I-Intervertebral Foramen: Isango leMpilo ye-Spine

Kubantu abafuna ukuphucula impilo yabo yomgogodla, ngaba ukuqonda i-anatomy ye-intervertebral foramen kunceda ekubuyiseleni ukulimala kunye nokukhusela?

I-Intervertebral Foramen

I-intervertebral foramen, aka neural foramen, kukuvula phakathi kwe-vertebrae apho iingcambu zemithambo-luvo zidibanisa kwaye ziphuma kwezinye iindawo zomzimba. Ukuba i-foramina iyancipha, inokubeka uxinzelelo olongezelelweyo kwiingcambu ze-nerve ezikufutshane kunye nezijikelezileyo, ezibangela iimpawu zentlungu kunye nokuziva. Oku kwaziwa ngokuba yi-neuroforaminal stenosis. (Sumihisa Orita et al., 2016)

Anatomy

• I-vertebrae iquka ikholamu yomgogodla.
• Bakhusela kwaye baxhase intambo yomgogodla kunye nobuninzi bobunzima obubekwe kumqolo.
• Iforamen yindlela enye, kwaye i-foramina yindlela yesininzi.

Ulwakhiwo

• Umzimba yinxalenye enkulu, engqukuva yethambo eyenza umqolo ngamnye.
• Umzimba we-vertebra nganye unamathele kwindandatho yamathambo.
• Njengoko i-vertebrae ihlanganiswe omnye komnye, ikhonkco idala ityhubhu apho intambo yomgogodla idlula khona. (IAkhademi yaseMelika yooGqirha bamathambo ka-2020)

1. Ukuvulwa kwe-intervertebral foramen kuphakathi kwee-vertebrae ezimbini, apho iingcambu ze-nerve ziphuma kumqolo.
2. I-neural foramina ezimbini zikhona phakathi kwepere nganye ye-vertebrae, enye kwicala ngalinye.
3. Iingcambu zemithambo-luvo zihamba nge-foramen ukuya kuwo wonke umzimba.

itheko

• I-intervertebral foramina iphuma apho iingcambu ze-nerve zishiya umqolo kwaye ziphume kuwo wonke umzimba.
• Ngaphandle kwe-foramen, iimpawu ze-nerve azikwazi ukuhambisa kunye nokusuka kwingqondo ukuya emzimbeni.
• Ngaphandle kwemiqondiso yemithambo-luvo, umzimba awukwazi ukusebenza ngokuchanekileyo.

Conditions

Imeko eqhelekileyo enokuchaphazela i-neuroforamina yi-spinal stenosis. I-stenosis ithetha ukunciphisa.

• I-Spinal stenosis (ayisoloko) ngokuqhelekileyo ingxaki enxulumene neminyaka ehambelana nesifo samathambo. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)
• I-Stenosis ingenzeka kwi-canal canal, eyaziwa ngokuba yi-central canal stenosis, kunye ne-foramina.
• Iintlungu eziziswa yi-neuroforaminal spinal stenosis kunye ne-arthritis-related bone growth / bone spurs / osteophytes ekhoyo kwi-foramen enye okanye ngaphezulu igubungele ingcambu ye-nerve edlula kwisithuba, ibangela intlungu enkulu.
• Ubuhlungu obuhamba kunye nezinye iimvakalelo, ezifana nokubetha okanye ukuphazamiseka, kwaziwa ngokuba yi-radiculopathy. (UKook Choi omncinci, ngo-2019)

1. Uphawu oluphambili ziintlungu.
2. Ukuba ndindisholo kunye/okanye ukuntyiloza kunokuvela ngokuxhomekeke kumonzakalo.
3. I-Neurogenic claudication iyenzeka ngenxa ye-ischemia okanye ukungabikho kokujikeleza kwegazi kwimithambo-luvo kwaye ngokuqhelekileyo ibonisa ubunzima emilenzeni.
4. Ngokuqhelekileyo inxulumene ne-stenosis ephakathi kune-foraminal stenosis.
5. Uninzi lwabantu abane-spinal stenosis baziva bengcono xa beguquguquka okanye begoba phambili kwaye beba mbi ngakumbi xa begoba umqolo wabo.
6. Ezinye iimpawu ziquka ubuthathaka kunye / okanye ubunzima bokuhamba. (Seung Yeop Lee et al., 2015)

impatho

Unyango lwe-stenosis lujolise ekupheliseni intlungu kunye nokuthintela iimpawu ze-nerve ukuba zenzeke okanye zibe nzima. Unyango olululo luyacetyiswa kwaye lunokusebenza kakhulu.
Ezi ziquka:

