Mlembi: Janice Evans
Tsiku La Chilengedwe: 4 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
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Spinal stenosis ikuchepera pamtsempha wam'mimba yomwe imayambitsa kupsinjika kwa msana, kapena kutseguka kwa mipata (yotchedwa neural foramina) pomwe misana yam'mimba imachoka pamtsempha.

Spinal stenosis nthawi zambiri imachitika munthu akamakalamba, komabe, odwala ena amabadwa ali ndi malo ochepera msana wawo.

  • Ma disks a msana amawuma ndikuyamba kutupa.
  • Mafupa ndi mitsempha ya msana imakula kapena kukula. Izi zimayambitsidwa ndi nyamakazi kapena kutupa kwanthawi yayitali.

Spinal stenosis amathanso kuyambitsidwa ndi:

  • Matenda a nyamakazi a msana, nthawi zambiri amakhala azaka zapakati kapena achikulire
  • Matenda a mafupa, monga matenda a Paget
  • Kulephera kapena kukula mumsana womwe udalipo kuyambira pakubadwa
  • Ngalande yopapatiza yamtsempha yomwe munthu adabadwira
  • Herniated kapena slipper disk, yomwe nthawi zambiri imachitika m'mbuyomu
  • Kuvulala komwe kumayambitsa kupanikizika pamizu ya mitsempha kapena msana
  • Ziphuphu mumsana
  • Kuthyoka kapena kuvulala kwa mafupa a msana

Zizindikiro nthawi zambiri zimakula pang'onopang'ono pakapita nthawi. Nthawi zambiri, zizindikilo zimakhala mbali imodzi ya thupi, koma zimatha kuphatikizira miyendo yonse.


Zizindikiro zake ndi izi:

  • Kunjenjemera, kuphwanya, kapena kupweteka kumbuyo, matako, ntchafu, kapena ng'ombe, kapena m'khosi, mapewa, kapena mikono
  • Kufooka kwa gawo limodzi la mwendo kapena mkono

Zizindikiro zimakhala zoti zimakhalapo kapena zimaipiraipira mukaimirira kapena poyenda. Nthawi zambiri zimachepetsa kapena kutha mukakhala pansi kapena kutsamira patsogolo. Anthu ambiri omwe ali ndi msana wam'mimba samatha kuyenda kwa nthawi yayitali.

Zizindikiro zowopsa ndizo:

  • Zovuta kapena kusachita bwino poyenda
  • Mavuto owongolera mkodzo kapena matumbo

Pakati pa kuyezetsa thupi, wothandizira zaumoyo wanu ayesa kupeza komwe kuli ululu ndikuphunzira momwe zimakhudzira mayendedwe anu. Mudzafunsidwa kuti:

  • Khalani, imani, ndikuyenda. Mukamayenda, omwe amakupatsani akhoza kukufunsani kuti muyesere kuyenda ndi zala zanu kenako zidendene.
  • Bwerani kutsogolo, kumbuyo, ndi chammbali. Kupweteka kwanu kumatha kukulirakulira ndi kusunthaku.
  • Kwezani miyendo yanu molunjika mutagona. Ngati kupweteka kukukulirakulira mukamachita izi, mutha kukhala ndi sciatica, makamaka ngati mukumvanso dzanzi kapena kumva kulira mwendo umodzi.

Wothandizira anu amayendetsanso miyendo yanu m'malo osiyanasiyana, kuphatikiza kupindika ndikuwongola mawondo anu. Izi ndikuti muwone mphamvu yanu ndi kuthekera kwanu kusuntha.


Poyesa kugwira ntchito kwa mitsempha, omwe amakupatsani amagwiritsa ntchito nyundo ya raba kuti muwone momwe mukuonera. Kuti muwone momwe mitsempha yanu imamverera bwino, omwe amakuthandizani amakhudza miyendo yanu m'malo ambiri ndi pini, swab ya thonje, kapena nthenga. Kuti muwone ngati mukuyenda bwino, omwe akukuthandizani adzakufunsani kuti mutseke maso anu ndikukhazikitsana.

Kuyezetsa magazi ndi kwamanjenje (neurologic) kumathandiza kutsimikizira kufooka kwa mwendo ndikumva kuwawa m'miyendo. Mutha kukhala ndi mayeso otsatirawa:

  • Spinal MRI kapena msana wa CT scan
  • X-ray ya msana
  • Electromyography (EMG)

Omwe amakupatsirani ntchito komanso othandizira azaumoyo akuthandizani kuthana ndi ululu wanu ndikukhalabe achangu momwe mungathere.

  • Wothandizira anu akhoza kukutumizirani chithandizo chamankhwala. Wothandizira zakuthupi akuphunzitsani zolimbitsa ndi zolimbitsa thupi zomwe zimalimbitsa minofu yanu yam'mbuyo.
  • Muthanso kuwona chiropractor, Therapist Therapist, komanso munthu amene amachita kutema mphini. Nthawi zina, maulendo ochepa amakuthandizani kupweteka msana kapena khosi.
  • Ma phukusi ozizira komanso othandizira kutentha kumatha kuthandizira kupweteka kwanu mukamayaka.

