Koj tus txha nqaj qaum puas zoo li nws yuav poob nws lub zog? Cia peb tham txog Transverse Myelitis (TM)!

Koj puas tau xav txog ib qho mob uas koj cia li tsis tswj tau koj ob txhais ceg, xav tias qee qhov ntawm koj lub cev loog, lossis muaj teeb meem tswj koj cov zis thiab quav? Txawm hais tias cov no yog qhov txaus ntshai me ntsis, qee zaum cov tsos mob no tuaj yeem tshwm sim vim yog kev o ntawm peb cov hlab ntsha caj qaum , uas yog, cov hlab ntsha uas khiav hla tus txha caj qaum. Qhov ntawd yog qhov mob uas peb yuav tham txog hnub no, hu ua Transverse Myelitis (TM) . Qhov no yog ib qho mob neurological uas tsis tshua muaj.

Kab mob transverse myelitis (TM) yog dab tsi tiag?

Hais yooj yim xwb, mob pob txha caj qaum (transverse myelitis - TM) yog mob o ntawm koj cov hlab ntsha caj qaum , uas yog cov hlab ntsha tseem ceeb uas khiav mus rau hauv koj cov hlab ntsha caj qaum. Xav txog nws li no: nws nqa cov lus los ntawm koj lub hlwb mus rau lwm qhov ntawm koj lub cev. Nws zoo li ib txoj xov tooj.

Qhov kev o no ua rau puas tsuaj rau lub plhaub tiv thaiv nyob ib puag ncig cov hlab ntsha hauv cov hlab ntsha hauv tus txha caj qaum, hu ua myelin sheath . Nws zoo li lub plhaub yas rau saum lub xov hlau raug puas tsuaj. Tom qab ntawd yuav ua li cas? Cov lus los ntawm lub hlwb tsis mus txog zoo. Qhov no ua rau muaj teeb meem xws li tsis hnov ​​​​​​lus, loog, thiab tsis tswj tau lub zais zis.

Tus mob no, hu ua TM, tuaj yeem cuam tshuam rau cov hlab ntsha hauv qab txhua qhov chaw ntawm tus txha caj qaum. "Myelitis" txhais tau tias yog o ntawm cov hlab ntsha hauv qab. "Transverse" txhais tau tias yog tus qauv ntawm kev hloov pauv ntawm kev hnov ​​​​​​thiab kev ua haujlwm. Nws tuaj yeem hnov ​​​​​​zoo li txoj siv sia khi ib ncig ntawm lub cev, nrog rau kev hloov pauv ntawm kev hnov ​​​​​​hauv qab txoj siv sia.

Feem ntau, TM yog ib qho mob uas tshwm sim ib zaug thiab tom qab ntawd zoo dua lossis nyob zoo li qub.

Leej twg raug kev txom nyem tshaj plaws los ntawm tus mob no, transverse myelitis (TM)?

Qhov tseeb, tus mob no hu ua transverse myelitis (TM) tuaj yeem tshwm sim rau txhua lub hnub nyoog, rau txhua tus neeg. Txawm li cas los xij, thaum koj saib cov ntaub ntawv, koj tuaj yeem pom tias nws tshwm sim ntau dua me ntsis rau cov tub ntxhais hluas hnub nyoog ntawm 10 thiab 19 thiab rau cov neeg hnub nyoog ntawm 30 thiab 39. Qhov xav tsis thoob, kwv yees li 25% ntawm cov neeg uas tshwm sim yog menyuam yaus. Txawm li cas los xij, qhov no tsis yog kab mob caj ces uas tau kis mus rau ntau tiam neeg. Yog li ntawd, tsis tas yuav txhawj tias lwm tus kuj yuav tshwm sim vim tias ib tug neeg hauv tsev neeg muaj nws.

Yog li qhov xwm txheej no feem ntau tshwm sim li cas?

Kab mob Transverse myelitis (TM) yog ib yam mob tsis tshua muaj . Xav txog seb, txawm tias nyob hauv lub tebchaws zoo li Asmeskas, tsuas muaj ib mus rau yim tus neeg mob tshiab tau tshaj tawm rau txhua lab tus neeg mob hauv ib xyoos. Qhov ntawd txhais tau tias muaj li ntawm 1400 tus neeg mob tshiab hauv ib xyoos. Yog li nws tsis yog ib yam dab tsi uas pom ntau zaus hauv Sri Lanka.

Cov tsos mob ntawm tus kab mob transverse myelitis (TM) yog dab tsi?

