Kodi muli ndi chotupa chodzaza madzi m'msana mwanu? Tiyeni tiphunzire za Syringomyelia ndi Nirogi Lanka

Kodi nthawi zina mumamva kupweteka kwa msana, dzanzi m'manja mwanu, kapena vuto losalekeza mukuyenda? Ngakhale anthu ambiri amaona izi ngati zovuta zazing'ono, zitha kukhala zizindikiro zosawoneka bwino za vuto lomwe limafuna thandizo lachipatala. Lero, ku Nirogi Lanka , tikuwunikira za vuto la msana lomwe silikudziwika bwino koma lalikulu lomwe muyenera kudziwa: Syringomyelia .

Kodi Syringomyelia ndi chiyani?

Mwachidule, syringomyelia ndi kukula kwa chotupa chodzaza ndi madzi—chomwe chimadziwika kuti syrinx—mkati mwa msana wanu. Ganizirani za msana wanu ngati njira yayikulu yotumizira mauthenga yomwe imanyamula zizindikiro zofunika pakati pa ubongo wanu ndi thupi lanu lonse. Pakapita nthawi, syrinx iyi imatha kukula ndi kutalika, kuyika mphamvu pa msana ndikuwononga ulusi wofewa wa mitsempha womwe umatumiza mauthenga ofunikira amenewo.

Kodi madzi awa ndi chiyani?

Madzi omwe ali mkati mwa chotupa ichi ndi cerebrospinal fluid (CSF) . Munthawi yabwinobwino, CSF imateteza ubongo wanu ndi msana wanu, imagwira ntchito ngati choletsa kugwedezeka. Imadutsa m'mabowo muubongo wanu otchedwa ma ventricles ndipo imayenda pansi pa ngalande yopapatiza yomwe imadutsa pakati pa msana wanu, yotchedwa central canal.

Ngati muli ndi syringomyelia, CSF imasonkhana mkati mwa minofu ya msana, zomwe zimapangitsa kuti ngalande yapakati ikule ndikupanga syrinx. Izi nthawi zambiri zimachitika pamene kuyenda kwabwinobwino kwa CSF kuzungulira msana kapena tsinde la ubongo kwatsekedwa. Ngati syrinx iyi ikukakamiza tsinde lanu la ubongo, vutoli limatchedwa syringobulbia. Syringomyelia nthawi zambiri imakhudza magawo apamwamba a msana, makamaka madera a khosi ndi chifuwa.

Ndani amakhudzidwa, ndipo ndi ofala bwanji?

Syringomyelia imapezeka kwambiri mwa akuluakulu azaka zapakati pa 20 ndi 50. Ngakhale kuti imatha kuchitika kwa ana ndi akuluakulu, ikadali vuto losowa kwambiri , lomwe limakhudza anthu pafupifupi 8 pa anthu 100,000 aliwonse. Akuti ndi lomwe limayambitsa vutoli pafupifupi 5% ya milandu yokhudzana ndi kutsekeka kwa ziwalo.

Kodi zizindikiro za Syringomyelia ndi ziti?

Zizindikiro nthawi zambiri zimakula pang'onopang'ono kwa zaka zingapo ndipo zimatha kuipiraipira pang'onopang'ono . Anthu ena akhoza kukhala ndi syrinx yaying'ono ndipo sakhala ndi zizindikiro kwa nthawi yayitali. Zizindikiro zimasiyana malinga ndi malo, kukula, ndi kutalika kwa syrinx. Mutha kukhala ndi zizindikiro mbali imodzi kapena zonse ziwiri za thupi lanu, kuyambira zofatsa kwambiri mpaka zowopsa.

Zizindikiro zodziwika bwino ndi izi:

• Mutu.
• Ululu womwe umatuluka m'manja, m'khosi, pakati pa msana, kapena m'miyendo (radiculopathy).
• Kufooka kopitirira muyeso ndi kufooka kwa minofu (kufooka kwa minofu) m'manja kapena m'miyendo.
• Kupsinjika kwa minofu kapena kulimba kumbuyo, mapewa, khosi, manja, kapena miyendo.
• Kutaya mphamvu ya kumva ululu kapena kutentha thupi, makamaka m'manja.
• Kusanza kapena kumva kuwawa m'miyendo mwanu.
• Mavuto okhazikika komanso kuyenda movutikira.
• Kutaya mphamvu yolamulira matumbo kapena chikhodzodzo.
• Kulephera kugonana.

