Txha caj stenosis

Txha caj stenosis yog ib tug mob cov txheej txheem ntawm allergic rau hauv tej qhov chaw uas nyob hauv cov leeg nrob qaum thiab paj cov hauv paus hniav cartilaginous
nqaij mos thiab pob txha lug. Nws tsis xa stenosis narrowing channel,
tshwm sim los ntawm disc herniation.

Txha caj stenosis yus ntau ces yog kuaj thiab cov hau kev ntawm magnetic resonance thiab xoo tomography, thiab spondylography (radiography ntawm cov leeg nrob kwj dej).

Txha caj stenosis paub qhov txawv idiopathic, uas yog congenital, mas yuav kis tau thiab ua ke. Tus kab mob ua rau yus mus rau ib tug compression ntawm cov leeg nrob qaum cov hauv paus hniav thiab ces neurological cov tsos mob. Cov ntau cai stenosis ntawm lub lumbar cheeb tsam. Nws yog vim li cas tej zaum yuav ua tau ib tug kev puas
kev raug mob, nqaij hlav, ligamentum flavum thooj, osteophyte txoj kev loj hlob protrusion
disks, facet ob leeg arthrosis, stenosis ntawm lub vertebral cov hlab ntsha.

Congenital stenosis yog tshwm sim los ntawm ib tug neeg tus yam ntxwv ntawm cov nqaj qaum, kis tau nyob rau hauv nws cov tub ntxhais muaj ntau yam ntawm ua, xws li ankylosing spondylitis, postoperative cirrhosis thiab adhesions kab mob Forestier thiab lwm tus neeg. Pathophysiological mechanisms yog ischemia, stenosis
vertebral cov hlab ntsha, aseptic o thiab muaj zog epidural
siab, uas yog lub txiaj ntsim ntawm tus kab mob compression
Neuro-leeg tshav systems ntawm cov leeg nrob kwj dej. Thiaj li, muaj
sis tsis ncaj cov ntshav txaus rau lub paj hlwb txha nqaj kwj dej lug. txo
theem ntws ntshav ua rau ischemia thiab paj cov hauv paus hniav ntawm cov cauda equina.
Nyob rau hauv ntxiv dag zog rau lub biochemical dab tsub kom cov pa thov,
Txawm li cas los mob ncus tshwm sim, raws li ib tug txoj cai, thaum taug kev. nce
epidural siab yog qhov ua rau ntawm lub inflammatory txheej txheem.

Feem ntau mas yuav kis tau stenosis tshwm sim nyob rau hauv lub dhau theem ntawm osteoarthritis, qhov twg muaj nyiaj dab aimed ntawm stabilizing cov leeg nrob tsab ntawv tsa suab ya. Muaj arthrosis ntawm intervertebral pob qij txha thiab kev loj hlob ntawm cov pob txha cov ntaub so ntswg nyob rau hauv daim ntawv ntawm cov osteophytes. Cov tsos mob yog mob sawv vim voos ntawm cov hlab cag. Nrog rau txoj kev loj hlob ntawm tus kab mob yog txo tus me nyuam mus hauv cov leeg nrob qaum ntawm cov as-ham thiab oxygen. Raws li ib tug tshwm sim, thaum lub sij hawm lub cev ua si, muaj ib tug tsis muaj zog thiab kev mob nyob rau hauv lub ceg ntoo thiab tus txha nqaj. Txoj kev ua ntawm stenosis yog ib tug ua txhaum ntawm lub rhiab heev ntawm tus taw, nqaij hypertrophy, ib tug syndrome ntawm sib quas ntus claudication, lumbodynia. Yuav kom qhia tau tias cov ua ntawm tus kab mob ua ke nrog xoo tomography myelogram, raws li nyob rau hauv kev tsom xam ntawm cov kev tshwm sim ntawm uas yog paub hais tias - cov leeg nrob stenosis. Kev Kho Mob yuav ua tau phais thiab conservative.

Therapy muaj txoj kev saib xyuas antiinflammatory, vascular thiab antalgic tshuaj. Tshuaj kho mob ua ke nrog ib zaj lus, physiotherapy, epidural steroids (diprospan, Kenalog). Nyob rau hauv Feem ntau, glucocorticoid cov tshuaj hormones siv nyob rau hauv ua ke nrog nrog anesthetics. Los ntawm kev phais kho mob muaj xws li cov installation thiab interspinous stabilization systems kho decompressive laminectomy. laminectomy
Nws yog resection ntawm cov lug, ua rau compression ntawm lub paj hauv paus hniav thiab
cauda equina. Ho txhim kho cov kev tshwm sim ntawm laminectomy system
stabilization. Daim ntawv thov interspinous dynamic fixation thiaj li load rau hauv lub rear kev pab txhawb nqa tug ncej thiab expanding cov leeg nrob kwj dej hauv cheeb tsam. Vim hais tias ntawm no txo lyumbalgichesky syndrome.

Txha caj stenosis - ib tug es loj pathology ntawm cov nqaj qaum, uas yuav tsum tsis txhob trifled nrog. Thaum thawj cov cim qhia yuav tsum raug xa mus rau nyob rau hauv lub kos duab.