Okunye ukulimala emuva kungase kuzwakale kujwayelekile kithi, ikakhulukazi emhlane ophansi, kodwa i-cyst Tarlov iya phambili. Kuyisimo ngokuvamile esingenazo izimpawu ezithile futhi sididekile nezinye ezifana nobuhlungu obuphansi emuva. Konke kudida kangangokuba sihlongoze ukunikeza impendulo futhi sifunde ukubona ukuthi sinalesi simila noma ubuhlungu bethu buvela kwenye into.
I-cyst ye-Tarlov kulula kakhulu ukuyibona futhi ivame ukutholakala ngenhlanhla lapho isiguli sizoba ne-X-ray noma i-MRI yomgogodla, ikakhulukazi ongezansi. Le cyst itholakala eduze kwe-coccyx futhi ihlobene nesinye sezimbangela zobuhlungu obuphansi emuva, nakuba kuyinto namuhla engakaze iqinisekiswe i-100%.
I-cyst ye-Tarlov ihlala iyimfihlakalo encane emithini yesimanje, nakuba izinto eziningi zaziwa ngayo, njengokuthi iyini, ukuthi yakhiwe kanjani, ezinye izimbangela zokubukeka kwayo kanye nezimpawu ezivame kakhulu, nakuba iningi leziguli lingabonakali.
Kuyini futhi kwenziwa kanjani i-cyst Tarlov?
Ngamafuphi, ziyinqwaba egcwele uketshezi lwe-cerebrospinal olukhula kuma-meninges omgogodla. Kulabo abangazi, ama-meninges ayizingqimba zangaphakathi ezibizwa ngokuthi i-pia mater kanye ne-arachnoid mater esiza ukuvikela imizwa yomgogodla womgogodla. Indawo evame kakhulu lapho kuvela khona la ma-cysts i-lumbar noma indawo ye-sacral, nakuba kungenzeka ukuthi iphinde ivele emgodleni we-thoracolumbar kanye ne-coccygeal.
Lezi zinhlobo zama-cysts zaziwa ngokuthi yi-perineural, periradicular noma i-arachnoid cysts futhi lena ikakhulukazi yatholwa ngo-1938 udokotela Tarlov, yingakho igama. Lezi zinhlobo zama-cyst ziyinkimbinkimbi, kunzima ukwelapha futhi zibeka engcupheni ethile empilweni yesiguli njengoba izinzwa zomgogodla ziyingxenye ye-cyst ngokwayo, ngakho-ke, lapho kwenziwa ukuhlinzwa, kungase kwephuke inzwa eyodwa noma eminingana, kubangele ukulimala okukhulu isiguli.
Lawa ma-cysts avame kakhulu kwabesifazane kunamadoda futhi kukhona izindlela zokwelapha ezihlukene zokuwenza anyamalale, kuhlanganise nokubaluleka kokudla okunempilo, okungenzeka, kulokhu, kungaba ukudla okune-alkali. Iqukethe ukudla okwandisa i-pH yomzimba kwazise lolu hlobo lokudla lusekelwe enkolelweni yokuthi izifo eziningi ziba khona ngenxa yokuba ne-pH ephansi.
Ziyini izimbangela?
Lesi simila sinezimbangela eziningi, kodwa akekho onobudlelwane obufakazelwe obungu-100%, ngakho sikhuluma ngemibono. Ngakolunye uhlangothi kuthiwa umsuka walo ungaba wukuhlukumezeka endaweni kwazise iyisaka elinoketshezi lwe-cerebrospinal elingenayo indawo yokuphuma, kunesango lokungena kuphela. Esinye isizathu esicatshangelwayo ukusetshenziswa kwe-anesthesia endaweni ye-epidural.
Kukhona nodaba lokuthi ukungajwayelekile kokuzalwa. Le nkolelo-mbono igxile ngqo ohlotsheni oluthile lokungahambi kahle ekwakhekeni kolwelwesi oluzungeze ubuchopho olwaziwa ngokuthi ama-meninges. Ezinye izimbangela zihlanganisa ukopha kwe-subarachnoid.
