Mutsipa wechipembenene synovial cyst isaga ye-fluid muchitsiko chechikwata chakabatanidzwa . Nyanzvi nyanzvi dzinobvumirana kuti synovial cysts dzinobatanidza neosteoarthritis kana zvimwe kuchinja kunogadzirisa kunogona kuitika mune izvo zvakabatanidzwa. Chaizvoizvo, chii chinoitika ndechokuti nekufamba kwenguva, uye nekupfeka uye kubvarura, chikamu chako chinosangana nekatetiti (chinhu chinoputika chiri mukati memubatanidzwa kuti chidzivirire uye chinotyisa) chinokanganisa.
Muchigadziriswa, bhandi rekubatana (rinonzi synovial lining) rinogona kukonzera kunze uye kugadzira cyst.
Nepo dzimwe mhando dzemakumbo emusana dzinozivikanwawo kuti dzinoumba musana, (semuenzaniso, Arachnoid cysts, Tarlov cysts nezvimwe) synovial cysts inowanikwa. Nezvo zvakati, synovial cysts inongova chikonzero chisingawanzwisisiki che kurwadziwa kwemuviri kana maronda.
Tsanga dziri mumutsipa dzinowanzove dzisingabviri, asi pazvinenge zvichiitika, dzinogona kukonzera myelopathy, iyo inofanirwa nekumanikidzwa pamutsipa wepelinha.
Kana iwe wakanga uchitsvaga, gangstyst ganglion inowanikwawo mumutsana, uye apo yakasiyana nema synovial cysts, inobatwa nenzira imwechete.
Apo Synovial Cysts Form
Kwose kwaunenge uri pamwe nekureba kwemupenya, synovial cyst inonzi synovial cyst. Zvakangofanana, maginhi synovial cysts anonzi anobva panzvimbo yavari. Saka kana iwe une imwe mumutsipa wako, inonzi chirervic synovial cyst.
Kana cyst inenge iri muzasi yako, inonzi lumbar synovial cyst, uye kana iri munzvimbo yako yepamusoro kana yekati shure inonzi thoracic synovial cyst.
Synovial cysts inogona kuitika kune rumwe rutivi rwemupenya wako kana kuti zvose zviri zviviri, uye zvinogona kuitika pane imwe chete yemagunha, kana pamatanho akawanda.
Nzvimbo inowanikwa yakawanda yemakumbo emagunha ari mumucheto wakadzika, panharaunda ye L4-L5.
Dr. Dr. Bydon, chirwere chepfungwa chinonzi spine paJohn Hopkins Medicine, rinotaura kuti 58% ye synovial cysts mumutsana inowanikwa pane iyi. (Chikamu cheL4-L5 ndicho chikwata chiri pasi pebhodhi yako.)
L4-5 ihwowo inzvimbo yepamusoro-soro musingaverengeki, iyo sezvatichakurukura pasi apa, inogona kunge yakabatana nekuumbwa kwe-cysts.
Zvikonzero Zvokutora Synovial Cysts Zvikuru
Kunyange zvisingawanzoitiki, synovial cysts zvakakosha kufunga nezvazvo nokuti dzinogona kuratidza kana neimwe nzira dzichibatana nemamiriro ezvinhu anorwadza akadai sechirwere chinokonzera chirwere, spinal stenosis kana, zvakanyanya, cauda equina syndrome .
Bydon inoti kunyange zvazvo nyanzvi dzisingakwanisi kuziva kuti nei musana wemagunha, zvinofungidzirwa kuti dzakabatana nemusana wemagunha uye kuchinja kunokonzera mumharuro.
Anotsanangura kuti 33% yevarwere vanouya ne synovial cyst vanopawo ne spondylolisthesis.
