Neural Foraminal Stenosis

Litaba

• Matšoao ke afe?
• Lisosa ke life?
• E alafshoa joang?
• Maemong a itekanetseng
• Linyeoe tse matla
• Na ho na le mathata?
• Nako ea ho bona ngaka
• Pono ea neural foraminal stenosis

Kakaretso

Neural foraminal stenosis, kapa neural foraminal narrowing, ke mofuta oa mokokotlo oa mokokotlo. E etsahala ha likheo tse nyane lipakeng tsa masapo mokokotlong oa hau, tse bitsoang neural foramina, e patisane kapa e tiisa. Metso ea methapo e tsoang ka mokokotlong ka har'a neural foramina e kanna ea hatelloa, ea lebisa bohlokong, ho felloa ke matla kapa bofokoli.

Bakeng sa batho ba bang, boemo bona ha bo bake matšoao 'me ha bo hloke kalafo. Leha ho le joalo, maemo a matla a neural foraminal stenosis a ka baka ho holofala.

Haeba matšoao a hlaha, a etsahala lehlakoreng la 'mele moo methapo ea methapo e kenang. Ka lehlakoreng le letšehali la neural foraminal stenosis, mohlala, matšoao a tla utluoa ka lehlakoreng le letšehali la molala, letsoho, mokokotlo kapa leoto.

Ha mahlakore ka bobeli a canal foraminal a patisane, ho thoe ke bilateral neural foraminal stenosis.

Matšoao ke afe?

Maemong a bonolo a neural foraminal stenosis hangata ha a hlahise matšoao ho hang. Haeba neural foramen e fokola ka ho lekana hore methapo ea methapo e ka hatelloa, e ka lebisa ho:

• bohloko ba mokokotlo kapa molala
• ho felloa ke matla kapa ho fokola ha letsoho, letsoho, leoto kapa leoto
• bohloko ba ho thunya bo theohelang letsohong
• sciatica, bohloko ba ho thunya bo tsamaeang ho tloha mokokotlong oa hau ho ea ka marameng le leotong
• bofokoli ba letsoho, letsoho kapa leoto
• mathata a ho tsamaea le ho leka-lekana

Matšoao hangata a qala butle butle mme a mpefala ha nako e ntse e tsamaea. Li ka etsahala ka lehlakoreng le le leng kapa ka mahlakore ka bobeli a mokokotlo. Matšoao a ka boela a fapana ho latela hore na karolo ea mokokotlo e fokotsa le ho penya methapo.

• Cervical stenosis e hlaha ka har'a li-neural foramens tsa molala.
• Thoracic stenosis e hlaha karolong e kaholimo ea mokokotlo.
• Lumbar stenosis e hlaha ho neural foramina ea mokokotlo o ka tlase.

Lisosa ke life?

Neural foraminal stenosis e etsahala ha ho hong ho fokotsa libaka lipakeng tsa masapo a mokokotlo oa hau. Kotsi ea neural foraminal stenosis e eketseha ka lilemo. Lebaka ke hore ho tsofala ho tloaelehileng ho amanang le botsofali ho ka lebisa ho fokotseheng. Ha re ntse re tsofala, li-disk mokokotlong li theola bolelele, li qala ho omella ebe li qala ho phatloha.

Ho batho ba bacha lilemong, likotsi le maemo a ka tlase a ka baka boemo.

Lisosa tsa neural foraminal stenosis li kenyelletsa:

• masapo a tsoa maemong a senyehang, joalo ka osteoarthritis
• ho tsoaloa ka mokokotlo o moqotetsane
• lefu la masapo, joalo ka lefu la Paget la masapo
• disk e bulging (herniated)
• methapo e teteaneng haufi le mokokotlo
• ho sithabela kapa ho tsoa kotsi
• scoliosis, kapa lekhalo le sa tloaelehang la mokokotlo
• botebo, joalo ka achondroplasia
• lihlahala (tse sa tloaelehang)

E alafshoa joang?

Kalafo ea neural foraminal stenosis e ipapisitse le boima ba boemo boo. Haeba matšoao a hau a le bonolo, ngaka ea hau e kanna ea khothaletsa ho lekola feela boemo ba hau ho netefatsa hore ha bo mpefale. U kanna ua batla ho phomola matsatsi a 'maloa.

