Mphepete mwa msana ndi chikwama cha madzi m'kati mwa chipinda chophatikizana . Akatswiri ambiri amavomereza kuti synovial cysts ndi ofanana ndi osteoarthritis kapena kusintha kwina kosasintha komwe kungapangidwe mu mgwirizano umenewo. Kwenikweni, chomwe chimachitika ndi chakuti pakapita nthawi, ndipo mutagwedezeka, mbali yanu yothandizana nayo (chinthu chophatikizidwa kuti chikhale chitetezo ndi kutsekemera).
Pogwiritsa ntchito njirayi, chida chogwirizanitsa (chotchedwa synovial lining) chikhoza kutulutsa ndi kupanga penti.
Ngakhale kuti mitundu ina ya mphutsi yamtsempha imadziwika kuti imapanga msana, (mwachitsanzo, Arachnoid cysts, Tarlov cysts ndi ena) synovial cysts ambiri. Ndizinenedwa kuti, synovial cysts ndizovuta chifukwa chakumva kupweteka kapena msana.
Mphepete mwa khosi nthawi zambiri imakhala yosawerengeka, koma zikachitika, zimayambitsa myelopathy, zomwe zimakhala zizindikiro chifukwa cha kupweteka kwa msana.
Ngati mukudabwa, mabungwe a ganglion amapezeka mumsana, ndipo pamene amasiyana ndi synovial cysts, amachitidwa chimodzimodzi.
Kumene kuli ma Synovial Cysts Form
Kulikonse komwe muli pamtunda, msana wa synovial ndi chida cha synovial. Mofananamo, ziphuphu zamtsempha zimatchulidwa kuchokera kumadera omwe ali. Kotero ngati muli ndi imodzi m'khosi mwanu, imatchedwa kervical synovial cyst.
Ngati mphutsiyi ili pamsana wanu, imatchedwa lumbar synovial cyst, ndipo ngati ili pamtunda kapena kumbuyo kwanu imakhala ngati thoracic synovial cyst.
Synovial cysts ikhoza kuchitika kumbali imodzi ya msana wanu kapena zonse ziwiri, ndipo zimatha kuchitika pamtunda umodzi, kapena pamagulu angapo.
Malo ofala kwambiri a msana wam'mimba ali kumbuyo kwenikweni, pa gawo la L4-L5.
Dr Ali Bydon, opaleshoni yam'chipatala ku Johns Hopkins Medicine, akuti 58% ya synovial cysts mu msana akupezeka pamtunda uwu. (Mbali ya L4-L5 ndi mlingo womwe uli pamunsi pa batani.)
L4-5 ndilo gawo la kusakhazikika kwakukulu kwa msana , monga momwe tidzakambirane pansipa, zikhoza kukhala zokhudzana ndi mapangidwe a cysts.
Zifukwa Zotengera Zithunzi Zambiri Zambiri
Ngakhale zosavuta, synovial cysts ndizofunikira kuziganizira chifukwa zingasonyeze kapena zokhudzana ndi zinthu zowawa monga matenda osokoneza bongo, spinal stenosis kapena, poipa, matenda a cauda equina .
Bydon akuti ngakhale akatswiri sakanatha kudziwa chifukwa cha msana wamtsempha, amalingalira kuti ndi ofanana ndi msinkhu wosasinthasintha ndi kusinthika kwa msana.
Amanena kuti 33% mwa odwala omwe ali ndi synovial cyst amasonyezanso ndi spondylolisthesis.
Zizindikiro
Ngati mphutsi yamkati imayambira kapena imayambitsa mizu ya msana mumderalo, mwinamwake mudzawona zizindikiro za radiculopathy. Zizindikiro zina za msana wa msana, malinga ndi Bydon zimapweteka kwambiri, kupwetekedwa kwa mphuno, zomwe zimakhala zozizwitsa zokhudzana ndi msana, ndipo nthawi zambiri, zizindikiro za cauda equina (matenda otupa kapena / kapena chikhodzodzo, zofooka za m'mimba ndi zoperewera zamatumbo .)
