Kodi msana wanu ukumva ngati utaya mphamvu zake? Tiyeni tikambirane za Transverse Myelitis (TM)!

Kodi munayamba mwaganizapo za vuto lomwe mwadzidzidzi mumalephera kulamulira miyendo yanu, kumva dzanzi m'mbali zina za thupi lanu, kapena kukhala ndi vuto lolamulira mkodzo ndi ndowe zanu? Ngakhale izi zimawopsa pang'ono, nthawi zina zizindikirozi zimatha kuchitika chifukwa cha kutupa kwa msana wathu, kutanthauza kuti, mitsempha yomwe imadutsa msana. Umenewo ndi vuto lomwe tikambirane lero, lotchedwa Transverse Myelitis (TM) . Uwu ndi matenda osowa kwambiri amitsempha.

Kodi kwenikweni transverse myelitis (TM) ndi chiyani?

Mwachidule, transverse myelitis (TM) ndi kutupa kwa msana wanu, womwe ndi ulusi waukulu wa mitsempha womwe umadutsa msana wanu. Taganizirani izi motere: umanyamula mauthenga ochokera ku ubongo wanu kupita ku thupi lanu lonse. Uli ngati chingwe cha foni.

Kutupa kumeneku kumayambitsa kuwonongeka kwa chophimba choteteza ku maselo amitsempha mumsana, chotchedwa myelin sheath . Zili ngati chophimba cha pulasitiki pamwamba pa chingwe chawonongeka. Ndiye chimachitika ndi chiyani? Mauthenga ochokera ku ubongo sapita bwino. Izi zimayambitsa mavuto monga kutayika kwa kumva, dzanzi, komanso kulephera kulamulira chikhodzodzo.

Matendawa, otchedwa TM, amatha kukhudza msana kulikonse komwe kuli msana. "Myelitis" amatanthauza kutupa kwa msana. "Transverse" amatanthauza kusintha kwa momwe munthu amamvera komanso momwe amagwirira ntchito. Amatha kumva ngati lamba wamangidwa mozungulira thupi, ndi kusintha kwa malingaliro pansi pa lamba.

Nthawi zambiri, TM ndi vuto lomwe limayamba kamodzi kenako limachira kapena limakhalabe momwemo.

Ndani amene amakhudzidwa kwambiri ndi vutoli, transverse myelitis (TM)?

Ndipotu, vutoli lotchedwa transverse myelitis (TM) limatha kufalikira pa msinkhu uliwonse, mwa aliyense. Komabe, mukayang'ana detayi, mutha kuwona kuti limafalikira pang'ono mwa achinyamata azaka zapakati pa 10 ndi 19 komanso mwa anthu azaka zapakati pa 30 ndi 39. Chodabwitsa n'chakuti, pafupifupi 25% ya omwe amadwala matendawa ndi ana. Komabe, iyi si matenda a majini omwe amafalikira m'mibadwo yambiri. Chifukwa chake, palibe chifukwa chodera nkhawa kuti ena nawonso adzadwala matendawa chifukwa chakuti winawake m'banjamo anali nawo.

Ndiye kodi vutoli ndi lofala bwanji?

Matenda a myelitis odutsa m'magazi (TM) ndi matenda osowa kwambiri . Tangoganizirani, ngakhale m'dziko ngati America, milandu yatsopano imodzi mpaka eyiti yokha imanenedwa pa miliyoni iliyonse pachaka. Izi zikutanthauza kuti milandu yatsopano pafupifupi 1400 pachaka. Chifukwa chake si chinthu chomwe chimapezeka kawirikawiri ku Sri Lanka.

Kodi zizindikiro za transverse myelitis (TM) ndi ziti?

Zizindikiro za myelitis yodutsa m'magazi (TM) nthawi zina zimatha kuwoneka mwadzidzidzi , kwa maola kapena masiku angapo. Nthawi zina, zizindikiro zimatha kukula pang'onopang'ono kwa sabata imodzi mpaka inayi. Komabe, ndikofunikira kudziwa kuti zizindikiro za TM zimatha kukulirakulira mwachangu .

