Ua like anei kou iwi kuamoʻo me kēia? E aʻo pono kākou e pili ana i (Tarlov Cyst)!

Loaʻa iā ʻoe i kekahi manawa kahi ʻeha ʻē ma kou kua haʻahaʻa? A i ʻole ke manaʻo nei ʻoe i kahi ʻeha ʻē a i ʻole ka mae ʻana e like me ka uila e holo ana i lalo o kou mau wāwae? Malia paha ke kumu o kēia mau mea he mea āu i lohe ʻole ai. I kēia lā e kamaʻilio mākou e pili ana i kekahi o kēlā mau kūlana ʻē, akā pono e ʻike ʻia. ʻO ia ʻo Tarlov Cyst .

He aha ka maʻi ʻo Tarlov Cyst?

I ka ʻōlelo maʻalahi, he ʻeke piha wai ka cyst Tarlov e hana ʻia a puni nā aʻa nerve e lālā mai ana mai kou kaula iwi kuamoʻo . Hoʻopiha pinepine ʻia ka cyst me ka wai cerebrospinal (CSF) . He wai moakaka a wai ka CSF e hoʻopuni ana i kou lolo a me ke kaula iwi kuamoʻo.

Hoʻokumu pinepine ʻia kēia mau cysts ma lalo o kou iwi kuamoʻo, ma kahi i kapa ʻia ʻo sacrum (ka iwi ma luna pono o kou puʻupuʻu). Hiki iā lākou ke ulu i kekahi manawa ma hope o kahi ʻeha o ka iwi kuamoʻo. Hiki ke loaʻa ma mua o hoʻokahi cyst Tarlov i ka manawa hoʻokahi.

Hiki i kēia mau puʻupuʻu ke loaʻa i nā nui like ʻole. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ko lākou ʻike. ʻIke pinepine ʻia lākou i ka wā o ka MRI scan no kekahi pilikia iwi kuamoʻo. Eia nō naʻe, inā nui ka puʻupuʻu, hiki ke hana i nā hōʻailona. No ka laʻana, ʻeha ke kua, paʻakikī i ka mimi a i ʻole ka ʻōpala, a i ʻole ka mae ʻana o ka hanu.

Hiki i kāu kauka ke kapa i kēia mau "Meningeal cysts" a i ʻole "Perineural cysts". He mau inoa ʻē aʻe kēia no kēia.

Pehea ka maʻamau o kēia mau mea?

ʻO kaʻoiaʻiʻo, he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa i nā cysts Tarlov. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole lākou a pau e hōʻike i nā hōʻailona. Hōʻike kekahi noiʻi he 4% wale nō o ka poʻe ma ʻAmelika Hui Pū ʻIa e loaʻa paha kēia mau cysts. ʻO ia hoʻi, ʻaʻole lākou i maʻamau e like me kou manaʻo, akā ʻaʻole hiki ʻole i kekahi ke ulu.

He aha nā hōʻailona o kēia?

ʻOkoʻa nā hōʻailona o kahi cyst Tarlov ma muli o ka nui o ka cyst a me kona wahi i loaʻa ai ma ka iwi kuamoʻo . Ua hōʻike ʻia nā noiʻi he 5% a 8% wale nō o ka poʻe me kēia mau cysts e loaʻa nā hōʻailona . ʻOi aku ka nui o nā cysts nui e hoʻoulu i nā hōʻailona. Eia kekahi o nā hōʻailona:

• ʻEha ma lalo o ke kua: ʻO kēia ka hōʻailona nui.
• He ʻeha e like me ka haʻalulu uila a i ʻole kahi ʻeha wela e hele ana mai ke kua i lalo i nā wāwae: He mea kēia e ʻike ai ka poʻe he nui.
• ʻO ka mae, nāwaliwali, a i ʻole ka nalowale o ka manaʻo ma nā wāwae: I kekahi manawa hiki ke manaʻo e like me ka mae ʻana o kou mau wāwae.
• Paʻakikī i ka kaohi ʻana i ka ʻōpū a me ka ʻōpū mimi a i ʻole ka paʻa ʻana o ka ʻōpū: He hōʻailona koʻikoʻi iki kēia.
• ʻEha poʻo:Hiki i kekahi poʻe ke loaʻa i nā ʻeha poʻo mai kēia mau puʻupuʻu.
• Hana ʻino i ka moekolohe: He mea kākaʻikahi hoʻi kēia.

E noʻonoʻo, aia kekahi kanaka i kapa ʻia ʻo Nilanthi. Ua loaʻa iā ia ka ʻeha ma kona kua haʻahaʻa no kekahi manawa. I kekahi manawa manaʻo ʻo ia i ka ʻeha e like me ka uila e holo ana ma kona wāwae ʻākau. ʻOi aku ka ʻeha i kona noho ʻana a kū paha. Ma hope o kona hōʻike ʻana i ke kauka ua ʻike ʻia ʻo ia me ka Tarlov Cyst ma o kahi scan MRI.

