Ingabe umgogodla wakho unje? Ake sifunde ngqo ngo (Tarlov Cyst)!

Ingabe ngezinye izikhathi uthola ubuhlungu obungavamile emhlane wakho ongezansi? Noma uzizwa ubuhlungu obungavamile noma ukungazweli okuzwakala sengathi ushaqeka ngogesi emilenzeni yakho? Mhlawumbe imbangela yalezi zinto yinto ongakaze uyizwe. Namuhla sizokhuluma ngesinye salezo zimo ezingavamile, kodwa ezifanele ukuzazi. Leso yiTarlov Cyst .

Iyini i-Tarlov Cyst?

Kalula nje, i-Tarlov cyst iyisikhwama esigcwele uketshezi esakheka sizungeze izimpande zemizwa eziphuma emgogodleni wakho . I-cyst ivame ukugcwala uketshezi lwe-cerebrospinal (CSF) . I-CSF iwuketshezi olucacile nolunamanzi oluzungeze ubuchopho bakho kanye nomgogodle.

Lawa ma-cyst avame ukwakheka phansi komgogodla wakho, endaweni ebizwa ngokuthi i-sacrum (ithambo elingaphezu nje kwezinqe zakho). Ngezinye izikhathi angavela ngemva kokulimala komgogodla. Kungenzeka ukuthi ube nama-cyst angaphezu kweyodwa e-Tarlov ngesikhathi esisodwa.

Lezi zimila zingaba ngobukhulu obuhlukene. Esikhathini esiningi, azinazimpawu . Zivame ukutholakala ngengozi ngesikhathi sokuhlolwa kwe-MRI ukuze kutholakale enye inkinga yomgogodla. Kodwa-ke, uma isimila sikhulu, singase sibangele izimpawu. Isibonelo, ubuhlungu emhlane, ubunzima bokuchama noma ukuphuma endlini yangasese, noma ukungakhululeki.

Udokotela wakho angase futhi abize lawa magama ngokuthi “ama-meningeal cyst” noma “ama-perineural cyst”. Lawa amanye amagama alawa.

Zivame kangakanani lezi zinto?

Eqinisweni, kunzima ukusho ngqo ukuthi bangaki abantu abanama-cyst e-Tarlov. Ngoba, njengoba kushiwo ngaphambili, akuzona zonke ezibangela izimpawu. Ucwaningo olulodwa lubonisa ukuthi bambalwa abantu abangafika ku-4% e-United States abangaba nala ma-cyst. Lokho kusho ukuthi awavamile njengoba ungase ucabange, kodwa akunakwenzeka ukuthi noma ubani akhule.

Ziyini izimpawu zalokhu?

Izimpawu ze-cyst yaseTarlov ziyahlukahluka kuye ngobukhulu be-cyst kanye nokuthi itholakala kuphi emgogodleni . Izifundo zibonise ukuthi abantu abangu-5% kuya ku-8% kuphela abanalezi zi-cyst baba nezimpawu . Ama-cyst amakhulu angase abangele izimpawu. Nazi ezinye zezimpawu:

• Ubuhlungu obuphansi emhlane: Lolu uphawu oluyinhloko.
• Ubuhlungu obuzwakala njengokwethuka kukagesi noma umuzwa wokushisa ohamba kusukela emhlane kuya emilenzeni: Lokhu futhi kuyinto abantu abaningi ababhekana nayo.
• Ukuba ndikindiki, ubuthakathaka, noma ukulahlekelwa umuzwa emilenzeni: Ngezinye izikhathi kungase kuzwakale sengathi imilenze yakho iyandinda.
• Ubunzima bokulawula amathumbu kanye nokulawula esinyeni noma ukuqunjelwa: Lokhu kuyimpawu engathi sína.
• Ikhanda elibuhlungu:Abanye abantu bangase baphathwe yikhanda ngenxa yalezi zinongo.
• Ukungasebenzi kahle kocansi: Lokhu nakho akuvamile.

