Sɔntɛnde yu kin gɛt wan strenj pen na yu bɔdi we de dɔŋ? Ɔ yu kin fil wan strenj pen ɔ yu de fil lɛk se ilɛktrik shɔk de rɔn dɔŋ yu leg? Sɔntɛm di tin we mek dɛn tin ya apin na sɔntin we yu nɔ ɛva yɛri bɔt. Tide wi go tɔk bɔt wan pan dɛn strenj, bɔt i fayn fɔ no, kɔndishɔn dɛn de. Dat na Tarlov Sist .
Wetin na Tarlov Sist?
Fɔ tɔk am simpul wan, Tarlov sist na sak we ful-ɔp wit wata we de fɔm rawnd di nɛv rut dɛn we de branch kɔmɔt na yu spɛnal kɔd . di sist kin fulכp wit sεribrospεnal fכluid (CSF) . CSF na klia wata we de rawnd yu bren ɛn di spɛnal kɔd.
dis sist dεm kin fכm bכku tεm na di bכtכm pat na yu spayna, na di εria we dεn kכl di sakrum (di bon we de jכs oba yu bכtכk). Sɔntɛnde dɛn kin kam afta yu gɛt injuri na yu spayna. I pɔsibul fɔ gɛt pas wan Tarlov sist wan tɛm.
Dɛn tumbu ya kin kam insay difrɛn sayz dɛn. Bɔku tɛm, dɛn nɔ kin gɛt ɛni sayn . Bɔku tɛm dɛn kin no dɛn bay we dɛn de du MRI skan fɔ ɔda prɔblɛm na di spɛnal. Bɔt if di tumbu big, i kin mek pɔsin gɛt sɔm sayn dɛn. Fɔ ɛgzampul, bak pen, i nɔ kin izi fɔ pis ɔ pul dɔti, ɔ i nɔ kin fil fayn.
yu dכkta kin kכl dεn ya bak ``Meningeal cysts'' כ ``Perineural cysts''. Dis na ɔda nem dɛn bak fɔ dis.
Aw dɛn tin ya kɔmɔn?
Infakt, i at fɔ tɔk ɛksaktɔli ɔmɔs pipul dɛn gɛt Tarlov sist. Bikɔs, lɛk aw wi bin dɔn tɔk, nɔto ɔl dɛn kin mek pɔsin gɛt di sik. Wan stכdi sho se na 4% pan di pipul dεm na Amɛrika kin gεt dεn sist ya. Dat min se dɛn nɔr kɔmɔn lɛk aw yu kin tink, bɔt dɛn nɔr kin pɔsibul fɔ ɛnibɔdi fɔ divɛlɔp.
Wetin na di sayn dɛm fɔ dis?
di simptom dεm fכ Tarlov sist de difrεn dipכnt pan di saiz fכ di sist εn usay i de na di spayna . Stɔdi dɔn sho se na 5% to 8% pan di pipul dɛn we gɛt dɛn sist ya kin gɛt di sik . Big big sist kin mek yu gɛt sɔm sayn dɛn. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:
- Lɔwa bak pen: Dis na di men sayn.
- Pen wae de fil lɛk wae yu gɛt ilɛktrik shɔk ɔr yu de bɔn wae de travul frɔm yu bak dɔŋ yu leg: Dis na tin bak wae bɔrku pipul kin gɛt.
- Yu leg dɛn kin swɛla, yu kin wik, ɔ yu nɔ kin fil fayn: Sɔntɛnde, i kin tan lɛk se yu leg dɛn de swɛla.
- I nɔ izi fɔ kɔntrol di bɔdi ɛn blad fɔ kɔntrol ɔ kɔnstipɛshɔn: Dis na sayn we siriɔs smɔl.
- Ed de at:Sɔm pipul dɛn kin gɛt ed pen bak frɔm dɛn tumbu ya.
- Di prɔblɛm we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs: Dis kin apin bak.
Imajin, wan pɔsin de we nem Nilanthi. I dɔn de fil pen na in ɔnda bak fɔ sɔm tɛm. Sɔntɛnde, i kin fil pen lɛk ilɛktrik shɔk we de rɔn dɔŋ in rayt leg. Di pen kin fil mɔ we i sidɔm ɔ tinap. Na afta we i sho am to dɔktɔ, na in dɛn bin no se i gɛt Tarlov Cyst tru wan MRI skan.