Kwa ana, zizindikiro zina zingaphatikizepo:

• Scoliosis (kupindika kwa msana).
• Kuyenda ndi zala.

Chofunika kwambiri, ngati inu kapena mwana wanu mukukumana ndi zizindikiro izi, chonde funsani dokotala nthawi yomweyo.

Nchifukwa chiyani Syringomyelia imachitika? Kodi zimayambitsa chiyani?

Ngakhale njira yeniyeni yopangira syrinx iliyonse siikumveka bwino, mgwirizano wa sayansi womwe ulipo umasonyeza kuti chifukwa chachikulu ndi kutsekeka kapena kusokonezeka kwa kayendedwe ka madzi am'mimba (CSF). Syringomyelia nthawi zambiri imagawidwa m'magulu awiri: yobadwa nayo (yomwe ilipo pobadwa) ndi yopezedwa (yomwe ikukula mtsogolo).

Zifukwa Zobadwa Nazo

Milandu yambiri ya syringomyelia imagwirizanitsidwa ndi Chiari Malformation Type 1. Izi zimachitika pamene gawo la pansi la cerebellum (kumbuyo kwa ubongo) limafikira ku foramen magnum—malo otseguka pansi pa chigaza chanu. Chifukwa iyi ndi njira yomwe msana umadutsa nthawi zambiri, vuto la kapangidwe kake limasokoneza kayendedwe kabwino ka CSF. Ngakhale kuti Chiari malformation ndi yobadwa nayo, anthu ambiri amakhalabe opanda zizindikiro mpaka atakula kapena pambuyo pake.

Zifukwa zina zobadwa nazo ndi izi:

• Myelomeningocele: Imadziwikanso kuti open spina bifida, iyi ndi vuto lobadwa nalo pomwe msana ndi ngalande ya msana sizimatseka bwino panthawi yopangidwa, zomwe zimatchedwa neural tube defect (NTD).
• Matenda a Chingwe Cholumikizidwa: Ichi ndi matenda osowa kwambiri a mitsempha pomwe chingwe cha msana chimalumikizidwa (cholumikizidwa) ku minofu yozungulira msana, nthawi zambiri yogwirizana ndi spina bifida ndi scoliosis.

Zifukwa Zopezedwa

Zomwe zimayambitsa syringomyelia zomwe zimakula pambuyo pake ndi izi:

• Kuvulala kwa Msana: Matendawa nthawi zina amatchedwa syringomyelia pambuyo pa zoopsa. Amatha kuchitika miyezi ingapo kapena zaka pambuyo pa kuvulala koyamba. Nthawi zambiri amayamba chifukwa cha zipsera zomwe zimasokoneza kayendedwe kabwino ka madzi a m'mitsempha ya ubongo (CSF).
• Zotupa za msana: Zomera monga hemangioblastomas ndi ependymomas zimatha kulepheretsa njira za CSF, zomwe zimapangitsa kuti syrinx ipangidwe.
• Arachnoiditis: Arachnoid ndi imodzi mwa nembanemba zoteteza zomwe zimazungulira msana wanu. Kutupa kwa nembanemba iyi kungayambitse syringomyelia. Zomwe zimayambitsa matendawa zitha kukhala matenda monga sarcoidosis, transverse myelitis, ndi multiple sclerosis (MS).
• Matenda a Meningitis: Uwu ndi matenda a nembanemba zoteteza (meninges) zozungulira ubongo wanu ndi msana, zomwe zingayambitsenso syringomyelia.

Nthawi zina, chifukwa chake sichikudziwika; izi zimatchedwa idiopathic syringomyelia .

Kodi matendawa amapezeka bwanji? (Kuzindikira)

Kuti adziwe ngati muli ndi syringomyelia, dokotala wanu ayamba mwa kuwunika mbiri yanu yachipatala ndikukupimani thupi, makamaka poganizira momwe ubongo wanu umagwirira ntchito. Mutha kutumizidwa kwa katswiri wa mitsempha—katswiri wa matenda a ubongo ndi mitsempha.

Kenako, dokotala wanu mwina adzalamula kuti muyesedwe kujambula msana wanu kapena ubongo wanu. Nthawi zina, syringomyelia imapezeka mwangozi pofufuza matenda ena.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira izi?

