Stenosis nke lumbar spain: akpatara na Ọgwụgwọ

Ọkpụkpụ azụ na ahụ mmadụ nwere ọtụtụ ọrụ. Ọ bụ akụkụ dị mkpa nke nweekwa usoro ma na-echebe ndị ọgidigi azụ na abuana ke idem mmegharị. Ọ bụla mgbanwe na ya Ọdịdị-emetụta àgwà nke ndụ mmadụ. Ụfọdụ n'ime ọrịa mere site deformation nke support usoro, nlebara anya pụrụ iche kwesịrị spinal stenosis lumbar. Ihu ọma, mmepe nke ọrịa a bụ n'ihi na obi ịka nká nke organism. Ma e nwere ike ịbụ ihe ndị ọzọ. Gịnị? Nke a ga-atụle n'isiokwu a. Ị ga-amụtakwa ihe mgbaàmà na-ebu a daa ọrịa, na ihe mere ekwesịghị ileghara ya ọgwụgwọ.

Mkpebi siri ike nke ọrịa

Ọkpụkpụ azụ kanaal ekere òkè dị mkpa n'ime ahụ mmadụ - echebe ọgidigi azụ. Ọnụ na isi ya bụ Central ụjọ usoro, nke achịkwakwa ịrụ ọrụ nke dum organism. Ya mere, na-echebekwa ndị anatomical Ọdịdị nke ahụ spinal kanaal bụ isi ihe na-mezue ọrụ nke ọgidigi azụ. Ọ bụla mebiri na a usoro agwụ na irreversible pụta.

Stenosis nke lumbar spain - a-enweghị nchịkwa na usoro, nke e ji ibelata nke ya n'obosara. lumen Mbelata na-eduga ná mkpakọ nke ọkpụkpụ azụ mgbọrọgwụ. E kwuru banyere ọrịa a na-ejikọta ya na Antoine Portapom. Na 1803, dọkịta kọwara ọrịa, na-ebute ya mata. Na kọlụm "Mgbaàmà" ka o kwuru ụkwụ mkpọnwụ na muscle atrophy.

Stenosis - a pụtara nkịtị daa ọrịa, nke tumadi pụtara na agadi. Ọ bụrụ na ị na-ele ọnụ ọgụgụ, a nchoputa e enen ke 21% nke ọrịa mgbe afọ 60. Naanị 30% n'ime ha nwere na-adakarị mgbaàmà nke ọrịa.

Na-akpata stenosis

Iji mara na isi na-akpata ọrịa, ọ dị mkpa ịghọta na Mmebe nke support usoro, na ndị ọzọ kpọmkwem, ya loin.

The vertebral ozu na ọwa na-kpụrụ arches. Ha na-interconnected site akwara. ọgidigi azụ na-aga n'ime ọwa. The dum ohere nke uji eze jupụtara ọmụmụ na ọdụdụ anụ ahụ. Nke a oyi akwa-enye gị ohere ka elu a na ụdị obere ọwa ibelata, nke nwere ike na nkịtị mmadụ ọrụ. Ọ bụrụ na dayameta nke lumen na-ebelata ihe ndị ọzọ, e nwere mkpakọ nke akwara ahụ na-epulite ma ọ bụ ụbụrụ ya. N'ihi nke ọrịa usoro, e nwere dị iche iche ihe mgbaàmà nke a akwara ozi okike.

Na ọrụ nke ndị na-akpata ọrịa nwere ike ime ka akpụ, diski protrusion, intervertebral hainia ọjọọ, arthrosis. Nke a na ụdị ọrịa ahụ a kpọrọ «abụọ stenosis nke lumbar spain," dị ka luminal ibelata bụ n'ihi nke ndị ọzọ pathologies. Development nke bụ isi (mgbawa) variant e mere site congenital ọrịa. Ya mgbaàmà ndị ka na-na a-eto eto afọ. Congenital anomalies ime n'ihi na-ezighị ezi na nwa ebu n'afọ na mmepe.

Otu n'ime ihe ndị dị ize ndụ na-esi nke na ọrịa bụ imebi njem nke nri na ọgidigi azụ. N'ihi ya, na ọkpụkpụ azụ kanaal mgbali na-abawanye, nke na-eduga mkpakọ nke arịa. N'ihi ya, ha nwere ike agaghịkwa nyefee chọrọ olu nke ọbara na elu na-agba. Amidst niile mgbanwe ahụ mmadụ na-amalite na-enweta ihe mgbu na azụ na aka na ụkwụ.

Esi amata ndị ọrịa?

