Stenosis nke spinal canal bụ usoro nke nwere àgwà na-adịghị ala ala, bụ nke gosipụtara site na ịkụda eriri azụ nke etiti mmiri dị na etiti site na arụrụala cartilaginous ma ọ bụ dị nro, nke a na-ewebata n'ime mpaghara mgbọrọgwụ akwara na ọkpụkpụ azụ. Ntughari nwere ike ime na mpaghara nke nkpuchi intervertebral ma ọ bụ n'akpa uwe.
Maka oge mbụ banyere ọrịa a, ha malitere ikwu okwu na 1803, ọ bụ dọkịta Antoine Portap. Ọ kọwapụtara ọnọdụ nke okpukpu ogwu na-ebugharị n'ihi nkedo nke ogwu mmiri, nke, n'echiche nke ya, sitere na ọrịa ma ọ bụ ọrịa ndị na-eme ka anụ ahụ. Onye edemede a kwusiri ike na ndị ọrịa nwere mgbaàmà ndị ọzọ dị oke mkpa - ọnyá atrophy, ọnyá mkpọnwụ na adịghị ike na ụkwụ. Ya mere, site na ọrịa ahụ dịka ọmụmụ ya si dị, ụkwụ ya tara ahụhụ nke ukwuu.
Nhazi nke spenosis
Ọrịa mkpụrụ obi, dị ka a na-achị, nwere nhazi njikọta, ebe ebe mmebi na ọdịdị nke ọnya a dị mkpa ebe a.
Ya mere, dịka usoro nke anatomical si kwuo, a na-ekewa ọrịa ahụ n'ime ìgwè abụọ:
- Okpokoro - stenosis nke ikpo okwu vertebral, nke ebe dị anya site na mbara ala nke vertebral ahụ na ihu na-esote na njedebe (na nkwụsị zuru oke nke ọwa mmiri ruo 10 mm, na ntanetị nke spinal canal - aka 12 mm).
- Ogologo - nke a dị anya na-atụgharị karịa 4 mm.
Na etiology:
- Ihe nkedo isi nke ọwa mmiri - na - eme mgbe amuchara nwa, n'enweghi nnyonye anya site na mpụga.
- Nkọwa nke abụọ nke ọwa mmiri na azụ bụ azụmkpụ azụ nke spinal canal, nke nwere ike ime n'ihi nkedo disk, ọrịa Bechterew, spondyloarthrosis na ọrịa ndị ọzọ.
- Ihe jikọrọ ụda mmiri nke ọwa mmiri bụ ihe nchikota nke isi na nke abụọ.
Na-akpata degenerative spinal stenosis
Enwere ike ịkọwa ụda mmiri na-emepụta ihe na-esonụ:
- fibrotic na cartilaginous diastematomyelia;
- achondroplasia;
- mkpụmkpụ nke arcs nke vertebrae.
Enwetara ụbụrụ (nke abụọ) maka ihe ndị na-esonụ:
- deforming spondylarthrosis (na ọnụnọ nke hypertrophy njikọ);
- hypertrophy nke ligament odo;
- hernia nke disks intervertebral ;
- Ọrịa Bechterew;
- ihe nkedo;
- spondylolisthesis.
Mgbaàmà nke stenosis spinal
Ihe ngosipụta nke stenosis bụ ihe mgbu n'otu akụkụ nke ukwu ma ọ bụ abụọ. A na-eme ka ọwa ahụ na-eme ka ọ ghara ịdị na-ewe ya iwe, ya mere enwere ike ịsị na ọ na-ewute ya. Ije ije na ihe ọ bụla na-arụ, nakwa dị ka ebe a na-anọchi anya ya, na-eme ka ụba na-arịwanye elu. Onye ọrịa ahụ nwere ahụ efe site n'ịnọgide ọnọdụ ma ọ bụ ịnọdụ ala.
N'ọtụtụ ọnọdụ (75%) ndị ọrịa na-akwụsị. Nke a bụ eziokwu karịsịa na ndị agadi (afọ 45 na okenye), yana ndị nwere varicose veins, hemorrhoids, postthrombophlebitic syndrome.
Lameness na-esite na eziokwu ahụ bụ na mmiri ahụ na-asọ oyi na-akpata n'ihi nsogbu nke plexus venine nke spine. Ugbua mgbe njem minit iri atọ gasịrị, onye ọrịa ahụ na-enwe mmerụ ma nke a na-eme ka ọ nọdụ ala.
Ọgwụgwọ nke spinal stenosis
Enwere ike ịgwọ ọrịa site na usoro ọgwụgwọ ma ọ bụ usoro ịwa ahụ.
Dị ka ndị na-agbanwe agbanwe, a na-eji ọgwụ mgbochi na ọgwụ antialgic mee ihe. Na nnukwu ikpe, a gosipụtara usoro nlekọta pastel. Mgbe a na-ewepụ ihe mgbaàmà dị ukwuu, onye ọrịa ahụ bụ usoro ọgwụgwọ ọgwụ, ịhịa aka n'ahụ na physiotherapy.
Ugbua a na-agwọ ya, ọ dị ezigbo mkpa ịhazi onye ọrịa ahụ n'ụzọ ziri ezi na-etinye ebe ọrụ, ịkọwa usoro nhazi usoro ziri ezi na nhazi.
Ịwa ahụ maka stenosis nke ọwara mmiri dị mkpa mgbe ọgwụ nchekwa na-adịghị arụ ọrụ. N'oge a na-arụ ọrụ, a na-ewepụta nkwụsị akwara site n'ụdị mmebi ahụ, nke na-eduga ná mgbu na nsị nke anụ ahụ.