Chii chinonzi Neuroforaminal Stenosis?
Spinal stenosis ishoko rinoreva kureva imwechete kana kuti dzimwe nzvimbo mumutsara wemusana. Kazhinji, yakabatana neArthritis, iyo inoreva kuti kuderedza kunowanzokonzerwa nekuchinja kunogadzirisa kunoitika mumapfupa emusana kwepanguva uye / kana nekuda kwekukuvara.
Simba reSpinal stenosis rinogona kuitika chero kupi nekureba kwepamusoro; zvisinei, zvinowanzoonekwa mune mutsara (pasi yakaderera) uye nzvimbo dzemumutsipa (mitsipa) dzakawanda.
Kune marudzi maviri epelinal stenosis: Central canal stenosis uye neuroforaminal stenosis. Izwi rokuti "central canal stenosis" rinoreva kuderera kwemugero wepasipinha, iyo nzvimbo isina nzvimbo pakati pemutsara wepelinha. Central canal stenosis zviratidzo zvinowanzoonekwa mune zvikamu zvemuviri wakashanda neavo vakavhiringidzika mumharapara uye pasi.
Central Canal Stenosis
Munyaya ye lumbar central canal stenosis (kwete chiberekiti,) zviratidzo izvi zvinowanzobatanidza neurogenic claudicatio n iyo inorudzi rwekurwadziwa mumakumbo anounzwa nekufamba. Nengozi yakawanda yekuwira kune imwe chiratidzo inowanzoonekwa.
Cervical spine central canal stenosis inogona kutungamirira kusakanganiswa mubhuku rako rekutsvaga; izvi zvinogona kukanganisa zvinhu zvaunoita namaoko ako zvakadai sekutakura zvikwereti, mabheji kana zvimwe zvinhu, mabhodhi ekuputira uye majasi, kusunga shoelaces nekunyora.
Zvimwe zviratidzo zvechirwere chepakati mukati me canal stenosis zvinosanganisira kuchinja kukuru mumanzwiro ako ekufunga, manzwiro ekuti iwe hauna simba kudarika iwe waimbova, kushanduka mumararamiro ako, chifukidzo uye / kana kushaya kushanda, uye nezvimwe.
Neuroforaminal Stenosis
Neuroforaminal stenosis inotsvedzana inowanikwa muforamina .
Foramina imakomba inowanikwa kune rumwe rutivi rwemutsara wepelinha; iwo maduku kudarika chirwere chepinini. Mutsipa wepeminha inobva kuforamina mushure mekubvisa kubva pamutsipa wepelinha. Iyi mitsetse inozoenda kune dzimwe nzvimbo dzomuviri kuti inotora manzwiro uye kuendesa kuuropi kuti idudzirwe, uyewo kutora mafungiro okufamba kubva muuropi kusvika kumisungo.
Dr. Robert Bray, neurosurgeon paDIRC Sports uye Spine Center muMarina del Rey, California inoti nenzira yakasiyana nechepakati ye canal stenosis, neuroforaminal stenosis inokanganisa hutano huripo pane imwe nzvimbo yakakwana iyo stenosis iripo.
Mune mamwe mazwi, mu-neuroforaminal spinal stenosis, kana imwe yemhando yepamusoro kana mazinga (mazinga anonzi zvikamu ) haaine kuchinja kwebonyera kunokonzera kugadzirisa kwemainamina, zvino zviratidzo zvine chokuita neyozinga hazvizovipo. Izvi hazvikudziviri kuti uve nezviratidzo zvachose, zvakadaro. Kana zvimwe zvikamu zvepamusoro wako zvakaderedzwa, unogona kunzwa kurwadziwa kwakabatana uye zvimwe zviratidzo semugumisiro.
Sezvo nechepakati ye canal stenosis, neurogenic claudication (zvakare, kurwadziwa kwegumbo uye kuputika pamusoro pekufamba) chiratidzo chimwe cheeuroforaminal stenosis.
Ichokwadi, inofungidzirwa sechiratidzo chekare. Neurogenic claudication inobatana nekugadzirisa, kunyanya kushanda kwako kwepamuviri kunobata nzvimbo muforamina (yakakurukurwa pamusoro apa.)
Chidzidzo che 2017 chakatora kuti kushanduka (kumira mberi) kunowedzera kuwedzera nzvimbo munzvimbo yekugadzirira. Izvi zvinowedzera kubvisa zviratidzo nokuti nerve ine nzvimbo yakawanda.
Chii Chinokonzera Spinal Stenosis?
Zvipembenene mumutsana zvinogona kuderedzwa nezviitiko zvakawanda, anodaro Dr. Allen Wilkins weManhattan Physical Medicine uye Rehabilitation. Pakati pezvinonyanya kuzivikanwa ndezvokukanganwa, arthritis yezvimwe zvikamu zvakapoteredza zvinyorwa, mabhuruti eti, uye synovial cysts.
Dr. Ali Bydon, Associate Purofesa weNeurosurgery, Mutungamiri weSpinal Column Biomechanics uye Zvokuvhiya Zvitsva Laboratory paJohn Hopkins Medical School, uye Clinical Director of Spine Surgery paJohn Hopkins Bayview Medical Center anobvumirana, achiwedzera kuti disc space inoparara, facet hypertrophy (iyo iri zvakafanana naDr Wilkins kuongorora kwechikamu cheArthritis pamusoro apa) uye spondylolisthesis zvimwe zvinokonzera zvinokonzera.
"Chimwe chezvinhu izvi zvinowanzova zvakajairika kana vanhu vachikwegura, asi zvinogonawo kuva mugumisiro wokukuvadzwa kunorwadza," Bydon anotaura.
Kungofanana nekufamba kwenguva - kusanganiswa nemigumisiro yehupenyu hwehupenyu hwako pamharapara yako - inogona kunge yakadzika pamidzi yako neuroforaminal stenosis. "Neuroforaminal stenosis inokonzerwa nekusakara nekuvhara, nekukwegura kwekubatana kana kana chibatanidzwa chakakuvadzwa uye hachiregi kwenguva, pakati pezvimwe zvikonzero, Dr. Bray anopedzisa.
Kana iwe uchida kurapa maitiro ekurapa neuroforaminal stenosis, taura nachiremba wako. Kuti uwane ruzivo rwevanhu vose, verenga Neuralforaminal Stenosis Treatment .
Sources:
Email Hurukuro. Wilkins, A., MD. Manhattan Physical Medicine uye Kuvandudza. New York. December 2013.
Freedman, B., Hoffler, C., Cameron, B., Rhee, J., Bawa, M., malone, D. Bent, M. Yoon, T. A Kuenzaniswa kweComputed Tomography Nzira dzekuongorora Chirwere cheCervical Spinal Stenosis Isangano Myelopathy: A Case-Control Study Asian Spine J. Feb 2015. Kuwana: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330215/
Lee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Chiitiko Chava Kuvandudzwa Nokuongorora kweMabhuku. Asian Spine J. Gumiguru 2015 Nha. Oct. Kuwana: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Kuongororwa kwekuchinja mumararamiro euroforaminal emakondomu muvanhu vechidiki vane zvirwere vanoshandisa MRI. Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511