Ọwara azụ azụ bụ oghere na-ekpuchi eriri azụ azụ n'ime obi nke ọkpụkpụ azụ. Ọ nwere ike ịbụ saịtị nke ọnya dị iche iche, na-akpata mkpakọ ọkpụkpụ azụ na-akpata mgbu, moto na nsogbu mmetụta.

Ọwa mmiri medullary, nke a na-akpọkwa oghere medullary, bụ oghere dị na azụ azụ nke nwere eriri azụ.

Dị ka ihe ncheta, ọkpụkpụ azụ azụ, ma ọ bụ ọkpụkpụ azụ, bụ akụkụ nke usoro nhụjuanya nke etiti. Mgbatị nke ụbụrụ, eriri a dị ihe dị ka sentimita iri anọ na-enye ohere ịnyefe ozi n'etiti ụbụrụ na ahụ, site na irighiri akwara nke na-esi na ya pụta site na oghere nkwụsị.

Ọwa medullary na-ekpuchi ma na-echebe eriri azụ azụ.

Ọkpụkpụ mkpịkpụkpụ

Anyị na-ekwu maka mkpakọ ọkpụkpụ azụ mgbe ọkpụkpụ azụ na akwara ndị na-ekewapụ na ya na-ejikọta ya site na mmerụ ahụ. Mkpakọ a na-ebute mgbu na azụ azụ, irradiation na n'ọnọdụ kachasị njọ nke moto, sensory na sphincter disorders.

Ọnya na-akpata mkpakọ nwere ike ịnọ n'èzí ọkpụkpụ azụ (extramedullary lesion) ma ọ bụ n'ime (ọnya intramedullary) ma bụrụ, dabere na ọdịdị ya, nnukwu ma ọ bụ na-adịghị ala ala. Ọ nwere ike ịbụ:

• diski herniated 
• hematoma subdural ma ọ bụ epidural hematoma na-esochi trauma nke butere ligamenti ma ọ bụ mmerụ ahụ ọkpụkpụ, nkwụsị nke lumbar, ị theụ ọgwụ anticoagulant.
• mgbaji, mgbakasị vertebral nwere iberibe ọkpụkpụ, mgbawa vertebral ma ọ bụ subluxation.
• akpụ (karịsịa metastatic extramedullary tumor)
• meningioma, neuroma
• ihe etuto
• mkpakọ ọkpụkpụ n'ihi osteoarthritis
• ọrịa akwara arteriovenous
• cervicarthrosis myelopathy

Ọrịa Equina Cauda

A na-akpọ ebe ọkpụkpụ azụ azụ nke dị na ọkwa nke ikpeazụ lumbar vertebrae na sacrum, na nke na-esi na ya pụta ọtụtụ mgbọrọgwụ akwara jikọtara ya na ụkwụ ala na sphincters, a na-akpọ ponytail.

Mgbe mkparịta ụka azụ azụ na-anọdụ n'ogo nke ọdụdụ a, ọtụtụ mgbe n'ihi diski herniated, ọ nwere ike ibute ọrịa cauda equina. A na-egosipụta nke a site na mgbu azụ azụ, ihe mgbu na mpaghara perineum na n'akụkụ aka, enweghị mmetụta, mkpọnwụ akụkụ na ọrịa sphincter. Nke a bụ ihe mberede ahụike. 

Ọrịa infarction medullary

Ọ na-adịkarịghị, ọnya ahụ na mmalite nke mkpakọ ọkpụkpụ azụ na-ebelata akwara akwara, wee na-eduga na infarction medullary.

Ịwa ahụ

Ịwa ahụ bụ ọgwụgwọ ọkọlọtọ maka mkpakọ ọkpụkpụ azụ. Ihe ntinye aka, nke a na-akpọ laminectomy, bụ iwepụ akụkụ azụ nke vertebra (ma ọ bụ agụba) n'akụkụ ọnya ahụ, wee wepụ ya iji mebie ụmị na mgbọrọgwụ ya. Ntinye aka a na-emekwa ka o kwe omume nyochaa ọnya ahụ.

N'ihe banyere ọrịa cauda equina syndrome, ịwa ahụ decompression a ga-eme ngwa ngwa iji zere nnukwu moto, sensory, sphincter na mmekọahụ sequelae.

Ọ bụrụ na ọnya nke na-eme ka ọkpụkpụ azụ azụ bụ hematoma ma ọ bụ ọzịza, a ga-agbapụta ihe ndị a na ịwa ahụ.

Radiotherapy

N'ihe gbasara etuto cancer, a na-ejikọta ọgwụgwọ redio mgbe ụfọdụ na ịwa ahụ.

Nnyocha ụlọ ọgwụ

Na-eche ihu na moto, sensory, sphincter ma ọ bụ ihe mgbu azụ na mberede, ọ dị mkpa ịkpọtụrụ n'egbughị oge. Onye na-eme ya ga-ebu ụzọ mee nyocha ụlọ ọgwụ iji duzie nchoputa dabere na mgbaàmà na palpation nke spine.

MRI

MRI bụ ọkọlọtọ ọla edo maka ọkpụkpụ azụ. Ọ na-eme ka o kwe omume ịchọta ebe a na-eme ka ọkpụkpụ azụ azụ na-eduga na nyocha nke mbụ gbasara ọdịdị ọnya ahụ. Dabere na ihe ngosi maka nyocha ahụ, enwere ike ịgbanye Gadolinium ntụtụ.

CT myelography

Mgbe MRI agaghị ekwe omume, enwere ike ịme CT ma ọ bụ CT myelography. Nlele a na-agụnye ịgbanye ngwaahịa na-adịghị ahụ anya n'ime ọwa azụ azụ iji hụ anya n'akụkụ ọkpụkpụ azụ na ụzarị x-ray.

X-ray ọkpụkpụ azụ

Ọ bụrụ na a na-enyo enyo na ọnya ọkpụkpụ, a pụrụ iwere X-ray nke ọkpụkpụ azụ na mgbakwunye na MRI.

Medullary arteriography

N'ọnọdụ ụfọdụ, enwere ike ịme nyocha arteriography iji chọpụta ọnya vaskụla nwere ike ime. Ọ na-agụnye ịgbanye, n'okpuru mgbakasị mpaghara, ngwaahịa dị iche na-ewere usoro onyonyo n'oge usoro mgbasa ozi akwara na venous nke ngwaahịa a.