Stenosis Foraminal Neural

Anter

• He aha nā hōʻailona?
• He aha nā kumu?
• Pehea e mālama ʻia ai?
• Nā hihia kūpono
• Nā hihia koʻikoʻi
• Aia kekahi pilikia?
• Ka wā e ʻike ai i ke kauka
• Outlook no stenosis foraminal neural

Hōʻike Overview

ʻO ka stenosis foraminal neural, a me ka neural foraminal narrower, kahi ʻano o ka stenosis spinal. Kū ia i ka wā o nā puka liʻiliʻi ma waena o nā iwi i kou iwi kuamoʻo, i kapa ʻia ʻo neural foramina, ʻākiki a paʻa paha. ʻO nā aʻa aʻa e puka i ke kolamu o ke kuamoʻo ma o ka foramina neural e lilo i kaomi ʻia, e hiki ai i ka ʻeha, numbness, a nāwaliwali paha.

No kekahi poʻe, ʻaʻole kumu ke ʻano o ke ʻano a ʻaʻohe koi i ka lāʻau. Eia nō naʻe, hiki i nā hihia koʻikoʻi o ka neural foraminal stenosis ke kumu i ka maʻi lōlō.

Inā kū nā ʻōuli, hana mau ia ma ka ʻaoʻao o ke kino kahi e ʻiniki ʻia ai ke aʻa aʻa. I ka stenosis foraminal neural hema, no ka laʻana, ʻike ʻia nā ʻōuli ma ka ʻaoʻao hema o ka ʻāʻī, ka lima, ke kua, a me ka wāwae.

Ke kūiki nā ʻaoʻao ʻelua o ke kahawai foraminal, ua kapa ʻia ia he stenosis foraminal neural bilateral.

He aha nā hōʻailona?

ʻO nā hihia liʻiliʻi o nā neural foraminal stenosis ʻaʻole i ka hopena nā hopena āpau. Inā pili pono nā puka neural no ke aʻa aʻa e paʻa ai, hiki iā ia ke alakaʻi iā:

• ʻeha ke kua a ʻāʻī paha
• numbness a nāwaliwali paha o ka lima, ka lima, ka wāwae a me ka wāwae
• ke kī ʻana i ka ʻeha e iho ana i ka lima
• sciatica, kahi ʻeha pana e hele mai kou haʻahaʻa i waena ma o kou mau puʻupuʻu a i kou wāwae
• nāwaliwali o ka lima, ka lima a i ʻole ka wāwae
• nā pilikia me ka hele wāwae a me ke kaulike

E hoʻomaka mālie nā ʻōuli a eʻoi aku ka maikaʻi o ka hala ʻana o ka manawa. Hiki iā lākou ke hana ma kekahi ʻaoʻao a i ʻole nā ​​ʻaoʻao ʻelua o ka iwikuamoʻo. E loli paha nā ʻōuli ma muli o ka ʻāpana o ka ʻāʻī e hoʻopili ai a hoʻopaʻa i kahi aʻalolo.

• Hana ʻia ka ceren stenosis i nā foramens neural o ka ʻāʻī.
• Hana ʻia ʻo Thoracic stenosis i ka ʻāpana kiʻekiʻe o ke kua.
• Hoʻokumu ka lumbar stenosis i ka neural foramina o ka ʻaoʻao haʻahaʻa.

He aha nā kumu?

Kū ka stenosis foraminal neural ke hoʻopili kekahi mea i nā ākea ma waena o nā iwi o kou kuamoʻo. Hoʻonui ka makaʻu o ka neural foraminal stenosis me ka makahiki. ʻO kēia no ka mea ʻo kaʻaʻahu a me nā waimaka maʻamau e pili ana i ka ʻelemakule hiki ke alakaʻi i ka liʻiliʻi. I ko mākou mau makahiki, lilo nā pāpaʻi i ke kuamoʻo i ke kiʻekiʻe, hoʻomaka e hoʻomaloʻo, a hoʻomaka e ʻōhū.

I nā ʻōpio, hiki i nā ʻeha a me nā kumu i lalo ke hopena i ke ʻano.

ʻO nā kumu o ke neural foraminal stenosis e komo pū ana:

• lele ka iwi mai nā kūlana degenerative, e like me ka osteoarthritis
• hānau ʻia me ka iwi kuʻikuʻi
• kahi maʻi iwi, e like me ka maʻi o Paget o ka iwi
• kahi puʻupuʻu (herniated) disk
• nā ligament mānoanoa kokoke i ka iwi kuamoʻo
• hōʻeha a hōʻeha paha
• scoliosis, a i ʻole ka ʻūlū ʻokoʻa o ka iwikuamoʻo
• dwarfism, e like me achondroplasia
• pūpū (laha ʻole)

Pehea e mālama ʻia ai?

