Ukwelashwa Okuphelele Kwe-Spinal Stenosis
Uma ukuncishiswa komsele womgogodla kubangela ubuhlungu emilenzeni, ukungazweli, noma ubunzima bokuhamba, ukwelashwa okuphumelelayo kwe-spinal stenosis kungabuyisela ukuhamba kwakho kanye nenduduzo. I-spinal stenosis yisimo esivamile sokuwohloka esivame ukukhula kancane kancane, sicindezela imizwa emgogodleni wakho futhi sibangele izimpawu eziba zimbi ngokuhamba kwesikhathi ngaphandle kokwelashwa. Izindaba ezinhle ukuthi iziguli eziningi zithuthuka kakhulu ngokunakekelwa okufanele.
KwaMadison Medical, ochwepheshe bethu bomgogodla bahlinzeka ngokuhlolwa okuphelele kwe-spinal stenosis kanye nokwelashwa. Sihlonza ngokunembile indawo kanye nobukhali be-stenosis yakho, bese sakha izinhlelo zokwelapha ezenzelwe wena kusukela ekwelashweni ngokomzimba kanye nemithi kuya ekujovweni kanye nokudluliselwa kokuhlinzwa uma kudingeka. Umgomo wethu ukuqeda izimpawu zakho ngenkathi ulondoloza ukusebenza komgogodla.
Ukuqonda i-Spinal Stenosis
I-stenosis yomgogodla ibhekisela ekuncipheni kwezikhala ngaphakathi komgogodla wakho. Umsele womgogodla ugcina intambo yomgogodla kanye nezimpande zemizwa, eziphuma ngezimbobo ezibizwa ngokuthi i-foramen. Lapho lezi zikhala zincipha ngenxa yezinguquko eziwohlokayo, ukuqhekeka kwamathambo, ama-disc avuvukele, noma imisipha ejiyile, ukucindezela okubangelwayo kubangela izimpawu.
I-Lumbar stenosis ithinta umhlane ongezansi futhi ivame kakhulu. I-cervical stenosis ithinta intamo futhi ingaba yingozi kakhulu ngoba umgogodla ngokwawo ungase ucindezelwe. I-thoracic stenosis ayivamile ngenxa yomphumela wokuzinza kwe-ribcage.
Lesi simo sivame ukuvela ngemva kweminyaka engu-50 njengoba izinguquko eziwohlokayo ziqoqana. Abanye abantu bazalwa benemisele emincane yomgogodla, okwenza bathambekele kakhulu ekuhlaselweni yizimpawu ze-stenosis. Ukuhlinzwa noma ukulimala komgogodla kwangaphambilini nakho kungaba nomthelela.
Ukuqaphela Izimpawu ze-Stenosis
I-Lumbar stenosis ibangela i-neurogenic claudication—ubuhlungu bemilenze, ukungazweli, noma ubuthakathaka obuvela ngokuhamba noma ukuma futhi bube ngcono ngokuhlala noma ukugoba phambili. Iziguli eziningi ziyaqaphela ukuthi zingahamba isikhathi eside uma zincike enqoleni yokuthenga. Izimpawu zivame ukuba zimbi kakhulu uma zehla futhi kungcono ukukhuphuka intaba.
Ubuhlungu bomhlane bungase buhambisane noma bungahambisani nezimpawu zomlenze. Ezinye iziguli zinobuhlungu bomhlane ikakhulukazi, ezinye zinobuhlungu bomlenze ikakhulukazi. Le ndlela isiza ukuhlukanisa i-stenosis kwezinye izimbangela zobuhlungu bomhlane nomlenze.
I-stenosis yomlomo wesibeletho ingabangela ubuhlungu bentamo, izimpawu zengalo ezifana nemiphumela ye-lumbar stenosis emilenzeni, kanye ne-myelopathy engaba khona—ukungasebenzi kahle komgogodla okubangela ukungakhululeki kwezandla, izinkinga zokulinganisela, kanye nobunzima bokuhamba.
