Sidee loo dareemaa dabeecadaha dhabta ah ee loola jeedo inay ka faaiidaystaan shaqadaada
Cauda Equina Syndrome Sharaxaad
Cauda equina syndrome waa xaalad naadir ah oo ay ka muuqato fareemayaasha dareemayaasha ee ku yaala xagga hoose ee xudunta laf-dhabarta waxay noqdaan kuwo xanaaqa. Dhibaatada waxaa sababa waxyaabo ay ka soo baxaan dareemayaasha soo baxa.
Ereyga cauda equina macnaheedu waa "dabada faras"; waxaa loo yaqaan magaca sababtoo ah muuqaalka.
Guud ahaan, unugyada dareemayaasha xasaasiga ah ee ka kooban xadhkaha laf-dhabarka iyo xididada dareemayaasha ayaa ku xiran bartamaha qaybta laf-dhabarka ee aagga loo yaqaano kanaalka laf-dhabarka.
Sidan oo kale, unugyada dareemayaasha ah ee dareemayaasha ah ayaa laga ilaaliyaa dhismayaasha laga yaabo in ay cadaadis ku saaraan (taasi waxay u badan tahay inay keento calaamadaha sida xanuunka iyo / ama isbedelka shaqada).
Maxaa keena Cauda Equina Syndrome?
Inta badan, cauda equina syndrome waxaa keena maqaar weyn oo dhexdhexaad ah oo u dhexeeya aagagga L4 / 5 iyo L5 / S1. Sida laga soo xigtay cilmi-baaristii "Journal of Medical Medical" , kaliya qiyaastii 0.12% dhammaan noocyada herniated ee Maraykanka ee sababi kara sababaha Maraykanka.
Sababaha kale ee aan caadiga ahayn waxaa ka mid ah dhaawacyada ama dhaawac ku dhaca lafdhabarta taasoo keenta jabka iyo / ama subluxations. Tumors ama infekshin ku foorarsiga cauda equina waxay sidoo kale keeni kartaa cudurkaan. Noocyada lafaha ee dhiigga laf-dhabarka ayaa ah sabab kale oo suurtagal ah. Cudurka qaaxada (TB), Qalalaasaha ciridka iyo sababaha iatrogenic (tusaale ahaan, manipulation spinal intaad ku jirto suuxdinta ama dhibaatooyinka postoperative) ayaa sidoo kale loo qoondeeyey, sida waxyaabo ay ka mid yihiin meelaha kudhisan meelaha lafdhabarta, sida fiixyada.
Waxaa laga yaabaa inaad u maleyneyso inaad cauda equina syndrome haddii aad qabto stenosis spinalis (ama mid ku dhasha ama la helo). Haddii uu kugu dhaco stenosis, waxaa laga yaabaa in uu kudhaco cillada suuxdinta, wuxuu u badan yahay in qanjiradu uu ka yimaado khalkhalka tartiib-tartiibka iyo hoos u dhigidda qaybahaaga. Waxaa kale oo laga yaabaa inaad yeelato dhadhanka lafdhabarta ee lafdhabarta iyo cirridka laf-dhabarkaaga.
Astaamaha Cauda Equina Syndrome
Cauda equina syndrome waxaa loo qoondeeyey laba nooc oo asaasi ah, sida ku cad calaamad muujinaysa sii-dayn kaadida.
Cudurka loo yaqaan 'cauda equina' waxaa weheliya maqnaashaha kaadida inta aan dhameystirneyn. Iyadoo la raacayo cauda equina syndrome, waxaa laga helaa kaadida kaadida. Cilladda suuxdinta ee cillan la'aanta, waxaa laga yaabaa inaad dareento hoos u dhac ku yimaada kaadiheysta, aad u yar yar, ama calaamado la mid ah, laakiin weli waad kaadin kartaa.
Ka qaadista kaadida ayaa noqon karta mid halis ah taasina waa sababta ay muhiim u tahay in la hubiyo haddii aad dareento wax isbedel ah oo ku yimaada shaqadan.
Calaamadaha kale ee cauda equina syndrome-ka waxaa ka mid ah cillad jinsi, cillad ka timaada mindhicirka iyo / ama kabuubyo ama is-beddelo kale oo dareen ah oo ku xeeran futada. (Kabuubyo ku wareegsan futada waxaa loogu yeeraa "saddle suuxdin.") Dabcan, dhabarka xannuunku waa calaamad, sida dareenka ama moodhka isbeddel ku yimaada addimadaada hoose (oo ay ku jiraan daciifnimada iyo / ama luminta falceliska iyo wax ka badan.) Dhabarka xanuunka waa calaamad , sida dareenka ama moodhka isbeddel ku yimaada addimadaada hoose (oo ay ku jiraan daciifnimada iyo / ama luminta falceliska iyo wax ka badan.)
Calaamadaha cudurka cauda equnia waxay isku arki karaan mid ka mid ah sadexda astaamood, kuwaas oo lagu magacaabo "nooc".
