Central canal stenosis e etsahala ha tsela e nang le molamu oa mokokotlo o fokolang haholo. Tsela ena e tsejoa e le mochini oa mokokotlo, 'me o tšohloa ka tlase. Ho fokotseha ho ka 'na ha bakoa ke lintho tse' maloa tse tsoang ho ramatiki ho ea liphatsa tsa lefutso. Lisosa tsa central canal stenosis li boetse li tšohloa ka tlase.
Boholo ba nako, central canal stenosis ke boemo bo amanang le lilemo.
Ke boemo bo tsoelang pele, bo bolelang hore bo ntse bo mpefala ha nako e tsoela pele.
Phala ea Kannete - Moo hohle e Etsanghalang
Ka mantsoe a bonolo feela, mokokotlo oa mokokotlo ke mokoko tlase bohareng ba molumo oa hau oa ho qetela. Molamu oa hau oa mokokotlo o ka har'a sekoti sena. Mokokotlo oa mokokotlo ke karolo ea bohlokoa haholo ea tsamaiso ea methapo ea mantlha, e nang le "khoele" feela, hangata e bitsoa khutšoanyane, le boko.
Dr. John Toerge, DO, le setsebi sa phekolo ea boipheliso sepetleleng sa Medstar National Rehabilitation Hospital, Bethesda, Maryland, o re: "Mokokotlo ke karolo ea motheo le mokokotlo oa mokokotlo ke karolo ea motlakase le ea boitšoaro."
Ka mantsoe a mang, Toerge o tsoela pele, "mochini o entsoe ka bone mme o tšehetsa 'mele,' me o tšehetsa mohope oa mokokotlo. Ka lehlakoreng le leng, mokokotlo oa mokokotlo o fana ka mokhoa oa ho fetisa mehopolo ho tsoa boong le libakeng tse ling ea tsamaiso ea methapo ho ea ho 'mele oohle. "
Mokokotlo oa mokokotlo o na le methapo ea mali, mafura le methapo ea methapo ea mokokotlo hammoho le "khoele."
Toerge e tsoela pele ho hlakisa mesebetsi ea mohaho ka mong ka ho bolela hore ka bobeli ka bobeli ba sebetsa ba ikemela, ntle le ha kanallo e ntse e fokotseha, ke hore, maemong a li-canal stenosis.
Ho phapanyetsa ho ka 'na ha e-ba le tšusumetso ho likarolo tsa methapo ea mokokotlo,' me ke nakong eo ha ho etsoa hore na lefu la central canal stenosis le etsoa joang.
Dr. Judith Glaser, eo e leng setsebi sa physiatrist le setsebi sa phekolo ea menyetla e sebetsang New Hyde Park, New York, o re ho kenella mokokotlong oa mokokotlo o qobella mokokotlo le methapo ea methapo ea mokokotlo .
'Me ho ea ka Dr. Sergio Gonzalez-Arias, mookameli oa bongaka oa Setsi sa Baphatlalatsi sa Bophelo sa Baptisti sa Miami, Florida, mohala o entsoeng ka thata o ka baka matšoao a mangata ho akarelletsa (empa ha a felle feela) bohloko, bofokoli, ho senyeha, ho fokotseha, / kapa mathata a senya. O re matšoao a khale, ke thibelo ea kelello . Claudication ea neurogenic e bolela ho phunyeha ho ka 'nang ha amahanngoa le ho tsamaea nako e telele kapa ho ema.
Joalokaha u le ka thōko, u boetse u na le tsamaiso ea methapo ea methapo e nang le methapo e tlohang mokokotlong. Metsing ena e tsoa mokokotlong ho tloha sebakeng se ka lehlakoreng la molaleng oa mokokotlo o tsejoang e le intervertebral foramen , 'me ka mor'a moo o tsoela pele likarolong tsohle tsa' mele oa hau. Ha e le hantle, mosebetsi oa methapo ea meriana ke ho bona le ho khutlisetsa maikutlo - mocheso, bohloko, motsoako le boemo ba 'mele le tse ling - hammoho le ho buisana le maikutlo a tsamaiso ho tswa ho methapo ea hau e bohareng ho mesifa ea hau.
