Tiyeni tiphunzire za kupsinjika kwa msana wa khosi (Cervical Myelopathy)

Kodi nthawi zina mumadzuka m'mawa muli ndi khosi lolimba komanso ululu womwe umakupangitsani kukhala kovuta kutembenuza mutu wanu? Kapena mumamva ngati manja anu akunjenjemera kapena akufooka? Nthawi zina zinthuzi zimatha kwa tsiku limodzi kapena awiri kenako n’kutha. Koma ngati zizindikirozi zikupitirira, zitha kukhala chizindikiro cha matenda otchedwa Cervical Myelopathy. Musadandaule, tiyeni tikambirane za izi mosavuta.

Kodi Cervical Myelopathy ndi chiyani?

Mwachidule, Cervical Myelopathy ndi pamene chingwe cha msana m'khosi mwanu chimakanikizidwa. Monga momwe chitoliro cha madzi chimakanikizidwa ndipo madzi amasiya kuyenda, chingwe cha msana chikakanikizidwa, mauthenga a mitsempha omwe amadutsamo amasokonezedwa. Kukanikizidwa kumeneku kungachitike pazifukwa zosiyanasiyana. Kungakhale chifukwa cha kuvulala kwa khosi, chotupa, kapena herniated disc.

Pali mtundu wina wofala kwambiri wa matendawa, wotchedwa Cervical Spondylotic Myelopathy . Izi zimachitika nthawi zambiri tikamakalamba. Monga momwe zilili ndi matupi athu ena onse, mafupa, ma disc, ndi mitsempha ya m'khosi imafooka pang'onopang'ono ndikutaya kusinthasintha kwawo. Kusintha kumeneku ndi komwe kumayambitsa vutoli. Zili ngati makoma a nyumba yakale akufooka pang'ono.

Kodi vutoli ndi lofala bwanji?

Ndipotu, ichi ndi chomwe chimatchedwa Cervical Spondylotic Myelopathy. Mukayang'ana ziwerengero za mayiko ena padziko lonse lapansi, anthu zikwizikwi amagonekedwa m'chipatala ndi zizindikirozi chaka chilichonse. Vutoli silikupezekanso ku Sri Lanka. Izi zimachitika makamaka kwa anthu azaka zopitilira 40-50.

Kodi zizindikiro za izi ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe mungakumane nazo ndi cervical myelopathy. Izi zitha kusiyana pang'ono kuchokera kwa munthu ndi munthu, koma pali zizindikiro zina zodziwika bwino:

• Kupweteka kapena kuuma kwa khosi: Ichi ndi chinthu choyamba chomwe anthu ambiri amamva. Sikuti angobowola khosi lawo, koma ululu wosalekeza, nthawi zina wowonjezeka.
• Kusanza kapena kumva kuwawa m'manja ndi zala: Kungamveke ngati kumva kuwawa, kapena ngati nyerere zikukwawa. Izi zitha kuchitika ndi dzanja limodzi kapena m'manja onse awiri.
• Kufooka kwa minofu ya manja ndi manja: Mungavutike kuchita zinthu zomwe kale zinali zosavuta. Mwachitsanzo, mungamve kufooka m'manja mwanu mukatsegula botolo la madzi kapena mukunyamula chinthu cholemera.
• Kulephera kuyenda bwino, kuvutika kuyenda: Zingamveke ngati simukuponda pansi bwino, kapena mungamve ngati mukutsetsereka ndikugwa. Kwa ena, kayendedwe kawo kangasinthenso.
• Kuvuta ndi luso loyendetsa bwino magalimoto:Izi zikutanthauza, mwachitsanzo, kuti zimakhala zovuta kuchita ntchito zazing'ono komanso zofewa, monga kutseka mabatani a shati, kulemba ndi cholembera, kugwiritsa ntchito zida zophikira, kapena kuyika kiyi pakhomo. Zingawoneke ngati zinthu zomwe zili m'manja mwanu zikungogwa pansi.

N’chifukwa chiyani izi zimakhudzanso miyendo?

