Waa maxay neurofooraminal stenosis?
Gawaarida lafdhabarta waa ereyga oo loola jeedo cirridka mid ama wax ka badan oo ku yaal qaybta lafdhabarta. Guud ahaan, waxay la xiriirtaa arthritis-ka, taas oo macnaheedu yahay in cidhiidhintu ay inta badan keenaan isbeddelada isbedbeddelka ee ku dhaca lafaha laf-dhabarta waqtiga iyo / ama dhaawac awgiis.
Gawaarida lafdhabarta ayaa dhici karta meel kasta oo ka mid ah dhererka lafdhabarta; Si kastaba ha noqotee, waxay u muuqataa in lagu ogaado lumbar (dhabarka hoose) iyo qaybaha ilma-mareenka (qoorta) ugu badan.
Waxaa jira 2 nooc oo ah stenosis spinal-ka: Dhibaatada qanjidhada dhexe iyo neuroforaminal stenosis. Ereyga "stenosis central stomosis" wuxuu tilmaamayaa cirridka laf-dhabarka, taas oo ah meel banaan oo ku taal bartamaha qaybta laf-dhabarka. Xadhigga laf-dhabarka wuxuu ku yaalaa gudaha gudaha laf-dhabarka . Calaamadaha stenosis-ka ee bartamaha ayaa caadi ahaan la kulmay qaybo ka mid ah jirka oo u adeega heerka lafdhabarta ee hooseeya iyo hooseeya.
Central Canal Stenosis
Marka laga hadlayo qanjidhada dhexe ee lumbar-dareenka (ma ahan ilmo-mareenka), calaamadahaasi badanaaba waxaa ku jira nörogenic claudicatio n kaas oo ah nooc ka mid ah xanuunka hurgunka lugaha lugta ku socda. Halista sii kordhaysa ee dhacdadu waa calaamado kale oo caadi ah.
Qalitaanka afka ilmagaleenka ee stenosis-ka ayaa laga yaabaa inay horseedi karto daciifinta gudniinka gacanta; tani waxay saamayn kartaa waxyaabo aad ku qabatid gacmahaaga sida bustaha, calaamadaha ama sheyda kale, sheyda iyo joodariyada, xirashada kabaha iyo qorista.
Calaamadaha kale ee ku yimaada qanjidhada dhexe ee dhuunta ilmagaleenka waxaa ka mid ah is bedel guud ee dareenkaaga dareenka, dareen ah in aad daciifsan tahay intaad horay u dhacday, isbeddel ku yimaada socodkaaga, caloosha iyo / ama kaadiheysta, iyo in ka badan.
Neuroforaminal Stenosis
Dhibaatada Neuroforaminal-ka waa cidhiidhi ah oo ka dhacaya foramina .
Foramina waa godado ku yaal labada dhinac ee laf-dhabarka; waxay ka yar yihiin kanaalka laf-dhabarka. Naababada laf-dhabarta ayaa ka baxda foramina ka dib markii ay ka soo baxdo xudunta lafdhabarta. Dareerayaashaas waxay markaa ka baxaan dhammaan meelaha jirka ka mid ah si ay u soo qaataan dareenka waxayna u qaadaan maskaxda si ay u fasiraan, iyo sidoo kale inay u gudbiyaan dhaqdhaqaaqa dhaqaaqa maskaxda ilaa muruqyada.
Dr. Robert Bray, oo ah neurosurga ku yaala Xarunta Cilmi-baarista iyo Dhaqanka ee Marina del Rey ee magaalada California, ayaa sheegaysa in liddi ku ah gogol-xummo dhexe, neuroforaminal-stenosis-ka waxa uu carqaladeynayaa dareemaha hadda jira oo keliya heerka qaaska ah ee uu ku yaala stenosis .
Haddii si kale loo dhigo, neuroforaminal stenosis, haddii heer qanjirro gaar ah ama heerarka (heerarka loo yaqaan " segments" ) ma laha isbeddelo lafo-daro ah oo keenaya cidhiidhi ah foramina, ka dibna calaamadaha la xiriira heerkaas ma joogi doono. Tani ma joojinayso inaad yeelato calaamadaha dhamaantood, inkastoo. Haddii qaybo kale oo ka mid ah laf dhabarkaaga la cidhiidhiyo, waxaa laga yaabaa inaad si fiican u aragto xanuun iyo astaamo kale.