- Nooca 1: Calaamaduhu waa kuwo ba'an oo si degdeg ah u yimaada oo aad u xoog badan. Astaamaha cauda equina syndrome-ka oo ay sababtay hannaanka herniated oo sidan oo kale ah.
- Nooca 2: Goobta ugu dambaysa ee ka dambeysa safar dheer oo ku yimid xannuun daba-dheer, oo leh ama aan laheyn sciatica .
- Nooca 3aad: Xumad la'aan, meesha aad si tartiib ah uula kulantay kabuubyo badan, iyo sidoo kale calaamadaha kaadida.
Ciladeynta Cauda Equina Syndrome
Cauda equina syndrome ayaa ah natiijo ka dhalatay joojinta ama xanuunka neerfaha ee la xidhiidha faafidda lumbar iyo sacral. Si kastaba ha noqotee, khalkhalkaas waxaa lagu ogaadaa sida cauda equina marka kaadiheystaaga, mindhicirkaaga iyo / ama jinsigaaga uu daciif yahay. Tani waxaa ka mid ah calaamadaha kabuubka ama suuxdinta suuxdinta, ayaa si kooban looga hadlay mudaharaadkii, taas oo ka luntay dareenka futada.
Cauda equina syndrome waxaa lagu ogaadaa MRI, myelogram , baaritaano dareen oo gaar ah sida baaritaannada xawaaraha qabsashada iyo / ama electromyography, CT scans.
Haddii dhakhtarkaagu tuhunsan yahay inaad leedahay cauda equina, waxaa lagugu sameyn doonaa imtixaan jirka ah kaas oo isticmaalaya palpation (taabasho) si loo ogaado heerka dareenka iyo jawaab-celinta futada iyo malawadkaaga.
Daaweynta Cauda Equina Syndrome
Waqtiga intiisa badan, cauda equina syndrome waa udub dhexaad ah; Sidaa daraadeed, daaweynta ikhtiyaarka waxay u badan tahay inay noqoto qaliinka laf-dhabarka, loona yaqaan ' discectomy' .
Marka baadhitaanka cauda equina uu kuu xaqiijiyo dhakhtarkaaga, iyo haddii MRI-gu muujiyo in sababta keentay cadaadiska cauda equina uu yahay mid laga beddeli karo, markaa, qalliinka ayaa laga yaabaa inuu noqdo mid macquul ah sida daaweyn degdeg ah.
Iyadoo taas la yiraahdo, mararka qaarkood waxaa loo baahan yahay qalliin degdeg ah si ay kuu suurtogasho inaad ka fogaato joogtada joogtada ah ee xudunta hoose (ama xagjirnimada) iyo sidoo kale kaadiheystaada, calooshaada ama shaqeynta galmada.
Saamaynta cauda equina syndrome oo aan la daaweynin waxay noqon kartaa mid aad u xun; isla sidaas waa run for cauda equina syndrome in la daaweeyo goor dambe. Ha joojin inaad kala hadasho dhakhtarkaaga wixii ku saabsan doorashooyinkaaga daaweynta.
Haddii wax kale oo aan ahayn herniated herniated ay abuurayso cadaadiska ku saabsan cauda equina, waxaad u badan tahay inaad u baahan tahay inaad la shaqeyso takhasus ama koox takhasus leh si wax looga qabto dhibaatada, iyo sidoo kale.
Markuu shakiyo, Qaado Hubin - Xitaa haddii aad dareentid raaxo darro
Dhibaatooyinka ku wareegsan ogaanshaha iyo daaweynta cauda equina syndrome ayaa si sahlan u adkeyn kara go'aan qaadashada. Si kastaba ha noqotee, xaaladani waxay noqon kartaa mid nolosha halis galisa, gaar ahaan haddaanad u fiirsan calaamadahaaga. Haddii aad aragto calaamadaha, la hadal dhakhtarkaaga sida ugu dhakhsaha badan ee aad awoodid.
Marka ay timaado cauda equina syndrome, waxa kaliya ee dabiiciga ah in laga dareemo in laga xishoodo oo ku saabsan ka doodidda waxa aad dareentid, ama aad uga cabsaneyso in la hubiyo. Laakiin xusuusnow, inaad sidaas sameysid waqtigaa ayaa badbaadin kara noloshaada - ama ugu yaraan, tayada noloshaada.
Ilaha:
Cauda Equina Syndrome. Ururka Dhakhaatiirta Ameerikaanka ah. November 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. Suxufiyiinta Caafimaadka Britishka. Maarso 2009. http://www.bmj.com/content/338/bmj.b936?hwoasp=authn:1364218072:4315929:3545063 Waa waajib saaran waayeelka :/zin0EakVjG3bIFW8DtxPA%3D%3D
OrthoInfo, Cauda Equina Syndrome. Websaytka Qaliinka Maraykanka ee Dhakhaatiirta Orthopedic. Oktoobar 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 Laga heley November 2013.