Haeba u fumanoe u e-na le neuralforamenal stenosis (e leng ho fokotseha ha karolo e le 'ngoe kapa tse ling tse ngata ka lehlakoreng la mohala o tsejoang e le foramen ) u kile ua bona matšoao a radiculopathy . Meriana-mafu ea meriana e hlaha ha motsoako oa methapo ea mokokotlo o behoa holim'a (ho bitsoa ho koaloa kapa ho kenella.)
Lithethefatsi li tloaelehile ha ho e-na le ramatiki e senyang le disk ea herniated.
Matšoao a atisa ho iponahatsa e le ho utloa bohloko, ho lla, ho senyeha le / kapa bofokoli bo theohelang pheletsong e amehang. Bakeng sa boitsebiso, sciatica ke mofuta o mong oa radiculopathy.
Empa li-neuroforaminal tse nyenyane li ka 'na tsa kenya matšoao a mang hape. Tsena li ka kenyeletsa maqhubu a mesifa, bohloko bo bobe, ho chesa maikutlo le bofokoli bo khonehang le / kapa ho fokotsa maikutlo, ho latela Allen Wilkins, MD, Manhattan Physical Medicine le Spine.
Neuralforamenal Stenosis Treatment Options
Whew! Seo se utloahala eka ke lintho tse ngata tseo u ka sebetsanang le tsona! U ka 'na ua ipotsa hore na ho na le seo u ka se etsang hore u ikutloe u le betere' me u "lule papaling" ea boikarabelo ba bophelo ka mor'a hore u fumanoe ka neuralforamenal stenosis.
E, ho na le. Hape mohlomong ha ho hlokahale hore u buuoe.
Dr. Ali Bydon, Moprofesa oa Maiketsetso oa Neurosurgery, Mookameli oa Li-Spin Column Biomechanics le Lipatlisiso tsa Lipatlisiso tsa Lipatlisiso Sekolong sa Bongaka sa Johns Hopkins le Motsamaisi oa Kliniki oa " Phekolo ea Meriana ea Bongaka Sepetlele sa Bongaka sa Johns Hopkins Bayview.
Bydon e re bakeng sa neuralforamenal stenosis, kalafo ea pele e na le meriana ea bohloko le / kapa lithethefatsi tse seng tsa steroidal tse khahlanong le ho ruruha . Ho phaella ho sena, u ka ea ho phekolo ea meriana bakeng sa ho ikoetlisa le ho matlafatsa li-exercises tse lebisang molaleng kapa mesifa ea morao. Phekolo ea hau ea PT e ka kenyelletsa mocheso, leqhoa le / kapa ultrasound, hape.
'Me qetellong, Bydon e bontša hore phekolo ea ts'oaetso, ka mohlala, ho phekola kalafo le / kapa phekolo ea boikhathollo, hammoho le ho silila ho ka thusa ho fokotsa matšoao.
Dr. Robert Bray, neurosurgeon setsing sa DISC Sports le Spine Center Marina Marina, Rea California, o phaella ka hore phekolo ea meriana e ka kenyelletsa mosebetsi mosebetsing oa hau. Oa re, "Stenosis ea Neuroforamenal e atisa ho angoa ke boemo bo bobe molala." O tsoela pele ho hlalosa hore ho koaloa ha karolo e ka holimo ho eketsa ho atoloha ha molala hoo hape ho tla fokotsa li-neuroforamin sebakeng seo.
"Ho ikoetlisa ho nepahetseng ho fapaneng lehetla ho fokotseha ho tloaelehileng bakeng sa foraminal stenosis, o re, ho phaella ka hore mekhoa ea setso ea ho matlafatsa phekolo ea meriana e ka ba ea bohlokoa haholo ha e kopane le ho lokisoa ha nako e telele .
Bydon e re khetho e 'ngoe ea ho fokotsa bohloko bo amanang le ho fokotseha ha neuralforaminal le metsoako ea methapo ea eona ea methapo ea epidural steroid . Sepheo sa mofuta ona oa ente ke ho fokotsa ho ruruha le / kapa ho fokotsa methapo ea methapo ea hau. Moriana o thobang o kenngoa mokokotlong oa methapo ea methapo, hangata ka thuso ea fluoroscopy kapa theknoloji e 'ngoe e tataisang theknoloji, oa mpolella.
Bray o lumellana mme o phaella ka ho re haeba o na le maqhubu a maholo, methapo ea hau e ka 'na ea ruruha. Sena se bolela hore se feta ka sekoting (foramen) se senyenyane haholo. Ho noa moriana oa steroid ho potoloha methapo ea methapo ho fokotsa ho ruruha, o re. 'Me ha u kopanya phekolo ena le lenaneo la phekolo ea meriana e etselitsoeng ho ntlafatsa boemo bo botle, u ka' na ua ba le kempe ea phomolo ea bohloko ea matšoao a se nang mokokotlo oa neuralforamenal stenosis, o re.
Ke eng e tlaase? Na Neuralforaminal e Hlokahala e Hlokahalang?
Linako tse ngata, che. Empa na u lokela ho leka meriana le / kapa phekolo ea makhetlo libeke tse 6 ho isa ho tse 8 ntle le khatello ea bohloko, e ka 'na ea e-ba nako ea ho nahana ka ho buuoa, Bydon e re.
Bydon e fana ka maikutlo a ho bona ngaka ea mokokotlo haeba u bona liphetoho tse utloahalang le / kapa bofokoli mathoasong a hau ea stenosis ea neuralforamenal.
Lisebelisoa:
Imeile Moqoqo. Bray ,, Robert S. Jr., MD. DISC Sports & Spine Center. Marina Kelley, CA. December 2013.
Imeile Moqoqo. Bydon, A., MD. Purofesa oa Mokhatlo oa Neurosurgery, Motlatsi oa Thuto ea Bongaka ea Thuto ea Bongaka ea Meriana ea Maiketsetso, Mookameli oa Thuto ea Bana ea Thuto ea Mantlha ea Sekolo sa Bophelo, Mookameli oa Lilemo tsa Bophelo ba Likokoana-hloko tsa Bionechanics le Lipatlisiso tsa Lipatlisiso tsa Lipatlisiso Univesithing ea Johns Hopkins, Motsamaisi oa Bongaka oa Phekolo ea Meriana ea Bongaka ho Johns Hopkins Bayview Medical Centre. December 2013.
Imeile Moqoqo. Wilkins, A., MD. Manhattan Phekolo ea Meriana le Boikarabello. New york. December 2013.