Indlela i-Natually Exposed Native Spinal Nerve Can Can Wreak Havoc on Your Functionality
Cauda Equina Syndrome echazwe
I-Cauda equina syndrome yimeko engavumelekanga apho iimbilini ze-nervous zibonwe phantsi kwethambo lomgudu zibacaphukisa. Ukucaphukisa kubangelwa yinto enokuqhagamshelana nayo.
Igama elithi cauda equina lithetha "umsila wehashe"; libizwa ngokuba lifana.
Ngokuqhelekileyo, izicubu ezinobulunga obunomlenze obandakanya umgca wesipelini kunye neengcambu zeengcambu zifihliwe phakathi kwendawo yomgca wesipelini kwindawo ebizwa ngokuba ngumsele wamagxa.
Ngale ndlela, izicubu ezinomdla ezikhuselekileyo zikhuselekile kwizakhiwo ezinokubeka uxinzelelo kulo (oko kuya kubangela iimpawu ezifana nentlungu kunye / okanye ukuguqulwa komsebenzi).
Yintoni eyenza iCauda Equina Syndrome?
Ininzi yexesha, i-cauda syina syndrome ibangelwa yidiski enkulu, ephakathi kwe-L4 / 5 kunye ne-L5 / S1. Ngokomphando ohlaziywe yiBritish Medical Journal , kuphela i-0.12% yazo zonke iiskithi ze-herniated e-US zibangele i-cauda equina.
Eminye, izizathu eziqhelekileyo eziqhelekileyo zibandakanya umonakalo okanye ukulimala emgodleni okhokelela kwiziqhekeza kunye / okanye izihlomelo. Izifo okanye izifo ezithintela i-cauda equina zinokubangela ukuba le syndrome. I-Bone igxobhoza emgodini womgogodla yenye yeso sizathu. Isifo sesifo sofuba, ukukhubazeka kwePotts kunye nezizathu ze- iatrogenic (umzekelo umonakalo wokugulisa umlenze xa uphantsi kwe-anesthesia okanye iingxaki zokuhamba emva kokusebenza) nazo zichaphazelekayo, njengokuba izinto zingabamba izikhala zomgudu, njenge-cysts.
Unokuthi ulungiselelwe ukuba uqaphele i-equina syndrome ukuba unayo isisu somnxeba (mhlawumbi ozalwa ngumntwana okanye ofunyenweyo). Ukuba i-stenosis ifumaneke phantsi kwe-cauda equina syndrome yakho, mhlawumbi i-stenosis ivela kwi-disc degeneration kunye nokuguqulwa kwamalungu akho. Unokuba ne-ligamentum flavum enobunzima kunye nokunciphisa umgca wakho womgudu.
Izimpawu zeCauda Equina Syndrome
I-Cauda equina syndrome ikwahlula kwiintlobo ezi-2 ezisisiseko, ngokubhekiselele kwiimpawu zokugcinwa kwamanzi.
Gcwalisa i-cauda equina ihamba kunye nokugcinwa kwe-urinary ngelixa kungaphelelanga. Nge-cauda epheleleyo ye-equina syndrome, ukugcinwa kwe-urinary sele kufunyenwe. Nge-cauda equina syndrome engaphelelanga, unokufumana ukunciphisa ukuvuthwa kwe-urinary, nokuba nomlambo omncinci, okanye iimpawu ezifanayo, kodwa usakwazi ukuvota.
Ukugcinwa kwee-Urinary kunokuba yinto ebalulekileyo kwaye yingako kubaluleke kakhulu ukuba uhlolwe ukuba uyaphawula nayiphi na utshintsho kulo msebenzi.
Ezinye iimpawu ze-cauda syina syndrome ziquka ukungasebenzi kwezesondo, ukungasebenzi kwebilini kunye / okanye ukuphazamiseka okanye ezinye iinguqulelo zentliziyo ezungeze i-anus yakho. (Ubungqina obungqonge i-anus bubizwa ngokuthi "i-anesthesia ye-saddle.") Kakade, intlungu ebuyayo iyimpawu, njengokuba kukho utshintsho okanye umtshintsho kwimigangatho yakho engaphantsi (kubandakanya ubuthathaka kunye / okanye ukulahleka kweengcamango nokunye. , njengokuba unengqondo okanye utshintsho lwezithuthi kumalungu akho angaphantsi (kuquka ubuthathaka kunye / okanye ukulahleka kweengcamango kunye nokunye.)
