Laf-dhabarta waa jidka dhexe ee jidhka, oo leh kanaalka laf-dhabarka oo ah haadka ugu muhiimsan ee qabta dhammaan taraafikada. Waxaa jira meelo laga soo galo oo laga baxo, ama godadka laf dhabarta, kuwaas oo u oggolaanaya neerfayaasha in ay ka baxaan xudunta laf-dhabarka oo ay ku socdaan jidhka oo dhan. Saxmadda taraafikada ayaa soo baxda marka laamiyada xiran yahay, shilalka, ama dhismaha laga galo ama laga baxo. Lateral recess stenosis waxay sababtaa cidhiidhiga laf dhabarta nasasho lateral/Lee galkeeda, kaas oo cadaadin kara neerfaha, xannibi kara wareegga neerfaha, oo keeni kara calaamado xanuun leh.
Contents
Dib-u-dhac dhineedka Stenosis
Tiirka laf-dhabarku wuxuu bixiyaa qaab-dhismeed xooggan oo dabacsan xudunta lafdhabarta. Dareemayaashu waxay ka soo socdaalaan xudunta laf-dhabarka iyaga oo mara meelo kala duwan oo bannaan iyo marinno loo maro jirka intiisa kale. Mid ka mid ah furitaannada waxaa loo yaqaannaa nasashada dambe. Stenosis macneheedu waa cidhiidhi. Marka nasasho dambe ee laf dhabarta ay yeelato stenosis, neerfaha aaggaas waxa uu noqon karaa mid camiran/maroojin iyada oo aan lahayn meel ay ku dhaqaaqaan, taas oo keenta calaamado iyo dareeno kala duwan.
Calaamadaha
Iyadoo ku xiran meesha uu stenosis ka dhacayo (qoorta, dhexe ama dhabarka hoose), calaamadaha caadiga ah ee stenosis lateral waxaa ka mid ah:
- dhabar xanuunka oo ku fidi kara meelo kale.
- Caabuq ku fidi kara goobo kale.
- Xanuun shucaac ah oo ka sii dara dhaqdhaqaaqa oo ku fududeeya nasasho.
- Kabuubyo ama daciifnimo lugaha ama gacmaha.
- Dareenka koronto ee lugta ama cududda.
Sababaha
The Machadka Qaranka ee Caafimaadka wuxuu taxayaa sababaha ugu waaweyn:
Dharka iyo Jeexitaanka Dabiiciga ah
- Gabowga dabiiciga ah oo si tartiib tartiib ah u xumaada ayaa ah sababta ugu badan ee stenosis.
Ku Dhashay - Wuxuu ku dhashay Stenosis
- ★ Baadhitaanka
- Achondroplasia - dhibaatooyinka lafaha lafaha.
Cudur
- rheumatoid arthritis
- Iskuulada
- Cudurka Paget
Habka Gabowga Dabiiciga ah
- Diskaha Herniated
- Spondylolisthesis - vertebra ayaa horay u sii socda
- Spondylosis - osteoarthritis laf-dhabarta
Dhaawaca Dhaawaca
- Shilalka baabuurta iyo shilalka
- Dhaawacyada Shaqada
- Dhaawacyada isboortiga
Daaweynta
Lateral recess stenosis ma laha dawo hadda jirta, laakiin waxaa jira fursado lagu daweyn karo calaamadaha stenosis.
Daaweynta lafdhabarta iyo daaweynta jireed
- A Kooxda daaweynta jireed ee loo yaqaan 'chiropractic therapy' waxay yareyn kartaa calaamadaha, dib u soo celinta shaqada, waxayna xoojin kartaa murqaha.
- Kooxaha murqaha ee agagaarka aagga stenosis ayaa loo dhisay si ay cadaadiska uga saaraan aagga, iyaga oo yareynaya calaamadaha.
Daawooyinka
- Dhakhtarka ama khabiirka laf dhabarta ayaa laga yaabaa inuu kugula taliyo ama u qoro daawo si loo yareeyo calaamadaha. Kuwaas waxaa ka mid ah:
- Tylenol - acetaminophen.
- NSAIDS - Advil/ibuprofen ama Aleve/naproxen.
- Murqaha nasteexo
Cirbadaha isteeroodhka
- Sida laga soo xigtay a waxbarasho, claudication neurogenic waa sababta ugu weyn ee naafanimada iyo luminta madax-bannaanida waayeelka.
- Neurogenic claudication wuxuu qeexayaa xanuunka iyo daciifnimada barida iyo lugaha inta lagu jiro dhaqdhaqaaqa jirka ee ka yimaada dareemayaasha, ma aha maraakiibta.
- Tani waxay ka iman kartaa bararka iyo bararka agagaarka neerfaha ciriiriga ah.
- Irbada steroid-ka waxay yarayn kartaa bararka dhowr bilood.
Qalliinka
Haddii wax ka beddelka dhaqdhaqaaqa, NSAID-yada, xoojinta, iyo daawaynta jirku shaqayn waayaan ama ay bixiyaan gargaar ku filan, dhakhtar ama khabiir ayaa ku talin kara qalliin.
- Isku-dhafka jirka ee dambe waxay bixisaa depression aan toos ahayn.
- Endoscopic depression waa farsamo cusub.
- isuga waxaa loo hayaa marka ay jirto xasillooni darro ay weheliso xaaladdu.
