I-cyst synovial cyst iyisigxobo se-fluid kwi-lining ye- facet joint . Uninzi lweengcali ziyavuma ukuba i-synovial cysts zihambelana ne- osteoarthritis okanye ezinye iinguqu ezinokuguquka ezinokuthi ziphuhliswe kuloo ngxube. Eyona nto, kwenzeka ntoni kukuba ngokuhamba kwesikhathi, kwaye ngokugqithisa nokugqabhuka, i-facet yakho ye-cartilage (into ebalulekileyo equlethwe ukudibanisa ukukhusela kunye nokunyanyiswa).
Kwinkqubo, i-lining of joint (ebizwa ngokuba yilinki ye-synovial) inokuthi ikhuphe i-cyst.
Nangona ezinye iintlobo zamagqabi omgogodla zikwaziwa ukuba zenzeke emthonjeni, (umzekelo, i-Arachnoid cysts, i-Tarlov cysts kunye nabanye) i-synovial cysts eziqhelekileyo. Ngaloo nto kuthiwa, i-synovial cysts yintlungu engavumelekanga yintlungu emva okanye imeko yomqolo.
Iintsimbi entanyeni zihlala zingabonakali, kodwa xa zenzeke, zinokubangela ukuba i-myelopathy, eneempawu ezibangelwa uxinzelelo kwi-spinal cord.
Ukuba ucinga ukuba, ama-cysts e-ganglion afunyenwe kwintlambo, kwaye ngelixa behluke kwi-synovial cysts, baphathwa ngendlela efanayo.
Kuphi ifomu yeSynovial Cysts
Nomaphi apho uhlala khona ubude bomgudu, i-cyst synovial i-cyst syvivial. Ngokufanayo, ama-cysts e-spno synovial aqeshwe ngokusekelwe kwingingqi apho ikhona khona. Ngoko ukuba unomnye entanyeni yakho, kuthiwa yi-cyster synovial cyst.
Ukuba i-cyst itholakala kumqolo wakho osezantsi, ibizwa ngokuba yi-cymb synovial cyst, kwaye ukuba ikhona kwindawo yakho ephezulu okanye emva emva kwayo ibonwa njenge-cyracic synovial cyst.
Ama-cynovial cysts anokuvela kwicala elinye lomqolo wakho okanye zombini, kwaye zinokuthi zenzeke kuphela kwicandelo lomgcini, okanye kumanqanaba amaninzi.
Indawo eqhelekileyo yamagundane omgogodla ephantsi, kummandla we-L4-L5.
UDkt. Ali Bydon, ugqirha onogqirha kwi-Johns Hopkins Medicine, uthi i-58% yama-synovial cysts emthonjeni atholakala kweli nqanaba. (Ingxenye yeL4-L5 yinqanaba elingaphantsi kweqhosha lakho lomzimba.)
I-L4-5 nayo yindawo ebalulekileyo yokungazinzi komgudu , njengokuba siza kuxubusha ngezantsi, kunokuthi kuhlobene nokubunjwa kwama-cysts.
Izizathu zokuthatha ii-Synovial Cysts ngobukhulu
Nangona izinto ezinqabileyo, ezinama-synovial zibalulekile ukuba ziqwalasele ngenxa yokuba zingabonisa okanye ngandlela-thile zihambelane neemeko ezibuhlungu ezifana nesifo se-discenerative, isifo somgulane okanye ngaphezulu, i- cauda equina syndrome .
U-Bydon uthi nangona iingcali zingenakucingisisa isizathu sezigulana zomgogodla, kucingelwa ukuba zihlobene nokungazinzi komgudu kunye nokuguqulwa kwesantya.
Uvakalisa ukuba 33% yezigulane ezinikezela nge-synovial cyst nazo zikhoyo nge-spondylolisthesis.
Iimpawu
Ukuba i-cyst spinal ifakwa okanye ixinzelele kwimpundu yesigulane kummandla, mhlawumbi uya kuba nempawu ze-radiculopathy. Ezinye iimpawu ze-cysts synovial cysts, ngokwe-Bydon ziquka intlungu ephantsi, i-neurogenic claudication, eyona nto ibonisa ukuba i-classic symptom ehambelana nesisu somgulane, kwaye ngokungaqhelekanga, iimpawu ze-cauda equina (izibilini kunye / okanye iingxaki zesikhumba, ubunzima bomlenze obuqhubekayo kunye ne-amnesia .)
