Spinal stenosis o ka cervical spine: 'ehaʻeha ka, Symptoms,ʻike, a me ka iapaau ana

Maʻi o ka spine i ka hopena maikaʻi 'ole ma o ka holoʻokoʻa kanaka kino. Spinal stenosis o ka cervical spine hiki i ole wale pilikia me ka mana hoʻomalu ma luna o ka luna o ke kino, akā, i ka hahau a me ka make. Nolaila, e pono i ka pathology hooku iho la ia e pono ai i ka wa i na hoailona mua o ka mea e manao.

He aha mea he maʻi?

Spinal stenosis o ka cervical spine - i ka ho'ēmiʻana i loko o ka laulā o ka lumen, a hiki e congenital a loaa. Aia ka ia i ka maʻi pinepine lawa. Naʻe, ka mea mea typical na kanaka, ka poe i kēlā manawa, i ka 60-makahiki milestone.

I kekahi manawa'ōpio wale nō ka loa pohihihi pathology. Inā, nae, a ua akaka, a laila ka mea, ua pinepine triggered e congenital aʻe. Hou ana i ka wai i loko o a ka spinal kaula ua kau, - he mea pepehi kŰia, no laila, pono ka mea, e ia OAXA.

Mea Maluna o ka maʻi

No laila, spinal stenosis o ka cervical spine hiki e:

1. Ho'ōla pānaʻi ai. Ma keia hihia, ua loli ana e mawaho aʻe kona ulu ana.
2. Congenital. Pathology i kau genetically a hoomaka ae la e hoʻomōhala i ka hualoaʻa mea ole loa i ka pololei kahua o ka fetus ma utero.
3. Hui. Aia ua mua 'ole ma nā pūʻulu o nā kumumea: kūloko ma a mawaho.

hiki e hoʻolaha lapaʻau degere o ka pathology like penei:

• Lilo nedegenerativnaya.
• Kumukānāwai (keia pili i ka anatomical hiʻona o ke kino).
• Degenerative.
• Aie i ka anomaly paha dysplasia o ka spine.

By lesion āpana o ka spinal Canal stenosis mea cervical spine loa (ina o ka moana i ka wahi o ka oi ma mua o 75 mm o ²⁾ a me ka pili (ina keia pākēneka o lalo 75 mm o ahalike).

Nā kumu o ka maʻi ulu

Ka maʻi ana hoʻonāukiuki i nā kēia kumumea:

• Mīkini'opihia fracture 'ole' ē aʻe ano o spinal nā palapū.
• Congenital'āno'ē 'ole o ka vertebrae, hoonaukiuki ma mua mai o nā wāhine i hāpai keiki.
• Hoʻoʻino keʻano o ka hanaʻana i loko o ka spine.
• Ankylosing spondylitis.
• Intervertebral hoʻonaʻauao: hernia, malignant a benignʻeho metastases i loko o ka spine.
• Spondylarthrosis e paipai 'ia ka deformation o ka spinal kolamu.
• Osteochondrosis o ka cervical spine.
• Pokou ka ulu o ke a me osteophytes.

symptomatology pathology

Spinal stenosis o ka cervical spine - he luna 'a me ka weliweli mai, a ua wehewehe aku ma ia mau hiʻona:

1. Pain i loko o ka'ā'ī. Ka mea, i e unilateral paha e IIeEeAIEUIeXAIIUE ma nāʻaoʻaoʻelua. Aia ka discomfort initially hope loa-manawa kanaka mua i loko o ka ke koikoi kūlana wale. Eia naʻe, ma ka Holomua o ka pathology eha i hoopaa, aʻaneʻane ikaika.
2. Headache i loko o ke kino a me ka occipital māhele 'āina. Ua loaʻa kekahi mau degere o ka pinepine '.
3. Loss o ka ili pā lonoaʻili,'ā'ī, poo, a hiki i ka lunaʻaoʻao.
4. Pōniuniu, me ka hiki, e ulu ma ka ho'āʻo 'ana e o ke poo.
5. Nawaliwali i na mea kaua, i ka manao o ka discomfort.
6. 'Aʻe' ana o naehana hana.
7. Mahuahua Muscle kamaʻilio i loko o nā lima a me ka'ā'ī, eia nae nawaliwali ma keia hihia ua e hele anywhere.