Sida qanjirada dhexe ee sanbabada, qalfoofka neurogenic (mar labaad, lugta iyo murqaha socodka) waa calaamad muujinaysa neuroforaminal stenosis.
Dhab ahaantii, waxaa loo arkaa astaamaha caadiga ah. Dhaqanka neurogenic wuxuu ku xiran yahay durbadiiba, gaar ahaan sida salkaaga laf-dhabarku u saameeyo goobta bannaan ee loo yaqaan 'foramina' (taas oo kor looga hadlay.)
Daraasad cilmi-baaris ah oo 2017 ah ayaa lagu ogaaday in dabacsanaan (horay loo soo dhejiyey) lafdhabarka ay kordhinayaan booska ku yaala foramina. Tani waxay u muuqataa inay calaamad u tahay calaamadaha sababta oo ah dareemayaasha ayaa leh qolal badan.
Maxaa keena stenosis spinal?
Dhibaatooyinka ku dhaca dhabarka waxaa lagu dhufan karaa waxyaabo badan, ayuu yidhi Dr. Allen Wilkins oo ka tirsan Manhattan Physical Medicine and Rehabilitation. Waxaa ka mid ah kuwa ugu caansan sida herniations, arthritis-ka xirxirayaasha deriska ah ee deriska ah, bulaacadaha, iyo fiixda synovial.
Dr. Ali Bydon, oo ah Agaasimihii Dhakhtarka ee Neurosurgery, Agaasimaha Isku Duubka Qalabka Biyomechanics iyo Natiijooyinka Qalliinka ee Iskuulka Johns Hopkins Medical School, iyo Agaasimaha Clinical of Qalliinka Xiddiga ee Johns Hopkins Bayview Medical Center ayaa ogolaatay, isaga oo intaa ku daray in burburka jimicsiga (hypertrophy) oo la mid ah qiimeynta Dr. Wilkins qiimeynta arthritis-ka ee kor ku xusan) iyo spondylolisthesis ayaa ah kuwa kale ee suurtogalka ah.
"Mid kasta oo ka mid ah xaaladahaan waxay noqotaa mid caadi ah sida dadka da'doodu tahay, laakiin sidoo kale waxay noqon kartaa natiijada dhaawacyada maskaxda ah," comments Bydon.
Xakamaynta marxaladda - oo ay weheliso saameynta ay ku leedahay masuuliyadaha nolosha ee kuugu jirta dhabarkaaga - waxay ku jiifsan karaan xididka neuroforaminal stenosis. "Nooc-xanuunka neuroforaminal-ka waxaa sababa dhar caadi ah oo jeexan, adigoo da 'yareynaya ama marka wadajir ah la dhaawacay oo aan dib u dhicin, sababo kale, Dr. Bray ayaa soo gabagabeeyay.
Haddii aad xiiseyneyso doorashooyinka daaweynta xanuunka neuroforaminal-ka, kala hadal dhakhtarkaaga. Macluumaad guud, aqriso Daaweynta Neuralforaminal Stenosis .
Ilaha:
Wareysiga Email. Wilkins, A., MD. Manhattan Daawada Jirka iyo Baxnaaninta. New York. Diisambar 2013.
Bent, M., Malone, D. Bent, M. Yoon, T. Isbarbardhigga Tilmaamaha Tijaabinta Tomografi ee loogu talagalay Diagnosinta Afka Ilmo-galeenka Afka Ingriiska Myelopathy: Daraasad Xakamaynta Kiisaska Koonfureed J. Feb. 2015. Helitaanka: Maarso 2016. http://www.ncbi.nlm.nihm.nih.gov/pmc/articles/PMC4330215/
Lee, S., Kim, T., Oh, J., Lee, S., Soo, M. Lumbar Stenosis: Warbixintii ugu dambaysay ee Dib u Eegista Suugaanta. Asian Spine J. Oktoobar 2015 Oktoobar. Abaabulan: Maarso 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/
> Ren, Z. Qiimeynta isbeddelka cabbirada numboforaminal ee lafaha dadka waawayn ee calaamadaha qaba MRI. Eur Spine J. Jan 2017. https://www.ncbi.nlm.nih.gov/pubmed/28116511