Cov tsos mob ntawm tus kab mob Transverse myelitis (TM) tej zaum yuav tshwm sim sai sai , dhau ob peb teev lossis ob peb hnub. Rau lwm tus, cov tsos mob yuav maj mam tshwm sim dhau ib mus rau plaub lub lis piam. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum paub tias cov tsos mob ntawm tus kab mob TM tuaj yeem hnyav zuj zus sai .

Feem ntau cov tsos mob tshwm sim hauv qab qhov chaw uas koj cov hlab ntsha caj qaum raug puas tsuaj. Piv txwv li, yog tias qhov puas tsuaj nyob hauv nruab nrab ntawm koj nraub qaum, hauv qab koj txhais tes, koj ob txhais ceg thiab kev tswj lub zais zis/plab hnyuv yuav raug cuam tshuam. Koj txhais tes tej zaum yuav tsis raug cuam tshuam.

TM feem ntau cuam tshuam rau ob sab ntawm lub cev. Txawm li cas los xij, nws qee zaum tsuas yog cuam tshuam rau ib sab xwb. Hom kev qaug zog ib sab no feem ntau tshwm sim rau cov neeg uas muaj kab mob xws li Multiple Sclerosis (MS) .

Xav txog seb, thaum mob hnyav tshaj plaws ntawm TM, 50% ntawm cov neeg mob poob tag nrho kev txav mus los ntawm ob txhais ceg. Nruab nrab ntawm 80% thiab 94% muaj kev loog lossis kev xav txawv txawv zoo li mob qhov ncauj. Tsis tas li ntawd, yuav luag txhua tus neeg muaj qee qib kev tsis xis nyob hauv kev tso zis.

Rau qee tus neeg, cov tsos mob no yuav txo qis lossis ploj mus tag nrog kev kho mob, tab sis rau lwm tus, tej zaum yuav muaj teeb meem mus tas li.

Muaj ntau pawg tsos mob tseem ceeb uas pom tau hauv TM:

• Kev xav txawv txawv
• Mob
• Teeb meem ntawm txoj hnyuv thiab zis
• Teeb meem ntawm cov leeg nqaij thiab kev txav mus los
• Teeb meem kev ua haujlwm ntawm kev sib deev
• Lwm cov tsos mob

Kev xav txawv txawv

Nyob ntawm seb koj tus txha caj qaum puas tsuaj qhov twg vim yog TM, koj yuav muaj kev xav tsis zoo (tseem hu ua "Paresthesia" hauv cov lus kho mob) hauv qee qhov ntawm koj lub cev, xws li:

• Kev tsis muaj zog
• Zoo li raug chob (Prickling)
• Kub hnyiab
• Hypersensitivity rau kov lossis kub
• Tsawg dua qhov kev xav ntawm cua sov / txias

Mob

TM tuaj yeem ua rau mob rau qee qhov ntawm lub cev. Qhov mob no tuaj yeem mob heev lossis mob me ntsis . Qee zaum qhov mob no tuaj yeem kis mus rau ntawm caj npab thiab/lossis ceg, lossis nws tuaj yeem zoo li nws los ntawm lub hauv siab thiab lub plab.

Cov tsos mob ntawm cov quav thiab cov zis

TM tuaj yeem ua rau muaj teeb meem ntawm cov zis thiab cov hnyuv xws li:

• Kab mob cem quav
• Tsis tso zis tag thaum lub zais zis (`(Urinary retention)`)
• Teeb meem tswj kev tso zis, piv txwv li, yuav tsum tau tso zis ntau zaus ("Urge incontinence")
• Tsis muaj peev xwm tswj tau kev tso zis (`(Urinary incontinence)`)

Teeb meem ntawm cov leeg nqaij thiab kev txav mus los

Cov neeg uas muaj TM yuav muaj qhov tsis muaj zog hauv lawv ob txhais ceg, uas tuaj yeem loj hlob sai. Yog tias qhov o tau cuam tshuam rau cov hlab ntsha hauv qab , nws kuj tuaj yeem cuam tshuam rau caj npab.

Koj tuaj yeem pom cov tsos mob zoo li no:

• Kev poob ntawm qhov sib npaug hauv lub cev
• Kev taug kev nyuaj (dhia taw, rub ceg)
• Cov leeg nqaij ntswj
• Ib feem ntawm kev poob ntawm cov leeg nqaij ua haujlwm, qee zaum txawm ua rau tuag tes tuag taw .