Pathology lapaʻau 'Features

I pili 'ole loa spinal stenosis o ka cervical spine hiki e hooponoponoia ia mea, hoʻohana' ana i kēia mau kiʻina hana:

• Palpation lesion Kauka, mawaho ninaninau o ke ahonui, a me ka fixation o kona mau hoopii. Ke kauka Pono i hoʻouluulu i ka piha 'inikua mōʻaukala, e alii ai maluna o mai aaiaoe predisposition a hoʻokūpaʻa ia.
• Radiography. Ua Ua hana i loko o 2 nā wānana waiwai: anteroposterior a kīloi paʻewa. Kēia hana o kaʻike,ʻo ia ka mea nui a me ka informative. Ua mau hiʻohiʻona nō e hoʻoholo i ke alo a me ka nui o ka iwi ka ulu o ke, ke degere o ka pono o ka vertebrae, imua o ka hernias a hikoko, i ko lakou nui, me nā hale a me ka wahi.
• Me tomography. Ma keia ao, i ke kauka mea hiki ke kuhikuhi i nā kumumea i hoonaukiuki i ka muli o ka maʻi. Ke kaʻina hana e leie aku e ike i ka loli loa microscopic i loko o ka spine.
• MR. Ua kēia kaʻina hana i manaoia e e loa informative, akā,ʻaʻole lawe mau mai no o kona kiʻekiʻe lilo. Eia kekahi, i ka hoʻomanawanui i loko o ka hihia o ka irradiation o ka ikaika launa mai, no laila, i kēia ao i ka nui o contraindications.
• Myelogram. E lawe mai i kēia ao ma ka spine hoʻolauna i kūikawā Akä konohiki, a me iʻoe ke huli aku kona 'ole pono. Eia kekahi, e hooholo i ka moku'āina o cerebrospinal loli a me kona mea.

Makeʻe kulana lapaʻau o ka maʻi

Inā ua loaʻa oe spinal stenosis o ka cervical spine, lapaʻau e hoʻomaka koke. Ua hoʻomaka me ka? Eaia o ka ai '. Iwaena o lakou, ua hiki ke koho:

• Ke kaumaha ma muli o ka nui o ka eha i ka hoomanawanui ua ia i kekahi mau 'laʻau heluna o nonsteroidal Anati-hoʻoʻino ai' "piroxicam" "Ibuprofen" "Dikloberl".
• I ka ho'ēmi i nani, hoʻopau ka eha a me ka vertebral mīkini'opihia nā hale i ke hoʻohana injections o hormonal ai 'ole corticosteroids: "Prednisolone", "Diprospan".
• diuretics i hoʻohana 'ia e emi i ka buke o cerebrospinal loli: magnesia a "Lasix".

O ka holo ana, lāʻau Inc E e hoakaka ia ma ka hoʻomalu. Kū kaʻawale lawe ka lapaʻauʻia me Consulting i ke kauka,ʻaʻole hiki ke helu 'ia ma luna. I ole ia, e hiki ke hana ino oe ia oe iho a hiki loa aku.

Hiʻona o physical Inc

Degenerative spinal stenosis o ka cervical spine ole lapaʻau ke alakai i ka disastrous hopena. Akā, i loko o nā kuʻina kakahiaka i loko o ka paio a me ka maʻi e kōkua physiotherapy. Ke kauka, e koi 'ia kekahi o nā kaʻina hana a hooku iho la ia ma lalo nei:

1. Electrophoresis me ka novocaine. Kēia ke kaʻina hana no ka poʻea pau i ka hoʻokō eha ana, no ka mea, o ka lāʻau ua haawi pololei i ka hoʻohuli ai i nā wahi.
2. ʻume mākenēki Inc. Ua 'oi aku ka manawa, e hoʻopau i kaʻeha a me ka nani.
3. Back lomilomi a me ka manuale Inc. Kēia mau kaʻina hana kōkua i ka ho'ēmi i Muscle leo, a hooikaika ia lakou ma ka ia manawa. Manawa lomilomi hiki no hoi emi i ka eha.
4. LFK. Pākōlea hoounauna hana ia i hiki ke hana i ka spine oi'ōlewa a me ka lawe lima. Ma ka loiloi mua ke kahua o ka hoʻokō 'ole i ia e huikau, a me ka haawe - mālama nui. Ka nui, e hoike ana i ka hou ana o ke kai i e holo ilihune.
5. Acupuncture. Kēia kaʻina hana E e hana wale ma ka hoao ana i ka hoʻomalu, ma ka mea,ʻaʻole e hanaʻino i ka hoʻomanawanui, a hiki hou.
6. spinal traction. kona hana i hoʻonāukiuki intervertebral hernias, naʻe i mau hōʻike.

