Kodi muli ndi chotupa mkati mwa msana wanu? (Syringomyelia) Tiyeni tiphunzire za icho.

Kodi nthawi zina mumamva kupweteka kwa msana, dzanzi m'manja mwanu, kapena kuvutika kuyenda? Anthu ena amaganiza kuti izi ndi zinthu zachilendo, koma kumbuyo kwa zizindikirozi pakhoza kukhala matenda aakulu. Lero tikambirana za vuto losowa lomwe limakhudza msana wathu. Ndi syringomyelia .

Kodi Syringomyelia ndi chiyani?

Mwachidule, Syringomyelia ndi vuto lomwe thumba lodzaza ndi madzi (lotchedwa syrinx) limapangika mkati mwa msana wanu . Taganizirani izi, msana umadutsa msana wanu. Msana uwu uli ngati 'mthenga' amene amanyamula mauthenga ochokera muubongo wanu kupita ku thupi lanu lonse, ndi kuchokera m'thupi lanu kubwerera ku ubongo wanu. Chifukwa chake, 'syrinx' iyi imatha kukula ndikukhala yayitali pakapita nthawi. Chimachitika ndi chiyani zikachitika? Msana umayamba kuwonongeka. Mitsempha yomwe imanyamula mauthenga amenewo imapindidwa ndikuwonongeka.

Kodi madzi awa ndi chiyani?

Madzi omwe ali mkati mwa chotupa ichi amatchedwa Cerebrospinal Fluid (CSF) . Madzi amenewa, otchedwa CSF, nthawi zambiri amazungulira ubongo wathu ndi msana kuti awateteze. Ali ngati zotengera zododometsa m'galimoto. Sikuti zokhazo, komanso mabowo omwe ali mkati mwa ubongo wathu (otchedwa Ventricles) amadzazidwanso ndi CSF iyi. Mabowo amenewa amalumikizidwa ndi ngalande yaying'ono (Central Canal) yomwe imayenda motsatira msana.

Kotero, ngati muli ndi `(Syringomyelia)`, chomwe chimachitika ndi chakuti madzi a `(CSF)` awa amasonkhana mkati mwa minofu ya msana, ndikukulitsa ngalande yapakati `(Central Canal)` ndikupanga `(Syrinx)`. Nthawi zambiri, `(Syrinx)` imapangidwa pamene `(CSF)` ikuyenda mozungulira msana kapena mozungulira gawo la pansi la ubongo (`(Brain Stem)`) sizikuchitika mwachizolowezi, zomwe zikutanthauza kuti pali china chake chomwe chikulepheretsa kuyenda kumeneko. Ngati `(Syrinx)` iyi ikhudza `(Brain Stem)`, vutoli limatchedwa `(Syringobulbia)`.

Syringomyelia nthawi zambiri imakhudza mbali zakumtunda za msana, ndiko kuti, madera a chiberekero ndi thoracic.

Kodi ndani amene ali ndi mwayi waukulu wopeza vutoli? Kodi ndi lofala bwanji?

Matenda a Syringomyelia amapezeka kwambiri mwa anthu azaka zapakati pa 20 ndi 50. Komabe, amathanso kuchitika kwa ana ndi okalamba. Komabe, ndi matenda osowa kwambiri . Amakhudza anthu pafupifupi 8 mwa anthu 100,000. Amakhudzanso pafupifupi 5% ya milandu ya paraplegia, yomwe ndi vuto lomwe miyendo ndi thupi la pansi zimalephera kugwira ntchito.

Kodi zizindikiro za Syringomyelia ndi ziti?

Zizindikiro nthawi zambiri zimakula pang'onopang'ono, ndipo zimatha kuipiraipira pakapita zaka zambiri.Anthu ena akhoza kukhala ndi `(Syrinx)` yaying'ono ndipo amakhala kwa nthawi yayitali popanda zizindikiro zilizonse. Zizindikiro zimasiyananso, kutengera komwe `(Syrinx)` ili msana, kukula kwake, komanso kutalika kwake. Zizindikiro zimatha kuchitika mbali imodzi ya thupi kapena mbali zonse ziwiri. Ngakhale kuti anthu ena ali ndi zochepa kwambiri, ena amatha kukhudzidwa kwambiri.

