Kodi mukudziwa za kuwonongeka kumeneku kwa msana wa khomo lachiberekero? (Central Cord Syndrome - CCS) Tiyeni tikambirane za izi!

Kodi mwadzidzidzi munamvapo ngati mukufuna kukomoka? Mwina zinachitika mutagwa pang'ono kapena kumenyedwa mwamphamvu pakhosi. Lero tikambirana za vuto lomwe lingayambitse zizindikiro zofanana, makamaka ngati limayamba chifukwa cha kuwonongeka kwa pakati pa msana m'khosi mwathu . Madokotala amatcha izi Central Cord Syndrome , kapena CCS . Musadandaule, tiyeni tifotokoze mwachidule.

Kodi matenda a Central Cord Syndrome ndi chiyani kwenikweni?

Mwachidule, `CCS` ndi kuwonongeka kwa `msana wa pachibelekero` womwe uli pakhosi panu, womwe ndi mtsempha waukulu womwe umadutsa msana wanu, pakati . Taganizirani izi, msana umanyamula mauthenga ochokera ku ubongo kupita ku thupi lathu lonse. Choncho gawo lapakatili likawonongeka, kuyenda kwa mauthengawo kumasokonezeka.

Mu izi, mitsempha yomwe imapita m'manja imakhudzidwa kwambiri. Chifukwa chake, kufooka ndi dzanzi zimatha kuchitika m'manja. Nthawi zina, izi zimathanso kukhudza miyendo kwambiri kapena pang'ono. Koma nthawi zambiri, manja ndi omwe amakhudzidwa kwambiri.

Izi zimatchedwanso kuti incomplete spinal cord injury . Izi zikutanthauza kuti si aliyense amene ali ndi vutoli amene amakhala olumala kwathunthu. Izi zikutanthauza kuti si ziwalo zonse zomwe zimalumala. Ntchito zina zingapitirire.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Matendawa otchedwa `CCS` nthawi zambiri amayamba chifukwa cha ngozi yadzidzidzi pakhosi . Tangoganizirani, ngati mafupa ang'onoang'ono `(vertebrae)` m'khosi mwanu awonongeka , amatha kukakamiza kwambiri msana ndikuyambitsa `CCS`.

Chiwopsezochi chimakhala chachikulu makamaka kwa anthu azaka zopitilira 50 omwe ali ndi nyamakazi pakhosi . Izi zili choncho chifukwa amatha kukhala ndi kufupika kwa ngalande ya msana pakhosi (spinal stenosis). Anthu otere amatha kuvulala kwambiri pakhosi ngakhale atagwa pang'ono.

Tangoganizani, munthu wokalamba m'mudzi mwathu, mwina wakhala akuvutika ndi kupweteka pang'ono pakhosi (arthritis) kwa nthawi yayitali. Ngati tsiku lina atagwa akuyenda pabwalo, ndipo khosi lake litamenyedwa pang'ono, ndiye kuti matendawa otchedwa ``Central Cord Syndrome`` angayambe.

Kuphatikiza apo, nthawi zambiri, CCS imatha kuyambitsidwa ndi zotupa zomwe zili pakati pa msana, matenda a mitsempha yamagazi, kapena mabowo odzaza madzi mu msana (syringomyelia) .

Kodi matenda a Acute Central Cord Syndrome ndi chiyani?

CCS yoopsa ndi kuyamba mwadzidzidzi kwa CCS. Izi nthawi zambiri zimachitika chifukwa cha kuvulala kwa hyperextension komwe khosi lanu limapindika mwadzidzidzi kumbuyo.Monga momwe mungachitire mwadzidzidzi pamene mwagunda galimoto ndipo khosi lanu lagwa chammbuyo, ngozi ya whiplash ingawononge pakati pa msana.

• Ngozi zamagalimoto
• Kugwa (kugwa kuchokera kutalika, kutsetsereka)

Matenda a `Acute CCS` awa angayambitsidwe ndi ngozi monga. Monga tanenera kale, nthawi zambiri, ngakhale popanda ngozi, amathanso kuchitika ndi zotupa, mavuto a mitsempha yamagazi, kapena mabowo pakati pa chingwe cha msana.

Kodi vutoli ndi lofala bwanji?

