Ingaba umqolo wakho unje? Masifunde ngqo ngo (Tarlov Cyst)!

Ngaba ngamanye amaxesha ukhe uzive ubuhlungu obungaqhelekanga emqolo wakho ongezantsi? Okanye uzive ubuhlungu obungaqhelekanga okanye ukungabi nanto okuvakala ngathi kukubetheka ngombane emilenzeni yakho? Mhlawumbi unobangela wezi zinto yinto ongazange uyive. Namhlanje siza kuthetha ngenye yezo meko zingaqhelekanga, kodwa kufanelekile ukuzazi. NguTarlov Cyst lowo.

Yintoni iTarlov Cyst?

Ngamafutshane, i-Tarlov cyst sisingxobo esizaliswe lulwelo esijikeleza iingcambu zemithambo-luvo eziphuma kwi-spinal cord yakho . I-cyst idla ngokuzaliswa lulwelo lwe-cerebrospinal (CSF) . I-CSF lulwelo olucacileyo nolunamanzi olujikeleze ingqondo yakho kunye ne-spinal cord.

Ezi cysts zihlala zenzeka ezantsi komqolo wakho, kwindawo ebizwa ngokuba yi-sacrum (ithambo elingaphezulu nje kweempundu zakho). Ngamanye amaxesha zinokuvela emva kokwenzakala komqolo. Kunokwenzeka ukuba ube neecysts ezingaphezu kwesinye zeTarlov ngexesha.

Ezi thumba zinokuza ngobukhulu obahlukeneyo. Uninzi lwexesha, azibonakali . Zihlala zifunyanwa ngengozi ngexesha le-MRI scan ukuze kufunyanwe enye ingxaki yomqolo. Nangona kunjalo, ukuba ithumba likhulu, linokubangela iimpawu. Umzekelo, iintlungu zomqolo, ubunzima bokuchama okanye ukuphuma kwesisu, okanye ukungakhululeki.

Ugqirha wakho ungazibiza ezi "Meningeal cysts" okanye "Perineural cysts". La ngamanye amagama alo mbandela.

Zixhaphake kangakanani ezi zinto?

Enyanisweni, kunzima ukutsho ngqo ukuba bangaphi abantu abanee-cysts zaseTarlov. Kuba, njengoko bekutshiwo ngaphambili, ayizizo zonke ezibangela iimpawu. Olunye uphando lubonisa ukuba bambalwa abantu abafikelela kwi-4% eMelika abanokuba nezi cysts. Oko kuthetha ukuba azixhaphakanga njengoko unokucinga, kodwa akunakwenzeka ukuba umntu azifumane.

Zithini iimpawu zoku?

Iimpawu ze-cyst yaseTarlov ziyahluka ngokuxhomekeke kubukhulu be-cyst kunye nendawo ekuyo emgogodleni . Izifundo zibonise ukuba yi-5% ukuya kwi-8% kuphela yabantu abanezi cyst abafumana iimpawu . Ii-cyst ezinkulu zinokubangela iimpawu. Nazi ezinye zeempawu:

• Intlungu esezantsi komqolo: Olu luphawu oluphambili.
• Intlungu evakala ngathi kukutsha okanye ukutsha okuhamba ukusuka emqolo ukuya emilenzeni: Oku kuyinto abantu abaninzi abayifumanayo.
• Ukuba ndindisholo, ubuthathaka, okanye ukuphelelwa yimvakalelo emilenzeni: Ngamanye amaxesha unokuziva ngathi imilenze yakho iya ndindisholo.
• Ubunzima bokulawula amathumbu kunye nesinyi okanye ukuqhinwa: Olu luphawu olubi kancinci.
• Intloko ebuhlungu:Abanye abantu banokufumana iintloko ezibuhlungu ngenxa yezi thumba.
• Ukungasebenzi kakuhle ngokwesondo: Oku nako kunqabile.

Khawucinge nje, kukho umntu ogama linguNilanthi. Ubenentlungu emqolo wakhe ongezantsi kangangexesha elithile. Ngamanye amaxesha uziva intlungu efana nombane ohamba emlenzeni wakhe wasekunene. Intlungu ivakala kakhulu xa ehleli okanye eme. Kuphela emva kokuba eyibonisile ugqirha apho wafunyaniswa ukuba uneTarlov Cyst nge-MRI scan.

