Mientras que el término “estenosis” viene del griego y significa “asfixia”; filosiliva stenosis, Neongo ia, siʻisiʻi e meʻa ʻoku faitatau ai e suffocation.
ʻOku ʻi ai ha faʻahinga ʻe ua ʻo e filosiliva stenosis: lumbar stenosis mo cervical stenosis. Neongo ʻoku angamaheni ʻaki ʻa e stenosis ʻa lumbar filosiliva, ʻOku faʻa fakatuʻutamaki ange Cervical filosiliva stenosis koeʻuhi he ʻoku kau ai lahi ʻo e filosiliva (spinal), ʻo hange ko hono fakamatalaʻi fakaikiiki ange ʻi lalo.
Ífakahokohoko fakamotuʻalea
Lumbar filosiliva stenosis mo cervical filosiliva stenosis
ʻOku fakatupu ʻe Cervical filosiliva stenosis ʻa e mamahi ʻo e kia, pea ʻe lava ke fakatuʻutamaki ange koeʻuhi ko e lahi ʻo e filosiliva.. ʻE lava ʻe he stenosis filosiliva ʻo fakatupu ha ngaahi fakaʻilonga faingataʻa, kau ai e vaivai lahi ʻo e sinó pe mamatea.
ʻI ha ngaahi meʻa hahamolofia, Mahalo he ʻikai fakalakalaka lahi ʻa Lumbar stenosis ʻi hono fakatupu ha mamahi faingataʻaʻia pea aʻu pe ki he vaivai ʻi he ongo vaʻe.
ʻI he ngaahi meʻa lahi ʻo e stenosis ʻi he lumbar tuʻa, Neongo ia, ʻoku ʻi ai ʻa e mamahi ʻoku malama mei he ongo vaʻé ʻi he taimi ʻoku luelue aí, Pea ʻe fakafiemalieʻi ʻa e mamahi ko ia ʻi haʻatau tangutu hake..
ʻOku ui ʻeni ko e "kalalotí.", ʻa ia ʻe lava foki ke fakatupu ʻe he ngaahi palopalema tufaki ʻi he ongo vaʻé, Hangē ko hono aleaʻi ʻamui ange ʻi he fakamatala ko ʻení.
Stenosis mamahi ʻa e filosiliva ʻi he kau mahaki toulekeleka
ʻOku fakafehokotaki ʻa e stenosis filosiliva ke holoa ʻi hono tuʻa pea ʻe faʻa mahuʻinga taha ia ʻi he taʻu ʻe nima ʻo e moʻui pea ʻoku fakaloloa ia ʻi he toʻu takitaha..
Ko e tokolahi taha ʻo e kau mahaki ʻoku nau ʻaʻahi ki heʻenau toketaa mo e ngaahi fakaʻilonga ʻo e filosiliva stenosis ʻoku nau nofo takai ʻi he 60 ngaahi taʻu. ʻOku fie maʻu pe ke kumi ʻe he kau mahaki ha faitoʻo ki lumbar filosiliva stenosis kapau ʻoku ʻikai ke nau fie nofo mo ha ngaahi fakangatangata ʻo e ʻekitiviti mahuʻinga., hangē ko e mamahí pe faingataʻa e luelué.
ʻE lava ke hoko ʻa e stenosis filosiliva ʻi ha ngaahi founga kehekehe ʻi hono tuʻa. Fakafuofua ki he 75% ʻo e ngaahi meʻa ʻoku hokó ʻo e filosiliva stenosis hoko ʻi he feituʻu lumbar (ki lalo ʻi mui), ʻOku ui ia lumbar filosiliva stenosis, pea ko e lahi taha te ne uesia ʻa e neave sciatic ʻoku lele ʻi he tafaʻaki ki mui ʻo e vaʻe.. ʻI he taimi ʻoku hoko ai ʻení, ʻOku faʻa ui ko e sciatica.
