I-Lateral Recess Stenosis: I-El Paso Back Clinic

Umnqonqo ngowona wendlela ongumbindi womzimba, kunye nomjelo womqolo njengowona mgaqo ulawula zonke izithuthi. Kukho iindawo zokungena kunye nokuphuma, okanye i-spinal cavities, evumela ukuba imithambo-luvo isebenze kwintambo yomgogodla kwaye ibaleke kuwo wonke umzimba. Ukuxinezeleka kwezithuthi kukhula ngexesha lokuvalwa kwendlela, iingozi, okanye ulwakhiwo kwindawo yokungena okanye yokuphuma. I-Lateral recess stenosis ibangela ukucutheka komqolo ikhefu elisecaleni/Ukungena kuka Lee, enokuthi icinezele i-nerve, ithintele ukujikeleza kwe-nerve, kwaye ibangele iimpawu ezibuhlungu.

I-Lateral Recess Stenosis

Ikholomu yomgogodla inika isakhiwo esomeleleyo kunye nesiguquguqukayo somgca womgogodla. Iinerve zihamba ukusuka kwintambo yomgogodla ngokusebenzisa iindawo ezahlukeneyo zokuvuleka kunye neendlela zokuhamba ukuya kuwo wonke umzimba. Enye yeendawo ezivulekileyo eyaziwa ngokuba yi-lateral recess. Stenosis kuthetha ukucutha. Xa i-lateral i-recess kwi-vertebra ikhula i-stenosis, i-nerve kuloo ndawo inokuthi ixinzelele / ifakwe ngaphandle kwendawo yokuhamba, ibangele iimpawu kunye neemvakalelo ezahlukeneyo.

iimpawu

Kuxhomekeke apho i-stenosis iqhubeka khona (intamo, phakathi okanye ephantsi), iimpawu eziqhelekileyo ze-lateral recess stenosis zinokubandakanya:

• Iintlungu zangasemva ezinokusasazeka kwezinye iindawo.
• I-Cramping enokuthi isasazeke kwezinye iindawo.
• Iintlungu eziphumayo eziya ziba mandundu xa ushukuma kwaye ziphole xa uphumla.
• Ubundisholo okanye ubuthathaka bemilenze okanye iingalo.
• Ukuntyiloza kombane phantsi komlenze okanye ingalo.

Izizathu

The Isizwe seZiko lezeMpilo udwelisa oonobangela abakhulu:

Ukunxitywa kweNdalo kunye neeNgxwabo

• Ukuguga kwendalo kunye nokuwohloka ngokuthe ngcembe kuseyeyona nto ixhaphakileyo ye-stenosis.

Ukuzalwa-Uzelwe ene-Stenosis

• Scoliosis
• Achondroplasia - iingxaki zokubunjwa kwamathambo.

Izifo

• Irheumatoid arthritis
• Izidumbu
• Isifo sikaPaget

Inkqubo yokuguga kwendalo

• I-disniated disc
• Spondylolisthesis – i-vertebra ityibilikela phambili
• Spondylosis – umqolo osteoarthritis

Ukwenzakala Okubuhlungu

• Iingozi zeemoto kunye neengozi
• Ukulimala Komsebenzi
• Ukulimala kwezemidlalo

impatho

I-Lateral recess stenosis ayinalo unyango lwangoku, kodwa kukho iindlela zokunyanga iimpawu ze-stenosis.

I-Chiropractic kunye noNyango loMzimba

• A Iqela lonyango lwe-chiropractic inokuphelisa iimpawu, ibuyisele umsebenzi, kwaye iqinise imisipha.
• Amaqela emisipha ejikeleze indawo ye-stenosis yakhelwe ukuba asuse uxinzelelo kwindawo, ukunciphisa iimpawu.

Mayeza

• Ugqirha okanye ingcaphephe yomqolo inokucebisa okanye ikhuphe iyeza ukuthomalalisa iimpawu. Ezi ziquka:
• Tylenol - acetaminophen.
• I-NSAIDS – Advil/ibuprofen okanye iAleve/naproxen.
• Izihlunu zezihluli

Izitofu zesteroid

• Ngokutsho isifundo, i-neurogenic claudication sesona sizathu sokukhubazeka kunye nokulahlekelwa ngukuzimela kwabantu abadala.
• Ukuchazwa kwe-Neurogenic ichaza intlungu kunye nobuthathaka kwiimpundu kunye nemilenze ngexesha lomsebenzi womzimba ovela kwiimbilini, kungekhona kwiinqanawa.
• Oku kunokwenzeka ngenxa yokudumba kunye nokudumba kwi-nerve ecinezelekileyo.
• Inaliti ye-steroid inokunciphisa ukuvuvukala kwiinyanga ezininzi.

Ukuhlinzwa

Ukuba ukuguqulwa komsebenzi, ii-NSAID, i-bracing, kunye nonyango lomzimba alusebenzi okanye lunikeze isiqabu esaneleyo, ugqirha okanye ingcali inokucebisa utyando.

• I-lateral inter-body fusion ibonelela ngoxinzelelo olungathanga ngqo.
• I-Endoscopic decompression bubuchule obutsha.
• Fusion igcinwe xa kukho ukungazinzi kudibaniswa nemeko.

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Iingxaki zangasemva I-Chiropractor

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Ucaphulo

IKholeji yaseMelika yeRheumatology (nd) "Spinal Stenosis" www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis

I-Arthritis Foundation (nd) "iCorticosteroids" www.arthritis.org/drug-guide/corticosteroids/corticosteroids

Uyilo lweziyobisi, uPhuhliso kunye noNyango (2014) "I-Steroid ye-epidural injection kwi-spinal stenosis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta" doi.org/10.2147/DDDT.S78070

Lee, Seung Yeop, et al. "I-Lumbar Stenosis: Uhlaziyo lwakutsha nje ngoPhononongo loncwadi." Ijenali yomqolo waseAsia vol. 9,5 (2015): 818-28. doi:10.4184/asj.2015.9.5.818

ULiu, uKuan, et al. "I-Steroid ye-epidural injection kwi-spinal stenosis: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta." Uyilo lwamachiza, uphuhliso, kunye nonyango vol. 9 707-16. NgoJanuwari 30, 2015, doi:10.2147/DDDT.S78070

Medline Plus (nd) “Achondroplasia” medlineplus.gov/genetics/condition/achondroplasia/

IMicrospine (nd) “Endoscopic Decompression” www.microspinemd.com/microspine-surgery/endoscopic-decompression/

AmaZiko eSizwe ezeMpilo (nd) "Spinal Stenosis" www.niams.nih.gov/health-topics/spinal-stenosis

Iziko lezoNyango laseMntla-ntshona (2022) “I-Lateral Recess/Foraminal Stenosis” nw-mc.com/lateral-recessforaminal-stenosis/

Uqhaqho lwe-NSPC lweBrain kunye noMnqonqo (nd) I-Lateral Recess Stenosis nspc.com/lateral-recess-stenosis/

Raja A, Hoang S, Patel P, et al. I-Spinal Stenosis. [Ihlaziywe 2022 Jul 17]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK441989/