Dhibaatooyinka Dhabarka Dhakhaatiirta
tixraacyada
Kulliyadda Maraykanka ee Rheumatology (nd) "Spinal Stenosis" www.rheumatology.org/I-Am-A/Patient-Caregiver/Cudurka-Xanuunada/Spinal-Stenosis
Aasaaska Arthritis (nd) "Corticosteroids" www.arthritis.org/drug-guide/corticosteroids/corticosteroids
Naqshadeynta Daroogada, Horumarinta iyo Daaweynta (2014) "Steroid for epidural injection in stenosis spinal: dib u eegis nidaamsan iyo falanqaynta meta" doi.org/10.2147/DDDT.S78070
Lee, Seung Yeop, iyo al. "Lumbar Stenosis: Cusbooneysii Dhawaan ee Dib u Eegista Suugaanta." Wargeyska Aasiyaanka lafdhabarta vol. 9,5 (2015): 818-28. doi:10.4184/asj.2015.9.5.818
Liu, Kuan, iyo al. "Steroid for epidural injection in the spinal stenosis: dib u eegis nidaamsan iyo falanqayn meta." Nakhshadeynta, horumarinta, iyo daawaynta mukhaadaraadka vol. 9 707-16. Jan 30, 2015, doi:10.2147/DDDT.S78070
Medline Plus (nd) "Achondroplasia" medlineplus.gov/genetics/condition/achondroplasia/
Microspine (nd) "Endoscopic Decompression" www.microspinemd.com/microspine-surgery/endoscopic-decompression/
Machadyada Qaranka ee Caafimaadka (nd) "Spinal Stenosis" www.niams.nih.gov/health-topics/spinal-stenosis
Xarunta Caafimaadka Waqooyi-galbeed (2022) "Nasasho Dambe/Stenosis Foraminal" nw-mc.com/lateral-recessforaminal-stenosis/
NSPC Qalliinka Maskaxda iyo Laf-dhabarta (nd) Isteenosis-ka-soo-celinta dambe nspc.com/lateral-recess-stenosis/
Raja A, Hoang S, Patel P, iyo al. Stenosis laf dhabarta. [La cusbooneysiiyay 2022 Jul 17]. Gudaha: StatPearls [Internet]. Treasure Island (FL): Daabacaada StatPearls; 2022 Jan-. Waxaa laga heli karaa: www.ncbi.nlm.nih.gov/books/NBK441989/
Macluumaadka halkan ku qoran "Dib-u-kicinta Lateral Stenosis: El Paso Clinic Back"looma talagelin in lagu beddelo xiriirka qof-ka-qof ah ee leh xirfadle daryeel caafimaad oo u qalma ama takhtar shati haysta mana aha talo caafimaad. Waxaan kugu dhiirigelineynaa inaad sameyso go'aamo daryeel caafimaad oo ku saleysan cilmi-baaristaada iyo iskaashigaaga xirfadle daryeel caafimaad oo u qalma.
Macluumaadka Blog-ga & Wada-hadallada Xadka
Baaxadda macluumaadka waxay ku kooban tahay Chiropractic, murqaha, dawooyinka jireed, fayoobida, gacan ka geysata etiological khalkhalka viscerosomatic gudaha bandhigyada kiliinikada, dhaqdhaqaaqa kiliinikada ee somatovisceral reflex ee la xidhiidha, dhismooyinka subluxation, arrimaha caafimaadka xasaasiga ah, iyo/ama maqaallada daawada shaqaynta, mowduucyada, iyo doodaha.
Waanu bixina oo soo bandhignaa iskaashiga bukaan-socodka oo leh takhasusyo ka kala socda qaybo kala duwan. Khabiir kastaa waxa lagu maamulaa baaxadda ku-dhaqankooda xirfadeed iyo awooddooda shatiga. Waxaan isticmaalnaa borotokoolka caafimaadka iyo fayo-qabka shaqada si aan u daaweyno oo u taageerno daryeelka dhaawacyada ama cilladaha habka muruqyada.
Fiidiyowyadayada, qoraaladayada, mawduucyada, mawduucyada, iyo aragtiyadayadu waxay daboolayaan arrimaha kiliinikada, arrimaha, iyo mawduucyada la xidhiidha oo si toos ah ama si dadban u taageera baaxadda hawlqabadkayaga caafimaad.*
Xafiiskayagu waxa uu si macquul ah isku dayay in uu bixiyo tixraacyo taageero ah waxana uu aqoonsaday daraasadda cilmi-baadhiseed ee la xidhiidha ama daraasadaha taageeraya qoraaladayada. Waxaan siinaa nuqulo ka mid ah daraasadaha cilmi-baarista ee taageeraya ee loo heli karo golayaasha sharciyeynta iyo dadweynaha marka la codsado.
Waxaan fahamsanahay inaan daboolno arrimaha u baahan sharaxaad dheeri ah oo ku saabsan sida ay gacan uga geysan karto qorshe daryeel gaar ah ama hab maamuuska daaweynta; haddaba, si aad uga sii wada hadasho mowduuca kor ku xusan, fadlan si xor ah u weydiiso Dr. Alex Jimenez, DC, ama nagala soo xiriir 915-850-0900.
Waxaan halkan u nimid inaan kaa caawinno adiga iyo qoyskaaga.
Barako
Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: Tababaraha@elpasofunctionalmedicine.com
Ruqsad u haysta sidii Dhakhtar Chiropractic (DC) gudaha Texas & New Mexico*
Shatiga Texas DC # TX5807, Shatiga New Mexico DC # NM-DC2182
Ruqsad u haysta Kalkaaliso Diiwaangashan (RN*) in Florida
Shatiga Florida ee RN # RN9617241 (Maamulka No. 3558029)
Xaaladda is haysta: Shatiga Dawlad-goboleed badan: Loo oggolaaday inuu ku tababarto Gobollada 40*
Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Kadhkayga Ganacsiga Dijital ah