Cabanga nje, kukhona umuntu ogama lakhe linguNilanthi. Ubelokhu ezwa ubuhlungu emhlane wakhe ongezansi isikhathi esithile. Ngezinye izikhathi uzwa ubuhlungu njengogesi ogeleza emlenzeni wakhe wesokudla. Ubuhlungu buzwakala kakhulu lapho ehleli noma esukuma. Kwakungemva kokuba ebubonisile udokotela kuphela lapho atholakala khona ukuthi une-Tarlov Cyst nge-MRI scan.

Kungani le Tarlov Cyst yakheka?

Ochwepheshe abakakwazi ukusho ngqo ukuthi kungani kwakheka ama-cyst e-Tarlov. Kodwa ucwaningo lusikisela izinto ezimbalwa:

• Ukuvuza koketshezi lomgogodla (CSF): Lokhu kuvame ukwenzeka ngemva kokulimala komgogodla okubuhlungu.
• Ukuvuvukala kwesivikelo esivikelayo esizungeze impande yemizwa: kufana nokuvuvukala ngemva kokulimala.

Uma ingcindezi yalolu ketshezi lwe-`(CSF)` ishintsha, ubukhulu be-Tarlov Cyst bungashintsha. Kuvamile ukuthi ingcindezi ye-`(CSF)` ishintshe. Lapho ingcindezi ye-`(CSF)` ikhula, ubukhulu be-cyst bungakhula. Ungase uzizwe lokhu kushintsha kwengcindezi uma uphakamisa izinsimbi noma wenza ukuzivocavoca okunzima. Yilapho izimpawu zingase zibe zimbi kakhulu noma kuvele ezintsha.

Ubani osengozini enkulu yokuthola lezi zifo?

Noma ubani angaba ne-cyst ye-Tarlov. Kodwa-ke, ungase ube sengozini enkulu kancane uma:

• Uma kube nengozi emgogodleni.
• Uma unesifo sezicubu ezixhumeneyo: Isibonelo, izimo ezifana ne-Marfan syndrome kanye ne-Ehlers-Danlos syndrome.
• Uma ungowesifazane: Abesifazane banamathuba amaningi okuba nalezi zinkinga kunabesilisa.
• Uma uneminyaka ephakathi kuka-30 no-60 ubudala.

Yiziphi izinkinga ezingabangelwa yi-Tarlov Cysts?

Izinkinga ezivela ku-Tarlov Cysts azivamile. Kodwa-ke, ezimweni ezingavamile, okulandelayo kungenzeka:

• Ubuhlungu obungapheli: Ubuhlungu obuqhubekayo.
• Ukuwohloka kwamathambo: Ukulimala kwamathambo kungase kwenzeke endaweni yesimila.
• Ukulimala kwemizwa okungapheli: Lokhu akuvamile kakhulu.
• Ubunzima bokunyakaza.
• Ukuqhuma kwe-cyst kanye nokopha kwegazi.

Uma uba nezinkinga ezinjengalezi, ikakhulukazi lezo ezithinta ukunyakaza, kungadingeka wenze izinguquko ezithile endleleni yakho yansuku zonke. Abantu abaningi baphinde babe nezimpawu zesikhathi eside ezingaholela ezinkingeni zempilo yengqondo njengokucindezeleka .

Ukuthola kanjani lokhu? (Ukuxilongwa)

Udokotela uzohlonza i-cyst yaseTarlov ngemuva kokuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa . Uzothatha umlando wakho wezokwelapha ophelele bese ekubuza imibuzo mayelana nezimpawu zakho. Isibonelo, usunesikhathi esingakanani unalezi zimpawu nokuthi ziya ziba zimbi yini ngemisebenzi ethile.

Ukuxilongwa kuqinisekiswa ngokuhlolwa kwesithombe . Lokhu kuvame ukuba yi-MRI (magnetic resonance imaging) noma i-CT scan (computerized tomography scan) . Lokhu kuhlolwa kuvumela udokotela ukuthi abone kahle isimila kanye nezinzwa ezisithintayo.

Ngezinye izikhathi, i-cyst yaseTarlov ingatholakala ngengozi uma kwenziwa i-MRI yento ethile, njengobuhlungu bomhlane.

Yiziphi izindlela zokwelapha ama-cysts aseTarlov?

