ICauda Equina Syndrome ilimaza izimpande zemizwa yomhlane ongezansi. Kubonakala ngobuhlungu nokuvela kokuphazamiseka kwemizwa, kwemoto kanye ne-genitosphincter. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha ukuze sigweme i-sequelae engalungiseki.

Incazelo yeCauda Equina Syndrome

ICauda Equina Syndrome yiqembu lezinkinga ezenzeka lapho kucindezelwa izimpande zezinzwa emhlane ongezansi. Ziphuma entanjeni yomgogodla ezingeni le-lumbar vertebrae, lezi zimpande zezinzwa zibukeka njenge-ponytail. Zigcina izitho zesisu nezitho ezingezansi.

Lapho izimpande zemizwa zicindezelwe, azisakwazi ukudlala indima yazo ngokugcwele. Kuvele ukuphazamiseka okhalweni nasemilenzeni ephansi. Imvamisa zivela ngokubambisana nge-asymmetry ethile. Lokhu kusho ukuthi ivame ukuthinta zombili izitho ezingezansi, kepha uhlobo namandla weempawu zingahluka ngakwesobunxele nangakwesokudla.

Izimbangela ze-cauda equina syndrome

I-Cauda equina syndrome ibangelwa ukucindezelwa kwezimpande ze-lumbar nerve. Lokhu kunezimbangela ezimbili ezinkulu:

• i-disc ye-herniated, okungukuthi ukuhanjiswa kwediski ye-intervertebral ezocindezela izinzwa;
• isimila esivame ukuthinta isimiso sezinzwa.

Isizathu esivame kakhulu se-cauda equina syndrome yi-disc ye-herniated. Uma kungenxa yesimila, kungaba ikakhulukazi umphumela we-ependymoma. Kuyinto isimila esibi esiqala kumaseli we-ependyma. Akuyona enye ngaphandle kukwelwelwesi oluhlanganisa ama-ventricles we-cerebral kanye nomsele ophakathi wentambo yomgogodla.

Ezimweni ezimbalwa, i-cauda equina syndrome ingabangelwa yi-spinal stenosis. Ukuncipha komsele lapho kudlula khona izimpande zezinzwa ze-ponytail. I-Cauda equina syndrome futhi kwesinye isikhathi ingaba yinkinga yesifo se-spondylodiscitis esithathelwanayo, ukuvuvukala kwe-vertebrae eyodwa noma ngaphezulu kanye nama-disc intervertebral aseduze.

Ukuxilongwa kwe-cauda equina syndrome

Ukuhlolwa komtholampilo kwenza ukuthi kutholakale ukuxilongwa kokuqala kwe-cauda equina syndrome. Kumele iqinisekiswe ngokushesha ngokuhlolwa kwe-imaging yezokwelapha ukuvumela ukwelashwa okuphuthumayo. Ukuxilongwa kuvame ukuqinisekiswa yi-magnetic resonance imaging (MRI).

I-Cauda equina syndrome ingenzeka nganoma yisiphi isikhathi kwabesilisa nabesifazane. Uma kungokwesibili kudiski ye-herniated, kuvame ukuthinta amadoda aneminyaka engamashumi amane.

I-Cauda equina syndrome ibonakala ngokuvela kwezifo ezahlukahlukene.

ubuhlungu

Ubuhlungu bomhlane ongezansi buyavela. Sivame ukukhuluma nge-cruralgia (i-neuralgia ye-crural) ne-sciatica (i-sciatic neuralgia, noma i-sciatica ejwayelekile), ubuhlungu obusuka okhalweni buye ezinyaweni ezingezansi.

Ubuhlungu obuphansi emuva buvame ukuhambisana nobuhlungu be-pelvic nobomzimba.

Ukuphazamiseka kwezinzwa

I-Paresthesia yezitho ezingezansi ivame ukubonwa. Kuyisifo sezinzwa esingebuhlungu esiholela ekushoshozeleni, ekubeni ndikindiki nasekushosheni.

Ukuphazamiseka kwezimoto

Ukucindezelwa kwezimpande zemizwa ye-ponytail kubanga ukuphazamiseka kwemoto ezingalweni ezingezansi. Okokugcina kungabaluleka kakhulu noma kuncane, kusukela ekungakwazini ukunweba umlenze ukukhubazeka kwezitho ezingezansi ezimweni ezinzima kakhulu.

Izinkinga ze-genitosphincter

Ukucindezelwa kwezimpande zezinzwa ku-cauda equina nakho kungathinta ukusebenza kohlelo lwe-urinary and anal sphincter system.

Kungenzeka ukuphazamiseka okuningana komchamo: ukuchama kanzima njengokuchama okuphuthumayo, ukunxenxa okuphuthumayo kokuchama okungaholela ekunganqandekeni.

Ezingeni le-anal, ukuqunjelwa kuvame kakhulu kunokungavumelani kwendle.

Umsebenzi wezocansi nawo ungaphazamiseka, kufaka phakathi ukungasebenzi kahle kwe-erectile.

Lapho nje kutholakala, i-cauda equina syndrome kufanele iphathwe ngokushesha.

Ukwelashwa kwe-Corticosteroid kunganikezwa ukudambisa izinhlungu. Ukungenelela kwe-Neurosurgical kuvame ukuhlelelwa ukukhululeka kokucindezelwa kwezimpande zezinzwa. Kwenziwe:

• kungaba ngokuvuselelwa kwesimila noma i-disc ye-herniated;
• noma nge-laminectomy, inqubo ebandakanya ukukhipha i-vertebral eyodwa noma ngaphezulu.

Umsebenzi wokuhlinzwa ulandelwa ukuvuselelwa okusebenzayo.

Kwezinye izimo, ukwelashwa kwe-cauda equina syndrome akubandakanyi ukuhlinzwa. Kususelwa ku:

• ukwelashwa kwama-antibiotic ngezimbangela ezithathelwanayo;
• ukwelashwa ngemisebe noma ngamakhemikhali lapho isimila singenakufinyeleleka.

Ezinye izimbangela ze-cauda equina syndrome zingavinjelwa. Ngokuyinhloko, ukuthuthukiswa kwe-disc ye-herniated kungavinjelwa ngokugcina isisindo esinempilo, indlela yokuphila enempilo nokuma okuhle.

Kunconywa futhi ukuthi uqaphele ukuqaphela izimpawu ze-cauda equina syndrome. Ngokungabaza okuncane, kunconywa ukubonisana okuphuthumayo kwezokwelapha. Lesi sifo sakha isimo esiphuthumayo sokuxilonga nokwelapha ukugwema i-sequelae engalungiseki.