Tsopano mwina mukuganiza kuti, 'Ngati pali vuto pakhosi, n’chifukwa chiyani limakhudzanso miyendo?' Zili motere. Msana wathu uli ngati msewu waukulu mu dongosolo la mitsempha womwe umayenda m'thupi lathu lonse. Ndi mumsewu uwu momwe mauthenga ochokera ku ubongo amayendera m'manja, miyendo, ndi kwina kulikonse m'thupi. Chifukwa chake, msewu waukuluwu ukadzaza pakhosi, ukhozanso kusokoneza mauthenga omwe amapita ku miyendo. Zili ngati waya wa foni womwe wasweka pamalo amodzi, ndipo mzere wonse umasiya kugwira ntchito.

Kodi n’chiyani chimayambitsa izi?

Chabwino, tiyeni tiwone zomwe zimayambitsa kupsinjika kwa msana wa khomo lachiberekero. Nazi zina zomwe zingakhudze izi:

• Kutupa kwa Mafupa: Pamene tikukalamba, tinthu tating'onoting'ono ta mafupa (monga msana) tingapangidwe pa vertebrae yathu. Izi zimatha kufinya chingwe cha msana.
• Chivundikiro cha Herniated Disc: Chivundikiro cha pakati pa mafupa athu a msana chimakhala ngati chitoliro chonga jelly. Nthawi zina chimatha kutuluka ndikukankhira pa chingwe cha msana.
• Kuchepa kwa msana m'khosi mwa munthu amene anabadwa naye (Narrow Cervical Canal): Anthu ena amabadwa ndi msana umenewu wochepa pang'ono. Zikatero, ngakhale kusintha pang'ono kungayambitse kupsinjika.
• Matenda a Nyamakazi: Ichi ndi matenda otupa omwe amakhudza mafupa. Amathanso kukhudza mafupa a pakhosi ndikufinya msana.
• Spondylolisthesis: Izi zimachitika pamene vertebra imodzi imagwera patsogolo pa inzake. Izi zimathanso kukanikiza msana.
• Kuwonongeka kwa Msana: Ichi ndiye chifukwa chachikulu cha matenda a Cervical Spondylotic Myelopathy omwe atchulidwa kale. Kusintha kwa msana kumachitika ndi ukalamba.
• Kutupa kwa msana: Kuchepa kwa ngalande ya msana chifukwa cha zifukwa zosiyanasiyana.
• Kuvulala Kwambiri: Vutoli likhoza kuchitikanso chifukwa cha kuvulala kwambiri pakhosi, monga ngozi ya galimoto kapena kugwa.
• Chotupa: Chotupa chomwe chimapangika pa msana kapena pafupi ndi msana chingathe kukanikiza msana.

Matenda a msana otchedwa Cervical Spondylotic Myelopathy, makamaka, amayamba chifukwa cha kusintha kwachilengedwe kwa msana m'khosi mwathu pamene tikukalamba. Monga momwe zitseko ndi mawindo a nyumba yathu zimawonongekera pakapita nthawi, ntchito ndi kapangidwe ka ziwalo za msana wathu zimasinthanso. Izi zimapangitsa kuti msana ukhale wochepa, zomwe zimapangitsa kuti ukhale wopanikizika. Iyi ndi njira yachibadwa yokalamba.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Matendawa, otchedwa Cervical Myelopathy, amatha kuchitika pa msinkhu uliwonse, koma kafukufuku wina wasonyeza kuti amapezeka kwambiri mwa anthu azaka zopitirira 30, makamaka omwe ndi ochokera ku Asia.

