Indlela i-Natually Exposed Nerve Spinal Can Can Wreak Havoc Ekusebenzeni Kwenu
I-Cauda Equina Syndrome echazwe
I-Cauda equina syndrome yisimo esingavamile lapho izinsimbi zomzimba ezivelele ezitholakala phansi komgogodla zicasuka. Ukucasuka kubangelwa okuthile okutholakala khona izinzwa ezivelele.
Igama elithi cauda equina lisho "umsila wehhashi"; ibizwa kanjalo ngenxa yokuthi kufana.
Ngokujwayelekile, izicubu ezinesifo esibucayi esinezintambo zomgogodla kanye nezimpande zesisindo zifakwe phakathi kwekholomu yomgogodla endaweni eyaziwa ngokuthi umsele womgogodla.
Ngale ndlela, izicubu zezinzwa eziphendula kakhulu zivikelwe ezakhiweni ezingafaka ingcindezi kuyo (okungase kubangele izimpawu ezifana nobuhlungu kanye / noma ukusebenza okushintshiwe).
Yini Ebangela Cauda Equina Syndrome?
Esikhathini esiningi, i-cauda syina i-syndrome ibangelwa i-disc enkulu, ephakathi kwe-herniated phakathi kwezindawo zeL4 / 5 ne-L5 / S1. Ngokusho kocwaningo olwalubuyekezwe iBrithani Medical Journal , kuphela okungu-0.12% kuwo wonke ama -disc herniated e-US okungenzeka kubangele i-cauda equina.
Okunye, izimbangela ezingavamile kakhulu zihlanganisa ukuhlukumezeka noma ukulimala emgodleni oholela ekuqhekekeni kanye / noma ukuhanjiswa. Izicubu noma izifo ezicindezela i-cauda equina nazo zingabangela le syndrome. I-Bone evuthayo emgodini ongasemgogodini ingenye imbangela ekhona. Isifo sofuba, ukukhubazeka kwePotts kanye nezimbangela ze- iatrogenic (isibonelo ukuxhaphaza umgogodla ngenkathi ungaphansi kwe-anesthesia noma izinkinga zokuhamba ngemuva) nazo zibandakanyeka, njengoba izinto zingase zithathe izikhala zomgogodla, njenge-cysts.
Kungenzeka ukuthi ubhekene ne-cauda equina syndrome uma une- stenosis yomgogodla (noma isifo sofuba noma sitholakale). Uma i-stenosis itholakele ngaphansi kwe-cauda equina syndrome yakho, kungenzeka ukuthi i-stenosis ivela ku-disc degeneration ne-degeneration yezingxenye zakho zezinhlangothi . Ungase futhi ube ne-ligamentum flavum ene-thickened ne-narrowing ye-canal yakho yomgogodla.
Izimpawu zeCauda Equina Syndrome
I-Cauda equina syndrome ihlukaniswe ngezigaba eziyisisekelo ezimbili, ngokusho kwesibonakaliso esichazayo sokugcinwa kwamanzi.
Ukuqedela i-cauda equina kuhambisana nokugcinwa komchamo ngenkathi kungaphelele. Njengoba i-cauda equina syndrome ephelele, ukugcinwa kwe-urinary sekutholiwe. Nge-cauda equina syndrome engaphelele, ungase uhlangabezane nokuncipha kwe-urinary, ukuhambisa okuncane, noma izimpawu ezifanayo, kodwa usakwazi ukuvota.
Ukugcinwa kwe-Urinary kungabalulekile futhi yingakho kubaluleke kakhulu ukuthi uhlolwe uma ubona noma yikuphi ushintsho kulokhu kusebenza.
Ezinye izimpawu ze-cauda equina syndrome zihlanganisa ukungasebenzi komzimba ngokobulili, ukungasebenzi kwamathumba kanye / noma ukuphazamiseka noma ezinye izinguquko zengqondo ezungeze i-anus yakho. (Ubuningi obuzungeza i-anus bubizwa ngokuthi "i-saddle anesthesia.") Yiqiniso, ubuhlungu be-back is symptom, njengoba kukhona izinguquko zesisindo noma zezimoto ezithombeni zakho ezingezansi (kufaka phakathi ubuthakathaka kanye / noma ukulahleka kwezingqondo nokuningi.) Ubuhlungu emuva , njengokunguquko noma ukushintsha kwezimoto ezithombeni zakho ezingaphansi (kufaka phakathi ubuthakathaka kanye / noma ukulahlekelwa kwezindinganiso nokuningi.)
Izimpawu zeCauda equnia syndrome zingabonakala emaphethini ajwayelekile amathathu, okubizwa ngokuthi "izinhlobo." Ziyizi:
- Thayipha 1: Izimpawu ziyingozi futhi ziza ngokuzumayo futhi ngokukhululeka. Izimpawu ze-cauda equina syndrome ezibangelwa i-disc ye-herniated ekhona ngale ndlela.