Teeb meem kev ua haujlwm ntawm kev sib deev

Cov neeg uas muaj TM yuav muaj teeb meem txog kev ncav cuag orgasm. Tsis tas li ntawd, cov txiv neej yuav muaj teeb meem erectile dysfunction.

Lwm cov tsos mob

Ntxiv rau, TM kuj tseem yuav ua rau muaj cov tsos mob hauv qab no:

• Kev ntshaw noj mov
• Mob taub hau (mob taub hau)
• Ua npaws
• Ua pa nyuaj

Dab tsi ua rau mob transverse myelitis (TM)?

Feem ntau hais lus, qhov ua rau mob transverse myelitis (TM) yog o ntawm cov hlab ntsha qaum.

Xav txog seb, thaum muaj ib yam dab tsi phem nkag mus rau hauv peb lub cev, xws li cov kab mob, cov kab mob me me, cov tshuaj lom, lossis thaum peb raug mob, peb lub cev tiv thaiv kab mob ua haujlwm.

Lub cev tiv thaiv kab mob tso tawm cov hlwb o thiab lwm yam tshuaj (cytokines) uas ua rau lwm cov hlwb o. Cov hlwb no yog cov uas ua rau muaj kev o uas pab tua cov kab mob xws li cov kab mob thiab pib kho cov qhov txhab. Txawm hais tias qhov kev o no feem ntau yog qhov tsim nyog, qee zaum peb lub cev tiv thaiv kab mob tuaj yeem tawm tsam cov nqaij noj qab haus huv yam tsis muaj laj thawj. Lossis, qhov kev teb rau cov tshuaj txawv teb chaws ntawd tuaj yeem ua rau muaj zog dhau thiab ua rau lub cev cov nqaij puas tsuaj.

Qhov ntawd yog qhov tshwm sim hauv TM. Qhov kev o ua rau lub myelin sheath nyob ib puag ncig cov hlwb ntawm cov hlab ntsha hauv cov hlab ntsha qaum puas tsuaj.

Muaj ntau yam ua rau mob o uas ua rau mob TM. Cov ua rau mob no muaj peev xwm muab faib ua ntau pawg tseem ceeb:

• Cov rooj plaub uas tsis paub meej tias yog vim li cas tiag (`(Idiopathic)`)
• Kev o los ntawm kev kis kab mob
• Cov kab mob autoimmune uas cuam tshuam rau tag nrho lub cev ('(Systemic inflammatory autoimmune diseases)')
• Cov kab mob ntawm lub paj hlwb hauv nruab nrab (`(Central nervous system diseases)`

Idiopathic transverse myelitis

"(Idiopathic) TM" yog thaum tsis muaj qhov ua rau mob tshwj xeeb. Feem ntau cov neeg mob TM poob rau hauv pawg no. Cov kws tshawb fawb xav tias nws tshwm sim vim peb lub cev tiv thaiv kab mob ua rau cov hlab ntsha tsis zoo thiab ntau dhau, ua rau o thiab cov nqaij puas tsuaj. Tab sis qhov ua rau mob, lossis qhov ua rau mob, tseem tsis tau paub.

Cov kab mob uas ua rau mob transverse myelitis

Muaj ntau yam kab mob bacterial, viral, parasitic, thiab fungal uas ua rau mob TM. Ib txhia ntawm lawv yog:

• Enteroviruses (Cov no yog cov kab mob uas pom ntau heev, tab sis feem ntau ua rau mob me me)
• Tus kab mob West Nile
• Cov kab mob herpes, piv txwv li, herpes ntawm qhov chaw mos
• Kab mob HIV
• Varicella-zoster (tus kab mob uas ua rau mob qaib qhua thiab mob herpes zoster)
• Tus kab mob leukemia T-cell tib neeg hom 1 (HTLV-1)
• Kab mob Zika
• Kab mob Neuroborreliosis (Lyme kab mob)
• Kab mob syphilis
• Kab mob ntsws
• Cov kab mob ntawm daim tawv nqaij
• 'Mycoplasma kab mob ntsws'

Feem ntau, nws nyuaj rau cov kws kho mob hais kom meej seb TM puas yog los ntawm kev kis kab mob los yog los ntawm lub cev tiv thaiv kab mob teb rau kev kis kab mob.

