Foramen Intervertebral: Kadinka Caafimaadka lafdhabarta

Shakhsiyaadka raadinaya inay hagaajiyaan caafimaadkooda laf dhabarta, fahamka anatomy ee foramen intervertebral ma ka caawin karaa baxnaaninta dhaawaca iyo ka hortagga?

Xubinta intervertebral

Foramen intervertebral, aka neural foramen, waa furitaanka u dhexeeya laf dhabarta iyada oo xididdada dareemayaasha laf dhabarta ay ku xidhmaan oo ka baxaan meelaha kale ee jidhka. Haddii foramina cidhiidhi, waxay ku dhejin kartaa cadaadis dheeraad ah xididdada dareemayaasha ee u dhow iyo agagaarkooda, taasoo keenta calaamadaha xanuunka iyo dareenka. Tan waxaa loo yaqaan stenosis neuroforaminal. (Sumihisa Orita iyo al., 2016)

anatomy

• Laf-dhabarta waxay ka kooban tahay tiirka laf dhabarta.
• Waxay ilaaliyaan oo taageeraan xudunta laf dhabarta iyo inta badan miisaanka la saaro lafdhabarta.
• Foramen waa qaabka kali ah, foraminana waa qaabka jamac.

Qaabdhismeedka

• Jidhku waa qaybta weyn ee wareegsan ee lafta taasoo ka kooban laf dhabarta kasta.
• Jirka lafdhabarta kasta waxa uu ku dheggan yahay giraanta lafaha.
• Marka laf-dhabartu ay isku dhejiyaan midba midka kale, giraantu waxay abuurtaa tuubo ay ka soo baxdo laf-dhabarka. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha 2020)

1. Furitaanka foramen intervertebral wuxuu u dhexeeyaa labadii laf dhabarta, halkaasoo xididada dareemayaasha ay ka soo baxaan laf dhabarta.
2. Laba foorno neural ah ayaa u dhexeeya lammaane kasta oo laf dhabarta ah, oo mid ka mid ah dhinac kasta ku yaal.
3. Xididdada neerfaha waxay u dhex maraan faleebada ilaa jidhka intiisa kale.

function

• Foramina intervertebral waa meelo ka soo baxa kuwaas oo xididada dareemayaasha ay ka tagaan laf dhabarta oo ay u baxaan jirka intiisa kale.
• Farsamaynta la'aanteed, calaamadaha neerfayaasha kama gudbin karaan ama ugama gudbin karaan maskaxda una gudbi karaan jirka.
• La'aanta calaamadaha neerfaha, jidhku si sax ah uma shaqeyn karo.

xaaladaha

Xaalad caadi ah oo saameyn karta neuroforamina waa stenosis lafdhabarta. Stenosis macnaheedu waa cidhiidhi.

• Laf-dhabarta-xanuunka (maaha had iyo jeer) badanaa waa cillad la xiriirta da'da oo la xiriirta arthritis-ka. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha, 2021)
• Stenosis waxay ku dhici kartaa kanaalka laf-dhabarka, oo loo yaqaanno stenosis kanaalka dhexe, iyo foramina.
• Xanuunka ay keento neuroforaminal stenosis laf-dhabarka iyo korriinka lafaha lafaha lafaha / lafaha lafaha / osteophytes ee ku jira hal ama in ka badan oo faleebo ah ayaa xoqaya xididka dareemayaasha ee dhex mara meel bannaan, taasoo keenta xanuun radicular.
• Xanuunka ay weheliyaan dareeno kale, sida xiirid ama kabuubyo, ayaa loo yaqaan 'radiculopathy'. (Young Kook Choi, 2019)

1. Astaanta ugu weyn waa xanuun.
2. Kabuubyo iyo/ama hindhiso ayaa soo bixi kara iyadoo ku xiran dhaawaca.
3. Neurogenic Claudication waxay ku dhacdaa natiijada ischemia ama la'aanta wareegga dhiigga ee dareemayaasha waxayna caadi ahaan soo bandhigtaa culeyska lugaha.
4. Waxay caadi ahaan la xiriirta stenosis dhexe halkii ay ka ahaan lahayd stenosis foraminal.
5. Shakhsiyaadka qaba stenosis laf dhabarta intooda badani waxay dareemaan fiicnaan marka ay foorarsan yihiin ama hore u foorarsanayaan iyo ka sii daraan marka ay dhabarka foorarsanayaan.
6. Calaamadaha kale waxaa ka mid ah daciifnimo iyo/ama socodka oo ku adag. (Seung Yeop Lee iyo al., 2015)

