He aha nā kumu o Foraminal Stenosis a pehea e mālama ʻia ai?

Anter

• Nā ʻōlelo aʻoaʻo no ka ʻike ʻana
• He aha ke kumu o kēia a ʻo wai ka pilikia?
• Pehea ia ʻike?
• Heluhelu
• He aha nā koho lapaʻau e loaʻa ai?
• Hoʻololi hana
• Hoʻoikaika kino
• Nā Orthotics
• Nā Lapaʻau
• ʻOki kino
• Hiki paha nā pilikia?
• He aha ke kuanaʻike?

He aha ka stenosis foraminal?

ʻO ka stenosis foraminal ka mea ākea a paʻa paha o nā puka ma waena o nā iwi i kou iwi kuamoʻo. Kapa ʻia kēia mau puka liʻiliʻi i puka i mua. ʻO ka stenosis foraminal kahi ʻano kikoʻī o ka stenosis ʻōiwi.

Hāʻalo nā aʻalolo ʻoiai nā puka o kou iwikuamo i ke koena o kou kino. Ke kokoke i ka foramen, hiki ke ʻuī i nā aʻa aʻa e hele ana ma waena o lākou. Hiki i ke aʻalolo pinched ke alakaʻi i ka radiculopathy - a i ʻole ka ʻeha, numbness, a me nāwaliwali i ka ʻāpana o ke kino e lawelawe ai ke aʻalolo.

ʻO ka stenosis foraminal a me nā ʻāʻī pinched he mea maʻamau. I ka ʻoiaʻiʻo, kokoke i ka hapalua o nā poʻe waena a me nā poʻe ʻelemakule i loaʻa i kekahi ʻano stenosis ʻōiwi a me nā ʻāʻī pūī. Akā ʻaʻole ka poʻe āpau me ka foraminal stenosis e ʻike i nā ʻōuli. Loaʻa paha i kekahi poʻe nā ʻōuli e hele a hele.

ʻAʻole hiki iā ʻoe ke pale aku i ka staminosis foraminal, akā ʻo ka hana ʻana i ke kino a me ka mālama ʻana i kahi kaupaona olakino hiki ke kōkua i ka hōʻemi ʻana i kou makaʻi. Ke hoʻohana nei i ke kūlana maikaʻi a me ke ʻano ke noho, pāʻani i nā haʻuki, hoʻoikaika kino, a hāpai i nā mea kaumaha hiki ke kōkua i ka pale ʻana i ka ʻeha o kou kua. Hiki i nā hōʻino ke alakaʻi i nā stenosis a me nā ʻāʻī pinched.

E hoʻomau i ka heluhelu ʻana e aʻo e pili ana i nā ʻōuli, nā koho lapaʻau, a me nā mea hou aʻe.

Nā ʻōlelo aʻoaʻo no ka ʻike ʻana

ʻO nā ʻōuli o nā ʻalalā pinched ma muli o ka foraminal stenosis ʻokoʻa e pili ana i ka ʻāpana o kou kuamoʻo e hoʻopili ʻia.

Stenosis cerviera ulu i ka wā e hāiki ka foramen o kou ʻāʻī. Hiki i nā ʻalalā pinched i kou ʻāʻī ke hana i kahi ʻeha a ʻeha paha e hoʻomaka i ka ʻāʻī a hele i kou poʻohiwi a me kou lima. E palupalu paha kou lima a me kou lima a nū hoʻi me nā "pin a me nā nila."

Thoracic stenosis hoʻomohala i ka wā o ka foramen i ka hapa luna o kou kua hāiki. ʻO nā aʻa aʻa i kuʻi ʻia i kēia ʻāpana o kou kua i hiki ke hōʻeha i ka ʻeha a me ka puʻupuʻu e hoʻopuni i mua o kou kino. ʻO kēia ka wahi liʻiliʻi liʻiliʻi e hoʻopili ʻia e ka forenal stenosis.

Lumbar stenosis ulu i ka wā e hāiki nā puka o kou kua haʻahaʻa. ʻO ka ʻaoʻao i lalo ka ʻāpana o kou kuamoʻo e hoʻopilikia ʻia paha e ka stenosis foraminal. Hiki ke ʻike ʻia kēia e like me ka ʻeha, ʻūlū ʻana, numbness, a me ka nāwaliwali o ka ʻūhā, ka wāwae, a i kekahi manawa ka wāwae. ʻO Sciatica kahi manawa āu i lohe ai no kēia ʻano ʻeha.

E pōʻino paha kou ʻeha me kekahi mau hana, e like me ke kūlou ʻana, ka wili ʻana, ka hiki ʻana, ka ʻū ʻana, a me ka honi ʻana.

He aha ke kumu o kēia a ʻo wai ka pilikia?