Zizindikiro nthawi zambiri zimawonekera pansi pa malo omwe msana wanu wawonongeka. Mwachitsanzo, ngati kuwonongeka kuli pakati pa msana wanu, pansi pa manja anu, miyendo yanu ndi njira yowongolera chikhodzodzo/matumbo zidzakhudzidwa. Manja anu sangakhudzidwe.

Matenda a TM nthawi zambiri amakhudza mbali zonse ziwiri za thupi. Komabe, nthawi zina amatha kukhudza mbali imodzi yokha. Mtundu uwu wa kufooka kwa mbali imodzi umapezeka kwambiri mwa anthu omwe ali ndi matenda monga Multiple Sclerosis (MS) .

Tangoganizirani, pa nthawi yovuta kwambiri ya TM, 50% ya odwala amataya mphamvu zonse za miyendo yonse. Pakati pa 80% ndi 94% amamva dzanzi kapena kumva zachilendo monga zikhomo ndi singano. Komanso, pafupifupi aliyense amamva kusasangalala pang'ono ndi mkodzo.

Kwa anthu ena, zizindikirozi zimachepa kapena kutha kwathunthu ndi chithandizo, koma kwa ena, mavuto osatha angabuke.

Pali magulu angapo akuluakulu a zizindikiro omwe angawonekere mu TM:

• Zomverera zachilendo
• Ululu
• Mavuto a m'mimba ndi mkodzo
• Mavuto a minofu ndi kuyenda
• Mavuto okhudzana ndi kugonana
• Zizindikiro zina

Zomverera zachilendo

Kutengera ndi komwe msana wanu wawonongeka chifukwa cha TM, mutha kukhala ndi malingaliro osazolowereka (omwe amadziwikanso kuti "Paresthesia" m'mawu azachipatala) m'mbali zina za thupi lanu, monga:

• Kusanza
• Kumva ngati kubaya (Kubaya)
• Kuwotcha
• Kusamva kukhudza kapena kutentha kwambiri
• Kumva kutentha/kuzizira pang'ono

Ululu

TM ingayambitse ululu m'mbali zina za thupi. Ululu uwu ukhoza kukhala wakuthwa kapena wosasangalatsa . Nthawi zina ululu uwu ukhoza kufalikira m'manja ndi/kapena m'miyendo, kapena ungamve ngati ukuchokera pachifuwa ndi m'mimba.

Zizindikiro za chopondapo ndi mkodzo

TM ingayambitse mavuto a mkodzo ndi matumbo monga:

• Kudzimbidwa
• Kusatulutsa madzi onse m'chikhodzodzo mukakodza (`(Kusunga mkodzo)`)
• Mavuto oletsa kukodza, mwachitsanzo, kukakamizidwa kukodza pafupipafupi (`(Kulimbikitsa kusadziletsa)`)
• Kulephera kulamulira kukodza (`(Kusadziletsa kwa mkodzo)`)

Mavuto a minofu ndi kuyenda

Anthu omwe ali ndi TM amatha kukhala ndi kufooka kwa miyendo yawo, komwe kumatha kupitirira msanga. Ngati kutupa kwakhudza msana mwanjira ina , kungakhudzenso manja.

Mukhoza kuona zizindikiro monga izi:

• Kutaya mphamvu m'thupi
• Kuvuta kuyenda (kugwa, kukoka miyendo)
• Kupweteka kwa minofu
• Kuchepa pang'ono kwa ntchito ya minofu, nthawi zina kumabweretsa ziwalo .

Mavuto okhudzana ndi kugonana

Anthu omwe ali ndi TM angakhale ndi vuto lofika pachimake. Kuphatikiza apo, amuna amatha kukhala ndi vuto la kusowa maliseche.

