Neural Foraminal Stenosis

Zvemukati

• Ndezvipi zviratidzo?
• Ndezvipi zvikonzero?
• Inorapwa sei?
• Makesi akaenzana
• Mhosva dzakakomba
• Pane here zvinetswa?
• Nguva yekuona chiremba
• Maonero eiyo neural foraminal stenosis

Mhedziso

Neural foraminal stenosis, kana neural foraminal kudzikira, rudzi rwepinal stenosis. Izvo zvinoitika kana maburi madiki ari pakati pemabhonzo ari mumuzongoza wako, anonzi neural foramina, akatetepa kana kumesa. Midzi yemitsipa inobuda mumutsara wesipinha kuburikidza neiyo neural foramina inogona kumanikidzwa, zvichitungamira mukurwadziwa, kuvezwa, kana kushaya simba.

Kune vamwe vanhu, mamiriro acho haakonzere chero zviratidzo uye haadi kurapwa. Nekudaro, zvakakomba zviitiko zveeural foraminal stenosis zvinogona kukonzera kuora mitezo.

Kana zviratidzo zvikaitika, zvinowanzoitika kudivi remuviri uko iyo tsinga midzi inozadzwa. Mune kuruboshwe neural foraminal stenosis, semuenzaniso, zviratidzo zvinowanzo kwanzwikwa kuruboshwe kwemutsipa, ruoko, musana, kana gumbo.

Kana mativi ese eiyo foraminal canal yakamanikana, inonzi seyenyika mbiri neural foraminal stenosis.

Ndezvipi zviratidzo?

Zviitiko zvakapfava zveNeural foraminal stenosis kazhinji hazvikonzere chero zviratidzo zvachose. Kana iyo neural foramen yakatetepa zvakakwana kuti tsinga midzi ive yakamanikidzwa, inogona kutungamira ku:

• musana kana kurwadziwa kwemutsipa
• chiveve kana kushaya simba kweruoko, ruoko, tsoka kana gumbo
• kurwadziwa kwepfuti kuchidzika neruoko
• sciatica, kurwadziwa kwepfuti kunofamba kubva kuzasi kwako kumashure kuburikidza nemagaro ako uye mugumbo rako
• kushaya simba kweruoko, ruoko, kana gumbo
• matambudziko nekufamba uye kuenzanisa

Zviratidzo zvinowanzo kutanga zvishoma nezvishoma uye zvichitowedzera nekufamba kwenguva. Zvinogona kuitika kune rimwe divi kana pamativi ese emusana. Zviratidzo zvinogona zvakare kusiyana zvichienderana nechikamu chipi chemuzongoza chinotetepa nekutsinya tsinga:

• Cervical stenosis inowanikwa mune neural foramens yemutsipa.
• Thoracic stenosis inowanikwa muchikamu chepamusoro chemusana.
• Lumbar stenosis inokura mune iyo neural foramina yezasi kumashure.

Ndezvipi zvikonzero?

Neural foraminal stenosis inoitika kana chimwe chinhu chikatapudza nzvimbo pakati pemapfupa emuzongoza wako. Ngozi yeiyo neural foraminal stenosis inowedzera nezera. Izvi zvinodaro nekuti kujairika kusakara uye kuchema kwakabatana nekukwegura kunogona kutungamira kudzikira. Sezvatinokwegura, dhisiki mumuzongoza dzinorasikirwa nehurefu, dzinotanga kuoma, uye dzinotanga kubuda.

Muvanhu vadiki, kukuvara uye mamiriro ezvinhu anogona zvakare kukonzera mamiriro acho.

Zvinokonzera neural foraminal stenosis zvinosanganisira:

• pfupa rinobuda kubva mukudzikira mamiriro, kunge osteoarthritis
• kuzvarwa ndine musana wakamanikana
• chirwere chemabhonzo, senge chirwere chePaget chepfupa
• kubhururuka (herniated) disk
• yakakora mitsipa padhuze nemuzongoza
• kushungurudzika kana kukuvara
• scoliosis, kana mushe mushe musana
• kuderera, senge achondroplasia
• mamota (zvisingawanzo)

Inorapwa sei?

