Momwe Natually Exposed Mitsempha ya M'mphepete Ikhoza Kusokoneza Momwe Mukugwira Ntchito
Cauda Equina Syndrome Yofotokozedwa
Matenda a Cauda equina ndi osowa kwambiri omwe amapezeka m'munsi mwa msana. Kukhumudwa kumayambitsidwa ndi chinthu chomwe chimayambitsa mitsempha yowonekera.
Mawu akuti cauda equina amatanthauza "mchira wa kavalo"; ilo limatchulidwa kwambiri chifukwa cha kufanana.
Kawirikawiri, mitsempha ya mitsempha yomwe imakhala ndi mitsempha ya msana ndi mitsempha ya mitsempha imakhala mkatikati mwa mzere wa msana kumalo omwe amadziwika ngati msana wamtsempha.
Mwanjira imeneyi, minofu yokhudzana ndi mitsempha imatetezedwa kuzipangizo zomwe zingayesetsere (zomwe zingayambitse zizindikiro monga kupweteka ndi / kapena kusintha ntchito).
Nchiyani Chimachititsa Cauda Equina Syndrome?
Nthaŵi zambiri, matenda a cauda equina amayamba chifukwa cha disk, yomwe ili pakati pa malo a L4 / 5 ndi L5 / S1. Malingana ndi kafukufuku amene adalembedwa ndi British Medical Journal , pafupi ndi 0.12% ya ma diskiti onse a ku America angayambitse cauda equina.
Zina, zomwe zimayambitsa zovuta zambiri zimaphatikizapo kukhumudwa kapena kuvulala msana womwe umatsogolera ku ziphuphu ndi / kapena kugwedeza. Matenda kapena matenda omwe amachititsa kuti cauda equina iwononge matendawa. Thupi limatuluka mu ngalande ya msana ndilo chifukwa china chotheka. Matenda a chifuwa chachikulu, chifuwa cha Potts ndi zizindikiro za iatrogenic (mwachitsanzo kupweteka kwa msana pamene mukudwala matenda a anesthesia kapena vuto la postoperative) zimakhudzidwa, monga momwe zinthu zingagwiritsire ntchito malo a msana, monga cysts.
Mutha kukhala ndi matenda oyenera ngati muli ndi msana wam'mimba (kaya mwabadwa kapena mwadzidzidzi). Ngati mwapeza stenosis imayendera matenda anu a cauda equina, mwinamwake stenosis imachokera ku kutaya kwa disc ndi kufalikira kwa zigawo zanu. Mwinanso mukhoza kukhala ndi ligamentum flavum ndi kuyamwa kwa msana wanu.
Zizindikiro za Cauda Equina Syndrome
Matenda a Cauda equina amagawidwa m'zinthu ziwiri zoyambirira, malinga ndi chizindikiro chosonyeza kusungidwa kwa mkodzo.
Chiwonetsero chonse cha equda chikuphatikizidwa ndi kusungidwa kwa kasitomala pamene kusakwanira kulibe. Ndi vuto lonse la cauda equina, kusungidwa kwa mkodzo kwapezeka kale. Popeza mulibe matenda a cauda equine, mungapeze kuchepa kwa mitsempha, mukhala ndi kamtsinje kakang'ono, kapena zizindikiro zofanana, koma mutha kukodza.
Kusungidwa kwa urinary kungakhale koopsa ndipo ndicho chifukwa chake ndikofunika kuti muwone ngati mukuwona kusintha kulikonse mu ntchitoyi.
Zizindikilo zina za matenda a cauda equina zimakhala zovuta kugonana, kutayika kwa matumbo ndi / kapena kupweteka kapena kusintha kwina kwazomwe mukuyendetsa. (Numbness kuzungulira anus amatchedwa "chinsalu chodyetsa mimba.") Zoonadi, kupweteka kumbuyo ndi chizindikiro, monga kusintha kwa maganizo kapena magalimoto m'magulu anu apansi (kuphatikizapo kufooka / kapena kutayika maganizo ndi zina.) Kupweteka kumbuyo ndi chizindikiro , monga kusintha kwa magalimoto kumagulu anu apansi (kuphatikizapo kufooka ndi / kapena kutayika kwa maganizo ndi zina.)
Cauda equnia syndrome zikhoza kudziwonetsa mwa njira zitatu zomwe zimatchedwa "mitundu". Ndizo:
- Mtundu 1: Zizindikiro zimakhala zovuta ndipo zimadza mwadzidzidzi komanso mwamphamvu. Zizindikiro za matenda a cauda equina chifukwa cha disni ya herniated yomwe ilipo motere.