Ngati dokotala wanu akukayikira kuti muli ndi syringomyelia, angakulangizeni chimodzi kapena zingapo mwa izi:

• Kujambula kwa MRI (Magnetic Resonance Imaging): MRI ndiye muyezo wabwino kwambiri wodziwira matenda a syringomyelia . Imagwiritsa ntchito maginito amphamvu komanso ukadaulo wa makompyuta kuti ipange zithunzi zatsatanetsatane za kapangidwe ka mkati mwa thupi lanu. Kuyesaku kumathandiza dokotala wanu kuzindikira syrinx, chotupa, kapena zolakwika zina, zomwe zikuwonetsa bwino malo, kukula, ndi kukula kwa syrinx.
• Dynamic MRI: MRI yapaderayi imagwira ntchito yojambula CSF mozungulira msana wanu komanso mkati mwa syrinx. Mungafunike kulandira contrast agent kudzera mu IV kuti muwonetsetse kuti zithunzizo ndi zomveka bwino momwe mungathere.
• Myelogram yokhala ndi CT Scan: Ngati simungathe kuchitidwa MRI, CT scan yokhala ndi myelogram nthawi zambiri ndiyo njira yotsatira. Myelogram imaphatikizapo kubaya utoto wapadera wosiyanitsa, kutsatiridwa ndi computed tomography (CT) scan kuti mudziwe mavuto omwe ali mkati mwa ngalande ya msana.

Kodi mankhwala a Syringomyelia ndi ati?

Chithandizo cha syringomyelia chimadalira kuopsa kwa zizindikiro zanu komanso momwe zikukulirakulira mofulumira.

Ngati muli ndi zizindikiro, madokotala nthawi zambiri sachiza syringomyelia mwachindunji. Komabe, amalangiza dokotala wa mitsempha kapena wochita opaleshoni ya mitsempha kuti aziyang'anira syrinx, chifukwa zizindikiro zimatha kuonekera kapena kuipiraipira pakapita nthawi. Kuyang'anira kumeneku nthawi zambiri kumaphatikizapo kusanthula kwa MRI nthawi ndi nthawi komanso kuyezetsa mitsempha.

Kwa odwala omwe akukumana ndi zizindikiro, zolinga za chithandizo ku Nirogi Lanka ndi izi:

• Chitani chomwe chimayambitsa syrinx, ngati n'kotheka.
• Sinthani bwino zizindikiro zanu.
• Bwezeretsani kayendedwe kabwino ka madzi a m'mitsempha ya ubongo (CSF) kuti mupewe kuwonongeka kwa msana.

Opaleshoni nthawi zambiri imafunika kuti ithetse vuto lenileni ndikupewa kuwonongeka kwina. Njira zodziwika bwino zothanirana ndi zizindikiro ndi izi:

• Mankhwala oletsa ululu.
• Kuchiza thupi ndi kukonzanso.
• Kusintha moyo wanu, makamaka kupewa zochita zolimbitsa thupi zomwe zimakupangitsani kupsinjika maganizo (monga kunyamula zinthu zolemera kapena kulumpha).

Ndi mitundu iti ya opaleshoni yomwe imachitidwa pa Syringomyelia?

Ngati vuto lanu likuyambitsa zizindikiro kapena syrinx ikukulirakulira, gulu lanu lachipatala mwina lingakulangizeni opaleshoni. Pali njira ziwiri zazikulu: kubwezeretsa kayendedwe kabwino ka CSF kuzungulira msana kapena kutulutsa madzi m'chifuwa mwachindunji. Njira yeniyeni yochitira opaleshoni idzadalira chomwe chimayambitsa vuto lanu.

Njira zochitira opaleshoni zikuphatikizapo:

• Kuchiza Chiari Malformation: Cholinga chachikulu cha opaleshoniyi ndikupanga malo ambiri pansi pa chigaza chanu ndi khosi lapamwamba. Mwa kuchita izi, timachepetsa kupsinjika kwa ubongo wanu ndi msana wanu, zomwe zimathandiza kuti cerebrospinal fluid yanu (CSF) iyende mwachibadwa kachiwiri. Njira yodziwika kwambiri ndi iyiKuchepetsa Kutupa kwa Posterior Fossa. Pa opaleshoni iyi, dokotala wanu wa mitsempha amachotsa zigawo zazing'ono za mafupa kumbuyo kwa chigaza chanu kuti apereke malo ofunikira. Pambuyo pa izi, madzi omwe ali mu syrinx amatha kutuluka, zomwe nthawi zambiri zimapangitsa kuti achepetse kapena kutha kwathunthu. Ngakhale syrinx ikadalipo kapena ikachepa pang'ono, mutha kuwonabe kusintha kwakukulu kwa zizindikiro zanu.
• Kuchiza kapena Kupewa Matenda a Syringomyelia Pambuyo pa Chiwopsezo: Pamene matenda a syringomyelia ayambitsidwa ndi kuvulala, cholinga chachikulu ndikuletsa kuti syrinx isapangidwe kapena kuletsa yomwe ilipo kuti isakule. Njirayi, yomwe imadziwika kuti Expansive Duraplasty , imaphatikizapo kuchotsa minofu yozungulira msana wanu ndipo nthawi zina kugwiritsa ntchito chigamba kuti chikulitse nembanemba yoteteza (Dura Mater). Mwa kupanga malo ndi kuchotsa zopinga, timabwezeretsa kuyenda bwino kwa CSF yanu.
• Kuchotsa Zopinga: Opaleshoni ikhoza kubwezeretsa bwino kayendedwe ka CSF mwa kuchotsa zopinga monga minofu ya zipsera, zidutswa za mafupa mu ngalande ya msana, kapena zotupa. Ngati chotupa ndiye chomwe chimayambitsa syringomyelia yanu, kuchotsa nthawi zambiri kumathetsa syrinx. Nthawi zina, dokotala wanu angakulangizeninso chithandizo cha radiation kuti chithandize kuchepetsa chotupa.
• Kutulutsa madzi mu Syrinx: Ngati palibe chifukwa chomveka bwino cha syrinx yanu, kapena ngati ikukulirakulira, dokotala wanu angakulangizeni kuti muyitulutse. Dokotala wanu wa opaleshoni ya mitsempha akhoza kuyika stent kapena shunt . Stent ndi chubu chaching'ono chomwe chimalola madzi kutuluka kuchokera mkati mwa msana kupita kumalo ozungulira. Shunt imakhala ndi chubu chosinthasintha ndi valavu yomwe imasuntha madzi a syrinx kupita ku gawo lina la thupi lanu, nthawi zambiri m'mimba mwanu kapena pachifuwa. Njira zonsezi zimathandiza kupewa zizindikiro zanu kuti zisakule kwambiri pochepetsa kuthamanga kwa madzi.

Pambuyo pa opaleshoni yanu, dokotala wanu adzagwiritsa ntchito MRI scans kuti awone ngati syrinx yakhazikika kapena yachepa kukula kwake.

Kwa ambiri, opaleshoni imapereka mpumulo wabwino wa zizindikiro ndikukhazikitsa vutoli. Komabe, chonde dziwani kuti syringomyelia ikhoza kubwereranso ngakhale mutalandira chithandizo chabwino , zomwe zingafunike opaleshoni yowonjezera.

Kodi ndi mavuto otani omwe angabwere chifukwa cha opaleshoni?

Pambuyo pa opaleshoni ya syringomyelia, mavuto omwe angakhalepo angaphatikizepo:

• Kutuluka kwa madzi a m'mphuno (CSF).
• Matenda.
• Kutuluka magazi (kutuluka magazi).
• Kuvulala kwina kwa msana.
• Kubwerezabwereza kwa syrinx.

Ndikofunikira kukambirana mwatsatanetsatane ndi dokotala wanu wa mitsempha yokhudzana ndi zoopsa izi komanso kuthekera kwawo pokhudzana ndi njira yanu.

Kodi zizindikiro za Syringomyelia ndi ziti?

Ndikofunikira kukumbukira kuti zizindikiro, kuopsa, ndi zomwe zimayambitsa syringomyelia zimasiyana kwambiri. Kuchuluka kwa matendawa kumasiyananso, ndipo anthu ena akhoza kukhalabe olimba popanda kuipiraipira. Chifukwa cha izi, zimakhala zovuta kwa madokotala kupereka chitsimikizo chotsimikizika cha matendawa.