Zizindikiro zina

Kuphatikiza apo, TM ingayambitsenso zizindikiro zotsatirazi:

• Chilakolako cha chakudya
• Mutu (kupweteka mutu)
• Malungo
• Kuvuta kupuma

Kodi n’chiyani chimayambitsa matenda a transverse myelitis (TM)?

Kawirikawiri, chifukwa chachikulu cha transverse myelitis (TM) ndi kutupa kwa msana.

Tangoganizirani, pamene chinthu choipa chilowa m'thupi mwathu, monga mavairasi, mabakiteriya, mankhwala oopsa, kapena tikavulala, chitetezo chathu cha mthupi chimayamba kugwira ntchito.

Chitetezo cha mthupi chimatulutsa maselo otupa ndi zinthu zina (cytokines) zomwe zimayambitsa maselo ena otupa. Maselo amenewa ndi omwe amayambitsa kutupa komwe kumathandiza kulimbana ndi zinthu monga mabakiteriya ndikuyamba kuchiritsa mabala. Ngakhale kuti kutupa kumeneku nthawi zambiri kumakhala kofunikira, nthawi zina chitetezo chathu cha mthupi chimatha kuukira minofu yathanzi popanda chifukwa. Kapena, kuyankha ku chinthu chachilendocho kumatha kukhala kolimba kwambiri ndikuwononga minofu ya thupi.

Ndicho chimene chimachitika mu TM. Kutupako kumawononga sheath ya myelin yomwe imazungulira maselo amitsempha mumsana.

Pali zifukwa zingapo zomwe zimayambitsa kutupa zomwe zimayambitsa TM. Zifukwa izi zitha kugawidwa m'magulu akuluakulu angapo:

• Milandu yomwe chifukwa chenicheni sichikudziwika (`(Idiopathic)`)
• Kutupa komwe kumachitika chifukwa cha matenda
• Matenda a autoimmune omwe amakhudza thupi lonse (`(matenda a autoimmune otupa m'thupi)`)
• Matenda a mitsempha yapakati (`(matenda a mitsempha yapakati)`)

Idiopathic transverse myelitis

"(Idiopathic) TM" ndi pamene palibe chifukwa chenicheni chomwe chingapezeke. Odwala ambiri a TM amagwera m'gululi. Asayansi amaganiza kuti zimachitika chifukwa chitetezo chathu cha mthupi chimachita zinthu molakwika komanso mopitirira muyeso motsutsana ndi msana, zomwe zimayambitsa kutupa ndi kuwonongeka kwa minofu. Koma chomwe chimayambitsa, kapena chomwe chimayambitsa, sichikudziwikabe.

Matenda omwe angayambitse myelitis yodutsa

Pali matenda angapo a bakiteriya, mavairasi, tizilombo toyambitsa matenda, ndi bowa omwe angayambitse TM. Ena mwa iwo ndi awa:

• Ma Enterovirus (Awa ndi mavairasi ofala kwambiri, koma nthawi zambiri amayambitsa matenda ochepa)
• 'Kachilombo ka West Nile'
• Mavairasi a Herpes, monga herpes yoberekera
• 'HIV'
• Varicella-zoster (kachilombo kamene kamayambitsa nsabwe ndi herpes zoster)
• `Kachilombo ka T-cell leukemia mtundu 1 (HTLV-1)`
• 'Kachilombo ka Zika'
• Matenda a Lyme (Neuroborreliosis)
• `Chimfine`
• `Chifuwa chachikulu`
• Matenda a pakhungu la bakiteriya
• `Chibayo cha bakiteriya cha Mycoplasma`

Kawirikawiri, zimakhala zovuta kwa madokotala kunena motsimikiza ngati TM imayamba chifukwa cha kachilombo ka HIV kokha, kapena chifukwa cha momwe chitetezo cha mthupi chimayankhira matenda.

