Isifo somgogodla womgogodla yinqubo ephethe uhlamvu olungapheli, olubonakaliswa ngokunciphisa umgogodla ophakathi komgogodla ngenxa yezinhlaka zomzimba ezincane noma ezithambile, ezethulwa esifundeni sezimpande zesisindo nomgogodla. Ukunciphisa kungase kwenzeke endaweni ye-intervertebral foramen noma i-pocket lateral.
Isikhathi sokuqala ngalesi sifo baqala ukukhuluma ngo-1803, futhi kwakunguDokotela Antoine Portap. Wachaza izimo lapho ikholomu yomgogodla igobile ngenxa yokunciphisa umgogodla womgogodla, owokubona kwakhe, ngenxa yokugula noma izifo ezithathelwanayo. Lo mbhali wagcizelela ukuthi lezi ziguli zinezinye izimpawu ezimbi - isisu se-atrophy, ukukhubazeka okuphansi nokukhubazeka emilenzeni. Ngakho-ke, ngenxa yokugula ngokuvumelana nezifundo zakhe, imilenze yakhe yahlupheka kakhulu.
Ukuhlukaniswa kwe-stenosis yomgogodla
Izifo zomgogodla, njengombuso, zinezigaba zokuhlanganiswa, ngoba izindawo zokulimala kanye nesimo salesi sifo zibalulekile lapha.
Ngakho, ngokwemigomo ye-anatomical, lesi sifo sihlukaniswe ngamaqembu amabili:
- I-central stenosis yomgogodla we-vertebral, lapho ibanga elivela emzimbeni ongemuva komzimba we-vertebral kuze kube ngephambene nalokho emgqeni kunciphisa (nge-stenosis ephelele yomgogodla womgogodla kufikela ku-10 mm, ngesifo somgogodla esiphathelene nomgogodla we-spinal - kuze kube ngu-12 mm).
- I-Lateral - leli banga elifanayo alinqamuli ngaphezu kwama-4 mm.
Etiology:
- I-stenosis eyisisekelo yomsele wamagogasi - kwenzeka ngesikhathi sokuzalwa, ngaphandle kokuphazamiseka kwezimo zangaphandle.
- I-stenosis yesibili yomgogodla womgogodla yi-stenosis etholakale yomsele wamagogasi, okungenzeka ngenxa yokuhamba kwe-disc, isifo sika-Bechterew, isifo se- spondyloarthrosis nezinye izifo.
- I-stenosis ehlangene yomgogodla womgogodla iyinhlanganisela yesimo esiyisisekelo nesesibili.
Izimbangela ze-stenosis ephazamisayo yomgogodla
I-stenosis ye-congenital sagittal ye-canal yomgogodla ingabangelwa izizathu ezilandelayo:
- diastematomiaa ye-fibrotic and cartilaginous;
- i-achondroplasia;
- ukunciphisa ama-arcs we-vertebrae.
I-stenosis etholakalayo (yesibili) yenzeka ngenxa yezizathu ezilandelayo:
- ukukhubazeka kwe-spondylarthrosis (ngokukhona kwe-hypertrophy ehlangene);
- ukuxuba komgudu ophuzi;
- i-hernia ye-intervertebral discs ;
- Isifo sikaBechterew;
- izibazi zokuthutha;
- i-spondylolisthesis.
Izimpawu zesisu somgogodla
Uphawu oluyinhloko lwe-stenosis lubuhlungu ngakolunye uhlangothi lwesinqe noma kokubili. Isiteshi sezinzwa sishukunyiswa ukubunjwa okulimazayo, ngakho-ke ubuhlungu bungabonakala ngisho nasemlenzeni. Ukuhamba nanoma yikuphi ukunyakaza, kanye nesimo esiqondile, kunomthelela ekwandeni ubuhlungu. Isiguli sithola impumuzo ngokuthatha isikhundla esingezansi noma ukuhlala phansi.
Ezimweni eziningi (iziguli ezingama-75%) ziyaxosha. Lokhu kuyiqiniso ikakhulu kubantu asebekhulile (iminyaka engama-45 nangaphezulu), kanye nalabo abane-varicose veins, i-hemorrhoids, i-postthrombophlebitic syndrome.
Ukuphazamiseka kuvela ngenxa yokuthi ukuphuma okuphazamisayo kuphazamiseka ngenxa ye-plexus enezinyosi zomgogodla. Kakade emva kokuhamba ngomzuzu wamashumi amathathu isiguli sizwa ubuhlungu futhi lokhu kumenza ahlale phansi.
Ukwelashwa kwe-stenosis yomgogodla
Ukuqina kwesisu kungaphulukiswa ngendlela eqhubekayo noma yokuhlinzwa.
Njengama-agent evikelayo, imithi elwa nokuvuvukala ne-antialgic isetshenziswa. Ezimweni ezibucayi, irejistri eqinile ye-pastel iboniswa. Uma izimpawu ezinzima zisusiwe, isiguli sigqwelwa ukwelapha umzimba, ukusikhipha umzimba kanye ne-physiotherapy.
Kakade lapho ukwelashwa kubaluleke kakhulu ukuhlela isiguli kahle ngokubekwe endaweni yokusebenzela, ukuchaza lo mshini wokuma nokuhamba okulungile.
Ukuhlinzwa kwe-stenosis yomgogodla womgogodla kuyadingeka lapho ukwelashwa okulindelekile kungasebenzi. Ngesikhathi sokusebenza, ukuphela kwezidakamizwa kukhishwa ekubunjweni okulimazayo, okuholela ekuhluphekeni nasekucindezeni izicubu.