Kunzwisisa Spinal Synovial Cysts: Mhedziso

Vanhu vakapfuura nekukuvara kwemusana vanogona kugadzira synovial spinal cyst senzira yekudzivirira musana unogona kukonzera zviratidzo zvinorwadza uye manzwiro. Kuziva zviratidzo kunobatsira here vatapi vehutano kugadzira chirongwa chekurapa chakakwana kuti vabvise marwadzo, kudzivirira kuwedzera kwemamiriro ezvinhu uye mamwe mamiriro emusana?

Spinal Synovial Cysts

Spinal synovial cysts ibhenign fluid-filled sacs inokura mumajoini emusana. Vanoumba nekuda kwekuderera kwemusana kana kukuvara. Ma cysts anogona kuumba chero kupi muzongoza, asi mazhinji anoitika munzvimbo yelumbar/kuzasi kumashure. Ivo vanowanzokura mumajoini kana majoini anochengeta vertebrae / musana mapfupa akabatana.

zviratidzo

Muzviitiko zvakawanda, synovial cysts haikonzeri zviratidzo. Nekudaro, chiremba kana nyanzvi ichada kutarisa zviratidzo zve degenerative disc chirwere, spinal stenosis, kana cauda equina syndrome. Kana zviratidzo zviripo, zvinowanzokonzera radiculopathy kana nerve compression, izvo zvinogona kukonzera kurwadziwa shure, kushaya simba, kupera simba, uye kupenya kunorwadza kunokonzerwa nekutsamwa. Kuoma kwezviratidzo kunoenderana nekukura uye nzvimbo ye cyst. Synovial cysts inogona kukanganisa rumwe rutivi rwemusana kana maviri uye inogona kuumba pane imwe musana kana pamazinga akawanda.

Migumisiro Inogona Kusanganisira

• Radiculopathy zviratidzo zvinogona kukura kana cyst kana kuzvimba kunokonzerwa ne cyst kukasangana nemusana wetsinga midzi. Izvi zvinogona kukonzera sciatica, kushaya simba, kupera simba, kana kuoma kudzora mamwe mamhasuru.
• Neurogenic claudication/impingement uye kuzvimba kwespinal nerves zvinogona kukonzera cramping, kurwadziwa, uye/kana kurira muzasi musana, makumbo, mahudyu, nemagaro. (Martin J. Wilby et al., 2009)
• Kana musana wemusana wakabatanidzwa, zvinogona kukonzera myelopathy /Kutsikirira kwakakomba kwepinal cord kunogona kukonzera chiveve, kushaya simba, uye kuenzanisa matambudziko. (Dong Shin Kim et al., 2014)
• Zviratidzo zvine chokuita necauda equina, kusanganisira matambudziko ehutu uye / kana dundira, kushaya simba kwegumbo, uye chigaro anesthesia / kurasikirwa kwekunzwa muhudyu, matako, uye perineum, zvinogona kuuya asi zvisingawanzoitiki, sezvakaita synovial cysts pakati nepakati nemutsipa. Kana thoracic uye cervical synovial cysts ikakura, inogona kukonzera zviratidzo senge chiveve, kurira, kurwadziwa, kana kushaya simba munzvimbo yakabatwa.

Zvinokonzera

Spinal synovial cysts inowanzokonzerwa nekuchinja kwekuchinja senge osteoarthritis inokura mumubatanidzwa nekufamba kwenguva. Nekugara uchipfeka uye kubvaruka, facet joint cartilage / zvinhu zviri mujointi zvinopa dziviriro, nzvimbo yakatsetseka, kuderedza kukweshera, uye kubatwa nekutya kunotanga kupera. Sezvo maitiro acho achienderera mberi, synovium inogona kugadzira cyst.

• Matambudziko, makuru uye madiki, ane kuzvimba uye kuderera mhedzisiro pamajoini anogona kukonzera kuumbwa kwe cyst.
• Inenge chikamu chimwe muzvitatu chevanhu vane spinal synovial cyst vanewo spondylolisthesis.
• Ichi chiitiko ndechekuti vertebrae inotsvedza kubva panzvimbo kana kubva pakurongeka ichienda kune vertebra iri pasi.
• Icho chiratidzo chekusagadzikana kwemusana.
• Kusagadzikana kunogona kuitika munzvimbo ipi neipi yemuzongoza, asi L4-5 ndiyo mazinga akajairika.
• Ichi chikamu chemuzongoza chinotora huremu hwepamusoro hwemuviri.
• Kana kusagadzikana kuchiitika, cyst inogona kukura.
• Zvisinei, cysts inogona kuumba pasina kusagadzikana.

