Sidee Naas-nuujinta Astaamaha Xanuunka u Leeyahay
Dhibaatada Neuralforaminal waa nooc ka mid ah stenosis-ka kaas oo hoos u dhaca godadka kuwaas oo dareemayaasha laf-dhabarka u gudbaan si ay uga baxaan dhammaan qaybaha jirka ka soo xuubka laf-dhabarka. Bacahaas, oo loo yaqaano foramen, waxay ku yaalaan dhinacyada qorraxdaada vertebral heer kasta, ama qayb ka mid ah lafdhabarta. (Qeyb ka mid ah ayaa lagu kala saari karaa kor iyo hoosna ayadoo loo kala qaybiyo qaybaha intervertebral .)
Markaad qabtid nuuralforamenal stenosis, korniinka lafaha ama qalooca - taas oo badanaa sabab u ah isbedelka da'da iyo / ama isbeddelka isbeddelka ee ku dhaca lafdhabarta - xayiraadda booska sida caadiga ah ee ay bixiso foramen. Kala-bixintani, marka loo eego, waxay hoos u dhigeysaa tirada booska la heli karo ee ku jira alaabooyinka, sida dareemaha laf-dhabarka (iyo waliba waxyaabo kale), si loogu raaxaysto.
Calaamadaha caadiga ah
Muxuu micnaheedu yahay dhammaan wixii macnahiisu yahay calaamadahaaga? Sidee buu u saameeyaa saameyn ugu yeelan kartaa habka aad dareemaysid markaad qabto neuroforamenal-dareenka?
Waxa ugu horreeya ee maskaxda lagu hayo waxa weeye in neerfayaasha ay saameeyaan stenosis neuroformainal-gaaga oo kaliya - dareen-celin. Shaqadoodu waa inay soo gudbiyaan farriimaha dareenka iyo ficil-gelinta iyo ka soo-baxa nidaamkaaga dhexe ee dareenka (kaas oo ka kooban maskaxdaada iyo xuduntaada laf-dhabarkaaga). Haddii, sababtoo ah dhibaatada joogtada ah ee ka timaada astaamahaaga, astaamaha xididku waxa ay gooyaan shaqadooda - si kale haddii loo dhigo, haddii la cadaadiyo ama haddii kale lagu xanaaqo marka ay la xiriirto dhismayaasha deriska - waxaa laga yaabaa inaad dareento astaamo la xiriira aberrations waxa dhakhtarku caadi ahaan kuu sameeyo.
Astaamaha ugu weyn ee xanuunka neuroforamenal caadi ahaan waa radiculopathy . Radikulopathy waxaa laga yaabaa inay noqoto mid xanuunka, kabuubyo, muruqyo, tabar-darro, gubasho ama dareemid koronto oo hoos u dhaca hal lug ama hal gacan (iyada oo ku xiran hadday jirkaagaagu hoos u dhaco dhabarkaaga hoose ama qoortaada).
Dhibaatada neuralforaminal-ka ma ahan xaalad caafimaad oo kaliya ee radiculopathy waa calaamadaha ugu waaweyn.
Qalabka herniated waa tusaale kale.
Dr. Allen Wilkins, MD, oo ka tirsan Manhattan Physical Medicine and Spine, ayaa sheegay in calaamadaha radikulopathy ay u muuqdaan inay ku dhacaan qaab gaar ah oo ku yaala dhinaca hoose ee dareenka uu dareemo dareenkaagu uu u socdo. Xaaladda saxda ah ayaa horay loo go'aamiyey oo waxay u dhigantaa jibbooyin kuwaas oo dareemayaasha caadi ahaan saameyn ku yeeshaan. Aagaggaas waxaa loo yaqaannaa dermatomes .
Dr. Ali Bydon, Associate Professor of Neurosurgery, Agaasimaha Spinal Column Biomechanics iyo Shaybaarka Qalliinka Natiijada ee Johns Hopkins Medical School iyo Agaasimaha Cudurka Qalitaanta ee Johns Hopkins Bayview Medical Center ayaa caddaynaysa dermatomes (marka laga hadlayo nuroforaminal stenosis) qaybinta gacmaha ama lugaha marka calaamadaha ay joogaan, isku xiraan dareenka lagu cadaadiyo. "Calaamadaha stenosis neuroforaminal-ka waxay u muuqdaan kuwo raacaya marxaladan kala qaybinta," ayuu yidhi.