Zizindikiro zodziwika bwino zomwe zingawonekere ndi izi:

• Mutu .
• Ululu womwe umayenda m'manja, m'khosi, pakati pa msana, kapena m'miyendo (Radiculopathy).
• Kufooka kosalekeza komanso kuchepa kwa minofu m'manja ndi/kapena m'miyendo (Muscle Atrophy).
• Kutsekeka kapena kulimba kwa minofu ya msana, mapewa, khosi, manja, kapena miyendo.
• Kutaya mphamvu ya kumva ululu kapena kutentha thupi , makamaka m'manja.
• Kusanza kapena kumva kuwawa m'manja ndi/kapena m'mapazi.
• Mavuto okhudzana ndi kulinganiza bwino zinthu komanso kuyenda movutikira.
• Kutaya mphamvu yolamulira matumbo ndi chikhodzodzo.
• Mavuto okhudzana ndi ntchito yogonana.

Kuwonjezera pa zizindikiro zimenezi, palinso zizindikiro zomwe zimakhudza kwambiri ana aang'ono:

• Scoliosis.
• Kuyenda ndi zala.

Chofunika kwambiri ndichakuti ngati inu kapena mwana wanu muli ndi zizindikiro izi, muyenera kupita kwa dokotala mwamsanga.

N’chifukwa chiyani Syringomyelia imayamba? Kodi zimayambitsa chiyani?

Ndipotu, asayansi sanadziwebe chomwe chimayambitsa syrinx. Koma malingaliro ambiri amati chifukwa chachikulu ndi kutsekeka kapena vuto la kuyenda kwa madzi a m'mitsempha (CSF) omwe tidakambirana kale.

Zomwe zimayambitsa syringomyelia zitha kugawidwa m'magulu awiri akuluakulu: congenital (kutanthauza kuti alipo pobadwa) ndi kupeza (kutanthauza kuti akukula mtsogolo) .

Zifukwa Zobadwa Nazo

Syringomyelia nthawi zambiri imagwirizanitsidwa ndi vuto lotchedwa Chiari Malformation Type 1. Apa ndi pamene gawo la pansi la cerebellum yathu limatuluka mu foramen magnum, dzenje lomwe lili pansi pa chigaza. Msana nthawi zambiri umadutsa m'dzenje ili. Vuto la kapangidwe kake limalepheretsa kuyenda bwino kwa madzi a m'mitsempha (CSF).

Kawirikawiri, "Chiari Malformation" iyi imapezeka munthu akangobadwa. Komabe, anthu ena omwe ali ndi "Chiari Malformation Type I" sangakhale ndi zizindikiro zilizonse, kapena sangayambe zizindikiro mpaka atakula kapena atakhala aang'ono.

Zina mwa zifukwa zobadwa nazo ndi izi:

• Myelomeningocele: Imatchedwanso Open Spina Bifida, iyi ndi vuto lobadwa nalo. Apa ndi pomwe msana ndi ngalande ya msana sizimatseka bwino asanabadwe. Iyi ndi mtundu wa vuto la neural tube (NTD).
• Matenda a Chingwe Cholumikizidwa:Ichinso ndi vuto la mitsempha losowa kwambiri. Chomwe chimachitika apa ndichakuti chingwe cha msana chimalumikizidwa ku minofu yozungulira msana (ndicho chomwe chimatchedwa kumangidwa). Izi nthawi zambiri zimagwirizanitsidwa ndi ``Spina Bifida'' ndi ``Scoliosis''.

Zifukwa Zopezedwa

Zinthu zomwe zimathandiza kuti ``Syringomyelia`` ikule bwino m'tsogolo ndi izi:

• Kuvulala kwa Msana: Mtundu uwu wa syringomyelia nthawi zina umatchedwa syringomyelia pambuyo pa zoopsa. Zitha kuchitika miyezi kapena zaka pambuyo pa kuvulala koyamba. Nthawi zambiri zimayambitsidwa ndi minofu ya zipsera yomwe imaletsa kuyenda kwa CSF.
• Ziphuphu za msana: Ziphuphu, makamaka hemangioblastomas ndi ependymomas, zimatha kuletsa kuyenda kwa madzi a m'mitsempha ya ubongo (CSF), zomwe zimayambitsa syringomyelia.
• Arachnoiditis: Chiwalo cha arachnoid ndi chimodzi mwa ziwalo zomwe zimazungulira ndikuteteza msana. Ngati chiwalochi chikutupa (kutupa), chingayambitse syringomyelia. Izi zitha kuchitika chifukwa cha matenda monga sarcoidosis, transverse myelitis, ndi multiple sclerosis (MS).
• Matenda a Meningitis: Matenda a Meningitis ndi matenda a nembanemba zoteteza (meninges) zozungulira ubongo ndi msana. Izi zingayambitsenso syringomyelia.