Matenda a m'khosi otchedwa Cervical Spondylotic Myelopathy angakhudze aliyense, koma amapezeka kwambiri mwa amuna ndi anthu azaka zopitirira 40. Avereji ya zaka zomwe munthu amadwala matendawa ndi pafupifupi zaka 64.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Ngati vutoli silinalandire chithandizo choyenera, zizindikiro zake zimatha kukulirakulira pang'onopang'ono. Ngati izi zitachitika, mavuto monga:

• Ululu waukulu kwambiri.
• Kulephera kwa Matumbo ndi Chikhodzodzo: Izi zikutanthauza kuvutika kuchita chimbudzi, kukodza, komanso kutaya mphamvu.
• Kuwonongeka kwa Mitsempha: Izi zitha kukhala zamuyaya.
• Kuyenda movutikira: Kutaya mphamvu, kugwa pafupipafupi, komanso kufooka kwambiri moti sungayende.
• Kugwiritsa ntchito zala, manja, ndi manja pang'ono: Mungalephere kugwira ntchito ndi manja anu.
• Kufa ziwalo: Pa milandu yoopsa, ziwalo zina za thupi zimatha kufooka.

Choncho, ngati muli ndi zizindikiro ngati izi, ndikofunikira kwambiri kuti musanyalanyaze ndikupempha upangiri kwa dokotala nthawi yomweyo.

Kodi mumapeza bwanji izi?

Chabwino, tsopano ngati muli ndi zizindikiro izi, kodi dokotala amazindikira bwanji myelopathy ya m'chiberekero?

Choyamba, dokotala adzakufunsani za zizindikiro zanu ndikulemba mbiri ya matenda anu. Kenako, adzakuyesani thupi lanu ndi kuyeza mitsempha. Panthawiyi, angayese kulimba kwanu, mphamvu zanu zogwira ntchito, komanso luso lanu loyendetsa bwino thupi. Ngati n'kotheka, angayang'anenso momwe mukuyendera kuti aone momwe zizindikiro zanu zikukukhudzirani.

Kuphatikiza apo, mungafunikenso mayeso apadera ojambulira zithunzi kuti muwone mkati mwa msana wanu. Izi zikuphatikizapo:

• X-ray: Izi zingagwiritsidwe ntchito pofufuza kusintha kulikonse m'mafupa, monga mafupa otupa.
• Kujambula kwa MRI: Izi zimakupatsani mwayi wowona bwino momwe minofu yofewa ilili monga msana, ma disc, ndi mizu ya mitsempha. Mutha kudziwa komwe kuli kupsinjika ndi kukula kwake.
• Kujambula kwa CT: Izi zingaperekenso chithunzi chatsatanetsatane cha kapangidwe ka mafupa.
• Mayeso a Myelogram:Mu izi, chinthu chapadera chimayikidwa mu ngalande ya msana ndipo X-ray kapena CT scan imachitika. Izi zimasonyeza bwino madera omwe chingwe cha msana chimakanikizidwa.

Kodi chingachiritsidwe kwathunthu?

Funso lomwe anthu ambiri amafunsa ndi lakuti, kodi chingachiritsidwe kwathunthu? Kunena zoona, palibe mankhwala athunthu a zomwe zimayambitsa myelopathy ya m'chiberekero. Komabe, opaleshoni imatha kuchepetsa kwambiri zizindikiro, kuletsa vutoli kuti lisakule kwambiri, komanso kupewa mavuto. Komabe, ngakhale mutalandira chithandizo, chifukwa cha kusintha kwa ukalamba, ziwalo zina za msana zimatha kukhudzidwa mtsogolo. Izi zikutanthauza kuti ngakhale gawo limodzi litakonzedwa, pali mwayi woti gawo lina lidzakhale ndi vuto, makamaka pamene mukukula.

Kodi mankhwala ake ndi otani?

Chabwino, tsopano tiyeni tiwone mankhwala omwe alipo pa izi. Pali mankhwala awiri akuluakulu:

1. Chithandizo Chopanda Opaleshoni

2. Chithandizo cha Opaleshoni

Dokotala nthawi zambiri amayesa kaye njira zosagwiritsa ntchito opaleshoni kuti athetse zizindikiro. Komabe, izi zimatha kusiyana malinga ndi kuopsa kwa zizindikiro zanu komanso chomwe chimayambitsa.

