Kodi nthawi zina mumamva dzanzi kapena opanda moyo m'manja ndi miyendo yanu komanso khosi kapena msana wanu ukupweteka? Kodi nthawi zina mumamva ngati mukutaya mphamvu mukamayenda, kapena mumavutika kuchita ntchito zovuta, monga kumanga mabatani a shati? Ngati muli ndi zizindikirozi, chifukwa chake chingakhale chachikulu kuposa momwe mukuganizira. Lero tikulankhula za matenda otchedwa ' myelopathy ' omwe amayambitsa zizindikirozi.
Kodi Myelopathy ndi chiyani?
Mwachidule, myelopathy ndi vuto lomwe limachitika pamene msana wathu wapanikizika . Taganizirani izi, msana ndi chingwe chofunikira kwambiri cha mitsempha chomwe chimayenda kuchokera muubongo wathu mpaka pansi pa msana wathu. Chili ngati 'chingwe' chachikulu cha thupi lathu. Mauthenga ochokera muubongo amatumizidwa ku thupi lonse, kuphatikizapo miyendo, ndipo zomwe thupi limamva zimabwereranso ku ubongo kudzera mu msana uwu. Kuti ateteze 'chingwe' chamtengo wapatalichi, pali chophimba chopangidwa ndi mafupa, cartilage, ndi minofu yozungulira, yotchedwa spinal canal .
Pazifukwa zina, pamene malo mkati mwa ngalande ya msanayi achepa ndipo chingwe cha msana chikuyamba kupanikizika, kulankhulana kwa mauthenga kumasokonekera. Ndicho chimene timachitcha myelopathy.
Anthu ambiri amasokoneza matenda awiriwa a myelopathy ndi myopathy . Koma matenda awiriwa ndi osiyana kwambiri. Myelopathy ndi matenda omwe amakhudza mitsempha ya msana . Myopathy ndi matenda omwe amakhudza minofu .
Matenda a myelopathy amagawidwa m'magulu angapo akuluakulu kutengera komwe ali mumsana.
| Mtundu wa myelopathy | Malo okhudzidwa |
|---|---|
| Myelopathia ya M'khosi | Kukhudza msana m'dera la khosi. (Uwu ndi mtundu wofala kwambiri.) |
| Matenda a Chifuwa (Thracic Myelopathy) | Pa mlingo wa chifuwa, kutanthauza kuti msana wapakati ndi wa pamwamba pa msana umakhudzidwa. |
| Lumbar Myelopathy | Kukhudza msana. Izi sizichitika kawirikawiri chifukwa msana nthawi zambiri sumayenda motere. |
Kodi ndi zifukwa ziti za myelopathy?
Pali zifukwa zingapo zomwe zimapangitsa kuti msana ukhale wopanikizika. Ziwiri mwa zifukwa zazikulu ndi matenda otchedwa nyamakazi ndi spondylosis . Izi zimachitika chifukwa cha kuwonongeka pang'onopang'ono kwa msana wathu, kapena vertebrae, pamene tikukalamba. Kuwonongeka kumeneku kumatha kusintha mawonekedwe a mafupa ndikuchepetsa njira ya msana. Matenda omwe amapezeka makamaka pakhosi amatchedwa Cervical Spondylotic Myelopathy .
Kuphatikiza apo, palinso zifukwa zina:
- Kuthamanga kwa fupa: Kachidutswa kakang'ono ka fupa kangatuluke kuchokera ku vertebra ndikukankhira pa chingwe cha msana kapena mitsempha yomwe imatulukamo.
- Ngozi: Matenda a myelopathy amatha kuchitika mwadzidzidzi chifukwa cha kuvulala kwa msana, monga kugwa kapena ngozi ya galimoto. Timatcha izi acute myelopathy .
- Matenda ena: Matenda a neurodegenerative monga rheumatoid arthritis , spinal tumors, kapena Parkinson's disease angayambitsenso myelopathy kukula pang'onopang'ono pakapita nthawi. Izi zimatchedwa chronic myelopathy .
Kodi zizindikiro za myelopathy ndi ziti?
Zizindikiro za myelopathy zimakula pang'onopang'ono. Ngakhale poyamba zingakhale zofatsa, zimatha kuwonjezeka pakapita nthawi. Zizindikiro zazikulu zomwe mungaone ndi izi:
- Kupweteka pakhosi, kumbuyo, m'manja, kapena m'miyendo.
- Kumva dzanzi, kutentha, kapena kutaya kumva m'miyendo.
- Kutaya mphamvu mukuyenda, kumva ngati mukugwedezeka.
- Kuvuta kulinganiza kayendedwe ka thupi.
- Kuvuta kuchita ntchito zabwino zamanja , monga kulemba, kumanga mabatani a shati, kapena kumanga zingwe za nsapato.
- Kumva dzanzi ndi kufooka m'manja ndi miyendo.
- Pamene matendawa akupitirira, mungayambe kukodza ndi kuchita chimbudzi mosalamulirika .
Ngati muli ndi zizindikiro izi, musamazinyalanyaze . Ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo.
Kodi mungadziwe bwanji molondola myelopathy?
