I-Tarlov Cyst: Kuyini, Ukwelashwa nokuqina

-Delile

• Izimpawu ze-cyst kaTarlov
• Izivivinyo ezidingekayo
• Ukwelashwa kwe-Tarlov cyst
• Uzohlinzwa nini

I-cyst kaTarlov ivame ukutholakala ekuhlolweni njenge-MRI scan ukuhlola umgogodla. Imvamisa ayibangeli zimpawu, ayisiyingozi, futhi ayidingi ukwelashwa ngokuhlinzwa, inesibindi ngokuphelele futhi ayiphenduki ibe ngumdlavuza.

I-cyst kaTarlov empeleni iyi-dilation encane egcwele uketshezi, etholakala kwi-sacrum, phakathi kwe-vertebrae S1, S2 ne-S3, ikakhulukazi ezimpandeni zomgogodla zomgogodla, ezicutshini ezikumgogodla.

Umuntu angaba ne-cyst eyodwa kuphela noma eziningana, futhi ngokuya ngendawo akuyo ingaba ngamazwe amabili futhi uma zinkulu kakhulu zingacindezela izinzwa, zibangele ushintsho lwezinzwa, njengokushaywa noma ukushaqeka, isibonelo.

Izimpawu ze-cyst kaTarlov

Ezimweni ezingaba ngu-80%, i-cyst Tarlov ayinazo izimpawu, kepha uma le cyst inezimpawu, ingaba:

• Ubuhlungu emilenzeni;
• Kunzima ukuhamba;
• Ubuhlungu emuva emuva komgogodla;
• Ukutetema noma ukuba ndikindiki ekugcineni komgogodla nasemilenzeni;
• Ukwehla kobuzwe endaweni ethintekile noma emilenzeni;
• Kungaba nezinguquko ku-sphincter, ngenengozi yokulahleka kwesitulo.

Okuvame kakhulu ukuthi kuvela izinhlungu zasemhlane kuphela, ne-disc esolwa nge-herniated, bese udokotela eyala i-resonance bese ethola i-cyst. Lezi zimpawu zihlobene nokucindezela okwenziwa yi-cyst ezimpandeni zezinzwa nasezingxenyeni ezingamathambo zaleso sifunda.

Olunye ushintsho olungaletha lezi zimpawu ukuvuvukala kwemizwa ye-sciatic ne-disc ye-herniated. Funda ukuthi ungalwa kanjani ne-sciatica.

Izimbangela zokubonakala kwayo azaziwa ngokuphelele, kepha kukholakala ukuthi i-cyst kaTarlov ingahle ibe nokuzalwa noma ihlobene nokuhlukumezeka kwasendaweni noma ukopha okungaphansi kwe-subarachnoid, ngokwesibonelo.

Izivivinyo ezidingekayo

Imvamisa, i-cyst kaTarlov ibonakala kuskena se-MRI, kepha i-X-ray elula ingasiza futhi ukuhlola ubukhona bama-osteophytes. Ngaphezu kwalokho, kubalulekile futhi ukuhlola ubukhona bezinye izimo ezinjengama-discs e-herniated noma i-spondylolisthesis, isibonelo.

Udokotela wamathambo angacela okunye ukuhlolwa okufana ne-computed tomography ukuhlola umthelela wale cyst emathanjeni amzungezile, futhi i-electroneuromyography ingacelwa ukuthi ihlolisise ukuhlupheka kwempande yezinzwa, kukhombisa isidingo sokuhlinzwa. Kodwa-ke, zombili i-CT ne-electroneuromyography ziyacelwa kuphela lapho umuntu enezimpawu.

Ukwelashwa kwe-Tarlov cyst

Imithi yokwelulekwa ngudokotela ifaka phakathi ukuphuza amaphilisi ezinhlungu, izidambisi zemisipha, imishanguzo yokulwa nokudangala noma i-analgesia ye-epidural enganele ukulawula izimpawu.

Kodwa-ke, i-physiotherapy ikhonjiswa ikakhulukazi ukulwa nezimpawu nokuthuthukisa ikhwalithi yempilo yomuntu. Ukwelashwa kwe-Physiotherapeutic kufanele kwenziwe nsuku zonke kusetshenziswa amadivayisi aqeda izinhlungu, ukushisa nokwelula emhlane nasemilenzeni. Ukugqugquzela i-Articular ne-neural nakho kungasiza kwezinye izimo, kepha icala ngalinye kufanele lihlolwe yi-physiotherapist uqobo, ngoba ukwelashwa kufanele kube komuntu ngamunye.

Nazi ezinye izivivinyo, ngaphandle kokuboniswa nge-sciatica, nazo zingakhonjiswa ukudambisa izinhlungu emuva ezibangelwa i-cyst kaTarlov:

Uzohlinzwa nini

Umuntu onezimpawu futhi angathuthuki ngemithi nange-physiotherapy angakhetha ukuhlinzwa njengendlela yokuxazulula izimpawu zabo.

Kodwa-ke, ukuhlinzwa akuvamile ukukhonjiswa kepha kungenziwa ukususa i-cyst ngokusebenzisa i-laminectomy noma ukubhoboza ukukhipha i-cyst. Imvamisa kuboniswa ama-cysts angaphezu kwe-1.5 cm ngokushintshwa kwamathambo okuzungezile.

Imvamisa, umuntu akakwazi ukuthatha umhlalaphansi uma ethula kuphela le cyst, kepha angahle angawulungeli umsebenzi uma ethula ngaphezu kwe-cyst, olunye ushintsho olubalulekile oluvimbela noma oluvimbela umsebenzi womsebenzi.