• Ulungiso lwenyama
• I-acupuncture kunye ne-Electroacupuncture
• Chiropractic
• Ukuthotywa kwe-non-utyando
• Unyango lokunyanga
• Nonsteroidal anti-inflammatory drugs/NSAIDs
• Imithambo ekujoliswe kuyo kunye nokolula
• Iinaliti zeCortisone. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)
• Utyando aludli ngokuba yimfuneko.

Nangona kunjalo, ugqirha unokucebisa utyando kumntu onengxaki:

• I-Radiculopathy - intlungu, izikhonkwane kunye neenaliti, iimvakalelo zombane, kunye / okanye ubuthathaka obuhla ngengalo enye okanye umlenze.UJon Lurie, uChristy Tomkins-Lane, ngo-2016)
• I-Neurogenic claudication kumqolo osezantsi (UJon Lurie, uChristy Tomkins-Lane, ngo-2016)
• I-Myelopathy entanyeni kunye / okanye phezulu okanye phakathi-ngasemva (iimpawu ze-myelopathy zihlobene nentambo yomgogodla kwaye zenzeka kwi-canal stenosis ephakathi) (Iklinikhi yaseCleveland. 2021)
• Intlungu enzima engakwaziyo ukwenza

Iindlela ezahlukeneyo zotyando ziquka:

• I-laminectomy ye-decompression - ibandakanya ukususa i-buildup yamathambo kumjelo womgogodla.
• Ukuhlanganiswa komgogodla - xa kukho ukungazinzi komqolo okanye i-foraminal stenosis enzima.
• Nangona kunjalo, iimeko ezininzi azifuni fusion. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)

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Iingcambu ezibangela i-Spinal Stenosis

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Ucaphulo

Orita, S., Inage, K., Eguchi, Y., Kubota, G., Aoki, Y., Nakamura, J., Matsuura, Y., Furuya, T., Koda, M., & Ohtori, S. (2016). I-Lumbar foraminal stenosis, i-stenosis efihliweyo equka kwi-L5 / S1. Ijenali yaseYurophu yotyando lwamathambo kunye ne-traumatology: i-orthopedie traumatologie, i-26 (7), i-685-693. doi.org/10.1007/s00590-016-1806-7

I-American Academy ye-Orthopedic Surgeons. (2020). Iziseko zoMnqonqo (OrthoInfo, Issue. orthoinfo.aaos.org/en/diseases-conditions/spine-basics/

I-American Academy ye-Orthopedic Surgeons. (2021). I-Lumbar spinal stenosis (OrthoInfo, Issue. orthoinfo.aaos.org/en/diseases-conditions/lumbar-spinal-stenosis/

Choi YK (2019). I-Lumbar foraminal neuropathy: uhlaziyo kulawulo olungaphangeliyo. Ijenali yaseKorea yeentlungu, i-32 (3), i-147-159. doi.org/10.3344/kjp.2019.32.3.147

Lee, SY, Kim, TH, Oh, JK, Lee, SJ, & Park, MS (2015). I-Lumbar Stenosis: Uhlaziyo lwakutsha nje ngoPhononongo loNcwadi. Ijenali yomqolo waseAsia, 9 (5), 818-828. doi.org/10.4184/asj.2015.9.5.818

ULurie, J., kunye noTomkins-Lane, C. (2016). Ukulawulwa kwe-lumbar spinal stenosis. I-BMJ (uphando lweKlinikhi ed.), 352, h6234. doi.org/10.1136/bmj.h6234

Iklinikhi yaseCleveland. (2021). I-Myelopathy (iThala leeNcwadi lezeMpilo, umba. my.clevelandclinic.org/health/diseases/21966-myelopathy