Hiki paha iā ʻoe ke hoʻomohala i ka stenosis foraminal a me nā ʻāʻī pinched i kou mau makahiki. ʻO ke kuʻi ʻana a me ka ʻaukā o ke ola o kēlā me kēia lā ke alakaʻi pinepine i nā loli i kou iwi kuamoo e hoʻoliʻiliʻi i nā puka. Akā hiki i ka hōʻeha ke kumu i ka stenosis, i ka poʻe ʻōpio.

ʻO kahi laʻana, hoʻokahi kumu o ka foraminal stenosis kahi ʻōpala a i ʻole herniated disk.Hiki i kēia mau cushioning disks ma waena o kou iwi iwi kuamoʻo ke hemo ma waho o kahi a ʻino paha. Kaomi ka paila puʻupuʻu ma ke alo a me ke aʻa aʻa. Hiki paha kēia i kāu haʻahaʻa.

Hiki i nā ulu iwi i loko a puni kāu foramen ke ʻūlū i nā aʻa e holo ana. Hoʻokumu ka iwi iwi ma muli o ka hōʻeha a i ʻole nā ​​ʻano degenerative e like me ka osteoarthritis.

ʻO nā kumu liʻiliʻi ʻē aʻe o ka foraminal stenosis e komo pū ana:

• ka hoʻonui ʻana i nā ligament a puni ka iwi kuamoʻo
• spondylolisthesis
• cysts a i ʻole nā ​​tumors
• maʻi maʻi iwi, e like me ka maʻi o Paget
• nā kūlana kūlohelohe, e like me ka dwarfism

Pehea ia ʻike?

Inā loaʻa iā ʻoe ka ʻeha e hoʻomālamalama i kou lima a i ʻole ka wāwae a i ʻole nā ​​manaʻo o ka numbness i hala i mau mau lā, pono ʻoe e ʻike me kāu kauka.

I kāu koho ʻana, e hoʻomaka kāu kauka me kahi hoʻokolohua kino. E nānā lākou i kāu neʻe, ka ikaika o ka mākala, pae o ka ʻeha a me ka puʻupuʻu, a me nā reflexes.

Kauoha paha kāu kauka i kekahi mau kiʻi paʻi kiʻi a me nā hoʻokolohua ʻē aʻe e hōʻoia i ka ʻike.

• Hiki ke hoʻohana ʻia nā kukuna X e ʻike i ka hoʻopili ʻana o nā iwi o kou iwi kuamoʻo a me ka hoʻopili ʻana o ka foramen.
• Hiki i nā MRI scans ke ʻike i ka hōʻino i nā mea palupalu, e like me nā ligament a me nā pā.
• Hiki i nā CT scans ke hōʻike i nā kikoʻī ma mua o nā kukuna X, e ʻae ana i kāu kauka e ʻike i nā iwi i kokoke i ka foramen.
• Hana pū ʻia ka electromyography a me nā aʻo conduction nerve e ʻike inā e hana pono kāu nerve. Kōkua kēia mau hoʻokolohua i kāu kauka e ʻike inā pili kāu mau ʻōuli i ke kaomi ma nā aʻa nerve iwi a i ʻole kekahi ʻano ʻē aʻe.
• Hiki i nā iwi scans ke huai i ka maʻi ʻōpū, nā haki, nā maʻi, a me nā tumors.

Heluhelu

ʻO kāu kauka a i ʻole ka radiologist e heluhelu i kāu MRI i ka pae o ka hoʻopili ʻana o kāu foramen.

• papa 0 = ʻaʻohe stenosis foraminal
• papa 1 = stenosis mālie me ka ʻole o ka hōʻike o nā loli kino i ke aʻa nerve
• papa 2 = stenosis kaulike me ka loli ʻole o ke aʻa aʻa
• papa 3 = stenosis foraminal koʻikoʻi e hōʻike ana i ka hāʻule ʻana o ke aʻa aʻa

He aha nā koho lapaʻau e loaʻa ai?

Kaukaʻi ʻia i ke kumu a me ka paʻakikī o kou foraminal stenosis a me nā ʻāʻī pinched, loaʻa nā ʻano he nui e hōʻoluʻolu ai i kou pilikia.

I nā manawa he nui, nā ʻalalā pinched - keu hoʻi i ka ʻāʻī - e ʻoi aku ka maikaʻi me ka ʻole o ka lāʻau ʻē aʻe ma mua o ke kau ʻana, hoʻololi ʻana i ka hana, a me nā lāʻau hoʻōla ʻeha.

Hoʻololi hana

Inā loaʻa iā ʻoe ka ʻeha hoʻomālamalama, numbness, a me ka nāwaliwali o kahi nerve i pinched ʻia, makemake paha ʻoe e hoʻomaha no kekahi mau lā. Akā mai hoʻolōʻihi no ka lōʻihi loa, a i ʻole e hoʻomāhuahua paha kāu mau ʻōuli. Pono ʻoe e hōʻalo i nā neʻe e hōʻeha iā ʻoe i ka ʻeha ʻoi, akā ʻaʻole pono ʻoe e neʻe. Ke hoʻohana nei i nā ʻeke anuanu no kekahi mau lā mua, a ukali ʻia e nā pūʻulu mehana a i ʻole ka pale hoʻomehana, hiki ke kōkua i ka hōʻoluʻolu i kou ʻeha.

