Kodi muli ndi vuto la mitsempha yamagazi msana wanu? Tiyeni tiphunzire zambiri zokhudza Spinal Arteriovenous Malformation (AVM)!

Kodi nthawi zina mumamva kupweteka kwa msana? Kapena mumamva dzanzi kapena kufooka m'dzanja kapena mwendo? Mwina izi sizinthu zosayembekezereka chabe. Lero tikambirana za vuto lomwe silimamveka kawirikawiri, koma lingakhale lofunika kwambiri. Limenelo ndi mtsempha wamagazi mumsana, vuto lotchedwa `(Spinal Arteriovenous Malformation)` kapena `(AVM)` m'mawu azachipatala.

Kodi ichi ndi chiyani (Spinal AVM)?

Mwachidule, Spinal AVM ndi vuto lomwe mitsempha yamagazi (mitsempha yamagazi) imakangana ndikuzungulira kapena pa msana wanu (mtsempha wamkati mwa msana wanu). Kodi mukudziwa momwe izi zimachitikira? Matupi athu ali ndi mitsempha (mitsempha yomwe imanyamula magazi opangidwa ndi mpweya kuchokera mumtima) ndi mitsempha (mitsempha yomwe imanyamula magazi ogwiritsidwa ntchito kubwerera kumtima). Kawirikawiri, mitsempha iyi ndi mitsempha imalumikizidwa ndi dongosolo la mitsempha yamagazi yabwino kwambiri yotchedwa capillaries . Mitsempha iyi ndi yomwe imagawa mpweya ku msana wathu ndi minofu yozungulira.

Komabe, mu mkhalidwe uwu wa `(AVM)`, mtsempha wamagazi umalumikizana mwachindunji ndi mtsempha. Dongosolo la capillary lomwe lili pakati limadutsa. Tangoganizirani, zili ngati kudzaza kwa magalimoto kuchokera mumsewu waukulu mwadzidzidzi kupita ku msewu wawung'ono kenako n'kubwereranso ku msewu waukulu. Kodi chimachitika ndi chiyani? Kuchuluka kwa mpweya komwe maselo omwe ali mumsana amafunikira kumachepa. Komanso, kulumikizana kosazolowereka kumeneku kungayambitse kuti mitsempha yamagazi ikule, kusintha kuthamanga kwa magazi, komanso nthawi zina kuphulika . Ngati izi zitachitika, kutuluka magazi kwambiri `(Kutaya magazi)` kungachitike, zomwe zingakhale zoopsa pamoyo . Koma musadandaule, pali mankhwala oletsa vutoli. Nthawi zina madokotala amatchanso `(Spinal Arteriovenous Shunt)`, monga momwe mungamve.

Kodi mitundu ikuluikulu ya `(Spinal AVM)` ndi iti?

Tsopano tiyeni tiwone mitundu ikuluikulu ya `(Spinal AVM)`. Pali mitundu isanu ya zolakwika za mitsempha yamagazi zomwe zimachitika mu msana. Izi zikuphatikizapo `(Spinal Arteriovenous Malformations - AVM)` ndi `(Spinal Arteriovenous Fistulas - AVF)`. M'mitundu yonseyi, kulumikizana kosazolowereka kumachitika pakati pa mtsempha wamagazi ndi mtsempha. Komabe, `(AVM)` imachitika mkati mwa minofu ya msana. `(AVF)` imachitika mu `(Dura mater)` , nembanemba yophimba yomwe imazungulira msana.

Nazi mitundu isanu ikuluikulu:

• Mtundu Woyamba: Dural AVF: Iyi ili mkati mwa chivundikiro chakunja cha msana (dura mater).
• Mtundu Wachiwiri: Intramedullary glomus AVM: Iyi ili mkati mwa msana.
• Mtundu Wachitatu: Intramedullary young AVM: Izi zimatha kufalikira mkati mwa msana komanso m'minofu yozungulira. Zimapezeka kwambiri mwa ana ndi achinyamata.
• Mtundu Wachinayi: Perimedullary AVF: Izi zimapezeka m'minofu yozungulira msana.
• Mtundu V: AVF Yosagwira Ntchito: Iyi ili pamalo omwe ali kunja kwa dura mater.

