{"id":37,"date":"2016-08-01T10:49:41","date_gmt":"2016-08-01T10:49:41","guid":{"rendered":"http:\/\/beira.layerica.sk\/?p=37"},"modified":"2016-10-11T12:53:06","modified_gmt":"2016-10-11T12:53:06","slug":"syndrom-konskeho-chvosta","status":"publish","type":"post","link":"https:\/\/beibira.sk\/index.php\/2016\/08\/01\/syndrom-konskeho-chvosta\/","title":{"rendered":"SYNDR\u00d3M CAUDA EQUINA (SCE alebo CES) – SYNDR\u00d3M KONSK\u00c9HO CHVOSTA"},"content":{"rendered":"

Syndr\u00f3m konsk\u00e9ho chvosta je s\u00fahrnn\u00e9 pomenovanie viacery\u0301ch sympt\u00f3mov, ktor\u00e9 by\u0301vaj\u00fa\u00a0zapr\u00ed\u010dinen\u00e9 kompresiou, posunom alebo po\u0161koden\u00edm konca miechy alebo nervovy\u0301ch vl\u00e1ken v\u00a0spodnej \u010dasti chrbtice.<\/span>
\n Tento syndr\u00f3m postihuje najviac ve\u013ek\u00e9 plemen\u00e1 psov, obzvl\u00e1\u0161\u0165 psy v z\u00e1\u0165a\u017ei, a to najm\u00e4 v\u00a0star\u0161om veku, d\u00e1 sa teda predpoklda\u0165, \u017ee jeho vznik s\u00favis\u00ed s opotrebovan\u00edm stavcov a\u00a0medzistavcovy\u0301ch platni\u010diek.<\/span><\/p>\n

CAUDA EQUINA – KONSK\u00dd CHVOST<\/span><\/h3>\n

Cauda equina – konsky\u0301\u00a0 chvost je zv\u00e4zok nervovy\u0301ch kore\u0148ov nadv\u00e4zuj\u00faci na miechu v\u00a0lumbosakr\u00e1lnej oblasti, odkia\u013e vl\u00e1kna pokra\u010duj\u00fa do zadny\u0301ch kon\u010dat\u00edn a zadny\u0301ch \u010dast\u00ed tela.\u00a0N\u00e1zov je odvodeny\u0301 od podoby tohto nervov\u00e9ho zv\u00e4zku na konsky\u0301 chvost.\"Konsk\u00fd<\/span><\/p>\n

SYNDR\u00d3M KONSK\u00c9HO CHVOSTA – KLINICK\u00c9 PR\u00cdZNAKY<\/span><\/h3>\n

Syndr\u00f3m konsk\u00e9ho chvosta m\u00e1 viacer\u00e9 prejavy. Medzi prv\u00e9 pr\u00edznaky m\u00f4\u017ee patri\u0165 s\u0165a\u017een\u00e1,\u00a0neist\u00e1 ch\u00f4dza<\/strong><\/span>, slabos\u0165 zadny\u0301ch kon\u010dat\u00edn, pes m\u00f4\u017ee nedostupova\u0165 na labky zadny\u0301ch n\u00f4h<\/strong><\/span>\u00a0(\u201cvle\u010die ich za sebou\u201d, pri ch\u00f4dzi si \u0161\u00facha paz\u00fary o povrch), \u0165a\u017ekosti pri vst\u00e1van\u00ed a sadan\u00ed<\/strong><\/span>.\u00a0Nesk\u00f4r to m\u00f4\u017ee by\u0165 kr\u00edvanie<\/strong><\/span>, odmietanie zvy\u0301\u0161enej n\u00e1mahy (hlavne sk\u00e1kanie), odmietanie\u00a0ch\u00f4dze po schodoch<\/span>,<\/span><\/strong> zle neseny\u0301 – padaj\u00faci chvost<\/span><\/span><\/strong>, zvy\u0301\u0161enie bolestivosti dolnej \u010dasti chrbta<\/strong><\/span>.\u00a0M\u00f4\u017ee d\u00f4js\u0165 aj k ochrnutiu, atrofii svalov a \u00faniku mo\u010du i stolice.<\/span><\/p>\n