Into engcono kakhulu ukuthi i-cyst yaseTarlov engenazimpawu ayidingi ukwelashwa . Kodwa-ke, udokotela wakho uzokutshela ukuthi uze uzohlolwa njalo. Lokhu kwenzelwa ukubona ukuthi ubukhulu be-cyst buyashintsha yini nokuthi izimpawu ezintsha ziyavela njengoba ukhula.

Ukwelashwa kwezimila ezinezimpawu

Uma unesimila esibangela izimpawu, udokotela wakho uzozama ukulawula lezo zimpawu . Izindlela zokwelapha zingahluka kumuntu nomuntu. Nazi ezinye zezindlela zokwelapha:

• Izibulali-zinhlungu: Isibonelo, i-paracetamol, i-gabapentin, izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) , noma ngezinye izikhathi ama-opiate obuhlungu obukhulu.
• Imijovo ye-steroid: Le mijovo ingafakwa ngqo emhlane ongezansi ukuze kuncishiswe ubuhlungu nokuvuvukala.
• Ukukhuthazwa kwemizwa kagesi okushintshela esikhumbeni (TENS): Lokhu kusetshenziselwa ubuhlungu bemizwa. Kuyindlela yokunciphisa ubuhlungu ngokusebenzisa ugesi omncane.
• Ukufutha nokugcwalisa i-cyst ngenye into: Uketshezi lwe-cerebrospinal (CSF) oluse-cyst lususwa ngomjovo bese isikhala sigcwaliswa ngenye into engacindezeli imizwa (isib. i-fibrin glue, amafutha, noma izicubu zemisipha ).
• Ukususwa kwesimila ngokuhlinzwa: Uma ezinye izindlela zokwelapha zingasebenzi, ukuhlinzwa kungasetshenziswa njengendlela yokugcina yokususa isimila.

Udokotela wakho uzocabangela izinzuzo nezingozi zendlela ngayinye yokwelapha bese ekhetha ukwelashwa okuphephile nokufanelekile kakhulu kwesimo sakho. Kodwa-ke, kubalulekile ukukhumbula ukuthi akukho noyedwa walezi zindlela zokwelapha ongamisa ngokuphelele isimila ukuthi singaphinde sivele .

Ingabe ikhona imiphumela emibi yokwelashwa?

Yiqiniso, zonke izindlela zokwelapha zingaba nemiphumela ethile emibi. Khuluma nodokotela wakho ngemiphumela ethile emibi yemithi oyithathayo. Eminye imithi yobuhlungu ingabangelaKungase kube nobuthongo, isicanucanu, kanye nokuthembela ngokomzimba emithini.

Uma udokotela esusa uketshezi lwe-cerebrospinal (CSF) ku-cyst, lungaphinde lugcwale. Kwezinye izimo, uketshezi lungaphinde lugcwale kungakapheli ihora lususiwe. Yingakho odokotela abaningi bezama ukukhipha i-cyst bese beyigcwalisa ngenye into engeke ivumele i-CSF ukuthi ikhule futhi futhi engeke ibeke ingcindezi ezinzwa.

Imiphumela emibi yokuhlinzwa iyahlukahluka kuye ngohlobo lokuhlinzwa okwenziwayo. Ingafaka:

• Ukopha
• Izifo
• Ukulimala kwemizwa
• Amahlule egazi
• Ukuvuza koketshezi lwe-cerebrospinal
• Ubunzima bokuchama noma ukukhipha indle
• Ukuphinda kwezimpawu

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kuye ngokwelashwa okunconywa udokotela wakho, ungase uzizwe ukhululekile ezimpawini zakho ngokushesha , noma ungase uzizwe ukhululekile ezinsukwini ezimbalwa ngemva kokuthatha umuthi noma ukwelashwa. Ngezinye izikhathi, kungathatha amasonto ukubona umehluko. Kwabanye, noma ngabe ingcindezi esigaxeni inciphile noma isigaxa sisusiwe ngokuphelele, ungase ungazizwa ukhululekile. Ngakho-ke, udokotela wakho uzokuhlola njalo ngesikhathi sokwelashwa. Lokhu kwenzelwa ukuqinisekisa ukuthi awunazo imiphumela emibi nokuqapha usayizi nendawo yesigaxa.