Njengoba sibona azikho izimbangela eziqondile. Okubonakala bevumelana ngakho ochwepheshe ukuthi ukubonakala kwalezi zimila kungenxa yokwanda komfutho wendawo woketshezi lwe-cerebrospinal kanye nesenzakalo se-valvular esingavamile esivumela ukuthi lolu ketshezi lungene ku-cyst, kodwa lungakwazi ukuphuma.
Ingabe i-cyst ye-Tarlov inezimpawu?
Sesivele siyithuthukisile izigaba ezimbalwa ezingenhla futhi okungukuthi i-cyst Tarlov i-asymptomatic, ngakho-ke ayivezi izimpawu eziqondile neziphawulekayo ezisenza sisole ukuthi sine-cyst endaweni yethu ye-sacral. Izikhathi eziningi la ma-cyst awabonakali kahle futhi atholwa ngenhlanhla ukuhlolwa kwe-radiological ngezinye izikhathi okungafuneki lutho ngemuva.
Sithi "iningi", ngoba kunezimo lapho kuba khona izimpawu ezithile lapho ubuhlungu bugqama ngaphezu kwakho konke. Masikhumbule ukuthi phakathi kwala ma-cysts kunezingalo zemizwa futhi njengoba ubukhulu be-cyst bukhula (hhayi bonke bakhula) ukucindezela kuyanda futhi imizwa iqala ukuthinteka ngemiphumela efana nobuhlungu. Kwezinye izimo ubuhlungu buyabekezeleleka futhi bulungiswa ngemithi kanti kwezinye izimo ubuhlungu bukhulu kangangokuthi kufanele kuthathwe izinyathelo ezinqala.
Uma leso sibonakaliso sibonakala, sinezinhlungu eziphansi emuva, yingakho i-cyst ye-Tarlov ngezinye izikhathi ikholelwa ukuthi iyimbangela yobuhlungu obuphansi futhi ingaboniswa kuphela nge-MRI. Ukusuka lapho kuqala umjaho wokuthola isisombululo, ukudambisa izinhlungu futhi ukwazi ukuphila impilo ejwayelekile.
Ukuxilongwa nokwelashwa
Sesivele sikhiphe i-spoiler ngaphandle kokuqaphela nokuthi ukuxilongwa kwenziwa ngokusebenzisa amapuleti e-radiological kanye nama-magnetic resonances, nakuba kukhona nama-CT scans. Kuzoba udokotela onquma ukuthi iziphi izivivinyo okufanele zenziwe ukuze ahlole i-cyst futhi aphakamise ukwelashwa okuphumelela kakhulu noma okuncane.
Inkinga yangempela ngalolu hlobo lwe-cyst ukuthi luyakhula ngosayizi, kodwa akuvamile ukuthi i-cyst ishintshe ngobukhulu, ngakho-ke singaphumula kalula futhi senze ukuhlola okuqondile ukuze sibone ukuthi isekhona nokuthi yonke into ilungile. "kulungile".
Ukwelashwa kwamanje ngokuvamile kusekelwe ezimpawu zesiguli, okungukuthi, uma kungalimazi futhi kungashintshi ngosayizi, kubhekwa njalo ezinyangeni ezingu-6 noma ngonyaka. Kodwa-ke, lapho iqala ukubangela ubuhlungu noshintsho ngosayizi, kufanele wenze.
Enye yezindlela zokwelapha ezivame kakhulu i-physiotherapy, izidakamizwa ezilwa nokuvuvukala noma ama-analgesics, kodwa kufika iphuzu lapho ubuhlungu bungabekezeleleki futhi kufanele usebenze ngamandla futhi yilapho ithuba lokusebenza litshalwe etafuleni.
Ukusebenza okuvame kakhulu futhi okungenani okuyingozi kakhulu inketho khipha i-cyst bese uyivala ukuze ingagcwali ngoketshezi. Ukususwa kwe-cyst Tarlov kuyinkimbinkimbi kakhulu futhi kuyingozi, ngakho-ke akuyona inketho enconywa kakhulu.