Kyakkyawan cystal na tsakiya ya zama jakar ruwa a cikin rufi na facet haɗin gwiwa . Yawancin masana sun yarda cewa cysts masu tsabta suna da alaƙa da osteoarthritis ko wasu canje-canjen degenerative da zasu iya cigaba a wannan haɗin gwiwa. Abu mahimmanci, abin da ya faru shi ne cewa a tsawon lokacin, kuma tare da lalacewa da hawaye, abin da ke tattare da haɗin gwiwa (wani abu mai laushi wanda yake cikin haɗin gwiwa don ba shi kariya da damuwa).
A cikin wannan tsari, rufin haɗin gwiwa (wanda ake kira synovial linka) zai iya yin kwaskwarima da kuma samar da cyst.
Yayinda sauran nau'o'in nau'in ƙwayoyi na asali sun san su a kan spine, (alal misali, cysts Arachnoid, Tarlov cysts da sauransu) synovial cysts mafi yawan. Da wannan ya ce, haɗin gine-ginen al'amuran ƙananan cututtuka ne na rashin jinƙai ko yanayin asibiti.
Huda a cikin wuyansa ba su da mawuyacin hali, amma idan sun faru, zasu iya haifar da mummunan cututtuka, wanda shine bayyanar cututtuka saboda matsa lamba a kan igiya.
Idan kuna tunanin cewa, ana iya samun cysts a cikin kashin baya, kuma yayin da suka bambanta da kyakoki na synovial, ana bi da su daidai.
A ina Synovial Cysts Form
Duk inda kuka kasance tare da tsawon spine, wani cyst synovial ne cynov na synovial. Hakazalika, ana kiran suna cysts na synovial cysts bisa ga yankin da suke. To, idan kana da daya a cikin wuyanka, an kira shi dikar synovial cystical.
Idan cyst yana cikin ƙananan baya, an kira shi cystal synovial lumbar, kuma idan an samo shi a cikin sama ko tsakiyar baya an yi la'akari da cyst synovial thoracic.
Hanya na al'ada zai iya faruwa a gefe ɗaya na kashin baya ko duka biyu, kuma zasu iya faruwa ne kawai a wani ɓangare na kashin baya, ko a matakai masu yawa.
Yanayi mafi yawan wuri na tsakiya na tsakiya ne a cikin ƙananan baya, a bangaren L4-L5.
Dokta Ali Bydon, likita a likita a Johns Hopkins Medicine, yace an samu kashi 58 cikin dari na cysts na synovial a cikin kashin baya a wannan matakin. (Yankin L4-L5 shine matakin da ke ƙasa da kewayar ciki.)
L4-5 kuma wani wuri ne na rashin rashin lafiya , wanda zamu tattauna a kasa, na iya kasancewa da dangantaka da tsarin kyakyawa.
Dalilai Don Ɗauki Hannun Gini na Synovial
Ko da yake yana da mahimmanci, haɗin gine-gine yana da muhimmanci a yi la'akari saboda suna iya nuna ko a wani hanya suyi alaka da yanayin jinƙai irin su cututtukan cututtuka na degenerative, cututtuka na kashin baya ko kuma mafi muni, ƙwayar cuta .
Bydon ya ce ko da yake masana ba za su iya gano dalilin da ya faru ba, kuma suna tunanin cewa suna da alaƙa da rashin ciwo na kashin baya da kuma canji na degenerative a cikin kashin baya.
Ya kara da cewa kashi 33 cikin 100 na marasa lafiya da ke tare da kyakken gine-ginen na zamani sun gabatar da su tare da spondylolisthesis.
Cutar cututtuka
Idan satar kwayar halitta ta zo cikin lamba ko kuma ta danna kan tushen jijiyar ƙwayar jijiyoyin a cikin yankin, tabbas za ku fuskanci bayyanar cututtuka na radiculopathy. Sauran alamun bayyanar cututtuka na cynov dinada, kamar yadda Bydon ya haɗa da ciwo mai tsanani, maganin neurogenic claudication, wanda shine alamar bayyanar da ta shafi cututtuka, kuma mafi wuya, alamun alamar tabarka (jinƙai da / ko matsaloli masu fama da mafitsara, ciwo mai rauni da kuma sirri amnesia .)
Bydon ya ce yawancin bayyanar cututtuka na iya dogara ne akan girman da kuma wurin da yaro.
Jiyya
Wasu cysts sun kasance ƙananan cututtuka kaɗan. Baya ga saka idanu akai-akai, bazai buƙaci magani idan kana da irin wannan ci gaban ba. Ana gano kowace ƙwayoyi ta hanyar MRI.
Idan cyst din ya sa ku wahala sosai, kuma tiyata yana da matukar damuwa saboda lafiyar lafiyar ku, likitanku na iya bada shawara ga allurar corticosteroid ko tsinkaye na zuciya. Amma waɗannan jiyya bazaiyi rayuwa ba kamar yadda kake tsammani don jin daɗin jinƙai, in ji Bydon, et. al. a cikin binciken da ake kira "Treatment of Spinal Synovial Cyst," da aka buga a cikin watan Satumba na 2012 na Duniya Neurosurgery .
Masu binciken a cikin wannan binciken sun gano cewa gazawar kudi ga wadannan hanyoyin ya kusan 50%.
Idan kuna da ciwo mai yawa daga karfinku, da kuma izinin lafiyarku, likitanku na iya bayar da shawarar sake tiyata. Amma wane ne?
A cewar Xu, et. al. (Bydon na ɗaya daga cikin masu bincike) a cikin binciken da ake kira "Abubuwan da ke haɗuwa da ciwo mai maimaitawa da kuma juyayi na sake dawowa bayan tsaka-tsakin likita na ɗari da casa'in da biyar na cynov synovial spinal: bincike na mutum ɗari da sittin da bakwai, wanda aka buga a cikin Mayu 2010 na batun Spine, yayin da lamarin da kuma hemilaminectomy sunyi amfani da su a lokuta da kwayar cutar ta tsakiya, kuma mafi yawancin mutane, suna samun saurin gaggawa bayan wadannan magunguna. Amma a cikin shekaru 2, marubuta sun ce, zafi zai iya dawowa kuma wani mawuyacin hali zai iya samuwa. Bydon da ƙungiyar masu bincike a maimakon haka suna nuna damuwa da fuska da kayan aiki don hana matsaloli masu maimaitawa.
Sources:
Bydon, A. Jiyya ga Spinal Synovial Cysts. Video, Neurology da Neurosurgery. Medicine Johns Hopkins.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciba, D., Gokaslan, Z., Bydon, A., Kula da Spinal Synovial Cysts Satumba 2012.
Epstein N., Baisden J. Sanarwar asali da kuma sarrafawa na synovial cysts: Ƙarfafawa na tiyata a kan zuwan zuciya. Surg Neurol Int 2012; 3, Sanya S3: 157-66
Khan, A., Girardi, F. Spinal lumbar synovial cysts. Ƙwarewar gwagwarmaya da gudanarwa. Eur Spine J. 2006 Agusta; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Kula da Lumbar Synovial Cysts Amfani da Minimally Invasive Maniyoyi. Ƙarancin Neurosurgical. 2006.
Xu R., et. al. Abubuwan da ke haɗuwa da ciwo da kuma ciwon sukari mai maimaitawa bayan da ake aiki da ƙwayar jikinsu guda ɗari da casa'in da biyar na cynov synovial cysts: bincikar mutum ɗari sittin da bakwai. Spine, Mayu 2010.