Umsele womgogodla umgodi ovale intambo yomgogodla enhliziyweni yomgogodla. Kungaba indawo yezilonda zezinhlobo ezihlukahlukene, okubangela ukucindezelwa komgogodla okubangela ubuhlungu, ukuphazamiseka kwezimoto nezinzwa.

I-medullary canal, ebizwa nangokuthi i-medullary cavity, ingaphakathi lomgogodla eliqukethe intambo yomgogodla.

Njengesikhumbuzo, umgogodla, noma umgogodla, uyingxenye yesimiso sezinzwa esiyinhloko. Isandiso sobuchopho, le ntambo engaba amasentimitha angamashumi amane ivumela ukudluliswa kolwazi phakathi kobuchopho nomzimba, ngemizwa yomgogodla ephuma kuyo ngezimbobo zokuhlangana.

Umsele we-medullary uvale futhi uvikele umgogodla.

Ukucindezelwa kwentambo yomgogodla

Sikhuluma ngokucindezelwa komgogodla lapho umgogodla kanye nezinzwa ezihlukene nawo zicindezelwa ukulimala. Lokhu kucindezelwa bese kubangela ubuhlungu emuva, i-irradiation nasezimeni ezibucayi kakhulu zezinkinga zemoto, zezinzwa nezesphincter.

Isilonda esibangela ukucindezelwa singatholakala ngaphandle komgogodla (i-extramedullary lesion) noma ngaphakathi (i-intramedullary lesion) futhi kube, kuya ngohlobo lwaso, olunzima noma olungapheli. Kungaba:

• i-herniated disc 
• I-hematoma ye-subdural noma ye-epidural elandela ukuhlukumezeka okuholele ekulimaleni kwethambo noma kwethambo, ukubhoboza i-lumbar, ukuthathwa kwe-anticoagulant
• ukuphuka, ukucindezelwa komgogodla onezicucu zamathambo, ukuhlukana komgogodla noma ukugoba
• isimila (ikakhulukazi i-metastatic extramedullary tumor)
• i-meningioma, i-neuroma
• ithumba
• ukucindezelwa kwamathambo ngenxa ye-osteoarthritis
• ukungasebenzi kahle kwe-arteriovenous
• i-cervicarthrosis myelopathy

I-Cauda Equina Syndrome

Indawo yomgogodla etholakala ezingeni le-lumbar vertebrae yokugcina kanye ne-sacrum, futhi okuvela kuyo izimpande eziningi zemizwa ezixhunywe emilenzeni engezansi kanye nama-sphincters, ibizwa ngokuthi i-ponytail.

Lapho ukucindezelwa komgogodla kuhlezi ezingeni lale ponytail, ngokuvamile ngenxa yediski ye-herniated, kungaholela ku-cauda equina syndrome. Lokhu kubonakala ngezinhlungu ezisezingeni eliphansi, ubuhlungu endaweni ye-perineum nasemilenzeni engezansi, ukulahlekelwa umuzwa, ukukhubazeka okuyingxenye kanye nokuphazamiseka kwe-sphincter. Lesi yisimo esiphuthumayo sezempilo. 

I-infarction ye-medullary

Akuvamile, isilonda esisuka ekucindezelweni komgogodla sinciphisa i-arterial vascularization, bese siholela ku-infarction ye-medullary.

Ukuhlinzwa

Ukuhlinzwa kuwukwelashwa okujwayelekile kokucindezelwa komgogodla. Ukungenelela, okubizwa ngokuthi i-laminectomy, kuhlanganisa ukukhipha ingxenye engemuva ye-vertebra (noma i-blade) eduze kwesilonda, bese uyisusa ukuze unciphise umnkantsha nezimpande zawo. Lokhu kungenelela kwenza kube nokwenzeka ukuhlaziya isilonda.

Endabeni ye-cauda equina syndrome, lokhu kuhlinzwa kwe-decompression kumele kwenzeke ngokushesha ukuze kugwenywe ubungozi bemoto, inzwa, i-sphincter kanye ne-sequelae yocansi.

Uma isilonda esibangela ukucindezelwa komgogodla kuyi-hematoma noma ithumba, lezi zizokhishwa ngokuhlinzwa.

Radiotherapy

Esimeni somdlavuza, i-radiotherapy ngezinye izikhathi ihlanganiswa nokuhlinzwa.

Ukuhlolwa komtholampilo

Ubhekene ne-motor, inzwa, i-sphincter noma ubuhlungu obuqala ngokuzumayo, kubalulekile ukubonisana ngaphandle kokulibala. Udokotela uzokwenza kuqala ukuhlolwa komtholampilo ukuze aqondise ukuxilongwa okusekelwe ezimpawu kanye ne-palpation yomgogodla.

I-MRI

I-MRI iyindinganiso yegolide yentambo yomgogodla. Kwenza kube nokwenzeka ukuthola indawo yokucindezelwa komgogodla kanye nokuqondisa ekuxilongweni kokuqala mayelana nemvelo yesilonda. Ngokuya ngenkomba yokuhlolwa, umjovo weGadolinium ungenziwa.

I-CT myelography

Uma i-MRI ingenakwenzeka, i-CT noma i-CT myelography ingenziwa. Lokhu kuhlolwa kuqukethe ukujova umkhiqizo opacifying emgodini womgogodla ukuze ubone ngeso lengqondo imigqa yomgogodla kuma-x-ray.

I-X ray yomgogodla

Uma kusolwa isilonda samathambo, ama-X-ray omgogodla angathathwa ngaphezu kwe-MRI.

I-Medullary arteriography

Kwezinye izimo, i-arteriography ingenziwa ukuze kubhekwe isilonda se-vascular okungenzeka. Kuqukethe ukujova, ngaphansi kwe-anesthesia yendawo, umkhiqizo ohlukile bese uthatha uchungechunge lwezithombe ngesikhathi sezigaba zomjikelezo we-arterial and venous zalo mkhiqizo.