O tagata ta'ito'atasi o lo'o a'afia i le fana, tiga tiga i pito pito i lalo, ma fa'alavelave vae tiga e ono maua i le neurogenic claudication. E mafai e le iloaina o fa'ailoga ona fesoasoani i tausi soifua maloloina e atia'e se fuafuaga lelei mo togafitiga?
Mataupu
Neurogenic claudication e tupu pe a oomi neura ivi i le lumbar poʻo le pito i lalo, ma mafua ai le tiga o vae. O neura oomi i le lumbar spine e mafai ona mafua ai le tiga o le vae ma le ga'o. O le tiga e masani lava ona faʻateteleina i gaioiga patino poʻo gaioiga e pei o le nofo, tu, poʻo le punou i tua. E lauiloa foi o pseudo-claudication pe a vaapiapi le avanoa i totonu o le lumbar spine. O se tulaga ua ta'ua o le lumbar spinal stenosis. Ae ui i lea, o le neurogenic claudication o se faʻamaʻi poʻo se vaega o faʻamaoniga e mafua mai i se neura tui, ae o le faʻamaʻi faʻamaʻi o loʻo faʻamatalaina le vaapiapi o alalaupapa.
Neurogenic claudication faailoga e mafai ona aofia ai:
O le neurogenic claudication e ese mai isi ituaiga o tiga o vae, ona o le tiga e fesuiaʻi - faʻamuta ma amata faʻafuaseʻi ma faʻalavelave faʻatasi ma gaioiga patino poʻo gaioiga. O le tu, savali, alu ifo i luga o faasitepu, poʻo le faʻamalosi i tua e mafai ona faʻaosoina le tiga, aʻo nofo, aʻe i luga o faasitepu, poʻo le punou i luma e faʻaitiitia ai le tiga. Peitaʻi, e eseese uma tulaga. I le aluga o taimi, o le neurogenic claudication e mafai ona aʻafia ai le feʻaveaʻi ao taumafai tagata taʻitoʻatasi e aloese mai gaioiga e mafua ai le tiga, e aofia ai le faʻamalositino, siiina o mea, ma le umi o le savali. I tulaga ogaoga, o le neurogenic claudication e mafai ona faigata ai le moe.
Neurogenic claudication ma sciatica e le tutusa. Neurogenic claudication e aʻafia ai le faʻamalosi o neura i le ogatotonu o le lumbar spine, ma mafua ai le tiga i vae uma e lua. Sciatica e aofia ai le faʻamalosiina o aʻa neura e alu ese mai itu o le lumbar spine, ma mafua ai le tiga i le tasi vae. (Carlo Ammendolia, 2014)
Faatasi ai ma le neurogenic claudication, o neura compressed spinal o le mafuaaga autu lea o le tiga o vae. I le tele o tulaga, la'au fa'ama'i fa'ama'i - LSS o le mafua'aga lea o le neura pinched. E lua ituaiga o lumbar spinal stenosis.
Lumbar spinal stenosis e masani ona maua ona o le faʻaleagaina o le lumbar spine ma e masani ona aʻafia ai tagata matutua matutua. O mafuaʻaga o le faʻamaʻi e mafai ona aofia ai:
Congenital lumbar spinal stenosis o lona uiga o se tagata na fanau mai ma ni faaletonu o le ivitua atonu e le o iloa i le taimi na fanau mai ai. Talu ai ona o le avanoa i totonu o le alavai ua leva ona vaapiapi, o le taulaʻau e faigofie ona aʻafia i soʻo se suiga e pei o tausaga taʻitasi. E o'o lava i tagata e maua i le gugu vaivai e mafai ona o'o i fa'ailoga o le neurogenic claudication i le amataga ma atia'e fa'ailoga i le 30s ma le 40s nai lo latou 60s ma le 70s.
O suʻesuʻega o le neurogenic claudication e tele lava e faʻavae i luga o talaʻaga faʻafomaʻi a le tagata, suʻega faʻaletino, ma ata. O le su'esu'ega o le tino ma le iloiloga e iloa ai le mea o lo'o i ai le tiga ma le taimi. E mafai e le tausi soifua maloloina ona fesili:
O togafitiga e mafai ona aofia ai togafitiga faʻaletino, tui faʻamaʻi faʻamaʻi, ma vailaʻau tiga. O le ta'otoga ose auala mulimuli pe a le mafai e isi togafitiga uma ona maua se toomaga lelei.
A togafitiga togafitiga o le a aofia ai togafitiga faʻale-tino e aofia ai:
E mafai e le au tausi soifua maloloina ona fautuaina tui epidural steroid.
O vailaʻau faʻamaʻi e faʻaaogaina e togafitia ai le neurogenic claudication. E aofia ai:
Afai e le mafai e togafitiga faʻasao ona tuʻuina atu le toomaga lelei ma le gaoioi ma / poʻo le lelei o le olaga e aʻafia, o le taotoga e taʻua o le laminectomy e mafai ona fautuaina e faʻamalo le lumbar spine. E mafai ona faia le faʻatinoga:
Ammendolia C. (2014). Degenerative lumbar spinal stenosis ma ona tagata taufaasese: tolu mataupu suʻesuʻega. Le Journal of the Canadian Chiropractic Association, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis ma Neurogenic Claudication. [Fa'afou 2023 Aukuso 13]. I totonu: StatPearls [Initaneti]. Treasure Island (FL): StatPearls Publishing; 2024 Ian-. Avanoa mai: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Le aoga o le taotoga faʻatasi ai ma togafitiga faʻasao mo le lumbar spinal stenosis: O se iloiloga faʻavae ma faʻataʻitaʻiga faʻataʻitaʻiga o faʻataʻitaʻiga faʻapitoa. Tusitala faava o malo o taotoga (Lonetona, Egelani), 44, 329–338. doi.org/10.1016/j.ijsu.2017.07.032
Faʻataʻitaʻiga Tomai o Faʻataʻitaʻiga
O faʻamatalaga o loʻo i luga "Toomaga mai Neurogenic Claudication: Togafitiga Filifiliga"E le o fa'amoemoe e sui ai se mafutaga ta'ito'atasi ma se fa'apolofesa fa'alesoifua maloloina agava'a po'o se foma'i laiseneina ma e le o se fautuaga fa'afoma'i. Matou te fa'amalosia oe e fai fa'ai'uga fa'alesoifua maloloina e fa'atatau i au su'esu'ega ma faiga fa'apaaga ma se tagata tomai fa'apitoa tau soifua maloloina.
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O matou fa'amatalaga lautele e fa'atapula'a ile Chiropractic, musculoskeletal, vaila'au fa'aletino, soifua maloloina, fa'asoa etiological fa'alavelave viscerosomatic i totonu o fa'ata'ita'iga fa'apitoa, somatovisceral reflex fa'ata'ita'iga fa'amanino, fa'alavelave fa'aletonu, fa'afitauli ma'ale'ale o le soifua maloloina, ma/po'o tala fa'afoma'i aoga, autu, ma talanoaga.
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