Maemong a itekanetseng

Haeba matšoao a hau a tšoenya, ngaka ea hau e kanna ea u khothaletsa hore u ba alafe ka meriana kapa kalafo ea 'mele.

Meriana e meng e ka thusang ho phekola matšoao a neural foraminal stenosis e kenyelletsa:

• Ho kokobetsa bohloko ho feta tekanyetso joalo ka ibuprofen (Motrin IB, Advil), naproxen (Aleve), kapa acetaminophen (Tylenol)
• Ho kokobetsa bohloko ba ngaka, joalo ka oxycodone (Roxicodone, Oxaydo) kapa hydrocodone (Vicodin)
• Meriana e thibelang ho ts'oaroa e thusang ho kokobetsa bohloko ba methapo, joalo ka gabapentin (Neurontin) le pregabalin (Lyrica)
• liente tsa corticosteroid ho fokotsa ho ruruha

Phekolo ea 'mele e ka thusa ho matlafatsa mesifa e e potileng, ho ntlafatsa ho sisinyeha ha hao, ho otlolla mokokotlo le ho lokisa boemo ba hau. Bakeng sa mokokotlo oa mokokotlo oa mokokotlo, ngaka ea hau e ka u eletsa hore u apare seaparo se bitsoang brace collar. Lesale lena le bonolo, le nang le marulelo le lumella mesifa e molaleng oa hau hore e phomole le ho fokotsa ho phunya metso ea methapo molaleng oa hau.

Linyeoe tse matla

Haeba matšoao a hau a le matla, ho ka hlokahala hore u buuoe e le hore ngaka ea hau e ka holisa neural foramen e hatellang methapo ea hau. Ts'ebetso ena e na le tšenyo e nyane mme hangata e etsoa ka endoscope. Ke ts'ebetso e nyane feela e hlokahalang ke ngaka e buoang. Tsamaiso e ka kenyelletsa:

• laminotomy kapa laminectomy, e leng ho tlosoa ha masapo, mabali, kapa ligament e bakang ho fokotseha
• foraminotomy, kapa ho holisa foramina
• laminoforaminotomy, e kenyeletsang mekhoa ena ka bobeli

Bakeng sa li-disk tsa herniated, ngaka ea hau e ka etsa opereishene ho tlosa disk.

Na ho na le mathata?

Le ha e sa tloaeleha, neural foraminal stenosis e sa alafatsoang e ka lebisa ho:

• bofokoli bo sa feleng
• ho se sebetse ha urinary (ha o lahleheloa ke taolo ea senya)
• ho holofala

Nako ea ho bona ngaka

U lokela ho bona ngaka ea hau haeba u utloa bohloko kapa bohatsu bo theola letsoho kapa leoto le sa tsamaeeng ka matsatsi a 'maloa. Batla tlhokomelo ea bongaka hang-hang haeba ho na le se latelang sa tse latelang:

• Bohloko bo tla kamora ho lemala hampe kapa kotsi.
• Bohloko bo ba matla ka tšohanyetso.
• U ke ke ua laola senya kapa mala.
• Karolo efe kapa efe ea 'mele oa hau ea fokola kapa ea holofala.

Pono ea neural foraminal stenosis

Maemo a mangata a neural foraminal stenosis a ntlafala ka botsona kapa ka kalafo ea lapeng, joalo ka lipilisi tsa bohloko, yoga e bonolo le kalafo ea 'mele. Hangata ho buoa ha ho hlokahale, empa ho nkoa e le tharollo e hlakileng bakeng sa nyeoe ea neural foraminal stenosis.

Kamora ho etsoa opereishene, batho ba bangata ba khona ho khutlela bophelong ba letsatsi le letsatsi matsatsing a seng makae feela, empa ba kanna ba hloka ho qoba ho phahamisa boima bakeng sa likhoeli tse 'maloa.

Le ha liopereishene tsa maiketsetso hangata li atleha haholo, mathata a mokokotlo a ntse a khonahala nakong e tlang.