"Kauda equina" syndrome: kufotokoza, zimayambitsa, zizindikiro ndi mankhwala

syndrome "kavalo mchira" zinadziwika? Zizindikiro izi pathological chikhalidwe zafotokozedwa pansipa. Ifenso kukuuzani inu momwe amawapeza ndi kuwachiza matenda.

Chidule

Ndi palibe chinsinsi chimene kufala kwa zizindikiro zosiyanasiyana za minofu minofu, ndi kwa iwo, mu thupi la munthu ikuchitika mauthenga anakafika ku chingwe msana. Mu mankhwala otchedwa mizu mitsempha. Iwo amatha kupatsira zikhumbo, chifukwa mu ubongo alinga kuti ukuwawa munthu monga thupi lake ndi danga ndi zina zotero. Komanso, mizu izi amalola ubongo kusamalira bwinobwino chamoyo wonse.

Pansipa m'chiuno cha anthu mtolo wapadera wa misempha. Njirayi imatchedwa "ponytail". Pamene kutupa amapezeka muzu chotupa syndrome "kavalo mchira". Zambiri pa zodabwitsazi, adzaphunzilanso pa zipangizo za nkhaniyi.

Features matendawa

"Kauda equina" syndrome - ichi ndithu ndi matenda oopsa. Monga tanena chifukwa cha chikhalidwe choterocho pathological ndi kutupa mu mizu mitsempha.

Iwo ayenera kukumbukira kuti matenda choncho chifukwa psinjika za molekezera mitsempha.

Kuderera kudwala izi sizingakhale choncho, chifukwa sitili pa mankhwala yake ndi choyenera, munthu angasonyeze mavuto amenewa zoipa paresis wa miyendo m'munsi ndi kulimbikira kusokonezeka kwa chikhodzodzo mkodzo.

Syndrome "kavalo mchira": zizindikiro

Saona chitukuko cha matenda funso ndi kovuta. Ichi ndi chifukwa chakuti "kavalo mchira" syndrome akuwonetseredwa mokwanira chionetsedwe. Akatswiri kudziwa zizindikiro zotsatirazi matendawa:

• aakulu kupweteka kwa msana;
• radicular ululu, omwe kumaonekera miyendo limodzi kapena onse (zambiri kumayambira matako ndi pang'onopang'ono akutsika mbalame, kufika mwendo m'munsi);
• dzanzi m'dera groin, ndi yeniyeni m'dera la coccyx ya;
• wonongeka kwa chikhodzodzo mkodzo ndi matumbo;
• minofu kufooka miyendo, yafupika tilinazo;
• Kupha wathunthu kapena kuchepetsa bongo mwendo.

Syndrome "mchira akavalo" a munthu nthawi zonse limodzi ndi ululu. Akatswiri amanena kuti maganizo amenewa angakhale mitundu iwiri: m'dera ndi radicular. ululu Radicular ndi pachimake. Chifukwa pakuwonekera kwake ndi psinjika yolimba kwambiri ya mizu mitsempha. Pankhani ululu wamba, kwakuya mokwanira, ndi aakulu mu chikhalidwe kumverera limapezeka chifukwa cha minofu kuyabwa kukhosi ndiponso thupi vertebral.

zizindikiro zina

Kodi wina limapezeka "Kauda equina" syndrome? Takambirana kale za kwa matenda amenewa yodziwika ndi wonongeka kwa chikhodzodzo. Komabe, m'pofunika kuonetsetsa onse mungachite kuwonekera kwa kuyan'anila amenewa:

• Munthu amene akudwala matenda zingakhale zosangalatsa posungira mkodzo.
• Nthawi zina odwala ndi mavuto amene amapezeka pa chiyambi cha ndondomeko pokodza.
• Anthu ena ndinasintha yafupika tilinazo wa urethral sphincter.

Pankhani kuyan'anila za intestine, iwo amaoneka motere:

• chitukuko cha kudzimbidwa;
• fecal incontinence;
• utachepa kamvekedwe ka chotulukira, ndipo tilinazo lotengeka.

Kupeza khamu zizindikiro ngati zosasangalatsa, muyenera yomweyo kufunsa dokotala kuyamba chithandizo. Medical upo n'kofunika osati kwa kusankha yoyenera mankhwala chakudya, komanso olondola matenda. Pakuti "kavalo mchira" syndrome N'zosavuta kusokoneza ndi Mwachitsanzo, ndi chimbale herniated.