PR\u00cd\u010cINY VZNIKU OCHORENIA<\/span><\/h3>\n

Pr\u00ed\u010diny vzniku tohto syndr\u00f3mu s\u00fa r\u00f4zne, niekedy je \u0165a\u017ek\u00e9 ur\u010di\u0165, \u010di ide o stavy vroden\u00e9 alebo<\/span>
\n z\u00edskan\u00e9, niekedy sa podmie\u0148uj\u00fa i kombinuj\u00fa, ukazuje sa, \u017ee \u010dasto priamo s\u00favisia s vekom psa\u00a0a opotrebovan\u00edm platni\u010diek a stavcov v d\u00f4sledku z\u00e1\u0165a\u017ee. Naj\u010dastej\u0161ie pr\u00ed\u010diny vzniku SCE:<\/span>
\n – degenerat\u00edvne zmeny na stavcoch a platni\u010dk\u00e1ch; ide napr\u00edklad o\u00a0 spondyl\u00f3zu (vznik\u00a0kostny\u0301ch vy\u0301rastkov \u2014 osteofytov) v oblasti medzi posledny\u0301m driekovy\u0301m a prvy\u0301m kr\u00ed\u017eovy\u0301m\u00a0stavcom, o\u00a0 osteochondr\u00f3zu kr\u00ed\u017eovej kosti (po\u0161kodenie chrupavky v d\u00f4sledku\u00a0nedostato\u010dn\u00e9ho prekrvenia, ktor\u00e9 m\u00f4\u017ee vies\u0165 a\u017e k odumretiu tkaniva), alebo o po\u0161kodenie\u00a0platni\u010diek, ako napr\u00edklad\u00a0 hernia disku – vy\u0301 hrez platni\u010d ky (vysko\u010den\u00e1 platni\u010dka), ke\u010f\u00a0r\u00f4solovit\u00e9 jadro platni\u010dky tla\u010d\u00ed na vonkaj\u0161ie v\u00e4zivo, \u010do sp\u00f4sob\u00ed vysunutie platni\u010dky do\u00a0miechov\u00e9ho kan\u00e1la, a teda jeho z\u00fa\u017eenie (degenerat\u00edvna sten\u00f3za), \u010d\u00edm vznik\u00e1 tlak na miechu,\u00a0pr\u00edpadne pri\u013eahl\u00e9 nervov\u00e9 korene,<\/span>
\n – vroden\u00e9 abnormality stavcov v dolnej \u010dasti chrbtice, ako napr\u00edklad\u00a0 vroden\u00e1 sten\u00f3za\u00a0(z\u00fa\u017eenie) chrbticov\u00e9ho kan\u00e1lu,\u00a0 prechodovy\u0301\u00a0 stavec a\u00a0 polovi\u010d ny\u0301\u00a0 stavec; ukazuje sa, \u017ee\u00a0tieto abnormality s\u00edce priamo nezapr\u00ed\u010di\u0148uj\u00fa stla\u010denie konsk\u00e9ho chvosta, ale menia\u00a0biomechaniku chrbtice, v d\u00f4sledku \u010doho doch\u00e1dza k zmen\u00e1m na kostny\u0301ch a m\u00e4kky\u0301ch\u00a0tkaniv\u00e1ch, \u010do m\u00f4\u017ee, sp\u00f4sobi\u0165 SCE,<\/span>
\n – z\u00e1paly v tejto \u010dasti chrbtice ( diskospondylit\u00edda – z\u00e1pal medzistavcovej platni\u010dky a\u00a0pri\u013eahly\u0301ch \u010dast\u00ed stavca \u2013 na nam\u00e1hany\u0301ch platni\u010dk\u00e1ch doch\u00e1dza k mikrofrakt\u00faram, ktor\u00e9 s\u00fa\u00a0ide\u00e1lnym miestom pre mno\u017enie bakt\u00e9ri\u00ed),<\/span>
\n – zmeny sp\u00f4soben\u00e9 \u00farazom (zlomeniny, vyk\u013abenie stavca),<\/span>
\n – n\u00e1dory chrbtice a nervov.\"Hernia<\/span><\/p>\n