Hoʻoikaika kino

Hiki ke hoʻohana i nā kikoʻī a me nā hana kūikawā e hoʻokūpaʻa i kou iwi kuamoʻo, hoʻomaikaʻi i ke kaʻina o ka neʻe ʻana, a wehe i ka wahi no ke aʻa o kou aʻa e hala. ʻO ka hoʻoikaika ʻana i nā mākala e kākoʻo i kou kuamoʻo hiki ke pale i ka hōʻino hou. Hiki i ka lilo o ke kaupaona ke lawe i ke kaomi o kou kuamoʻo a me nā aʻa nerve.

Nā Orthotics

Inā he ʻāʻī kou pinched i kou ʻāʻī, hiki i kāu kauka ke koi aku iā ʻoe e komo i ka ʻāʻī o ka ʻāʻī a i ʻole ke kola cerviera palupalu. E palena ana i kāu neʻe a hoʻomaha i kou ʻāʻī o kou ʻāʻī.

E hoʻokomo ʻia no ka manawa pōkole wale nō no ka mea inā lōʻihi ʻoe e ʻaʻā, e nāwaliwali paha nā mākala o kou ʻāʻī. E hāʻawi aku kāu kauka iā ʻoe i nā kikoʻī e pili ana i ka wā e ʻaʻahu ai a pehea ka lōʻihi.

ʻAʻole aʻoaʻo ka poʻe kauka e kau i ke kāʻei hope o kēlā me kēia ʻano no nā ʻāʻī pinched i ka ʻaoʻao haʻahaʻa.

Nā Lapaʻau

Hiki ke hoʻohana ʻia i nā ʻano lāʻau like ʻole e hōʻoluʻolu ai i kou ʻeha.

• Nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs): ʻO nā lāʻau e like me ka aspirin (Bufferin), ibuprofen (Advil), a me naproxen (Aleve), e hōʻemi paha i ka mumū a hāʻawi i ka ʻeha.

• Steroids: Hiki i nā corticosteroids oral, e like me prednisone (Deltasone), ke kōkua i ka hōʻoluʻolu i ka ʻeha ma o ka hōʻemi ʻana i ka mumuna a puni ke aʻalolo huhū. Hiki i nā steroid ke hoʻopili ʻia ma kahi kokoke i ke aʻalolo i hoʻopili ʻia e hōʻoluʻolu i ka mumū a me ka ʻeha.
• Nā Narcotics: Inā koʻikoʻi kou ʻeha a ʻaʻole i hana nā lawelawe ʻē aʻe, hiki i kāu kauka ke kuhikuhi i nā mea ʻeha narcotic. Hoʻohana mau ʻia lākou no kahi manawa pōkole wale nō.

ʻOki kino

Inā hōʻoluʻolu nā mālama ʻana i ka conservative i kāu mau ʻōuli, e noʻonoʻo ʻoe a me kāu kauka i ke ʻoki. ʻO ke ʻano o ke kaha ʻana e pili i ka wahi o ka stenosis a me nā mea e loaʻa ai. Inā hoʻopili ka disk herniated i kou aʻa aʻa, a laila ʻo ke kahakaha ʻana e wehe i ka pā nui ʻo ia ka hopena.

ʻO kahi kaʻina hana hoʻohaʻahaʻa minimally i kapa ʻia foraminotomy kekahi koho ʻē aʻe. Hoʻonui ia i kahi a ke aʻalolo e hele ai ma o ka hemo ʻana i nā mea keakea, e like me nā iwi kuʻi, mai nā foramen.

Hiki paha nā pilikia?

I kekahi manawa hiki ke hele pū ʻia me ka stenosis foraminal e ka stenosis o ka kolamu iwi kolamu. Ke kaomi ʻia ka iwi kuamoʻo, ʻoi aku paha ka nui o nā ʻōuli ma mua o ke kui o nā aʻa aʻa.

Hiki i kēia mau ʻōuli ke komo pū me:

• clumsiness
• pilikia e hoʻohana ana i kou mau lima
• paʻakikī i ka hele wāwae
• nāwaliwali

He aha ke kuanaʻike?

ʻO ka poʻe me ka foraminal stenosis e loaʻa ka hoʻomaha me ka mālama ʻana ma ka home. ʻAʻohe pono iki ke keʻoki ʻana. I kekahi manawa, ʻoiai ma hope o ka hoʻoholo ʻana o kāu mau hōʻailona no nā pule a i ʻole mau makahiki, hoʻi lākou. E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka hoʻōla kino a me nā loli o ka hana, a ʻo kou ʻūʻī nerve i pinched ʻia paha he mea o ka wā i hala.