Wetin mek dis Tarlov Cyst kin fɔm?
di masta sabi pipul dεm stil nכ kin tכk bכku bכku wan wetin mek Tarlov sist dεm de fכm. Bɔt risach dɔn sho sɔm tin dɛn:
- sεribrospεnal fכluid (CSF) lik: Dis kin apin afta wan traumatik spεnal injuri.
- inflameshn na di protεktiv sεt we de rawnd wan nεv rכt: i sכm kayn we lεk we yu swel afta yu injuri.
we di prεshכn fכ dis `(CSF)` fכluid chenj, di sayz fכ wan Tarlov Sist kin chenj bak. i nכmal fכ di `(CSF)` prεshכn fכ fכlt. we di `(CSF)` prεshכn de inkrεs, di sayz fכ di sist kin inkrεs bak. Yu kin fil dis prɛshɔn chenj we yu de es wet ɔ du ɛksɛsayz we yu de du tranga wan. Na da tɛm de de sik kin wɔs ɔr nyu wan kin kam.
Udat de pan big risk fɔ gɛt dɛn tin ya?
Ɛnibɔdi kin gɛt Tarlov sist. Bɔt yu kin gɛt prɔblɛm smɔl if yu:
- If aksidɛnt dɔn apin to di spayna.
- If yu gɛt kɔnektiv tisu kɔndishɔn: Fɔ ɛgzampul, kɔndishɔn lɛk Marfan sindrom ɛn Ehlers-Danlos sindrom.
- If yu na uman: Uman dɛn kin gɛt dɛn tin ya pas man dɛn.
- If yu ol bitwin 30 ɛn 60 ia.
Us prɔblɛm dɛn we Tarlov Cysts kin mek?
Kɔmplikɛshɔn dɛn we kin kam frɔm Tarlov Cyst nɔ kin bɔku. Bɔt, we nɔ kin apin so ɔltɛm, dɛn tin ya kin apin:
- Pen we nɔ de dɔn: Pen we de kɔntinyu.
- di bon dεm we de pwεl: di bon dεm kin pwεl na di say we di tכmכro de.
- Di nerve damej fɔ ɔltɛm: Dis nɔ kin apin so ɔltɛm.
- I nɔ izi fɔ muv.
- Sist kin brok ɛn blɔd kin kɔmɔt.
If yu gɛt prɔblɛm dɛn lɛk dis, mɔ di wan dɛn we de afɛkt di we aw yu de muv, yu go nid fɔ mek sɔm chenj dɛn na di tin dɛn we yu de du ɛvride. Bɔrku pipul kin gɛt dis sik bak wae kin teik lɔng tɛm wae kin mek dɛn gɛt prɔblɛm wit dɛn maynd lɛk pwɛl hat .
Aw yu kin fɛn dis? (Diagnosis) .
Dɔktɔ go no se yu gɛt Tarlov sist afta dɛn dɔn du ɛgzam pan yu bɔdi ɛn ɛgzam fɔ yu nyurolɔjik . I go tek yu kɔmplit mɛdikal histri ɛn aks yu kwɛstyɔn bɔt yu sik dɛn. Fɔ ɛgzampul, aw lɔng yu dɔn gɛt dɛn sik ya ɛn if dɛn kin wɔs wit sɔm tin dɛn we yu de du.
Dɛn kin kɔnfɔm di diagnosis bay wan imej tɛst . Dis kin bi MRI (magnɛtik rɛsɔnans imej) ɔ CT skan (kɔmpyuta tomografi skan) . Dɛn tɛst ya kin mek di dɔktɔ si di tumbu ɛn di nerv dɛn we i de afɛkt klia wan.
Sɔntɛnde, dɛn kin fɛn Tarlov sist bay aksidɛnt we dɛn du MRI fɔ ɔda tin, lɛk bak pen.
Wetin na di tritmɛnt fɔ Tarlov Cyst?
Di bɛst tin na dat Tarlov sist we nɔ gɛt ɛni sayn nɔ nid fɔ gɛt tritmɛnt . Bɔt yu dɔktɔ go tɛl yu fɔ kam insay fɔ mek dɛn chɛk yu ɔltɛm. Dis na fɔ si if di sayz fɔ di sist de chenj ɛn if nyu sayn dɛn de sho as yu de ol.