"Dhiibitaanka neerfayaasha ilma-mareenka ayaa sababi doona astaamaha calaamadaha; Nafaqada naasaha cadceedda ayaa sabab u ah calaamadaha ku jira maskaxda iyo faafinta dareemayaasha ee lafaha lumbar waxay keeni doonaan astaamaha bararka iyo lugaha, "ayuu yidhi.
Dr. Robert Bray, oo ah neurosurreon oo ka tirsan Xarunta Isboortiga iyo Xirfadda ee DISC Sports and Spine ee Marina del Rey, California, ayaa sharxaya "in xidid kasta uu leeyahay shaqeyn kala duwan oo gacanta ama lugta ah.
Tusaale ahaan, wuxuu ii sheegaa, qoorta, dareemaha C-5 wuxuu u dhaqaaqaa garabka iyo murqaha muruqyada, halka dareenka heerka C-6 uu u wareegayo cududda. Dhabarka hoose ee L-4 wuxuu xakameynayaa muruqyada quadriceps, L - 5 dareemuhu wuxuu u dhaqaaqaa qaar ka mid ah kubka iyo suulka weyn. Meelaha xajinta leh, ayuu yidhi, S-1 xanuujinta xakamaynta qaybaha kale ee kubka iyo suulasha yaryar.
"Dareemaha shakhsiga ah ee ku jira munaasabadda ayaa muujin doona radiculopathy meel gaar ah oo ay saameyneyso ama xakamaynayso Taasi waa sababta aad u dareentay ama u aragtay astaamo qaab gaar ah," Bareeye wuu sharxaa.
Wilkins wuxuu intaa ku daray in ay ku xiran tahay waxyaabo badan oo ay ka mid yihiin qaababkaaga gaarka ah ee dabiiciga ah, sida habka neuroforaminal stenosis uu u kobcayo iyo qaybaha lafdhabarta ay saameeyaan, calaamadaha way ka duwanaan karaan bukaanka ilaa bukaanka.
Guud ahaan, marka, dareemaha dareeraha, Wilkins wuxuu sheegay in xanuunka uu yahay waxa ugu horreeya ee la muujiyo, ka dibna dareenka ama kabuubashada kabuubku wuxuu bilaabmaa, ugu danbeynna, koritaanka maskaxda oo gaar ah u leh dareemaha ay saameysay.
Wilkins ayaa sidoo kale soo warisay in dadka qaba nuural foramina stenosis ay caadi ahaan xanuun dareemaan, muruqyada muruqyada, daciifka xagjirnimada, kabuubka darajada iyo xoqan, xoqan dareenka gubashada ee xagjirnimada. Wuxuu intaa ku daray in bukaanku sida caadiga ah sharaxaad ka bixinayaan xanuunka foosha iyo xatooyada ama gubashada dareenka aagga ku lug leh. Dareenka hoos u dhaca iyo luminta baabuurta, oo u dhiganta inuu ku lug leeyahay xididada dareemayaasha ayaa sidoo kale laga yaabaa inay joogaan, ayuu yidhi.
Dr. Bydon wuxuu caddeeyay in calaamadahani ay sababi karaan cillad dareenka ah marka ay ka baxdo lafdhabarta. Marka la raaco calaamadaha kale ee kor ku xusan, ayuu yidhi, dareen adag oo ay sabab u tahay nuuralforamenal stenosis ayaa dareemi kara xanuunka isdabajooga ee xagjirnimada.
Ilaha
Wareysiga Email. Bray ,, Robert S. Jr., MD. DISC Sports & Spine Center. Marina del Rey, CA. Diisambar 2013.
Wareysiga Email. Bydon, A., MD. Professor of Neurosurgery, Agaasimaha Agaasinka Nuurosurgery Ardayda Caafimaadka Tacliinta, Agaasimaha Cudurka Dhakhsaha ee Ardayda Jaamacadda, Jaamacadda Jabka Spinal Colom Bioemasikada iyo Natiijooyinka Qalliinka Cudurka Jaamicadda Johns Hopkins, Agaasimaha Clinical of Qalliinka Cudurka ee Johns Hopkins Bayview Medical Center. Diisambar 2013.
Wareysiga Email. Wilkins, A., MD. Manhattan Daawada Jirka iyo Baxnaaninta. New York. Diisambar 2013.