Matenda a autoimmune omwe amakhudza thupi lonse, okhudzana ndi transverse myelitis

Matenda ena a autoimmune omwe amabwera chifukwa cha TM ndi awa:

• `Ankylosing spondylitis`
• Matenda a Antiphospholipid
• `Matenda a Behçet`
• `Matenda osakanikirana a minofu yolumikizana`
• 'Nyamakazi ya nyamakazi'
• `Sarcoidosis`
• 'Scleroderma'
• Matenda a Sjogren
• `Systemic lupus erythematosus (SLE)`

Matenda a mitsempha yapakati omwe angayambitse transverse myelitis

Matenda a autoimmune a dongosolo lapakati la mitsempha omwe angayambitse TM ndi awa:

• Matenda a Sclerosis ambiri (MS)
• Matenda a Neuromyelitis optica spectrum (NMOSD) - Izi zimatchedwanso matenda a Devic .
• `Matenda a Myelin oligodendrocyte glycoprotein antibody (MOGAD)`
• `Acute disseminated encephalomyelitis`

Kwa anthu ena, transverse myelitis ikhoza kukhala chizindikiro choyamba cha matenda a autoimmune a dongosolo la mitsempha, monga multiple sclerosis (MS) kapena neuromyelitis optica spectrum disorder (NMOSD) .

Matenda a "Partial" myelitis, omwe amakhudza mbali imodzi yokha ya thupi, ndi ofala mu MS.

Ngati munthu amene ali ndi NMOSD akupeza myelitis, nthawi zambiri imakhala "yokwanira," zomwe zikutanthauza kuti imayambitsa ziwalo zofooka komanso dzanzi mbali zonse ziwiri za thupi. Myelitis mwa anthu omwe ali ndi NMOSD imatha kukhala yoopsa kwambiri komanso yosachira poyerekeza ndi anthu omwe ali ndi MS.

Kodi katemera angayambitse matenda a transverse myelitis (TM)?

Kawirikawiri, anthu amanena kuti ali ndi matenda a myelitis odutsa mkati mwa masiku awiri kapena miyezi itatu atalandira katemera. Asayansi sakudziwabe chifukwa chake izi zimachitika, koma lingaliro limodzi ndilakuti chitetezo cha mthupi cha anthu ena chingayambitsidwe ndi katemerayo ndikuyamba njira yodziyimira pawokha. Koma nayi mfundo yofunika: Katemera wawonetsedwa kuti ndi wotetezeka mu kafukufuku wambiri. Kugwirizana kumeneku ndi TM kungakhale kochitika mwangozi kapena vuto losowa kwambiri.

Kodi matenda a myelitis (TM) amawapeza bwanji?

Ngati muli ndi zizindikiro za transverse myelitis (TM), dokotala wanu adzawunikanso mbiri yanu yachipatala ndikukufufuzani.

Ngati mayesowa akusonyeza vuto la msana, mayeso ena adzayitanidwa. Chifukwa chiyani zili choncho?

• Onetsetsani kuti msana sukhudzidwa ndi china chake kupatula kutupa, mwachitsanzo , chotupa cha msana , herniated disc , kapena kupsinjika komwe kumachitika chifukwa cha thumba .
• Tsimikizirani kuti pali kutupa kosazolowereka mkati mwa msana.
• Ngati n'kotheka, fufuzani chomwe chikuyambitsa kutupa kosazolowereka kumeneku.

Madokotala amanena kuti TM imapezeka pamene zizindikiro za msana zakhalapo kwa masiku angapo ndipo palibe chifukwa china chilichonse cha vuto la msana chomwe chingapezeke pa MRI (Magnetic Resonance Imaging) scan kapena mayeso ena.

Ndi mayeso ati omwe amachitidwa kuti adziwe matenda a transverse myelitis?