Chithandizo cha kupweteka kwakumbuyo komwe kumayambitsidwa ndi msana stenosis ndi awa:


  • Mankhwala othandizira kupweteka kwakumbuyo.
  • Mtundu wamankhwala olankhula amatchedwa chidziwitso cha chithandizo chamakhalidwe kuti chikuthandizireni kumvetsetsa kupweteka kwanu ndikukuphunzitsani momwe mungathetsere kupweteka kwakumbuyo.
  • Jekeseni wamtsempha wam'mimba (ESI), womwe umaphatikizira jakisoni wamankhwala molunjika m'malo ozungulira misana yanu kapena msana.

Zizindikiro za msana wamatenda nthawi zambiri zimaipiraipira pakapita nthawi, koma izi zimatha kuchitika pang'onopang'ono. Ngati ululu sukuyankhidwa ndi mankhwalawa, kapena musiya kuyenda kapena kumva, mungafunike kuchitidwa opaleshoni.

  • Opaleshoni yachitika kuti muchepetse kupanikizika kwa mitsempha kapena msana.
  • Inu ndi wothandizira wanu mutha kusankha nthawi yomwe muyenera kuchitidwa opaleshoni pazizindikirozi.

Kuchita opaleshoni kungaphatikizepo kuchotsa disk ya bulging, kuchotsa gawo la mafupa a vertebra, kapena kukulitsa ngalande ndi mipata yomwe imapezeka misana yanu.

Pakati pa opaleshoni ya msana, dokotalayo amachotsa fupa kuti apange malo ochulukirapo amitsempha kapena msana. Dokotalayo amatha kusakaniza mafupa ena a msana kuti msana wanu ukhale wolimba. Koma izi zimapangitsa msana wanu kukhala wolimba kwambiri ndikupangitsa nyamakazi m'malo omwe ali pamwambapa kapena pansi pa msana wanu wosakanikirana.

Anthu ambiri omwe ali ndi vuto la msana amatha kuchita nawo vutoli, ngakhale angafunike kusintha zina pazochita zawo kapena pantchito.

Kuchita opaleshoni yamtsempha nthawi zambiri kumathandizira kapena kuthana ndi zizolowezi m'miyendo kapena m'manja mwanu. Ndizovuta kudziwa ngati mungasinthe komanso kuchuluka kwa opareshoni yothandizira.

  • Anthu omwe anali ndi ululu wammbuyo wanthawi yayitali asanawachitire opaleshoni amatha kukhala ndi ululu atachitidwa opaleshoni.
  • Ngati mungafune opareshoni ingapo yamtundu umodzi, mutha kukhala ndi zovuta zamtsogolo.
  • Dera la msana wam'mimba pamwambapa komanso pansi pamsana wa msana limatha kupanikizika ndikukhala ndi mavuto komanso nyamakazi mtsogolo. Izi zitha kubweretsa maopaleshoni enanso pambuyo pake.

Nthawi zambiri, kuvulala komwe kumachitika chifukwa cha kupanikizika kwa mitsempha kumakhala kosatha, ngakhale kupanikizako kuthetsedwa.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za msana.

Zizindikiro zowopsa zomwe zimafunikira chisamaliro mwachangu ndizo:

  • Zovuta kapena kusachita bwino poyenda
  • Kuchulukirachulukira komanso kufooka kwa gawo lanu
  • Mavuto owongolera mkodzo kapena matumbo
  • Mavuto pokodza kapena kuyenda

Kulongosola kwachinyengo; Chapakati msana stenosis; Foraminal msana stenosis; Osachiritsika msana matenda; Kupweteka kumbuyo - msana stenosis; Kupweteka kwakumbuyo - stenosis; LBP - stenosis

  • Opaleshoni ya msana - kutulutsa
  • Mitsempha ya sciatic
  • Matenda a msana
  • Matenda a msana

Gardocki RJ, Park AL. Matenda osachiritsika a thoracic ndi lumbar msana. Azar FM, Beaty JH, Kanale, ST, olemba. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 39.

Issac Z, Sarno D. Lumbar msana wam'mimba. Mu: Frontera, WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chap 50.

Kreiner DS, Shaffer WO, Baisden JL, et al. (Adasankhidwa) Upangiri wazachipatala wokhudzana ndi kuzindikira ndi kuchiza matenda opatsirana a lumbar spinal stenosis (zosintha). Nthenda J. 2013; 13 (7): 734-743. PMID: 23830297 pubed.ncbi.nlm.nih.gov/23830297/.

Lurie J, Tomkins-Lane C. Kuwongolera kwa lumbar spinal stenosis. BMJ. 2016; 352: h6234. PMID: 26727925 adatulutsidwa.ncbi.nlm.nih.gov/26727925/.

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