Neural Foraminal Stenosis

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Amachizidwa bwanji?
• Milandu yaying'ono
• Milandu yayikulu
• Kodi pali zovuta zina?
• Nthawi yoti muwonane ndi dokotala
• Maonekedwe a neural foraminal stenosis

Chidule

Neural foraminal stenosis, kapena kuchepa kwa neural foraminal, ndi mtundu wa spinal stenosis. Zimachitika pomwe mipata yaying'ono pakati pamafupa mumsana wanu, yotchedwa neural foramina, yopapatiza kapena yolimba. Mitsempha ya mitsempha yomwe imatuluka m'mbali mwa msana kudzera mu neural foramina imatha kupanikizika, kumabweretsa ululu, kufooka, kapena kufooka.

Kwa anthu ena, vutoli silimayambitsa zizindikiro zilizonse ndipo silifuna chithandizo. Komabe, zovuta zazikulu za neural foraminal stenosis zimatha kuyambitsa ziwalo.

Ngati zizindikiro zimachitika, zimachitika mbali ya thupi pomwe mizu ya mitsempha imayamba kutsina. Mwachitsanzo, kumanzere kwa neural foraminal stenosis, zizindikirazo zimamveka kumanzere kwa khosi, mkono, kumbuyo, kapena mwendo.

Mbali zonse ziwiri za ngalande ya foraminal ikachepera, imadziwika kuti neural foraminal stenosis.

Zizindikiro zake ndi ziti?

Matenda ofatsa a neural foraminal stenosis nthawi zambiri samabweretsa zizindikiro zilizonse. Ngati neural foramen ipapatiza mokwanira kuti mizu ya mitsempha ipanikizike, imatha kubweretsa ku:

• kupweteka kwa msana kapena khosi
• dzanzi kapena kufooka kwa dzanja, mkono, phazi kapena mwendo
• ululu wowombera ukupita pansi
• sciatica, ululu wowombera womwe umayenda kuchokera kumunsi kumbuyo kwanu kudzera kumatako ndi mwendo wanu
• kufooka kwa mkono, dzanja, kapena mwendo
• mavuto poyenda komanso kusamala

Zizindikiro zimayamba pang'onopang'ono ndikuipiraipira pakapita nthawi. Zitha kuchitika mbali imodzi kapena mbali zonse ziwiri za msana. Zizindikiro zimasiyananso kutengera gawo lomwe msana umachepetsa ndikutsitsa mitsempha:

• Cervical stenosis imapezeka m'mitsempha ya m'khosi.
• Thoracic stenosis imachitika kumtunda chakumbuyo.
• Lumbar stenosis imayamba mu neural foramina ya kumbuyo kwenikweni.

Zimayambitsa ndi chiyani?

Neural foraminal stenosis imachitika pamene china chimachepetsa malo pakati pa mafupa a msana wanu. Kuopsa kwa neural foraminal stenosis kumawonjezeka ndi ukalamba. Izi ndichifukwa choti kuvala misozi yokhudzana ndi ukalamba kumatha kubweretsa kuchepa. Tikamakalamba, ma disk pamsana amataya msinkhu, amayamba kuuma, ndikuyamba kuphulika.

Mwa achichepere, kuvulala ndi zomwe zimayambitsa izi zitha kuchititsanso vutoli.

Zomwe zimayambitsa neural foraminal stenosis ndi izi:

• mafupa amayamba chifukwa cha kufooka, monga nyamakazi
• kubadwa ndi msana wopapatiza
• matenda am'mafupa, monga matenda a Paget a mafupa
• disk yotulutsa (herniated)
• mitsempha yolimba pafupi ndi msana
• kuvulala kapena kuvulala
• scoliosis, kapena kupindika kwachilendo kwa msana
• kuchepa, monga achondroplasia
• zotupa (zosowa)

Amachizidwa bwanji?