Stenosis nke lumbar spain bụ a pụtara nkịtị ọrịa. Ahụ mmadụ bụ isiokwu eke ịka nká usoro, nke a na-emekarị na-egosipụta site degenerative mgbanwe. Stenosis amalite na erughị ala na lumbar mpaghara. oge exacerbation na-dochie anya ikwu udo. Ihe mgbu ka ukwuu nwere ike ịkpalite ụfọdụ mpụga ihe na-akpata (ihere ije, ọrụ ahụ). erughị ala osisi ike enwekwu nwayọọ nwayọọ. Nke a kwere omume n'ihi na ọwa deformation anaghị eme eme n'otu ntabi anya, ọ na-ewe oge. Rịba ama mkpakọ na mbụ ogbo nke mmepe bụ fọrọ nke nta agaghị ekwe omume. Ụjọ anụ ahụ ji elu elasticity. Mgbe enwe, ọ agbatị n'ime ọnụ na ọkpụkpụ anụ ahụ. Na-egbu mgbu erughị ala na-adị mgbe anụ ahụ na-ịgba nke extensibility.

Stenosis nke ọgidigi azụ mgbọrọgwụ na-doro ọkụ n'ahụ traumatic. Ha na-mgbe na a ala nke edema. Ala azụ mgbu na-emekarị so site oké ọkụ, n'ihi na ọbụna nsogbu n'obi inweta ọbara akwara anụ ahụ. Ọ bụ mgbe niile na-enwe a ụkọ oxygen.

Mgbe ụfọdụ, gburugburu ibu ma ọ bụ ihere ije, a nkọ mkpakọ nke akwara, na-akpata ya rụchara. Nke a nwere ike hụrụ ịgbanwe gait nke onye ọrịa ahụ na-agwụ ike nke moto ọrụ. A onye na-aghọ ike iguzo ma ọ bụ na-anọdụ. Naanị na a ogbo, ọ na atụgharịa dọkịta na nụrụ nchoputa nke "stenosis nke lumbar spinal kanaal." Mgbaàmà nwere ike na-enwe ọganihu ma na-edu ka irreversible pụta, ma ọ bụrụ na oge na-adịghị na-amalite usoro ọgwụgwọ.

nhazi ọkwa nke stenosis

Dị ka a n'ihi nke degenerative ọrịa nke ọkpụkpụ anụ ahụ n'ogo nke a ibelata nke spinal kanaal n'obosara. Na echiche nke mgbanwe ndị dị otú ndị na-esonụ iche nke ọrịa:

1. Zuru oke Mbelata ke stenosis eburu ọwa lumen ka 5-10 mm. The daa ọrịa e ji a na-egbuke egbuke-adakarị picture. Ọgwụgwọ-achọ ịwa ahụ, ma a pụrụ etinyere mgbanwe ụzọ.
2. The ikwu stenosis nke lumbar spain na-agụnye ibelata nke ruo 10-12 mm. Nke a na ụdị ọrịa achọpụtara site ohere, anabata nke ọma ọgwụgwọ.
3. Mgbe mpụta spinal stenosis hụrụ ọwa mmachi 3 mm. Nke a bụ ókè ogbo nke ọrịa, negosi a amanyere bụ iwu nke ịwa ahụ.

Medical ule stenosis

Ọma na-adọ omume bụ isi ihe na-a ngwa ngwa mgbake. The mbụ dọkịta nye iwu ọgwụgwọ ahụ, ihe Ohere iji merie ọrịa. N'ihi na ndụmọdụ na okwu a chọrọ ileta a neurosurgeon ma ọ bụ ọkà mmụta ọrịa akwara. Ọkpụkpụ azụ stenosis lumbosacral spain - na ọ bụ ha ọpụrụiche. The nchoputa nke ọrịa na-dabere na-adakarị mgbaàmà, akwara ozi nnyocha data (mgbanwe nke na-aghọ nkọ, N'ịdị uche) na-arụpụta nke ọzọ ule. Ebe ọ bụ na mgbu na lumbar spain nwere ike mere site na ọtụtụ ihe mere, na-enweghị ihe x-ray na spondylography agaghị eme. Mgbe ụfọdụ, ihe ọzọ MRI a chọrọ. Dabere na nnyocha e mere results, ndị ọkachamara nwere ike iru n'iru nke ọrịa, ya na-akpata, dị ka nke ọma dị ka bulie ezigbo ọgwụ.

