Fahamka Cysts Synovial Spinal: Dulmar

Shakhsiyaadka soo maray dhaawaca dhabarka ayaa laga yaabaa inay yeeshaan cystic laf-dhabarka laf-dhabarka si ay u ilaaliyaan lafdhabarta taasoo keeni karta calaamadaha xanuunka iyo dareenka. Ogaanshaha calaamadaha ma caawin karaan bixiyeyaasha xanaanada caafimaadka inay horumariyaan qorshe daaweyn oo dhamaystiran si ay xanuunka uga yareeyaan, uga hortagaan inay ka sii daraan xaalada iyo xaaladaha kale ee laf dhabarta?

Cysts Synovial Spinal

Cysts synovial spinal waa kiishash dareere ah oo aan fiicneyn oo ka soo baxa xubnaha laf dhabarta. Waxay u sameeyaan sababtoo ah hoos u dhaca laf dhabarta ama dhaawac. Fiixyadu waxay ka samaysan karaan meel kasta oo lafdhabarta ah, laakiin badi waxay ka dhacaan gobolka lumbar/dhabarka hoose. Waxay caadi ahaan ku koraan kala-goysyada wejiga ama isgoysyada ilaalinaya lafaha laf dhabarta oo isku xiran.

Calaamadaha

Inta badan, cysts synovial ma keenaan calaamado. Si kastaba ha noqotee, dhakhtarka ama takhasuska ayaa rabi doona inuu la socdo calaamadaha cudurka saxanka ee xumaaday, stenosis spinal, ama cauda equina syndrome. Marka calaamaduhu soo baxaan, waxay caadi ahaan keenaan radiculopathy ama isku-buuqa neerfaha, taas oo keeni karta xanuunka dhabarka, daciifnimo, kabuubyo, iyo xanuunka shucaaca ee ay keento xanaaqa. Darnaanta astaamuhu waxay ku xiran tahay xajmiga iyo meesha uu ku jiro cyst. Fiixsyada 'synovial cysts' waxay saameyn karaan hal dhinac oo laf dhabarta ah ama labadaba waxayna ka samaysan karaan hal qayb laf dhabarta ama heerar badan.

Saamaynta waxaa ka mid noqon kara

• Calaamadaha radiculopathy waxay kobcin karaan haddii cyst ama bararka uu keeno cyst uu la kulmo xidid dareemayaasha laf-dhabarka. Tani waxay keeni kartaa sciatica, daciifnimo, kabuubyo, ama adkaanta xakamaynta muruqyada qaarkood.
• Xanuunka neerfaha/caabuqa iyo caabuqa neerfaha laf dhabarta waxay sababi karaan casiraad, xanuun, iyo/ama xiirid xagga dhabarka hoose, lugaha, miskaha, iyo barida. (Martin J. Wilby iyo al., 2009)
• Haddii xudunta laf dhabarta ay lug ku leedahay, waxay keeni kartaa myelopathy/Xudunta laf dhabarta oo aad u daran taasoo keeni karta kabuubyo, daciifnimo, iyo dhibaatooyinka dheelitirka. (Dong Shin Kim et al., 2014)
• Calaamadaha la xidhiidha cauda equina, oo ay ku jiraan dhibaatooyinka mindhicirka iyo/ama kaadiheysta, daciifnimada lugaha, iyo suuxinta kooraha / luminta dareenka bowdada, barida, iyo perineum, ayaa soo bixi kara laakiin waa dhif, sida cysts synovial ee dhabarka dhexe iyo qoorta. Haddii fiix synovial ee dhuunta iyo ilmagaleenka ay soo baxaan, waxay keeni karaan calaamado sida kabuubyo, xiirid, xanuun, ama daciifnimo aagga ay dhibaatadu saameysey.

Sababaha

Fiixsyada laf-dhabarka synovial waxaa guud ahaan sababa isbeddellada xumaanaya sida osteoarthritis-ka oo ka soo baxa kala-goysyada muddo ka dib. Xirashada iyo jeexjeexa joogtada ah, carjawda wadajirka ah ee wejiga / walxaha ku jira kala-goysyada bixiya ilaalinta, dusha siman, hoos u dhigista jeexjeexyada, iyo nuugista shoogga ayaa bilaabma inay sii daayaan. Sida hawshu u socoto, synovium-ku wuxuu samayn karaa cyst.

• Dhaawacyada, kuwa waaweyn iyo kuwa yarba, waxay leeyihiin saameyn barar iyo hoos u dhac ku yimaada kala-goysyada taas oo keeni karta sameynta cyst.
• Qiyaastii saddex meelood meel dadka qaba cyst synovial laf dhabarta ayaa sidoo kale leh spondylolisthesis.
• Xaaladdan waa marka laf dhabarta ay ka siibato meel bannaan ama aysan la jaan qaadin laf dhabarta hoose.
• Waa calaamad muujinaysa xasillooni darrada laf dhabarta.
• Degenaansho la'aantu waxay ku dhici kartaa meel kasta oo lafdhabarta ah, laakiin L4-5 waa heerarka ugu badan.
• Qaybtan laf dhabarta waxay qaadataa inta badan miisaanka jidhka sare.
• Haddii xasillooni darro dhacdo, cyst ayaa soo bixi kara.
• Si kastaba ha noqotee, cysts wuxuu sameyn karaa xasillooni darro la'aan.

