Maareynta Stenosis laf-dhabarta: Ikhtiyaarada Daawaynta

stenosis laf dhabarta waa ereyga loo isticmaalo in lagu qeexo laf dhabarta oo cidhiidhi ah. Daawadu way kala duwan tahay sababtoo ah qof walba kiiskiisu waa ka duwan yahay. Shakhsiyaadka qaarkood waxay la kulmaan calaamado fudud, halka kuwa kalena ay la kulmaan calaamado daran. Ogaanshaha xulashooyinka daawaynta miyay ka caawin kartaa bukaanka iyo kooxda daryeelka caafimaadka inay habeeyaan oo shakhsiyeeyaan qorshaha daawaynta xaalada qofka?

Daaweynta Stenosis laf dhabarta

Meelaha bannaan ee laf dhabarta waxay noqon karaan kuwo cidhiidhi ah sidii loogu talagalay, taas oo keeni karta cadaadiska xididdada dareemayaasha iyo laf-dhabarka. Meel kasta oo ka mid ah lafdhabarta ayaa saameyn karta. Cidhiidhidu waxay keeni kartaa xanuun, gubasho, iyo/ama xanuun dhabarka ah iyo daciifnimada lugaha iyo cagaha. stenosis laf dhabarta waxay leedahay daawaynta aasaasiga ah oo dhowr ah. Markaad ka shaqaynayso daawaynta stenosis laf dhabarta, bixiyaha xanaanada caafimaadka ayaa qiimayn doona calaamadaha oo bilaabi doona daawaynta daawaynta safka hore, sida daawada xanuunka iyo/ama daawaynta jidhka. Kuwani inta badan waa kuwa ugu horreeya ee shakhsiyaadka qaba cudurka.

Dawo

Xanuunka daba-dheeraada waa mid ka mid ah calaamadaha ugu waaweyn. Daawaynta safka hore waxay inta badan ku lug leedahay isticmaalka dawooyinka xanuunka yareeya. Daawooyinka sida caadiga ah loo qoro waa kuwa aan istaraatiijiyada anti-bararka ama NSAIDs. Daawooyinkani waxay yareeyaan xanuunka iyo bararka. Si kastaba ha ahaatee, NSAIDs laguma talinayo isticmaalka muddada dheer, iyo daawooyinka kale ayaa laga yaabaa inay u baahdaan in loo isticmaalo si loo yareeyo xanuunka oo ay ku jiraan:Sudhir Diwan iyo al., 2019)

• Tylenol - acetaminophen
• Gabapentin
• Pregabalin
• Opioids xaaladaha daran

Jimicsiga

Jimicsigu wuxuu yarayn karaa calaamadaha stenosis laf-dhabarka isagoo cadaadiska ka saaraya dareemayaasha, taas oo yareyn karta xanuunka waxayna hagaajin kartaa dhaqdhaqaaqa. (Andrée-Anne Marchand iyo al., 2021) Bixiyeyaasha daryeelka caafimaadku waxay ku talinayaan jimicsiga ugu waxtarka badan ee shakhsi ahaaneed. Tusaalooyinka waxaa ka mid ah:

• Jimicsiga hawada, sida socda
• Laf-dhabarka lafaha fadhiga
• Lumbar dabacsanaan xagga beenta ah
• Kordhinta lumbar oo joogto ah
• Sinta iyo xoojinta xudunta
• Lumbar dabacsanaan taagan

Daaweynta Jirka

Daawaynta kale ee aasaasiga ah ee lafdhabarta laf dhabarta waa daaweynta jireed, taas oo inta badan loo isticmaalo daawooyinka xanuunka. Caadi ahaan, shakhsiyaadku waxay maraan lix ilaa siddeed toddobaad oo daaweyn jireed ah, oo leh kalfadhiyo laba ilaa saddex jeer toddobaadkii. Isticmaalka daaweynta jireed ayaa la muujiyay (Sudhir Diwan iyo al., 2019)

• Iska yaree xanuunka
• Kordhi dhaqdhaqaaqa
• Iska yaree daawooyinka xanuunka.
• Iska yaree calaamadaha caafimaadka maskaxda sida xanaaqa, niyad-jabka, iyo isbedelka niyadda.
• Xaaladaha daran, daaweynta jireed ee qalliinka kadib waxay yarayn kartaa waqtiyada soo kabashada.

