Abantu abafumana ukudutyulwa, iintlungu ezibuhlungu kwiindawo ezisezantsi, kunye neentlungu ezingapheliyo zomlenze zinokuba nokuxhatshazwa kwe-neurogenic claudication. Ngaba ukwazi iimpawu kunokunceda ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Contents
I-Neurogenic claudication iyenzeka xa i-spinal nerves ixinzeleleka kwi-lumbar okanye ezantsi kumqolo, okubangela intlungu yomlenze. Imithambo-luvo ecinezelekileyo kwi-lumbar spine inokubangela intlungu yomlenze kunye ne-cramps. Intlungu idla ngokuba mandundu ngeentshukumo ezithile okanye imisebenzi efana nokuhlala, ukuma, okanye ukugoba ngasemva. Ikwabizwa ngokuba ipseudo-claudication xa isithuba phakathi kwe-lumbar spine sincinci. Imeko eyaziwa ngokuba yi-lumbar spinal stenosis. Nangona kunjalo, i-neurogenic claudication yi-syndrome okanye iqela leempawu ezibangelwa yi-pinched nerve spinal, ngelixa i-spinal stenosis ichaza ukucutha kweendlela zomgogodla.
Iimpawu ze-Neurogenic claudication zinokubandakanya:
I-Neurogenic claudication ihluke kwezinye iintlobo zentlungu yomlenze, njengoko intlungu itshintshana - ukuyeka kwaye iqale ngokungaqhelekanga kwaye ibe nzima ngakumbi ngeentshukumo ezithile okanye imisebenzi. Ukuma, ukuhamba, ukuhla ngezinyuko, okanye ukujikela ngasemva kunokubangela intlungu, ngelixa uhleli, ukunyuka izitebhisi, okanye ukuxhomekeka phambili kudla ukukhulula intlungu. Nangona kunjalo, zonke iimeko zahlukile. Ngokuhamba kwexesha, i-neurogenic claudication inokuchaphazela ukuhamba njengoko abantu bezama ukuphepha imisebenzi ebangela intlungu, kuquka ukuzivocavoca, ukuphakamisa izinto, kunye nokuhamba ixesha elide. Kwiimeko ezinzima, i-neurogenic claudication inokwenza ukulala kube nzima.
I-Neurogenic claudication kunye ne-sciatica ayifani. I-Neurogenic claudication ibandakanya ukunyanzeliswa kwe-nerve kwi-canal ephakathi kwe-lumbar spine, ebangela intlungu kwimilenze yomibini. I-Sciatica ibandakanya ukunyanzeliswa kweengcambu ze-nerve eziphuma emacaleni e-lumbar spine, kubangela intlungu emlenzeni omnye. (UCarlo Ammendolia, ngo-2014)
Nge-neurogenic claudication, i-spinal nerves egxininisiweyo yiyona nto ibangela intlungu yomlenze. Kwiimeko ezininzi, i-spinal stenosis yamaplanga - i-LSS yimbangela ye-nerve pinched. Kukho iintlobo ezimbini ze-lumbar spinal stenosis.
I-Lumbar spinal stenosis idla ngokufunyanwa ngenxa yokuncipha kwe-lumbar spine kwaye ivame ukuchaphazela abantu abadala. Izizathu zokunciphisa zingabandakanya:
I-Congenital lumbar spinal stenosis ithetha ukuba umntu uzalwa enezinto ezingaqhelekanga zomqolo ezinokuthi zingabonakali ekuzalweni. Ngenxa yokuba indawo engaphakathi kwi-spinal canal sele incinci, intambo yomgogodla isengozini kulo naluphi na utshintsho njengoko ubudala bomntu. Nabantu abane-arthritis ebuthathaka banokufumana iimpawu ze-neurogenic claudication kwangethuba kwaye bavelise iimpawu kwi-30s kunye ne-40 yabo endaweni ye-60s kunye ne-70s yabo.
Ukuxilongwa kwe-neurogenic claudication kusekelwe kakhulu kwimbali yonyango yomntu, ukuhlolwa komzimba kunye nokucinga. Uvavanyo lomzimba kunye nokuphonononga ukuchonga apho intlungu ibonisa khona kwaye nini. Umboneleli wezempilo unokubuza:
Unyango lunokubandakanya unyango lomzimba, inaliti ye-spinal steroid, kunye neentlungu zentlungu. Utyando linyathelo lokugqibela xa zonke ezinye iindlela zonyango zingakwazi ukunika isiqabu esisebenzayo.
A Isicwangciso sonyango iya kubandakanya unyango lomzimba olubandakanya:
Ababoneleli ngezempilo banokucebisa iinaliti ze-epidural steroid.
Amayeza eentlungu asetyenziselwa ukunyanga i-neurogenic claudication engapheliyo. Ezi ziquka:
Ukuba unyango olulondolozayo alukwazi ukunika uncedo olusebenzayo kunye nokuhamba kunye / okanye umgangatho wobomi uchaphazelekayo, utyando olwaziwa ngokuba yi-laminectomy lunokucetyiswa ukuba lunciphise i-lumbar spine. Inkqubo inokwenziwa:
U-Ammendolia C. (2014). I-Degenerative lumbar spinal stenosis kunye nabakhohlisi bayo: izifundo ezintathu. I-Journal ye-Canadian Chiropractic Association, i-58 (3), i-312-319.
Munakomi S, Foris LA, Varacallo M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. [Ihlaziywe ngo-2023 ngo-Agasti 13]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ukusebenza kotyando ngokubhekiselele kunyango olulondolozayo lwe-lumbar spinal stenosis: ukuphononongwa kwenkqubo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. Ijenali yamazwe ngamazwe yotyando (eLondon, eNgilani), 44, 329–338. doi.org/10.1016/j.ijsu.2017.07.032
Umgangatho wobuchule wokuSebenza *
Ulwazi olulapha ku "Uncedo oluvela kwiNeurogenic Claudication: Iinketho zonyango"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.
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Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.
I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.
Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.
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Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
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Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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