Izimpawu ze-Spinal Stenosis
- Ubuhlungu bomlenze ngokuhamba: Ubuhlungu, ukuqaqamba, noma ubunzima obuvela ngomsebenzi
- Ukukhululeka ngokugoba: Izimpawu ziyathuthuka uma uhleli noma ugoba phambili
- Ukungabi namizwa nokuthuthumela: Imizwa emilenzeni, ezinyaweni, noma ezingalweni kuye ngendawo
- Ubuthakathaka: Ubuthakathaka bomlenze obuthinta ukuhamba noma ubuthakathaka bengalo ku-stenosis yomlomo wesibeletho
- Izinkinga zokulinganisela: Ikakhulukazi nge-stenosis yomlomo wesibeletho ethinta umgogodla
- Ibanga elilinganiselwe lokuhamba ngezinyawo: Amabanga amafushane kancane kancane ngaphambi kokuba izimpawu ziphoqelele ukuphumula
Ukuhlola Ukuxilonga
Ukuhlolwa ngokomzimba kuhlola ukuhamba kwakho, ukusebenza kwezinzwa, nokuthi yiziphi izikhundla ezivusa noma eziqeda izimpawu. Ukutholwa okuvamile kokuthuthuka ngokugoba komgogodla kusiza ukuqinisekisa i-stenosis. Ukuqhathanisa izimpawu zakho nokutholakele kokuhlolwa kuqondisa izinqumo zokuthatha izithombe kanye nokwelashwa.
I-MRI iwucwaningo oluyinhloko lwe-stenosis, olubonisa ngokusobala ukuncishiswa komsele, izinguquko zediski, kanye nokucindezelwa kwemizwa. Ama-X-ray ahlola ukuhambisana kwamathambo kanye nokuqina kwawo. Ama-CT scan ahlinzeka ngemininingwane emihle kakhulu yamathambo uma kudingeka. Izifundo zokuqhuba imizwa zingasiza lapho ukuxilongwa kungaqiniseki.
Izinketho Zokwelashwa Ezilondolozayo
Iziguli eziningi zikwazi ukusingatha i-stenosis ngempumelelo ngaphandle kokuhlinzwa. Ukwelashwa ngokomzimba kuqinisa imisipha engaphakathi, kuthuthukisa ukuguquguquka, futhi kufundisa izikhundla nokunyakaza okunciphisa izimpawu. Ukuzivocavoca okusekelwe ekugobeni kuvame ukusiza ngoba ukugoba phambili kuvula umsele onciphile.
Imithi ilawula ubuhlungu nokuvuvukala. Ama-NSAID anikeza impumuzo yokuqala. Imithi yobuhlungu ye-neuropathic efana ne-gabapentin isiza izimpawu ezihlobene nemizwa. Ama-steroid omlomo angasiza ngesikhathi sokuqhuma okukhulu.
Imijovo ye-epidural steroid iletha imithi yokulwa nokuvuvukala ngqo ezinzwa ezicindezelwe. Iziguli eziningi zithola impumuzo ebalulekile ethatha amasonto kuya ezinyangeni. Imijovo ingaphindaphindwa njalo uma kudingeka futhi ingase ilibazise noma iqede isidingo sokuhlinzwa.
Ukwelapha Okuhlinzekwayo
Ukuhlinzwa kucatshangelwa lapho ukwelashwa okulondolozayo kwehluleka ukulawula izimpawu ngokwanele noma lapho ukusebenza kwezinzwa kuba kubi kancane kancane. Ukuhlinzwa okunciphisa ukucindezeleka kususa izicubu zethambo, i-disc, kanye ne-ligament okubangela ukucindezelwa, okwandisa umsele womgogodla.
I-Laminectomy inqubo evame kakhulu, isusa ingxenye ye-vertebral arch. I-Foraminotomy yandisa izikhala zokuphuma kwezimpande zemizwa. Amasu angangenisi kakhulu anciphisa ukuphazamiseka kwezicubu uma kufaneleka. I-fusion ingangezwa lapho ukususwa kokucindezeleka kudala ukungazinzi.