Cov kab mob autoimmune uas cuam tshuam rau tag nrho lub cev, cuam tshuam nrog transverse myelitis

Qee cov kab mob autoimmune uas cuam tshuam nrog TM yog:

• Kab mob Ankylosing spondylitis
• 'Antiphospholipid syndrome'
• Kab mob Behçet
• Kab mob sib txuas ua ke
• Kab mob pob qij txha caj qaum
• 'Sarcoidosis'
• Kab mob Scleroderma
• Kab mob Sjogren's syndrome
• Kab mob lupus erythematosus (SLE)

Cov kab mob hauv lub paj hlwb uas tuaj yeem ua rau mob transverse myelitis

Cov kab mob autoimmune ntawm lub paj hlwb hauv nruab nrab uas tuaj yeem ua rau TM suav nrog:

• Kab mob multiple sclerosis (MS)
• Neuromyelitis optica spectrum disorder (NMOSD) - Qhov no kuj hu ua Devic's disease .
• `Myelin oligodendrocyte glycoprotein antibody disorders (MOGAD)`
• Kab mob encephalomyelitis uas kis tau sai heev

Rau qee cov neeg, kab mob transverse myelitis tej zaum yuav yog thawj cov tsos mob ntawm tus kab mob autoimmune ntawm lub paj hlwb hauv nruab nrab, xws li ntau yam sclerosis (MS) lossis neuromyelitis optica spectrum disorder (NMOSD) .

Kab mob "Partial" myelitis, uas tsuas cuam tshuam rau ib sab ntawm lub cev xwb, yog ib qho uas tshwm sim ntau hauv MS.

Yog tias ib tug neeg uas muaj NMOSD mob myelitis, nws yuav muaj feem ntau dua li "tag nrho," txhais tau tias nws ua rau lub cev tuag tes tuag taw thiab tsis muaj zog heev rau ob sab ntawm lub cev. Mob myelitis hauv cov neeg uas muaj NMOSD tuaj yeem hnyav dua thiab yuav tsis zoo dua li cov neeg uas muaj MS.

Cov tshuaj tiv thaiv kab mob puas ua rau mob transverse myelitis (TM)?

Tsis tshua muaj neeg tau tshaj tawm tias muaj tus kab mob transverse myelitis hauv ob hnub txog peb lub hlis tom qab tau txais tshuaj tiv thaiv kab mob. Cov kws tshawb fawb tseem tsis paub meej tias vim li cas qhov no tshwm sim, tab sis ib qho kev xav yog tias qee tus neeg lub cev tiv thaiv kab mob yuav raug tshuaj tiv thaiv kab mob ua rau thiab pib ua haujlwm autoimmune. Tab sis ntawm no yog ib qho tseem ceeb: Cov tshuaj tiv thaiv kab mob tau pom tias muaj kev nyab xeeb hauv kev tshawb fawb dav dav. Qhov kev sib raug zoo nrog TM no tuaj yeem yog qhov sib xws lossis qhov teeb meem tsis tshua muaj.

Yuav kuaj mob transverse myelitis (TM) li cas?

Yog koj muaj cov tsos mob ntawm tus kab mob transverse myelitis (TM), koj tus kws kho mob yuav tshuaj xyuas koj keeb kwm mob thiab kuaj lub cev.

Yog tias cov kev kuaj no qhia tias muaj teeb meem nrog cov hlab ntsha qaum, yuav muaj kev kuaj ntxiv. Vim li cas?

• Xyuas kom tseeb tias cov hlab ntsha hauv tus txha caj qaum tsis raug cuam tshuam los ntawm lwm yam tsis yog kev o, piv txwv li , mob qog hauv tus txha caj qaum , lub disc herniated , lossis kev nias los ntawm qhov abscess .
• Paub tseeb tias muaj kev o ntawm sab hauv ntawm tus txha caj qaum.
• Yog tias ua tau, nrhiav seb yog dab tsi ua rau muaj qhov o no.

Cov kws kho mob xaus lus tias TM muaj nyob rau thaum cov tsos mob ntawm tus txha caj qaum tau muaj nyob rau ob peb hnub thiab tsis muaj lwm yam ua rau muaj teeb meem ntawm tus txha caj qaum ntawm MRI (Magnetic Resonance Imaging) scan lossis lwm yam kev kuaj.

Yuav ua li cas thiaj kuaj tau tus kab mob transverse myelitis?

