Lesapo la mokokotlo stenosis

Lesapo la mokokotlo stenosis ke tshebetso sa foleng la ho kenella ka hare ka libaka le eo lula le lesapong la mokokotlo 'me methapo ea kutlo le metso cartilaginous
dinama tse nyenyane tse le masapo bonolo dibopeho. Ho ha e bolele stenosis narrowing kanaleng,
bakoang ke disk herniation.

Lesapo la mokokotlo stenosis tšoauoa liponahatso ho tloaelehile hore batho ba fumanoa le mekhoa ea gomoso a khoheli le ho ea computed tomography, le spondylography (radiography tsa kanale lesapo la mokokotlo).

Lesapo la mokokotlo stenosis khetholla idiopathic, ke hore congenital, e fumanweng le ho kopantswe. Lefu lena le etsa hore motho e compression ea metso lesapong la mokokotlo 'me liponahatso tsa matšoao a methapo ea kutlo. Ka ho fetisisa hangata a hlokomela stenosis ea sebaka se lumbar. mabaka a hae a ka 'na ba le ntho e utloisang bohloko
kotsi, hlahala, ligamentum flavum thickening, osteophyte kgolo ya protrusion
disks, tšobotsi e 'ngoe e kopanetsoeng arthrosis, stenosis tsa methapo vertebral.

Congenital stenosis ho bakoa ke litšobotsi tse ka bomong la mokokotlo, fumaneng konokono tsa lona se na le mefuta e fapaneng ya le lisosa tse kang ankylosing spondylitis, postoperative scarring le adhesions lefu Forestier le ba bang. mekgwa Pathophysiological ke ischemia, stenosis
vertebral methapo, aseptic ho ruruha le eketseha epidural
khatello, eo ke lebaka la compression foleng
tsamaiso ea neuro-vascular tsa kanale lesapo la mokokotlo. Ka lebaka leo, ho na le
lekane phallo ea mali ho methapo ea kutlo dibopeho lesapo la mokokotlo kanale. fokotseha
boemo ba phallang mali ea isang ho ischemia le methapo ea kutlo le metso ea Kauda equina.
Ho matlafatsa le thulaganyo skeletal eketsa tlhokeho oksijene,
Leha ho le joalo sensations bohloko a hlaha, e le busa, ha ba tsamaea. e ile ea eketseha
epidural khatello e ke sesosa sa tshebetso a hlabang.

Hangata e fumanweng stenosis le hlaha ka sethaleng ho qetela ya tabanan, moo ho na le compensatory dithulaganyo ikemiseditse ho botsitso le lesapo la mokokotlo tshisinyo karolo. Ho na le arthrosis manonyello intervertebral le kgolo ya dinama tse nyenyane tse lesapo ka mokgwa wa osteophyte. Matšoao a ba bohloko hlahang ka lebaka la ho teneha metsong ea methapo ea kutlo. Le ntshetsopele ya lefu lena le ke fokoletse theko ea pelehi ho thapo lesapo la mokokotlo limatlafatsi le oksijene. Ka lebaka leo, nakong ea ho ikoetlisa, ho na le bofokoli le bohloko ka maoto le matsoho le lesapo la mokokotlo. Liponahatso tsa stenosis ke tlōlo ea nahanela tsa maoto, mesifa hypertrophy, ka lefu la claudication hill, lumbodynia. Ho khetholla lisosa tsa lefu lena le ho kopantswe le ea computed tomography myelogram, e thehiloeng ho ho hlahloba liphello e ba tsona li fumanoa - lesapo la mokokotlo stenosis. Phekolo e ka ba ho buoa le mekhoa e tloaetsoeng.

Therapy kenyelletsa ditokiseletso taolo antiinflammatory, vascular le lithethefatsi antalgic. kalafo lithethefatsi e ho kopantswe le sililoa, ea physiotherapy, epidural steroid (diprospan, Kenalog). Maemong a mangata, glucocorticoid hormone sebelisoa hammoho le meriana e thethefatsang kutlo. Ke mekhoa ea phekolo e ho buoa kenyeletsa tlhomamiso le litsamaiso interspinous tsitsisoa lokisa decompressive laminectomy. laminectomy
Ho resection mehaho e, ea isang ho compression ea metso methapo ea kutlo 'me
Kauda equina. Taba ea bohlokoa ke ho ntlafatsa liphetho tsa tsamaiso laminectomy
tsitsisoa. Kopo interspinous matla fixation fokotsa mojaro ka litšiea morao tšehetso le ho atolosa lesapo la mokokotlo kanale area. Ka lebaka la sena fokotswa lefu lyumbalgichesky.

Lesapo la mokokotlo stenosis - ya bolwetse ena e tebileng ea lesapo la mokokotlo, e leng ho se nkentse ka mano le. Ha matšoao pele e lokela ho buuoang ka eona ho tsebo.