Sepheo sa Neuroforaminal Stenosis ke eng?
Spinal stenosis ke lentsoe le bolelang ho fokotseha ha sebaka se le seng kapa ho feta sekholeng sa mokokotlo. Ka kakaretso, e amahanngoa le ramatiki, e bolelang hore ho fokotseha hangata ho bakoa ke liphetoho tse senyehang tse etsahalang masapong a mokokotlo ka nako le / kapa ka lebaka la kotsi.
Spinal stenosis e ka hlaha hohle moo e leng bolelele ba mokokotlo; Leha ho le joalo, e atisa ho fumanoa ka lumbar (tlase morao) le libakeng tsa mokokotlo (melala) ka ho fetisisa.
Ho na le mefuta e mabeli ea stenosis ea mokokotlo: Central canal stenosis le neuroforaminal stenosis. Poleloana "central canal stenosis" e bolela ho fokotseha ha mokokotlo oa mokokotlo, e leng sebaka se sepakapakeng bohareng ba mokokotlo oa mokokotlo Mohala oa mokokotlo o ka har'a mohala oa mokokotlo . Matšoao a li-canal stenosis a tloaelehileng a fumanoa likarolong tsa 'mele o sebelisoang ke mokokotlo oa mokokotlo le ho theoha.
Canal Stenosis e bohareng
Tabeng ea lintar central canal stenosis (eseng mokokotlo,) matšoao ana hangata a kenyeletsa claudicatio n e le mofuta oa bohloko ba maqeba maotong a tlisoang ke ho tsamaea. Kotsi e eketsehileng ea ho oa ke tšoaetso e 'ngoe e tloaelehileng.
Mokokotlo oa mokokotlo oa mokokotlo oa kankere o ka lebisang ho fokolang bukeng ea hao ea boipheliso; sena se ka ama lintho tseo u li etsang ka matsoho a hau a kang ho tšoara mekotla, likolokete kapa lintho tse ling, liaparo tsa li-buttoning le liaparo, ho kopanya li-shoelaces le ho ngola.
Matšoao a mang a mokokotlo oa canal stenosis e kenyelletsa phetoho e akaretsang mehopolong ea hau ea maikutlo, boikutlo ba hore u fokola ho feta pele, ho fetoha ka lebaka la ho fokola ha hao, boima le / kapa ho se sebetse ha senya, le ho feta.
Neuroforaminal Stenosis
Neuroforaminal stenosis ke e fokolang e etsoang ka foramina .
Ho na le likoti tse teng ka lehlakoreng le leng la mokokotlo oa mokokotlo; li nyane ho feta mokokotlo oa mokokotlo. Metsing ea lesapo la mokokotlo e tsoa ho foramina ka mor'a hore e fane ka mokokotlo oa mokokotlo. Metsing ena e fetela hohle likarolong tsa 'mele ho nka maikutlo le ho li isa bokong ho ea hlalosa, le ho khutlisetsa maikutlo a ho sisinyeha ho tloha bokong ho ea mesifa.
Dr. Robert Bray, neurosurgeon ea DISC Sports le Spine Center e Marina del Rey, California e bolela hore ho fapana le central canal stenosis, stroosis ea neuroforaminal e sitisa mongobo o teng feela sebakeng seo ho sona stenosis e leng teng.
Ka mantsoe a mang, ha ho e-na le li-spinal stenosis tsa neuroforaminal, haeba tekanyo e itseng ea tlhaho ea molumo kapa litekanyetso (litekanyetso li bitsoa likarolo ) ha li na liphetoho tsa bony tse fellang ka ho fokolisa ha foramina, joale matšoao a amanang le boemo boo a ke ke a ba teng. Sena ha se u sitise ho ba le matšoao ho hang, leha ho joalo. Haeba likarolo tse ling tsa mokokotlo oa mokokotlo li fokotsehile, u ka 'na ua utloa bohloko bo amanang le bona le matšoao a mang ka lebaka la seo.
Joaloka le stenosis e ka bohareng, claudication ea methapo ea pelo (hape, bohloko ba maoto le ho phalla ha ho tsamaea) ke letšoao le le leng la lefu la neuroforaminal stenosis.
Ha e le hantle, ho nkoa e le matšoao a khale. Claudication ea neurogenic e amahanngoa le ho ema, haholo-holo kamoo sebaka sa mokokotlo se amang sebaka ka foramina (se neng se tšohloa ka holimo.)
Phuputso ea 2017 e fumane hore ho feto-fetoha ha maemo (ho koala pele) mokokotlo ho eketsa sebaka ka foramina. Sena se atisa ho imolla matšoao hobane methapo e na le sebaka se sengata.
Ke Hobane'ng ha e Etsa Hore Motho a se ke a E-shoa?
Litsela tsa mokokotlo li ka fokotsoa ka mabaka a 'maloa, ho bolela Dr. Allen Wilkins oa Manhattan Medicine le Rehabilitation. E 'ngoe ea tse tloaelehileng ke li-disc, li-arthritis tsa likarolo tse ling tsa boahelani, li-disc, le li-cysts tsa synovial.
Dr. Ali Bydon, Moprofesa oa Neurosurgery, Mookameli oa Lipapali tsa Bionechanics le Lipatlisiso tsa Lipatlisiso tsa Lipatlisiso Sekolong sa Bongaka sa Johns Hopkins, 'me Motsamaisi oa Kliniki oa Phekolo ea Meriana oa Bongaka Johns Hopkins Bayview Medical Centre o lumellana, a phaella ka hore phalliso ea sebaka sa disc, e leng facet hypertrophy (e leng e tšoanang le Dr. Wilkins tlhahlobo ea ramatiki ea masapo ka holimo) le li- spondylolisthesis ke tse ling tse ka bang sesosa.
"E 'ngoe le e' ngoe ea maemo ana e tloaelehile ha batho ba ntse ba hōla, empa hape e ka ba phello ea kotsi e tebileng," Bydon o hlalosa.
Nako feela ea nako - ho kopantsoe le phello eo boikarabelo ba bophelo bo nang le eona mokokotlong - e ka ba motso oa motsoako oa neuroforaminal stenosis. "Neuroforaminal stenosis e bakiloe ke ho apara le mokhoa o tloaelehileng, ka botsofali ba motsoako kapa ha motsoako o lemetse 'me o sa tsoe ka nako, ka mabaka a mang, Dr. Bray o phethela.
Haeba u thahasella mekhoa ea phekolo bakeng sa neuroforaminal stenosis, buisana le ngaka ea hau. Bakeng sa tlhahisoleseding e akaretsang, balang Phekolo ea Neuralforaminal Stenosis .
Lisebelisoa:
Imeile Moqoqo. Wilkins, A., MD. Manhattan Phekolo ea Meriana le Boikarabello. New york. December 2013.
Freedman, B., Hoffler, C., Cameron, B., Rhee, J., Baa, M., malone, D. Bent, M. Yoon, T. Ho bapisoa le Computed Tomography Mehato ea ho Hlalosa Cervical Spinal Stenosis e Amanang le Myelopathy: Thuto ea Tlhahlobo ea Tlhahlobo ea J. Spine J. Feb 2015. Fihletsoeng: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330215/
Lee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Phetoho ea morao-rao ka Tlhahlobo ea Lingoliloeng. Asia Spine J. Oct. 2015 Oct. Ho fihlella: March 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Tlhaloso ea liphetoho ka litekanyo tsa lits'ebeletso tsa boipheliso ba bacha ba nang le matšoao a nang le matšoao a sebelisang MRI. Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511