Stenosis yemugero wepasipinal isitiro ine chimiro chisingagumi, chinoratidzwa nekuderera kwepakati pepinal canal nekuda kwechirwere chetachiona kana chemavara, izvo zvinoshandiswa munharaunda yedzivo remutsipa uye musipinha. Kusvetuka kunogonawo kuitika munzvimbo ye intervertebral foramen kana lateral pocket.
Kwenguva yekutanga nezvechirwere ichi vakatanga kutaura muna 1803, uye akanga ari chiremba Antoine Portap. Akatsanangura mamiriro ezvinhu ayo muromo wepelinha yakagadzikana nekuda kwekuderera kwemugero wepinini, uyo, mumaonero ake, wakanga wakonzerwa nehutachiona kana zvirwere zvekudya. Uyu munyori akasimbisa kuti varwere vaiva nedzimwe zviratidzo zvakakomba - musero atrophy, pasi chimiro chirwere uye kupera mumakumbo. Nokudaro, kubva kurwere maererano nezvakadzidza, makumbo ake akatambura zvikuru.
Kurongwa kwepinini stenosis
Zvirwere zvepamuviri, sekutonga, zvine branching classification, sezvo nzvimbo dzekukuvara uye chimiro chechionda ichi chakakosha pano.
Saka, maererano nemaanorical parameter, chirwere chacho chakakamurwa kuva mapoka maviri:
- Central - stenosis yemvura inonzi vertebral canal, iyo ibva kubva pamashure ekumusoro kwemuviri unoenda kune imwe nzvimbo yakatarisana nechechi inopera (ine absolute stenosis yemugero wepasipera kusvika 10 mm, ine stenosis yakakwana yemugero wepinini-kusvika kusvika 12 mm).
- Gare gare - iyo nzvimbo iri kure inotapudza zvinopfuura 4 mm.
Pamusoro pezvinyorwa:
- Primary stenosis yemugero wemugwagwa - inoitika pakuberekwa, pasina kupindira kubva mumamiriro ekunze.
- Sekondari stenosis yemuginal canal ndiyo yakagadzirirwa stenosis yomuginal canal, iyo inogona kuitika nekuda kwekusununguka kwemhepo, chirwere cheBechterew, spondyloarthrosis nezvimwe zvirwere.
- Kusanganiswa kwe stenosis yemugero wepelinha inosanganiswa yekutanga uye yechipiri stenosis.
Zvinokonzera kukanganiswa kwepelin stenosis
Congenital sagittal stenosis yemugero wepelinha inogona kukonzerwa nezvikonzero zvinotevera:
- furotic and cartilaginous diastematomiaa;
- achondroplasia;
- kupfupisa kwemashure e vertebrae.
Kuwana (yechipiri) stenosis kunoitika nokuda kwezvikonzero zvinotevera:
- deforming spondylarthrosis (pamwe nokuvapo kwekubatana hypertrophy);
- hypertrophy ye yellow ligament;
- hernia of intervertebral discs ;
- Chirwere cheBechterew;
- postoperative zvipembenene;
- spondylolisthesis.
Zviratidzo zvepinini stenosis
Chiratidzo chikuru che stenosis chinorwadza kune rumwe rutivi rwechiuno kana zvose zviri zviviri. Nzira yeropa inotsamwiswa nehutachiona hwekugadzirisa, uye naizvozvo kurwadziwa kunogona kunzwika kunyange mumakumbo. Kufamba uye chero kufamba, pamwe chete nechimiro chairo, kunobatsira kuwedzera kurwadziwa. Murwere anowana zororo nekutora nzvimbo isina kumira kana kugara pasi.
Muzviitiko zvakawanda (75%) varwere vari kukanganisa. Izvi zvinonyanya kuitika kune vakwegura (makore makumi mashanu nekure), pamwe chete nevaya vane varicose vevine, hemorrhoids, postthrombophlebitic syndrome.
Kuchema kunomuka kubva pakuziva kuti kubuda kwechivande kunovhiringidzika nekuda kweplexus yepineus yemusana. Kare mushure memaminitsi makumi matatu anofamba murwere anonzwa kurwadziwa uye izvi zvinomuita kuti agare pasi.
Kurapa kwepinalinal stenosis
Stenosis inogona kurapwa nenzira yakadzivirira kana yekuvhiya.
Sezvinochengetedza mashizha, anti-inflammatory and antialgic mishonga inoshandiswa. Mumatambudziko akaoma, regimen yakadzama pastel inoratidzwa. Kana zviratidzo zvakakomberedzwa zvabviswa, murwere anorayirwa kurapwa kwemishonga, kupisa muviri uye physiotherapy.
Kare panguva yekurapwa zvakakosha kuronga murwere zvakanaka nekuisa nzvimbo yebasa, kurondedzera ma mechanics yekugara kwakanaka uye kufamba.
Kuvhiya kwechirwere chepinini inokonzerwa nekugadzirisa hazvibatsiri. Munguva yekushanda, kupera kwehutano kunosunungurwa kubva kuhutachiona hwehutachiona, hunoita kuti utambudzike uye kuvharidzira mhuka.