Chithandizo cha neural foraminal stenosis chimadalira kukula kwake. Ngati zizindikiro zanu ndizofatsa, dokotala wanu angakulimbikitseni kungoyang'anira momwe zinthu zilili kuti muwonetsetse kuti sizikuipiraipira. Mungafune kupumula masiku angapo.

Milandu yaying'ono

Ngati zizindikiro zanu zikukuvutitsani, dokotala wanu angakulimbikitseni kuti muwachiritse ndi mankhwala kapena mankhwala.

Mankhwala ena omwe angathandize kuthana ndi matenda a neural foraminal stenosis ndi awa:

• Kupweteka kwapadera kumachepetsa monga ibuprofen (Motrin IB, Advil), naproxen (Aleve), kapena acetaminophen (Tylenol)
• Mankhwala ochepetsa ululu, monga oxycodone (Roxicodone, Oxaydo) kapena hydrocodone (Vicodin)
• Mankhwala oletsa kulanda omwe amathandiza kuthetsa ululu wamitsempha, monga gabapentin (Neurontin) ndi pregabalin (Lyrica)
• jakisoni wa corticosteroid kuti muchepetse kutupa

Thandizo lakuthupi lingathandizenso kulimbitsa minofu yozungulira, kusintha mayendedwe anu, kutambasula msana, ndikuwongolera momwe mumakhalira. Kwa chiberekero stenosis, adokotala angakulimbikitseni kuti muvale chovala cholumikizira chotchedwa khola lachiberekero. Mphete yofewa iyi, yolumikizidwa imalola minofu yapakhosi panu kupumula ndikuchepetsa kutsina kwa mizu yamitsempha m'khosi mwanu.

Milandu yayikulu

Ngati zizindikiro zanu ndizovuta, opaleshoni ingafunike kuti dokotala wanu athe kukulitsa neural foramen yomwe ikupondereza mitsempha yanu. Kuchita opaleshoniyi kumakhala kovuta kwambiri ndipo kumachitika kudzera mu endoscope. Kokha kung'amba kochepa kokha kumafunika ndi dotolo. Njirayi ingaphatikizepo:

• laminotomy kapena laminectomy, yomwe imachotsa mafupa, zipsera, kapena mitsempha yopangitsa kuchepa
• foraminotomy, kapena kukulitsa foramina
• laminoforaminotomy, yomwe imakhudza njira zonsezi

Kwa ma disk a herniated, dokotala wanu amatha kuchita opaleshoni kuti achotse diski.

Kodi pali zovuta zina?

Ngakhale sizofala, neural foraminal stenosis imatha kubweretsa:

• kufooka kosatha
• kusadziletsa kwamikodzo (mukalephera kuwongolera chikhodzodzo)
• ziwalo

Nthawi yoti muwonane ndi dokotala

Muyenera kukaonana ndi dokotala ngati mukumva kuwawa kapena kufooka komwe kumawomba mkono kapena mwendo wanu womwe sukutha masiku angapo. Pitani kuchipatala mwachangu ngati zotsatirazi zichitike:

• Ululu umabwera pambuyo povulala kwambiri kapena ngozi.
• Ululu mwadzidzidzi umakhala waukulu.
• Simungathe kuwongolera chikhodzodzo kapena matumbo.
• Chiwalo chilichonse cha thupi lanu chimafooka kapena kulumala.

Maonekedwe a neural foraminal stenosis

Matenda ambiri a neural foraminal stenosis amakula okha kapena ndi mankhwala osamalitsa kunyumba, monga opha ululu, yoga wofatsa, komanso chithandizo chamankhwala. Kuchita maopareshoni sikofunikira kwenikweni, koma kumawerengedwa ngati njira yotsimikizika yokhudza vuto la neural foraminal stenosis.

Pambuyo pochitidwa opaleshoni, anthu ambiri amatha kubwerera kumoyo watsiku ndi tsiku m'masiku ochepa, koma angafunike kupewa kukweza katundu kwa miyezi ingapo.

Ngakhale maopaleshoni a foraminal nthawi zambiri amakhala opambana, mavuto a msana akadatha mtsogolo.