Kusamalira Osachita Opaleshoni

Kwa anthu omwe ali ndi myelopathy yofatsa ya chiberekero, madokotala angakulangizeni izi:

• Kuvala Chothandizira Pakhosi: Izi zimathandiza kuti khosi likhale lomasuka komanso zimathandiza kuti khosi liziyenda bwino.
• Kuchiza Thupi: Izi ndizofunikira kwambiri. Katswiri wa physiotherapy adzakuphunzitsani maseŵera olimbitsa thupi kuti mulimbikitse minofu ya khosi lanu, kuwonjezera kusinthasintha, komanso kaimidwe kabwino.
• Kumwa Mankhwala:
• Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid (NSAIDs): Mwachitsanzo, ibuprofen ndi naproxen. Izi zimachepetsa ululu ndi kutupa.
• Corticosteroids: Izi ndi mankhwala amphamvu oletsa kutupa. Angaperekedwe kwa nthawi yochepa.
• Mankhwala Ochepetsa Ululu: Mungapereke mankhwala ochepetsa ululu monga paracetamol kapena amphamvu.

Koma kumbukirani, ngakhale kuti mankhwala osagwiritsa ntchito opaleshoni awa angapereke mpumulo nthawi yomweyo ku zizindikiro, sapereka mpumulo kwa nthawi yayitali kapena kukulitsa ngalande ya msana yopapatiza.

Chithandizo cha Opaleshoni

Ngati vuto la Cervical Myelopathy ndi lalikulu, zikutanthauza:

• Ngati pali ululu waukulu,
• Ngati minofu ndi yofooka,
• Ngati dzanzi m'miyendo likupitirira,
• Ngati muli ndi vuto loyenda komanso kulinganiza bwino zinthu,
• Ngati n'kovuta kuchita ntchito yovuta,

Dokotala wanu angakulangizeni opaleshoni kuti muchepetse kupsinjika kwa msana.

Mtundu wa opaleshoni yomwe dokotala wanu akukulangizani ingasiyane malinga ndi zizindikiro zanu, thanzi lanu, komanso zaka zanu. Zina mwa njirazi ndi izi:

• Kuchotsa diski: Izi zimaphatikizapo kuchotsa gawo kapena diski yonse yomwe imayambitsa herniation.
• Kusintha Diski: Diski yopangidwa imayikidwa kuti isinthe diski yochotsedwayo.
• Kuchotsa laminectomy: Gawo la vertebra lotchedwa 'lamina' limachotsedwa kuti pakhale malo ambiri a msana.
• Laminoplasty: Popanda kuchotsa 'lamina', imapangidwanso kuti ipange malo oti msana ulowe.
• Kusakaniza Msana: Iyi ndi njira yomwe imalimbitsa vertebrae imodzi kapena zingapo poziphatikiza pamodzi . Izi nthawi zambiri zimachitika limodzi ndi discectomy.

Dokotala wa opaleshoniyo adzakufotokozerani zoopsa zomwe zingachitike musanachite opaleshoni kuti musankhe mwanzeru.

Pambuyo pa opaleshoni, muyenera kupuma kwakanthawi. Muyenera kupewa kunyamula zinthu zolemera kapena kuchita zinthu zolemetsa mpaka dokotala wanu atakuuzani. Dokotala wanu adzakupatsani malangizo enieni a momwe mungadzisamalire komanso nthawi yobwerera kudzayezetsa.

Kodi chidzachitike n'chiyani mtsogolo? (Outlook)

Chiyembekezo chanu cha myelopathy ya m'chiberekero chimadalira chomwe chayambitsa vutoli. Milandu yochepa imatha kuchiritsidwa popanda opaleshoni, ndipo opaleshoni nthawi zambiri imakhala ndi zotsatira zabwino.

Komabe, ngati sichichiritsidwa, cervical myelopathy imatha kuipiraipira. Pa milandu yoopsa, imatha kubweretsa kuwonongeka kosatha kwa mitsempha. Izi zingayambitse mavuto monga kupweteka kwambiri komanso kuvutika kuyenda.

