Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

Ngaba abantu abane-lumbar spinal stenosis banokusebenzisa i-spinal decompression ukunciphisa iintlungu ezisezantsi kunye nokubuyisela ukuhamba?

intshayelelo

Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu ezisezantsi ngaxa lithile ebomini babo eziye zachaphazela ukuhamba kwabo kwaye zachaphazela indlela yabo yesiqhelo. Izinto ezininzi zokusingqongileyo zingakhokelela ekuphuhlisweni kweentlungu ezisezantsi, njengokuphakanyiswa okungafanelekanga, ukungahambi kakuhle, ukulimala okubuhlungu, kunye neengozi ezinokuchaphazela imisipha ejikelezileyo, intambo yomgogodla kunye neengcambu zemithambo-luvo. Xa oku kusenzeka, kunokukhokelela kwi-lumbar spinal stenosis kwaye kubangele ukugqithiswa kweeprofayili zomngcipheko ezihambelana neentlungu ezisezantsi. Xa abantu bejongene ne-lumbar spinal stenosis, banokucinga ukuba intlungu yabo iphantsi. Ukuza kuthi ga ngoku, abantu abaninzi bafuna unyango ukuba bangagcini nje ukunciphisa intlungu ephantsi kodwa banciphise nemiphumo ye-lumbar spinal stenosis. Olunye unyango, olufana nokuthotywa komqolo, olulunyango olungasebenzisi utyando, lunokunceda ukubuyisela ukuhamba emzimbeni. Inqaku lanamhlanje lijonga indlela i-lumbar spinal stenosis echaphazela ngayo umva ophantsi kunye nokuxilongwa kwayo ngelixa ijonga indlela ukuchithwa komgogodla kunokubonelela ngayo umntu kwaye ibe neenzuzo ezintle ekubuyiseleni ukuhamba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-lumbar spinal stenosis ehambelana ngayo neentlungu ezisezantsi, ezibangela imiba yokuhamba. Sikwazisa kwaye sikhokela izigulane malunga nendlela i-spinal decompression yindlela egqwesileyo yonyango enokuthi idibaniswe nolunye unyango. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-decompression ukukhulula imiphumo yentlungu ebangelwa yi-lumbar stenosis ngelixa ukunciphisa imiphumo yeentlungu ezigqithisiweyo njengeentlungu ezisezantsi zokubuyisela ukuhamba komntu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Indlela iLumbar Spinal Stenosis echaphazela ngayo umqolo osezantsi

Ngaba uziva ukuntyiloza ngasemva kwemilenze yakho echaphazela ukukwazi kwakho ukuhambahamba? Okanye ngaba umqolo wakho osezantsi uziva uphantsi kancinci kunokuba ubuqhele ukwenza? Xa abantu abaninzi beva iintlungu ezisezantsi ngexesha lokuphila kwabo, zinokuhlala zihambelana ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ngokuqhelekileyo iyenzeka xa i-spinal canal kwi-back back iyancipha, ekhokelela kwiinguqu eziguqukayo. Xa umgudu womgogodla uqala ukucutheka kumqolo, unokubangela ukungoneliseki okukhulu, uphazamise imisebenzi yemihla ngemihla, kwaye unokubangela ukukhubazeka okuqhubekayo kubantu abaninzi. (Munakomi et al., 2024) Iimpawu ezibangelwa yi-lumbar spinal stenosis zivela kwi-mild to severe, kwaye zeziphi iimeko zendalo ezihambelana nomcimbi. Ngelo xesha, i-lumbar spinal stenosis ibonakala ngeempawu ezinjengeentlungu ezisezantsi ezinokubangela utshintsho lwe-spondylotic olubangela intlungu ephantsi enokuthi ichaphazele kakubi umgangatho wobomi bomntu. (Ogon et al., 2022) Oku kubangela ukuba abantu abaninzi baye koogqirha babo bokuqala ukuze bafumane ukuxilongwa kwaye bafunde indlela yokulawula intlungu ehambelana ne-lumbar spinal stenosis.

 