Koj tus kws kho mob yuav xaj kom kuaj mob zoo li no los kuaj mob TMJ thiab nws qhov ua rau:

• Kev thaij duab MRI (Magnetic Resonance Imaging) ntawm tag nrho tus txha nqaj qaum: Kev thaij MRI yog ib qho kev kuaj mob uas tsis mob. Nws siv lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los ua kom pom tseeb cov kab ke thiab cov qauv hauv lub cev. Tej zaum koj yuav tsum tau muaj ob qho kev thaij duab MRI ntawm koj tus txha nqaj qaum - ib qho nrog cov tshuaj tshwj xeeb hu ua gadolinium contrast thiab ib qho tsis muaj. Qhov no yuav pab koj tus kws kho mob paub qhov txawv ntawm cov qhov txhab uas raug nias thiab tsis raug nias.
• Kev Ntsuas MRI ntawm Lub Hlwb: Koj tus kws kho mob kuj tseem yuav hais kom koj ua MRI scan ntawm koj lub hlwb (nrog lossis tsis muaj gadolinium contrast) los nrhiav cov qhov txhab hauv koj lub hlwb. Kev ntsuas MRI ntawm lub hlwb tuaj yeem muab cov lus qhia txog lwm yam ua rau, tshwj xeeb tshaj yog ntau yam sclerosis (MS) .
• Kev tho qhov mob ntawm lub duav (tseem hu ua kev tho qhov mob ntawm lub duav): Hauv txoj kev kho mob no, tus kws kho mob yuav muab ib rab koob ntxig rau hauv koj lub nraub qaum thiab coj ib qho qauv ntawm cov kua dej hauv lub hlwb (CSF) . CSF yog cov kua dej ntshiab uas nyob ib puag ncig koj lub hlwb thiab lub hlwb qaum. Tom qab ntawd, cov qauv CSF yuav raug kuaj hauv chav kuaj mob kom pom tias puas muaj cov qe ntshav dawb ntau dhau, cov ntsuas IgG siab dua, lossis cov kab IgG oligoclonal hauv CSF. Cov cim qhia txog kev o no feem ntau pom hauv TM.
• Kev kuaj ntshav: Tus kws kho mob yuav xaj ntau qhov kev kuaj ntshav los xyuas seb puas muaj kab mob thiab cov laj thawj cuam tshuam nrog lub cev tiv thaiv kab mob uas yuav ua rau TM.

Nyob ntawm seb qhov ua rau mob TM ua rau mob li cas, tej zaum yuav muaj kev kuaj ntxiv. Yog tias tsis muaj ib qho ntawm cov kev kuaj no nrhiav tau ib qho laj thawj tshwj xeeb, ces xav tias koj muaj mob idiopathic transverse myelitis.

Kev kho mob ntawm cov kab mob transverse myelitis (TM) yog los ntawmKoj nyob li cas lawm ?

Muaj ntau lub hom phiaj tseem ceeb hauv kev kho mob transverse myelitis (TM):

• Yog tias ua tau, kho qhov ua rau TM (piv txwv li, kev kis kab mob).
• Txo qhov mob hauv koj tus txha caj qaum.
• Txo lossis txo cov tsos mob xws li mob.
• Kev tswj cov teeb meem mus sij hawm ntev.

Thaum kho TM, kev kho mob luv luv yog muab rau qhov o thiab nws qhov ua rau, nrog rau kev tswj hwm mus sij hawm ntev ntawm cov teeb meem uas yuav tshwm sim los ntawm TM.

Kev kho mob luv luv rau mob transverse myelitis

Kev kho mob thawj kab rau kab mob transverse myelitis yog txhaj tshuaj glucocorticoids rau hauv cov hlab ntsha (IV) . Yog tias koj tus kws kho mob xav tias muaj TM, lawv yuav pib txhaj tshuaj glucocorticoids ntau rau hauv cov hlab ntsha (IV) sai li sai tau.

Glucocorticoids yog ib hom tshuaj steroid hormone uas yog ib pawg tshuaj hu ua corticosteroids . Cov no yog cov tshuaj muaj zog uas tawm tsam kev o thiab ua haujlwm nrog koj lub cev tiv thaiv kab mob. Hauv cov kab mob transverse myelitis, glucocorticoids pab txo qhov o ntawm cov leeg qaum. Tej zaum koj yuav tsum noj cov tshuaj no rau peb txog tsib hnub, lossis ntev dua.