Chinthu chimodzi choyenera kukumbukira ndi chakuti ngati AVM yaphulika, zizindikiro zake nthawi zambiri zimakhala zazikulu kuposa za AVF. Izi zili choncho chifukwa AVM imaphulika mwachindunji mu minofu, pomwe AVF nthawi zambiri imakhala mkati mwa dura mater, zomwe zimapereka chitetezo.

Kodi vutoli ndi lofala bwanji?

Kodi vutoli limatchedwa `(Spinal AVM)` ndi lofala bwanji? Ndipotu, ndi matenda ofala kwambiri a mitsempha yamagazi omwe amapezeka mumsana. Komabe, n'zovuta kunena kuti ndi anthu angati omwe ali nalo. Izi zili choncho chifukwa anthu ambiri sadziwa kuti ali nalo mpaka atakhala ndi zizindikiro. Nthawi zina amapezeka mwangozi panthawi yoyezetsa matenda ena. Chifukwa chake, nthawi zambiri amaonedwa kuti ndi vuto losowa .

Kodi zizindikiro za `(Spinal AVM)` ndi ziti?

Zizindikiro za `(Spinal AVM)` zimachitika chifukwa chakuti mitsempha yamagazi yolumikizana imakanikiza mizu ya mitsempha ya msana ndi msana womwewo. Mu zamankhwala, mtundu uwu wa kupanikizika timautcha `(Myelopathy)` . Zizindikiro zodziwika bwino ndi izi:

• Kupweteka kwa msana .
• Kufooka kapena kuuma kwa minofu (m'khosi, m'manja, ndi m'miyendo).
• Kusamva bwino, kutayika kwa kumverera, kapena kumva zachilendo m'miyendo.
• Mutu .
• Kulephera kuyenda bwino, kuvutika kuyenda .
• Kuvuta kulamulira mkodzo ndi ndowe .

Zizindikiro zimenezi zimasiyana malinga ndi mtundu wa AVM, kuopsa kwake, komanso komwe ili m'msana. Mwachitsanzo, ngati AVM ili m'chiuno kapena pachifuwa chanu chapamwamba, zizindikiro zingachitike pachifuwa chanu, thunthu, msana, manja, ndi miyendo. Ngati ili m'chiuno kapena m'munsi, zizindikiro zingakhudze mimba yanu yapansi, msana, kapena miyendo.

Zizindikirozi zimatha kuwoneka mbali imodzi ya thupi kapena mbali zonse ziwiri. Nthawi zina mungazindikire kuti zimawonjezeka pang'onopang'ono pakapita nthawi, kapena zimatha kubwera ndi kutha. Kumbukirani kuti anthu ena akhoza kukhala ndi AVM ya msana popanda zizindikiro zilizonse.

Komabe, ndikofunikira kuonana ndi dokotala zizindikiro zikayamba. Chinthu monga kupweteka kwa msana mwadzidzidzi komanso koopsa chingakhale chizindikiro chakuti AVM yaphulika. Ichi ndi vuto lachipatala, choncho funani chithandizo nthawi yomweyo.

Zizindikiro zimayamba liti?

Zizindikiro za `(AVM)` izi zimatha kuwoneka pa msinkhu uliwonse. Komabe, anthu ambiri amakumana ndi zizindikiro pakati pa zaka 15 ndi 60. Zingasinthenso malinga ndi mtundu wa `(AVM)`. Nthawi zambiri, matenda a `(Spinal AVM)` awa ndi obadwa nawo . Izi zikutanthauza kuti mwana akhoza kukhala ndi mavuto ndi mitsempha yamagazi iyi akadali m'mimba. Komabe, nthawi zinaVutoli likhozanso kuchitika munthu akakula (atapeza).

Kodi zimayambitsa `(Spinal AVM)` ndi ziti?

Madokotala sakudziwabe chomwe chimayambitsa `(Spinal AVM)`.

Pankhani ya matenda obadwa nawo a `(Spinal AVM)`, kafukufuku wasonyeza kuti panthawi ya mluza (pamene mwana akukula m'mimba), mitsempha yamagazi yozungulira msana imakula modabwitsa. Mwachitsanzo, izi zitha kukhala chifukwa cha kusintha kwa kayendedwe ka magazi kuti pasakhale chopinga.

