I-Tarlov Cyst: Yintoni le, unyango kunye nobunzima

Umxholo

• Iimpawu zeTarlov's cyst
• Iimviwo eziyimfuneko
• Unyango lweTarlov cyst
• Nini ukwenza utyando

I-cyst yeTarlov ihlala ifunyanwa kuvavanyo olufana nokuvavanywa kweMRI ukuvavanya umqolo. Ngokwesiqhelo ayibangeli zimpawu, ayinzulu, kwaye ayifuni nonyango lotyando, ilunge ngokupheleleyo kwaye ayijiki ibe ngumhlaza.

I-cyst ye-Tarlov ngokwenene i-dilation encinci egcwele i-fluid, efumaneka kwi-sacrum, phakathi kwe-vertebrae S1, S2 kunye ne-S3, ngokukodwa kwiingcambu zentsholongwane yomgudu, kwiimfucu ezigubungele intambo yomgogodla.

Umntu unokuba ne-cyst ye-1 kuphela okanye ezininzi, kwaye kuxhomekeke kwindawo ekuyo inokuba ngamacala amabini kwaye xa zikhulu kakhulu zinokucinezela imithambo-luvo, zibangele utshintsho lweemvakalelo, njengokugungqa okanye ukothuka, umzekelo.

Iimpawu zeTarlov's cyst

Kwimeko engama-80% yamatyala, i-cyst Tarlov ayinayo impawu, kodwa xa le cyst inempawu, ingaba:

• Iintlungu emilenzeni;
• Kunzima ukuhamba;
• Umqolo obuhlungu emva komqolo;
• Ukucofa okanye ukuba ndindisholo ekupheleni komqolo kunye nemilenze;
• Ukunciphisa ubuntununtunu kwindawo echaphazelekayo okanye emilenzeni;
• Kukho utshintsho kwi-sphincter, kunye nomngcipheko wokulahleka kwesitulo.

Eyona nto ixhaphakileyo kukuba buhlungu kuphela emva, kunye ne-disc ye-herniated, kwaye ugqirha uyalela i-resonance kwaye ufumanisa i-cyst. Ezi mpawu zinxulumene noxinzelelo olwenziwa yi-cyst kwiingcambu ze-nerve kunye nakwiindawo ezinobungqina bommandla.

Olunye utshintsho olunokuthi lubonakalise ezi mpawu kukudumba kwentliziyo ye-sciatic kunye nediski ye-herniated. Funda indlela yokulwa i-sciatica.

Izizathu zokubonakala kwazo azaziwa ngokupheleleyo, kodwa kukholelwa ukuba i-cyst ye-Tarlov ingaba yinto yokuzalwa okanye inxulumene nokulimala kwendawo okanye i-subarachnoid hemorrhage, umzekelo.

Iimviwo eziyimfuneko

Ngokuqhelekileyo, i-cyst's Tarst ibonakala kwi-MRI scan, kodwa i-X-ray elula ingaba luncedo ukuvavanya ubukho be-osteophytes. Ukongeza, kubalulekile ukuvavanya ubukho bezinye iimeko ezinje ngeediski ze-herniated okanye i-spondylolisthesis, umzekelo.

Ugqirha wamathambo unokucela ezinye iimvavanyo ezinje ngecomputer tomography ukuvavanya ifuthe lale cyst kumathambo amjikelezileyo, kwaye i-electroneuromyography inokucelwa ukuba ivavanye ukubandezeleka kwengcambu yengcambu, ibonise isidingo sotyando. Nangona kunjalo, zombini i-CT kunye ne-electroneuromyography ziyacelwa kuphela xa umntu eneempawu.

Unyango lweTarlov cyst

Unyango olunokucetyiswa ngugqirha lubandakanya ukuthatha iipilisi zeentlungu, izihlunu eziphumlayo, izinto zokudambisa okanye i-analgesia ye-epidural enokwanela ukulawula iimpawu.

Nangona kunjalo, i-physiotherapy ibonakaliswe ngokukodwa ukulwa neempawu kunye nokuphucula umgangatho wobomi bomntu. Unyango lwe-Physiotherapeutic kufuneka lwenziwe yonke imihla kusetyenziswa izixhobo ezinceda ukunciphisa iintlungu, ubushushu kunye nokuzolula umqolo kunye nemilenze. Ukudityaniswa kwe-articular kunye ne-neural kunokuba luncedo kwezinye iimeko, kodwa imeko nganye kufuneka ihlolwe ngugqirha womzimba buqu, kuba unyango kufuneka lubelomntu ngamnye.

Nazi ezinye zeendlela zokuzilolonga, ukongeza ekubonisweni kwe-sciatica, ezinokubonakaliswa ukunciphisa iintlungu zangasemva ezibangelwa yi-cyst kaTarlov:

Nini ukwenza utyando

Umntu oneempawu kwaye akaphucuki kunyango kunye ne-physiotherapy unokukhetha ukwenza utyando njengendlela yokusombulula iimpawu zabo.

Nangona kunjalo, utyando alufane luboniswe kodwa lunokwenziwa ukususa i-cyst ngokusebenzisa i-laminectomy okanye ukubhoboza ukukhupha i-cyst. Ihlala iboniswa kwii-cysts ngaphezulu kwe-1.5 cm kunye notshintsho lwethambo olujikelezileyo.

Ngokwesiqhelo, umntu akanakuthatha umhlala-phantsi ukuba uza kuphela nale cyst, kodwa usenokungakulungeli ukusebenza ukuba unikezela ukongeza kwi-cyst, olunye utshintsho olubalulekileyo oluthintela okanye luthintele umsebenzi.