Iimpawu zeCauda equnia ze-syndrome ziyakwazi ukuzibonakalisa kwelinye leepateni eziqhelekileyo, ezibizwa ngokuthi "iintlobo." Zizo:
- Uhlobo lwe-1: Izibonakaliso zinzima kwaye ziza ngokukhawuleza kwaye zinzulu. Iimpawu ze-cauda syina syndrome ezibangelwa i-disc ye-herniated ekhoyo ngale ndlela.
- Uhlobo lwe-2: Njengendawo yokugqibela emva kohambo olude lweentlungu ezingapheliyo, okanye ngaphandle kwe- sciatica .
- Uhlobo lwe-3: Ngenqabileyo, apho uye wancinci ngakumbi xa unamava, kunye neempawu ze-urinary.
Ukufumanisa iCauda Equina Syndrome
I-Cauda equina syndrome kubangelwa ukuphazanyiswa okanye ukungasebenzi kwemisipha ehambelana ne-lumbar kunye ne-sacral vertebrae. Nangona kunjalo, ukuphazamiseka okunjalo kufunyaniswa nje ngokuba yi-cauda equina xa i-bladder yakho, isilonda kunye / okanye umsebenzi wesondo ungaphumeleli. Oku kubandakanya uphawu lwesifo se-saddle okanye i-anesthesia ye-saddle, exoxwa ngokukhawuleza kwangaphambili, okuyilahleko yengqondo malunga ne-anus.
I-Cauda equina syndrome ifunyaniswa ne-MRI, i- myelogram , ukuvavanywa kweentsimbi ezikhethekileyo ezifana nokuhlolwa kwe-nerve conduction velocity kunye / okanye i-electromyography, i-CT.
Ukuba ugqirha wakho ugxeka ukuba uyaqhayisa i-equina, uya kuhlolwa kwisimo somzimba esisebenzisa i-palpation (touch) ukucacisa umlinganiselo wevalelo neempendulo malunga ne-anus yakho kunye ne-rectum.
Unyango lweCauda Equina Syndrome
Ininzi yexesha, i-cauda syina syndrome ivela kwi-disc ye-herniated; Ngoko ke, unyango olukhethiweyo luya kuba ngumsebenzi wokuhlinzwa ngokugqithisela umgudu, mhlawumbi i- discectomy .
Emva kokuba ugqirha lwakho lwe-cauda syndrome luqinisekiswa ngugqirha wakho, kwaye ukuba i-MRI yakho ibonisa ukuba imbangela yoxinzelelo kwi-cauda equina iyabuyiselwa, kwangoko, utyando lunokuba luncedo ngonyango olukhawulezileyo.
Ngaloo nto kuthi, ngezinye iinkqubo ukuhlinzwa ngongxamiseko kuyadingeka ukuba ukwazi ukuphepha ukungasebenzi ngokusisigxina kwesigxina sakho esiphantsi (okanye iinjongo) kunye nesibindi sakho, isilonda okanye umsebenzi wesondo.
Imiphumo ye-cauda equina syndrome engakhange ilandelwe ingaba nzima; Kuyafana ne-cauda syina syndrome ephathwa ngokukhawuleza. Musa ukulibazisa xa uthetha nogqirha wakho malunga neendlela zokonyango.
Ukuba into engeyiyo idiski ye-herniated idala uxinzelelo kwi-cauda equina yakho, kuya kufuneka ukuba usebenze kunye neengcali okanye iqela leengcali ukujongana nale ngxaki, ngokunjalo.
Xa Unokungabaza, Yenza I-Checked-Even if You Feel Uncomfortable About It
Iingxabano malunga nokuxilongwa kunye nokunyangwa kwe-cauda equina syndrome ziyakwenza lula ukwenza izigqibo. Nangona kunjalo, le meko ingasongela ubomi, ingakumbi xa ungayithobeli impawu zakho. Ukuba ubona iimpawu, thetha nodokotela wakho ngokukhawuleza njengoko unako.
Xa kuziwa ekuqapheliseni i-equina syndrome, kuyinto engokwemvelo ukuziva uhlazekile malunga nokuxoxa ngezinto ozibonayo, okanye ukhathazeka ngokujonga. Kodwa khumbula, ukwenza njalo ngexesha elifanelekileyo kungasindisa ubomi bakho - okanye ubuncinci, umgangatho wobomi bakho.
Imithombo:
Cauda Equina Syndrome. Umbutho waseMelika wezilwanyana zezilwanyana. 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. IBritish Medical Journal. Matshi 2009. http://www.bmj.com/content/338/bmj.b936?thiasp=authn1364218072:4315929:35450631:0:0::zink
OrthoInfo, eCauda Equina Syndrome. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Oktobha 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 Ifikelele ngoNovemba 2013.