Zowonongeka Kwambiri

Zamkati

• Kodi zotupa za perineural ndi chiyani?
• Zizindikiro za perineural zotupa
• Zimayambitsa perineural zotupa
• Matenda a perineural cysts
• Kuchiza kwa ma perineural cysts
• Chiwonetsero

Kodi zotupa za perineural ndi chiyani?

Ma perineural cysts, omwe amadziwikanso kuti Tarlov cysts, ndimatumba odzaza madzi omwe amakhala pamtambo wa mitsempha, makamaka mdera la msana. Amathanso kupezeka kwina kulikonse mumsana. Amapanga mozungulira mizu ya mitsempha. Ma perineural cysts ndi osiyana ndi ma cysts ena omwe amatha kupanga mu sacrum chifukwa mitsempha ya msana imapezeka mkati mwa zotupa. Amayi amakhala othekera kuposa amuna kukhala nawo.

Munthu amene ali ndi zotupa zotere mwina sangazidziwe, chifukwa sizimayambitsa matendawa. Akayamba kuyambitsa zizindikilo, komabe, chimodzi mwazofala kwambiri ndikumva kupweteka kumbuyo, matako, kapena miyendo. Izi zimachitika kawirikawiri pamene ma cysts amakula ndi msana wamtsempha ndikusindikiza mitsempha.

Chifukwa nthawi zambiri samayambitsa zisonyezo, ma perineural cysts nthawi zambiri samapezeka. Dokotala amatha kudziwa ngati muli ndi zotupa pogwiritsa ntchito luso lojambula. Perineural cysts nthawi zambiri samazindikira chifukwa zizindikiro ndizosowa. Zotupazo zimatha kuthiridwa kuti zizipereka mpumulo kwakanthawi kwa zizindikilo. Kuchita maopareshoni kokha ndi komwe kumalepheretsa kuti abwerere kapena kudzazidwanso ndimadzimadzi ndikupanganso zizindikiro. Komabe, opaleshoni imayenera kuonedwa ngati njira yomaliza, chifukwa imabweretsa zoopsa zazikulu. Kuphatikiza apo, maopareshoni samachita bwino nthawi zonse, ndipo amatha kusiya wodwalayo ali ndi mavuto okulirapo. Nthawi zambiri, zotupa zomwe zimayambitsa matenda osachiritsidwa zimatha kuwononga dongosolo lamanjenje.

Zizindikiro za perineural zotupa

Anthu omwe ali ndi zotupa zaperesi sangakhale ndi zizindikilo zilizonse. Anthu ambiri omwe ali nawo samadziwa kuti alipo. Zizindikiro zimachitika kokha pamene ma cysts amadzaza ndimadzimadzi amtsempha ndikukula kukula. Izi zikachitika, ma cyst okulitsa amatha kupondereza mitsempha ndikuyambitsa mavuto ena.

Chizindikiro chofala kwambiri chokhudzana ndi zotupa zapine ndi kupweteka. Ma cysts otukuka amatha kupanikiza mitsempha ya sciatic, ndikupangitsa sciatica. Vutoli limadziwika ndi kupweteka kwakumunsi kwakumbuyo ndi matako, ndipo nthawi zina kutsika kumbuyo kwa miyendo. Kupweteka kumatha kukhala kwakuthwa komanso kwadzidzidzi kapena pang'ono pang'ono komanso kupweteka. Sciatica nthawi zambiri imatsagana ndi dzanzi m'malo omwewo, komanso kufooka kwa minofu kumapazi ndi miyendo.

M'mavuto akulu pomwe zotupa za m'matumbo zakula, pakhoza kukhala kutayika kwa chikhodzodzo, kudzimbidwa, kapenanso kutha kwa kugonana. Kukhala ndi izi ndizotheka, koma ndizochepa kwambiri.

Zimayambitsa perineural zotupa

Zomwe zimayambitsa ma cysts m'munsi mwa msana sizidziwika. Koma pali zifukwa zomwe ma cysts amatha kukula ndikupangitsa zizindikilo. Ngati munthu akukumana ndi zoopsa kumbuyo, ma cystine amayamba kudzaza ndimadzimadzi ndikupangitsa zizindikilo. Mitundu yamavuto omwe amatha kuyambitsa zizindikilo izi ndi awa:

• kugwa
• kuvulala
• ntchito yolemetsa

Matenda a perineural cysts

Chifukwa ma cyst ambiri amtundu uliwonse samakhala ndi zisonyezo, nthawi zambiri samapezeka. Dokotala wanu amatha kuyitanitsa mayeso azithunzi kuti muwazindikire ngati muli ndi zizindikiro. Ma MRIs amatha kuwonetsa zotupa. Kujambula kwa CT ndi utoto wojambulidwa mumsana kumatha kuwonetsa ngati madzimadzi akuyenda kuchokera msana kupita muma cysts mu sacrum.

Kuchiza kwa ma perineural cysts

Nthawi zambiri ma perineural cysts samalandira chithandizo. Koma ngati muli ndi zizindikilo, angafunike chithandizo kuti muchepetse kupanikizika komanso kusapeza bwino. Kukonzekera mwachangu ndikutsitsa ma cysts amadzimadzi. Izi zitha kuthetsa zizolowezi nthawi yomweyo, koma si chithandizo chanthawi yayitali. Ziphuphu nthawi zambiri zimadzaza.

Chithandizo chokhacho chokhazikika cha ma cyst perineural ndikuwachotsa opaleshoni. Kuchita opaleshoni nthawi zambiri kumalimbikitsidwa kupweteka kwambiri, komanso mavuto a chikhodzodzo kuchokera ku zotupa.

Chiwonetsero

Nthawi zambiri ma perineural cysts, mawonekedwe ake ndiabwino kwambiri. Anthu ambiri omwe ali ndi zotupazi sadzakhala ndi zizindikilo kapena amafunikira chithandizo chilichonse. Peresenti imodzi yokha ya anthu omwe ali ndi zotupa zoperewera amakhala ndi zizindikilo. Kwa iwo omwe ali ndi zizindikilo, chidwi ndi jakisoni wokhala ndi guluu wa fibrin ndizothandiza, kwakanthawi kochepa. Kuchita opaleshoni kuchotsa ziphuphu ndi njira yoopsa yomwe imakhala ndi zoopsa zazikulu. Kuwonongeka kwa mitsempha kumatha kuchitika kwa anthu omwe ali ndi ma cysts azizindikiro omwe safuna chithandizo, koma amatha kuchitika ndi omwe amachitidwanso opaleshoni. Zowopsa ndi maubwino ayenera kukambirana ndikuyeza mosamala asanachitike opaleshoni.