Ndipotu, 'CCS' iyi ndi mtundu wa kuvulala kwa msana kosakwanira komwe kumachitika kawirikawiri m'maiko ngati United States. Odwala ambiri atsopano omwe ali ndi kuvulala kwa msana amanenedwa chaka chilichonse. Ku Sri Lanka nakonso, kuli anthu omwe amagonekedwa m'chipatala chifukwa cha ngozi zotere.

Kodi chimachitika ndi chiyani kwa inu ndi Central Cord Syndrome (CCS)?

Mu vuto la `CCS`, mauthenga a mitsempha pakati pa ubongo wanu ndi ziwalo za thupi lanu zomwe zili pansi pa malo ovulalawo amatsekedwa . Mwachidule, mauthenga ochokera mu ubongo wanu monga ``gwedezani mkono wanu'' ndi ``kwezani mwendo wanu'' safika pamalo oyenera.

Izi zimakhudza kwambiri gawo la mitsempha yomwe imalamulira kayendedwe kanu, "njira ya msana ya cortical." Dongosolo la mitsempha lomwe limatsika pansi pa chingwe chathu cha msana ndi lokonzedwa bwino. Mitsempha ya m'manja ili mkati mwa chingwe cha msana, ndipo mitsempha ya m'miyendo ili kunja. Chifukwa chake, pamene gawo lapakati la chingwe cha msana lawonongeka, mitsempha ya m'manja imakhala yoopsa kwambiri kuposa mitsempha ya m'miyendo.

Chifukwa chake,

• Kufooka, dzanzi m'manja
• Kusanza
• Mungakhalenso ndi vuto poyenda.

Kodi izi zingayambitse mavuto otani?

Anthu ena angakumane ndi mavuto ena ndi CCS, kuphatikizapo:

• Mavuto a chikhodzodzo : Kulephera kulamulira kukodza kapena kulephera kukodza.
• Mavuto a m'mimba : Kulephera kulamulira mayendedwe a m'mimba.
• Magazi amaundana m'mitsempha yawo : makamaka m'miyendo.
• Mavuto opuma : Ngati gawo lapamwamba la khosi lawonongeka.
• Kuthamanga kwa magazi kotsika .
• Kusanza ndi kufooka : Ichi ndi chizindikiro chachikulu.
• Kupindika kwa minofu: Chiwalo chimakhala cholimba ndipo chimakhala chovuta kupindika kapena kuwongoka.
• Kuthamanga kwa magazi mwadzidzidzi (autonomic dysreflexia) : Ili ndi vuto loopsa ndipo limafuna chithandizo chamankhwala mwachangu.

Kodi n’chiyani chimayambitsa izi?

Choyambitsa kwambiri CCS ndi munthu amene ali ndi vuto la cervical spinal canal stenosis amene mwadzidzidzi amapinda khosi lake kumbuyo (hyperextension).Ngozi yomwe imachitika chifukwa cha izi. Mwachitsanzo, munthu wokalamba akagwa chafufumimba ndipo khosi lake limagwa, izi zitha kuchitika nthawi ngati iyi.

Kodi zizindikiro zake ndi ziti?

Mu CCS, zizindikiro za mitsempha pakati pa ubongo ndi msana zimatsekedwa, zomwe zimayambitsa zizindikiro zosiyanasiyana. Chinthu chachikulu chomwe chimadziwika ndi vutoli ndi kusowa kwa zizindikiro za mitsempha m'manja ndi m'manja .

Zizindikiro nthawi zambiri zimapezeka m'manja ndi m'manja chifukwa cha kutsekeka kwa zizindikiro za mitsempha, koma nthawi zina zimathanso kukhudza miyendo. Mungakumane ndi zinthu monga:

• Kupweteka : m'manja, nthawi zina m'miyendo.
• Kupsa : Anthu ena amamva ngati akufuna kupsa.
• Kugwedezeka : Kumamveka ngati kugwedezeka kwamagetsi kwakanthawi, ndi momwe kumamvekera.
• Kulephera kuchita zinthu pang'ono ndi manja anu (luso loyendetsa bwino thupi) : Mwachitsanzo, zingakhale zovuta kulumikiza shati, kugwira cholembera, kapena kugwira chikho.
• Kusanza m'manja kapena m'manja mwanu .
• Kufooka kapena kulumala .
• Kutsekeka kwa minofu .
• Kuyenda movutikira .

