Cauda Equina Syndrome yog kev puas tsuaj rau cov paj hlwb ntawm sab nraub qaum. Nws yog tus cwj pwm los ntawm qhov mob thiab qhov tshwm sim ntawm kev hnov ​​​​lus, lub cev muaj zog thiab genitosphincter teeb meem. Qhov no yog ib qho kev kho mob xwm txheej ceev uas yuav tsum tau kho tam sim ntawd kom tsis txhob rov qab mus rau qhov qub.

Txhais ntawm Cauda Equina Syndrome

Cauda Equina Syndrome yog ib pab pawg ntawm cov teeb meem uas tshwm sim thaum compressing paj paj hauv qab qis. Tawm los ntawm tus txha caj qaum nyob rau theem ntawm lub lumbar vertebrae, cov hlab ntsha hauv paus zoo li tus ponytail. Lawv innervate lub nruab nrog cev ntawm lub plab mog thiab cov ceg qis.

Thaum cov hlab ntsha hauv paus yog compressed, lawv tsis tuaj yeem ua lawv lub luag haujlwm. Cov teeb meem nyob rau hauv lub pelvis thiab qis ceg tshwm sim. Lawv feem ntau tshwm ob sab nrog qee qhov asymmetry. Qhov no txhais tau hais tias nws feem ntau cuam tshuam rau ob sab ceg qis, tab sis hom thiab kev siv ntawm cov tsos mob tuaj yeem sib txawv ntawm sab laug thiab sab xis.

Ua rau cauda equina syndrome

Cauda equina syndrome yog tshwm sim los ntawm compression ntawm lub lumbar paj hauv paus. Qhov no muaj ob qho laj thawj loj:

• herniated disc, uas yog hais tias ib tug protrusion ntawm ib tug intervertebral disc uas yuav compress cov hlab ntsha;
• cov qog uas feem ntau cuam tshuam rau lub paj hlwb.

Feem ntau ua rau cauda equina syndrome yog herniated disc. Thaum nws yog vim muaj qog, nws tuaj yeem yog qhov tshwm sim ntawm ependymoma. Nws yog ib qho qog malignant uas pib hauv cov hlwb ntawm ependyma. Nws tsis yog lwm yam tshaj li daim nyias nyias ntawm lub paj hlwb ventricles thiab lub hauv paus kwj dej ntawm tus txha caj qaum.

Hauv ob peb kis, cauda equina syndrome tuaj yeem tshwm sim los ntawm tus txha caj qaum. Nws yog ib qho kev nqaim ntawm cov kwj dej uas cov paj hlwb ntawm cov ponytail hla. Cauda equina syndrome kuj tuaj yeem qee zaum ua rau muaj teeb meem ntawm kev kis kab mob spondylodiscitis, o ntawm ib lossis ntau dua vertebrae thiab cov discs intervertebral uas nyob ib sab.

Kev kuaj mob ntawm cauda equina syndrome

Kev kuaj mob ua rau nws muaj peev xwm ua tau thawj qhov kev kuaj mob ntawm cauda equina syndrome. Nws yuav tsum tau lees paub sai sai los ntawm kev kuaj pom kev kho mob kom tso cai rau kev kho mob xwm txheej ceev. Kev kuaj mob feem ntau yog siv tau los ntawm kev sib nqus resonance imaging (MRI).

Cauda equina syndrome tuaj yeem tshwm sim txhua lub hnub nyoog ntawm cov txiv neej thiab poj niam. Thaum nws yog thib ob rau herniated disc, nws feem ntau txhawj txog cov txiv neej hauv lawv cov plaub caug.

Cauda equina syndrome yog tshwm sim los ntawm cov tsos mob ntawm cov kab mob sib txawv.

mob

Mob nraub qaum tshwm. Peb feem ntau tham txog cruralgia (crural neuralgia) thiab sciatica (sciatic neuralgia, lossis ntau dua sciatica), qhov mob uas txuas ntawm lub plab mus rau sab ceg.

Mob nraub qaum feem ntau nrog mob plab thiab qhov chaw mos.

Kev puas siab puas ntsws

Paresthesia ntawm cov ceg qis yog feem ntau pom. Nws yog ib qho mob uas tsis hnov ​​mob uas ua rau tingling, loog loog thiab tingling rhiab heev.

Lub cev muaj zog

Compression ntawm cov hlab ntsha hauv cov hauv paus hniav ntawm ponytail induces lub cev muaj zog tsis zoo nyob rau hauv qis qis. Cov tom kawg tuaj yeem yog qhov tseem ceeb ntau dua los yog tsawg dua, los ntawm qhov tsis muaj peev xwm txuas ntxiv ntawm txhais ceg mus rau tuag tes tuag taw ntawm cov ceg qis hauv qhov mob hnyav tshaj plaws.

Cov kab mob genitosphincter

Compression ntawm cov paj hlwb hauv cauda equina tuaj yeem cuam tshuam rau kev ua haujlwm ntawm cov zis thiab qhov quav sphincter.

Muaj ntau yam kev mob urinary tuaj yeem tshwm sim: kev tso zis nyuaj xws li tso zis sai, ceev ceev kom tso zis uas tuaj yeem ua rau incontinence.

Nyob rau hauv qhov quav, cem quav yog ntau tshaj li fecal incontinence.

Kev ua plees ua yi kuj tuaj yeem cuam tshuam, nrog rau kev ua haujlwm ntawm erectile kawg.

Sai li nws tau kuaj pom, cauda equina syndrome yuav tsum tau kho sai.

Kev kho corticosteroid tuaj yeem muab los daws qhov mob. Neurosurgical kev cuam tshuam feem ntau yog txhim kho los txo qhov compression ntawm cov paj hlwb. Nws ua tiav:

• los ntawm resection ntawm cov qog los yog herniated disc;
• los yog los ntawm laminectomy, ib tug txheej txheem uas yuav tshem tawm ib los yog ntau tshaj vertebral hniav.

Kev phais mob yog ua raws li kev ua haujlwm rov ua haujlwm.

Qee zaum, kev kho mob rau cauda equina syndrome tsis koom nrog kev phais. Nws yog nyob ntawm:

• tshuaj tua kab mob rau kev kis kab mob;
• Kev kho hluav taws xob lossis tshuaj khomob thaum lub qog tsis tuaj yeem siv tau.

Qee qhov ua rau cauda equina syndrome tuaj yeem tiv thaiv. Hauv particular, txoj kev loj hlob ntawm herniated disc tuaj yeem tiv thaiv tau los ntawm kev tswj hwm qhov hnyav, kev noj qab haus huv thiab lub cev zoo.

Nws kuj tseem pom zoo kom ceev faj rau qhov pib ntawm cov tsos mob ntawm cauda equina syndrome. Hauv qhov tsis ntseeg me ntsis, kev sab laj kho mob ceev tau pom zoo. Cov tsos mob no suav nrog kev kuaj mob thiab kho mob xwm txheej ceev kom tsis txhob rov qab ua dua.