Kurapa kweiyo neural foraminal stenosis kunoenderana nekuomarara kwemamiriro acho. Kana zviratidzo zvako zviri zvinyoro, chiremba wako anogona kukurudzira kungoongorora mamiriro ako kuti ave nechokwadi chekuti haawedzeri. Ungangoda kuzorora kwemazuva mashoma.

Makesi akaenzana

Kana zviratidzo zvako zvichinetsa, chiremba wako anogona kukurudzira kuti uvarape nemishonga kana kurapwa kwemuviri.

Mimwe mishonga inogona kubatsira kubata zviratidzo zveeural foraminal stenosis inosanganisira:

• over-the-counter kurwadziwa kunodzora senge ibuprofen (Motrin IB, Advil), naproxen (Aleve), kana acetaminophen (Tylenol)
• mushonga wekurwadziwa unodzora, senge oxycodone (Roxicodone, Oxaydo) kana hydrocodone (Vicodin)
• mishonga yekurwisa-kubata iyo inobatsira kubvisa marwadzo etsinga, senge gabapentin (Neurontin) uye pregabalin (Lyrica)
• corticosteroid majekiseni ekuderedza kuzvimba

Kurapa kwepanyama kunogona zvakare kubatsira kusimbisa mhasuru dzakakomberedza, kunatsiridza mafambiro ako, kutambanudza musana, uye kugadzirisa mamiriro ako. Nezve cervical stenosis, chiremba wako anogona kukuraira kuti upfeke chibooreso chinonzi cervical collar. Iyi mhete yakapfava, yakapetwa inobvumira mhasuru dziri mumutsipa wako kuti dzizorore uye dzinoderedza kunamira kwemidzi yemitsipa mumutsipa wako.

Mhosva dzakakomba

Kana zviratidzo zvako zvakanyanya, kuvhiyiwa kunogona kudikanwa kuitira kuti chiremba wako awedzere iyo neural foramen iri kumanikidza tsinga yako. Uku kuvhiya kunopinza zvishoma uye kunowanzoitwa kuburikidza neiyo endoscope. Kungocheka kudiki chete kunodiwa nachiremba anovhiya. Maitiro acho anogona kusanganisira:

• laminotomy kana laminectomy, inova kubviswa kwepfupa, mavanga, kana ligament inokonzeresa kudzikira
• foraminotomy, kana kuwedzera iyo foramina
• laminoforaminotomy, iyo inosanganisira mbiri idzi nzira

Kune madhisiki eheniated, chiremba wako anogona kuvhiya kuti abvise diski.

Pane here zvinetswa?

Kunyangwe zvisiri zvakajairika, isina kurapwa neural foraminal stenosis inogona kutungamira ku:

• kusagadzikana kusingaperi
• weti kusagadzikana (kana iwe uchinge warasikirwa nechero rako)
• kuoma mutezo

Nguva yekuona chiremba

Iwe unofanirwa kuona chiremba wako kana ukasangana nemarwadzo kana chiveve zvichitapudza pasi ruoko rwako kana gumbo risingapere mumazuva mashoma. Tsvaga kurapwa nekukurumidza kana chimwe chezvinotevera chikaitika:

• Marwadzo anouya mushure mekukuvara zvakanyanya kana tsaona.
• Kurwadziwa kwacho kunoerekana kwanyanya.
• Iwe haugone kudzora dundira rako kana ura.
• Chero chikamu chemuviri wako chinopera simba kana kuoma mitezo.

Maonero eiyo neural foraminal stenosis

Mazhinji kesi eiyo neural foraminal stenosis anovandudza pachawo kana neanochengetedza kumba-kurapa, senge painkillers, nyoro yoga, uye kurapwa kwemuviri. Kuvhiya hakuwanzo kudikanwa, asi inoonekwa seyakagadziriswa mhinduro yenyaya ye neural foraminal stenosis.

Mushure mekuvhiyiwa, vanhu vazhinji vanokwanisa kudzokera kuhupenyu hwezuva nezuva-mukati memazuva mashoma, asi vangangoda kudzivirira kusimudza kunorema kwemwedzi mishoma.

Kunyangwe kuvhiya kwechipatara kazhinji kuchibudirira kwazvo, matambudziko ane musana achiri kugona mune ramangwana.