- Mtundu Wachiwiri: Monga malo omalizira pambuyo pa ulendo wautali wa ululu wopweteka kwambiri, wopanda kapena sciatica .
- Mtundu 3: Mwachinyengo, kumene mwakhala mukusowa kwambiri, komanso zizindikiro za mkodzo.
Kusanthula Cauda Equina Syndrome
Matenda a Cauda equina ndi chifukwa cha kusokonezeka kapena kusokonezeka kwa mitsempha yokhudzana ndi lumbar ndi valter vertebrae. Komabe, kusokonezeka koteroko kumapezeka ngati cauda equina pamene chikhodzodzo, chifuwa ndi / kapena ntchito yogonana ndizovuta. Izi zimaphatikizapo chizindikiro cha kusweka kwapadera kapena kupweteka kwa anesthesia, zomwe takambirana kale, zomwe zimataya mtima kumbali ya anus.
Matenda a Cauda equina amapezeka ndi MRI, myelogram , kuyesa mitsempha yodziwika bwino monga kuyesera kupima mavitamini ndi / kapena kugwiritsira ntchito electromyography, CT.
Ngati dokotala akukudandaulirani kuti muli ndi cauda equina, mumayesedwa pamaganizo omwe amagwiritsa ntchito palpation (kugwira) kuti muzindikire kuchuluka kwa kumverera ndi kuyankhidwa pafupi ndi anus ndi rectum.
Kuchiza kwa Cauda Equina Syndrome
Nthaŵi zambiri, matenda a cauda equina amachokera ku dothi la herniated; Choncho, chithandizo chamasankha chikhoza kukhala opaleshoni yoperekera mimba , mwina discectomy .
Mukakayika matenda anu odwala matendawa amatsimikiziridwa ndi dokotala wanu, ndipo ngati MRI yanu ikuwonetsa kuti chomwe chimayambitsa chisokonezo pa cauda equina ndi chosinthika, panthawiyo, opaleshoni ikhoza kumveka bwino ngati chithandizo chamankhwala mwamsanga.
Ndikunena kuti, nthawi zina opaleshoni yowonjezereka ikufunika kuti muteteze kukanika kwanu kosatha (kapena mapeto) komanso chikhodzodzo, chifuwa kapena kugonana.
Zotsatira za matenda osatetezedwa a cauda equina zimakhala zowawa; N'chimodzimodzinso ndi matenda a cauda equina omwe amachedwa kwambiri. Musachedwe kulankhula ndi adokotala za njira zomwe mungasankhe.
Ngati chinthu china chosiyana ndi chidziwitso cha herniated chikuyambitsa mavuto anu ku cauda equina, mungafunikire kugwira ntchito ndi katswiri kapena gulu la akatswiri kuti athetse vutoli.
Mukakayikira, Pezani Ikani - Ngakhale Ngati Mukumva Chisangalalo Pazo
Mikangano yomwe imayang'aniridwa ndi chithandizo cha cauda equina syndrome ikhoza kusokoneza mosavuta kupanga chisankho. Komabe, vutoli lingakhale loopsya, makamaka ngati simukumvera zizindikiro zanu. Mukawona zizindikiro, kambiranani ndi dokotala mwamsanga.
Pankhani yowononga matenda a equina, ndi zachibadwa kuti muchite manyazi ndikukambirana zomwe mukuwona, kapena kuopa kuti muziyang'ana. Koma kumbukirani, kuchita zimenezi panthawi yake kungapulumutse moyo wanu - kapena osachepera, umoyo wanu.
Zotsatira:
Cauda Equina Syndrome. American Association of Neurological Surgeons. November 2005. https://www.aans.org/Patient%20Information/Conditions%20and%20Treatments/Cauda%20Equina%20Syndrome.aspx
Lavy, C., James, A., Wilson-MacDonald, J., Fairbank, J. Cauda amafanana ndi matenda. British Medical Journal. March 2009. http://www.bmj.com/content/338/bmj.b936?thiasp=authn:1364218072:4315929:35450631:0:0::zinzinoEakVjG3bIFW8DtxPA%3D%3D
OrthoInfo, Cauda Equina Syndrome. American Academy of Orthopedic Surgeon webusaiti. October 2007. http://orthoinfo.aaos.org/topic.cfm?topic=a00362
Syelrome ya Shiel, W. Cauda. Medicinenet. http://www.medicinenet.com/cauda_equina_syndrome/article.htm#what_is_cauda_equina_syndrome Yapezeka mu November 2013.