Natually Inoratidzirwa Sei Mharapa Yemawere Inogona Kurwisa Nharo Pamabasa Ako
Cauda Equina Syndrome Yakatsanangurwa
Cauda equina syndrome haisi chinhu chinowanikwa mukati mehutachiona hwehutachiona hunenge huri pasi pemutsipa wesipinha unotsamwa. Kuvhiringidzika kunokonzerwa nechimwe chinhu chinosangana nemisungo inoratidzika.
Izwi rokuti cauda equina rinoreva "muswe webhiza"; iyo yakatumidzwa zvakadai nekuda kwekufanana.
Kazhinji, maziso ane mutsara anokonzera musana wepelinha uye midzi midzi yakaiswa mukatikati memutsara wepelinha mune imwe nzvimbo inozivikanwa semugero wemugwagwa.
Nenzira iyi, mishonga inonyanya kunzwa inodzivirirwa kubva kune zvivako zvinogona kuisa kuzvinetsa (izvo zvingangodaro zvinokonzera zviratidzo zvakadai sekurwadziwa uye / kana kuchinja kushanda).
Chii Chinokonzera Cauda Equina Syndrome?
Kazhinji yenguva, cauda syina syndrome inokonzerwa nehurukuro yakakura, yakanyatsotaridzika inonzi heniated pakati penharaunda yeL4 / 5 neL5 / S1. Maererano nekutsvakurudza kwakaongororwa neBritish Medical Journal , inenge 0.12% yemadhishi ose e- herniated muUnited States inogona kukonzera cauda equina.
Zvimwe, zvinokonzera zvishoma zvinosanganisira kushungurudzika kana kukuvadzwa kumucheto unoenda kumapfudzi uye / kana kushungurudzwa. Tumhondi kana zvirwere zvinopesana nekodda equina zvinogonawo kukonzera iyi syndrome. Bhubu rinoputika mumugwagwa wepelinha chimwe chinokonzera. Tuberculosis, Potts 'kuora mwoyo uye zvinokonzera iatrogenic (somuenzaniso kushandiswa kwepelinha paunenge uri pasi peanesthesia kana kuti mashure endoperative) zvinosanganisirawo, sezvakangoita zvinhu zvinogona kugadzirisa nzvimbo dzepaginal, dzakadai se cysts.
Iwe unogona kunge wakatarwa kuti uchengetedze equina syndrome kana iwe une spinal stenosis (ingave yakaruka kana inowanikwa). Kana ukawana stenosis pasi pewadhida yako equina syndrome, zvichida stenosis inobva pakuderedzwa kwe disc uye kupera kwezvikamu zvako zvechikamu . Iwe unogonawo kunge une thickened ligamentum flavum uye kuderedza mutsara wako wemugero.
Cauda Equina Syndrome Symptoms
Cauda equina syndrome inowanzoiswa mumasangano maviri ezvinyorwa, zvichienderana nechiratidzo chinoratidzira chekuchengetedza urinary.
Complete cauda equina inobatana nekuchengetwa kwemiguta asi kusakwana hakuna. Nekoddha yakakwana equina syndrome, kuchengetedza urinary kwave kuchionekwa. Uine maziso asina kukwana e-equina syndrome, unogona kuve nekuderedza kunakidzwa kwekuvhota, kuva nemvura shoma, kana zviratidzo zvakafanana, asi uchiri kukwanisa kurinate.
Kuchengetedza urinary kunogona kuve kwakakomba uye ndicho chikonzero zvakakosha kuti uone kana ukacherechedza chero shanduko mune izvi.
Zvimwe zviratidzo zvewadhida equina syndrome zvinosanganisira kusagadzikana kwepabonde, kusagadzikana kwemuviri uye / kana kupera kana zvimwe zvinoshanduka zvinotenderera zvakakomberedza anus. (Numbness zvakakomberedza anus inonzi "chigaro chekuchengetedza aneshehesia.") Ichokwadi, kurwadziwa kwemuviri chiratidzo, sezvinofungwa kana motokari kuchinja muzvikamu zvako zvepasi (kusanganisira utera uye / kana kurasikirwa kwemafungiro nezvimwe.) Kurwadziwa kwemuviri chiratidzo , sezvinofungwa kana motokari kuchinja muzvikamu zvako zvishoma (kusanganisira utera uye / kana kurasikirwa kwezvirangariro nezvimwe.)