Cov kev kho mob ntxiv rau TM yuav suav nrog:

• Kev kho mob pauv ntshav hauv cov ntshav (Plasmapheresis): Qhov no yog ib txoj kev kho mob uas "ntxuav" koj cov ntshav. Hauv kev kho mob no, koj tus kws kho mob tshem tawm cov kua ntawm koj cov ntshav (plasma) thiab hloov nws nrog plasma los ntawm ib tus neeg noj qab haus huv lossis ib qho plasma hloov. Qhov no tshem tawm cov tshuaj tua kab mob thiab lwm cov protein uas xav tias ua rau muaj kev o. Kev kho mob no yuav pab cov neeg uas muaj TM uas muaj kab mob demyelinating ntawm lub paj hlwb uas tsis tau teb rau kev kho mob glucocorticoid.
• Kev txhaj tshuaj tiv thaiv kab mob hauv cov hlab ntsha (IVIG): Qhov no yog kev kho mob uas ua los ntawm cov tshuaj tua kab mob. Nws yog muab los ntawm cov hlab ntsha. Kev kho mob no tuaj yeem khi rau cov tshuaj tua kab mob uas xav tias ua rau TM thiab txo qhov kev mob hauv cov hlab ntsha qaum.
• Cov tshuaj tiv thaiv kab mob: Rau cov neeg mob TM uas tsis teb zoo rau glucocorticoids, plasma exchange, lossis IVIG kev kho mob, cov kws kho mob siv cov tshuaj xws li rituximab thiab cyclophosphamide . Cov tshuaj no muaj cov yam ntxwv tiv thaiv kab mob.
• Cov tshuaj siv los tswj lwm cov tsos mob: Koj tus kws kho mob yuav sau ntawv rau lwm cov tshuaj los tswj cov tsos mob xws li mob, mob nqaij ntshiv, teeb meem tso zis, lossis kev nyuaj siab .

Kev tswj hwm mus sij hawm ntev rau cov kab mob transverse myelitis

Tom qab koj tau txais kev kho mob rau qhov mob transverse myelitis (TM) uas mob hnyav heev, koj yuav tsum tau kev kho kom rov zoo los txhim kho koj lub peev xwm ua haujlwm thiab tiv thaiv cov teeb meem thib ob uas yuav tshwm sim los ntawm TM.

Txawm hais tias kev kho mob tsis tuaj yeem kho qhov puas tsuaj ntawm lub cev los ntawm TM, nws tuaj yeem pab cov neeg uas muaj kev tuag tes tuag taw hnyav kom lawv muaj kev ywj pheej li sai tau thiab ua neej zoo li qub tau.

Kev tswj hwm mus sij hawm ntev ntawm cov kab mob transverse myelitis yuav suav nrog:

• Kev tswj xyuas kev ua haujlwm ntawm cov zis: Cov neeg uas muaj TM feem ntau muaj teeb meem ntawm cov zis. Cov kev daws teeb meem suav nrog kev tso zis raws sijhawm, tshuaj, catheter siv hnab looj tes, kev tso catheter huv si , thiab cov ris tsho hauv qab uas muaj ntaub mos.
• Kev tswj hwm kev ua haujlwm ntawm txoj hnyuv: Kev cem quav yog ib qho teeb meem uas feem ntau tshwm sim rau cov neeg uas muaj TM. Nws tuaj yeem tswj hwm los ntawm kev noj zaub mov tshwj xeeb, kev siv cov tshuaj ua kom cov quav mos thiab cov khoom noj muaj fiber ntau, thiab kev txhawb nqa lub qhov quav.
• Kev Kho Mob Rau Kev Ua Tsis Taus Haujlwm: Cov tshuaj uas siv ntau tshaj plaws rau kev ua tsis tau haujlwm ntawm lub cev yog sildenafil ('sildenafil' - Viagra®) , vardenafil ('vardenafil' - Levitra®) , thiab tadalafil ('tadalafil' - Cialis®) . Txawm hais tias cov tshuaj no tsis tshua muaj txiaj ntsig zoo rau cov poj niam, lawv kuj tau pom tias txhim kho kev ua haujlwm ntawm lub cev.
• Tiv thaiv kom daim tawv nqaij tawg thiab raug mob los ntawm kev nias (mob qhov txhab): Yog tias koj daim tawv nqaij raug nias rau lub sijhawm ntev, nws tuaj yeem tawg. Yuav kom tiv thaiv qhov no, koj yuav tsum hloov koj txoj haujlwm tsawg kawg txhua 15 feeb. Lub rooj zaum muaj zog uas muaj lub zog rov qab los yog lub tshuab tig mus rau qhov chaw uas tuaj yeem hloov txoj kev faib koj qhov hnyav kuj tuaj yeem pab tau. Muaj ntau hom ncoo rooj zaum uas tuaj yeem txo qhov siab uas tshwm sim thaum koj zaum.
• Kev tswj cov leeg nqaij tsis khov: Kev xyaum ncab thiab kev siv cov khoom siv los pab txhawb nqa thiab cov khoom siv los pab txhawb nqa cov leeg nqaij tsis khov. Kev tawm dag zog kom muaj zog thiab cov tshuaj uas ua rau cov leeg nqaij so kuj tseem yuav pab tau.
• Kev tswj kev txav mus los: Cov kws kho lub cev tuaj yeem muab cov kev tawm dag zog los txhim kho kev txav mus los. Cov khoom pab txav mus los xws li pas nrig, cov khoom siv taug kev, cov pas nrig, thiab lub rooj zaum muaj log tuaj yeem pab koj kom muaj kev ywj pheej ntau dua.
• Kev Tswj Xyuas Tej Yam Ua Txhua Hnub: Cov neeg uas muaj TM yuav pom tias nws nyuaj heev rau kev ua tej yam txhua hnub xws li hnav khaub ncaws, da dej, ntxuav lawv tus kheej, thiab noj mov. Kev sib tham nrog cov khoom siv hloov kho thiab cov kws kho mob ua haujlwm tuaj yeem pab nrhiav txoj hauv kev los ua kom cov haujlwm no yooj yim dua thiab ua tau zoo dua.
• Kev Tswj Qhov Mob: Feem ntau yuav muaj qee qhov mob tom qab TMJ. Mob nqaij tuaj yeem kho tau nrog cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) xws li acetaminophen (Tylenol®) , naproxen (Naprosyn®, Alleve® lossis Motrin®) , lossis kev kho cua sov thiab txias. Mob hlab ntsha tuaj yeem nyuaj kho dua. Qee cov tshuaj antidepressants lossis anticonvulsants yuav pab tau.
• Kev tswj kev noj qab haus huv ntawm lub hlwb: Kev nyuaj siab yog ib qho uas ntau tus neeg muaj TM. Yog tias koj muaj cov tsos mob ntawm kev nyuaj siab lossis lwm yam mob hlwb, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob lossis kws kho mob hlwb. Tshuaj kuj tseem tuaj yeem pab kho kev nyuaj siab.

Puas kho tau kab mob transverse myelitis?

Yog, mob pob qij txha caj qaum (transverse myelitis - TM) kho tau. Txawm li cas los xij, cov txheej txheem kho mob txawv ntawm ib tus neeg mus rau ib tus neeg.

Kev kho mob los ntawm TM tej zaum yuav tag nrho, ib nrab, lossis tsis muaj. Kev kho mob feem ntau pib li ntawm ib mus rau peb lub hlis ntawm kev kho mob thawj zaug. Cov neeg feem coob rov zoo los ntawm TM li ntawm peb lub hlis. Rau qee tus, nws tuaj yeem siv sijhawm ntau lub hlis lossis txawm tias ntau xyoo los kho.

Muaj ib txhia neeg zoo los ntawm mob pob qij txha nrog me ntsis lossis tsis muaj teeb meem mus sij hawm ntev, thaum lwm tus neeg zoo los ntawm kev tsis taus nruab nrab lossis hnyav.

Cov neeg uas yuav muaj feem rov zoo dua yog:

• Cov neeg uas muaj cov tsos mob sai sai .
• Cov neeg uas muaj cov tsos mob tsis tau zoo dua hauv thawj peb mus rau rau lub hlis ntawm kev kho mob thiab kev rov zoo.

Yuav ua li cas thiaj paub tias tus mob transverse myelitis (TM) yuav zoo li cas?

Qhov kev kwv yees / kev kwv yees rau cov neeg uas muaj mob transverse myelitis sib txawv:

• Kwv yees li ntawm 33% ntawm cov neeg rov zoo los ntawm kev mob me ntsis lossis tsis muaj teeb meem ntev.
• Kwv yees li ntawm 33% ntawm cov neeg rov zoo los ntawm kev muaj mob nkeeg nruab nrab, xws li teeb meem plab thiab nyuaj rau taug kev.
• Kwv yees li ntawm 33% ntawm cov neeg rov zoo los ntawm kev muaj kev tsis taus mus tas li, xws li kev tuag tes tuag taw.

