Yini Ebangela I-Foraminal Stenosis futhi Iphathwa Kanjani?

-Delile

• Amathiphu wokuhlonza
• Yini ebangela lokhu nokuthi ubani osengcupheni?
• Kutholakala kanjani?
• Ukubamba
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ukuguqulwa komsebenzi
• Ukwelashwa ngokomzimba
• Ama-Orthotic
• Imithi
• Ukuhlinzwa
• Ingabe kungenzeka izinkinga?
• Uyini umbono?

Yini i-foraminal stenosis?

I-Foraminal stenosis ukunciphisa noma ukuqinisa ukuvuleka phakathi kwamathambo emgogodleni wakho. Lokhu kuvuleka okuncane kubizwa nge-foramen. I-Foraminal stenosis uhlobo oluthile lwe-spinal stenosis.

Imithambo idlula yize ama-foramen asuka entanjeni yakho yomgogodla eya kuwo wonke umzimba wakho. Lapho i-foramen isondela, izimpande zezinzwa ezidlula kuzo zingancinwa. I-nerve pinched ingaholela ku-radiculopathy - noma ubuhlungu, ukuba ndikindiki, nobuthakathaka engxenyeni yomzimba ekhonzwa yizinzwa.

I-Foraminal stenosis nezinzwa ezicijile zivamile. Eqinisweni, cishe isigamu sabo bonke abantu abaphakathi neminyaka nabadala banohlobo oluthile lwe-stenosis yomgogodla nezinzwa ezicijile. Kepha hhayi wonke umuntu one-foraminal stenosis ozozwa izimpawu. Abanye abantu bangaba nezimpawu eza futhi zidlule.

Awukwazi ukuvimbela i-foraminal stenosis, kodwa ukuhlala usebenza kahle nokugcina isisindo esinempilo kungasiza ekunciphiseni ubungozi bakho. Ukusebenzisa ukuma okuhle nobuchule lapho uhleli, udlala imidlalo, uzivocavoca, futhi uphakamisa izinto ezisindayo nakho kungasiza ekuvimbeleni ukulimala emhlane wakho. Ukulimala kungaholela ku-stenosis nasezinhlwini ezicijile.

Qhubeka ufunde ukuze ufunde ngezimpawu, izinketho zokwelashwa, nokuningi.

Amathiphu wokuhlonza

Izimpawu zemizwa ecijiwe ngenxa ye-foraminal stenosis ziyahlukahluka kuye ngokuthi iyiphi ingxenye yomgogodla wakho ethintekile.

I-stenosis yomlomo wesibeletho Iqala lapho i-foramen yentamo yakho incipha. Izinzwa ezicijile entanyeni yakho zingadala ubuhlungu obukhali noma obuvuthayo obuqala entanyeni buyehlise ihlombe nengalo yakho. Ingalo nesandla sakho kungazizwa kubuthakathaka futhi kundikindiki “ngezikhonkwane nezinaliti.”

I-Thoracic stenosis Iqala lapho i-foramen engxenyeni engenhla yomhlane wakho incane. Izimpande zemisipha ebanjiwe kule ngxenye yomhlane wakho zingadala ubuhlungu nokuba ndikindiki okusonga ngaphambili komzimba wakho. Le yindawo evame kakhulu ukuthinteka yi-foraminal stenosis.

I-Lumbar stenosis Iqala lapho i-foramen yomhlane wakho ophansi incane. Umhlane ongezansi yisigaba somgogodla wakho esingathinteka kakhulu yi-foraminal stenosis. Lokhu kungazwakala njengobuhlungu, ukuncinza, ukuba ndikindiki, nobuthakathaka ezinqeni, emlenzeni, futhi kwesinye isikhathi nonyawo. I-Sciatica yigama okungenzeka ukuthi ulizwile ngalolu hlobo lobuhlungu.

Ubuhlungu bakho bungaba nzima ngemisebenzi ethile, njengokugoba, ukusonta, ukufinyelela, ukukhwehlela, noma ukuthimula.

Yini ebangela lokhu nokuthi ubani osengcupheni?

Kungenzeka ukuthi uhlakulele i-foraminal stenosis nezinzwa ezicijile njengoba ukhula. Isifo samathambo nokuguga kokuphila kwansuku zonke kuvame ukuholela ekuguqulweni komgogodla okunciphisa imigwaqo. Kepha ukulimala nakho kungadala i-stenosis, ikakhulukazi kubantu abasha.