Joalokaha u ka bona, mekhoa ea methapo ea methapo le ea bohareng e amana; ba ts'oanang, ba nkoa e le mekhatlo e fapaneng.
Se Etsang Hore Canal e ka Bohareng e Ntle le ho Stenosis
Hangata ramatiki ea mokokotlo e ka ba motso oa stenosis e ka bohareng. Ramatiki e ka 'na ea hlaha ka metso ea mokokotlo ea methapo hammoho le ka lekaneng, Toerge e hlakisa.
Ha ramatiki e ama methapo ea methapo ea mokokotlo, e bitsoa neuroformaninal stenosis .
Empa liphatsa tsa lefutso li ka 'na tsa phetha karolo, hape.
Ka mantsoe a mang, batho ba itseng ba tsoaloa feela ka mekhoa e meholo ea mokokotlo. "Batho ba bang ba na le kankere e nyane le mohala o moholo oa mokokotlo kapa mohala o moholo le mokokotlo o monyenyane oa mokokotlo, 'me qetellong ke boemo bo ntlafetseng," Toerge o tsoela pele.
Hase feela hoo, empa ho fapana ho fapaneng ho fapaneng ka boholo ba kankere ea hau ea mokokotlo e ka bang boholo ba mokokotlo oa mokokotlo oa hau. Toerge e mpolella hore ho se tšoane hona ho na le bothata bo boholo ba ho rarolla mathata ao batho ba tobanang le 'ona le lefuba la bona la central canal stenosis.
Glaser e phaella matšoao hothathamong la lisosa tsa central canal stenosis, e bolelang hore le hoja e sa tloaeleha, ka linako tse ling e tsejoa e le lisosa tse ka sehloohong.
Mathata a li-disc, ho akarelletsa le herniation le tahlehelo ea bophahamo ba disc, e ka boela ea etsa hore mochini oa mokokotlo o fokotsehe.
Lentsoe ho
Empa ho phela bophelo ba bolulo ke kotsi e kholo ea bohle, Toerge o phethela. Lebaka ke hore o hloka ho sebelisa mesifa ea hau kamehla e le hore u lule u le moetle le ho sebetsa. Haeba tsela ea hau ea ho iphelisa e lebisa ho lahleheloa ke mosebetsi, "phello e ka ba le liphello tse tebileng."
Ho pheta ka maoto ho ka fana ka tsela e le 'ngoe ea ho ntlafatsa mathata a ho sebetsa ha hao ka lebaka la kankere ea central canal stenosis. Phuputso ea 2018 e phatlalalitsoeng ka Meriana e meng ea phekolo ea bongaka ea BMC e fumanoe hore ho phekola ka matla ho sebetsa ho feta ho ikoetlisa bakeng sa ho sebetsa hantle 'meleng le ho atleha ho feta meriana bakeng sa khotsofalo ea mokuli. Bafuputsi ba bolela hore lingaka le bakuli ba na le liphello tsa bona ha ba etsa liqeto tsa phekolo bakeng sa lumbar spinal stenosis.
> Mehloli:
> Inthanete Puisano. Glaser, J. DO, LAC, Meriana ea ho Tsosolosa New Hyde Park, NY January 2014.
> Inthanete Puisano. Gonzalez-Arias, Sergio MD, Motsamaisi oa Bongaka, Setsi sa Bophelo sa Baptiste sa Phekolo ea Mahlale, Miami, FL. January 2014.
> Oka, H., le. al. Thuto e bapisoang ea litlhare tse tharo tse sebetsang ho bakuli ba nang le lumbar spinal stenosis: lumbar spinal stenosis ka ho phekola le ho phekola (LAP study). BMC Complement Altern Med. Ka la 2018.
> Inthanete Puisano. Toerge, J. DO, Sepetlele sa MedStar sa Pholiso ea Sechaba, Bethesda, MD. January 2014.