I-stenosis yomgudu wamagxa

I-stenosis yomgudu womgudu ngumgudu onomdla ongapheliyo, obonakaliswa ngokunciphisa umgudu ongaphantsi komgudu ngenxa yezinto ezinqamlekileyo okanye ezithambileyo zakhiwo, eziye zaziswa kummandla weengcambu zeentambo kunye nomgca wokugcoba. Ukudambisa kunokwenzeka kwakhona kummandla we-intervertebral foramen okanye ipoland lateral.

Ngesihlandlo sokuqala ngesi sifo baqala ukuthetha ngo-1803, kwaye nguDokotela u-Antoine Portap. Wachaza iimeko apho umgca wokugcoba ugobile ngenxa yokunciphisa umgudu womgogodla, owamjonga ngayo, ngenxa yeengcambu okanye izifo zenyama. Lo mbhali wagxininisa ukuba izigulane zinezinye iimpawu ezinzulu - i-atrophy ye-muscle, isifo esingaphansi kwesifo nokukhubazeka emilenzeni. Ngaloo ndlela, ngenxa yokugula ngokwezifundo zakhe, imilenze yahlupheka kakhulu.

Ukwahlula kwe-spinal stenosis

Izifo zomgulane, njengomthetho, zinokwenziwa kodidi lwe-branching, kuba imimandla yomonakalo kunye nesimo salo mqathango ibalulekile apha.

Ngoko, ngokwemilinganiselo ye-anatomical, lesi sifo sihlulwe ngamaqela amabini:

1. I-Central-stenosis ye-veralbral canal, apho umgama ukusuka kumgangatho ongasemva komzimba we-vertebral ukuya kwindawo eyahlukileyo kwi-arch iyancipha (nge-stenosis ngokupheleleyo yomgudu womgogodla ukuya kwi-10 mm, kunye ne-stenosis ehambelana nomgudu wamagogxa - ukuya kwi-12 mm).
2. I-Lateral - lo mda umda ungaphantsi kwe-4 mm.

Kwi-etiology:

1. I-stenosis yaseprayimari yomgudu wamagxa - uvela ngexesha lokuzalwa, ngaphandle kokuphazamiseka kwiimeko zangaphandle.
2. I-stenosis yesibini yomgudu womgogodla yi-stenosis efunyenwe ngumgudu wamagxa, okungenzeka ngenxa yokuhamba kwintambo, isifo seBechterew, isifo se- spondyloarthrosis nezinye izifo.
3. I-stenosis edibeneyo yomgudu wamagxa ngumxube we-stenosis oyintloko kunye nesibini.

Iimbangela zokuhlaselwa kwesisu somzimba

I-stenosis ye-congenital sagittal yesiginci somgudu ingabangelwa zezi zizathu zilandelayo:

• i-fibrotic ne-cartilaginous diastematomiaa;
• achondroplasia;
• Ukunciphisa i-arcs ye-vertebrae.

I-stenosis efunyenweyo (yesibini) iyenzeka ngezizathu ezilandelayo:

• ukukhubazeka kwe-spondylarthrosis (kunye nobukho be-hypertrophy);
• hypertrophy yeligament yellow;
• i-disc of intervertebral disc ;
• Isifo sikaBechterew;
• iziko
• spondylolisthesis.

Iimpawu ze-spinal stenosis

Uphawu oluphambili lwe-stenosis lubuhlungu kwelinye icala kwicala okanye zombini. Umzila wesigulane unomsindo ngeendlela ezinokukhubazeka, kwaye ngoko intlungu inokuthi ibonakale ngisho nasemlenzeni. Ukuhamba kunye naluphi na ukunyakaza, kunye nesimo esicacileyo, kubangele ukunyuka kwentlungu. Isigulane sinamava okuphucula ngokuthatha indawo engezantsi okanye ukuhlala phantsi.

Kwimeko ezininzi (i-75%) izigulane zixhala. Oku kunjalo ngokukodwa kubantu abadala (iminyaka engama-45 nangaphezulu), kunye nalabo abaneemvini ze-varicose, i-hemorrhoids, i-postthrombophlebitic syndrome.

Ubumnyama buvela kwinto yokuba i-outflow ephazamisayo iphazamiseka ngenxa ye-plexus ye-venous of the spine. Kakade emva kokuhamba ngomzuzu omathathu isigulane siva intlungu kwaye oku kwenza ukuba ahlale phantsi.

Unyango lwe-spinal stenosis

I-Stenosis inokuphiliswa yindlela ekhuselekileyo okanye yokugulisa.

Njengama-advocate agents, amayeza aphikisayo kunye ne-antialgic asetyenziswa. Kwiimeko ezinzima, irejisteni eqingqiweyo ye-pastel iboniswa. Xa iimpawu ezinzima zisuswe, isigulane simiselwe unyango, ukuxilonga kunye ne-physiotherapy.

Kakade ngexesha lokhatshwa kubaluleke kakhulu ukulungiselela isigulane ngokuchanekileyo kufakwe kwindawo yokusebenzela, ukucacisa i-mechanics ye-posture efanelekileyo kunye nokunyakaza.

Uphando lwe-stenosis lomgudu womgogodla luyimfuneko xa unyango olulondolozayo alusebenzi. Ngethuba lokusebenza, ukuphela kwezibilini kukhishwa kwiifom zokwehla, ezikhokelela ekubandezelekeni nokucinywa kwezicubu.