
Dhiyabhorosi Bydon anotsigira kuti zviratidzo izvi zvinogona kuitika nekuda kwekumanikidzwa kwemutsara sezvainobuda mumutsana. Pamwe pamwe nedzimwe zviratidzo zvinotaurwa pamusoro apa, anoti, musungo unomanikidzika nemhaka ye-neuralforamenal stenosis inogona kunzwa sekurwadziwa kwekuputira pasi kumucheto.
Sources
Email Hurukuro. Bray ,, Robert S. Jr., MD. DISC Sports & Spine Center. Marina del Rey, CA. December 2013.
Email Hurukuro. Bydon, A., MD. Purofesa weDeurosurgery, Co-Director of Neurosurgery Medical Student Education, Director of Neurosurgery Undergraduate Education Student, Director of Spinal Column Biomechanics and Surgical Outcomes Laboratory paJohn Hopkins University, Clinical Director of Spine Surgery paJohs Hopkins Bayview Medical Center. December 2013.
Email Hurukuro. Wilkins, A., MD. Manhattan Physical Medicine uye Kuvandudza. New York. December 2013.