ọgwụgwọ Iwu

Dị ka ihe ọ bụla ọzọ na-adịghị ala ọrịa, bụ dọkịta na-edepụta mgbanwe ọgwụ. The N'ezie na-emekarị na-ewe ihe karịrị 30 ụbọchị. Bịara n'Ezi Oge ohere a dọkịta nwere ike akuru na stenosis nke lumbar spain maka 1-2 ọnwa na ọ bụghị-amalite ịwa ahụ aka. Advanced ikpe achọ mmezi ọgwụ n'oge ndụ ha nile. Standard ọgwụgwọ na-agụnye ọgwụ na ọgwụgwọ anụ ahụ. Ya isi mgbaru ọsọ - ikpochapụ ihe na-akpata ọrịa ma belata ihe mgbaàmà.

Ọgwụgwọ ọgwụ na ointments

Aṅụ ọgwụ na-owụt ke ọrịa na-enweghị doro anya akwara ozi ọgba aghara, mgbe naanị mkpesa bụ ihe mgbu na sacrum na ụkwụ. Ọgwụgwọ nke spinal kanaal stenosis nke lumbar spain bụ na-enweta ndị na-esonụ preparations:

1. Ndị so ná ndị mgbochi mkpali ọgwụ ọjọọ ( "Ibuprofen" "Diclofenac", "Ksefokam"). Ha-ebelata ihe mgbu na ọzịza na mpaghara nke akwara mgbọrọgwụ, iwepu mbufụt.
2. Akwara relaxants ( "Mydocalm", "tizanidine"). Ọgwụ ndị a na-iji kwụsị muscle erughị ala.
3. B vitamin ( "Milgamma", "Neurovitan").
4. Obi elekọta mmadụ ( "Pentoxifylline," "Kurantil"). Ha isi edinam iji na rụọ ọbara.
5. Protivootechenye ọgwụ ọjọọ ( "Diakarb").

Na ike mgbu erughị ala na-egosi ndị magburu onwe mmetụta nke epidural ma ọ bụ sacral mgbochi, dị ka nke ọma dị ka obodo ọgwụ na-akụnwụ. Ọtụtụ mgbe ndị a ọgwụ ọjọọ eme ihe na-e na Nchikota.

ọgwụgwọ mmega

Ọ bụrụ na onye ọrịa ahụ n'ozuzu ọnọdụ na-adịghị na-aka njọ, e zigara na nke dọkịta-rehabilitators. Nke a ọkachamara e na-emepe emepe omume maka ọgwụgwọ anụ ahụ. Okwu spinal kanaal stenosis lumbar họrọ n'otu n'otu, na-ewere n'ime akaụntụ ọnọdụ onye ọrịa na ịdị njọ nke ọrịa. Ebumnobi bụ isi nke ọgwụgwọ anụ ahụ - mụta ịchịkwa ihe mgbaàmà nke ọrịa, dịkwuo ike na mgbanwe nke nkwado ngwa. Ebe a na-a ole na ole nhọrọ omume na-atụ aro stenosis.

• Dina gị azụ, bịada ụkwụ na-edebe n'ubu-obosara iche. Mkpa ka ị na-ekuda ume, gụọ na ise, mgbe ahụ, elo ike ịkpọlite ndị obi. Ndị dị otú ahụ a na ngwugwu ga-ugboro ugboro 8-10 ugboro.
• Mmega na-atụ aro ka na-amalite na-eku ume omume. N'ịbụ gị azụ, ị ga-ewerekwa na afanyekwa ara ikpere, anọ na a ọnọdụ maka a nkeji ole na ole. Mgbe ahụ, ụkwụ nwere ike were were tọhapụrụ. Tinyegharịa dịkarịa ala ugboro 10.
• N'ịbụ gị azụ, ogwe aka igbari dị iche iche ntụziaka. Ụkwụ na-kpudo na ikpere, mgbe ahụ, ji nwayọọ nwayọọ na-atụgharị site n'otu akụkụ gaa n'akụkụ. Na nke a, na azụ kwesịrị ịnọgide na anyịnya.

Ndị a dị mfe omume nwere ike ikwado ọnọdụ nke ọrịa na a nchoputa nke "stenosis nke lumbar spinal kanaal." Physiotherapy na-enyere aka mma ka ọbara na-emetụta akụkụ ahụ. Mgbe mbụ ogbo nke a mgbagwoju mmega ọgwụ ga-rụrụ n'okpuru nlekọta nke a dibịa nkụzi. Mgbe ịmụta kwesịrị ekwesị Usoro ọmụmụ pụrụ ịnọgide n'ụlọ.

