Canal na kashin baya shine ramin da ke rufe kashin baya a zuciyar kashin baya. Zai iya zama wurin raunuka iri -iri, yana haifar da matsin lamba na kashin baya wanda ke haifar da ciwo, motsi da rikicewar ji.

Canal na medullary, wanda kuma ake kira medullary cavity, shine rami a cikin kashin baya wanda ke ɗauke da kashin baya.

A matsayin tunatarwa, kashin baya, ko kashin baya, wani bangare ne na tsarin juyayi na tsakiya. Ƙwaƙwalwar ƙwaƙwalwa, wannan igiyar mai kimanin santimita arba'in tana ba da damar watsa bayanai tsakanin kwakwalwa da jiki, ta hanyar jijiyoyin kashin baya waɗanda ke fitowa daga ciki ta cikin ramukan mahada.

Canal na medullary yana rufewa kuma yana kare kashin baya.

Matsawar igiyar ciki

Muna magana ne game da matsewar kashin baya lokacin da rauni da matsawa kashin baya da jijiyoyin da suka rabu da shi. Wannan matsewar sannan yana haifar da ciwo a baya, sakawa cikin iska kuma a cikin mawuyacin yanayi na rashin motsa jiki, azanci da sphincter.

Raunin da ke haifar da matsi na iya kasancewa a waje da kashin kashin baya (raunin extramedullary) ko a ciki (raunin intramedullary) kuma ya kasance, ya danganta da yanayin sa, mai ƙarfi ko na yau da kullun. Yana iya zama:

• wani herniated diski 
• hematoma mai subdural ko epidural bayan rauni wanda ya haifar da jijiya ko raunin kashi, raunin lumbar, shan maganin kashe kwari
• karaya, matsin lamba tare da gutsuttsuran kasusuwa, ɓarnawar vertebral ko subluxation
• wani ƙari (musamman metastatic extramedullary tumor)
• meningioma, neuroma
• wani ƙurji
• matsawa kashi saboda osteoarthritis
• wani lalacewar arteriovenous
• cervicarthrosis myelopathy

Cauda Equina Syndrome

Yankin kashin kashin da ke matakin matakin lumbar vertebrae na ƙarshe da sacrum, kuma daga abin da ke fitowa da jijiyoyin jijiyoyi da yawa waɗanda ke da alaƙa da ƙananan gabobin jiki da sphincters, ana kiranta dokin doki.

Lokacin da matsin lamba na kashin baya ya zauna a matakin wannan dokin doki, galibi saboda diski mai rauni, zai iya haifar da cauda equina syndrome. Ana bayyana wannan ta ƙananan ciwon baya, zafi a cikin yankin perineum da cikin ƙananan ƙafa, asarar ji, raunin raunin jiki da rikicewar sphincter. Wannan gaggawa ce ta likita. 

Babban infarction na medullary

Ba da daɗewa ba, raunin da ya samo asali daga matsin lambar kashin baya yana rage jinkirin jijiyoyin jijiyoyin jini, sannan yana haifar da infarction na medullary.

Surgery

Yin tiyata shine daidaitaccen magani don matsawa kashin baya. Tsoma bakin, wanda ake kira laminectomy, ya ƙunshi cire sashin baya na vertebra (ko ruwa) kusa da raunin, sannan cire shi don murƙushe bargo da tushen sa. Wannan kutse kuma yana sa ya yiwu a bincika raunin.

Dangane da cutar cauda equina syndrome, dole ne wannan tiyata ta jujjuyawar ta faru da sauri don gujewa matsanancin motsi, azanci, sphincter da jerin abubuwan jima'i.

Idan raunin da ke haifar da matsewar kashin baya shine hematoma ko ƙurji, waɗannan za a yi musu tiyata.

Radiotherapy

Idan akwai ƙwayar cutar kansa, wani lokacin ana yin aikin radiotherapy tare da tiyata.

Binciken asibiti

Fuskantar motarka, azanci, sphincter ko ciwon baya na farat ɗaya, yana da mahimmanci tuntuɓi ba tare da bata lokaci ba. Likitan zai fara yin gwajin asibiti don jagorantar ganewar asali dangane da alamu da bugun kashin baya.

MRI

MRI shine ma'aunin zinariya don kashin baya. Yana sa ya yiwu a nemo wurin matsawar kashin baya da kuma kai tsaye zuwa ganewar farko game da yanayin raunin. Dangane da nuni ga jarrabawa, ana iya yin allurar Gadolinium.

CT myelography

Lokacin da MRI ba zai yiwu ba, ana iya yin CT ko CT myelography. Wannan jarrabawar ta ƙunshi allurar samfuran opacifying a cikin canal na kashin baya domin a iya hango kwarjinin kashin baya akan hasken x.

X-ray na kashin baya

Idan ana zargin raunin kashi, ana iya ɗaukar hasken X na kashin baya baya ga MRI.

Medullary arteriography

A wasu lokuta, ana iya yin arteriography don neman yiwuwar raunin jijiyoyin jini. Ya ƙunshi allura, a ƙarƙashin maganin rigakafi na gida, samfur mai banbanci sannan ɗaukar jerin hotuna yayin jigilar jijiyoyin jijiyoyin jijiyoyin jini na wannan samfurin.