Sivi mo e ngaahi fakaʻilonga ʻo e filosiliva stenosis
Lea angamahení, ʻOku ʻomi ʻe he faʻahinga filosiliva kehekehe stenosis ha ngaahi fakaʻilonga tatau. ʻOku kau ʻi he ngaahi fakaʻilonga angamaheni taha ʻo lumbar filosiliva stenosis ʻa e mamahi vaʻe (sciatica) ʻa ia ʻe lava ke ʻalu fakataha mo:
- Lumbago.
- Numbness mo tuʻukina ʻi he ongo vaʻe.
- Ngaahi fakangatangata ʻo e lue lalo.
Ngaahi fakaʻilonga angamaheni ʻo e Filosiliva Stenosis
Mamahi ʻa e vaʻe ʻi he taimi ʻoku lue ai (kala koló) ʻe lava ke fakatupu ia ʻe ha faʻahinga tufakiʻanga meʻa ʻoku ʻikai lava ke fakaleleiʻi (Vascular claudication) pe filosiliva stenosis (neurogenic pe pseudo claudication).
ʻE mavahe ʻa e mamahi vaʻe mei ha faʻahinga tukunga pe mo e ngaahi mahaki kehe, Ka ʻi he stenosis ʻa e filosiliva, ʻoku faʻa fie maʻu ke tangutu ʻa e mahaki ʻi ha ngaahi miniti siʻi ke fakafiemalieʻi ʻa e mamahi ʻo e vaʻe pea faʻa holoki hifo ʻa e mamahi., neongo ʻe pulia ʻa e mamahi ʻo Vascular claudication kapau ʻe taʻofi pe ʻe he mahaki ʻa e lue.
Neongo ʻoku ʻi ai e taimi ʻe niʻihi ʻe hoko ai e ngaahi fakaʻilonga ʻo e mamahi mo e stenosis ʻo e vaʻe, faʻa fakalakalaka ʻi ha ngaahi taʻu lahi. Ko e loloa ange ʻo e mahaki ʻi he filosiliva stenosis tuʻu pe lue, ʻE kovi ange ʻa e mamahi ʻi he ongo vaʻe.
Mamahi ʻa e vaʻé mo e ongonoa ʻo e vaʻé: Ko e hā nai e ʻuhinga ʻo e ngaahi fakaʻilonga ko ʻení??
ʻOku fakaava ʻe Bending ki muʻa pe tangutu ʻa e Kanali filosiliva ʻo e mahaki pea toʻo atu ʻa e mamahi mo e ngaahi fakaʻilonga kehe, ka ʻokú ne foki mai kapau ʻe foki mai ʻa e mahakí ʻo tuʻu hangatonu.
ʻE lava ke ʻalu fakataha ʻa e ongonoa mo e tuʻukina mo e mamahi, Ka ko e vaivai moʻoni ko ha fakaʻilonga hahamolofia ia ʻo e filosiliva stenosis.
Ko ha tokotaha matuʻotuʻa ange ʻoku ne falala ki he ngaue ʻa ʻenau saliote fakatau wobbly faʻa ʻi ai hono filosiliva stenosis.
Fakamatala fakanounou ʻo e ngaahi fakaʻilonga ʻo lumbar filosiliva stenosis
Ngaahi fakaʻilonga ʻo lumbar filosiliva stenosis, ʻOku faʻa ʻulungāanga ʻaki ia ʻe he:
- Fakatupulaki māmālie ʻi ha vahaʻataimi
- ʻOku hoko mai ʻa e mamahí pea ʻalu, ʻoku hoko ia lolotonga ha ngaahi ʻekitivitī pau (Founga ʻo e luelué) pe ngaahi tuʻungá (Hangē ko ʻení, tuʻu)
- ʻOku fakafiemalieʻi ʻa e mamahi ʻi he malolo (ʻi he taimi ʻoku tangutu pe tokoto hifo ai) pe ʻi ai ha bending ki muʻa.
Sivi ʻo e filosiliva stenosis
ʻOku kau ʻi he ngaahi ako ki he ʻea maʻa e kau mahaki cervical stenosis pe lumbar stenosis ha MRI pe ko ha Myelogram CT scan (ʻo fakaʻaongaʻi ha fakalanu ʻo e lanu X-lei ʻi he lolo ʻo e houalotu filosiliva) pea taimi ʻe niʻihi ʻoku fakatou.