No ke aha i hoʻokumu ʻia ai kēia Tarlov Cyst?

ʻAʻole hiki i nā loea ke ʻōlelo pololei i ke kumu o ka hoʻokumu ʻia ʻana o nā cysts Tarlov. Akā, hōʻike ka noiʻi i kekahi mau mea:

• Ka leaka ʻana o ka wai Cerebrospinal (CSF): Hana pinepine kēia ma hope o kahi ʻeha ʻeha o ka iwi kuamoʻo.
• Ka mumū ʻana o ka ʻūpā pale a puni ke aʻa aʻalolo: like me ka pehu ʻana ma hope o kahi ʻeha.

Ke loli ke kaomi o kēia wai `(CSF)`, hiki ke loli ka nui o ka Tarlov Cyst. He mea maʻamau ka loli ʻana o ke kaomi `(CSF)`. Ke piʻi aʻe ke kaomi `(CSF)`, hiki ke piʻi aʻe ka nui o ka cyst. Hiki iā ʻoe ke manaʻo i ka loli ʻana o kēia kaomi ke hāpai ʻoe i nā mea kaumaha a hana paha i ka hoʻoikaika kino ikaika. ʻO ia ka manawa e ʻoi aku ai ka ʻino o nā hōʻailona a i ʻole e ʻike ʻia nā mea hou.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?

Hiki i kekahi ke loaʻa i kahi cyst Tarlov. Eia nō naʻe, hiki iā ʻoe ke piʻi iki aʻe ka pilikia inā ʻoe:

• Inā ua loaʻa kahi ulia i ka iwi kuamoʻo.
• Inā loaʻa iā ʻoe kahi maʻi pili: No ka laʻana, nā kūlana e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome.
• Inā he wahine ʻoe: ʻOi aku ka nui o ka loaʻa ʻana o kēia mau mea i nā wahine ma mua o nā kāne.
• Inā ʻoe ma waena o 30 a me 60 mau makahiki.

He aha nā pilikia e hiki ai i nā Tarlov Cysts ke hana?

He mea kākaʻikahi nā pilikia mai nā Tarlov Cysts. Eia nō naʻe, i nā hihia kākaʻikahi, hiki ke loaʻa kēia mau mea:

• ʻEha mau: ʻEha e hoʻomau nei.
• Ka ʻino o ka iwi: Hiki ke hōʻino ʻia ka iwi ma kahi o ka puʻupuʻu.
• Ka hōʻino mau ʻana o ke aʻalolo: He mea kākaʻikahi loa kēia.
• Nā pilikia o ka neʻe ʻana.
• Ka haki ʻana o ka cyst a me ke kahe koko.

Inā loaʻa iā ʻoe nā pilikia e like me kēia, ʻoiai nā mea e hoʻopilikia ai i ka neʻe ʻana, pono paha ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā. Nui ka poʻe e ʻike i nā hōʻailona lōʻihi e hiki ai ke alakaʻi i nā pilikia olakino noʻonoʻo e like me ke kaumaha .

Pehea ʻoe e ʻike ai i kēia? (Diagnosis)

E ʻike ke kauka i kahi cyst Tarlov ma hope o ka hoʻokolokolo kino a me ka hoʻokolokolo neurological . E lawe ʻo ia i kāu mōʻaukala lapaʻau piha a nīnau iā ʻoe e pili ana i kāu mau hōʻailona. No ka laʻana, pehea ka lōʻihi o kou loaʻa ʻana o kēia mau hōʻailona a inā paha e ʻoi aku ka ʻino me kekahi mau hana.

Ua hōʻoia ʻia ka ʻike ma o kahi hoʻāʻo kiʻi . ʻO kēia ka MRI (magnetic resonance imaging) a i ʻole kahi CT scan (computerized tomography scan) . ʻAe kēia mau hoʻāʻo i ke kauka e ʻike maopopo i ka puʻupuʻu a me nā aʻalolo e hoʻopilikia ai.

I kekahi manawa, hiki ke loaʻa ulia ka ʻeha o kahi cyst Tarlov ke hana ʻia kahi MRI no kekahi mea ʻē aʻe, e like me ka ʻeha o ke kua.

He aha nā lāʻau lapaʻau no ka maʻi ʻo Tarlov Cysts?

ʻO ka mea maikaʻi loa , ʻaʻole pono ka mālama ʻana i kahi cyst Tarlov asymptomatic . Eia nō naʻe, e haʻi aku kāu kauka iā ʻoe e hele mai no nā nānā maʻamau. ʻO kēia ke ʻike inā loli ka nui o ka cyst a inā ʻike ʻia nā hōʻailona hou i kou wā ʻelemakule.