Tritmɛnt fɔ di tɔŋ dɛn we gɛt simptom
If yu gɛt tumbu we de mek yu gɛt di sik, yu dɔktɔ go tray fɔ kɔntrol dɛn sik dɛn de . Di tritmɛnt we dɛn kin pik kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Na sɔm pan di tritmɛnt dɛn:
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Fɔ ɛgzampul, paracetamol, gabapentin, nonsteroidal anti-inflammatory drugs (NSAID) , ɔ sɔntɛnde dɛn kin yuz opiate fɔ mek pɔsin fil pen bad bad wan.
- Steroid injεkshכn: Dɛn kin gi dɛn injεkshɔn ya dairekt na di lכw bכk fכ ridyus pen εn swεla.
- Transkutan ilektrikal nεv stimulashכn (TENS): dεn kin yus dis fכ nerv pen. Na wan we fɔ ridyus pen bay we yu de yuz smɔl ilɛktrik kɔrɛnt.
- aspirashכn εn fכ ful di sist wit כda mεtirial: dεn de pul di sεribrospεnal fכluid (CSF) we de insay di sist wit injεkshכn εn di spεs de fulכp wit כda mεtirial we nכ de put prεshכn pan di nεv dεm (e.g., fibrin glu, fεt, כ mכsul tisu ).
- Ɔpreshɔn fɔ pul di tumbu: If ɔda tritmɛnt dɛn nɔ wok, dɛn kin yuz ɔpreshɔn as las we fɔ pul di tumbu.
Yu dɔktɔ go tink bɔt di gud ɛn bad tin dɛn we ɛni tritmɛnt we yu go gɛt ɛn i go pik di tritmɛnt we sef ɛn we fit fɔ yu sik. Bɔt i impɔtant fɔ mɛmba se nɔ pan dɛn tritmɛnt ya nɔ go ebul fɔ stɔp di tumbu fɔ kam bak kpatakpata .
Ɛni bad tin de we di tritmɛnt kin du?
Na tru se ɔl di tritmɛnt dɛn kin gɛt sɔm bad bad tin dɛn. Tɔk to yu dɔktɔ bɔt di patikyula sayd ɛfɛkt dɛn we di mɛrɛsin dɛn we yu de tek kin gɛt. Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen kin mek pɔsin fil penSɔntɛm yu kin slip, nɔs, ɛn yu bɔdi kin dipen pan di mɛrɛsin.
If dɔktɔ pul di wata we de na di bɔdi (CSF) frɔm di sist, i kin ful-ɔp bak. Sɔntɛnde, di wata kin ful-ɔp bak insay wan awa afta dɛn pul am. Na dat mek bɔku dɔktɔ dɛn kin tray fɔ dreyn di sist ɛn ful-ɔp am wit difrɛn tin we nɔ go alaw di CSF fɔ bil bak ɛn nɔ go put prɛshɔn pan di nɛv dɛn.
Di bad tin dɛn we kin apin we dɛn du ɔpreshɔn kin difrɛn bak fɔ di kayn ɔpreshɔn we dɛn kin du. Dɛn kin inklud:
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Nɛv dɛn we dɔn pwɛl
- Blɔd we de klɔt
- di wata we de na di sεribrospεnal de lik
- I nɔ izi fɔ pis ɔ fɔ pul dɔti
- Di sayn dɛm we de kam bak
Aw kwik a go fil fayn afta dɛn dɔn trit mi?
Dipen pan di tritmɛnt we yu dɔktɔ tɛl yu fɔ du, yu kin fil fri frɔm yu sik dɛn wantɛm wantɛm , ɔ yu kin fil fri insay sɔm dez afta yu dɔn tek mɛrɛsin ɔr dɔn gɛt tritmɛnt. Sɔntɛnde, i kin tek sɔm wiks fɔ si difrɛns. Fɔ ɔda pipul dɛn, ivin if di prɛshɔn we de pan di tumbu dɔn ridyus ɔ di tumbu dɔn kɔmɔt kpatakpata, yu nɔ go fil ɛni fridɔm. So, yu dɔktɔ go de chɛk yu ɔltɛm we dɛn de trit yu. Dis na fɔ mek shɔ se yu nɔ gɛt ɛni sayd ɛfɛkt ɛn fɔ wach di sayz ɛn usay di tumbu de.
Wetin kin apin if yu gɛt Tarlov Cyst? (Bɔt di tumara bambay)
As wi bin dɔn tɔk, Tarlov sist nɔ kin mek yu gɛt di sik ɔltɛm, so yu nɔ kin ivin no se yu gɛt wan.
