Mokokotlo oa mokokotlo oa synevial ke sesebelisoa sa metsi ka har'a lesela le kopaneng . Boholo ba litsebi lia lumellana hore synovial cysts li amana le osteoarthritis kapa liphetoho tse ling tse fokolang tse ka hlahang ka kopane eo. Ha e le hantle, se etsahalang ke hore ha nako e ntse e ea, 'me ha u ntse u robala, sefahleho sa hau se kopantsoeng le likhahla (e leng sehlahisoa se nang le letsoho ho se sireletsa le ho tšoha).
Ha ho ntse ho etsoa, lesela la mokotlana (o bitsoang lisebelisoa tsa synovial) le ka 'na la hlakola le ho theha cyst.
Le hoja mefuta e meng ea limela tsa mokokotlo e tsebahala ho theha mokokotlo, (mohlala, Arachnoid cysts, Tarlov cysts le tse ling) li-synovial cysts tse tloaelehileng ka ho fetisisa. Hona ho boletse hore li-synovial cysts ke sesosa se sa tloaelehang sa bohloko ba morao kapa boemo ba mokokotlo.
Likhahla tse molaleng li atisa ho ba tse sa tloaelehang, empa ha li hlaha, li ka baka myelopathy, e leng matšoao a bakoang ke khatello ea mokokotlo oa mokokotlo.
Haeba u ne u ipotsa, li-cysts tsa ganglion li fumanoa mokokotlong, 'me ha li fapane le synovial cysts, li tšoaroa ka tsela e ts'oanang.
Moo Foromo ea Synovial Cysts
Kae kapa kae moo o leng bolelele ba mokokotlo, kristale ea synovial ke khalase ea synovial. Leha ho le joalo, li-spinal synovial cysts li bitsoa ho latela sebaka seo ba leng ho sona. Kahoo haeba u e-na le e 'ngoe molaleng oa hau, e bitsoa cervical synovial cyst.
Haeba cyst e le ka morao, e bitsoa lumbar synovial cyst, mme haeba e teng ka holimo kapa ka morao ea hau e nkoa e le thoracic synovial cyst.
Synovial cysts e ka hlaha ka lehlakoreng le leng la mokokotlo oa hao kapa ka bobeli, 'me li ka etsahala feela karolong e le' ngoe ea mokokotlo, kapa maemong a mangata.
Sebaka se tloaelehileng ka ho fetisisa sa mongobo oa mokokotlo se karolong e ka morao, karolong ea L4-L5.
Dr. Ali Bydon, ngaka e buoang ea mokokotlo ea Johns Hopkins Medicine, o re karolo ea 58% ea synovial cysts ka mokokotlo e fumanoa ka mokhoa ona. (Karolo ea L4-L5 ke boemo bo fumanehang ka tlas'a konopo ea mpa ea hao.)
L4-5 e boetse ke sebaka sa ho se tsitse ha mokokotlo o moholo oa lesapo la mokokotlo , oo re tla o tšohla ka tlaase, o ka 'na oa amana le ho thehoa ha cysts.
Mabaka a ho Nka Litsela tsa Synovial ka Bohlokoa
Le hoja li sa tloaelehang, li-synovial li-cysts li bohlokoa ho nahana kahobane li ka bontša kapa ka tsela e itseng li amana le maemo a utloisang bohloko a kang lefu la tšoaetso ea senyeha, sepalosis stenosis kapa, ho hobe le ho feta, cauda syndrome .
Bydon o re le hoja litsebi li sa tsebe hore na sesosa sa mokokotlo oa mokokotlo ke ofe, ho nahanoa hore li amana le ho se tsitse ha lesapo la mokokotlo le liphetoho tse senyehang mokokotlong.
O bolela hore 33% ea bakuli ba hlahisang le synovial cyst ba boetse ba hlahisa li-spondylolisthesis.
Matšoao
Haeba mokokotlo oa mokokotlo o kena kapa o hatella metso ea mokokotlo sebakeng seo, mohlomong o tla bona matšoao a radiculopathy. Matšoao a mang a li-spinal synovial cysts, ho ea ka Bydon a kenyeletsa bohloko bo bohloko ba morao, claudication ea neurogenic, e leng letšoao le tloaelehileng le amanang le mokokotlo oa mokokotlo, mme ka seoelo, matšoao a cauda equina (mathata a boima le / kapa a sesepa, bofokoli ba leoto bo tsoelang pele le amnesia .)