I-Bydon ithi ukuba ubunzima beempawu zakho kuya kuxhomekeka kukubini ubukhulu kunye nendawo ye-cyst.
Unyango
Amanye ama-cysts ahlala amancinci kwaye akhombise iimpawu ezimbalwa. Ngaphandle kokubeka esweni rhoqo, ungeke ufune unyango ukuba unolu hlobo lokukhula. Ii-Cyst zivakala ukuba zifumaneke nge-MRI.
Ukuba i-cyst yakho ibangela ubunzima obuninzi, kwaye ukuhlinzwa kukuyingozi kakhulu kunikwe imeko yakho yempilo, ugqirha wakho angakunxela i-corticosteroid injection okanye i-cyst aspiration. Kodwa ezi zonyango zingenakuphila ngokumalindela kwakho ukuphulukana kwentlungu, ngokwe-Bydon, et. al. kwizifundo zabo ezinesihloko esithi, "unyango lwe-Spinal Synovial Cyst," epapashwe ngo-Septemba 2012 ye- World Neurosurgery .
Abaphandi kulolu cwaningo bafumanisa ukuba izinga lokungaphumeleli kule nkqubo lilinganiselwa kuma-50%.
Ukuba unentlungu eninzi kwi-cyst yakho, kunye nemvume yakho yempilo, ugqirha wakho unokubonisa ukuba utyando olusemva. Kodwa ngubani na?
Ngokutsho kweXu, kunye. al. (I-Bydon ingomnye wabaphandi) kwisifundo sabo esinesihloko esithi, Izinto ezihambelana nokubuhlungu kwexesha eliphindaphindiweyo kunye nokuphindaphinda kwe-cyst emva kokuthengiswa kwee-cysts eziphambene neengcali ezingamakhulu angamashumi anesithoba anesihlanu: ukuhlaziywa kweemeko ezingamakhulu mathandathu anesixhenxe ezilandelelanayo, ezipapashwe Ngomhla ka-Meyi 2010 we-Spine, ngelixa i-laminectomy kunye ne-hemilaminectomy basebenzise kakhulu kwiimeko ze-spinal cysts, kwaye baninzi abantu, bafumana ukuphulukana kwangoku kwintlungu elandelayo emva kokuhlinzwa. Kodwa engaphantsi kweminyaka emi-2, ababhali bathi, intlungu ingabuya kwaye enye i-cyst inokwenza. I-Bydon kunye neqela lakhe labaphandi kunoko libonisa ukunyanzeliswa ngokufakela kwi-fusion ukukhusela iingxaki eziphindaphindiweyo.
Imithombo:
I-Bydon, A. Ukwelashwa kwee-Spinal Synovial Cysts. Ividiyo, i-Neurology ne-Neurosurgery. Johns Hopkins Medicine.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciubba, D., Gokaslan, Z., Bydon, A., unyango lwe-Spinal Synovial Cysts ngoSeptemba 2012.
Epstein N., Baisden J. Ukuxilongwa kunye nokulawulwa kwama-synovial cysts: Ukusebenza kobuchopho kunye ne-aspiration. Ukhuseleko lweNeurol Int 2012; 3, iSiza S3: 157-66
Khan, A., Girardi, F. I-spinal lumbar synovial cysts. Uxilongo kunye nolawulo umngeni. I-Eur Spine J. 2006 Agasti; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Ukwelashwa kwe-Lumbar Synovial Cysts Ukusebenzisa Iindlela eziPhezulu zokuCandwa. Focus Focus. 2006.
Xu R., kunye. al. Izinto ezinxulumene nobuhlungu bexesha eliphindaphindiweyo kunye nokuphindaphinda kwe-cyst emva kokuqhawulwa kwezixhobo ezingamakhulu angamashumi ayisithoba anesithoba ama-cynovial spin: ukuhlaziywa kwamatyala angamanci mathandathu anesixhenxe alandelanayo. Ngomhlaba, ngoMeyi 2010.