Help Traditional Medicine

Na ngwá na e nwere ọtụtụ omenala na-agwọ ọrịa maka ọgwụgwọ nke stenosis. N'etiti ha bụ ndị karịsịa na-ewu ewu Ukwu nke mmanụ aṅụ. Ịtụ lumbar region ụtọ nri, ekpuchi na a towel na-etinye mustard on top. I nwekwara ike ime ka a mpikota onu nke infusion nke okooko osisi elderberry, chamomile na thyme. Iji mee nke a, na n'ihi efere nke herbs mkpa ka moisten a owu ákwà, na mgbe etinyere otụk ebe na kechie a na-ekpo ọkụ ịchafụ maka n'abalị.

Ọ dị mkpa ịghọta na site na omenala agwọ ọrịa nwere ike ghara gwọrọ stenosis nke lumbar spain. Surgery ma ọ bụ usoro ọgwụ aka ịnagide ọrịa a. Ọ bụla Ezi ntụziaka na-agwọ ọrịa na-enye na-adịghị adịte mmetụta. Mee elu mee ala, ị ga-ka dị mkpa ka ịhụ dọkịta.

Mgbe ịwa ahụ dị mkpa?

stenosis ọgwụgwọ na ịwa ahụ a ga-atụle iche iche. Ịkpa aka gosiri ma ọ bụrụ mgbanwe ọgwụ mîdaha chọrọ N'ihi ma ọ bụ ọrịa bụ na ihe dị elu ogbo. Isi nzube nke usoro - tọhapụ akwara mgbọrọgwụ mkpakọ. Ugbu e nwere ọtụtụ nhọrọ maka ịwa ahụ, nke nwere ike iwepụ ihe ndị stenosis nke lumbar spain. The ime ihe nwere ike na-ewere ọnọdụ ma na-emeghe ụdị, na endoscopy. N'etiti usoro na-eme bụ ihe ndị kasị arụpụta na-esonụ:

• Decompressive laminectomy. The ọrụ na-agụnye ịcha ngalaba na mpikota akwara mgbọrọgwụ. Resection ike imetụta aak vertebra, odo ọgọdọ, na spinous usoro. Na 68% nke ikpe na etinyeghi nke a mma N'ihi.
• Kwụsie ike ọrụ. Ha na-na-atụ aro na mgbakwunye decompression laminectomy inweta nkwado ọrụ nke spain.

The pụta ọ bụla ịwa ahụ, ọ bụ nnọọ ike ịkọ. N'aka nke ọzọ, bụ mgbe nanị nhọrọ iji gwọọ spinal stenosis nke lumbar - ọrụ. Nyocha banyere usoro ọtụtụ mgbe mma. Na-adịghị mma echiche nke ọrịa na-emekarị jikọtara oké mgbake oge. Banyere ya n'ụzọ zuru ezu karị kọwara n'okpuru ebe.

Ghara ịgbanwe mgbe a wasịrị

Mgbe ịwa ahụ, onye ọrịa niile agha ga-iji na mweghachi nke ike. N'ime otú ahụ, o nwere ike inyere ndị dibịa-rehabilitator. Otu ihe dị mkpa akụrụngwa nke mgbake oge bụ ikike o nwere ịchịkwa ihe mgbu. N'ihi nke a, ndị ọkachamara nwere ike inye a ọtụtụ ụzọ: okpomọkụ agwọ ọrịa, na ojiji nke ice, ultrasound, eletriki mmalite. Ka iwelie mma nkịtị egosi, onye ọrịa a na-kenyere a ọgwụgwọ anụ ahụ n'ezie. Omume na-ahọrọ n'otu n'otu, na-ewere n'ime akaụntụ ọrịa na-arịa. Ozugbo ndidi amụta onwe ịchịkwa ihe mgbu, na mgbake oge nwere ike na-ahuta ka zuru ezu.

kwere omume nsogbu

Mbenata dayameta nke spinal kanaal dị ize ndụ na-mmetụta ha na ọgidigi azụ. Na nke a na-adakarị picture agbanwe n'ike n'ike, na e nwere akwara ozi mgbaàmà. Ha mgbaàmà adabere na ogo nke enweghị nchịkwa usoro (N'ịdị paresis, dysaesthesia pelvic akụkụ).

ọgwụgwụ

Ugbu a, ị maara ihe mere ị ga-ahapụ na-enweghị uche spinal stenosis. Ụdị, Mgbaàmà na Ọgwụgwọ nke ọrịa nakwa na e kọwara n'isiokwu a. Nke a daa ọrịa e ji a mgbagwoju N'ezie, n'ihi ya, ime na-enweghị enyemaka nke a ruru eru ọkachamara. Ọgwụgwọ ama kpụrụ stenosis - bụ ogologo ma sie ike usoro. Iji gbochie ya omume, ezi mgbe nile na-enwe ike na ule na-arapara ifịk si ebi ndụ. Nọrọ mma!