Choncho, ngati muli ndi zizindikiro za cervical myelopathy, pitani kwa dokotala nthawi yomweyo. Adzakuthandizani kupeza njira zabwino kwambiri zochiritsira.

Kodi mungakhale ndi vutoli kwa nthawi yayitali bwanji? Kodi lidzakula mofulumira bwanji?

Anthu ena amafunsa kuti mungakhale ndi vutoli kwa nthawi yayitali bwanji, komanso kuti limakula mofulumira bwanji. Matenda ofatsa sakhudza moyo wanu, koma zizindikiro zake zimatha kukhudza moyo wanu. Pa milandu yoopsa, mavuto monga kuwonongeka kwa mitsempha kosatha kapena kufooka kwa ziwalo amatha kuchitika. Chifukwa chake, zizindikiro za munthu aliyense zimasiyana malinga ndi zinthu zambiri, kuphatikizapo thanzi lawo lonse komanso zaka zawo. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za vuto lanu.

Kuchuluka kwa izi kumawonjezeka mofulumira kumasiyananso malinga ndi chifukwa chake.Mwachitsanzo, vutoli likhoza kubuka mwadzidzidzi pambuyo pa ngozi, kapena likhoza kubuka pang'onopang'ono mukakula. Dokotala wanu adzayang'ana zizindikiro zanu ndi mayeso ojambulira zithunzi kuti akupatseni "Kuneneratu" za momwe lidzakulira mofulumira komanso chiopsezo chanu cha zovuta.

Kodi izi zingapewedwe?

Sizotheka kupewa zinthu zonse zomwe zimayambitsa matenda a cervical myelopathy. N'zovuta kwambiri kupewa kupsinjika kwa msana komwe kumachitika chifukwa cha kusintha kwachilengedwe m'thupi pamene tikukalamba, monga matenda a cervical spondylotic myelopathy. Komabe, mutha kuchepetsa chiopsezo chanu chovulala chifukwa cha ngozi. Ndikofunikira kutsatira njira zodzitetezera ndikupewa zochita zoopsa komanso zoopsa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za cervical myelopathy, monga kupweteka kwa khosi, dzanzi, kufooka, komanso kuyenda movutikira, muyenera kuonana ndi dokotala. Kenako adzakuyesani kuti aone ngati pali kupsinjika kulikonse kwa msana wanu.

Ngati mukudziwa kale kuti muli ndi cervical myelopathy, ngati zizindikiro zanu zikuipiraipira, kapena ngati mukukumana ndi zotsatirapo zoyipa kuchokera ku chithandizo, uzani dokotala wanu.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi kugundaku kukuchitika kuti pakhosi panga?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi zotsatirapo zake ndi ziti?
• Kodi ndikufunikadi opaleshoni?
• Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Uthenga wofunika kwambiri woti mupite nawo kunyumba

Msana wathu umagwira ntchito yofunika kwambiri m'thupi. Mosayembekezereka, chifukwa cha ngozi kapena kusintha kwachilengedwe tikamakalamba, msana uwu ukhoza kupanikizika. Monga msewu kapena mlatho womwe umagwiritsidwa ntchito kawirikawiri, umawonongeka pakapita nthawi. Umafunikanso kusamalidwa ndi kusamalidwa kuti ugwire ntchito bwino. Izi ndi zomwe zimachitikanso ndi thupi lathu. Chisamalirochi n'chofunika kwambiri, makamaka pankhani ya Cervical Myelopathy.

Dokotala angakuthandizeni kuthana ndi zizindikiro zanu ndikuchepetsa kupsinjika kwa msana wanu. Izi zingafunike opaleshoni. Kuganiza zochitidwa opaleshoni ya khosi kungakhale koopsa, koma gulu lanu lachipatala lidzachita zonse zomwe lingathe kuti likutetezeni ndikupewa mavuto. Chifukwa chake, ngati muli ndi zizindikiro, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo. Chithandizo choyambirira chingathandize kuti mupeze zotsatira zabwino.

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