Physiotherapy lapaʻau haawi loa maikai hualoaʻa, ina ka pathology mea nō ma nā kahua o ka hoʻonaʻauao kakahiaka o? Acaeoey. I ole ia, ka mea e koiʻoki kino.

hiʻonaʻoki kino

Inā 'oe i diagnosed me spinal stenosis o ka cervical spine,ʻoki kino i e unavoidable. I kona io i ka wa makeʻe kulana Inc i ole haawi maikai hualoaʻa, a me ka wahi o ka moana lumen catastrophically haʻahaʻa. He nui na ano o ka hana, a i hua mai i na maʻi o ka spine:

1. Wehe i ka ulu o ke a me ka ho okumu ana, a hiki i ka hoʻonāukiuki hou o ka lumen o: hikoko, osteophytes, hernias. Keia hana ua kapaʻia he "decompressive laminectomy."
2. Mea hoʻonoho o nenoai e kōkua i ka hooikaika a stabilize i ka spine.
3. Interspinous fixation o ka vertebrae. Kēia hana komo ai i ka mea hoʻonoho wahi o ka wehe 'ia e kanu pūʻia lesion.

I ka papa kuhikuhiE rula e pono hana surgeons - hana ole ia ia ka poino. A no ke aha la mua ka lanakila i kekahi 'uao o kēia mau hoʻomalu i ka hoʻomanawanui ua koi' ia e undergo i ka hoʻokolokolo pono keia hookolokolo ana, a ke i loa nāʻikepili. Health ka pilikia e e haʻahaʻa ma mua o ka pahiki o ka maikaʻi hoʻokūkū.

He aha complications ke kānāwai?

E like me oe i ike, o ka iniiaiie a me ka kiʻekiʻe spinal stenosis o ka cervical spine koi akahele lapaau. Naʻe, ina ka Inc no kekahi mea i ole, ua hoʻomaka 'ana i ka manawa, i ka hoʻomanawanui i ikea complications ia:

• Reversible ole irreversible lilo o ka pā lonoaʻili a kino lōlō (kanaka māhele).
• I ka manawa kūpono o ka piha immobilization.
• Hahau ana. Kēia ka hana ma muli o ke circulatory kāna hana, a spinal innervation. Normal ae functionality o ka lolo a me ka spinal kaula lilo ole i ke Akua.
• Myelopathy. Kēia mea he loa eiiieaen maʻi neurological, ma a he mea he nawaliwali nui i loko o na lala. Akā, i ka leo o na nāʻiʻo i ka mea ia manawa kiʻekiʻe loa.
• Ka make.

E like me 'oe ke ike, na complications hiki e ona, no laila, lapaʻau e e hoʻomaka' ana e like me ka hikiwawe e loaa ana.

pathology Kāohi

Inā 'aʻole' oe makemake i ka i ulu spinal stenosis (Ua manao ia mākou i nā symptoms, kumu a me ka lapaau ana i ka maʻi), ia mea e pono e hahai i ke ano rula:

• Pale hooloihi ae i noho i loko o ka ia kulana a nele locomotor hope. He kupono i kekahi manawa hana gymnastics'ā'ī.
• LFK. Ua Ua hoʻohana 'ole wale no ka iapaau ana, aka, no hoi no ka Kāohiʻana.
• Ma nā mea a pau ana, ma hope o ka hanau ana. He mea nui oi loa aku hoi no ka sedentary hana.
• E ho'āʻo i kaʻai'ākau, a hiki i ke kino e launa mai i ka mea e pono mea.
• Kekahi maʻi E e hana i ka manawa.

'Eleu lapaʻau no ka hana kūikawā malama e kaumaha ana i ka manawa e ola. E hoʻokaʻaʻike ola!