CT scan ʻoku lafalafa pe ʻikai fakamoʻoniʻi, ʻoku siʻisiʻi hono mahuʻingá tukukehe kapau ʻoku fakahoko ʻaki ha fakamomoa manifi ʻo e segmental fakaikiiki.
ʻE lava ke fakahaaʻi ʻoku ʻi ai ha ola longomoʻui ʻo e faʻahinga filosiliva takitaha stenosis (liliu) ʻi he lahi ʻo e neave, hangē ko e taimi ʻoku fuʻu mamafa aí.
Koeʻuhí ko e liliu lahi ko ʻení, ʻOku kehekehe pe ʻa e ngaahi fakaʻilonga ʻo e filosiliva stenosis mei he taimi ki he taimi mo e sivi fakatuʻasino, he ʻikai faʻa ʻasi ai ha neurological deficits pe vaivai ʻo e moto..
ʻOku hanga ʻe ha ngaahi founga vakaiʻi fakaikiiki kimui ni mai ʻo fakaʻata ʻa e tuʻunga ki ʻolunga ʻo e sino ke ne ako ʻa e nunuʻa ʻo e kavenga ʻi hono tuʻa..
Cervical foraminal stenosis ʻe ʻikai ngata pe ʻi hono ʻiloʻi ʻe CT mo MRI scan, ka ʻi injecting ʻa e neave ʻaki ha kiʻi tohi siʻisiʻi fekauʻaki mo 2 lahi ʻo e ngaahi tuluta fakalotofonua ʻo e tui (Filifili e konga ki he neave).
Hili hono huhu, ʻe ʻi ai ha fakamolemole ʻo cervical filosiliva stenosis ngaahi fakaʻilonga ʻi he taimi ʻoku lue lalo ai ʻa e mahaki, fakataha mo ha vaivai fakataimi moʻoni ʻo e vaʻa ʻakau.
ʻOku tokoni ʻa e sivi kiliniki ke fili ʻa e faʻa kataki fekauʻaki mo e tafa ki he stenosis.
Talu mei he stenosis filosiliva ʻi ha tuʻunga ʻe ua pe tolu (Fanga kiʻi laminar iiki, fakakāinga mo e fakakāinga mamaʻo) ʻE ala uesia ai ha foʻi neave ʻe taha, ʻOku fie maʻu hano fakatahaʻi ʻo e fakamaʻalaʻala kiliniki mo kiliniki kapau ʻoku fakakaukauʻi ʻa e tafa stenosis filosiliva ke fakapapauʻi ʻe fakaleleiʻi ʻe he founga tafa ʻa e ngaahi konga kotoa pe ʻo e meʻa ko ia..
Faitoʻo ʻo e filosiliva stenosis
Makatuʻunga ʻi he mamafa ʻo e ngaahi fakaʻilonga, ʻOku faʻa lava pe ke tokangaʻi ʻa e stenosis filosiliva ʻi he ngaahi faitoʻo ʻoku ʻikai tafa. ʻOku kau ʻi he ngaahi faitoʻo angamaheni ʻe tolu ʻoku ʻikaiurgical ki he filosiliva stenosis ʻa e:
ʻE lava ke tokoni ha polokalama fakamalohisino totonu ki he filosiliva stenosis ʻi he nima ʻo ha tokotaha faifakamalohisino lelei, ʻoku ʻikai fakamoʻui.
Neongo ʻoku ʻikai ko e faitoʻo ʻa e ngaue ki he stenosis, ʻOku matuʻaki mahuʻinga ki he kau mahaki ke nau kei malohi pea ʻoua naʻa fakavaivaiʻi kinautolu ʻe he mamalohi; ko ia, Ko ha polokalama fakamalohisino totonu ki he filosiliva stenosis ko ha konga mahuʻinga ia ʻo ha faʻahinga polokalama faitoʻo.
