Idan likitanku ya ba ku wata ganewar asali na ƙwaƙwalwar jiki, (LRS acronym) zaka iya ja kanka. Abin da ke cikin duniya yake nufi?
Don amfani da wannan lokaci sai mu fara a ƙarshen, tare da kalmar stenosis.
Stenosis ne mai mahimmancin kiwon lafiya wanda yake nufin ragewa. Bisa ga lafiyar lafiyar jiki, yawanci yana nufin duk wani yanayin da ya rude hanyoyi wanda hanyoyi da ƙwayar jijiyoyi suka wuce.
Tare da ƙwaƙwalwar ƙwayoyi ta musamman, ƙwayoyin jijiya suna da ƙasa mai zurfi a kusa da su. Saboda haka, ƙwayoyin jijiyoyi zasu iya haɗuwa da kasusuwa, ƙaddara kayan ƙwaƙwalwa ko wasu kayan jiki, wanda zai haifar da ciwo da sauran cututtuka. Kwayar cututtuka na iya haɗawa da radiating ƙananan ciwon baya, claudication, wanda yake da damuwa da ke faruwa a lokacin da kake tafiya, rauni, ƙuntatawa da / ko abubuwan da ke cikin wutar lantarki da ke sauka da kafa ɗaya ko hannu. A wasu lokuta, mafi yawan alamun bayyanar cututtukan da ke rushe hanji ko mafitsara zai iya faruwa, da.
Na gaba, bari mu ayyana "aukuwa a kaikaice."
Yawancin ƙwayar cutar sun hada da mahimmanci game da wurin da matsalar ta kasance, kuma wannan shine ainihin abin da ke gudana lokacin da ka sadu da kalma a cikin layi.
Mene ne, kuma Ina ne Ƙarin Rikicin?
Har ila yau an san shi da ƙofar Lee, tazarar tazarar ita ce sararin samaniya a cikin ƙananan hanyoyi wanda ke tsaye zuwa ga sassan. (Lateral shine kalmar likita don "gefe.") Saboda haka, an kuma samo shi kusa da tushen jijiyoyin ƙwayoyi .
A cikin canal ta tsakiya, wanda shine tsakiyar hanyar da take tafiyar da tsawon layin kashin baya, an bayyana ta gefen ta gefen ƙananan iyaka.
Ƙananan Yankin Ƙaƙasa
Halin na baya yana da iyakoki 5. Na farko shi ne baya na jikin jikin mutum ; yayin da zai iya zama maras kyau, bayan baya jikin jikin mutum yana ƙaddamar da gaɓar iyaka na baya.
Idan kana so ka kasance mai kyau, zai fi dacewa don ƙara gefen jikin jikin mutum, wanda ake kira gefen kusurwa, da kuma ƙarshen ɓangaren kwakwalwa, wanda ake kira gefen diski, zuwa jerin sassan da ke gaban gaban matsakaicin layi. Kwararren intervertebral shine matashi mai ban sha'awa wanda ya kasance tsakanin nau'i-nau'i na kasusuwa kasusuwa.
Gaba ita ce gefen gefen gefen gefe. Wannan iyakar ne ta hanyar tsarin da ake kira pedicle. Jirgin abu ne ƙananan kasusuwa wanda ke fitowa daga baya na jikin kwayar vertebral; shi ne ɓangaren zoben haɗi wanda yake kusa da jikin mutum. Wannan zoben ƙashi yana da mahimmanci ga yawancin ayyuka na spine.
Akwai nau'i-nau'i guda biyu a bayan kowane jikin mutum-gefen dama da hagu.
Bayan da kayan aiki shi ne lamina, wanda yake kusa da baya na zoben haɓaka fiye da jikin jikin mutum. Kamar yadda zaku ga, jigon tsakanin layin da kuma lamina yana da mahimmanci a gano maƙasudin gefen gefe na baya. Wannan shi ne saboda wasu ƙananan ƙananan kashi wanda zasu taimaki koyi daskarar iyakoki, ko kuma akalla taimako a cikin ikonmu don ganin girman yankin, ya fito ne daga wannan jigon. Wadannan ƙananan, ƙananan kashi kashi ne ake kira su matakai, kuma kowannensu yana da nasaccen ma'anar sunan, kazalika.
Alal misali, a kusa da na'urar kwalliya, tafiyar matakai na gaba suna shimfiɗa a gefe ɗaya kuma suna samar da shafuka don tsokoki da haɗi don haɗawa. Hakanan hanyoyin tafiyar da ita shine wurare a kan kasusuwa kasuwa a cikin yankinku wanda ke haɗuwa da hagu.