Zizindikirozi zimadalira momwe mulili kapena kuopsa kwa kuvulalako. Anthu ena amatha kutaya kumverera pansi pa malo ovulalawo ndipo amavutika kudziletsa mkodzo. Ena satha kuyenda konse kapena kukhala ndi vuto la kuyenda.

Kodi madokotala amazindikira bwanji izi?

Mukapita kwa dokotala yemwe ali ndi zizindikiro izi, choyamba adzakuyesani kaye . Adzakufunsaninso za mbiri yanu yachipatala komanso ngozi zilizonse zomwe mwakumana nazo.

Kenako, madokotala amachita mayeso angapo apadera kuti atsimikizire kupezeka kwa matenda a CCS. Izi ndi izi:

• Kujambula kwa CT : Izi zingagwiritsidwe ntchito kuona ngati mafupa awonongeka pakhosi komanso ngati ngalande ya msana yachepa.
• Electromyogram (EMG) : Izi zimayesa momwe mauthenga amayendera kudzera m'mitsempha ndi momwe minofu imagwirira ntchito.
• Kujambula kwa MRI : Iyi ndi njira yabwino kwambiri yowonera bwino kuwonongeka kwa msana, monga ziphuphu, ma cysts, ndi mabowo.
• X-ray : Izi zingagwiritsidwenso ntchito kuona malo a mafupa a khosi ndi kusweka kwa mafupa.

Kuphatikiza apo, madokotala angachitenso mayeso omwe angakupempheni kuti mukweze khosi lanu ndikulitambasula kuti muwone momwe mungayendetsere.

Kodi mankhwala ake ndi otani?

Chithandizo cha CCS chimadalira chomwe chachititsa ngoziyo komanso mtundu wa kuwonongeka. Pali njira zonse ziwiri zochiritsira popanda opaleshoni komanso popanda opaleshoni.

Mankhwala osachita opaleshoni

Chithandizo choyamba chomwe mungayesere ndi ichi:

• Kuletsa kuyenda : Izi zingaphatikizepo kuyika kolala yolimba pakhosi panu. Mungapatsidwenso zomangira kuti manja anu akhale pamalo oyenera .
• Mankhwala : Mankhwala monga ma steroids angaperekedwe kuti achepetse ululu ndi kutupa.
• Chithandizo cha Occupational Therapy : Izi ndizofunikira kwambiri. Pachifukwa ichi, akatswiri amakuthandizani kuchita ntchito zanu za tsiku ndi tsiku ndi vutoli. Mwachitsanzo, ngati mukuvutika kuvala shati chifukwa cha kupsinjika kwa mitsempha, adzakuphunzitsani njira zosavuta zochitira izi, kapena adzakuphunzitsani za zida zosinthira zomwe mungagwiritse ntchito. Adzakuthandizani kuti moyo wanu ubwerere mwakale.
• Kuchiza thupi : Izi zimaphatikizapo kuchita masewera olimbitsa thupi kuti muwonjezere mphamvu ndi kusinthasintha kwa miyendo yanu. Mungapatsidwenso zida zokuthandizani kuyenda ngati mukuvutika.

Kumbukirani, chithandizochi chikayamba msanga, mwayi wochira umakula.

Kodi ndikufunika opaleshoni?

Nthawi zina opaleshoni ingafunike. Izi zikuphatikizapo:

• Ngati muli ndi "msana wopanikizika" wolumikizidwa , ndiye kuti, ngati pali kupanikizika pa msana, muutulutse.
• Ngati msana wanu wa chiberekero ukuyenda molakwika kapena sungathe kunyamula kulemera (sikukhazikika).
• Ngati pali chotupa, vuto la mitsempha yamagazi, kapena kutsekeka kwa msana.

Gulu lachipatala lidzasankha ngati mukufuna opaleshoni kapena ayi.

Zimatenga nthawi yayitali bwanji kuti munthu achire? (Kuchira)

Anthu omwe amalandira chithandizo mwachangu pambuyo pa ngozi amakhala ndi mwayi wopezanso mphamvu zina za mitsempha. Komabe, kuchira kungakhale kochedwa kwa anthu azaka zopitirira 65 , ndipo sikungatheke. Zimasiyana malinga ndi munthu aliyense.