Daaweynta

Daaweynta Stenosis waxay ujeedadeedu tahay in la yareeyo xanuunka oo laga ilaaliyo calaamadaha dareemayaasha inay dhacaan ama ka sii daraan. Daaweynta muxaafidka ah ayaa lagula talinayaa waxayna noqon kartaa mid aad waxtar u leh.
Waxaa ka mid ah:

• Daawaynta jirka
• Acupuncture iyo Electroacupuncture
• Cirrhaafka
• Depression oo aan qaliin ahayn
• Duugista daweynta
• Daawooyinka anti-bararka ee nonsteroidal/NSAIDs
• Jimicsi la beegsaday iyo kala bax
• Cirbadaha Cortisone. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha, 2021)
• Qaliinka badanaa looma baahna.

Si kastaba ha ahaatee, dhakhtarku waxa uu kugula talin karaa qaliinka shakhsiga ah ee la kulma:

• Radiculopathy - xanuunka, biinanka iyo cirbadaha, dareenka korantada, iyo/ama daciifnimada hoos u dhaca hal gacan ama lugJon Lurie, Christy Tomkins-Lane, 2016)
• Neurogenic claudication ee dhabarka hoose (Jon Lurie, Christy Tomkins-Lane, 2016)
• Myelopathy ee qoorta iyo/ama sare ama dhabarka dambe (calaamadaha myelopathy waxay la xiriiraan laf dhabarta waxayna ku dhacaan stenosis kanaalka dhexe)Cleveland Clinic. 2021)
• Xanuun aan awood lahayn oo daran

Farsamooyinka qalliinka ee kala duwan waxaa ka mid ah:

• Decompression laminectomy - waxay ka kooban tahay ka saarida ururinta lafaha ee kanaalka laf-dhabarka.
• Isku-dhafka laf-dhabarka - marka ay jirto xasilooni-darro laf dhabarta ama stenosis foraminal daran.
• Si kastaba ha ahaatee, kiisaska intooda badan uma baahna fiyuus. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha, 2021)

---

Xididku wuxuu keenaa Stenosis lafdhabarta

---

tixraacyada

Orita, S., Inage, K., Eguchi, Y., Kubota, G., Aoki, Y., Nakamura, J., Matsuura, Y., Furuya, T., Koda, M., & Ohtori, S. (2016). Lumbar foraminal stenosis, stenosis qarsoon oo ay ku jiraan L5/S1. Joornaalka Yurub ee qaliinka lafaha & traumatology: orthopedie traumatologie, 26(7), 685-693. doi.org/10.1007/s00590-016-1806-7

Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. (2020). Aasaaska laf dhabarta (OrthoInfo, Arrinta. orthoinfo.aaos.org/en/diseases-conditions/spine-bases/

Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. (2021). Laf-dhabarta Lumbar (OrthoInfo, Issue. orthoinfo.aaos.org/en/diseases-conditions/lumbar-spinal-stenosis/

Choi YK (2019). Lumbar foraminal neuropathy: cusboonaysiinta maaraynta aan qaliinka ahayn. Joornaalka Kuuriya ee xanuunka, 32(3), 147-159. doi.org/10.3344/kjp.2019.32.3.147

Lee, SY, Kim, TH, Oh, JK, Lee, SJ, & Park, MS (2015). Lumbar Stenosis: Cusbooneysii Dhawaan ee Dib u eegista Suugaanta. Joornaalka lafdhabarta Aasiya, 9(5), 818-828. doi.org/10.4184/asj.2015.9.5.818

Lurie, J., & Tomkins-Lane, C. (2016). Maareynta laf-dhabarka laf-dhabarka. BMJ (Cilmi baadhista ed.), 352, h6234. doi.org/10.1136/bmj.h6234

Cleveland Clinic. (2021). Myelopathy (Maktabadda Caafimaadka, Arrinta. my.clevelandclinic.org/health/diseases/21966-myelopathy