Liliu ʻo e ʻekitivitií. ʻI he faitoʻo ko ʻeni ki he stenosis, ʻOku faʻa faleʻi ʻa e kau mahaki ke nau fakaʻehiʻehi mei he ngaahi ʻekitiviti ʻoku ne fakatupu ʻa e ngaahi fakaʻilonga ki he filosiliva stenosis.
ʻOku faʻa fiemalie ange ʻa e kau mahaki lolotonga ʻenau faofao ki muʻa.
ʻE lava ke kau ʻi he ngaahi sipinga ʻo e liliu ʻo e ʻekitivitii ki hono faitoʻo ʻo e filosiliva stenosis: Luelue lolotonga ʻene bending, pe fakafalala ki ha uoka pe fakatau ʻo falala hangatonu kae ʻikai ko e lue hangatonu; fakaʻaongaʻi ha pasikala tuʻu maʻu (falala atu ki muʻa ʻi he kau) ʻikai ke lue ki he fakamalohisino; tangutu ʻi ha recliner kae ʻikai ko ha sea ʻoku hangatonu.
Ngaahi huhu Epidural. Ko ha huhu ʻo e cortisone ki he feituʻu ʻi tuʻa he dura Mater (feituʻu ʻipisí) Me ʻe lava ke fakafiemalieʻi fakataimi ʻa e ngaahi fakaʻilonga ʻo e filosiliva stenosis.
Neongo ʻe tatataha ke lau ʻa e ngaahi huhu curative, ʻE lava ʻe he ngaahi faitoʻo ko ʻeni ki he filosiliva stenosis ʻo fakafiemalieʻi ʻa e mamahi ʻi he mamani. 50% ʻo e ngaahi meʻa ʻoku hokó.
ʻE lava ke ʻoatu ha ngaahi huhu ʻe tolu ʻi ha ngaahi mahina lahi.. Neongo ʻoku ʻikai lau ia ko ha faitoʻo pe faitoʻo ʻiate kinautolu pē.. ʻE lava ke fakafiemalieʻi ʻa e mamahi ʻoku fakatupu ʻe he stenosis filosiliva ʻaki ha huhu epidural steroid. ʻE lava foki ke ʻamanaki ʻa e mahaki ke maʻu ha ola lelei kapau te nau fili leva ke fai ha tafa stenosis filosiliva..
Ngaahi faitoʻo kehe ki he filosiliva stenosis
Ko e faitoʻo ʻoku fakafepaki ki he laukovi (hange ko e aspirin pe fakaʻofoʻofa) Mahalo ʻe ʻaonga ʻi hono faitoʻo ʻo e filosiliva stenosis. ʻOku fokotuʻu mai ʻe ha kau toketa ʻe niʻihi ha multivitamin faingataʻa mo 1200 mcg ʻo folic ʻesiti ʻoku ʻomi fakaʻaho, Ka kuo teʻeki ai ke fakapapauʻi ʻeni ʻi he ngaahi tohi fakafaitoʻo ko ha faitoʻo lelei ki he stenosis..
ʻE lava ke tokangaʻi lelei ʻe ha kakai ʻe niʻihi ʻa e ngaahi fakaʻilonga stenosis filosiliva ʻaki ha ngaahi faitoʻo ʻoku ʻikaiurgical ʻi ha vahaʻataimi pe taʻe fakangatangata.
Ko e ki ʻi he fili ke fai ha tafa pe ʻikai, ko e tuʻunga ʻo e faingataʻaʻia fakaesino mo e mamahiʻia ʻo e filosiliva pe lumbar stenosis.
ʻI he taimi ʻoku mahaki ai (angamaheni ʻaki ke māʻolunga ange) ʻikai lava ʻo toe lue feʻunga ke tokangaʻi pē kinautolu (Hangē ko ʻení, fakatau pe lue takai ʻi homou falé), Pea ʻoku faʻa fokotuʻu mai leva ʻa e tafa stenosis filosiliva lumbar.
ʻOku fakataumuʻa ha tafa ki lumbar stenosis ke fakatupulaki ʻa e kataki ʻa e mahaki ke malohi., Ko ia ʻe lava ke toe lahi ange ʻene ʻekitiviti ʻoku siʻisiʻi ange ai ʻene mamahi..