Imiphumela yokuhlinzwa ngokuvamile inhle ezigulini ezikhethiwe ngendlela efanele. Ubuhlungu bomlenze buvame ukuthuthuka ngokwethembeka kunobuhlungu bomhlane. Ukukhuthazela kokuhamba kukhula kakhulu ezigulini eziningi.
Ukuphila ne-Spinal Stenosis
Ukuguqulwa komsebenzi kusiza ekuphatheni izimpawu ngenkathi kugcinwa ikhwalithi yokuphila. Ukufunda ukuthi yiziphi izikhundla nemisebenzi ebangela izimpawu kukuvumela ukuthi uzivumelanise nezimo ngokufanele. Iziguli eziningi zithola ukuthi zingahlala zimatasa kakhulu ngokulungiswa okufanele.
Ukulawula isisindo kunciphisa ukucindezeleka komgogodla. Ukuzivocavoca njalo, okushintshiwe njengoba kudingeka ngenxa yezimpawu, kugcina impilo iyonke futhi kusekela ukusebenza komgogodla. Ukubhukuda kanye nokugibela ibhayisikili okungaguquki kuvame ukubekezelelwa kahle ngenxa yezikhundla zokuthambekela phambili.
Ukulungiswa kwesimo sempilo ekhaya nasemsebenzini kunciphisa ukucasuka kwezimpawu. Amadeski okuma anama-mat okulwa nokukhathala, izihlalo ezisekelayo, kanye namakhefu okuphumula ahlelekile kusiza ekuphatheni imisebenzi yansuku zonke.
Ukuqonda ukuthi i-stenosis ngokuvamile iyisimo esiqhubeka kancane kancane kusiza ekubekeni okulindelwe okufanele. Imigomo yokwelapha igxile ekuphatheni izimpawu nasekulondolozeni ukusebenza esikhundleni "sokwelapha" izinguquko eziwohlokayo eziyisisekelo. Ngokuphathwa okufanele, iziguli eziningi zigcina impilo yazo isezingeni elihle.
Kungani iMadison Medical ithola ukwelashwa kwe-Spinal Stenosis?
Ochwepheshe bethu bomgogodla baletha ubuchwepheshe obuphelele ekuxilongweni nasekulashweni kwe-stenosis. I-Madison Medical ibona iziguli ezingaphezu kuka-1,200 masonto onke, kanye nokufinyelela ekuthathweni kwezithombe ezithuthukisiwe, ukwelashwa ngomjovo, kanye nokudluliselwa kokuhlinzwa uma kudingeka. Sigcizelela ukunakekelwa okulondolozayo ngenkathi siqinisekisa ukungenelela ngesikhathi esifanele uma kufanele.
Indlela yethu ehlanganisiwe ihlanganisa ukwelashwa ngokomzimba, ukuphathwa kobuhlungu, kanye nezinketho zokuhlinzwa ngaphandle kokuphazamiseka. Iningi lomshuwalense omkhulu liyamukelwa ezindaweni zethu eziseduze zaseNew Jersey.
Bukela ukuze ufunde kabanzi
Buyisela Ukuhamba Kwakho
I-stenosis yomgogodla ivamile kodwa ingelapheka. Iningi leziguli lithola ukuthuthuka okubalulekile kwezimpawu kanye nekhono lokuhamba ngokunakekelwa okufanele. Ukwelashwa kusenesikhathi kuvame ukuthola imiphumela engcono kunokulinda izimpawu ezithuthukile.
Xhumana neMadison Medical ukuze uhlele ukuhlolwa komgogodla wakho. Ochwepheshe bethu bazohlola isimo sakho futhi bakhe uhlelo lokwelashwa oluqondene nawe ukuze ubuyisele induduzo yakho kanye nokuhamba kwakho.