Ukuxilongwa kweLumbar Spinal Stenosis

Xa kuziwa ekuxilongeni i-lumbar spinal stenosis, abaninzi ababoneleli bezempilo baya kubandakanya uvavanyo olubanzi, olubandakanya ukuhlolwa ngokomzimba ukuze ubone indlela ehamba ngayo umva womntu kunye nokuhlolwa kwe-imaging njenge-MRIs kunye ne-CT scans ukuze babone umgudu womgogodla kunye nokuvavanya ubungakanani bomqolo. ukunciphisa okubangela intlungu kwiindawo ezisezantsi. Oku kungenxa yokuba xa abantu bejongana ne-lumbar spinal stenosis, inokubonakalisa nge-neurogenic claudication kwiindawo ezisezantsi, ngakumbi xa umntu emile okanye ehleli. Intlungu iyancipha xa isikhundla sabo sitshintshwa. (Sobanski et al., 2023) Ukongezelela, i-lumbar spinal stenosis yenye yezona zinto zixhaphakileyo zokuxilongwa kwezifo zomgudu apho uninzi lwabasebenzi bezempilo bavavanya kwaye bavavanya. Xa kukho ukucutha kwi-spinal canal, ekhokelela ekuphuhlisweni kwe-lumbar spinal, ukunyakaza okulula njengokuhamba kunokunyusa iimpawu kwiindawo ezisezantsi kunye nokwandisa i-oksijini kwiimbilini zomgogodla, ezinokuthi zigqithise ukuhamba kwegazi okukhoyo ukuya kwiindawo ezisezantsi. (I-Deer et al., ngo-2019) Ukuza kuthi ga ngelo xesha, unyango olufana ne-spinal decompression lunokunceda ukunciphisa iintlungu ezisezantsi ezinxulumene ne-lumbar spinal stenosis.

 

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Indlela engeyiyo Utyando kwiMpilo-Video

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Indlela yokuNceda ngokuSebenzisa ukuthotywa koMnqonqo

Xa kuziwa kubantu abafumana iintlungu ezibangelwa yi-lumbar spinal stenosis, abantu abaninzi banokufuna unyango olungasebenzisi utyando olunje ngoxinzelelo lomqolo ukuthoba iintlungu ezisezantsi. Ukunyanzeliswa komgogodla kuye kwavela njengento engabonakaliyo, inketho yonyango olusebenzayo kwi-lumbar spinal stenosis. Isebenzisa ukutsalwa okuthambileyo komatshini kumqolo ukuze wolulwe, ukukhulula imithambo yomqolo ngokudala indawo eyongezelelekileyo ngaphakathi kumngxuma womqolo. Ukunyanzeliswa komgogodla kunciphisa inkqubo yokunciphisa ngelixa izihlunu ezijikelezileyo zoluliwe ngobumnene, kwaye ukuphakama kwe-spinal disc kuyanda ngenxa yoxinzelelo olubi. (Kang et al., 2016) 

 

IiNzuzo zokuDodobala koMnqonqo kunye nokuBuyisela ukuHamba

Ukongezelela, i-traction ethambileyo evela kwi-spinal decompression inceda ukunyusa ukuhamba kwemveliso yezondlo kunye ne-oksijini ukubuyela kwiidiski zomgogodla ezichaphazelekayo kunye nomqolo ukukhuthaza indawo engcono yokuphilisa umzimba. Ekubeni ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungelulo utyando, njengonyango lomzimba kunye nokuguqulwa komgogodla, kunokubonelela ngemiphumo emihle ehlala ixesha elide kubantu abane-lumbar spinal stenosis. (U-Ammendolia et al., ngo-2022) Ezinye zeziphumo eziluncedo zokudodobala komqolo ziquka:

• Ukunciphisa intlungu ngokunciphisa uxinzelelo kwi-spinal nerves ukunciphisa intlungu kunye nokungahambi kakuhle kwiindawo ezisezantsi kakhulu. 
• Ukuhamba okuphuculweyo kuvumela umntu ukuba abuyele kwimisebenzi yakhe yemihla ngemihla ngokulula.

Abantu abaninzi banokuzuza kwi-spinal decompression ukuze banciphise imiphumo ye-lumbar spinal stenosis kunye nokuhamba kwabo okuphantsi kubuyiselwe emva kweeseshoni ezilandelelanayo zokunciphisa amathuba okuba intlungu ibuye. Ngokucinga ngakumbi malunga nempilo kunye nokuphila kakuhle, abantu abaninzi banokwenza utshintsho oluncinci kwimisebenzi yabo ukunciphisa intlungu kwaye bahlale behamba ubomi babo bonke. Oku kubavumela ukuba babe nethemba lokubakhulula kwintlungu abebephantsi kwayo. 

 

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Ucaphulo

Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Unyango olungasebenziyo lwe-lumbar spinal stenosis kunye ne-neurogenic claudication: ukuhlaziywa okucwangcisiweyo okuhlaziyiweyo. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724

Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukuphononongwa kweLumbar Spinal Stenosis kunye ne-Intermittent Neurogenic Claudication: Izifo kunye nokuxilongwa. Iintlungu Med, 20(Isihlomelo 2), S32-S44. doi.org/10.1093/pm/pnz161

Kang, JI, Jeong, DK, & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125

Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622

Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izinto ezinxulumene neentlungu ezisezantsi kwizigulane ezine-lumbar spinal stenosis: isifundo esinqamlezayo. I-BMC Musculoskelet Disord, 23(1), 552. doi.org/10.1186/s12891-022-05483-7

Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Ukunikezelwa, ukuxilongwa, kunye noLawulo lweentlungu ezisezantsi eziNxulunyaniswe ne-Spinal Stenosis: Ukuphononongwa okuBalisayo. Inyanga yezeMed, 29, e939237. doi.org/10.12659/MSM.939237

 

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