ʻO ka mālama ʻana i nā stenosis foraminal neural kaukaʻi ʻia i ka paʻakikī o ke ʻano. Inā akahai kāu mau hōʻailona, ​​hiki i kāu kauka ke ʻōlelo aku e nānā wale i kāu ʻano e hōʻoia ʻaʻole e ʻoi aku ka maikaʻi. Makemake paha ʻoe e hoʻomaha no kekahi mau lā.

Nā hihia kūpono

Inā pilikia kāu mau ʻōuli, e ʻōlelo paha kāu kauka e mālama ʻoe iā lākou me nā lāʻau a i ʻole ka hoʻōla kino.

ʻO kekahi mau lāʻau i hiki ke kōkua i ka mālama ʻana i nā ʻōuli o neural forenial stenosis me:

• nā mea hōʻeha ʻeha e like me ibuprofen (Motrin IB, Advil), naproxen (Aleve), a i ʻole acetaminophen (Tylenol)
• nā mea hōʻoluʻolu ʻeha, e like me ka oxycodone (Roxicodone, Oxaydo) a i ʻole hydrocodone (Vicodin)
• nā lāʻau lapaʻau anti-seizure e kōkua i ka hōʻoluʻolu i ka ʻeha o ke aʻa, e like me gabapentin (Neurontin) a me pregabalin (Lyrica)
• hoʻōki i ka corticosteroid e hoʻemi i ka puhū

Hiki i ke olakino olakino ke kōkua i ka hoʻoikaika ʻana i nā mākala e hoʻopuni ana, hoʻomaikaʻi i kou neʻe ʻana, kikoo i ka iwi kuamoʻo, a hoʻoponopono i kou kūlana. No ka stenosis cervix, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e komo i ka pūlima i kapa ʻia he kola cerviera. Hiki i kēia apo palupalu ke pale i nā mākala i kou ʻāʻī e hoʻomaha a hoʻemi i ke kui o nā aʻa aʻa i kou ʻāʻī.

Nā hihia koʻikoʻi

Inā koʻikoʻi kāu mau ʻōuli, pono paha ke kahakaha i hiki i kāu kauka ke hoʻonui i nā puka neural e kaomi ana i kou aʻa. Hoʻokomo iki kēia ʻoki a hana pinepine ʻia ma o ka endoscope. ʻO kahi ʻokiʻoki liʻiliʻi wale nō e pono ai ka kauka. Hiki i ke kaʻina hana ke hoʻopili:

• laminotomy a i ʻole laminectomy, ʻo ia ka hoʻoneʻe ʻana i nā iwi spurs, scars, a i ʻole ligament e hoʻoliʻiliʻi
• foraminotomy, a i ʻole ka hoʻonui ʻana i ka foramina
• laminoforaminotomy, e pili ana i kēia ʻano hana

No nā diski herniated, hana paha kāu kauka i ke ʻoki ʻana e hemo ai ka diski.

Aia kekahi pilikia?

ʻOiai ʻaʻole maʻamau, hiki i nā neen foraminal stenosis neural ke alakaʻi iā:

• nāwaliwali paʻa mau
• urinary incontinence (ke nalowale ʻoe i ka kaohi o kāu bladder)
• lolo

Ka wā e ʻike ai i ke kauka

Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i ka ʻeha a i ʻole ka helu paha e hoʻomālamalama ana i kou lima a i ʻole ka wāwae e hele ʻole i kekahi mau lā. E ʻimi koke i ka lāʻau inā loaʻa kekahi o kēia mau mea:

• Hele mai kaʻeha ma hope o kahi hōʻeha koʻikoʻi a ulia pōpilikia paha.
• Lilo ka ʻeha i koʻikoʻi.
• ʻAʻole hiki iā ʻoe ke kaohi i kāu ʻōpū a i ʻole kou ʻōpū.
• E nāwaliwali a palaka paha kekahi ʻāpana o kou kino.

Outlook no stenosis foraminal neural

ʻO ka hapa nui o nā stenosis foraminal neural e hoʻomaikaʻi iā lākou iho a i ʻole me nā mālama conservative ma ka home, e like me nā painkillers, yoga mālie, a me nā lāʻau hoʻoikaika kino. ʻAʻole pono ka hana maʻamau, akā ua manaʻo ʻia he hopena definitive no kahi hihia o ka neural foraminal stenosis.

Ma hope o ke kahakaha ʻana, hiki i ka hapanui o ka poʻe ke hoʻi i ke ola o kēlā me kēia lā i loko o nā lā ʻelua wale nō, akā pono paha e hōʻalo i ka hāpai kaumaha ʻana no kekahi mau mahina.

ʻOiai kūleʻa pinepine nā ʻōpala foraminal, hiki nō i nā pilikia me ka ʻōiwi i ka wā e hiki mai ana.