Cramping Daga Spinal Stenosis
Cikakken maganin neurogenic claudication yana daya daga cikin manyan nau'i biyu na hawan kafa da ke hade da aikin tafiya. "Neurogenic" tana nufin gaskiyar cewa bayyanar cututtuka ta taso ne lokacin da jijiyoyin da suke da alaƙa a lokuta na lumba. Sauran nau'in claudication-intermittent vascular claudication yawanci saboda cutar na jijiyoyin jini (PVD).
Hakanan, dukansu iri-iri ma'anar claudication za su kasance a gefe, a kalla zuwa wani mataki, shirye-shiryen ku don yin aiki, amma hanyar da kowannensu ya cika wannan ya bambanta.
Tare da claudication na jijiyoyin jini, tasoshin jini sun fi dacewa zuwa inda inda adadin jinin da ke gudana ta wurinsu bai isa ba don biyan bukatun ka. A cikin lokuta na claudication neurogenic, your spine lumbar (baya baya) yana kasance a cikin matsayi mai tsawo na tsawon lokaci. Wannan, a gefe guda, yana rushe kogin ku na baya ko neuroforamen zuwa ma'anar inda nama mai laushi wanda yake wucewa ta hanyar ba tare da damewa ba zai zama mai damuwa da kashi mai kusa.
Cutar cututtuka
Maganin neurogenic shine ainihin ciwo ko tarin bayyanar cututtuka. Yana da alaka da jinkirin kuma zai iya nunawa kamar zafi a cikin kasan baya da / ko kafa kamar ƙwayar tsoka. Haɗuwa da ƙyallen kashin baya tare da wasu bayanan baya kamar kullun yana haifar da matsin lamba akan asibitocin jijiyoyin daji da / ko lakabin equina.
(The cauda equina-wanda yake nufin wutsiyar doki - yana da kwaskwarima na jijiyoyin kama da wutsiya. Cikin labaran yana karawa a ƙasa da ɓangaren ƙwayar katako.
Kwayoyin cututtuka na claudication neurogenic sau da yawa ana saukowa ta hanyar tafiya da / ko yada baya baya (sake komawa baya,) da kuma saukewa ta wurin kwance, zaune, da / ko kunnuwa a kan kugu.
Wasu bayyanar cututtuka na claudication na neurogenic ne suka hada da launi da kuma allurar rigakafi da zazzafar kafa. Matsalar ƙuƙwalwa ko ƙwayar cuta za ta iya faruwa idan claudication neurogenic mai tsanani ne.
Saboda lumbar cututtuka na jiki yana tasowa a tsawon lokaci kuma ba sakamakon sakamakon wani lokaci ba, bayyanar cututtuka suna ɗaukan lokaci kafin sun kasance masu lura, da.
Jiyya
Jiyya ga claudication neurogenic fara da ra'ayin rikitarwa. Kwararka na iya tsara takalmin magani da kuma / ko farfasa jiki . Idan kana ganin likitan kwantar da hankali na jiki don maganin tsabtace jiki, mai yiwuwa za a ba ka horo wanda ya jaddada fadakar da spine a gaba.
Wasu magungunan magungunan magungunan jijiyoyin ƙwayoyin lumbar sun hada da gyaggyara ayyukanka, sanye da takalmin gyare-gyare ko belin, da kuma / ko ciwon allurar rigakafi don magance zafi. Cibiyar Aiki ta Arewacin Amirka ta ce jerin jerin maganin cututtuka na asibiti (tare da maganin steroid) na iya taimakawa wajen taimakawa jin zafi daga maganganun da ke tattare da maganin neurogenic (da kuma radiculopathy) a cikin matsakaici. Sun bayyana matsakaiciyar lokaci kamar watanni 3 zuwa 36.
Idan ci gaba da ciwo daga tsoma baki mai tsauraran ƙwayoyin cuta ba zai damu da salonka ba, yana iya zama alamar cewa kana bukatar sake tiyata.
Yawancin lokaci, laminectomy (wanda aka sani da tiyata) shi ne hanya da aka ba da lalacewa. Tattauna da zaɓinku tare da likitanku don tabbatar.
A cikin wata sharhi a cikin Janairu 6, 2010, fitowar littafin Journal of the American Medical Association , Dokta Alexander Haig da abokan aikinsa sun tabbatar da cewa abin dogara ne, a duk fadin tsarin kula da lafiyar da kuma kiyaye magungunan lumbar. Wannan yana nufin cewa wasu likitoci za su yi amfani da gwajin MRI, CT da / ko EMG don tantance yanayinka, yayin da wasu bazai iya ba. Har ila yau, yana nufin cewa wasu likitoci na iya ƙila su "tura" ku a cikin tiyata ba tare da ba da magunguna na farko ba.
Yi nazarinka kuma ka yi magana da likitanka game da dukan zaɓinka kafin ka yanke shawarar abin da za ka yi.
Source:
> Brunicardi, F. et.al. Schwartz ta Cigaba. Babi na 41. Neurosurgery. Sashe na II. Bayanan Musamman. McGraw-Hill. Samun shiga yanar-gizon: Ciwon Magunguna. Mayu 2010.
> Comer, C., et. al. Bincike da kuma kula da claudication na neurogenic da ke hade da lumbar spenosis a cikin Birtaniya babba kula da aikin ƙwaƙwalwar ƙwayar cuta: binciken da na yanzu aiki a tsakanin physiotherapists.BMC Cutar Musculoskeletal 2009.
> Andrew J. Haig, MD; Christy C. Tomkins, Ph.D. Sanin asali da Gudanarwa na Lumbar Spinal Stenosis. JAMA. 2010; 303 (1): 71-72.
> Nadeau, M., MD Tabbatattun bambancin ne na claudication neurogenic daga ka'idar vascular claudication dangane da gabatarwar bayyanar. Can J Surg. Disamba 2013. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859778/
> Ƙungiyar Wuta ta Arewacin Amirka (NASS). Binciken asali da kuma jiyya na tsire-tsire na lumbar. Burr Ridge (IL): Cibiyar Labaran Arewacin Amirka (NASS); 2011.