Isibonelo, imbangela eyodwa ye-foraminal stenosis yi-bulging noma i-herniated disk.Lawa madiski ahlanganisayo phakathi kwamathambo akho omgogodla angaphuma endaweni yawo noma alimale. Idiski ekhuphukayo icindezela i-foramen ne-nerve root. Lokhu kungenzeka kakhulu kwenzeke emhlane wakho ophansi.

Ukukhula kwamathambo ngaphakathi nangaseduze kwe-foramen yakho nakho kunganciphisa izinzwa ezigijimayo. I-Bone spurs form ngenxa yokulimala noma izimo ezonakalisayo njenge-osteoarthritis.

Ezinye izimbangela ezingavamile kakhulu ze-foraminal stenosis zifaka:

• ukukhuliswa kwemigqa ezungeze umgogodla
• i-spondylolisthesis
• ama-cysts noma izimila
• isifo samathambo, njengesifo sikaPaget
• izimo zofuzo, njengokufiphala

Kutholakala kanjani?

Uma unobuhlungu obudonsa phansi ingalo yakho noma umlenze noma imizwa yokundindizeleka ehlala izinsuku ezimbalwa, kufanele ubone nodokotela wakho.

Ekuqokweni kwakho, udokotela wakho uzoqala ngokuhlolwa komzimba. Bazobheka ukunyakaza kwakho, amandla emisipha, izinga lobuhlungu nokuba ndikindiki, nezimo.

Udokotela wakho angalawula ezinye izkena zokuhlola kanye nezinye izivivinyo ukuqinisekisa ukuxilongwa:

• Ama-X-ray angasetshenziselwa ukubona ukuqondaniswa kwamathambo omgogodla wakho nokuncipha kwe-foramen.
• Izikena ze-MRI zingabona ukulimala ezicutshini ezithambile, njengemigudu nama-disks.
• Izikena ze-CT zingabonisa imininingwane eminingi kune-X-ray, okuvumela udokotela wakho ukuthi abone ama-bone spurs eduze kwe-foramen.
• Ucwaningo lwe-Electromyography kanye ne-nerve conduction lwenziwa ndawonye ukubona ukuthi inzwa yakho isebenza kahle yini. Lezi zivivinyo zisiza udokotela wakho ukuthola ukuthi ngabe izimpawu zakho zibangelwa ingcindezi ezimpandeni zomgogodla noma ngesinye isimo.
• Ukuskena kwamathambo kungathola i-arthritis, ukuqhekeka, ukutheleleka nezicubu.

Ukubamba

Udokotela wakho noma i-radiologist ofunda ama-MRIs akho izinga lokuncipha kwama-foramen akho.

• ibanga 0 = akukho foreninal stenosis
• Ibanga 1 = i-stenosis emnene engenabufakazi bezinguquko zomzimba empandeni yezinzwa
• ibanga 2 = stenosis elinganiselayo ngaphandle kwezinguquko zomzimba empandeni yezinzwa
• Ibanga 3 = i-foraminal stenosis enamandla ekhombisa ukuwa kwempande yezinzwa

Yiziphi izindlela zokwelashwa ezitholakalayo?

Ngokuya ngesizathu nobukhulu besifo sakho se-foraminal stenosis nezinzwa ezicijile, kunezindlela zokwelashwa eziningana ezenzelwe ukunciphisa ukungakhululeki kwakho.

Ezimweni eziningi, izinzwa ezicijile - ikakhulukazi entanyeni - zizobangcono ngaphandle kokwelashwa ngaphandle kokuzinweba, ukuguqulwa komsebenzi, kanye nemithi yokudambisa izinhlungu.

Ukuguqulwa komsebenzi

Uma unobuhlungu obukhazimulayo, ukuba ndikindiki, nobuthakathaka benzwa ecinizelwe, ungafuna ukuphumula izinsuku ezimbalwa. Kodwa ungasebenzi isikhathi eside, noma izimpawu zakho zingase zibe zimbi kakhulu. Kufanele ugweme ukunyakaza okubangela ubuhlungu obukhali, kepha akufanele unganyakazi. Ukusebenzisa amaphakethe abandayo ezinsukwini ezimbalwa zokuqala, kulandele amaphakethe afudumele noma iphedi yokufudumeza, kungasiza ekudambiseni ubuhlungu bakho.

Ukwelashwa ngokomzimba

Ukwelulwa kanye nokuzivocavoca okukhethekile kungasetshenziselwa ukuzinzisa umgogodla wakho, ukuthuthukisa ukuhamba, nokuvula isikhala sezimpande zakho zezinzwa zidlule. Ukuqinisa imisipha esekela umgogodla wakho kungavimbela ukulimala okuqhubekayo. Ukwehla kwesisindo nakho kungasusa ingcindezi emgogodleni wakho nasezimpandeni zezinzwa.

Ama-Orthotic

Uma une-nerve ekhonjiwe entanyeni yakho, udokotela wakho angakutusa ukuthi ugqoke insimbi yentamo noma ukhololo othambile wesibeletho. Izokhawulela ukunyakaza kwakho futhi ivumele imisipha yakho yentamo iphumule.

Kufanele igqokwe isikhashana nje ngoba uma uyigqoka isikhathi eside kakhulu, imisipha esentanyeni yakho ingaba buthakathaka. Udokotela wakho uzokunikeza imininingwane ethile yokuthi uzoyigqoka nini nokuthi uzoyigqoka isikhathi esingakanani.

Odokotela ngokuvamile abeluleki ukugqoka isibopho sangemuva sanoma yiluphi uhlobo sezinzwa ezicijile emhlane ophansi.

Imithi

Izinhlobo ezahlukene zemithi zingasetshenziselwa ukudambisa ubuhlungu bakho:

• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID): Imithi efana ne-aspirin (iBufferin), ibuprofen (Advil), ne-naproxen (i-Aleve), inganciphisa ukuvuvukala futhi inikeze ukukhululeka kobuhlungu.

• Ukuphuza ama-steroid: Ama-corticosteroids omlomo, njenge-prednisone (Deltasone), angasiza ekunciphiseni ubuhlungu ngokunciphisa ukuvuvukala okuzungeze inzwa ecasukile. I-Steroids nayo ingajovwa eduze kwezinzwa ezithintekile ukudambisa ukuvuvukala nobuhlungu.
• Izidakamizwa: Uma ubuhlungu bakho bukhulu futhi ezinye izindlela zokwelapha zingazange zisebenze, udokotela wakho angakunika ukudambisa izinhlungu kwe-narcotic. Ngokuvamile zisetshenziselwa isikhathi esifushane kuphela.

Ukuhlinzwa

Uma ukwelashwa okulondolozayo kungazinciphisi izimpawu zakho, wena nodokotela wakho ningacabanga ukuhlinzwa. Uhlobo lokuhlinzwa luzoya ngendawo ye-stenosis nokuthi kubangelwa yini. Uma i-disk ye-herniated icindezela impande yakho yezinzwa, khona-ke ukuhlinzwa ukuze ususe i-bulging disk kungaba yisixazululo.

Inqubo encane yokuhlasela ebizwa nge-foraminotomy ingaba enye indlela. Kwandisa indawo lapho le nerve idlula khona ngokususa izithiyo, njengamathambo, avela emathangeni.

Ingabe kungenzeka izinkinga?

Kwesinye isikhathi i-foraminal stenosis ingahambisana ne-stenosis yekholamu lomgogodla uqobo. Lapho umgogodla ucindezelwe, izimpawu zingase zibe nzima kakhulu kunangesikhathi lapho izimpande zezinzwa sezimpintshiwe.

Lezi zimpawu zingafaka:

• ubulukhuni
• unenkinga yokusebenzisa izandla zakho
• ukuhamba kanzima
• ubuthakathaka

Uyini umbono?

Abantu abane-foraminal stenosis bazothola ukukhululeka ngokwelashwa ekhaya. Ukuhlinzwa akuvamile ukuthi kudingeke. Kwesinye isikhathi, noma ngabe izimpawu zakho sezisombulule amasonto noma iminyaka, zingabuya. Landela imiyalo kadokotela wakho maqondana nokwelashwa ngokomzimba nokulungiswa komsebenzi, futhi ubuhlungu bakho bezinzwa obuphinyiwe kungenzeka bube yinto yesikhathi esedlule.