Pambuyo pobadwa, ``Spinal AVM`` yopezeka imatha kuchitika pambuyo pa ngozi, opaleshoni, kapena kuvulala kwina kwa msana .

Kodi izi zingayambitse mavuto otani?

Mavuto omwe angabwere chifukwa cha `(Spinal AVM)` nthawi zina amatha kukhala oopsa . Akuluakulu ndi awa:

• Kutaya magazi: AVM imatha kuphulika ndikuyamba kutuluka magazi m'thupi.
• Ischemia: Apa ndi pamene magazi amasokonekera. Izi zimachepetsa kuchuluka kwa mpweya ndi zakudya zomwe ziwalo za thupi zimafunikira. Izi zingayambitse maselo kusiya kugwira ntchito bwino, ndipo pakapita nthawi, kuwonongeka kumatha kusonkhana.
• Kufa ziwalo: Ngati msana wawonongeka, ukhoza kuyambitsa kufa ziwalo, vuto lomwe ziwalo zina za thupi sizingasunthidwe.

Kodi mumadziwa bwanji ngati muli ndi `(Spinal AVM)`?

Kodi dokotala amazindikira bwanji vuto la msana? Adzayamba kukuyezani thupi , kenako adzakuyezani ndi ubongo . Kuphatikiza apo, angafunenso kuyesa zithunzi zina zapadera .

Mayeso ojambulira awa angathandize kudziwa kukula kwa AVM ndi komwe ili mumsana. Dokotala wanu angagwiritse ntchito mayeso monga awa:

• Kujambula kwa Magnetic Resonance (MRI).
• Mayeso a Magnetic Resonance Angiography (MRA) (izi zimayang'ana makamaka mitsempha yamagazi)
• Kujambula kwa Myelogram ndi CT (Computed Tomography - CT).

Kuphatikiza apo, ngati muli ndi dzanzi kapena kufooka kwa minofu, mayeso oyendetsera mitsempha ndi mayeso a electromyography (EMG) angachitike.

Kodi `(Spinal AVM)` imachiritsidwa bwanji?

Pali njira zingapo zazikulu zochizira `(Spinal AVM)`:

• Kutulutsa:Pachifukwa ichi, dokotala wa opaleshoni amagwiritsa ntchito chubu chopyapyala kwambiri (catheter) kuti afike pa mtsempha wamagazi womwe wakhudzidwa ndikuletsa kutuluka kwa magazi kapena kutseka kulumikizana kosayenera.
• Opaleshoni: Dokotalayo amachotsa AVM yonse ndipo amalola mitsempha yamagazi kuyenda bwino.
• Opaleshoni ya radioactive: Mu izi, kuwala kwamphamvu kwambiri kumalunjika komwe kuli AVM, kuwononga ndikutseka kulumikizana kwa mitsempha yamagazi kosazolowereka.

Dokotala wanu adzakufotokozerani chithandizo chomwe chili choyenera matenda anu. Kukula kwa AVM ndi komwe ili kudzatsimikizira chithandizo chotetezeka komanso chothandiza kwambiri. Iye adzakuuzaninso za zotsatirapo zoyipa za chithandizocho kuti mupange chisankho chodziwa bwino.

Nthawi zambiri za `(Spinal AVM)`, opaleshoni imafunika kuti tipewe mavuto omwe atchulidwa pamwambapa. Mpaka tsiku la opaleshoni, dokotala wanu angakupatseni mankhwala ochepetsa ululu kapena mankhwala ena kuti muchepetse zizindikiro zanu ndikukupangitsani kukhala omasuka.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Pambuyo pa opaleshoni, mudzayamba kumva mpumulo ku zizindikiro monga ululu ndi mutu. Komabe, nthawi yomwe imatenga kuti muchiritse mokwanira imasiyana malinga ndi mtundu wa opaleshoni yomwe dokotala wanu wakupatsani. Nthawi zambiri zimatenga milungu ingapo. Pambuyo pa opaleshoni, mungafunikenso chithandizo cha physiotherapy kapena chithandizo cha ntchito kuti mulimbikitse minofu yanu ndikulimbitsa bwino thupi lanu.

Kodi chiyembekezo cha vutoli n'chiyani?