Dokotala wanu angafune mayeso ngati awa kuti adziwe matenda a TMJ ndi chifukwa chake:

• Kujambula msana wonse pogwiritsa ntchito MRI (Magnetic Resonance Imaging): MRI ndi njira yoyesera yopanda ululu. Imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za ziwalo ndi kapangidwe ka thupi mkati mwa thupi. Mungafunike kujambulidwa kawiri ka MRI - kamodzi kamene kali ndi chinthu chapadera chotchedwa gadolinium contrast ndi kena kopanda. Izi zithandiza dokotala wanu kusiyanitsa pakati pa zilonda zopanikizika ndi zosakakamiza.
• Kujambula kwa MRI ya Ubongo: Dokotala wanu angakupatseninso kujambulidwa kwa MRI ya ubongo wanu (ndi kapena popanda gadolinium contrast) kuti aone zilonda mu ubongo wanu. Kujambula kwa MRI ya Ubongo kungakupatseni chidziwitso cha zifukwa zina, makamaka multiple sclerosis (MS) .
• Kuboola kwa lumbar (komwe kumadziwikanso kuti spinal tap): Mu njirayi, dokotala amaika singano m'munsi mwa msana wanu ndikutenga chitsanzo cha cerebrospinal fluid (CSF) . CSF ndi madzi omveka bwino omwe amazungulira ubongo wanu ndi msana wanu. Kenako chitsanzo cha CSF chimayesedwa mu labu kuti aone ngati pali maselo oyera ambiri, index yokwezeka ya IgG, kapena oligoclonal IgG bands mu CSF. Zizindikiro zotupa izi zimapezeka nthawi zambiri mu TM.
• Kuyezetsa magazi: Dokotala mwina adzalamula kuyezetsa magazi kangapo kuti aone ngati pali matenda ndi zifukwa zokhudzana ndi chitetezo cha mthupi zomwe zingayambitse TM.

Kutengera ndi chomwe chingayambitse TM, mayeso ena angachitike. Ngati palibe mayeso aliwonse awa omwe angapeze chifukwa chenicheni, akuganiza kuti muli ndi vuto la idiopathic transverse myelitis.

Transverse myelitis (TM) imachiritsidwa ndiMuli bwanji ?

Pali zolinga zazikulu zingapo pochiza matenda a transverse myelitis (TM):

• Ngati n'kotheka, chizani chomwe chimayambitsa TM (monga matenda).
• Kuchepetsa kutupa kwa msana wanu.
• Kuchepetsa kapena kuchepetsa zizindikiro monga ululu.
• Kuthana ndi mavuto a nthawi yayitali.

Pochiza TM, chithandizo cha kanthawi kochepa chimaperekedwa chifukwa cha kutupa ndi chomwe chimayambitsa, komanso kuthana ndi mavuto omwe angabwere chifukwa cha TM kwa nthawi yayitali.

Chithandizo cha nthawi yochepa cha myelitis yodutsa

Chithandizo choyamba cha myelitis yodutsa ndi glucocorticoids ya m'mitsempha (IV) . Ngati dokotala wanu akukayikira kuti ali ndi TM, ayamba kumwa glucocorticoids ya m'mitsempha (IV) mwachangu momwe angathere.

Glucocorticoids ndi mtundu wa mahomoni otchedwa steroid hormone omwe ali m'gulu la mankhwala otchedwa corticosteroids . Awa ndi mankhwala amphamvu omwe amalimbana ndi kutupa komanso amagwira ntchito ndi chitetezo chamthupi chanu. Mu transverse myelitis, glucocorticoids amathandiza kuchepetsa kutupa kwa msana. Mungafunike kumwa mankhwalawa kwa masiku atatu kapena asanu, kapena kuposerapo.