- Thayipha 2: Njengendawo yokugcina emva kohambo olude lokubuhlungu okungapheli, emuva noma ngaphandle kwe- sciatica .
- Uhlobo lwe-3: Ngenhlonipho, lapho usuke uthola khona kancane kancane ukungena, kanye nezimpawu zomchamo.
Ukubona i-Cauda Equina Syndrome
I-Cauda equina syndrome ingumphumela wokuphazanyiswa noma ukungasebenzi kwemisipha ehambisana ne-lumbar ne-sacral vertebrae. Kodwa-ke, ukuphazanyiswa okunjalo kutholakala nje ngokuthi i-cauda equina lapho isifiso sakho, isilonda kanye / noma umsebenzi wezocansi ungaphumeleli. Lokhu kufaka phakathi uphawu lwe-numbdle numbness noma i-saddle anesthesia, okukhulunywe ngayo maduzane ngaphambili, okungukuthi ukulahlekelwa umuzwa phakathi kwe-anus.
I-Cauda equina syndrome ibhekwa nge-MRI, i- myelogram , ukuhlolwa okuyisisindo okukhethekile njengezivivinyo ze-nervo conduction velocity kanye / noma i-electromyography, ukuhlola kwe-CT.
Uma udokotela wakho ekusola ukuthi unayo i-cauda equina, uzobe uhlolwe ngokomzimba osebenzisa i-palpation (touch) ukuze unqume izinga lokuzwa nokuphendula eduze kwe-anus yakho ne-rectum.
Ukwelashwa kwe-Cauda Equina Syndrome
Esikhathini esiningi, i-cauda syina syndrome ingenxa yediski ye-herniated; Ngakho-ke, ukwelashwa okukhethwa kuyo kungenzeka kube ukuhlinzekwa kwe- spinning decompression, mhlawumbe i- discectomy .
Uma isifo sakho se-cauda equina syndrome siqinisekiswa ngudokotela wakho, futhi uma i-MRI yakho ibonisa ukuthi imbangela yecindezelo ku-cauda equina iyaguquguquka, ngaleso sikhathi, ukuhlinzwa kungenza umqondo omkhulu ube inketho yokwelapha ngokushesha.
Ngalokho kusho, ukuhlinzwa okuphuthumayo ngezinye izikhathi kuyadingeka ukuze ukwazi ukugwema ukukhubazeka okungapheli komkhawulo wakho ophansi (noma iziphetho) kanye nesibindi sakho, isilonda noma ukusebenza kocansi.
Imiphumela ye-cauda equina syndrome engaqondwanga ingabhubhisa; kunjalo okufanayo ne-cauda equina syndrome ephathwa kakhulu. Ungalibali ukukhuluma nodokotela wakho mayelana nezinketho zakho zokwelashwa.
Uma into engeyona i-disc ye-herniated idala ingcindezi ku-cauda equina yakho, cishe kuzodingeka usebenze nochwepheshe noma ithimba lophiko lokubhekana nale nkinga, futhi.
Uma ekungabaza, Yenza Ihlolwe - Ngisho Uma Uzwa Ungakhululekile Ngayo
Izingxabano eziphathelene nokuxilongwa nokuphathwa kwe-cauda equina syndrome zingenza kube nzima ukwenza izinqumo. Kodwa-ke, lesi simo singasongela impilo, ikakhulukazi uma ungayilaleli izimpawu zakho. Uma ubona izimpawu, khuluma nodokotela wakho ngokushesha.
Uma kuziwa ekuqapheliseni i-equina syndrome, kungokwemvelo ukuzizwa unamahloni ngokuxoxa ngalokho okubonayo, noma ukukhathazeka mayelana nokuhlola. Kodwa khumbula, ukwenza kanjalo ngesikhathi esifanele kungasindisa impilo yakho - noma okungenani, izinga lakho lokuphila.
Imithombo:
I-Cauda Equina Syndrome. I-American Association of Surgery Neurological. Novemba 2005. https://www.aans.org/Patient%20Information/Conditions%20and%20Treatments/Cauda%20Equina%20Syndrome.aspx
Lavy, C., James, A., Wilson-MacDonald, J., Fairbank, J. Cauda equina syndrome. I-British Medical Journal. Mashi 2009. http://www.bmj.com/content/338/bmj.b936?thiasp=authn 1364218072:4315929:35450631:0:0:/zin0EakVjG3bIFW8DtxPA%3D%3D
I-OrthoInfo, i-Cauda Equina Syndrome. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Okthoba 2007. http://orthoinfo.aaos.org/topic.cfm?topic=a00362
Shiel, W. Cauda Equina Syndrome. Medicinenet. http://www.medicinenet.com/cauda_equina_syndrome/article.htm#what_is_cauda_equina_syndrome Kufinyelelwe ngoNovemba 2013.