Bydon akunena kuti kuopsa kwa zizindikiro zanu kumadalira kukula kwake ndi malo ake.
Chithandizo
Ma cysts ena amakhala ochepa komanso ochepa. Zina kusiyana ndi kufufuza nthawi zonse, simungafunike chithandizo ngati muli ndi mtundu woterewu. Mphepete mwachidziwitso amapezeka kuti ndi MRI.
Ngati cyst yanu imakupweteketsani kwambiri, ndipo opaleshoniyo ndi yoopsa kwambiri chifukwa cha thanzi lanu, dokotala wanu akhoza kupereka injection ya corticosteroid kapena aspiratory aspirations. Koma mankhwalawa sangagwirizane ndi zomwe mukuyembekeza kupumula kupweteka, malinga ndi Bydon, et. al. mu kafukufuku wawo wakuti, "Kuchiza Mankhwala Opatsirana," yofalitsidwa mu Nsanja ya Olonda ya September 2012 ya World Neurosurgery .
Ofufuza pa kafukufukuyu adazindikira kuti kulephera kwa njirayi kunali pafupifupi 50%.
Ngati muli ndi ululu wochuluka kuchokera mumsana wanu, ndipo ngati mukuloledwa, dokotala wanu angakuuzeni opaleshoni yatsopano. Koma ndi liti?
Malingana ndi Xu, et. al. (Bydon anali mmodzi mwa ofufuza) mu phunziro lawo, Zomwe zimagwirizanitsa ndi ululu wammbuyo wam'mbuyo ndi kubwezeretsa chifuwa pambuyo pochita opaleshoni ya zana limodzi makumi asanu ndi anayi mphambu zisanu ndi zisanu ndi zisanu ndi zitatu zapinsana: kusanthula milandu zana limodzi makumi asanu ndi limodzi mphambu zisanu ndi ziwiri zotsatizana, zomwe zinafalitsidwa mu Magazini ya May 2010, pamene laminectomy ndi hemilaminectomy zimagwiritsidwa ntchito kwambiri pamagulu a msana, ndipo anthu ambiri, amamva kupweteka kwadzidzidzi pakutsata opaleshoniyi. Koma mkati mwa zaka ziwiri, olemba amati, kupweteka kungabwerere komanso kachilomboka kangapangidwe. Bydon ndi gulu lake la kafukufuku m'malo mwake amasonyeza kuponderezana ndi kusungunula kwapadera kuti athetse mavuto obwerezabwereza.
Zotsatira:
Bydon, A. Chithandizo cha Spinal Synovial Cysts. Video, Neurology ndi Neurosurgery. Johns Hopkins Mankhwala.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciubba, D., Gokaslan, Z., Bydon, A., Chithandizo cha Zida Zam'madzi September 2012.
Epstein N., Baisden J. Kuzindikira ndi kusamalira ma synovial cysts: Kuchita opaleshoni pochita opaleshoni. Opaleshoni Neurol Int 2012; 3, Suppl S3: 157-66
Khan, A., Girardi, F. Spinal zumbar synovial cysts. Kusanthula ndi kuyendetsa mavuto. Eur Spine J. 2006 August; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Kuchiza Mankhwala a Lumbar Synovial Cysts Kugwiritsa Ntchito Njira Zosavuta Zopangira Opaleshoni. Maganizo Achipatala. 2006.
Xu R., et. al. Zinthu zomwe zimagwirizanitsa ndi ululu wammbuyo wam'mbuyo ndi kubwezeretsa chifuwa pambuyo pochita opaleshoni resection of hundred and ninety-five magnetic synovial cysts: kusanthula milandu zana limodzi makumi asanu ndi limodzi mphambu zisanu ndi ziwiri zotsatizana. Mphepo, Meyi 2010.