Cauda equnia syndrome zviratidzo zvinogona kuzvipa mune imwe yezvikamu zvitatu zvakazara, izvo zvinonzi "marudzi." Ndizvo:
- Tanga 1: Symptoms yakaoma uye inouya kamwe kamwe uye zvikuru. Zviratidzo zvehadhida equina syndrome inokonzerwa ne disc inonzi herniated iri munzira iyi.
- Tora 2: Sekupedzisira kuenda shure rwendo rurefu rwekusingaperi mushure marwadzo, kana pasina sciatica .
- Tora 3: Insidiously, kwawakave uchiwedzera kuwedzera simba, uyewo urinary zviratidzo.
Kuongororwa Cauda Equina Syndrome
Cauda equina syndrome inokonzerwa nekuvhiringidza kana kusagadzikana kwemitsipa inosangana ne lumbar uye sacral vertebrae. Zvisinei, kuvhiringidzika kwakadaro kunongoratidzwa kuti so cauda equina kana chikwama chako, chifukidzo uye / kana basa repabonde hachina kukwana. Izvi zvinosanganisira chiratidzo chechigaro chechivharo kana sarafu aneshehesia, yakakurukurwa pfupi pfupi yapfuura, iyo kurasikirwa kwekunzwa kwakakomberedza anus.
Cauda equina syndrome inowanikwa neMRI, myelogram , kuongororwa kwakaitwa nerve yakadai sekuita nerve conduction velocity test uye / kana electromyography, CT scans.
Kana chiremba wako achifungira kuti iwe unotarisa equina, iwe uchange uchitungamirirwa mumuviri unoshandisa palpation (kubata) kuti uone kuwanda kwekunzwa uye kupindura kwakapoteredza anus uye rectum.
Mishonga yeCauda Equina Syndrome
Kazhinji yenguva, cauda syina syndrome inokonzerwa nekodhi yake; saka, kurapwa kwesarudzo kunogona kunge kuri kuvhiyiwa kwepinini kushandiswa, zvichida discectomy .
Kana imwe kadhi yako inofanana nechirwere chekuongorora chirwere ichi chinotsigirwa nachiremba wako, uye kana MRI yako ichiratidza kuti chikonzero chekudzvinyirirwa kwekodha equina inogona kuchinjwa, panguva iyoyo, kuvhiyiwa kunogona kuita kuti pfungwa yako ive yakakurumidza kurapwa.
Nezvo zvakataurwa, dzimwe nguva chirwere chinoda kuvharwa chinodiwa kuti udzivise kusagadzikana kusingagumi kwemuzasi wako (kana kumativi) pamwe neshungu yako, maronda kana kuita zvepabonde.
Migumisiro yekusachengetedzwa kwehadha equina syndrome inogona kuodzadza; ndizvo zvakafanana nehaudha equina syndrome inotapwa zvakanyanya. Usanonoka pakutaura nachiremba wako pamusoro pehutano hwako.
Kana pane chimwe chinhu kunze kwekambani yakakonzerwa nemakwenzi ari kukurudzira kushandiswa kwekodha yako equina, iwe uchada kushanda nemumwe nyanzvi kana kuti boka reongorori kugadzirisa dambudziko iroro, zvakare.
Paunenge usina chokwadi, Ita Zakatariswa - Kunyange Kana Uchinzwa Usingafari Nezvazvo
Nharo dzakapoteredza kuongororwa uye kurapwa kwe cauda equina syndrome zvinogona nyore nyore kuita chisarudzo. Zvisinei, ichi chiitiko chinogona kutyisa upenyu, kunyanya kana iwe usingateereri zviratidzo zvako. Kana ukacherechedza zviratidzo, taura nachiremba wako pakarepo iwe unogona.
Kana zvasvika pakurongedza equina syndrome, zvinongova zvepanyama kuti unzwe kunyadziswa pamusoro pekukurukura zvaunoona, kana kutyisa nezvekutarisa. Asi yeuka, kuzviita nenzira yakakodzera kunogona kuponesa hupenyu hwako - kana zvisingaiti, hupenyu hwako.
Sources:
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 equina syndrome. British Medical Journal. March 2009. http://www.bmj.com/content/338/bmj.b936?thiasp=authn 1364218072:4315929:35450631:0:0::zin0EakVjG3bIFW8DtxPA%3D%3D
OrthoInfo, Cauda Equina Syndrome. American Academy of Orthopedic Surgeons website. Gumiguru 2007. http://orthoinfo.aaos.org/topic.cfm?topic=a00362
Shiel, W. Cauda Equina Syndrome. Medicinenet. http://www.medicinenet.com/cauda_equina_syndrome/article.htm#what_is_cauda_equina_syndrome Yakasvika muna November 2013.