Mokokotlo oa stenosis

Spinal stenosis e fokotseha ka mokokotlo oa mokokotlo o bakang khatello mokokotlong oa mokokotlo, kapa ho fokotseha ha menyetla (e bitsoang neural foramina) moo methapo ea mokokotlo e tlohang mokokotlong.

Spinal stenosis hangata e hlaha ha motho a ntse a tsofala, leha ho le joalo, bakuli ba bang ba hlaha ba se na sebaka se fokolang bakeng sa mokokotlo oa bona oa mokokotlo.

• Disks tsa mokokotlo lia oma ebe li qala ho thunya.
• Masapo le methapo ea mokokotlo ea hola kapa ea hola. Sena se bakoa ke ramatiki kapa ho ruruha ha nako e telele.

Spinal stenosis le eona e ka bakoa ke:

• Ramatiki ea mokokotlo, hangata ho batho ba lilemong tse bohareng kapa ba baholo
• Maloetse a masapo, joalo ka lefu la Paget
• Ho holofala kapa ho hola mokokotlong o neng o le teng ho tloha tsoalong
• Mekero e mosesane ea mokokotlo eo motho eo a tsoetsoeng ka eona
• Diski ea Herniated kapa e thellisitsoeng, e neng e etsahala khafetsa nakong e fetileng
• Kotsi e bakang khatello methapong ea methapo kapa mokokotlong
• Lihlahala mokokotlong
• Ho robeha kapa ho lemala ha lesapo la mokokotlo

Matšoao a lula a mpefala butle ha nako e ntse e feta. Hangata, matšoao a tla ba ka lehlakoreng le leng la 'mele, empa a ka kenyelletsa maoto ka bobeli.

Matšoao a kenyelletsa:

• Ho ba lerootho, ho peperana, kapa bohloko mokokotlong, maraong, liropeng, kapa manamaneng, kapa molaleng, mahetleng kapa matsohong
• Bofokoli ba karolo ya leoto kapa letsoho

Matšoao a khona ho ba teng kapa a mpefala ha o ema kapa o tsamaea. Hangata lia fokotseha kapa lia nyamela ha u lula fatše kapa u sekametse pele. Batho ba bangata ba nang le mokokotlo oa mokokotlo ha ba khone ho tsamaea nako e telele.

Matšoao a tebileng a kenyelletsa:

• Ho ba thata kapa ho se leka-lekane ha u tsamaea
• Mathata a ho laola moroto kapa tsamaiso ea mala

Nakong ea tlhahlobo ea 'mele, mofani oa hao oa tlhokomelo ea bophelo o tla leka ho fumana sebaka sa bohloko le ho ithuta hore na se ama motsamao oa hau joang. O tla kopuoa ho:

• Lula, ema, 'me u tsamaee. Ha u ntse u tsamaea, mofani oa hau a ka u kopa hore u leke ho tsamaea ka menoana ea hau ebe u latela lirethe tsa hau.
• Koba pele, morao le ka thoko. Bohloko ba hau bo ka mpefala le mekhatlo ena.
• Phahamisa maoto ka ho otloloha ha u ntse u robetse. Haeba bohloko bo mpefala ha o etsa sena, o kanna oa ba le sciatica, haholo haeba o ikutloa o felloa ke matla kapa o hlohlona leotong le leng la hao.

Mofani oa hau o tla tsamaisa maoto a hau maemong a fapaneng, ho kenyelletsa ho koba le ho otlolla mangole. Sena ke ho lekola matla le bokhoni ba hau ba ho tsamaea.

Ho leka ts'ebetso ea methapo, mofani oa hau o tla sebelisa hamore ea rabara ho lekola maikutlo a hau. Ho lekola hore na methapo ea hau e utloa hantle hakae, mofani oa hau o tla ama maoto a hau libakeng tse ngata ka phini, swab ea k'hothone kapa masiba. Ho netefatsa botsitso ba hau, mofani oa hau o tla u kopa ho koala mahlo ha u ntse u boloka maoto a hau a kopane.

Tlhahlobo ea boko le methapo (neurologic) e thusa ho netefatsa bofokoli ba leoto le ho lahleheloa ke maikutlo maotong. U kanna oa ba le liteko tse latelang:

• Spinal MRI kapa lesapo la mokokotlo la CT
• X-ray ea mokokotlo
• Electromyography (EMG)

Mofani oa hau le litsebi tse ling tsa bophelo bo botle ba tla u thusa ho sebetsana le bohloko ba hau le ho u boloka u le mafolofolo ka hohle kamoo u ka khonang.

• Mofani oa hau a ka u fetisetsa kalafo ea 'mele. Setsebi sa 'mele se tla u ruta ho ikoetlisa le ho ikoetlisa tse matlafatsang mesifa ea hau ea morao.
• U kanna oa bona chiropractor, setsebi sa ho silila, le motho ea etsang acupuncture. Ka linako tse ling, liketelo tse 'maloa li tla u thusa ho opeloa ke mokokotlo kapa molala.
• Lipakete tse batang le kalafo ea mocheso li ka thusa bohloko ba hau nakong ea bohale.