Kutheni le nto iTarlov Cyst isenzeka?

Iingcali azikakwazi ukucacisa ukuba kutheni i-Tarlov cysts zenzeka. Kodwa uphando lubonisa izinto ezimbalwa:

• Ukuvuza kolwelo lomgogodla (CSF): Oku kwenzeka emva kokwenzakala komqolo okwenzeke kabuhlungu.
• Ukudumba kwesikhumba esikhuselayo esijikeleze ingcambu yemithambo-luvo: kufana nokudumba emva kokwenzakala.

Xa uxinzelelo lolu lwelo lwe-`(CSF)` lutshintsha, ubungakanani be-Tarlov Cyst bunokutshintsha. Kuqhelekile ukuba uxinzelelo lwe-`(CSF)` lutshintshe. Xa uxinzelelo lwe-`(CSF)` lunyuka, ubungakanani be-cyst bunokunyuka. Ungaziva olu tshintsho loxinzelelo xa uphakamisa iintsimbi okanye wenza umthambo onzima. Kulapho ke iimpawu zinokuba mandundu okanye zibonakale ezintsha.

Ngubani osengozini enkulu yokuphuhlisa ezi zinto?

Nabani na unokuba ne-Tarlov cyst. Nangona kunjalo, usenokuba sengozini enkulu ukuba:

• Ukuba kubekho ingozi emgogodleni.
• Ukuba unengxaki yezicubu ezidityanisiweyo: Umzekelo, iimeko ezifana neMarfan syndrome kunye ne-Ehlers-Danlos syndrome.
• Ukuba ungumfazi: Abafazi banamathuba amaninzi okufumana ezi mpawu kunamadoda.
• Ukuba uneminyaka ephakathi kwama-30 nama-60 ubudala.

Ziziphi iingxaki ezinokubangela iTarlov Cysts?

Iingxaki ezivela kwiTarlov Cysts azixhaphakanga. Nangona kunjalo, kwiimeko ezingaqhelekanga, oku kulandelayo kunokwenzeka:

• Intlungu engapheliyo: Intlungu eqhubekayo.
• Ukuwohloka kwamathambo: Ukonakala kwamathambo kunokwenzeka kwindawo yethumba.
• Ukonakala kwemithambo-luvo okungapheliyo: Oku kunqabile kakhulu.
• Ubunzima bokuhamba.
• Ukuqhekeka kwe-cyst kunye nokopha kwegazi.

Ukuba ufumana iingxaki ezinje ngezi, ingakumbi ezo zichaphazela ukuhambahamba, kunokufuneka wenze utshintsho oluthile kwindlela yakho yemihla ngemihla. Abantu abaninzi banokufumana iimpawu zexesha elide ezinokubangela iingxaki zempilo yengqondo ezifana nokudakumba .

Uyifumana njani le nto? (Ukuxilongwa)

Ugqirha uza kuxilonga i-Tarlov cyst emva kovavanyo lomzimba kunye novavanyo lwe-neurological . Uza kuthatha imbali yakho epheleleyo yezonyango aze akubuze imibuzo malunga neempawu zakho. Umzekelo, unexesha elingakanani unazo ezi mpawu kwaye ingaba ziya ziba mandundu na ngemisebenzi ethile.

Ukuxilongwa kuqinisekiswa ngovavanyo lomfanekiso . Oku kudla ngokuba yi-MRI (magnetic resonance imaging) okanye i-CT scan (computerized tomography scan) . Olu vavanyo luvumela ugqirha ukuba abone ngokucacileyo ithumba kunye nemithambo-luvo eliyichaphazelayo.

Ngamanye amaxesha, i-cyst yaseTarlov inokufunyanwa ngengozi xa kwenziwa i-MRI yento ethile, njengentlungu yomqolo.

Ziziphi iindlela zonyango lweTarlov Cysts?

Eyona nto ingcono kukuba i-cyst yaseTarlov engenazimpawu ayifuni unyango . Nangona kunjalo, ugqirha wakho uya kukuxelela ukuba uze kuhlolwa rhoqo. Oku kukujonga ukuba ubungakanani be-cyst buyatshintsha na kwaye ukuba iimpawu ezintsha ziyavela njengoko ukhula.