kuongorora chirwere

• Cysts inowanzoonekwa kuburikidza neMRI. (Nancy E, Epstein, Jamie Baisden. 2012)
• Dzimwe nguva vanogona kuonekwa ne ultrasound, X-ray, kana CT scans.

mabatiro

Mamwe ma cysts anoramba ari madiki uye anokonzera mashoma kana asina zviratidzo. Cyst inoda kurapwa chete kana ichikonzera zviratidzo. (Nancy E, Epstein, Jamie Baisden. 2012)

Mararamiro Ekugadzirisa

• Nyanzvi yezvehutano inokurudzira kudzivirira zvimwe zviitiko zvinowedzera zviratidzo.
• Vanhu vanogona kurairwa kuti vatange kutambanudza uye kunonangwa zviitwa.
• Physical therapy kana occupational therapy inogonawo kukurudzirwa.
• Kushandiswa kwenguva nenguva kwe-over-the-counter nonsteroidal anti-inflammatories/NSAIDs senge ibuprofen nenaproxen kunogona kubatsira kubvisa marwadzo pano neapo.

Maitirwo Evarwere Vepanze

• Kune ma cysts anokonzera kurwadziwa kwakanyanya, chiveve, kushaya simba, uye zvimwe zvinhu, maitiro ekubvisa mvura / aspiration kubva mucyst anogona kukurudzirwa.
• Imwe ongororo yakawana kuti huwandu hwebudiriro hunotangira pa0 kusvika pa50 muzana.
• Vanhu vanoenda kuburikidza neshuviro vanowanzoda maitiro ekudzokorora kana fluid kuvaka-up ikadzoka. (Nancy E, Epstein, Jamie Baisden. 2012)
• Epidural corticosteroid jekiseni inogona kuderedza kuzvimba uye inogona kuva sarudzo yekubvisa marwadzo.
• Varwere vanokurudzirwa kugamuchira majekiseni asingapfuuri matatu pagore.

Nzira dzekuvhiya

Pamatambudziko akaoma kana anoramba aripo, chiremba anogona kukurudzira kuvhiyiwa kwedecompression kubvisa cyst uye pfupa rakakomberedza kuti abvise kudzvinyirira pamidzi yetsinga. Sarudzo dzekuvhiya dzinotangira kubva kudiki invasive endoscopic maitiro kusvika kuhombe, maoparesheni akavhurika. Iyo yakanakisa yekuvhiya sarudzo inosiyana zvichienderana nekuoma kwemamiriro ezvinhu uye kana kusagadzikana kwakabatana kuripo. Sarudzo dzekuvhiya dzinosanganisira:

• Laminectomy - Kubviswa kwebhoni chimiro chinodzivirira uye chinovhara musana canal / lamina.
• Hemilaminectomy - Yakagadziridzwa laminectomy apo chikamu chidiki chelamina chinobviswa.
• Facetectomy -Kubviswa kwechikamu chechikamu chakakanganisika chejoint apo synovial cyst iripo, kazhinji ichitevera laminectomy kana hemilaminectomy.
• Fusion yezvikamu zvezvikamu uye vertebra - Inoderedza vertebral kufamba munzvimbo yakakuvara.

1. Vanhu vazhinji vanonzwa kurwadziwa nekukurumidza mushure me laminectomy kana hemilaminectomy.
2. Fusion inogona kutora mwedzi mitanhatu kusvika mipfumbamwe kupora zvachose.
3. Kana kuvhiyiwa kukaitwa pasina kusanganiswa kwakatangira cyst, marwadzo anogona kudzoka, uye imwe cyst inogona kuumbwa mukati memakore maviri.
4. Kuvhiya Matambudziko anosanganisira kutapukirwa, kubuda ropa, uye kukuvara kumusana kana nerve midzi.

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Mawaniro Andakaita Kufamba Kwangu Kudzoka NeChiropractic

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References

Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Kuwanda uye pathogenesis ye synovial cysts mukati me ligamentum flavum mune varwere vane lumbar spinal stenosis uye radiculopathy. Muzongoza, 34(23), 2518–2524. doi.org/10.1097/BRS.0b013e3181b22bd0

Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). Acute myelopathy inokonzerwa necervical synovial cyst. Nyaya yeKorea Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Kuongororwa uye manejimendi e synovial cysts: Kubudirira kwekuvhiya kunopesana necyst aspiration. Kuvhiya tsinga dzepasi rose, 3(Suppl 3), S157–S166. doi.org/10.4103/2152-7806.98576