Kalafo ea bohloko ba morao bo bakoang ke mokokotlo oa mokokotlo e kenyelletsa:

• Meriana e thusang ho kokobetsa bohloko ba mokokotlo.
• Mofuta oa kalafo ea lipuo o bitsoang ts'oaetso ea boitšoaro ho u thusa ho utloisisa bohloko ba hau le ho u ruta ho sebetsana le bohloko ba morao.
• Ente ea mokokotlo oa mokokotlo (ESI), e kenyelletsang ho enta meriana ka kotloloho sebakeng se potileng methapo ea hau ea mokokotlo kapa lesapo la mokokotlo.

Matšoao a mokokotlo oa stenosis hangata a mpefala ha nako e ntse e tsamaea, empa sena se ka etsahala butle. Haeba bohloko bo sa arabele liphekolong tsena, kapa o lahleheloa ke motsamao kapa maikutlo, o kanna oa hloka ho buuoa.

• Ho etsoa opereishene ho fokotsa khatello ea methapo kapa lesapo la mokokotlo.
• Uena le mofani oa hau le ka etsa qeto ea hore na o hloka ho buuoa neng bakeng sa matšoao ana.

Ho buoa ho ka kenyelletsa ho tlosa disk e bulging, ho tlosa karolo ea lesapo la vertebra, kapa ho holisa kanale le likheo moo methapo ea hau ea mokokotlo e leng teng.

Nakong ea opereishene ea mokokotlo, ngaka e buoang e tla tlosa lesapo ho etsa sebaka se eketsehileng bakeng sa methapo ea hau ea mokokotlo kapa mokokotlo oa mokokotlo. Ngaka e buoang e tla kopanya masapo a mang a mokokotlo ho etsa hore lesapo la mokokotlo le tsitse. Empa sena se tla etsa hore mokokotlo oa hau o be thata le ho baka ramatiki libakeng tse kaholimo kapa ka tlase ho mokokotlo oa hau o kopaneng.

Batho ba bangata ba nang le mokokotlo oa mokokotlo ba khona ho ba mafolofolo le boemo bona, leha ba ka hloka ho etsa liphetoho mesebetsing ea bona kapa mosebetsing.

Ho buuoa ka mokokotlo hangata ho tla fokotsa kapa ho felise matšoao a maoto le matsoho. Ho thata ho tseba esale pele hore na o tla ntlafatsa le hore na ho buuoa ka liphallelo ho tla fana ka bokae.

• Batho ba neng ba e-na le bohloko ba morao ba nako e telele pele ba etsoa opereishene ba kanna ba ba le bohloko kamora ho buuoa.
• Haeba o hloka mofuta o fetang o le mong oa ho buuoa ka morao, o kanna oa ba le mathata a bokamoso.
• Sebaka sa mokokotlo oa mokokotlo kaholimo le ka tlase ho mokokotlo oa mokokotlo ho ka etsahala hore o hatelloe mme o be le mathata le ramatiki nakong e tlang. Sena se ka lebisa ho liopereishene tse ngata hamorao.

Maemong a sa tloaelehang, likotsi tse bakoang ke khatello ea methapo li lula li le teng, leha khatello e ka imoloha.

Bitsa mofani oa hau haeba u na le matšoao a mokokotlo oa mokokotlo.

Matšoao a tebileng a hlokang tlhokomelo e potlakileng a kenyelletsa:

• Ho ba thata kapa ho se leka-lekane ha u tsamaea
• Ho holofala le ho fokola ha leoto la hau
• Mathata a ho laola moroto kapa tsamaiso ea mala
• Mathata a ho rota kapa ho ba le mantle

Pseudo-claudication; Stenosis e bohareng ea mokokotlo; Foraminal spinal stenosis; Maloetse a mokokotlo; Bohloko ba morao - mokokotlo oa mokokotlo; Bohloko bo bohloko ba morao - stenosis; LBP - stenosis

• Opereishene ea mokokotlo - ho tsoa

• Metsing ea sciatic
• Mokokotlo oa stenosis
• Mokokotlo oa stenosis

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Issac Z, Sarno D. Lumbar mokokotlo oa mokokotlo. Ho: Frontera, WR, Silver JK, Rizzo TD Jr, bahlophisi. Bohlokoa ba Phekolo ea 'mele le Ntlafatso. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 50.

Kreiner DS, Shaffer WO, Baisden JL, le al. Tataiso ea bongaka e thehiloeng bopaking bakeng sa tlhahlobo le kalafo ea lumbar spinal stenosis e holofatsang (ntlafatso). Mokokotlo J. 2013; 13 (7): 734-743. PMID: 23830297 pubmed.ncbi.nlm.nih.gov/23830297/.

Lurie J, Tomkins-Lane C. Tsamaiso ea lumbar spinal stenosis. BMJ. 2016; 352: h6234. PMID: 26727925 e fetotsoe.ncbi.nlm.nih.gov/26727925/.