Mankhwala a AVM a msana amatha kuchiritsidwa ndi opaleshoni. Zotsatira zabwino kwambiri zimapezeka ngati matendawa apezeka ndi kuchiritsidwa msanga, mavuto asanayambe. Komabe, izi sizimakhala zosavuta nthawi zonse. Nthawi zina, ngakhale AVM ya msana itakhalapo, zizindikiro sizingawonekere nthawi yomweyo. Ngati sizikuthandizidwa, zingayambitse mavuto aakulu komanso oopsa monga kupuwala ziwalo ndi kutuluka magazi.

Kodi opaleshoni ya Spinal AVM ikuyenda bwino bwanji?

Opaleshoni ya msana ya AVM nthawi zambiri imakhala yopambana . Kafukufuku wina adapeza kuti chithandizo cha embolization ndi opaleshoni chinali chopambana 74% ndi 88%, motsatana. Mu kafukufuku womwewo, 70% ya omwe adalandira chithandizo adachira zizindikiro.

Komabe, zotsatira za opaleshoniyi zimadalira zinthu zambiri, monga thanzi lanu lonse, kukula kwa AVM, ndi komwe ili. Dokotala wanu angakulangizeni bwino za vuto lanu.

Kupweteka kwa msana ndi mimba

Ngakhale kuti n'zotheka kukhala ndi mimba yopambana ndi `(Spinal AVM)`, chiopsezo cha mavuto ndi chachikulu.Pali chiopsezo chachikulu cha kuphulika kwa AVM, zomwe zimayambitsa kupweteka kwambiri komanso kufooka kwa ziwalo. Izi zitha kukhala zoopsa kwa mayi ndi mwana wosabadwa. Chifukwa chake, dokotala wanu adzakupatsani malangizo a mankhwala otetezeka kwambiri pa vuto lanu komanso momwe mungakonzekerere mimba yabwino.

Kodi izi zingapewedwe?

Pakadali pano palibe njira yodziwika yopewera vutoli (Spinal AVM). Kafukufuku wina akuchitidwa kuti adziwe chomwe chimayambitsa matendawa.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukumva ngati muli ndi zizindikiro za `(Spinal AVM)`, pitani kwa dokotala .

Nthawi zina, AVM imatha kuphulika mwadzidzidzi. Izi ndi zadzidzidzi zachipatala. Ngati mukukumana ndi zizindikiro zotsatirazi, pitani kuchipatala mwamsanga:

• Kupweteka kwa msana kosapiririka komanso mwadzidzidzi.
• Khungu lotumbululuka, kuzizira, thukuta.
• Kuvuta kupuma.
• Kugunda kwa mtima kumawonjezeka.
• Kusanza kapena kusanza.
• Kutaya mphamvu m'thupi.
• Kusokonezeka, kulephera kukumbukira.
• Kuvuta kusuntha kapena kutembenuza khosi.
• Mutu waukulu.
• Kutaya chidziwitso.

Mafunso omwe muyenera kufunsa dokotala wanu

Mafunso ena omwe muyenera kufunsa dokotala wanu:

• Kodi `(Spinal AVM)` yanga ili kuti?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi zotsatirapo zake ndi ziti?
• Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?
• Kodi AVM ikhoza kubwereranso ikachotsedwa?
• Ngati m'modzi mwa abale anga apafupi ali ndi vuto la msana (Spinal AVM), kodi ndiyeneranso kuyesedwa majini?

Chinthu chofunika kwambiri kukumbukira!

Zizindikiro zikayamba mwadzidzidzi, kuphatikizapo kusintha kwa kayendedwe ka thupi ndi mphamvu ya minofu, zimatha kukhala zoopsa. Ngati mukumva zachilendo, onetsetsani kuti mwawonana ndi dokotala . Kupweteka kwambiri kwa msana nthawi zambiri ndi chizindikiro chachikulu chakuti pali vuto lalikulu. Vutoli, lotchedwa spinal arteriovenous malformation (AVM), lingayambitse mavuto oopsa . Chifukwa chake, matendawa akapezeka mwachangu ndikuchiritsidwa, zotsatira zake zimakhala zabwino . Opaleshoni ikhoza kukonza vuto losazolowereka la mitsempha yamagazi iyi.

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