ʻO Cauda Equina Syndrome ka pōʻino i nā aʻa aʻalolo o ke kua lalo. Hōʻike ʻia ia e ka ʻeha a me ke ʻano o nā maʻi sensory, motor a me genitosphincter. He pilikia olakino kēia e pono ai ka mālama koke ʻana i mea e pale aku ai i nā hopena hiki ʻole ke hoʻololi ʻia.

Wehewehe o Cauda Equina Syndrome

ʻO Cauda Equina Syndrome kahi hui o nā maʻi e kū mai ana i ka wā e hoʻopaʻa ai i nā aʻa aʻalolo ma ke kua lalo. Ke puka mai nei mai ke kuamoʻo ma ke kiʻekiʻe o ka vertebrae lumbar, ua like kēia mau aʻa aʻalolo me he huelo. Hoʻokomo lākou i nā kino o ke pelvis a me nā lālā lalo.

Ke hoʻopili ʻia nā aʻa aʻalolo, ʻaʻole hiki iā lākou ke hoʻokō piha i kā lākou kuleana. Hōʻike ʻia nā maʻi ma ka pelvis a me nā lālā haʻahaʻa. Hōʻike pinepine ʻia lākou ma ke ʻano bilateral me kekahi asymmetry. ʻO ia keʻano o ka hopena pinepine i nā lālā haʻahaʻaʻelua, akā hiki keʻokoʻa keʻano a me ka ikaika o nā hōʻailona ma ka hema a me ka'ākau.

ʻO nā kumu o ka maʻi cauda equina

Hoʻokumu ʻia ka maʻi Cauda equina ma muli o ke kaomi ʻana o nā aʻa aʻalolo lumbar. ʻElua kumu nui kēia:

• he diski herniated, ʻo ia hoʻi ka puka ʻana o kahi disc intervertebral e hoʻopaʻa i nā aʻalolo;
• he maʻi maʻamau e pili ana i ka ʻōnaehana nerve.

ʻO ke kumu maʻamau o ka maʻi cauda equina he disc herniated. Ke kumu ia i ka maʻi ʻaʻai, ʻo ia paha ka hopena o kahi ependymoma. He maʻi maʻi ʻino ia e hoʻomaka ana i loko o nā keʻena o ka ependyma. ʻAʻohe mea ʻē aʻe ʻo ka membrane e hoʻopaʻa ana i nā ventricles cerebral a me ke kahawai waena o ke kuamoʻo.

I kekahi mau hihia, hiki ke hana ʻia ka maʻi cauda equina e ka spinal stenosis. He haiki ia o ke auwai e hele ai na aa aalolo o ka huelo poo. ʻO ka maʻi ʻo Cauda equina i kekahi manawa he hoʻopiʻi o ka spondylodiscitis infectious, ʻaʻa o hoʻokahi a ʻoi aʻe paha nā vertebrae a me nā disc intervertebral pili.

ʻO ka hōʻailona o ka maʻi cauda equina

ʻO kahi hoʻokolohua lapaʻau e hiki ai ke hana i kahi hōʻailona mua o ka maʻi cauda equina. Pono e hōʻoia koke ʻia e nā hoʻokolohua kiʻi lāʻau e ʻae i ka lāʻau lapaʻau pilikia. Hoʻopaʻa pinepine ʻia ka hōʻailona e ka magnetic resonance imaging (MRI).

Hiki ke loaʻa ka maʻi Cauda equina i kēlā me kēia makahiki i nā kāne a me nā wahine. Ke lua ia i ka herniated disc, pili pinepine ia i nā kāne i nā makahiki he kanahā.

Hōʻike ʻia ka maʻi Cauda equina e ke ʻano o nā maʻi like ʻole.

eha

Hōʻike ʻia ka ʻeha hope. Ke kamaʻilio maʻamau nei mākou e pili ana i ka cruralgia (neuralgia crural) a me ka sciatica (sciatic neuralgia, a i ʻole sciatica maʻamau), ʻeha mai ka pelvis a i nā lālā haʻahaʻa.

Hoʻopili pinepine ʻia ka ʻeha o ke kua i lalo me ka ʻeha pelvic a me ka ʻeha.

Nā pilikia naʻau

ʻIke pinepine ʻia ka paresthesia o nā lālā haʻahaʻa. He maʻi ʻehaʻeha ʻole ia e loaʻa ai ka ʻeha, ka ʻeha a me ke kani ʻana.

Nā pilikia kaʻa

ʻO ka paʻi ʻana o nā aʻa aʻalolo o ka huelo pony e hoʻoulu ai i nā pilikia kaʻa ma nā lālā haʻahaʻa. Hiki i ka hope ke lilo i mea nui a emiʻole paha, mai ka hikiʻole ke hoʻonui i ka wāwae a hiki i ka maʻi lolo o nā lālā lalo i nā hihia koʻikoʻi.

Nā maʻi genitosphincter

Hiki ke hoʻopili i nā aʻa aʻalolo i ka cauda equina i ka hana o ka ʻōnaehana mimi a me ka anal sphincter.

Hiki ke hiki mai kekahi mau ma'i mimi: pa'akikī ka mimi 'ana e like me ka mimi koke, ka makemake nui e mimi i hiki ke alaka'i i ka incontinence.

Ma ka pae anal, ʻoi aku ka maʻamau o ka constipation ma mua o ka fecal incontinence.

Hiki ke hoʻopau ʻia ka hana moe kolohe, me ka erectile dysfunction.

I ka wā e ʻike ʻia ai, pono e mālama koke ʻia ka maʻi cauda equina.

Hiki ke hāʻawi ʻia ka lāʻau corticosteroid e hoʻopau i ka ʻeha. Hoʻonohonoho pinepine ʻia ka hana neurosurgical e hoʻomaha i ka paʻi ʻana o nā aʻa aʻalolo. Ua hana ʻia:

• ma ka wehe ʻana i ka ʻōpū a i ʻole herniated disc;
• a i ʻole ma ka laminectomy, kahi ʻano hana e hoʻoneʻe ai i hoʻokahi a ʻoi aku paha nā lau vertebral.

Hoʻopau ʻia ka hana ʻokiʻoki me ka hoʻoponopono hana.

I kekahi mau hihia, ʻaʻole pili ka mālama ʻana i ka maʻi cauda equina. Aia ma luna o:

• ka lāʻau antibiotic no nā kumu maʻi;
• ka lāʻau lapaʻau a i ʻole ka chemotherapy i ka wā hiki ʻole ke loaʻa i ka ʻōpū.

Hiki ke pale ʻia kekahi mau kumu o ka maʻi cauda equina. Ma keʻano nui, hiki ke paleʻia ka uluʻana o kahi diski herniated ma ka mālamaʻana i ke kaumaha o ke kino, ke ola olakino a me ke kūlana maikaʻi.

Manaʻo ʻia e makaʻala no ka hoʻomaka ʻana o nā hōʻailona o ka maʻi cauda equina. Ma kahi kānalua liʻiliʻi, ʻōlelo ʻia kahi kūkākūkā olakino wikiwiki. Hoʻokumu kēia maʻi maʻi i kahi pilikia diagnostic a therapeutic e pale aku ai i nā sequelae hiki ʻole ke hoʻololi.