Matenda a msana

Zamkati

• Kodi Zizindikiro za Spinal Stenosis Ndi Ziti?
• Kodi zimayambitsa matenda a msana ndi chiyani?
• Kodi spinal stenosis imapezeka bwanji?
• Kodi njira zamankhwala zothandizira msana wam'mimba ndi ziti?
• Mankhwala oyamba
• Opaleshoni
• Kodi pali njira zothanirana ndi msana stenosis?
• Kodi chiyembekezo chanthawi yayitali ndi chiyani kwa anthu omwe ali ndi vuto la msana?

Kodi spinal stenosis ndi chiyani?

Msanawo ndi mzati wamafupa wotchedwa ma vertebrae omwe amapereka bata ndi kuthandizira kumtunda. Zimatithandiza kutembenuka ndikupotoza. Mitsempha ya msana imadutsa m'mitsempha yam'mbali ndipo imatumiza maubongo kuchokera kuubongo kupita ku thupi lonse. Mafupa ndi minofu yoyandikana nayo imateteza mitsempha imeneyi. Ngati zawonongeka kapena zofooka mwanjira iliyonse, zimatha kukhudza ntchito monga kuyenda, kulimbitsa thupi, komanso kumva.

Spinal stenosis ndimkhalidwe womwe msana wa msana umachepa ndikuyamba kupondereza msana. Izi zimachitika pang'onopang'ono. Ngati kuchepa ndikochepa, palibe zizindikilo zomwe zidzachitike. Kuchepetsa kwambiri kumatha kupondereza mitsempha ndikuyambitsa mavuto.

Stenosis imatha kupezeka paliponse pamsana. Zomwe msana umakhudzidwa zimatha kusiyanasiyana.

Spinal stenosis amatchedwanso:

• chinyengo-claudication
• chapakati msana stenosis
• foraminal spinal stenosis

Kodi Zizindikiro za Spinal Stenosis Ndi Ziti?

Zizindikiro zimapita patsogolo pakapita nthawi, chifukwa mitsempha imayamba kupanikizika. Mutha kuwona:

• kufooka mwendo kapena mkono
• kupweteka kwa msana poyimirira kapena poyenda
• dzanzi miyendo kapena matako anu
• mavuto moyenera

Kukhala pampando nthawi zambiri kumathandiza kuthetsa izi. Komabe, amabwerera ndi nthawi yoimirira kapena kuyenda.

Kodi zimayambitsa matenda a msana ndi chiyani?

Chifukwa chofala kwambiri cha msana ndi ukalamba. Njira zosinthira zimachitika mthupi lanu lonse momwe zimakulira. Minofu mumsana mwanu imatha kuyamba kukulira, ndipo mafupa amatha kukula, kupondereza mitsempha. Zinthu monga nyamakazi ya nyamakazi ndi nyamakazi ya nyamakazi imathandizanso kuti msana ukhale wolimba. Kutupa komwe kumayambitsa kumatha kuyika msana wanu msana.

Zina zomwe zingayambitse stenosis ndizo:

• zopindika msana zimakhalapo pobadwa
• msana wochepa msana
• kupindika kwa msana, kapena scoliosis
• Matenda a Paget am'mafupa, omwe amawononga mafupa osazolowereka ndikubwezeretsanso
• zotupa zamafupa
• achondroplasia, womwe ndi mtundu wamfupi

Kodi spinal stenosis imapezeka bwanji?

Ngati muli ndi zizindikiro za msana wam'mimba, dokotala wanu ayamba kutenga mbiri yakuchipatala, kuyesa thupi lanu, ndikuwona mayendedwe anu. Dokotala wanu amathanso kuyitanitsa mayesero kuti atsimikizire kuti mukudwala matendawa, monga:

• X-ray, MRI scan, kapena CT scan kuti muwone zithunzi za msana wanu
• electromyelogram kuti muwone thanzi la mitsempha ya msana
• fufuzani kuti muwone kuwonongeka kapena zophuka mumsana wanu

Kodi njira zamankhwala zothandizira msana wam'mimba ndi ziti?

Mankhwala oyamba

Chithandizo cha mankhwala chimayesedwa koyambirira. Cholinga ndikuti muchepetse ululu wanu. Ma jakisoni a Cortisone m'malire anu amatha kuchepetsa kutupa. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amathanso kuthandizira kupweteka.

Chithandizo chamthupi chitha kukhalanso chosankha. Itha kulimbitsa minofu ndikutambasula thupi lanu modekha.

Opaleshoni

Kuchita opaleshoni kungafunike kupweteka kwambiri kapena ngati pali kutaya kwaminyewa. Ikhoza kuthetsa kupanikizika kwamuyaya. Mitundu ingapo yamankhwala imagwiritsidwa ntchito pochizira msana stenosis:

• Laminectomy ndi mtundu wofala kwambiri wa opaleshoni. Dokotala wochotsa matenda amachotsa gawo lina lama vertebrae anu kuti apatse malo ambiri amitsempha.
• Foraminotomy ndi opaleshoni yomwe yachitika kuti ikukulitse gawo la msana komwe mitsempha imatuluka.
• Kusakanikirana kwa msana kumachitika nthawi yayikulu kwambiri, makamaka ngati magawo angapo a msana amakhudzidwa, kupewa kusakhazikika. Ankalumikiza mafupa kapena zomata zachitsulo zimagwiritsidwa ntchito kulumikiza mafupa a msana pamodzi.

Kodi pali njira zothanirana ndi msana stenosis?

Zosankha zina kupatula kuchitidwa komwe kumachepetsa kupweteka kwa msana wam'mimba ndi monga:

• mapaketi otentha kapena ayezi
• kutema mphini
• kutikita

Kodi chiyembekezo chanthawi yayitali ndi chiyani kwa anthu omwe ali ndi vuto la msana?

Anthu ambiri omwe ali ndi vuto la msana amakhala ndi miyoyo yonse ndikukhalabe achangu. Komabe, angafunike kuti asinthe zochita zawo zolimbitsa thupi. Anthu ambiri amakhala ndi zowawa zotsalira atalandira chithandizo kapena opaleshoni.