Ọ bụrụ na a chọpụtala gị na stenosis neuralforamenal (nke bụ nkwụsị nke otu ma ọ bụ karịa oghere dị n'akụkụ akụkụ nke vertebral nke a maara dị ka ụda ) ọ nwere ohere ị ga-ahụ ihe mgbaàmà nke radiculopathy . A na-eme ka ọkpụkpụ na-egbu egbu mgbe a na-agbanye mgbọrọgwụ na akwara mgbọrọgwụ (a na-akpọ nbanye ma ọ bụ nchikota.)
A na-ejikarị ọrịa ọgwụ na-akpata ọrịa ogbu na nkwonkwo.
Mgbaàmà n'ozuzu gosipụtara dị ka ihe mgbu, nsị, ụda na / ma ọ bụ adịghị ike na-aga na njedebe nke emetụta. Maka ntụle, sciatica bụ otu ụdị radiculopathy.
Ma nkwụsị nke neuroforaminal nwere ike ibute ihe mgbaàmà ndị ọzọ, yana. Ndị a nwere ike ịgụnye spasma mgbu, ihe mgbu dị egwu, mmetụta ọkụ na ike na-adịghị ike na / ma ọ bụ belata mmetụta, dị ka Allen Wilkins, MD, si kwuo banyere Manhattan Physical Medicine and Spine.
Ngwọta Ngwọta Neuralforamenal Stenosis Nhọrọ
Whew! Nke ahụ yiri ka ọ ga-adịrị ọtụtụ! Ị nwere ike ịnọ na-eche ma ọ nwere ihe ị nwere ike ime ka obi dịkwuo gị mma ma "nọrọ na egwuregwu" nke ibu ọrụ ndụ mgbe ị nyochachara nhụjuanya neuralforamenal.
Ee, e nwere. O yikwara ka ọ gaghị adị mkpa ịwa ahụ maka ya.
"Onu ogugu percent nke ndi mmadu nwere neuroforaminal na-eme ka mmetuta ha di iche iche ka ha nwekwuo uzo ozo n'oru oru," ka Dr. Ali Bydon, Professor Professor of Neurosurgery kwuru, Director of Spinal Column Biomechanics and Laboratory Results Resulting na Johns Hopkins Medical School na Clinical Director of Ọwa ịwa ahụ na Johns Hopkins Bayview Medical Center.
Bydon na-ekwu na maka mmekpa ahụ na-adịghị mma, ọgwụgwọ nke mbụ nwere ọgwụ na-egbu mgbu na / ma ọ bụ ọgwụ ndị na-adịghị na steroidal anti-inflammatory . Na mgbakwunye na nke a, ị nwere ike ịga ọgwụgwọ anụ ahụ maka ịgbatị na mmepe ume ndị na-eme ka akwara ma ọ bụ azụ azụ. Ngwọta PT gị nwere ike ịgụnye okpomọkụ, ice na / ma ọ bụ ultrasound, yana.
Na akpatre, Bydon na-ekwu na mmụgwọ akpọrọ ihe, dịka ọmụmaatụ, ọgwụgwọ okwu na / ma ọ bụ ọgwụgwọ ntụrụndụ, yana ịhịa aka n'ahụ ọgwụgwọ pụkwara inye aka belata mgbaàmà.
Dr. Robert Bray, neurosurgeon na DisC Sports na Spine Center na Marina del Rey, California, na-agbakwụnye na ọgwụgwọ anụ ahụ nwere ike ịgụnye ọrụ na nkwụsị gị. Ọ na-emetụta ụbụrụ na-adịghị mma ọkpụkpụ na-adịghị mma n'ahụ, ọ na-ekwu. Ọ gara n'ihu ịkọwa na nchịkọta nke elu azụ na-eme ka nkwu nke olu na-eme ka nụkwuo na-agbanyekwu na neuroforamin na mpaghara ahụ.
"Ihe omume ndị na-eme ka ugwo dị elu na-eme ka ọ dịkwuo mma na-eme ka mgbatị na-ebelata, ọ na-ekwu, na-agbakwụnye na usoro omenala nke ike mgbatị ahụ nwere ike bara ezigbo uru mgbe ejiri ya na mmezi mmezi .
Bydon na-ekwu na nhọrọ ọzọ maka igbochi ihe mgbu metụtara neuralforaminal na-agbatị na mgbakọ mgbọrọgwụ akwara na-eso ya bụ injections. Ihe mgbaru ọsọ nke ụdị ogwu a bụ iji belata nsị na / ma ọ bụ iji mebie mgbọrọgwụ akwara gị. A na-etinye ọgwụ na-edozi ahụ gburugburu mgbọrọgwụ akwara ahụ, na-enyekarị aka site n'enyemaka nke ọkpụkpụ ma ọ bụ ihe ndị ọzọ na-eduzi nkà na ụzụ, ọ na-agwa m.
Bray kwenyere ma gbakwụnye na ọ bụrụ na ị nwere nnukwu ọkụ ọkụ, ọnyá gị ga-adaba. Nke a pụtara na ọ na-agabiga na oghere (ọhụụ) nke dị obere. Injecting ọgwụ ọgwụ steroid gburugburu mgbọrọgwụ akwara na-ebelata ọzịza ahụ, ọ na-ekwu. Na mgbe ị jikọtara ọgwụgwọ a na usoro ọgwụgwọ ahụike maka ịmepụta ọganihu dị mma, ị nwere ike ịnwe uzommebe maka ihe mgbu nke nrụrụ na-adịghị mma nke na-adịghị mma, ọ na-ekwu.
Kedu ihe bụ ala ala? Ndi Neuralforaminal Narrowing Need Surgery?
Ọtụtụ n'ime oge, ọ dịghị. Ma, ị ga-anwale ọgwụ na / ma ọ bụ ọgwụgwọ anụ ahụ maka izu 6 ruo 8 n'enweghị ihe mgbu mgbu, ọ nwere ike ịbụ oge iji chọpụta ịwa ahụ, Bydon na-ekwu.
Bydon na-atụ aro ịhụ dọkịta na-awa ahụ ọkpụkpụ ma ọ bụrụ na ị nwere mgbanwe mgbanwe na / ma ọ bụ adịghị ike n'oge na-adịghị anya nke ọkpụkpụ gị.
Isi mmalite:
Ajụjụ Ọnụ Email. Ọfọn, Robert S. Jr., MD. DISC Egwuregwu & Spine Center. Marina del Rey, CA. December 2013.
Ajụjụ Ọnụ Email. Bydon, A., MD. Professor Professor of Neurosurgery, Co-Director nke Neurosurgery Medical Mmụta Mmụta, Director nke Neurosurgery Undergraduate Student Education, Director nke Spinal Column Biomechanics na Mbịakọta Ụlọ Ọrụ na Mahadum Johns Hopkins, Director Clinical Director nke Spine ịwa ahụ na Johns Hopkins Bayview Medical Center. December 2013.
Ajụjụ Ọnụ Email. Wilkins, A., MD. Manhattan Medicinal Medicine and Rehabilitation. New York. December 2013.