Unyango lwee-tumor ezineempawu

Ukuba unethumba elibangela iimpawu, ugqirha wakho uya kuzama ukulawula ezo mpawu . Iindlela zonyango zinokwahluka kumntu nomntu. Nazi ezinye zeendlela zonyango:

• Izithomalalisi zentlungu: Umzekelo, i-paracetamol, i-gabapentin, iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) , okanye ngamanye amaxesha ii-opiates kwiintlungu eziqatha.
• Iinaliti zeSteroid: Ezi naliti zinokufakwa ngqo emqolo ongezantsi ukunciphisa iintlungu nokudumba.
• Ukukhuthazwa kwemithambo-luvo yombane edluliselwa ngesikhumba (i-TENS): Oku kusetyenziselwa iintlungu zemithambo-luvo. Yindlela yokunciphisa iintlungu ngokusebenzisa umbane omncinci.
• Ukufutha kunye nokuzalisa i-cyst ngenye into: Ulwelo lwe-cerebrospinal (CSF) kwi-cyst lususwa ngenaliti kwaye isithuba sizaliswa ngenye into engayifaki uxinzelelo kwimithambo-luvo (umz., i-fibrin glue, amafutha, okanye izicubu zemisipha ).
• Ukususwa kwesi sifo ngotyando: Ukuba ezinye iindlela zonyango aziphumeleli, utyando lungasetyenziswa njengesisombululo sokugqibela sokususa isi sifo.

Ugqirha wakho uza kuqwalasela izinto ezilungileyo nezingalunganga zokhetho ngalunye lonyango aze akhethe unyango olukhuselekileyo nolufanelekileyo kwimeko yakho. Nangona kunjalo, kubalulekile ukukhumbula ukuba akukho nanye kwezi ndlela zonyango enokuthintela ngokupheleleyo ukuba ithumba lingaphindi libuye .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Kakade ke, zonke iindlela zonyango zinokuba nemiphumo emibi. Thetha nogqirha wakho malunga nemiphumo emibi ethile yamayeza owasebenzisayo. Amanye amayeza eentlungu anokubangelaKusenokubakho ukozela, isicaphucaphu, kunye nokuxhomekeka ngokwasemzimbeni kwiyeza.

Ukuba ugqirha ususa ulwelo lwe-cerebrospinal (CSF) kwi-cyst, lunokuphinda luzaliseke. Kwezinye iimeko, ulwelo lunokuphinda luzaliseke kwisithuba seyure emva kokuba lususiwe. Yiyo loo nto oogqirha abaninzi bezama ukukhupha i-cyst baze bayigcwalise ngento eyahlukileyo engayi kuvumela i-CSF ukuba ikhule kwakhona kwaye ingafaki uxinzelelo kwimithambo-luvo.

Iziphumo ebezingalindelekanga zotyando ziyahluka ngokuxhomekeke kuhlobo lotyando olwenziweyo. Zingabandakanya:

• Ukopha
• Iintsholongwane
• Umonakalo wemithambo-luvo
• Amahlwili egazi
• Ukuvuza kolwelo lwe-cerebrospinal
• Ubunzima bokuchama okanye ukukhupha indle
• Ukuphinda kweempawu

Ndiza kuziva bhetele nini emva konyango?

Ngokuxhomekeke kunyango olucetyiswa ngugqirha wakho, ungaziva ukhululekile kwiimpawu zakho ngoko nangoko , okanye ungaziva ukhululekile kwiintsuku ezimbalwa emva kokuthatha amayeza okanye unyango. Ngamanye amaxesha, kungathatha iiveki ukubona umahluko. Kwabanye, nokuba uxinzelelo kwithumba lunciphile okanye ithumba lisusiwe ngokupheleleyo, ungaziva ukhululekile. Ke ngoko, ugqirha wakho uza kukujonga rhoqo ngexesha lonyango. Oku kwenzelwa ukuqinisekisa ukuba awunazo naziphi na iziphumo ebezingalindelekanga kunye nokujonga ubungakanani kunye nendawo yethumba.

