Syringomyelia

Syringomyelia tarin-kamar tarin tarin ruwa ne (CSF) wanda ke samarwa a cikin kashin baya. Bayan lokaci, yana lalata lakar kashin baya.

Cyst mai cike da ruwa ana kiransa syrinx. Ana iya haifar da haɓakar ruwa ta kashin baya ta:

• Laifin haihuwa (musamman cutar Chiari, wanda wani ɓangare na ƙwaƙwalwa yake turawa zuwa lakar kashin baya a ƙasan kokon kai)
• Raunin kashin baya
• Umuƙumai na kashin baya

Cyst mai cike da ruwa yawanci yakan fara ne a yankin wuya. Yana faɗaɗa a hankali, yana sanya matsin lamba a kan lakar kashin baya kuma a hankali yana haifar da lalacewa.

Farkon syringomyelia yawanci yana tsakanin shekara 25 zuwa 40. Maza sun fi mata rauni.

Idan yanayin yana faruwa ne saboda lahani na haihuwa, maiyuwa babu alamun bayyanar har sai shekaru 30 zuwa 40. Kwayar cututtukan syringomyelia yawanci suna bayyana a hankali kuma suna taɓarɓarewa shekaru da yawa. Game da rauni, farawar alamomi na iya zama kamar watanni 2 zuwa 3 da haihuwa. Idan akwai alamun bayyanar, zasu iya haɗawa da:

• Ciwon kai
• Scoliosis (a cikin yara)
• Rashin ƙwayar tsoka (ɓata, atrophy), sau da yawa a cikin makamai da hannaye
• Rashin hasara a cikin ɓangarorin sama
• Refara ƙarfin tunani a ƙananan ƙafafu
• Spasms ko matsewa a cikin ƙafa ko hannu da tsokoki na hannu
• Rage aikin tsoka, asarar ikon amfani da hannu ko ƙafa
• Umbararrawa da ke rage jin zafi ko zafin jiki; yana saukar da ikon ji lokacinda fatar take; yana faruwa a cikin wuya, kafadu, manyan hannaye, da akwati a cikin tsari mai kama da cape; kuma sannu a hankali ya zama mafi muni a kan lokaci
• Jin zafi ƙasa da hannaye, wuya, ko zuwa tsakiyar tsakiya ko ƙafafu
• Rauni (rage ƙarfin tsoka) a cikin hannu ko ƙafa
• Burnonewa mara zafi ko rauni na hannu
• Wahalar tafiya ko yatsan kafa a cikin yara
• Motsi mara izini na idanu (nystagmus)
• Yanayin da ke shafar jijiyoyi zuwa ido da fuska (cutar Horner)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun, yana mai da hankali kan tsarin juyayi. Gwajin da za a iya yi sun hada da:

• MRI na kai da kashin baya
• Spinal CT scan tare da myelogram (ana iya yi lokacin da MRI ba zai yiwu ba)

Babu sanannen magani mai inganci don sirinji. Manufofin magani shine dakatar da lalacewar kashin baya daga kara muni da inganta aiki.

Ana iya buƙatar aikin tiyata don sauƙaƙa matsa lamba a cikin lakar kashin baya. Za'a iya buƙatar maganin jiki da na aiki don inganta aikin tsoka.

Ana iya buƙatar ɓarkewar ƙwayoyin cuta ko sirinjironarabnoid. Wannan hanya ce wacce ake saka catheter (na bakin ciki, sassauƙan bututu) don magudanar ruwan haɓakar ruwan.

Ba tare da magani ba, rikicewar na iya zama mafi sauƙi a hankali. Bayan lokaci, yana iya haifar da mummunan nakasa.

Yin aikin tiyata yakan dakatar da yanayin daga yin muni. Aikin jijiyar jiki zai inganta a cikin kusan kashi 30% na mutanen da suke da tiyata.

Ba tare da magani ba, yanayin na iya haifar da:

• Rashin aikin tsarin juyayi
• Rashin lafiya na dindindin

Matsalolin da ke iya faruwa na tiyata sun haɗa da:

• Kamuwa da cuta
• Sauran rikitarwa na tiyata

Kira mai ba ku sabis idan kuna da alamun cututtuka na sirinji.

Babu wata hanyar da aka sani don hana wannan yanayin, banda guje wa rauni ga lakar kashin baya. Samun magani yanzunnan yana haifar da cutar daga muni.

Syrinx

• Tsarin juyayi na tsakiya

Batzdorf U. Syringomyelia. A cikin: Shen FH, Samartzis D, Fessler RG, eds. Littafin rubutu na Cervical Spine. Philadelphia, PA: Elsevier Saunders; 2015: babi na 29.

Benglis DM, Jea A, Vanni S, Shah AH, Green BA. Syringomyelia. A cikin: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. Rothman-Simeone da Herkowitz na The Spine. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 94.

Roguski M, Samdani AF, Hwang SW. Manyan syringomyelia. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 301.