Syringomyelia

Syringomyelia ke pokello e kang cyst ea cerebrospinal fluid (CSF) e bang teng mokokotlong. Ha nako e ntse e ea, e senya mokokotlo oa mokokotlo.

Mokelikeli o tletseng mokelikeli o bitsoa syrinx. Moriri oa mokokotlo oa mokelikeli o ka bakoa ke:

• Bofokoli ba pelehi (haholo-holo Chiari malformation, moo karolo ea boko e sutumetsang mokokotlong mokokotlong oa lehata)
• Tšenyo ea mokokotlo oa mokokotlo
• Lihlahala tsa mokokotlo

Hangata cyst e tletseng mokelikeli e qala sebakeng sa molala. E hola butle, e beha khatello mokokotlong ebe e baka tšenyo butle-butle.

Ho qala ha syringomyelia hangata ho pakeng tsa lilemo tse 25 ho isa ho tse 40. Banna ba ameha haholo ho feta basali.

Haeba boemo bo bakoa ke bofokoli ba pelehi, ho kanna ha ba le matšoao ho fihlela lilemo tse 30 ho isa ho tse 40. Matšoao a syringomyelia hangata a hlaha butle mme a mpefala ho feta lilemo tse ngata. Tabeng ea khatello ea maikutlo, ho qala ha matšoao ho ka ba likhoeli tse peli ho isa ho tse tharo. Haeba ho na le matšoao, a ka kenyelletsa:

• Ho opeloa ke hlooho
• Scoliosis (ho bana)
• Ho lahleheloa ke boima ba mesifa (ho senya, ho fokola), hangata matsohong le matsohong
• Ho lahleheloa ke maikutlo maotong a kaholimo
• Ho eketseha ha maikutlo meleng e ka tlase
• Ho qhala kapa ho tiea leotong kapa mesifa ea letsoho le letsoho
• Ts'ebetso ea mesifa, tahlehelo ea bokhoni ba ho sebelisa matsoho kapa maoto
• Boikutlo bo fokotsang maikutlo a bohloko kapa mocheso; e theola bokhoni ba ho utloa ha letlalo le angoa; e hlaha molaleng, mahetleng, matsohong a kaholimo le kutu ka mokhoa o tšoanang le cape; 'me butle-butle e mpefala ha nako e ntse e tsamaea
• Ho theola matsoho, molala, kapa mokokotlong o bohareng kapa maotong
• Bofokoli (ho fokotseha ha matla a mesifa) matsohong kapa maotong
• Ho chesa ha bohloko kapa ho lemala ha letsoho
• Ho thata ho tsamaea kapa menoana ea maoto ho tsamaea baneng
• Ho sisinyeha ho sa laoleheng ha mahlo (nystagmus)
• Boemo bo amang methapo ea mahlo le ea sefahleho (Horner syndrome)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao, a shebile tsamaiso ea methapo. Liteko tse ka etsoang li kenyelletsa:

• MRI ea hlooho le mokokotlo
• Spinal CT scan le myelogram (e ka etsoa ha MRI e sa khonehe)

Ha ho na kalafo e tsebahalang e sebetsang ea syringomyelia. Morero oa kalafo ke ho emisa tšenyo ea mokokotlo ho mpefala le ho ntlafatsa tšebetso.

Ho ka etsoa opereishene ho fokotsa khatello ea mokokotlo. Phekolo ea 'mele le ea mosebetsing e ka hlokahala ho ntlafatsa ts'ebetso ea mesifa.

Ventriculoperitoneal shunting kapa syringosubarachnoid shunting e ka hlokahala. Ena ke ts'ebetso eo ka eona ho kenngoang catheter (tšesaane, tube e tenyetsehang) ho khella metsi a mangata.

Ntle le kalafo, lefu lena le ka mpefala butle haholo. Ha nako e ntse e feta, e ka baka bokooa bo boholo.

Hangata ho buuoa ho emisa boemo hore bo se ke ba mpefala. Ts'ebetso ea methapo e tla ntlafala ho batho ba ka bang 30% ba etsoang opereishene.

Ntle le kalafo, boemo bo ka lebisa ho:

• Ho lahleheloa ke ts'ebetso ea methapo
• Bokooa bo sa feleng

Mathata a ka bang teng a ho buuoa a kenyelletsa:

• Tšoaetso
• Mathata a mang a ho buuoa

Bitsa mofani oa hau haeba u na le matšoao a syringomyelia.

Ha ho na mokhoa o tsebahalang oa ho thibela boemo bona, ntle le ho qoba likotsi mokokotlong. Ho fumana kalafo hang-hang ho liehisa lefu lena ho mpefala.

Syrinx

• Sisteme ea methapo e bohareng

Batzdorf U. Syringomyelia. Ka: Shen FH, Samartzis D, Fessler RG, bahlophisi. Buka ea sengoloa ea Cervical Spine. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 29.

Benglis DM, Jea A, Vanni S, Shah AH, Green BA. Syringomyelia. Ka: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, bahlophisi. Rothman-Simeone le Herkowitz ea The Spine. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 94.

Roguski M, Samdani AF, Hwang SW. Batho ba baholo syringomyelia. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 301.