Ka mālama ʻana i nā ʻōpū hōʻailona

Inā he puʻupuʻu kou e hoʻoulu nei i nā hōʻailona, ​​e hoʻāʻo kāu kauka e kāohi i kēlā mau hōʻailona . Hiki ke ʻokoʻa nā koho lapaʻau mai kēlā kanaka a kēia kanaka. Eia kekahi o nā lāʻau lapaʻau:

• Nā lāʻau hoʻopau ʻeha: No ka laʻana, paracetamol, gabapentin, nā lāʻau anti-inflammatory nonsteroidal (NSAID) , a i ʻole i kekahi manawa nā opiates no ka ʻeha nui.
• Nā inikini steroid: Hiki ke hāʻawi pololei ʻia kēia mau inikini i loko o ke kua haʻahaʻa e hōʻemi i ka ʻeha a me ka pehu.
• Hoʻoulu ʻana o ke aʻalolo uila transcutaneous (TENS): Hoʻohana ʻia kēia no ka ʻeha o ke aʻalolo. He ʻano ia e hōʻemi ai i ka ʻeha ma ka hoʻohana ʻana i kahi au uila liʻiliʻi.
• ʻO ka hanu ʻana a me ka hoʻopiha ʻana i ka cyst me kahi mea ʻē aʻe: Hoʻoneʻe ʻia ka wai cerebrospinal (CSF) i loko o ka cyst me kahi inikini a hoʻopiha ʻia ka hakahaka me kahi mea ʻē aʻe ʻaʻole e kau i ke kaomi ma luna o nā aʻalolo (e.g., fibrin glue, momona, a i ʻole nā ​​​​ʻiʻo ʻiʻo ).
• Ka wehe ʻana i ka puʻupuʻu: Inā ʻaʻole maikaʻi nā lāʻau ʻē aʻe, hiki ke hoʻohana ʻia ke ʻoki ʻana ma ke ʻano he hopena hope loa e wehe ai i ka puʻupuʻu.

E noʻonoʻo kāu kauka i nā pono a me nā pōʻino o kēlā me kēia koho lapaʻau a koho i ka lāʻau palekana a kūpono loa no kou kūlana. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole hiki i kekahi o kēia mau lāʻau ke hoʻōki loa i ka puʻupuʻu mai ka hoʻi hou ʻana mai .

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻOiaʻiʻo, hiki i nā lāʻau lapaʻau āpau ke loaʻa kekahi mau hopena ʻaoʻao. E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao kikoʻī o nā lāʻau lapaʻau āu e lawe nei. Hiki i kekahi mau lāʻau ʻeha ke hanaHiki paha ke hiamoe, ka nausea, a me ka hilinaʻi kino i ka lāʻau lapaʻau.

Inā wehe ke kauka i ka wai cerebrospinal (CSF) mai kahi cyst, hiki iā ia ke hoʻopiha hou. I kekahi mau hihia, hiki i ka wai ke hoʻopiha hou i loko o hoʻokahi hola ma hope o ka wehe ʻia ʻana. ʻO ia ke kumu e hoʻāʻo ai nā kauka he nui e hoʻokahe i ka cyst a hoʻopiha iā ia me kahi mea ʻokoʻa e pale ai i ka CSF e kūkulu hou a ʻaʻole e kau i ke kaomi ma luna o nā aʻalolo.

ʻOkoʻa nō hoʻi nā hopena ʻaoʻao o ke ʻoki kino ma muli o ke ʻano o ke ʻoki kino i hana ʻia. Hiki iā lākou ke komo pū me:

• Ke kahe ʻana o ke koko
• Nā maʻi
• Ka pōʻino o ke aʻalolo
• Nā ʻūpā koko
• Ka hoʻokahe ʻana o ka wai Cerebrospinal
• Ka paʻakikī i ka mimi ʻana a i ʻole ka defecating
• Ka hoʻi hou ʻana o nā hōʻailona

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Ma muli o ka lāʻau lapaʻau a kāu kauka e ʻōlelo ai, hiki iā ʻoe ke manaʻo i ka hōʻoluʻolu mai kāu mau hōʻailona koke , a i ʻole e manaʻo paha ʻoe i ka hōʻoluʻolu i loko o kekahi mau lā ma hope o ka lawe ʻana i kahi lāʻau lapaʻau a i ʻole ke kau ʻia ʻana o kahi lāʻau lapaʻau. I kekahi manawa, hiki ke hala i nā pule e ʻike ai i kahi ʻokoʻa. No kekahi poʻe, ʻoiai inā ua hoʻemi ʻia ke kaomi ma luna o ka puʻupuʻu a ua wehe loa ʻia ka puʻupuʻu, ʻaʻole paha ʻoe e manaʻo i ka hōʻoluʻolu. No laila, e nānā mau kāu kauka iā ʻoe i ka wā o ka lāʻau lapaʻau. ʻO kēia ke hōʻoia ʻaʻole ʻoe e loaʻa i nā hopena ʻaoʻao a e nānā i ka nui a me kahi o ka puʻupuʻu.