DIAGNOSTIKA A LIE\u010cBA<\/span><\/h3>\n

Ke\u010f\u017ee vieme, \u017ee tento syndr\u00f3m postihuje najm\u00e4 ve\u013ek\u00e9 plemen\u00e1 a psy s nadmernou z\u00e1\u0165a\u017eou,<\/span>
\n diagn\u00f3za sa d\u00e1 vydedukova\u0165 na z\u00e1klade typicky\u0301ch pr\u00edznakov, plemena, veku, kond\u00edcie psa a\u00a0jeho \u017eivotn\u00e9ho \u0161ty\u0301lu \u010di pr\u00edpadny\u0301ch zranen\u00ed. Okrem po\u00farazovy\u0301ch stavov je stanovi\u0165 pr\u00ed\u010dinu\u00a0vzniku SCE pomerne n\u00e1ro\u010dn\u00e9. Diagnostika sa rob\u00ed rtg vy\u0161etren\u00edm, met\u00f3dami, ktor\u00e9 si vy\u017eaduj\u00fa\u00a0vstrekovanie kontrastnej l\u00e1tky (myelografia, epidurografia, diskografia) alebo CT \u010di MRI\u00a0vy\u0161etren\u00edm. Ka\u017ed\u00e1 z met\u00f3d m\u00e1 svoje vy\u0301hody i nevy\u0301hody, ako aj presnos\u0165, niektor\u00e9 m\u00f4\u017eu by\u0165 aj\u00a0rizikov\u00e9. CT a MRI vy\u0161etrenia s\u00fa najspo\u013eahlivej\u0161ie, ale zatia\u013e m\u00e1lo dostupn\u00e9.\u00a0SCE si u pacientov vy\u017eaduje pokojovy\u0301 re\u017eim. Po stanoven\u00ed pr\u00ed\u010diny sa ur\u010d\u00ed lie\u010dba. V pr\u00edpade\u00a0z\u00e1palov sa nasadia nesteroidn\u00e9 protiz\u00e1palov\u00e9 lie\u010div\u00e1 – antiflogistik\u00e1 (zni\u017euj\u00fa aj bolestivos\u0165) a\u00a0antibiotik\u00e1, ktor\u00e9 zvy\u010dajne do nieko\u013eky\u0301ch ty\u0301\u017ed\u0148ov odstr\u00e1nia infekciu aj z\u00e1pal. Konzervat\u00edvne sa\u00a0v prvy\u0301ch \u0161t\u00e1di\u00e1ch pristupuje aj pri degenerat\u00edvnych po\u0161kodeniach (spondyl\u00f3za, po\u0161kodenie\u00a0stavcov, artr\u00f3za), a to bu\u010f rovnako pod\u00e1van\u00edm nesteroidny\u0301ch antiflogist\u00edk, alebo, vo v\u00e1\u017enej\u0161\u00edch\u00a0pr\u00edpadoch, pod\u00e1van\u00edm kortikoidov po\u010das nieko\u013eky\u0301ch ty\u0301\u017ed\u0148ov. V ty\u0301chto pr\u00edpadoch sympt\u00f3my po\u00a0terapii ust\u00fapia, no po istom \u010dase sa vr\u00e1tia. Tie\u017e si treba uvedomi\u0165, \u017ee lieky s\u00edce odstr\u00e1nia\u00a0boles\u0165, \u010di\u017ee psovi sa v pomerne kr\u00e1tkom \u010dase u\u013eav\u00ed, no je d\u00f4le\u017eit\u00e9 nieko\u013eko ty\u0301\u017ed\u0148ov kontrolova\u0165\u00a0jeho pohyb, aby nedo\u0161lo k v\u00e1\u017enej\u0161iemu po\u0161kodeniu. Pri v\u00e1\u017enych stavoch, pr\u00edpadne stavoch,\u00a0kde sa o\u010dak\u00e1va progres\u00edvne zhor\u0161enie, sa vol\u00ed chirurgicky\u0301 z\u00e1krok.<\/span>
\n Chirurgicky sa rie\u0161ia aj n\u00e1dory s dobrou progn\u00f3zou vylie\u010denia.<\/span>
\n V\u0161eobecne sa samozrejme progn\u00f3zy na uzdravenie i rekonvalescenciu psa odli\u0161uj\u00fa v z\u00e1vislosti\u00a0od miery po\u0161kodenia. Plat\u00ed, \u017ee \u010d\u00edm sk\u00f4r sa za\u010dn\u00fa pr\u00ed\u010diny SCE lie\u010di\u0165, ty\u0301m men\u0161ie n\u00e1sledky u psa\u00a0nastan\u00fa. U v\u00e4\u010d\u0161iny postihnuty\u0301ch jedincov je nutn\u00e9 vyhy\u0301ba\u0165 sa celo\u017eivotne najm\u00e4 ty\u0301m\u00a0aktivit\u00e1m, ktor\u00e9 za\u0165a\u017euj\u00fa lumbosakr\u00e1lnu oblas\u0165 (sk\u00e1kanie cez prek\u00e1\u017eky, chodenie po\u00a0schodoch). V pr\u00edpade (do\u010dasn\u00e9ho) ochrnutia, m\u00f4\u017ee by\u0165 pre psa rie\u0161en\u00edm invalidny\u0301 voz\u00ed\u010dek\u00a0(napr. zna\u010dka K-9 Cart). S\u00fa\u010das\u0165ou terapie m\u00f4\u017ee by\u0165 aj akupunkt\u00fara (Slia\u010d<\/a>), ako aj fyzioterapia\u00a0(hydroterapia a laserov\u00e1 terapia), ktor\u00fa v s\u00fa\u010dasnosti poskytuj\u00fa na Slovensku viacer\u00e9\u00a0pracovisk\u00e1 (WetPet, Sibra). Pr\u00ednosom m\u00f4\u017ee by\u0165 aj pl\u00e1vanie. Pri star\u0161\u00edch psoch sa vo\u00a0v\u0161eobecnosti odpor\u00fa\u010da pod\u00e1vanie chondroprotekt\u00edv, ktor\u00e9 posi\u013e\u0148uj\u00fa chrupky.<\/span><\/p>\n