Kodi mungachepetse bwanji chiopsezochi? (Kupewa)

Palibe njira yotsimikizika yopewera CCS yoopsa, yomwe imachitika mwadzidzidzi mutu ukavulala. Komabe, pali zinthu zomwe mungachite kuti muteteze msana wanu ku kuvulala:

Kuchepetsa chiopsezo cha matenda a Acute Central Cord Syndrome (Acute CCS):

• Kuti muchepetse chiopsezo chogwa , dziwani malo otsetsereka komanso oopsa m'nyumba mwanu ndipo mudziteteze ku malo amenewo.
• Samalani ndi chitetezo mukamagwira ntchito pa makwerero komanso pamalo okwera.
• Valani zida zodzitetezera (monga chisoti) mukamachita masewera olimbitsa thupi komanso masewera olimbitsa thupi.

Kuteteza Kutupa kwa Msana wa Msana wa Cervical:

Ngakhale izi zitha kuchitika ndi ukalamba, ndikofunikira kusamalira bwino msana wathu:

• Kuchita masewera olimbitsa thupi nthawi zonse .
• Samalani momwe mukhalira komanso momwe mumagonera . Musamakhale molakwika.
• Kuti muteteze msana wanu ponyamula zolemera, zinyamuleni bwino.
• Khalani ndi kaimidwe kabwino .

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwavulala kwambiri kapena mwachita ngozi, funsani upangiri wa dokotala nthawi yomweyo . Makamaka,

• Ngati zikuvuta kusuntha manja kapena miyendo yanu,
• Ngati mukumva dzanzi kapena kufooka,

Pitani kuchipatala mwamsanga, chifukwa chithandizo chachangu n'chofunika kwambiri pazochitika ngati izi.

Kodi ndingayembekezere chiyani ngati ndili ndi matenda a Central Cord Syndrome (CCS)? (Zomwe zingachitike ndi matenda a mtima)

Anthu ambiri omwe ali ndi CCS amayambiranso kugwira ntchito kwa mitsempha. Ngati CCS yakhudza miyendo yanu ndi dongosolo lanu la mkodzo, poyamba mungaone kusintha m'malo amenewo. Komabe, zingatenge nthawi yayitali kuti zizindikiro za mitsempha zibwerere mwakale m'manja mwanu .

Palibe mankhwala a CCS, ndipo zotsatira zake zimasiyana malinga ndi munthu. Anthu ena amayambiranso kugwira ntchito bwino m'manja, m'manja, ndi m'miyendo, koma ena amavutika kuchita bwino ndi manja awo kwa moyo wawo wonse.

Nthawi yochira si yofanana kwa aliyense. Zimatengera zaka zanu komanso kuopsa kwa kuvulala kapena vuto lanu . Kawirikawiri, anthu opitirira zaka 50 amatenga nthawi yayitali kuti achire kuposa achinyamata.

Kodi ndimadzisamalira bwanji? (Kudzisamalira)

Ngati muli ndi CCS, lankhulani ndi dokotala wanu kuti mudziwe zambiri za zomwe mungayembekezere komanso momwe mungapiririre. Monga tanenera kale , chithandizo chamankhwala pantchito ndi chithandizo cha thupi chingakuthandizeni kukhala olimba mtima ndikupanga njira zothanirana ndi zovuta za tsiku ndi tsiku.

Chofunika kwambiri ndikukhala olimba mtima, kutsatira malangizo a dokotala, komanso kutenga nawo mbali mokwanira mu mapulogalamu obwezeretsa thanzi.

Uthenga Wopita Nawo Kunyumba

Matenda a central cord syndrome (CCS) ndi matenda omwe amayamba chifukwa cha kuwonongeka kwa msana m'khosi mwanu (msana wa pachibelekero). Izi zimakhudza mauthenga a mitsempha omwe amapita ku ziwalo zanu, makamaka m'manja mwanu. Madokotala angagwiritse ntchito mankhwala osachita opaleshoni komanso opaleshoni kuti athandize kubwezeretsa kumva ndi kugwira ntchito m'manja mwanu, m'manja, ndi m'miyendo. Kuzindikira msanga ndi chithandizo kumawonjezera mwayi wanu wochira. Chifukwa chake, ngati mukumva dzanzi kapena kufooka m'miyendo mwanu mutavulala khosi, pitani kuchipatala nthawi yomweyo.

Matenda a Chingwe Chapakati, CCS, Msana, Matenda a Khosi, Kusanza, Matenda a Mitsempha, Msana, Kusanza, Kukwapula