Kuchita opaleshoni msanga nthawi zambiri kumapereka zotsatira zabwino kwambiri ndipo kumathandiza kuchepetsa zizindikiro. Ngakhale kuti chithandizo cha opaleshoni nthawi zambiri chimalimbitsa kusowa kwa mitsempha, ndipo zizindikiro zina zimatha kusintha, anthu ambiri amapitirizabe kuthana ndi zizindikiro zina kwa nthawi yayitali.

Kawirikawiri, ngati mulifupi mwa syrinx yanu muli oposa 5mm ndipo muli ndi kutupa, zizindikiro zake sizingakhale zabwino kwenikweni.

Matenda a myelopathy (kuwonongeka kwa msana chifukwa cha kupsinjika kwakukulu) ndi vuto lalikulu lofunika kuliganizira. Pamapeto pake lingayambitse ziwalo zofooka (paraplegia/quadriplegia), chibayo chobwerezabwereza, komanso kusagwira bwino ntchito kwa chikhodzodzo kapena matumbo.

Kodi Syringomyelia ingapewedwe?

Kawirikawiri, syringomyelia singathe kupewedwa. Komabe, kuzindikira msanga ndi kulandira chithandizo mwachangu ndizofunikira kwambiri popewa kupitirira kwa zizindikiro.

Kodi ndingasamalire bwanji ndi Syringomyelia?

Ngati mukukhala ndi syringomyelia, ganizirani njira izi kuti muchepetse zizindikiro zanu:

• Pewani kuchita zinthu zomwe zingakulitse zizindikiro zanu. Izi zikuphatikizapo kunyamula zinthu zolemera, kuchita zinthu zolimbitsa thupi, kapena mayendedwe aliwonse amphamvu omwe angakupangitseni kupsinjika msana.
• Ganizirani za chithandizo cha thupi kuti chithandize kuthana ndi mavuto oyenda, kufooka kwa minofu, kuuma, ndi ululu.
• Ngati mukumva ululu wosatha chifukwa cha vuto lanu, kambiranani njira zomwe zilipo zochepetsera ululu ndi gulu lanu la chisamaliro chaumoyo ku Nirogi Lanka.
• Kukhala ndi syringomyelia kungakhale kovuta kwambiri m'maganizo. Ndikofunikira kufunafuna thandizo la thanzi la maganizo kuchokera kwa anzanu, abale, kapena alangizi aluso. Kulowa nawo gulu lothandizira kungakuthandizeninso kulumikizana ndi ena, kukukumbutsani kuti simuli nokha paulendowu.

Kodi muyenera kupita kwa dokotala nthawi yanji pankhani ya Syringomyelia?

Ngati mwapezeka ndi matenda a Syringomyelia, ndikofunikira kufunsa gulu lanu lachipatala nthawi zonse kuti muwone zizindikiro zanu komanso momwe syrinx yanu ilili, mosasamala kanthu kuti mwachitidwa opaleshoni kapena ayi.

Kudziwa kuti muli ndi vuto la msana kungakhale kovuta kwambiri, koma kumbukirani kuti simuli nokha; pali chithandizo chomwe chikupezeka. Ndikofunikira kukambirana za vuto lanu ndi katswiri yemwe amamvetsetsa Syringomyelia kuti athe kuthana bwino ndi momwe limakhudzira moyo wanu watsiku ndi tsiku. Musazengereze kufunsa mafunso a gulu lanu lachipatala—alipo kuti akuthandizeni paulendo wanu ndi Nirogi Lanka.

Uthenga Wopita Nawo Kunyumba

Tikukhulupirira kuti chidulechi chakuthandizani kumvetsetsa bwino za Syringomyelia. Ngakhale kuti vutoli ndi losowa, ndikofunikira kufunafuna upangiri wa dokotala mwachangu ngati mukukumana ndi zizindikiro zosatha. Ngati mukuwona kupweteka kwa msana, dzanzi m'miyendo yanu, kapena kufooka kwa minofu, chonde konzani nthawi yokumana ndi dokotala wanu. Kuzindikira matenda msanga kumathandiza kuti musamavutike komanso kumakuthandizani kusunga moyo wanu wabwino. Khalani ndi chiyembekezo; mayankho alipo, ndipo akatswiri athu azachipatala ali pano kuti akuthandizeni panjira iliyonse.

Mawu Ofunika: Syringomyelia, Msana, Kupweteka kwa msana, Syrinx, CSF, Matenda a mitsempha, Chiari malformation