I-cyst ye-spinal synovial iyisikhwama se-fluid emgodini we- facet joint . Ochwepheshe abaningi bayavuma ukuthi ama-cysts synovial ahlotshaniswa ne- osteoarthritis noma ezinye izinguquko ezishintshayo ezingase zikhule kulokho okuhlangene. Ngokuyinhloko, okwenzekayo kungukuthi ngokuhamba kwesikhathi, futhi ngokugqoka nokudabuka, i-cartilage yakho ehlangene (i-springy material ehlanganiswe ukuyivikela nokukhipha amandla).
Kule nqubo, ubhedu obunamathelisi (obizwa ngokuthi i-synovial lining) lungase bukhishwe bese kudala i-cyst.
Ngenkathi ezinye izinhlobo ze-cysts zomgogodla nazo ziyaziwa ukuthi zakha emgodini, (isibonelo, ama-cysts ase-Arachnoid, ama-cylocy a-Tarlov nabanye) ama-cysts anama-synovial ajwayelekile kakhulu. Ngalokho kusho, ama-cysts synovial yiyona imbangela engavamile yokubuhlungu emuva noma izimo zomgogodla.
Ama-cysts entanyeni avame ukuba angavamile, kepha lapho enza, angabangela imyelopathy, okuyizimpawu ngenxa yokucindezela emthonjeni womgogodla.
Uma kwenzeka uzibuza, ama-cysts e-ganglion atholakale emgodleni, kanti ngenkathi ehlukile kuma-cysts synovial, aphathwa ngendlela efanayo.
Lapho ifomu le-Synovial Cysts
Nomaphi lapho uhlala khona ubude bomgogodla, i-cyst synovial iyi-cyst synovial. Ngokufanayo, ama-cysts omgogodla we-spinal aqanjwe ngamagama asekelwe esifundeni esitholakala kuwo. Ngakho uma unomunye entanyeni yakho, ubizwa ngokuthi i-cyst synovial cyst.
Uma i-cyst isendaweni yakho ephansi, ibizwa ngokuthi i-lumbar synovial cyst, futhi uma isendaweni yakho engenhla noma ephakathi kwayo ithathwa njenge-cyracic synovial cyst.
I-synovial cysts ingenzeka ohlangothini olulodwa lomgogodla wakho noma zombili, futhi zingenzeka kuphela endaweni eyodwa yomgogodla, noma emazingeni amaningi.
Indawo evamile kakhulu ye-cysts yomgogodla ibuyele emuva, engxenyeni ye-L4-L5.
UDkt. Ali Bydon, udokotela ohlinzayo wesikhala kuJohns Hopkins Medicine, uthi ama-58% ama-cysts synovial emgodleni atholakala kuleli zinga. (Ingxenye ye-L4-L5 yileveli etholakala ngaphansi kwenkinobho yakho yesisu.)
I-L4-5 nayo iyindawo yokungazinzi okukhulu komgogodla , njengoba sizoxoxa ngakho ngezansi, kungenzeka ukuthi ihlobene nokubunjwa kwama-cysts.
Izizathu Zokuthatha Ama-Cyst Synovial Ngokujulile
Nakuba ama-cysts angavamile, ama-synovial kubalulekile ukucabangela ngoba angase akhombise noma ngandlela-thile ahlobene nezimo ezibuhlungu ezifana nesifo se-disc degenerative, stenosis yomgogodla noma, okubi nakakhulu, i- cauda equina syndrome .
U-Bydon uthi nakuba ochwepheshe bengakwazi ukukhomba imbangela yamagundane omgogodla, kucatshangwa ukuthi bahlobene nokungaqiniseki komgogodla nezinguquko eziguquguqukayo emgodini.
Uthi ama-33% weziguli ezethula nge-cyst synovial nazo zethula nge-spondylolisthesis.
Izimpawu
Uma i-cyst yomgogodla ifinyelela noma icindezela izimpande zomgogodla endaweni, cishe uzothola izimpawu ze-radiculopathy. Ezinye izibonakaliso ze-cysts yomgogodla, ngokusho kwe-Bydon zihlanganisa ubuhlungu obunzima bokubuyela emuva, i-neurogenic claudication, okuyisifo esiyingqayizivele esihlobene nesisu somgogodla, futhi okungavamile, izimpawu ze-cauda equina (izinambuzane kanye / noma izinkinga zesisindo, ukuqina buthakathaka komlenze kanye ne-saddle amnesia .)