Mankhwala ena a TM angaphatikizepo:

• Chithandizo cha kusinthana kwa plasma (Plasmapheresis): Iyi ndi njira yomwe "imayeretsa" magazi anu. Mu chithandizochi, dokotala wanu amachotsa gawo lamadzimadzi la magazi anu (plasma) ndikuliyika m'malo mwake ndi plasma kuchokera kwa munthu wathanzi kapena cholowa m'malo mwa plasma. Izi zimachotsa ma antibodies ndi mapuloteni ena omwe amaganiziridwa kuti amayambitsa kutupa. Chithandizochi chingathandize anthu omwe ali ndi TM omwe ali ndi matenda apakati a mitsempha yapakati omwe sanayankhe chithandizo cha glucocorticoid.
• Intravenous Immune Globulin (IVIG): Iyi ndi njira yochizira yopangidwa ndi ma antibodies. Imaperekedwa kudzera mu mtsempha. Njirayi imatha kumangirira ku ma antibodies omwe amaganiziridwa kuti amayambitsa TM ndikuchepetsa kutupa kwa msana.
• Mankhwala oletsa chitetezo chamthupi: Kwa odwala a TM omwe sanayankhe bwino mankhwala a glucocorticoids, plasma exchange, kapena IVIG, madokotala amagwiritsa ntchito mankhwala monga rituximab ndi cyclophosphamide . Mankhwalawa ali ndi mphamvu zoletsa chitetezo chamthupi.
• Mankhwala othana ndi zizindikiro zina: Dokotala wanu angapereke mankhwala ena othana ndi zizindikiro monga kupweteka, kupweteka kwa minofu, mavuto a mkodzo, kapena kuvutika maganizo .

Chithandizo cha nthawi yayitali cha myelitis yodutsa

Mukalandira chithandizo cha nthawi yayitali ya transverse myelitis (TM), mudzafunika chisamaliro chothandizira kuti muwongolere luso lanu logwira ntchito komanso kupewa mavuto ena omwe angachitike chifukwa cha TM.

Ngakhale kuti kukonzanso sikungabwezeretse kuwonongeka kwakuthupi komwe kumachitika chifukwa cha TM, kungathandize anthu omwe ali ndi ziwalo zofooka kwambiri kuti azikhala odziyimira pawokha momwe angathere ndikukhala ndi moyo wabwino momwe angathere.

Kusamalira kwa nthawi yayitali matenda a myelitis ozungulira kungaphatikizepo:

• Kusamalira ntchito ya mkodzo: Anthu omwe ali ndi TM nthawi zambiri amakumana ndi mavuto a mkodzo. Mayankho ake ndi monga kusamba mkodzo nthawi yake, mankhwala, ma catheter a kondomu, kutsuka mkodzo nthawi ndi nthawi , komanso zovala zamkati zokhala ndi ma padding.
• Kusamalira ntchito ya matumbo: Kudzimbidwa ndi vuto lofala kwa anthu omwe ali ndi TM. Lingathe kuthetsedwa ndi zakudya zapadera, kugwiritsa ntchito njira zamakono zofewetsera ndowe ndi ulusi wazakudya, komanso kulimbitsa rectum.
• Chithandizo cha vuto la kugonana: Mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza vuto la kugonana ndi sildenafil (`sildenafil` - Viagra®) , vardenafil (`vardenafil` - Levitra®) , ndi tadalafil (`tadalafil` - Cialis®) . Ngakhale kuti mankhwalawa sagwira ntchito bwino kwa akazi, awonetsedwanso kuti amathandiza kwambiri pa ntchito yogonana.
• Kupewa ming'alu ya khungu ndi kuvulala kwa kupanikizika (zilonda za pabedi): Ngati khungu lanu lapanikizika kwa nthawi yayitali, limatha kusweka. Kuti mupewe izi, muyenera kusintha malo anu osachepera mphindi 15 zilizonse. Zipando za mawilo zokhala ndi mphamvu yokhazikika kapena njira zopendekera zomwe zingasinthe momwe kulemera kwanu kumagawidwira zingathandizenso. Pali mitundu yosiyanasiyana ya ma cushion a mawilo omwe angachepetse kupanikizika komwe kumachitika mukakhala pansi.
• Kuwongolera kupsinjika kwa minofu: Kuchita masewera olimbitsa thupi komanso kugwiritsa ntchito zomangira ndi zomangira kungathandize kuchepetsa kapena kupewa kupsinjika kwa minofu. Kuchita masewera olimbitsa thupi olimbikitsa mphamvu ndi zopumulitsa minofu kungathandizenso.
• Kusamalira kuyenda: Akatswiri ochizira matenda angapereke masewera olimbitsa thupi kuti athandize kuyenda bwino. Zida zothandizira kuyenda monga ndodo, zoyendera, ndodo zoyendera, ndi mipando ya olumala zingakuthandizeni kukhala odziyimira pawokha.
• Kusamalira zochita za tsiku ndi tsiku: Anthu omwe ali ndi TM angavutike kwambiri kuchita ntchito za tsiku ndi tsiku monga kuvala, kusamba, kudziyeretsa, ndi kudya. Kukambirana ndi zida zosinthira ndi akatswiri azachipatala kungathandize kupeza njira zochepetsera ntchitozi komanso zogwira mtima.
• Kuchepetsa Ululu: Nthawi zambiri munthu amamva ululu wina atatha kugwiritsa ntchito TMJ. Ululu wa minofu ukhoza kuchiritsidwa ndi mankhwala oletsa kutupa (NSAIDs) monga acetaminophen (Tylenol®) , naproxen (Naprosyn®, Alleve® kapena Motrin®) , kapena mankhwala otentha ndi ozizira. Ululu wa mitsempha ukhoza kukhala wovuta kwambiri kuchiza. Mankhwala ena oletsa kuvutika maganizo kapena mankhwala oletsa kugwedezeka angathandize.
• Kusamalira thanzi la maganizo: Kuvutika maganizo n'kofala pakati pa anthu omwe ali ndi TM. Ngati muli ndi zizindikiro za kuvutika maganizo kapena matenda ena amisala, ndikofunikira kuonana ndi katswiri wa zamaganizo. Mankhwala angathandizenso kuchiza kuvutika maganizo.

Kodi myelitis yodutsa imatha kuchiritsidwa?

Inde, transverse myelitis (TM) imatha kuchiritsidwa. Komabe, njira yochira imasiyana malinga ndi munthu.

Kuchira kuchokera ku TM kungakhale kwathunthu, pang'ono, kapena kusakhalapo. Kuchira nthawi zambiri kumayamba mkati mwa mwezi umodzi kapena itatu kuchokera pamene chithandizo choyamba chaperekedwa. Anthu ambiri amachira kuchokera ku TM mkati mwa miyezi itatu. Kwa ena, zingatenge miyezi kapena zaka kuti achire.

Anthu ena amachira matenda a nyamakazi koma alibe mavuto ambiri kwa nthawi yayitali, pomwe ena amachira ali ndi chilema chapakati kapena chachikulu.

Anthu omwe ali ndi mwayi wochepa wochira ndi awa:

• Amene ali ndi zizindikiro zoyamba msanga .
• Anthu omwe zizindikiro zawo sizinasinthe mkati mwa miyezi itatu kapena isanu ndi umodzi yoyambirira ya chithandizo ndi kuchira.

Kodi matenda a transverse myelitis (TM) ndi otani?

Malingaliro/kulosera za anthu omwe ali ndi myelitis yopingasa amasiyana:

• Pafupifupi 33% ya anthu amachira popanda mavuto ambiri kwa nthawi yayitali.
• Pafupifupi 33% ya anthu amachira ali ndi zilema zazing'ono, monga mavuto a m'mimba komanso kuyenda movutikira.
• Pafupifupi 33% ya anthu amachira ndi zilema zokhazikika, monga ziwalo zopuwala.

Anthu ambiri amadwala myelitis yodutsa kamodzi kokha. Komabe, anthu ena omwe ali ndi vuto linalake, monga multiple sclerosis (MS), amatha kubwereranso (`(recur)`). Ngati muli ndi TM yomwe imakhudza mbali imodzi yokha ya thupi lanu, mungakhale ndi mwayi waukulu wopeza MS mtsogolo.