\"web\"<\/p>\n

Zdroje:<\/span>
\n http:\/\/theses.vet-alfort.fr\/telecharger.php?id=224<\/span>
\n J\u00e1n Danko, Sl\u00e1vka Fle\u0161\u00e1rov\u00e1 a kol: Anat\u00f3mia psa, Ikar, 2008<\/span>
\n Sv\u011bt ps\u016f, 01\/2009<\/span>
\n www.veterinarsliac.sk<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Syndr\u00f3m konsk\u00e9ho chvosta je s\u00fahrnn\u00e9 pomenovanie viacery\u0301ch sympt\u00f3mov, ktor\u00e9 by\u0301vaj\u00fa\u00a0zapr\u00ed\u010dinen\u00e9 kompresiou, posunom alebo po\u0161koden\u00edm konca miechy alebo nervovy\u0301ch vl\u00e1ken v\u00a0spodnej \u010dasti chrbtice. Tento syndr\u00f3m postihuje najviac ve\u013ek\u00e9 plemen\u00e1 psov, obzvl\u00e1\u0161\u0165 psy v z\u00e1\u0165a\u017ei, a to najm\u00e4 v\u00a0star\u0161om veku, d\u00e1 sa teda predpoklda\u0165, \u017ee jeho vznik s\u00favis\u00ed s opotrebovan\u00edm stavcov a\u00a0medzistavcovy\u0301ch platni\u010diek.<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[21,1,6],"tags":[9,7,10,8],"class_list":["post-37","post","type-post","status-publish","format-standard","hentry","category-novinky","category-psy","category-zdravotne-problemy-psov","tag-konsky-chvost","tag-pes","tag-ridgeback","tag-zdravie"],"_links":{"self":[{"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/posts\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":27,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/posts\/37\/revisions"}],"predecessor-version":[{"id":2502,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/posts\/37\/revisions\/2502"}],"wp:attachment":[{"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/media?parent=37"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/categories?post=37"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beibira.sk\/index.php\/wp-json\/wp\/v2\/tags?post=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}