Kwenzeka ntoni ukuba uneTarlov Cyst? (Malunga nekamva)

Njengoko bekutshiwo ngaphambili, ii-cysts zaseTarlov azisoloko zibangela iimpawu, ngoko ke usenokungazi nokuba unayo.

Ukuba unethumba elineempawu ezithile, kukho unyango olunokunceda ekunciphiseni iintlungu kunye nokungonwabi. Unyango olungelulo utyando ludla ngokuba lolona khetho luphambili. Oko kuthetha izinto ezifana nokunika amayeza okunceda ukunciphisa iimpawu.

Eyona nto ibalulekileyo kukungabi naloyiko, ukuqonda imeko yakho kakuhle, ukuthetha nogqirha wakho, nokufuna unyango olufanelekileyo.

Ukuba iimpawu zakho aziphucuki ngonyango, ukususwa kwesi sifo ngotyando lukhetho. Abantu abangaphezu kwama-80% abasuswe esi sifo ngotyando baxela ukuba iimpawu ziya kuncipha kunyaka emva kotyando . Umngcipheko wokuba isi sifo sibuye emva kotyando udla ngokuba sezantsi, kodwa unokwenzeka.

Ngaba ezi zinto zinokuthintelwa ukuba zingenzeki?

Ekubeni unobangela ochanekileyo we-Tarlov cysts ungaziwa, akukho ndlela eyaziwayo yokuthintela ukuba zingabikho. Nangona kunjalo, ukuthatha amanyathelo okuzikhusela kwiingozi zomzimba kunokunceda ukunciphisa umngcipheko wakho.

Ufanele uye nini kugqirha?

Ukuba uneempawu ze-cyst yaseTarlov, bona ugqirha, ingakumbi ukuba unayo nayiphi na kwezi zilandelayo:

• Intlungu emqolo ongezantsi engakhange ifumaneke sizathu.
• Ukungakwazi ukulawula umchamo okanye ilindle okanye ukuqhina.
• Ukuba ndindisholo okanye ubuthathaka emilenzeni.

Ukuba sele unyangwa iTarlov Cyst, kwaye uneempawu zosulelo (umz., ukudumba kwenxeba, ukutshintsha kombala wolusu), okanye iintlungu eziqatha okanye ezikhulayo , yazisa ugqirha wakho ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Iphi ithumba emzimbeni wam?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ngaba kufuneka ndityandwe?
• Ngaba ithumba lingakhula kwakhona emva kokuba lisusiwe?

Abantu abaninzi abane-cyst yaseTarlov abanazo iimpawu kwaye abadingi nyango. Nangona kunjalo, kwabanye, ukuhlala nezi mpawu kunokuba ngumceli mngeni. Kuba ezi cysts zikwiindawo ezibuthathaka ezilawula intshukumo emzimbeni wakho, ingakumbi umzimba wakho ongezantsi. Usenokuba nobunzima bokuhlala kwindawo enye ixesha elide. Usenokuba nobunzima bokuya kwigumbi lokuhlambela, okanye unokufuna ukuya rhoqo kunesiqhelo.

Umyalezo obalulekileyo kuwe (Umyalezo oya ekhaya)

I-Tarlov Cyst yimeko engaqhelekanga ukuviwa ngayo, kodwa kubalulekile ukuba uyiqaphele. Ukuba unayo nayiphi na kwezi mpawu, ungathandabuzi ukubona ugqirha ukuze akunike ingcebiso . Isenokungabi yi-Tarlov Cyst, kodwa ukufumana unobangela yeyona nto ibalulekileyo.

Nokuba ithumba alibonakali, iimpawu zinokuvela ngokuhamba kwexesha. Ngoko ke, yazisa ugqirha wakho ngalo naluphi na utshintsho olubonayo emzimbeni wakho. Ngeengcebiso zonyango ezifanelekileyo kunye nonyango, le meko inokulawulwa kakuhle. Awuwedwa, kwaye kukho oogqirha abanokukunceda kolu hambo.

I- Tarlov Cyst, i-Tarlov Cyst, Intlungu Yomqolo, i-Neurocysticercosis, i-Spinal Cord, i-CSF, i-MRI