Ndithu moyenda chithandizo cha matenda zimadalira yaitali bwanji wodwalayo zizindikiro za matendawo. Choncho Madokotala amakonda kugwira decompression pamene zizindikiro loyamba anayamba kusokoneza mtima masiku awiri zapitazo. njirayi ndi kuchotsa opaleshoni ya minofu, kuchititsa psinjika a mizu.

Kodi matenda ya matenda molondola?

"Kauda equina" syndrome agalu ndi anthu ofanana amawapeza. Pamene anali kumupima wodwala, madokotala kupereka ulemu wapadera kwa zizindikiro za kuti Musiyeni mtima. Komanso, njira zotsatirazi zikhoza kuchitika:

• Radiography. Ndiyamika njira kusanthula wodwalayo mwachilungamo zovuta kudziwa kusintha osachiritsika.
• Kujambula, kuphatikizapo mosiyana. Mothandizidwa ndi kulingalira zingachititse zonse matenda, kuti awulule ndi chophukacho, chotupa, komanso view yekha "ponytail".

Only tinafotokoza mwatsatanetsatane za mtima adzalola katswiri kudziwa mankhwala ambiri mulingo woyenera.

Syndrome "kavalo mchira": mankhwalawa

Chithunzithunzi mankhwala matenda amenewa anasankha malingana mtundu wa chifukwa kwachititsa kukula kwa matendawa. Anthu amene ali ndi kutupa zinachitika chifukwa cha psinjika a mizu, nthawi zambiri zotchulidwa mankhwala odana ndi yotupa, makamaka, "ibuprofen". Pamodzi ndi mankhwala awa ali chimagwiritsidwa ntchito kwambiri, ndi corticosteroids.

Ngati wodwala metastasis, ndi achisangalalo mankhwala cheza (makamaka pa nthawi imene opaleshoni ali contraindicated odwala).

Ngati chifukwa cha matenda awa matenda, wodwalayo Kwalamulidwa njira ya mankhwala opha tizilombo.

Features mankhwala

Cacikulu chithandizo strategy syndrome "mchira akavalo" kukhala wosamala. Pa kudziwika zizindikiro woyamba wa matenda a dokotala ayenera amachita chithandizo ndiwofatsa mkati tsiku lina. Ngati nthawi iyi Zotsatira zake zisanafikeko, syndrome atachotsedwa ndi opaleshoni.

mwapadera linaperekedwa madokotala odwala amene amadwala chophukacho msana. Mwa njira, ichi ndi matenda lingachititse chitukuko cha matenda pansi kulingalira. Kawirikawiri anthu amenewa amathera discectomy kapena laminectomy.

kaonedwe

Ngati munthuyo anena amgwirizano sciatica, kuti madokotala ananena zawo poyerekeza odwala amene kubva unilateral, akumane.

Pa kudziwika wodwalayo wathunthu ochititsa dzanzi perineal, pali Mwina mkulu kuti kupanga khola chikhodzodzo paresis.

Muyezo wolondola kwambiri ndi zomwe mungathe kupanga kuneneratu za kuchira anthu ndi digiri ya tilinazo m'dera la crotch wake.

Kupewa matenda

Pofuna kupewa chitukuko cha matenda ayenera kulabadira chifukwa kupewa ake. M'pofunika kuchiza ndi udindo wapadera kwa malo ena aliwonse kotheka (monga kupweteka miyendo, m'chiuno, kuti kufooka kwa miyendo, ndi zina zotero. D.).

Tiyeneranso adzanyamula kukumbukira kuti ngakhale pambuyo opaleshoni ubongo kuchepekedwa mu wodwalayo si kuchotsedwa kwathunthu. Choncho ndi bwino kukhala okonzekera chakuti iye limodzi mtima kwa nthawi yaitali. Pa nkhani imeneyi, munthu angafunike thandizo la ogwira ntchito monga thupi, ndi dokotala-sexologist, wantchito yothandiza ndi zina zotero. D.

M'pofunikanso kusunga Malamulo awa:

• kumamwa kowirikiza madzi;
• Kodi ndi mankhwala kwa kudzimbidwa;
• ntchito catheter ndi kukhetsa mkodzo chikhodzodzo.

Ponena za malangizo awa ndi udindo, n'zotheka kupewa chitukuko pansi syndrome kuganizira.