Tarlov Cyst: he aha ia, Hoʻōla a me ke koʻikoʻi

Anter

• Nā ʻōuli o ka cyst a Tarlov
• Nā hoʻāʻo pono
• Hoʻomaʻo Tarlov cyst
• I ka manawa hea e ʻoki ai

ʻIke pinepine ka cyst o Tarlov ma kahi hoʻokolokolo e like me ka scan MRI e nānā i ka iwi kuamoo. ʻAʻole ia e kumu i nā ʻōuli, ʻaʻole koʻikoʻi, ʻaʻole pono ia i kahi lāʻau ʻokiʻoki, maikaʻi ʻole a ʻaʻole lilo i ka maʻi ʻaʻai.

ʻO ka cyst o Tarlov he wahi dilation piha piha i ka wai, aia i ka sakuma, ma waena o ka vertebrae S1, S2 a me S3, ʻoi aku ke kikoʻī i nā aʻa aʻa o ka iwi kuamoʻo, i nā aʻa e uhi ana i ka iwi kuamoʻo.

Loaʻa i hoʻokahi wale nō cyst a mau mau paha, a kaukaʻi ʻia i kona wahi hiki ke lilo i ʻelua a ke nui a nui hiki iā lākou ke kaomi i nā aʻa, e hoʻololi ana i nā loli, e like me ke kaniʻuhū a haʻalulu paha, no ka laʻana.

Nā ʻōuli o ka cyst a Tarlov

Ma kahi o 80% o nā hihia, ʻaʻohe hōʻailona o ka cyst Tarlov, akā ke loaʻa nā hōʻailona i kēia cyst, hiki iā lākou ke:

• ʻEha ma nā wāwae;
• Hele wāwae paʻakikī;
• Paʻi kua i ka hopena o ka iwi kuamoʻo;
• ʻO ke kani a i ʻole ka helu ʻana i ka hopena o ka iwi kuamoʻo a me nā wāwae;
• Hoʻoemi i ka noʻonoʻo i ka wahi i hoʻopili ʻia a i ʻole nā ​​wāwae;
• Aia paha nā loli i ka sphincter, me ka makaʻu o ka nalo o ka noho.

ʻO ka mea maʻamau ka ʻeha o ke kua i hope wale nō, me nā diski herniated i manaʻo ʻia, a laila kauoha ke kauka i ka resonance a ʻike i ka cyst. Pili kēia mau ʻōuli i ka compression a ka cyst e hana ai ma nā aʻa aʻa a me nā ʻāpana iwi o ia ʻāina.

ʻO nā hoʻololi ʻē aʻe i hiki ke hōʻike i kēia mau ʻōuli ke kuni ʻana o ke aʻalolo sciatic a me ka diski herniated. E aʻo pehea e hakakā ai i ka sciatica.

ʻAʻole ʻike maopopo ʻia nā kumu o kona helehelena, akā manaʻo ʻia hiki i ka cyst o Tarlov ke hānau a pili paha i kekahi trauma kūloko a i ʻole ka hemorrhage subarachnoid, no ka laʻana.

Nā hoʻāʻo pono

ʻO ka maʻamau, ʻike ʻia ka cyst a Tarlov ma kahi scan MRI, akā hiki ke hoʻohana ʻia kahi X-ray maʻalahi e loiloi i ke alo o nā osteophytes. Eia kekahi, he mea nui e nānā i ke alo o nā hanana ʻē aʻe e like me nā disni herniated a i ʻole spondylolisthesis, no ka laʻana.

Noi paha ka orthopedist i nā hoʻokolohua ʻē aʻe e like me ka tomography compute e loiloi i ka hopena o kēia cyst i nā iwi a puni ona, a noi ʻia paha ka electroneuromyography e nānā i ka ʻeha o ke aʻa aʻa, e hōʻike ana i ka pono no ke ʻoki. Eia nō naʻe, noi wale ʻia ʻo CT a me electroneuromyography ke loaʻa nā ʻōuli o ke kanaka.

Hoʻomaʻo Tarlov cyst

ʻO ka lāʻau i hiki ke ʻōlelo ʻia e ke kauka e pili ana i ka lawe ʻana i nā painkillers, nā mea hoʻomaha pūnana, nā antidepressants a i ʻole analgesia epidural i lawa paha e kaohi i nā ʻōuli.

Eia nō naʻe, hōʻike ʻia ka physiotherapy e hakakā i nā ʻōuli a hoʻomaikaʻi i ke ola o ke kanaka. Pono e mālama ʻia ka hoʻomaʻamaʻa Physiotherapeutic i kēlā me kēia lā me ka hoʻohana ʻana i nā hāmeʻa e hōʻoluʻolu i ka ʻeha, ka wela a me ka hohola ʻana no ke kua a me nā wāwae. Hiki ke hoʻohana pono ʻia ka articular a me ka neural mobilization i kekahi mau hihia, akā pono e loiloi ʻia kēlā me kēia hihia e ka physiotherapist ponoʻī, no ka mea pono e hoʻomaʻamaʻa ʻia kēlā a me kēia.

Eia kekahi mau hoʻomaʻamaʻa e, ma waho o kahi i kuhikuhi ʻia no sciatica, hiki ke hōʻike ʻia e hōʻoluʻolu i ka ʻehaʻeha i hana ʻia e ka cyst a Tarlov:

I ka manawa hea e ʻoki ai

ʻO ke kanaka i loaʻa nā ʻōuli a hoʻomaikaʻi ʻole me ka lāʻau a me ka physiotherapy hiki ke koho i ke ʻoki ma ke ʻano he ala e hoʻoponopono ai i kā lākou mau ʻōuli.

Eia nō naʻe, ʻaʻole hōʻike iki ʻia ke kaha ʻana akā hiki ke hana ʻia e wehe i ka cyst ma o kahi laminectomy a i ʻole puncture e hoʻoneʻe ai i ka cyst. Hōʻike pinepine ʻia ia no nā cist ma luna o 1.5 cm me nā hoʻololi iwi a puni lākou.

ʻO ka maʻamau, ʻaʻole hiki i ke kanaka ke līlī inā hōʻike ʻo ia i kēia cyst wale nō, akā kūpono ʻole paha ia no ka hana inā hōʻike ʻo ia me ka hoʻohui i ka cyst, nā hoʻololi koʻikoʻi ʻē aʻe e pale a ālai paha i ka hana hana.