Kodi ndimadzisamalira bwanji, kapena munthu amene ali ndi vuto la myelitis yodutsa m'thupi (TM)?

Ngati muli ndi myelitis yodutsa m'mimba, ndikofunikira kuonetsetsa kuti mukupeza chithandizo choyenera chamankhwala kuti mupewe kapena kuchiza mavuto a TM, monga mavuto a m'matumbo ndi chikhodzodzo komanso kuuma kwa minofu.Mungafunenso kuganizira zolowa nawo gulu lothandizira kuti mukumane ndi ena omwe angagwirizane ndi zomwe mwakumana nazo. Komanso, ngati mukumva kupsinjika maganizo kapena kuda nkhawa chifukwa cha TM, ndikofunikira kufunafuna thandizo kwa katswiri wa zamaganizo kapena katswiri wa zamaganizo.

Ngati mukusamalira munthu amene ali ndi TM, ndikofunikira kuti muwalimbikitse kuti atsimikizire kuti akulandira chithandizo chabwino kwambiri chamankhwala, zipangizo zoyendera, komanso njira zothandizira zomwe zingawathandize kukhala odziimira pawokha.

Zingakhale zovuta kwa inu ndi banja lanu kuzolowera zotsatira za TM m'maganizo ndi m'thupi. Poyamba kuchira, ndikofunikira kuphunzitsa banja lanu ndikupanga dongosolo lothana ndi mavuto okhudzana ndi kudziyimira pawokha.

Kodi ndiyenera kupita liti kwa dokotala pankhani ya transverse myelitis (TM)?

Ngati mukuona zizindikiro za myelitis yodutsa, monga kufooka kwadzidzidzi komanso kwakukulu kwa minofu ndi kupweteka, pitani kuchipatala chapafupi mwachangu momwe mungathere .

Ngati mwapezeka ndi matenda a TM, muyenera kukumana ndi gulu lanu lachipatala nthawi zonse kuti mulandire chithandizo ndikuyang'anira mavuto omwe angakhalepo.

Kumvetsetsa matenda a transverse myelitis (TM) kwa inu kapena wokondedwa wanu kungakhale kovuta. Koma gulu lanu lachipatala lidzakupatsani chithandizo champhamvu komanso dongosolo lothandizira lomwe likugwirizana ndi zizindikiro za inu kapena wokondedwa wanu. Ndikofunikira kuonetsetsa kuti mwalandira chikondi ndi chithandizo chomwe mukufuna paulendo wanu wonse wochira, komanso kukhala maso ndi zizindikiro zatsopano zomwe zingabuke.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino tanthauzo la transverse myelitis (TM). Kumbukirani, ngakhale kuti ndi vuto losowa, ndikofunikira kwambiri kufunafuna upangiri wachipatala nthawi yomweyo ngati mukumva zizindikiro.

Chofunika kwambiri ndichakuti, ngati mukukumana ndi kufooka mwadzidzidzi, dzanzi, kapena mavuto okhudzana ndi mkodzo, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.

TM ikhoza kukhala ndi zifukwa zambiri, ndipo nthawi zina palibe chifukwa chomwe chingapezeke. Komabe, ndi chithandizo choyenera komanso kukonzanso, anthu ambiri amatha kuchira pang'ono. Anthu ena amachira kwathunthu.

Mukakhala ndi vuto ngati ili, ndikofunikira kukhala olimba m'maganizo komanso kukhala ndi chithandizo cha banja lanu ndi madokotala. Choncho, musaope kulankhula ndi dokotala wanu za nkhawa zilizonse zomwe mungakhale nazo.

Myelitis yodutsa m'magazi, TM, msana, neuropathy, kutupa, myelin, zizindikiro, chithandizo