Nthawi zina, syringomyelia imatha kuchitika popanda chifukwa chodziwika bwino. Izi zimatchedwa idiopathic syringomyelia .

Kodi mungadziwe bwanji matendawa molondola?

Kuti mudziwe ngati muli ndi `(Syringomyelia)`, dokotala wanu adzayamba kaye walemba mbiri yanu yachipatala kenako adzakuyezani thupi. Adzayang'anira kwambiri momwe mitsempha imagwirira ntchito. Angakutumizireninso kwa `(katswiri wa mitsempha)` - dokotala yemwe ndi katswiri wa matenda a ubongo ndi mitsempha.

Kenako, mudzafunsidwa kuti muchite mayeso ojambulira zithunzi za msana wanu kapena ubongo. Nthawi zina, syringomyelia imatha kupezeka mwangozi pochita mayeso ojambulira zithunzi za matenda ena.

Ndi mayeso ati omwe amachitidwa kuti adziwe matendawa?

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

• Kujambula kwa MRI (Magnetic Resonance Imaging): Njira yodalirika kwambiri yodziwira `(Syringomyelia)` ndi kujambulidwa kwa MRI.Izi zimagwiritsa ntchito maginito akuluakulu ndi kompyuta kuti zijambule zithunzi za zomwe zili m'thupi lanu. Ndi mayesowa, dokotala wanu akhoza kudziwa ngati muli ndi `(Syrinx)` mumsana wanu, kapena ngati pali vuto lina lililonse, monga chotupa. `(MRI)` imatha kusonyeza bwino komwe `(Syrinx)` ili, kukula kwake, ndi momwe yafalikira.
• Dynamic MRI: Mtundu uwu wa MRI umasonyeza momwe madzi a m'mitsempha (CSF) amayendera mozungulira msana ndi kulowa mu syrinx. Izi zingafunike mankhwala osiyanitsa (madzi apadera omwe amapangitsa zithunzi kukhala zomveka bwino) kuti alowe m'mitsempha yanu.
• Myelogram yokhala ndi CT scan: Ngati simungathe kuchitidwa MRI, njira yotsatira ndi CT scan. Myelogram ndi mayeso omwe amagwiritsa ntchito utoto wapadera wotchedwa contrast dye ndi CT scan (Computed Tomography) kuti aone mavuto mu msana.

Kodi mankhwala a Syringomyelia ndi ati?

Chithandizo cha syringomyelia chimadalira momwe zizindikiro zanu zilili zazikulu komanso momwe zimakulira mofulumira.

Ngati palibe zizindikiro , madokotala nthawi zambiri sachiza `(Syringomyelia)`. Komabe, amalimbikitsa kuti `(Syrinx)` iyang'aniridwe mosamala ndi `(Neurologist)` kapena `(Neurosurgeon)`. Chifukwa zizindikiro zimatha kuwonekera kapena kuipiraipira pakapita nthawi. Kuwunika kumeneku nthawi zambiri kumaphatikizapo kusanthula `(MRI)` nthawi ndi nthawi ndi mayeso a mitsempha.

Kwa iwo omwe ali ndi zizindikiro, zolinga zazikulu za chithandizo cha Syringomyelia ndi izi:

• Ngati n'kotheka, chizani chomwe chimayambitsa syrinx.
• Kulamulira zizindikiro .
• Kubwezeretsa kayendedwe koyenera ka madzi a m'mitsempha ya ubongo (CSF) ndikuletsa kuwonongeka kwina kwa msana.

Opaleshoni yamtundu wina nthawi zambiri imachitika kuti ithetse vuto lenileni ndikuletsa kuwonongeka kwa msana. Mankhwala odziwika bwino oletsa zizindikiro ndi awa:

• Mankhwala ochepetsa ululu ndi mankhwala ena.
• Kuchiza ndi Kubwezeretsa Thupi.
• Kuchepetsa zochita zina, makamaka zomwe zimakuvutitsani msana (monga kunyamula zolemera, kulumpha).

Ndi mitundu iti ya opaleshoni yomwe imachitidwa pa Syringomyelia?

Ngati muli ndi vuto lotchedwa "Syringomyelia" lomwe limayambitsa zizindikiro, kapena ngati "Syrinx" ikukulirakulira, dokotala wanu wa mitsempha kapena dokotala wa mitsempha mwina angakulangizeni opaleshoni. Pali mitundu iwiri ikuluikulu ya opaleshoni: kukonza kayendedwe ka "CSF" kuzungulira msana ndikuchotsa madziwo mwachindunji ku "Syrinx". Mtundu wa opaleshoni yomwe mumachita udzadalira chifukwa cha zizindikiro zanu.

