Cauda Equina Syndrome kukuvara kune tsinga midzi yemuzasi kumashure. Iyo inozivikanwa nekurwadziwa uye kuoneka kwekunzwa, mota uye genitosphincter kusagadzikana. Ichi chiitiko chekurapa chinoda kurapwa nekukasira kuitira kuti udzivise isingachinjiki sequelae.

Tsanangudzo yeCauda Equina Syndrome

Cauda Equina Syndrome iboka rezvinetso zvinoitika kana uchimanikidza midzi yemitsipa muzasi kumashure. Inobuda kubva kumutsipa wepelinha padanho rembabvu, aya midzi yemitsipa anotaridzika kunge ponytail. Vanochengetedza nhengo dzechiuno nemakumbo ezasi.

Kana iyo midzi yemitsipa yakamanikidzwa, ivo havachakwanise kutamba zvizere basa ravo. Kusagadzikana muhudyu nemakumbo epasi kunoonekwa. Vanowanzoonekwa vari vaviri pamwe neasymmetry. Izvi zvinoreva kuti inowanzo bata ese maviri makumbo ezasi, asi mhando uye kusimba kwezviratidzo zvinogona kuve zvakasiyana kuruboshwe uye kurudyi.

Zvinokonzera cauda equina syndrome

Cauda equina syndrome inokonzerwa nekumanikidza kweiyo lumbar nerve midzi. Izvi zvine zvikonzero zviviri zvikuru:

• herniated disc, ndiko kuti kuburitsa kweiyo intervertebral disc inozomanikidza tsinga;
• bundu iro rinowanzo kukanganisa hurongwa hwemitsipa.

Chikonzero chakanyanya kukonzera cauda equina syndrome idhisiki yeherniated. Kana iri bundu, inogona kunyanya kuve mugumisiro we ependymoma. Icho chirwere chakaipa chinotanga mumasero ependyma. Haisi imwe kunze kweiyo membrane inonamira mairi ventricles uye yepakati canal yemuzongoza.

Mune mashoma kesi, cauda equina syndrome inogona kukonzerwa nespinal stenosis. Iko kuderera kweiyo canal iyo iyo iyo nerve midzi yeiyo ponytail inopfuura. Cauda equina syndrome inogonawo dzimwe nguva kuve kusangana kweanotapukira spondylodiscitis, kuzvimba kweimwe kana kupfuura ma vertebrae uye padhuze nepakati pe intervertebral discs.

Kuongororwa kwecauda equina syndrome

Kuongororwa kwekiriniki kunoita kuti zvikwanise kuita yekutanga kuongororwa kwe cauda equina syndrome. Inofanira kukurumidza kusimbiswa nemachiremba bvunzo dzekubvumidza kurapwa kwekukurumidza. Iko kuongororwa kunowanzo goneswa nemagineti resonance imaging (MRI).

Cauda equina syndrome inogona kuitika chero zera mune vese varume nevakadzi. Kana iri yechipiri kune herniated disc, inowanzo bata varume mune makumi mana emakore.

Cauda equina syndrome inoratidzirwa nekuonekwa kwezvinetso zvakasiyana.

marwadzo

Kumusoro kurwadziwa kwepashure kunoonekwa. Isu tinowanzo taura nezve cruralgia (crural neuralgia) uye sciatica (sciatic neuralgia, kana zvinowanzoitika sciatica), kurwadziwa kunowedzera kubva pachiuno kusvika kumakumbo ezasi.

Kunzwa kurwadziwa kwepashure kunowanzo kuperekedzwa nemarwadzo epamuviri uye epamuviri.

Kushungurudzika kwekunzwa

Paresthesia yemakumbo emakumbo inowanzoonekwa. Icho chisiri-chinorwadza chekunzwa chirwere chinoguma nekugwinha, chiveve uye kurira kwekunzwa.

Dambudziko remotokari

Kumanikidza kwemitsipa midzi yeiyo ponytail inokonzeresa kusagadzikana kwemotokari mumakumbo ezasi. Iyo yekupedzisira inogona kuve yakanyanya kukosha.

Genitosphincter kusagadzikana

Kumanikidzwa kwemitsipa midzi mu cauda equina kunogona kukanganisa kushanda kweiyo weti uye anal sphincter system.

Kukanganisa kwakawanda kweweti kunogona kuitika: kunetseka kuita weti sekukurumidza kuita weti, kukurumidza kukurudzira kuita weti izvo zvinogona kutungamira mukusagadzikana.

Padanho re anal, kuvharirwa kunowanzoitika pane kusagadzikana kwemufuru.

Zvepabonde zvinogona zvakare kukanganiswa, kusanganisira erectile dysfunction.

Kana ikangoonekwa chete, cauda equina syndrome inofanira kurapwa nekukurumidza.

Corticosteroid therapy inogona kupihwa kugadzirisa marwadzo. Kupindira kweNeurosurgical kunowanzo kuve kwakarongedzwa kubvisa kumanikidza kwemitsipa midzi. Izvo zvaitwa:

• kungave nekutengesa kweiyo bundu kana herniated disc;
• kana ne laminectomy, hunyanzvi hunosanganisira kubvisa rimwe kana anopfuura emagetsi emagetsi.

Basa rekuvhiya rinoteverwa nekugadzirisa kunoshanda.

Mune zvimwe zviitiko, kurapwa kwecauda equina syndrome hakurevi kuvhiyiwa. Iyo yakavakirwa pa:

• mishonga inorwisa mabhakitiriya yezvikonzero zvinotapukira;
• radiation radiation kana chemotherapy kana bundu risingasvikike.

Zvimwe zvikonzero zvecauda equina syndrome zvinogona kudzivirirwa. Kunyanya, kuvandudzwa kweiyo herniated disc kunogona kudzivirirwa nekuchengetedza huremu hune hutano, mararamiro ane hutano uye kumira kwakanaka.

Inokurudzirwawo kuti uchenjere kutanga kwezviratidzo zve cauda equina syndrome. Mune kusahadzika kushoma, kurudziro yekurapa nekukurumidza inokurudzirwa. Iyi syndrome inoita chirwere uye chekurapa chimbichimbi kudzivirira isingachinjiki sequelae.