Tarlov Cyst: Chomwe chiri, Chithandizo ndi Kuuma

Zamkati

• Zizindikiro za chotupa cha Tarlov
• Mayeso ofunikira
• Chithandizo cha Tarlov cyst
• Nthawi yoti achitidwe opareshoni

Chotupa cha Tarlov nthawi zambiri chimapezeka pakuwunika monga kuyesa kwa MRI kuti muwone msana. Nthawi zambiri sizimayambitsa matendawa, sizowopsa, komanso sizifunikira chithandizo chamankhwala, kukhala owopsa komanso osasanduka khansa.

Chotupa cha Tarlov kwenikweni ndichotupa chodzaza madzi, chomwe chili mu sacrum, pakati pa vertebrae S1, S2 ndi S3, makamaka pamizu ya mitsempha ya msana, m'matumba okhala ndi msana.

Munthuyo akhoza kukhala ndi chotupa chimodzi kapena zingapo, ndipo kutengera komwe kuli komweko kumatha kukhala kwamayiko awiri ndipo ikakhala yayikulu kwambiri amatha kupondereza mitsempha, ndikupangitsa kusintha kwamanjenje, monga kulasa kapena kudandaula, mwachitsanzo.

Zizindikiro za chotupa cha Tarlov

Pafupifupi 80% ya milandu, khungu la Tarlov lilibe zisonyezo, koma cyst iyi ikakhala ndi zizindikilo, itha kukhala:

• Kupweteka kwa miyendo;
• Kuvuta kuyenda;
• Ululu wammbuyo kumapeto kwa msana;
• Kupweteka kapena dzanzi kumapeto kwa msana ndi miyendo;
• Kuchepetsa chidwi m'dera lomwe lakhudzidwa kapena m'miyendo;
• Pakhoza kukhala kusintha kwa sphincter, ndi chiopsezo chotaya chopondapo.

Chofala kwambiri ndikuti kupweteka kokha kwakumbuyo kumabuka, ndikudziwika kuti ndi heniated disc, kenako adotolo amalamula kuti amvekenso ndikupeza chotupacho. Zizindikirozi ndizokhudzana ndi kupsinjika komwe chotupacho chimapanga pamizu ya mitsempha ndi mafupa a m'derali.

Zosintha zina zomwe zitha kuwonetsa izi ndikutupa kwa mitsempha ya sciatic ndi disc ya herniated. Phunzirani momwe mungalimbane ndi sciatica.

Zomwe zimayambitsa mawonekedwe ake sizidziwika bwino, koma amakhulupirira kuti chotupa cha Tarlov chimatha kukhala chobadwa kapena chokhudzana ndi zoopsa zina zakomweko kapena kukha mwazi kwa subarachnoid, mwachitsanzo.

Mayeso ofunikira

Nthawi zambiri, cyst ya Tarlov imawoneka pa sikani ya MRI, koma X-ray yosavuta imathandizanso kuwunika kupezeka kwa mafupa. Kuphatikiza apo, ndikofunikanso kuwunika kupezeka kwa zinthu zina monga ma disc a herniated kapena spondylolisthesis, mwachitsanzo.

Katswiri wa mafupa angapemphe mayesero ena monga computed tomography kuti aone momwe chotupachi chimakhudzira mafupa omuzungulira, ndipo ma electroneuromyography angafunsidwe kuti awone kuvutika kwa mitsempha ya mitsempha, kuwonetsa kufunika kochitidwa opaleshoni. Komabe, onse a CT ndi electroneuromyography amangofunsidwa pomwe munthu ali ndi zizindikilo.

Chithandizo cha Tarlov cyst

Chithandizo chomwe dokotala angakulangizeni chimaphatikizapo kumwa mankhwala opha ululu, zopumulira minofu, mankhwala opatsirana pogonana kapena ma epidural analgesia omwe angakhale okwanira kuwongolera zizindikirazo.

Komabe, physiotherapy imawonetsedwa makamaka kuti athane ndi zizindikiritso ndikusintha moyo wa munthu. Mankhwala ochiritsira thupi amayenera kuchitidwa tsiku ndi tsiku pogwiritsa ntchito zida zomwe zimachepetsa kupweteka, kutentha komanso kutambasula msana ndi miyendo. Kulimbikitsidwa kwa ma Artic and neural kungathandizenso nthawi zina, koma mulimonsemo ayenera kuyesedwa ndi physiotherapist panokha, chifukwa chithandizocho chimayenera kukhala payekhapayekha.

Nazi zina zomwe muthanso kuchita, kuphatikiza pakuwonetsa sciatica, zitha kuwonetsedweratu kuti muchepetse kupweteka kwakumbuyo komwe kumayambitsidwa ndi chotupa cha Tarlov:

Nthawi yoti achitidwe opareshoni

Munthu yemwe ali ndi zizindikilo ndipo samachita bwino ndi mankhwala ndi physiotherapy atha kusankha opaleshoni ngati njira yothetsera zizindikilo zawo.

Komabe, opareshoni samawonetsedwa kawirikawiri koma atha kuchita kuchotsa chotupacho kudzera mu laminectomy kapena kuboola kuti atulutse chotupacho. Nthawi zambiri amawonetsedwa ndi ma cyst opitilira 1.5 masentimita pomwe mafupa amasintha mozungulira iwo.

Nthawi zambiri, munthuyo sangapume pantchito ngati atangopereka chotupa ichi, koma atha kukhala wosayenera kugwira ntchito akapereka kuwonjezera pa cyst, zosintha zina zofunika zomwe zimalepheretsa kapena kulepheretsa ntchito.