Maopaleshoni akuphatikizapo:

• Chithandizo cha Chiari Malformation: Cholinga cha opaleshoniyi ndikupanga malo ambiri pansi pa chigaza ndi pamwamba pa khosi. Izi zimachepetsa kupanikizika kwa ubongo ndi msana, zomwe zimathandiza kuti madzi a m'mitsempha ya ubongo (CSF) abwerere mwakale. Opaleshoni yodziwika kwambiri pa izi imatchedwa Posterior Fossa Decompression . Mu njira iyi, dokotala wa opaleshoni ya mitsempha amachotsa zidutswa zazing'ono za mafupa kumbuyo kwa chigaza kuti apange malo. Pambuyo pa opaleshoniyi, madzi omwe ali mu Syrinx amatha kutuluka, nthawi zina kuchepa kapena kutha kwathunthu. Ngakhale Syrinx ikadali kukula komweko kapena ndi yaying'ono pang'ono, zizindikiro zimatha kusintha.
• Kuchiza kapena kupewa syringomyelia pambuyo pa zoopsa: Mu syringomyelia yoyambitsidwa ndi ngozi, cholinga chachikulu ndikuletsa kaye syrinx kuti isapangidwe kapena kuletsa yomwe ilipo kuti isakule. Opaleshoni iyi imatchedwa expand duraplasty . Izi zimaphatikizapo kuchotsa minofu yozungulira msana ndipo nthawi zina kuyika chigamba kuti chikulitse dura mater. Izi zimapangitsa kuti pakhale malo ozungulira msana ndikuwuyeretsa, zomwe zimathandiza kuti cerebrospinal fluid (CSF) iyende bwino.
• Kuchotsa chotchinga: Kuchotsa zotchinga monga zipsera, zidutswa za mafupa mu ngalande ya msana, kapena zotupa kungathandize kubwezeretsa kuyenda kwa CSF. Ngati chotupa chikuyambitsa syringomyelia, kuchotsa chotupa nthawi zambiri kumathetsa syrinx. Nthawi zina, dokotala wanu angakulangizeninso chithandizo cha radiation kuti muchepetse chotupacho.
• Kutulutsa madzi m'chifuwa: Ngati palibe chifukwa chodziwikiratu cha syrinx, makamaka ngati ikukulirakulira, dokotala wanu angakulangizeni kuti mutulutse madzi m'chifuwacho. Izi zimaphatikizapo dokotala wa opaleshoni ya mitsempha kuyika stent kapena shunt mu syrinx. Stent ndi chubu chaching'ono chomwe chimalola madzi kutuluka kuchokera ku msana kupita kunja. Shunt ndi chubu chosinthasintha chokhala ndi valavu chomwe chimalola madzi kutuluka kuchokera ku syrinx kupita ku gawo lina la thupi, nthawi zambiri m'mimba kapena pachifuwa. Njira zonsezi zingathandize kutulutsa madzi kuchokera ku syrinx, zomwe zingathandize kuletsa zizindikiro kuti zisakule kwambiri.

Pambuyo pa opaleshoni, dokotalayo adzajambula MRI kuti aone ngati syrinx yakhazikika kapena yachepa kukula kwake.

Opaleshoni ya `(Syringomyelia)` imatha kukonza zizindikiro ndikukhazikitsa vutoli mwa anthu ambiri. Komabe, `(Syringomyelia)` ikhoza kubwereranso ngakhale mutalandira chithandizo chabwino . Zikatero, opaleshoni yowonjezera ingafunike.

Kodi ndi mavuto otani omwe angabwere chifukwa cha opaleshoni?

Mavuto otsatirawa angachitike mutachita opaleshoni ya Syringomyelia:

• Kutuluka kwa madzi a m'mphuno (CSF).
• Matenda.
• Kutaya magazi.
• Kuwonongeka kwina kwa msana.
• Kumanganso `(Syrinx)`.

Ndikofunikira kwambiri kulankhula ndi dokotala wanu wa mitsempha za zoopsa izi zokhudzana ndi opaleshoni yanu komanso momwe zingachitikire.