I-Bydon ithi ukuqina kwezibonakaliso zakho cishe kuzoxhomeka kokubili ubukhulu nendawo yesikhukhula.
Ukwelapha
Amanye ama-cysts ahlala amancane futhi amanje ampawu izimpawu. Ngaphandle kokuqapha okujwayelekile, ungase ungadingi ukwelashwa uma unalo hlobo lokukhula. Ama-cyst ngokuvamile atholakala nge-MRI.
Uma i-cyst yakho ibangela ubuhlungu obuningi, futhi ukuhlinzeka kuyingozi kakhulu kunikezwe isimo sakho sezempilo, udokotela wakho angase asikise injection ye-corticosteroid noma i-cyst aspiration. Kodwa lezi zonyango zingase zingaphili ngokuvumelana nokulindela ukukhululeka kobuhlungu, ngokusho kuka-Bydon, et. al. esifundweni sabo esithi "Ukwelashwa Kwe-Spinal Synovial Cyst," enyatheliswa kuyi- World Neurosurgery ngo-September 2012.
Abacwaningi kulolu cwaningo babone ukuthi izinga lokuhluleka lalezi zinqubo lalilinganiselwa ku-50%.
Uma unezinhlungu eziningi ezivela ku-cyst yakho, kanye nemvume yakho yezempilo, udokotela wakho angase akhombise ukuhlinzwa emuva. Kodwa yiyiphi?
Ngokwe-Xu, et. al. (Bydon wayengomunye wabacwaningi) esifundweni sabo esinesihloko esithi, Izinto ezihlotshaniswa nobuhlungu be-back emuva kanye nokuphindaphinda kwe-cyst emva kokuthengiswa kokuhlinzwa kwama-cysts angamakhulu ayisishiyagalolunye namashumi ayisishiyagalolunye nesishiyagalombili ama-cynovial: ukuhlaziywa kwezimo eziyikhulu namashumi ayisithupha nesikhombisa okulandelanayo, okwakushicilelwa Umhla ka-May 2010 we-Spine, kuyilapho i-laminectomy ne-hemilaminectomy basebenzisa kakhulu emacaleni emisipha yomgogodla, nokuthi abantu abaningi, bathola ukuphumula okusheshayo okulandela ukuhlinzwa. Kodwa kungakapheli iminyaka emibili, abalobi bathi, ubuhlungu bungase bubuye futhi futhi enye i-cyst ingase ifake. I-Bydon kanye neqembu lakhe labacwaningi kunalokho basikisela ukucindezelwa nge-fusion yocingo ukuvimbela izinkinga eziphindaphindiwe.
Imithombo:
I-Bydon, A. Ukwelashwa kwama-Cysts ase-Spinal Synovial. Ividiyo, i-Neurology ne-Neurosurgery. Johns Hopkins Medicine.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciubba, D., Gokaslan, Z., Bydon, A., Ukwelashwa Kwama-Cyinal Synovial September 2012.
Epstein N., Baisden J. Ukuxilongwa nokuphathwa kwama-cysts synovial: Ukusebenza kokuhlinzwa ngokumelene ne-cyst aspiration. I-Surg Neurol Int 2012; 3, i-Suppl S3: 157-66
UKhan, A., Girardi, F. I-spinal i-cynovial cysts. Inselele yokuxilonga nokuphatha. I-Eur Spine J. 2006 Agasti; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Ukwelashwa kwama-Lumbar Synovial Cysts Ukusebenzisa Amasu Okuhlinza Amancane Okumangalisa. I-Focus Neurosurgical. 2006.
Xu R., et. al. Izinto ezihlotshaniswa nobuhlungu be-back emuva kanye nokuphindaphinda kwe-cyst emva kokuthengiswa kokuhlinzwa kwama-cysts angama-100 angama-spinal synovial: ukuhlaziywa kwezimo eziyikhulu namashumi ayisithupha nesikhombisa ezilandelanayo. Usihlwa, ngoMeyi 2010.