Haddii lagugu ogaado neurforamenal stenosis (taas oo ah dhicid mid ama kabadan oo furan oo ku yaala dhinaca geeska vertebral ee loo yaqaan 'foramen' ) fursadahaaga waxaad la kulantay astaamaha radiculopathy . Radikulopathy wuxuu dhacaa marka xididka xididada laf-dhabarka lagu soo rogo (oo lagu magacaabo xakameyn ama xayiraad.)
Radikulopathy wuxuu caadi ahaan ku dhacaa xaaladaha xanuunka 'inflammatory arthritis-ka' iyo herniated disc.
Astaamaha guud ahaan waxay u muuqdaan inay yihiin xanuunka, xannuunka, kabuubyada iyo / ama daciifnimada oo hoos u dhacaya ciribkii saameeyey. Wixii khuseeya, silica waa nooc ka mid ah radiculopathy.
Laakiin cidhiidhi gelinta neuroforaminal waxaa dhici karta in calaamadaha kale la soo gudbiyo. Kuwaas waxaa ka mid noqon kara murqaha muruqyada, xanuunka fiiqan, dareenka gubashada iyo daciifnimada iyo / ama dareenka hoos u dhaca, sida uu qabo Allen Wilkins, MD, ee Manhattan Physical Medicine and Spine.
Xeeladaha Daaweynta Daaweynta Neuralforamenal Stenosis
Taas Taasi waxay u egtahay wax badan oo wax ka qabta! Waxaa laga yaabaa inaad ka fekereyso haddii ay jiraan wax aad sameyn kartid si aad u dareento fiicnaan iyo "joogista ciyaarta" mas'uuliyadaha nolosha ka dib marka lagu ogaado cudurka neurforamenal stenosis.
Haa, waxaa jira. Adiga uma baahnid inaad qalliin u baahato.
"Boqolkiiba 90 bukaannada qaba nuuroforaminal ayaa yaraynaya calaamadaha iyagoo leh nooc ka mid ah maareynta non-operative," ayaa yiri Dr. Ali Bydon, oo ah Agaasime ku-xigeenka Neurosurgery, Agaasimaha Spinal Column Biomechanics iyo Natiijooyinka Surgical Results at Johns Hopkins Medical School iyo Agaasimaha Clinical Qalitaanka dhabta ah ee Xarunta Caafimaadka ee Johnview Hopkins Bayview.
Bydon ayaa sheegay in daaweynta neurforamenal stenosis, daaweynta koowaad ee daaweynta xanuunka iyo / ama daawooyinka aan dawooyinka ahayn ee anti-inflammatory . Intaas waxaa dheer, waxaad u tagi kartaa daaweynta jirka si aad u fidiso loona xoojiyo jimicsiga qoorta ama murqaha dambe. Daaweyntaada PT waxaa ku jiri kara kuleyl, baraf iyo / ama ultrasound, sidoo kale.
Ugu dambeyntii, Bydon wuxuu tilmaamayaa in daaweynta garashada, tusaale ahaan, daaweynta hadalka iyo / ama daweynta nasashada, iyo sidoo kale duugista daaweynta laga yaabo inay sidoo kale ka caawiso cilladaha.
Dr. Robert Bray, oo ah neurosurre oo ka tirsan Xarunta Cilmi-baarista iyo Dhaqanka Disk ee Marina del Rey, California, ayaa intaa ku daray in daaweynta jireed ay ku jiri karto shaqada dib u qaabeyntaada. Dhibaatada Neuroforamenal waxaa inta badan ay saameyn ku yeelataa muuqaalka xun ee qoorta, ayuu yidhi. Waxa uu sii wadi doonaa inuu sharxo in wareegga sare ee gadaashu uu kordhinayo qoorta oo qoorta taas oo ay sii kordhinayso neuroforamiin aaggaas.
"Jimicsi si sax ah u dhajiya garabka garabka oo si caadi ah u dhigma hoos u dhigida jeermiska feedhaha, ayuu yidhi, isagoo intaa ku daray in hababka dhaqameed ee xoojinta daaweynta jireed ay noqon karto mid aad u faa'iido leh marka lagu daro laylisyada dib-u- hagaajinta.
Bydon ayaa sheegaysa in doorasho kale oo lagu yareynayo xanuunka la xidhiidha cidhiidhiga neerforaminal iyo cufnaanta xididdada xidhan ee ciridka ah waa cirbadaha laf-dhabarka epidural. Hadafka noocan ah ee cirbadeynta waa in la yareeyo bararka iyo / ama inaad kabuubisid xididkaaga dareenka . Daawada sariirta waxaa lagu duraa xididada xididada, badanaa laakin caawinta fluoroscopy ama tiknoolajiyada kale ee hagaajinta sawirada, ayuu ii sheegayaa.
Tijaabadu waxay oggolaatay oo waxay ku dartay in haddii aad qabtid hargab aad u daran, dareenkaagu wuxuu u eg yahay inuu bararayo. Tani waxay ka dhigan tahay in uu dhex marayo daloolka (foramen) ee aad u yar. Daaweynta steroid-ka ee wareega xididada dareemayaasha ayaa yaraynaysa bararka, ayuu yidhi. Markaad isku darka daaweynta ku dhejisid barnaamijka daaweynta jirka ee loogu talagalay in lagu horumariyo muuqaal fiican, waxaa laga yaabaa in aad haysatid cunto laguu daweeyo xanuunka neerforamenal stenosis, ayuu hadalkiisa ku daray.
Maxay Tilmaamaha hoose? Qalitaanka Naas-nuujinta Qalitaanka Loo Qaadaa?
Inta badan wakhtiyada, maya. Laakiin waa inaad tijaabisaa daawooyinka iyo / ama daaweynta jirka ah 6 ilaa 8 asbuuc iyada oo aan xanuun joojin, waxaa laga yaabaa inay tahay waqti qalliinka lagu eegayo, Bydon ayaa sidaas leh.
Bydon wuxuu soo jeedinayaa in uu arko qalliin dhabarka ah haddii aad dareento isbeddelo dareen ah iyo / ama daciifnimo hore ee kudhaca jimicsigaaga neurforamenal stenosis.
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 Agaasimaha Nuurosurgery Ardayda Caafimaadka Tacliinta, Agaasimaha Cudurka Dhakhsaha ee Ardayda Jaamacadda ee Jaamicadda, Jaamacadda Johns Hopkins University, Agaasimaha Clinical of Cudurka Qalliinka ee Johns Hopkins Bayview Medical Center. Diisambar 2013.
Wareysiga Email. Wilkins, A., MD. Manhattan Daawada Jirka iyo Baxnaaninta. New York. Diisambar 2013.