Dhabarka dhabarka

Xakamaynta dhabarku waxay kaa caawin kartaa yaraynta dhaqdhaqaaqa iyo cadaadiska lafdhabarta. Tani waa caawimo sababtoo ah xitaa dhaqdhaqaaqyada laf-dhabarka ee yaryar waxay u horseedi karaan xanaaqa dareemayaasha, xanuunka, iyo calaamadaha sii xumaanaya. Waqti ka dib, xayndaabku wuxuu u horseedi karaa koror wanaagsan oo dhaqdhaqaaqa. (Carlo Ammendolia iyo al., 2019)

Cirbadaha

Cirbadaha steroids ee epidural'ka ayaa laga yaabaa in lagula taliyo si loo yareeyo calaamadaha daran. Steroids waxay u dhaqmaan sidii anti-bararka si ay u yareeyaan xanuunka iyo bararka ay keento bararka iyo xanaaqa dareemayaasha laf-dhabarka. Waxaa loo arkaa habab caafimaad oo aan qaliin ahayn. Sida laga soo xigtay cilmi-baaris, irbado ayaa si wax ku ool ah u maareyn kara xanuunka laba toddobaad iyo ilaa lix bilood, cilmi-baarisyada qaarkood waxay ogaadeen in ka dib cirbadeynta laf-dhabarka, nasashadu waxay socon kartaa 24 bilood. (Sudhir Diwan iyo al., 2019)

Habka Burburinta Lafaha Dhumucda leh

Shakhsiyaadka qaarkood ayaa laga yaabaa in lagula taliyo inay maraan nidaamka depression. Habkani wuxuu ku lug leeyahay isticmaalka qalab irbad khafiif ah oo dhabarka laga geliyo. Unugyada seedaha dhumucdoodu waa la saaraa si loo yareeyo cadaadiska laf dhabarta iyo neerfaha. Cilmi baaris ayaa lagu ogaaday in habraaca uu yarayn karo calaamadaha iyo baahida loo qabo qalliin badan oo qallafsan. (Nagy Mekhail iyo al., 2021)

Daaweynta Kale

Marka lagu daro daawaynta safka hore, shakhsiyaadka waxaa loo gudbin karaa daawayn kale oo loogu talagalay maaraynta calaamadaha, oo ay ku jiraan:

Irbadaha

• Tani waxay ku lug leedahay galinta cirbadaha caarada dhuuban ee acupoints kala duwan si loo yareeyo calaamadaha.
• Cilmi-baarisyada qaarkood waxay ogaadeen in acupuncture laga yaabo inay waxtar badan u leedahay dhimista calaamadaha marka loo eego daaweynta jireed oo keliya. Labada doorashoba waa kuwo wax ku ool ah waxayna hagaajin karaan dhaqdhaqaaqa iyo xanuunka. (Hiroyuki Oka et al., 2018)

Cirrhaafka

• Daaweyntani waxay yaraynaysaa cadaadiska neerfaha, waxay ilaalisaa isugeynta laf dhabarta, waxayna caawisaa hagaajinta dhaqdhaqaaqa.

duugista

• Duugista waxay caawisaa inay kordhiso wareegga, nasiyo murqaha, waxayna yaraysaa xanuunka iyo qallafsanaanta.

Ikhtiyaarada Daawaynta Cusub

Maaddaama cilmi-baarista laf-dhabarka laf-dhabarta ay sii socoto, daaweyn cusub ayaa soo baxaya si ay u caawiyaan yareynta iyo maareynta calaamadaha shakhsiyaadka aan ka jawaabin daawada dhaqameed ama aan ka qayb qaadan karin daaweynta caadiga ah sababo kala duwan. Si kastaba ha ahaatee, caddaymaha qaar ee la soo bandhigay waa kuwo rajo leh; Caymisyada caafimaadku waxa laga yaabaa inay u tixgeliyaan inay yihiin tijaabo oo aanay bixin caymis ilaa la xaqiijiyo ammaankooda. Daawooyinka cusub qaarkood waxaa ka mid ah:

Acupotomy

Acupuncture waa nooc ka mid ah cirbadaha isticmaala cirbadaha khafiifka ah oo leh caarad yar, fidsan, nooca maqaarka si loo yareeyo xiisadda meelaha xanuunka leh. Cilmi-baadhis ku saabsan saameynteeda ayaa weli xaddidan, laakiin xogta hordhaca ah waxay muujinaysaa inay noqon karto daaweyn dhammaystiran oo waxtar leh. (Ji Hoon Han iyo al., 2021)

Qalabka Kaansarka Qalabka

Unugyada stem waa unugyo ay ka soo wada jeedaan dhammaan unugyada kale. Waxay u dhaqmaan sida alaabta ceeriin ee jirka si loo abuuro unugyo gaar ah oo leh hawlo gaar ah. (Machadyada Caafimaadka Qaranka. 2016)

• Shakhsiyaadka qaba stenosis laf dhabarta waxay yeelan karaan dhaawac jilicsan.
• Daaweynta unugyada stem waxay isticmaashaa unugyada asliga ah si ay u caawiyaan hagaajinta unugyada dhaawacan ama buka.
• Daawaynta unugga stem waxay kaa caawin kartaa hagaajinta ama hagaajinta meelaha dhaawacan waxayna bixisaa nasinta calaamadaha.
• Daraasadaha kiliinikada ee stenosis laf-dhabarta ayaa soo sheegay in ay u noqon karto ikhtiyaar daawaynta qaar.
• Si kastaba ha ahaatee, cilmi baaris dheeraad ah ayaa loo baahan yahay si loo xaqiijiyo in daawadu ay tahay mid waxtar leh oo ku filan in si ballaaran loo isticmaalo. (Hideki Sudo iyo al., 2023)