La'idun suna yin manyan wuraren alamomi yayin kallon hoto na kashin kasusuwan da ƙoƙarin sanin abin da ke. Yayin da tafiyar matakan ke tafiya, ana tafiya a gaban, kuma lamina yana cikin baya.
Sauran ɓangaren kasusuwa wanda ke fitowa daga yankin tsakanin lakabin da lamina su ne matakan da suka dace. Hanyoyi masu amfani daga kashi ɗaya daga cikin kasusuwan sunyi aiki tare da matakai na gaba, duka sama da kasa, suna haɗuwa da facet.
Gaba ɗaya, sassan facet suna ba da sashin kashin baya sosai.
Ɗaya daga cikin waɗannan matakai na musamman-maɗaukaki (maɗaukakiyar maɗaukaki a cikin magani) yana ba da wani ɓangare na iyakar da ke gefen ta baya.
Sauran ɓangaren gefen baya na bayanan da aka ba da shi na baya an samar da flavum ligamentum. Daga yawan nau'in haɗi da ke haɗe da kashin baya, haɗin ligamentum ne wanda ke haɗuwa a tsaye tsakanin lamina na ƙasusuwan kasusuwa a cikin cikin canji. Ayyukan linzamin ligamentum shine kare ku daga rauni na rauni; yana yin haka ta wurin kiyaye ku daga yin tsaiko sosai.
Matsanancin ƙwayar cuta
Mu saka shi duka a yanzu. Kamar yadda kuka gani, raguwa na gefen wani ɓangare ne na canal na kashin baya kuma yana iya zama marar lahani ga ƙwayar cututtuka.
Hanyoyin da suka shafi shekarun da suka shafi shekarun da suka shafi shekarun da suka shafi shekaru (wanda aka gina daga cikin hanyoyin da aka ambata a sama) da / ko ligaments zai iya haifar da wadannan hanyoyi ta hanyar zama, sabili da haka ƙananan, sararin samaniya muke kira layi, da sauran hanyoyi da aka sanya ta hanyar haɗuwa da kasusuwa kasusuwa. Kuma saboda kusanciyarsu, waɗannan kyallen takalmin (kuma duk wanda ya zama mahaukaci) suna iya "shiga cikin" asalin ciwon ƙwayar jijiyoyin da ke kusa da / ko ƙananan kwaskwarima wanda ke wucewa ta hanyar kwakwalwa. Wannan ake kira ƙinƙarawa ko ƙusa. Lokacin da haɗari ya auku, zai iya haifar da ciwon furci da sauran alamun bayyanar.
Saboda labaran da ke gefe yana daga ɓangaren ƙwararru, lokacin da stenosis ke tasowa a can, an rarraba shi a matsayin tsaka- tsaki na tsakiya wanda yake faruwa a cikin canal. A wannan yanayin, bayyanuwar cututtuka na iya haifarwa. Myelopathy bayyanar cututtuka haifar da rashin tausayi ko matsawa daga cikin kashin baya.
Alal misali, ci gaba da ɓacin hanzari zai iya faruwa yayin da sauyewar shekarun da ke cikin ligamentum flavum ya auku. Irin waɗannan canje-canjen na iya haɗawa da raguwa, asarar ƙarfin karfi, da kuma hasara na haɗuwa har zuwa ma'ana inda zanewa zuwa ciki na canal na baya.
Kuma, hakika, flavum mai yalwaci ya haifar da ƙananan canji na bakin ciki - alamar alamar tsakiyar tsakiya na canal stenosis. Idan buckling yana kan ƙananan baya, zai iya haifar da bayyanar cututtuka.
> Sources:
> Demirayak, D., et. al. Sakamakon Clinical da Rabin Labarai na Microsurgical Ƙungiyar Cutar da Ƙananan Labaran Tsakanin Labaran Duniya ba tare da Kyautattun Tsakanin Tsarin Kasuwanci na Asibitin Asian Spine J. Oct. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591442/
> Bartynskia, Walter S. Lina, Luka. Ƙunƙidar Tushen Lumbar a cikin Rawanin Ƙarshe: MR Imaging, Myelography Tsarin Magana, da CT Myelography Daidai da M Tabbacin. Jaridar Amirka ta Neuroradiology. http://www.ajnr.org/content/24/3/348.full#ref-list-1
> Park, J., Lee, J., Park, S., Riew, K. Hypertrophy na ligamentum flavum a cikin lumbar cututtuka na asibiti hade da haɓaka girman mai gina jiki proteinase. J Bone Joint Surg Am. Dec 2005.
> Rajesh P., Spinal Stenosis. SlideShare.net .. http://www.slideshare.net/upenderus/spinal-stenosis-32618373