Zviratidzo
Kana chirwere chemusana chinopindirana kana chinomhanya pamutsipa weperminal root munzvimbo yacho, zvichida iwe uchaona zviratidzo zve radiculopathy. Zvimwe zviratidzo zvepasipini synovial cysts, maererano neBydon inosanganisira kurwadziwa kwakanyanya kwemawere, neurogenic claudication, iyo ndiyo yekare yezviratidzo zvakabatana nemusana wemaspenosis, uye kazhinji zvisingaiti, zviratidzo zvekhoda equina (matumbo uye / kana zvinetso zvechirwere, kushaya simba kwemakumbo uye sachigaro amnesia .)
Bydon inotaura kuti kuoma kwezviratidzo zvako zvingangodaro kunobva paukuru uye nzvimbo ye cyst.
Kurapa
Mamwe ma cysts anoramba ari maduku uye aripo mashoma zviratidzo. Zvimwe kunze kwekuongororwa nguva dzose, iwe unogona kunge usingadi kurapwa kana une rudzi urwu rwokukura. Tsamba dzinowanzoongororwa nenzira yeMRI.
Kana cyst yako inokuita marwadzo mazhinji, uye chirwere hachina ngozi kune hutano hwako, chiremba wako angaratidza chirwere che corticosteroid kana cyst aspiration. Asi izvi zvinorapa zvinogona kurarama maererano nezvinodiwa zvekununurwa kwehurwa, maererano neBydon, et. al. vari mukudzidza kwavo vane musoro unoti, "Kurapa kweSpinal Synovial Cyst," yakabudiswa muNeptember 2012 nyaya yeNyika Neurosurgery .
Vatsvakurudzi vekutsvakurudza uku vakaona kuti kutadza kwenhamba yemitambo iyi yaive inenge 50%.
Kana iwe uine marwadzo mazhinji kubva ku cyst yako, uye hutano hwako huchibvumira, chiremba wako angaratidza kuvhiyiwa zvakare. Asi ndeupi?
Maererano naXu, et. al. (Bydon yaiva mumwe wevanotsvakurudza) mune zvidzidzo zvavo zvine musoro, Zviitiko zvinosanganiswa nemarwadzo ekudzoka mushure mekudzoka kwekrisiti mushure mekugadzirwa kwemazana zana nemakumi mapfumbamwe nemashanu epinini synovial cysts: kuongororwa kwezana zana nemakumi matanhatu nemanomwe mitsva yakatevedzana, yakabudiswa mu Nyamavhuvhu 2010 nhau yeSpine, apo laminectomy uye hemilaminectomy yakashandiswa zvikuru mumamiriro emakumbo emagunha, uye kuti vanhu vazhinji, vanonzwa kurwadziwa kwekukurumidza kunotevera kuvhiyiwa. Asi mukati memakore maviri, vanyori vanoti, marwadzo angadzoka zvakare uye imwe cyst inogona kuumba. Bydon neboka rake revatsvakurudzi panzvimbo pacho vanoratidzira kudzvinyirira nekugadzirwa kwezviridzwa kunobvisa zvinetso zvinoramba zvichiitika.
Sources:
Bydon, A. Kurapa kweSpinal Synovial Cysts. Vhidhiyo, Neurology uye Neurosurgery. Johns Hopkins Mushonga.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciubba, D., Gokaslan, Z., Bydon, A., Kurapa kweSpinal Synovial Cyst September 2012.
Epstein N., Baisden J. Kuongororwa uye kutungamirirwa kwe synovial cysts: Kubudirira kwekuvhiya pamwe neyst aspiration. Kupera Neurol Int 2012; 3, Suppl S3: 157-66
Khan, A., Girardi, F. Spinal nyanzvi yemasikirini. Kuongororwa uye kutarisana nharo. Eur Spine J. 2006 August; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Kuchengetedzwa kweLumbar Synovial Cysts Kushandisa Matanho Mashoma Okuvhiya. Neurosurgical Focus. 2006.
Xu R., et. al. Zviitiko zvinobatanidza nekurwadziwa kwekare kwekare uye kushandiswa kwekrisiti mushure mekuvhiya kushandiswa kwezana zana nemakumi mapfumbamwe nemashanu spinal synovial cysts: kuongororwa kwezana zana nemakumi matanhatu nemanomwe mitsva inotevera. Mutsara, May 2010.