Kodi chiyembekezo cha Syringomyelia ndi chotani? (Zomwe zidzachitike)

Ndikofunikira kukumbukira kuti zizindikiro, kuopsa, ndi zomwe zimayambitsa matenda a Syringomyelia zimasiyana kwambiri. Komanso, kuchuluka kwa matendawa kumatha kusiyana malinga ndi munthu, kapena anthu ena sangachiritsidwe konse. Chifukwa cha zinthu izi, zimakhala zovuta kuti madokotala apereke chidziwitso cholondola cha matenda a Syringomyelia.

Opaleshoni yoyambirira nthawi zambiri imatha kuchepetsa zizindikiro ndikukhala ndi zotsatira zabwino . Ngakhale kuti kupita patsogolo kwa vuto la mitsempha pambuyo pa opaleshoni nthawi zambiri kumakhala kokhazikika, ndipo nthawi zina zizindikiro zimachepa, anthu ambiri amakhalabe ndi zizindikiro.

Kawirikawiri, ngati kukula kwa `(Syrinx)` kuli kopitirira mamilimita asanu `(5mm)` ndipo pali kutupa `(Edema)`, zimasonyeza kuti mawonekedwe ake si abwino kwenikweni.

Matenda a Myelopathy (kuwonongeka kwa msana chifukwa cha kupsinjika kwakukulu) ndi vuto lalikulu la Syringomyelia ndipo ndi chinthu chodetsa nkhawa nacho. Izi pamapeto pake zingayambitse ziwalo zofooka/quadriplegia, chibayo chobwerezabwereza, komanso mavuto okhudza matumbo ndi chikhodzodzo.

Kodi Syringomyelia ingapewedwe?

Syringomyelia nthawi zambiri singathe kupewedwa. Komabe, kuzizindikira msanga ndi kulandira chithandizo kungathandize kupewa zizindikiro kuti zisakule kwambiri .

Ngati ndili ndi matenda a Syringomyelia, ndiyenera kudzisamalira bwanji?

Ngati muli ndi matenda a Syringomyelia, ganizirani zinthu izi kuti zikuthandizeni kuchepetsa zizindikiro zanu:

• Pewani zochita zomwe zingapangitse kuti zizindikiro zanu zikhale zovuta kwambiri , monga kunyamula, kupsinjika, kapena chilichonse chomwe chingakupangitseni kupsinjika msana (monga kulumpha).
• Ganizirani za chithandizo cha thupi kuti muchepetse mavuto oyenda, kufooka kapena kuuma kwa minofu, komanso ululu.
• Ngati muli ndi ululu wosatha chifukwa cha syringomyelia, lankhulani ndi dokotala wanu za njira zina zochiritsira.
• Kukhala ndi Syringomyelia kungakhale kovuta komanso kovutitsa maganizo. Ndikofunikira kufunafuna thandizo la thanzi la maganizo kuchokera kwa anzanu, abale, ndi/kapena aphungu. Kulowa nawo gulu lothandizirana ndi anthu ena omwe ali ndi Syringomyelia kungakuthandizeninso kumva ngati simuli nokha.

Kodi ndiyenera kupita liti kwa dokotala wanga za Syringomyelia?

Ngati mwapezeka ndi matenda a Syringomyelia, yang'anirani zizindikiro zanu ndi Syrinx, kaya munachitidwa opaleshoni kapena ayi.Muyenera kukumana ndi gulu lanu lachipatala nthawi zonse.

Kudziwa kuti muli ndi vuto la msana kungakhale kovuta kwambiri. Koma kumbukirani kuti simuli nokha, ndipo pali zinthu zambiri zothandiza. Ndikofunikira kulankhula ndi dokotala yemwe amadziwa bwino za Syringomyelia ndikuphunzira zambiri za momwe zingakukhudzireni. Musaope kufunsa mafunso a gulu lanu lachipatala - alipo kuti akuthandizeni .

Uthenga Wathu Wopita Nawo Kunyumba

Chabwino, ndikukhulupirira kuti mwamvetsa zinazake kuchokera pa zomwe takambirana `(Syringomyelia)`. Ngakhale kuti iyi ndi matenda osowa, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro . Makamaka ngati muli ndi ululu wopitirira msana, dzanzi m'miyendo, kapena kufooka, muyenera kuwonana ndi dokotala. Ngati mwazindikira matendawa msanga, mutha kupeza chithandizo choyenera ndikukhala ndi moyo wabwino. Musadandaule, pali mayankho a chilichonse, ndipo ngati muli ndi mafunso, funsani madokotala anu.

Syringomyelia , msana, kupweteka kwa msana, syrinx, CSF, matenda amitsempha, Chiari malformation