Feem ntau cov neeg tsuas muaj mob transverse myelitis ib zaug xwb. Txawm li cas los xij, qee tus neeg uas muaj mob keeb kwm, xws li multiple sclerosis (MS), tuaj yeem ua rau nws rov qab los ('(rov tshwm sim dua)'). Yog tias koj muaj TM cuam tshuam rau ib sab ntawm koj lub cev xwb, koj yuav muaj feem yuav mob MS yav tom ntej.

Kuv yuav saib xyuas kuv tus kheej, lossis ib tus neeg uas muaj mob pob qij txha caj qaum (transverse myelitis - TM) li cas?

Yog tias koj muaj mob transverse myelitis, nws yog ib qho tseem ceeb kom paub tseeb tias koj tau txais kev kho mob kom raug los tiv thaiv lossis kho cov teeb meem TM, xws li teeb meem plab hnyuv thiab zis thiab cov leeg nqaij tawv.Tej zaum koj kuj tseem yuav xav koom nrog ib pawg neeg txhawb nqa kom tau ntsib lwm tus uas tuaj yeem nkag siab txog koj tej kev paub dhau los. Tsis tas li ntawd, yog tias koj xav tias nyuaj siab lossis ntxhov siab vim yog TM, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab los ntawm tus kws kho mob lossis tus kws kho mob hlwb.

Yog tias koj tab tom saib xyuas ib tus neeg uas muaj TM, nws yog ib qho tseem ceeb uas koj yuav tsum tawm tswv yim rau lawv kom paub tseeb tias lawv tau txais kev kho mob zoo tshaj plaws, cov khoom siv txav mus los, thiab kev kho mob uas yuav pab lawv kom muaj kev ywj pheej ntau dua.

Nws yuav nyuaj rau koj thiab koj tsev neeg hloov kho rau cov teebmeem ntawm lub hlwb thiab lub cev ntawm TM. Thaum ntxov ntawm kev rov zoo, nws yog ib qho tseem ceeb kom qhia koj tsev neeg thiab tsim ib txoj kev npaj los daws cov teeb meem ntawm kev ywj pheej.

Thaum twg kuv yuav tsum mus ntsib kws kho mob txog mob transverse myelitis (TM)?

Yog tias koj muaj cov tsos mob ntawm tus kab mob transverse myelitis, xws li cov leeg nqaij tsis muaj zog thiab mob sai sai, mus rau tsev kho mob ze tshaj plaws sai li sai tau .

Yog tias koj tau kuaj pom tias muaj TM, koj yuav tsum ntsib nrog koj pab neeg kho mob tsis tu ncua kom tau txais kev kho mob thiab saib xyuas seb puas muaj teeb meem dab tsi.

Kev nkag siab txog koj lossis koj tus neeg hlub tus mob transverse myelitis (TM) yuav nyuaj heev. Tab sis koj pab neeg kho mob yuav muab kev kho mob thiab kev kho kom rov zoo rau koj uas haum rau koj lossis koj tus neeg hlub cov tsos mob. Nws yog ib qho tseem ceeb kom paub tseeb tias koj tau txais kev hlub thiab kev txhawb nqa uas koj xav tau thoob plaws hauv koj txoj kev kho mob, thiab kom ceev faj txog txhua yam tsos mob tshiab uas yuav tshwm sim.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li tam sim no koj muaj lub tswv yim zoo dua txog qhov mob transverse myelitis (TM) yog dab tsi. Nco ntsoov, txawm tias nws yog ib qho mob tsis tshua muaj, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.

Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj teeb meem tsis muaj zog, tsis hnov ​​​​​​lus, lossis muaj teeb meem tswj kev tso zis, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob tam sim ntawd.

TM muaj ntau yam ua rau, thiab qee zaum tsis muaj qhov ua rau. Txawm li cas los xij, nrog kev kho mob thiab kev kho kom rov zoo, feem ntau cov neeg tuaj yeem ua tiav qee qib kev kho mob. Ib txhia neeg zoo tag nrho.

Thaum koj muaj tus mob zoo li no, nws yog ib qho tseem ceeb uas koj yuav tsum muaj lub siab tawv thiab muaj kev txhawb nqa los ntawm koj tsev neeg thiab cov kws kho mob. Yog li ntawd, tsis txhob ntshai tham nrog koj tus kws kho mob txog tej yam koj txhawj xeeb.

Kab mob Transverse myelitis, TM, cov hlab ntsha qaum, neuropathy, o, myelin, cov tsos mob, kev kho mob