Mukapita kukaonana ndi dokotala wanu, chinthu choyamba chimene angachite ndikumvetsera zizindikiro zanu ndikukuyesani thupi. Pambuyo pake, angakulangizeni mayeso angapo kuti atsimikizire matendawa ndikuchotsa matenda ena.
| Kuyezetsa zachipatala | Kodi chikuyembekezeka chiyani kuchokera pamenepo? |
|---|---|
| Kuyezetsa X-ray | Yang'anani mavuto ena monga kusweka kwa msana kapena kusweka kwa msana. |
| Kujambula kwa MRI (Kujambula kwa Magnetic Resonance) | Iyi ndi njira yabwino kwambiri yoyezera. Mutha kuona chilichonse bwino, kuphatikizapo msana, mitsempha, ndi ma disc pakati pa vertebrae. Mutha kudziwa komwe msana uli komanso kuchuluka kwa momwe umakanikizidwira. |
| Kujambula kwa Miyelografi | Mayesowa amachitidwa kwa anthu omwe sangathe kulowa mu makina a MRI (monga omwe ali ndi pacemakers). Madzi apadera (dye) amalowetsedwa mu msana ndipo ma X-ray enieni (fluoroscopy) amagwiritsidwa ntchito kuzindikira madera ovuta mu msana. |
| Mayeso Amagetsi | Mayeso monga electromyogram (EMG) amafufuza momwe mitsempha imagwirira ntchito komanso momwe minofu imayankhira. |
Kodi mankhwala a myelopathy ndi ati?
Chithandizo chimadalira mtundu wa myelopathy womwe muli nawo, chifukwa chake, komanso kuopsa kwa zizindikiro zanu.
Mankhwala Osagwiritsa Ntchito Opaleshoni
Poyamba kapena ngati zizindikiro sizili zazikulu kwambiri, dokotala wanu angakulangizeni chithandizo chosagwiritsa ntchito opaleshoni.
- Kuchiza Thupi: Maseŵerowa amathandiza kulimbitsa minofu ya msana ndi khosi komanso kuchepetsa kupanikizika kwa msana.
- Chogwirizira khosi: Izi zimathandiza kuchepetsa kuyenda kwa khosi, kuchepetsa ululu, komanso kupewa kuti vutoli lisakule kwambiri.
- Mankhwala: Mankhwala ochepetsa ululu monga NSAIDs (mankhwala osagwiritsa ntchito steroidal anti-inflammatory drugs) amaperekedwa kuti achepetse ululu ndi kutupa. Nthawi zina, ngati ululu uli waukulu, jakisoni wa steroid amaperekedwa mwachindunji kumalo okhudzidwa.
Mankhwala Opaleshoni
Ngati zizindikiro zake zili zazikulu, makamaka ngati chikhodzodzo kapena matumbo anu atayika, kapena ngati chinthu chonga chotupa kapena fupa chikufunika kuchotsedwa, opaleshoni ndiyo njira yabwino kwambiri. Opaleshoni imatha kuchepetsa kupanikizika kwa msana ndikupereka mpumulo wosatha.
| Dzina la opaleshoni | Zimene zimachitika basi |
|---|---|
| Kuchotsa Laminectomy | Gawo la fupa la msana (lamina) lomwe limayambitsa kupsinjika kwa msana limachotsedwa, zomwe zimapangitsa kuti msana ukhalebe womasuka. |
| Laminoplasty | Popanda kuchotsa fupa lonse, hinge imapangidwa mbali imodzi, zomwe zimapangitsa kuti pakhale malo ngati kutsegula chitseko. Izi zimachitika pa mafupa a khosi okha. |
| Kusakanikirana kwa Msana | Mitsempha iwiri kapena kuposerapo imakhazikika pamodzi, zomwe zimathandiza kuti msana ukhazikike bwino. Izi zimachepetsa ululu kwambiri. |
Kuchira pambuyo pa chithandizo
Chofunika kwambiri pa matenda a myelopathy ndi kuzindikira matendawa msanga ndikuyamba kulandira chithandizo . Chifukwa ngati msana wapanikizika kwambiri, kuwonongeka kosatha kwa mitsempha kungachitike.Zingachitike. Chifukwa chake, pali kuthekera kuti ngakhale kuyenda kwa miyendo kungatayike kwamuyaya. Chifukwa chake, ngati muli ndi zizindikiro zomwe zatchulidwa m'nkhaniyi, musachite mantha, ndipo pitani kwa dokotala kuti mudziwe za izi. Mukalandira chithandizo mwachangu, moyo wanu ukhoza kukhala wabwino.
Uthenga Wopita Nawo Kunyumba
- Matenda a myelopathy si vuto la minofu, koma vuto la mitsempha lomwe limayamba chifukwa cha kupsinjika kwa msana.
- Musanyalanyaze zizindikiro monga kupweteka kwa khosi kapena msana komwe kumayenderana ndi dzanzi, kufooka, kuvutika kuyenda, kapena kuvutika kuchita ntchito zabwino zamanja.
- Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, pitani kwa dokotala mwamsanga kuti akupatseni malangizo.
- Kuzindikira msanga ndi kulandira chithandizo kungalepheretse kuwonongeka kwa mitsempha kosatha.
- Kutengera ndi chifukwa ndi kuopsa kwake, pali njira zochizira zothandiza kuyambira kuchita masewera olimbitsa thupi ndi mankhwala mpaka opaleshoni.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu