I-Neural Foraminal Stenosis

-Delile

• Ziyini izimpawu?
• Ziyini izimbangela?
• Ilashwa kanjani?
• Amacala amaphakathi
• Amacala abucayi
• Ingabe zikhona izinkinga?
• Ukubonana nodokotela nini
• Ukubukwa kwe-neural foraminal stenosis

Ukubuka konke

I-Neural foraminal stenosis, noma ukuncipha kwe-neural foraminal, uhlobo lohlobo lomgogodla. Kwenzeka lapho ukuvuleka okuncane phakathi kwamathambo emgogodleni wakho, okubizwa ngokuthi i-neural foramina, kuncipha noma ukuqina. Izimpande zezinzwa eziphuma kukholamu lomgogodla ngokusebenzisa i-neural foramina zingacindezelwa, ziholele ebuhlungwini, ekubeni ndikindiki, noma ebuthakathakeni.

Kwabanye abantu, lesi simo asibangeli zimpawu futhi asidingi ukwelashwa. Kodwa-ke, izimo ezinzima ze-neural foraminal stenosis zingadala ukukhubazeka.

Uma izimpawu zenzeka, zivame ukwenzeka ohlangothini lomzimba lapho impande yezinzwa iba khona izimpintshi. Ngokwesobunxele se-neural foraminal stenosis, isibonelo, izimpawu zizozwakala ohlangothini lwesobunxele lwentamo, ingalo, emuva noma umlenze.

Lapho zombili izinhlangothi zomsele we-foraminal zincane, kubizwa ngokuthi yi-bilateral neural foraminal stenosis.

Ziyini izimpawu?

Amacala amancane we-neural foraminal stenosis ngokuvamile awaholeli kunoma yiziphi izimpawu nhlobo. Uma i-neural foramen incipha ngokwanele ukuze impande yezinzwa icindezeleke, ingaholela ku:

• ubuhlungu emuva noma entanyeni
• ukuba ndikindiki noma ubuthakathaka besandla, ingalo, unyawo noma umlenze
• ubuhlungu bokudubula buye phansi engalweni
• i-sciatica, ubuhlungu bokudubula obuhamba buye emuva emuva kuya ezinqeni nasemlenzeni wakho
• ubuthakathaka bengalo, isandla, noma umlenze
• izinkinga zokuhamba nokulinganisela

Izimpawu zivame ukuqala kancane kancane futhi ziba zimbi ngokuhamba kwesikhathi. Kungenzeka ohlangothini olulodwa noma ezinhlangothini zombili zomgogodla. Izimpawu zingahluka futhi kuye ngokuthi iyiphi ingxenye yomgogodla enciphisa futhi iphine imizwa:

• I-stenosis yomlomo wesibeletho ivela kuma-neural foramens entanyeni.
• I-Thoracic stenosis ivela engxenyeni engenhla yangemuva.
• I-Lumbar stenosis ikhula ku-neural foramina yomhlane ongezansi.

Ziyini izimbangela?

I-Neural foraminal stenosis yenzeka lapho okuthile kunciphisa izikhala phakathi kwamathambo omgogodla wakho. Ingozi ye-neural foraminal stenosis iyanda ngokukhula. Lokhu kungenxa yokuthi ukuguga nokukhala okujwayelekile okuhambisana nokuguga kungaholela ekunciphiseni. Njengoba sikhula, amadiski emgogodleni alahlekelwa ukuphakama, aqale ukoma, bese eqala ukuqhuma.

Kubantu abasha, ukulimala nezimo ezingaphansi nakho kungaholela esimeni.

Izimbangela ze-neural foraminal stenosis zifaka:

• amathambo avela ezimeni eziwohlokayo, njenge-osteoarthritis
• ukuzalwa nomgogodla omncane
• isifo samathambo, njengesifo sePaget sethambo
• idiski eqhumayo (i-herniated)
• imigqa eqinile eduze komgogodla
• ukuhlukumezeka noma ukulimala
• i-scoliosis, noma ijika elingavamile lomgogodla
• Ubuncane, njenge-achondroplasia
• izimila (ezingavamile)

Ilashwa kanjani?

Ukwelashwa kwe-neural foraminal stenosis kuncike ebucayi besimo. Uma izimpawu zakho zimnene, udokotela wakho angancoma ukumane ubheke isimo sakho ukuze aqiniseke ukuthi asibi sibi kakhulu. Ungahle ufune ukuphumula izinsuku ezimbalwa.

Amacala amaphakathi

Uma izimpawu zakho ziphazamisa, udokotela wakho angancoma ukuthi ubaphathe ngemithi noma ukwelashwa ngokomzimba.

Eminye imithi engasiza ekwelapheni izimpawu ze-neural foraminal stenosis ifaka:

• Ukudambisa izinhlungu zasesitolo njenge-ibuprofen (Motrin IB, Advil), naproxen (Aleve), noma i-acetaminophen (iTylenol)
• ukudambisa izinhlungu kadokotela, njenge-oxycodone (Roxicodone, Oxaydo) noma i-hydrocodone (Vicodin)
• imishanguzo yokulwa nokubanjwa esiza ekunciphiseni ubuhlungu bezinzwa, njenge-gabapentin (Neurontin) ne-pregabalin (Lyrica)
• imijovo ye-corticosteroid ukunciphisa ukuvuvukala

Ukwelashwa ngokomzimba kungasiza futhi ekuqiniseni imisipha ezungezile, ukuthuthukisa ukuhamba kwakho, ukwelula umgogodla, nokulungisa ukuma kwakho. Nge-stenosis yomlomo wesibeletho, udokotela wakho angakweluleka ukuthi ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene ezibizwa ngokuthi ukhololo wesibeletho. Le ndandatho ethambile, ehlanganisiwe ivumela imisipha esentanyeni yakho ukuba iphumule futhi inciphise ukuncipha kwezimpande zezinzwa entanyeni yakho.

Amacala abucayi

Uma izimpawu zakho zinzima, ukuhlinzeka kungadingeka ukuze udokotela wakho akhulise i-neural foramen ecindezela izinzwa zakho. Lokhu kuhlinzwa kuyangena kancane futhi kwenziwa nge-endoscope. Kudingeka ukusika okuncane kakhulu kudokotela ohlinzayo. Inqubo ingafaka:

• i-laminotomy noma i-laminectomy, okususa amathambo, izibazi, noma i-ligament ebangela ukuncipha
• i-foraminotomy, noma ukukhulisa i-foramina
• laminoforaminotomy, okubandakanya zombili lezi zindlela

Ngamadiski e-herniated, udokotela wakho angahlinza ukususa i-disk.

Ingabe zikhona izinkinga?

Noma kungenjalo okungajwayelekile, i-neural foraminal stenosis engalashwa ingaholela ku:

• ubuthakathaka baphakade
• ukungahambisani nomchamo (lapho uhluleka ukulawula isinye sakho)
• ukukhubazeka

Ukubonana nodokotela nini

Kufanele ubone udokotela wakho uma uzwa ubuhlungu noma ukuba ndikindiki okukhipha ingalo noma umlenze wakho ongapheli ezinsukwini ezimbalwa. Funa usizo lwezokwelapha ngokushesha uma kwenzeka okunye kwalokhu okulandelayo:

• Ubuhlungu buza ngemuva kokulimala kanzima noma ingozi.
• Ubuhlungu buvele bube nzima kakhulu.
• Awukwazi ukulawula isinye sakho noma amathumbu.
• Noma iyiphi ingxenye yomzimba wakho iba buthakathaka noma ikhubazeke.

Ukubukwa kwe-neural foraminal stenosis

Izimo eziningi ze-neural foraminal stenosis zithuthuka zodwa noma ngemithi yokwelapha elondolozayo ekhaya, njengamaphilisi ezinhlungu, i-yoga emnene, kanye nokwelashwa ngokomzimba. Ukuhlinzwa akuvamile ukuthi kudingeke, kepha kubhekwa njengesixazululo esinqumayo secala le-neural foraminal stenosis.

Ngemuva kokuhlinzwa, iningi labantu liyakwazi ukubuyela empilweni yansuku zonke ezinsukwini ezimbalwa nje, kepha kungadingeka ukuthi ligweme ukuphakamisa okunzima izinyanga ezimbalwa.

Yize ukuhlinzwa kwama-foraminal kuvame ukuphumelela kakhulu, izinkinga zomgogodla zisenokwenzeka esikhathini esizayo.