Bydon e bolela hore matla a matšoao a hau a tla itšetleha ka boholo le sebaka sa cyst.
Phekolo
Li-cysts tse ling li lula li le matšoao a seng makae le a seng makae. Ntle ho tlhokomelo e tloaelehileng, u ka 'na ua se ke ua hloka phekolo haeba u na le mofuta ona oa khōlo. Li-cysts hangata li fumanoa ka ho sebelisa MRI.
Haeba cyst e u bakela bohloko bo boholo, 'me opereishene e kotsi haholo ha u fumane boemo ba bophelo bo botle, ngaka ea hao e ka' na ea fana ka tlhahiso ea corticosteroid kapa cyst aspiration. Empa mekhoa ena ea phekolo e ka 'na ea se ke ea phela ho latela litebello tsa hau bakeng sa phomolo ea bohloko, ho ea ka Bydon, et et. al. thutong ea bona e nang le sehlooho se reng, "Phekolo ea Spinal Synovial Cyst," e hatisitsoeng khatisong ea September 2012 ea World Neurosurgery .
Bafuputsi phuputsong ena ba fumane hore tekanyo ea ho hlōleha bakeng sa mekhoa ena e ne e ka ba 50%.
Haeba u e-na le bohloko bo bongata bo tsoang cyst ea hau, mme bophelo ba hao bo lumella, ngaka ea hau e ka 'na ea fana ka maikutlo a ho buuoa ka morao. Empa ke efe?
Ho latela Xu, et. al. (Bydon e ne e le e mong oa bafuputsi) thutong ea bona e nang le sehlooho se reng, Lintho tse amanang le bohloko bo khutlang morao le ho khutlela morao ka mor'a ts'ebetso ea ho sebelisoa ha mashome a robong a metso e robong le metso e mehlano ea li-spinal synovial cysts: tlhahlobo ea linyeoe tse lekholo le mashome a tšeletseng a metso e supileng tse latellanang. Tlhahiso ea May ea 2010 ea Sefate sa Mokokotlo, ha laminectomy le hemilaminectomy li sebelisoa ka ho fetisisa maemong a mokokotlo oa mokokotlo, le hore batho ba bangata, ba latsoa liphallelo tse bohloko hang-hang ka mor'a ho buuoa. Empa pele ho lilemo tse 2, bangoli ba re, bohloko bona bo ka khutla mme hape cyst e ka theha. Bydon le sehlopha sa bafuputsi ho e-na le hoo ba fana ka maikutlo a ho feto-fetoha ha lintho ka ho fusion ea liletsa ho thibela mathata a tloaelehileng.
Lisebelisoa:
Bydon, A. Treatment bakeng sa Spinal Synovial Cysts. Video, Neurology le Neurosurgery. Johns Hopkins Medicine.
Bydon, M., Kyriakos Papadimitriou, K., Witham, T., Wolinsky, J., Sciubba, D., Gokaslan, Z., Bydon, A., Phekolo ea Sepinal Synovial Cysts September 2012.
Epstein N., Baisden J. Ho hlahlojoa le ho laola li-synovial cysts: Ts'ebetso ea ho buuoa ho ea ho ts'ebetso ea cyst. Surg Neurol Int 2012; 3, Suppl S3: 157-66
Khan, A., Girardi, F. Spinal lumbar synovial cysts. Bothata le ts'ebetso ea tsamaiso. Eur Spine J. 2006 August; 15 (8): 1176-1182.
Sehati, N., MD, Khoo, L., MD, Holly, L., MD Phekolo ea Lumbar Synovial Cysts Ho Sebelisa Mekhoa e Meholo ea ho Buoa. Tsepamisisang maikutlo. 2006.
Xu R., et. al. Lintho tse amahanngoa le bohloko bo khutlang morao le ho khutla ha li-cyst ka mor'a hore ho sebelisoe phekolo ea makholo a mashome a robong a metso e mene a metso e mehlano ea li-spinal synovial cysts: tlhahlobo ea linyeoe tse lekholo le mashome a tšeletseng a metso e supileng tse latellanang. Sefuba, May 2010.