If yu gɛt tumbu we gɛt sɔm kayn sik, tritmɛnt dɛn de fɔ ɛp fɔ ridyus pen ɛn nɔ fil fayn. Bɔku tɛm, di tritmɛnt dɛn we nɔto ɔpreshɔn na di fɔs tin we dɛn kin pik. Dat min tin dɛm lɛk fɔ gi mɛrɛsin fɔ ɛp fɔ ridyus di sayn dɛm.
Di tin we impɔtant pas ɔl na fɔ nɔ fred, fɔ ɔndastand yu sik fayn fayn wan, fɔ tɔk to yu dɔktɔ, ɛn fɔ go fɛn di tritmɛnt we fit yu pas ɔl.
If yu sik nɔr bɛtɛ wit tritmɛnt, ɔpreshɔn fɔ pul di tumbu na opshɔn. Mɔ pas 80% pan di pipul dɛn we dɛn dɔn ɔpreshɔn fɔ pul di tumbu kin ripɔt se dɛn dɔn gɛt bɛtɛ sik wan ia afta dɛn dɔn du di ɔpreshɔn . Di risk fɔ mek di tumbu kam bak afta dɛn dɔn du di ɔpreshɔn nɔ kin bɔku, bɔt i kin apin.
Yu tink se dɛn kin mek dɛn tin ya nɔ apin?
Bikɔs dɛn nɔ no di rayt tin we kin mek Tarlov sist, no we nɔ de fɔ mek dɛn nɔ fɔm. Bɔt if yu du tin fɔ protɛkt yusɛf frɔm bad bad tin dɛn we kin apin to yu bɔdi , dat kin ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt sayn dɛn fɔ Tarlov sist, go to dɔktɔ, mɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Pen na di lכw bכk we dεn nכ kin fכnshכn kכz fכ.
- Nɔ ebul fɔ kɔntrol yu urine ɔ stɔl ɔ kɔnstipɛshɔn.
- Di leg dɛn kin swɛla ɔ wik.
If dɛn dɔn ɔlrɛdi de trit yu fɔ Tarlov Cyst, ɛn yu gɛt sayn dɛm fɔ infekshɔn (e.g., yu wund de swel, yu skin de chenj in kɔlɔ), ɔ yu de fil bad ɔ yu de fil pen , tɛl yu dɔktɔ wantɛm wantɛm.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
We yu go si dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:
- Usay di tumbu de na mi bɔdi?
- Us kayn tritmɛnt yu kin advays?
- Ɛni bad tin de we di tritmɛnt kin du?
- Yu tink se a nid ɔpreshɔn?
- Yu tink se tumbu kin gro bak afta dɛn dɔn pul am?
Bɔrku pipul dɛm wae gɛt Tarlov sist nɔr kin gɛt dis sik ɛn nɔr nid tritmɛnt. Bɔt fɔ ɔda pipul dɛn, fɔ liv wit dɛn sik ya kin tranga. Bikɔs dɛn sist ya de na say dɛn we gɛt sɛnsitiv say dɛn we de kɔntrol di muvmɛnt na yu bɔdi, mɔ na yu bɔdi we de dɔŋ. I nɔ kin izi fɔ yu fɔ sidɔm na wan ples fɔ lɔng tɛm. I nɔ kin izi fɔ yu fɔ go na di bafa, ɔ yu kin nid fɔ go bɔku tɛm pas aw yu kin go.
Wan impɔtant mɛsej fɔ yu (Take-Home Message)
Tarlov Cyst na wan sik wae nɔr kin yɛri bɔt, bɔt i impɔtant fɔ no bɔt am. If yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ fɔ advays . I nɔ kin bi Tarlov Cyst, bɔt fɔ fɛn di kɔz na di tin we impɔtant pas ɔl.
Ivin if di tumbu nɔ gɛt ɛni sayn, di sayn dɛn kin kam as tɛm de go. So, tɛl yu dɔktɔ bɔt ɛni chenj we yu notis na yu bɔdi. If yu gi yu di rayt mɛrɛsin ɛn tritmɛnt, yu kin ebul fɔ kɔntrol dis sik fayn fayn wan. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ du dis waka.
` Tarlov Sist, Tarlov Sist, Bak Pen, Nyurosistisεrkɔsis, Spinal Kɔd, CSF, MRI
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