Ramin ya kafa juxtaposition na fanko na kashin baya, canal na kashin baya ya ƙunshi kashin baya da jijiyoyi. Wani lokaci yana raguwa, yana haifar da matsewar tsarin jijiyoyin jiki.

Kashin baya, ko kashin baya, yana kunshe da tarin 33 kashin baya: 7 cervical vertebrae, 12 dorsal (ko thoracic) vertebrae, 5 lumbar vertebrae, sacrum wanda ya ƙunshi 5 fused vertebrae kuma a karshe coccyx ya ƙunshi 4 vertebrae. An haɗa kashin baya ta hanyar diski na kashin baya.

Kowace kashin baya yana da baka, ko bango. Juxtapped a saman juna, wadannan vertebral arches suna samar da rami: shi ne canal na kashin baya, wanda kuma ake kira canal na kashin baya, wanda ya ƙunshi kashin baya da jijiyoyi a tsakiyarsa.

Kashin baya yana fitowa daga kashin mahaifa na farko zuwa na biyu na lumbar vertebra. Ya ƙare a matakin na biyu na lumbar vertebra tare da jakar dural wanda ya ƙunshi motar motsa jiki da tushen jijiya na ƙafafu da mafitsara da kuma rectal sphincters. Ana kiran wannan yanki da wutsiya.

Canal na kashin baya yana tallafawa kuma yana kare kashin baya. A cikin wannan rami da aka kafa ta hanyar kashin baya, ana kiyaye kashin baya ta hanyar meninges daban-daban: dura mater, arachnoid da pia mater.

kunkuntar canal na lumbar ko ƙwanƙwasa canal

A wasu mutane, saboda lalacewa da tsagewar yanayi (osteoarthritis), ana samun raguwar diamita na canal na kashin baya a matakin lumbar vertebrae, wato, a cikin ƙananan baya, sama da sacrum. Kamar dukkan gaɓoɓin jikin ɗan adam, haɗin gwiwar kashin baya a haƙiƙa suna fama da osteoarthritis wanda zai iya haifar da nakasu tare da kauri na haɗin gwiwa don cutar da magudanar ruwa. Canal na lumbar, wanda yawanci a siffar triangular, zai ɗauki siffar T-ƙunƙutu, ko ma ya zama tsaga mai sauƙi. Sa'an nan kuma mu yi magana game da kunkuntar canal na lumbar, canal na lumbar da aka ƙunshe a cikin har yanzu stenosis na canal na lumbar degenerative. Ƙarƙashin ƙwayar cuta zai iya rinjayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (L4 / L5, L3 / L4 ko ma L2 / L3) .

Wannan stenosis yana haifar da matsawa na jijiyoyi a cikin kashin baya wanda ke haifar da ciwo sau da yawa ana kwatanta shi a matsayin "ƙone" a cikin ƙananan baya, tare da sakawa a cikin gindi da kafafu (neurogenic claudication).

Waɗannan raɗaɗin suna da takamaiman tabarbarewa tare da tafiya ko bayan tsayin tsayi. Yana kwantar da hankali lokacin da yake hutawa, wani lokaci yana ba da hanya zuwa laima ko tururuwa (paresthesia).

Wani lokaci wannan canal na lumbar yana kunkuntar tun daga haihuwa. Ana kiran wannan tsarin tsarin mulki kunkuntar canal na lumbar.

Cauda equina syndrome

Ciwon daji na cauda equina yana nufin wani nau'i na rashin lafiya da ke faruwa a lokacin da ake matsawa tushen jijiya da ke cikin ƙananan baya, a wannan yanki da ake kira cauda equina. Tushen jijiyoyi da motsi na ƙafafu da mafitsara da ƙwararrun ƙwararru ana matsawa, zafi, jin daɗi, motsin motsi da cututtukan genitosphincteric sannan suna bayyana.

Lumbar canal stenosis

Magani na farko shine magani da masu ra'ayin mazan jiya: analgesics, anti-inflammatory drugs, rehabilitation, ko da corset ko infiltration.

A taron na miyagun ƙwayoyi jiyya gazawar, da kuma lokacin da zafi zama ma a kashe a kullum ko da lumbar canal stenosis take kaiwa zuwa paralyzing sciatica, da kafar inna ko urinary cuta, tiyata za a miƙa. Sa'an nan kuma za a yi sakin laminectomy ko kashin baya, aikin da ya ƙunshi cire lamina (bangaren baya na vertebral) don yantar da kashin baya da aka matse ta stenosis. Ana iya sarrafa matakan ɗaya ko fiye.

Cauda equina syndrome

Cauda Equina Syndrome wani gaggawa ne na likita da ke buƙatar magani gaggauwa don guje wa mummunan sakamako. Ana iya ba da maganin Corticosteroid don rage zafi kafin tiyata. Wannan yana nufin ƙaddamar da tushen jijiya, ko dai ta hanyar cire taro wanda ke matsawa shi (wani nau'i mai nau'i na herniated mafi yawan lokuta, mafi wuyar ƙwayar cuta), ko kuma ta hanyar laminectomy.

Don bincikar cututtukan ƙwayar cuta, ana yin sassan sassan kashin baya ta amfani da CT scan ko MRI. Hotunan za su nuna wani kauri mai kauri a kashin kashin baya a kashe magudanar ruwa.

Binciken asibiti ya ba da damar yin gwajin farko na ciwon cauda equina, wanda MRI ya tabbatar da gaggawa.