Cilad-

• Cysts waxaa guud ahaan lagu ogaadaa MRI. (Nancy E, Epstein, Jamie Baisden. 2012)
• Mararka qaarkood waxaa lagu arki karaa ultrasound, raajada, ama CT scans.

Daaweynta

Qaar ka mid ah cysts-ka ayaa ah kuwo yaryar waxayna keenaan wax calaamado ah oo yar. Cysts kaliya waxay u baahan yihiin daaweyn haddii ay keenaan calaamadaha. (Nancy E, Epstein, Jamie Baisden. 2012)

Hagaajinta Hab-nololeedka

• Xirfadlaha daryeelka caafimaadku wuxuu kugula talin doonaa inaad iska ilaaliso hawlaha qaarkood ee sii xumeynaya calaamadaha.
• Shakhsiyaadka waxaa lagula talin karaa inay bilaabaan kala bixin iyo jimicsi la beegsaday.
• Daaweynta jireed ama daaweynta shaqada ayaa sidoo kale lagu talin karaa.
• Isticmaalka joogtada ah ee ka-hortagga-bararka nonsteroidal anti-inflammatories/NSAIDs sida ibuprofen iyo naproxen ayaa kaa caawin kara yaraynta xanuunka marmar.

Hababka Bukaan-socodka

• Fiixsyada keena xanuun daran, kabuubyo, daciifnimo, iyo arrimo kale, waxaa lagula talinayaa in lagu taliyo dareere dareere ah.
• Hal daraasad ayaa lagu ogaaday in heerka guushu uu u dhexeeyo 0 boqolkiiba ilaa 50 boqolkiiba.
• Shakhsiyaadka soo mara hamiga sida caadiga ah waxay u baahan yihiin habraacyo soo noqnoqda haddii dareeraha soo noqnoqda. (Nancy E, Epstein, Jamie Baisden. 2012)
• Cirbadaha corticosteroid ee epidural waxay yarayn karaan bararka waxayna noqon kartaa ikhtiyaar lagu yareeyo xanuunka.
• Bukaanka waxaa lagula talinayaa in la siiyo wax ka badan saddex irbadood sanadkii.

Ikhtiyaarada Qalliinka

Kiisaska daran ama joogtada ah, dhakhtarku wuxuu kugula talin karaa qalliinka depression si looga saaro cyst-ka iyo lafaha ku xeeran si loo yareeyo cadaadiska xididdada dareemayaasha. Ikhtiyaarada qalliinku waxay u dhexeeyaan hababka endoscopic ee ugu yar ee galitaanka ilaa qalliino waaweyn oo furan. Xulashada qaliinka ugu fiican way kala duwan tahay iyadoo lagu saleynayo darnaanta xaaladda iyo haddii cilladaha la xiriira ay jiraan. Doorashooyinka qalliinka waxaa ka mid ah:

• Laminektomi - Burburinta qaab-dhismeedka lafaha ee ilaaliya oo daboolaya kanaalka laf-dhabarka / lamina.
• Hemilaminectomy - Laminectomy oo la beddelay oo qayb yar oo lamina laga saaro.
• Facetectomy - Ka saarida qayb ka mid ah wadajirka wejiga ee ay saameysay meesha uu ku yaal cyst synovial, badanaa ka dib laminectomy ama hemilaminectomy.
• isuga kala goysyada wejiga iyo vertebra - Waxay hoos u dhigtaa dhaqdhaqaaqa laf dhabarta ee aagga dhaawacan.

1. Shakhsiyaadka intooda badani waxay dareemaan xanuun joojin degdeg ah ka dib laminectomy ama hemilaminectomy.
2. Fusion waxay qaadan kartaa lix ilaa sagaal bilood inuu si buuxda u bogsado.
3. Haddii qalliinka lagu sameeyo fiyuus la'aan halka ay finanku ka soo jeedaan, xanuunku wuu soo noqon karaa, oo fiix kale ayaa ku soo bixi kara laba sano gudahood.
4. Dhibaatooyinka qalliinka waxaa ka mid ah caabuqa, dhiig-baxa, iyo dhaawaca laf dhabarta ama xididka dareemayaasha.

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Sida aan Dhaqdhaqaaqaygii Dib ugu Helay Chiropractic

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tixraacyada

Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Baahinta iyo cudur-sidaha cysts synovial ee ku dhex jira flavum ligamentum ee bukaanada qaba stenosis laf-dhabarka lumbar iyo radiculopathy. Laf-dhabarta, 34 (23), 2518-2524. doi.org/10.1097/BRS.0b013e3181b22bd0

Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). Myelopathy ba'an oo uu keeno cyst synovial ilmo-galeenka. Journal of Korean Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Ogaanshaha iyo maaraynta cysts synovial: waxtarka qalliinka iyo rabitaanka cyst. Qalliinka neerfayaasha caalamiga ah, 3 (Suppl 3), S157-S166. doi.org/10.4103/2152-7806.98576