Aaladaha xasilinta firfircoon

LimiFlex waa qalab caafimaad oo ku socda cilmi baaris iyo falanqayn si ay u soo celiso dhaqdhaqaaqa iyo xasiloonida lafdhabarta. Waxa lagu beeraa dhabarka iyada oo loo marayo hab qalliin. Sida laga soo xigtay cilmi-baarista, shakhsiyaadka qaba stenosis laf-dhabarka ee qaata LimiFlex waxay inta badan la kulmaan hoos u dhac sare oo xanuunka iyo calaamadaha marka loo eego qaababka kale ee daaweynta. (T Jansen iyo al., 2015)

Kala-baxa Dhexdhexaadinta Lumbar

Kala-baxa is-dhexgalka ee Lumbar waa hab kale oo qalliin oo loogu talagalay stenosis laf-dhabarka. Qaliinka waxaa lagu sameeyaa jeex ka sarreeya laf dhabarta wuxuuna dhigayaa qalab inta u dhaxaysa laba laf dhabarta si loo abuuro meel bannaan. Tani waxay yaraynaysaa dhaqdhaqaaqa iyo cadaadiska neerfaha. Natiijooyinka hordhaca ah waxay muujinayaan nasasho wanaagsan oo muddada gaaban ah ee calaamadaha; Xogta muddada dheer weli lama heli karo maadaama ay tahay ikhtiyaar daawaynta stenosis laf dhabarta oo cusub. (Adeegga Caafimaadka Qaranka UK, 2022)

Nidaamka Qalliinka

Waxaa jira dhowr habab qalliin oo loo heli karo stenosis laf dhabarta. Qaar waxaa ka mid ah: (Caafimaadka NYU Langone. 2024) Qaliinka stenosis laf dhabarta waxaa badanaa loogu talagalay shakhsiyaadka leh calaamado daran, sida kabuubyo gacmaha ama lugaha. Marka ay calaamadahani soo baxaan, waxay muujinaysaa cadaadis aad u muuqda oo dareemayaasha laf-dhabarka iyo baahida loo qabo daaweyn dheeraad ah. (Caafimaadka NYU Langone. 2024)

Laminektomi

• Laminectomy waxay ka saartaa qayb ama dhammaan lamina, lafta vertebral ee daboolaysa kanaalka laf-dhabarka.
• Habka waxaa loogu talagalay in lagu yareeyo cadaadiska neerfaha iyo xudunta lafdhabarta.

Laminotomy iyo Foraminotomy

• Labada qalliinba waxa la isticmaalaa haddii stenosis laf-dhabarta shakhsiga ahi ay si xun u saamayso daloolka xuubka vertebral.
• Xididdada, carjawda, ama unugyo kale oo ciriiriya dareemayaasha ayaa la saaraa.
• Labaduba waxay yareeyaan cadaadiska neerfayaasha ku dhex safraya faleebada.

Laminoplasty

• Laminoplasty-ku wuxuu yareeyaa cadaadiska xudunta laf-dhabarta isagoo ka saaraya qaybo ka mid ah laminaarka laf-dhabarka.
• Tani waxay balaadhisaa kanaalka laf-dhabarka waxayna yaraynaysaa cadaadiska neerfaha. (Columbia Neurosurgery, 2024)

Daaweynta

• Nidaamkan qalliinka ah wuxuu ku lug leeyahay ka saarista saxannada herniated ama bulxan kuwaas oo cadaadis saaraya laf-dhabarka iyo neerfaha.

Isku-dhafka lafdhabarta

• Fududeynta laf dhabarta waxay ku lug leedahay ku biirista laba laf dhabarta iyadoo la adeegsanayo qaybo bir ah sida ulo iyo boolal.
• Laf-dhabarta ayaa aad u deggan sababta oo ah ulaha iyo boolaluhu waxay u dhaqmaan sidii birta.

Daawadee Waa Midda Saxda ah?

Sababtoo ah dhammaan qorshooyinka daawadu way kala duwan yihiin, go'aaminta ta ugu waxtarka badan ayaa ku habboon bixiyaha xanaanada caafimaadka. Hab kastaa waxa loo gaar yeelayaa shakhsiga. Si loo go'aamiyo daawaynta ugu fiican, bixiyeyaasha xanaanada caafimaadka ayaa qiimeyn doona: (Machadka Qaranka ee Arthritis iyo Musculoskeletal iyo Cudurada Maqaarka. 2023)

• Darnaanta calaamadaha.
•  Heerka hadda ee caafimaadka guud.
• Heerka dhaawaca ee ka dhaca lafdhabarta.
• Heerka naafanimada iyo sida dhaqdhaqaaqa iyo tayada nolosha loo saameeyo.

Dhaawaca Caafimaadka Chiropractic and Functional Medicine Clinic waxay la shaqayn doontaa bixiyaha daryeelka caafimaadka aasaasiga ah ee shakhsiga iyo/ama takhasusleyaasha si ay u caawiyaan go'aaminta fursadaha daawaynta ugu fiican iyo welwelka ku saabsan daawooyinka ama noocyada kale ee daaweynta.

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Fayo-dhawrka

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