He aha ka mea e hana inā loaʻa iā ʻoe kahi Tarlov Cyst? (E pili ana i ka wā e hiki mai ana)

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole i hōʻike mau nā cysts Tarlov i nā hōʻailona, ​​​​no laila ʻaʻole paha ʻoe e ʻike he hoʻokahi kāu.

Inā loaʻa iā ʻoe kahi puʻupuʻu hōʻailona, ​​​​aia nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole. ʻO nā lāʻau lapaʻau ʻoki ʻole ke koho mua. ʻO ia hoʻi nā mea e like me ka hāʻawi ʻana i nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i nā hōʻailona.

ʻO ka mea nui loa, ʻaʻole ia e makaʻu, e hoʻomaopopo pono i kou kūlana, e kamaʻilio me kāu kauka, a e ʻimi i ka lāʻau kūpono loa.

Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona me ka mālama ʻana, he koho ka wehe ʻana i ka puʻupuʻu ma ke ʻoki kino. ʻOi aku ma mua o 80% o ka poʻe i wehe ʻia ka puʻupuʻu ma ke ʻoki kino e hōʻike ana i ka hōʻoluʻolu mai nā hōʻailona i hoʻokahi makahiki ma hope o ke ʻoki kino . ʻO ka pilikia o ka hoʻi hou ʻana mai o ka puʻupuʻu ma hope o ke ʻoki kino he haʻahaʻa pinepine ia, akā hiki ke hana ʻia.

Hiki ke pale ʻia kēia mau mea mai ka hana ʻana?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o nā cysts Tarlov, ʻaʻohe ala i ʻike ʻia e pale aku ai i ko lākou hoʻokumu ʻia ʻana. Eia nō naʻe, ʻo ka hana ʻana i nā hana e pale aku iā ʻoe iho mai nā pōpilikia kino e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o kahi cyst Tarlov, e ʻike i ke kauka, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻEha ma ke kua i lalo ʻaʻole hiki ke loaʻa ke kumu.
• ʻAʻole hiki ke kāohi i ka mimi a i ʻole ka ʻōpala a i ʻole ka paʻa ʻana.
• Ka maneʻo a nāwaliwali paha o nā wāwae.

Inā ke mālama ʻia nei ʻoe no ka Tarlov Cyst, a loaʻa iā ʻoe nā hōʻailona o ka maʻi (e like me ka pehu ʻana o ka ʻeha, ke ʻano ʻili), a i ʻole ka ʻeha nui a keu paha , e hoʻomaopopo koke i kāu kauka.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• ʻAuhea ke ʻōpū ma luna o koʻu kino?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
• Pono anei au i ke ʻoki kino?
• Hiki i kahi puʻupuʻu ke ulu hou ma hope o ka wehe ʻia ʻana?

ʻAʻohe hōʻailona o ka nui o ka poʻe me ka cyst Tarlov a ʻaʻole pono lākou i ka lāʻau lapaʻau. Eia nō naʻe, no kekahi poʻe, hiki i ka noho ʻana me kēia mau hōʻailona ke lilo i mea paʻakikī. No ka mea, aia kēia mau cysts ma nā wahi koʻikoʻi e kāohi ana i ka neʻe ʻana i loko o kou kino, ʻoi aku hoʻi ma kou kino haʻahaʻa. Hiki iā ʻoe ke paʻakikī i ka noho ʻana ma kahi hoʻokahi no ka manawa lōʻihi. Hiki iā ʻoe ke paʻakikī i ka hele ʻana i ka lua, a i ʻole pono ʻoe e hele pinepine ma mua o ka maʻamau.

He leka koʻikoʻi nāu (Leka Lawe-Home)

ʻO ka Tarlov Cyst kahi maʻi i lohe pinepine ʻole ʻia, akā he mea nui e makaʻala iā ia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai kānalua e ʻike i ke kauka no ka ʻōlelo aʻo . ʻAʻole paha he Tarlov Cyst, akā ʻo ka ʻimi ʻana i ke kumu ka mea nui loa.

ʻOiai inā ʻaʻohe hōʻailona o ka puʻupuʻu, hiki ke ulu aʻe nā hōʻailona i ka hala ʻana o ka manawa. No laila, e hoʻomaopopo i kāu kauka e pili ana i nā loli āu e ʻike ai i kou kino. Me ke aʻo lapaʻau kūpono a me ka mālama ʻana, hiki ke mālama maikaʻi ʻia kēia kūlana. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

ʻO Tarlov Cyst, Tarlov Cyst, ʻEha Kua, Neurocysticercosis, Spinal Cord, CSF, MRI