Kwenzekani uma une-Tarlov Cyst? (Mayelana nekusasa)

Njengoba kushiwo ngaphambili, ama-cyst aseTarlov awahlali ebangela izimpawu, ngakho-ke ungase ungazi nokuthi unazo.

Uma unesimila esinezimpawu, kunezindlela zokwelapha ezingasiza ekunciphiseni ubuhlungu nokungakhululeki. Izindlela zokwelapha ezingadingi ukuhlinzwa ngokuvamile ziyisinqumo sokuqala. Lokho kusho izinto ezifana nokunikeza imithi yokusiza ukunciphisa izimpawu.

Into ebaluleke kakhulu ukungesabi, ukuqonda isimo sakho kahle, ukukhuluma nodokotela wakho, nokufuna ukwelashwa okufanele kakhulu.

Uma izimpawu zakho zingathuthuki ngokwelashwa, ukususwa kwesimila ngokuhlinzwa kuyindlela engcono. Abantu abangaphezu kuka-80% abasuswe isimila ngokuhlinzwa babika ukukhululeka ezimpawini ngonyaka owodwa ngemuva kokuhlinzwa . Ingozi yokuthi isimila sibuye ngemva kokuhlinzwa ivame ukuba phansi, kodwa kungenzeka.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Njengoba imbangela eqondile yama-cysts aseTarlov ingaziwa, ayikho indlela eyaziwayo yokuwavimbela ukuthi akheke. Kodwa-ke, ukuthatha izinyathelo zokuzivikela ezingozini zomzimba kungasiza ekunciphiseni ingozi yakho.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ze-cyst yaseTarlov, bheka udokotela, ikakhulukazi uma unanoma yikuphi kwalokhu okulandelayo:

• Ubuhlungu emhlane ongezansi okungatholakali sizathu sawo.
• Ukungakwazi ukulawula umchamo noma indle noma ukuqunjelwa.
• Ukuba ndikindiki noma ubuthakathaka emilenzeni.

Uma usuvele welashwa i-Tarlov Cyst, futhi unezimpawu zokutheleleka (isib. ukuvuvukala kwesilonda, ukushintsha kombala wesikhumba), noma ubuhlungu obukhulu noma obukhulayo , yazisa udokotela wakho ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Ikuphi ithumba emzimbeni wami?
• Hlobo luni lokwelashwa olunconywayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe ngidinga ukuhlinzwa?
• Ingabe isimila singaphinde sikhule ngemva kokususwa?

Abantu abaningi abane-cyst yaseTarlov abanazo izimpawu futhi abadingi ukwelashwa. Kodwa-ke, kwabanye, ukuphila nalezi zimpawu kungaba yinselele. Ngoba la ma-cyst atholakala ezindaweni ezibucayi ezilawula ukunyakaza emzimbeni wakho, ikakhulukazi umzimba wakho ongezansi. Ungase ube nobunzima bokuhlala endaweni eyodwa isikhathi eside. Ungase ube nobunzima bokuya endlini yokugezela, noma kungase kudingeke uye kaningi kunokujwayelekile.

Umyalezo obalulekile kuwe (Umyalezo Wokuya Ekhaya)

I-Tarlov Cyst yisimo esingavamile ukuzwakala ngaso, kodwa kubalulekile ukuqaphela. Uma unezinye zalezi zimpawu, ungangabazi ukubona udokotela ukuze uthole iseluleko . Kungenzeka ukuthi akuyona i-Tarlov Cyst, kodwa ukuthola imbangela yinto ebaluleke kakhulu.

Ngisho noma isimila singenazimpawu, izimpawu zingase zivele ngokuhamba kwesikhathi. Ngakho-ke, yazisa udokotela wakho nganoma yiziphi izinguquko oziqaphelayo emzimbeni wakho. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, lesi simo singaphathwa kahle. Awuwedwa, futhi kukhona odokotela abangakusiza kulolu hambo.

I- Tarlov Cyst, I-Tarlov Cyst, Ubuhlungu Bomhlane, I-Neurocysticercosis, Intambo Yomgogodla, I-CSF, I-MRI