Ese uzi indwara ya Cauda Equina Syndrome? Reka tubiganireho!

Yewe, hari igihe tubabara umugongo, si byo se? Ariko hari ububabare bw'umugongo butari bwiza mu gukina. Uyu munsi tugiye kuvuga ku ndwara ikomeye gato, ariko ni ingenzi cyane kubimenya. Iyi yitwa Cauda Equina Syndrome. Mu by'ukuri iyi ni indwara yihutirwa iterwa no gukanda imitsi yo mu gice cyo hasi cy'umugongo wacu.

Indwara ya Cauda Equina Syndrome ni iki?

Mu magambo make, indwara ya Cauda Equina Syndrome ni indwara aho itsinda ry'imitsi iri mu nsi y'uruti rw'umugongo wacu ikomera. Iyi mitsi isa n'umurizo w'ifarashi, bityo izina rya 'cauda equina', rikomoka ku ijambo ry'ikilatini risobanura 'umurizo w'ifarashi'. Tekereza, iyi mitsi ni yo ifasha mu kugenda no kumva amaguru yacu, ndetse no mu mikorere y'inkari zacu n'amara.

Iyi mitsi ni nk'insinga z'amashanyarazi zikoresha ingufu mu ngo zacu no mu maduka. Iyi mitsi yohereza kandi ikakira ibimenyetso by'amashanyarazi mu mibiri yacu yose. Tekereza uko byagenda mu gihe inkubi y'umuyaga ikomeye yakubitaga ishami ry'igiti gishaje rigakubita insinga z'amashanyarazi? Yashwanyagurika, kandi amazu yo muri ako gace akabura ingufu, si byo se? Uko ni ko umutsi wa cauda equina ushwanyagurika. Hanyuma 'amazi' ajya ku maguru yacu, mu ruhago no mu mara arahagarara. Nk'uko ikigo cy'amashanyarazi cyaje vuba kikavanaho igiti kigasana insinga, muri iki gihe nabwo, abaganga bagomba kugira icyo bakora vuba bagakuraho icyo gikomere, bitabaye ibyo hashobora kubaho kwangirika burundu .

Ese ibi ni ibintu byihutirwa?

Yego rwose! Indwara ya Cauda equina ifatwa nk'ikibazo cyihutirwa cy'ubuvuzi . Ishobora kuba idashyira ubuzima mu kaga, ariko iyo idavuwe neza, ishobora kwangiza umubiri wawe burundu, ndetse ikaba yanatera ubumuga. Kubwibyo, niba ubonye kimwe muri ibi bimenyetso , ugomba kwihutira gushaka abaganga . Kubagwa hakiri kare bishobora gufasha kugabanya ibimenyetso byinshi no gukumira kwangirika burundu.

Ese hari ubwoko bw'ibi?

Yego, abaganga bagaragaje ubwoko bubiri bw'ingenzi bwa cauda equina syndrome:

1. Indwara ya Cauda Equina Syndrome Ituzuye (CES-I): Aha niho utakaza igitekerezo cyo kwihutira gutera akabariro cyangwa kwituma. Mu yandi magambo, ntukumva ko ugomba kujya mu bwiherero. Ariko, ushobora kuba ugifite uburyo bwo kugenzura uruhago n'amara. Iyi ndwara ifata abantu bagera kuri 40% barwaye cauda equina syndrome.

2. Syndrome ya Cauda Yuzuye (CES-R):Ibi bibaho iyo inkari cyangwa umwanda bigumanye, cyangwa udafite ubwiyongere bw'inkari. Ibi bivuze ko udashobora kunyara cyangwa udashobora kureka kunyara. Ibi bigira ingaruka ku bantu bagera kuri 60%, kandi ni yo ndwara ikomeye cyane.

Ibi ni ibisanzwe gute?

Iyi ndwara ntabwo ikunze kugaragara cyane. Impuguke zivuga ko iyo urebye ku isi, ifata abantu bagera ku 1 kuri 30.000 cyangwa umuntu umwe ku bantu 100.000 buri mwaka. Bivugwa kandi ko indwara ya cauda equina syndrome ifata hafi 3% by'indwara zose zo mu mugongo.

Ni ibihe bimenyetso biteje akaga?

Noneho reka turebe ibimenyetso bya cauda equina syndrome. Niba ufite kimwe cyangwa byinshi muri ibi, ugomba guhita ujya kwa muganga .

• Ububabare bukomeye mu mugongo wo hasi cyangwa ku kaguru (nk'indwara ya sciatica). Bushobora kuza butunguranye kandi ntibushobore kwihanganira.
• Intege nke mu maguru. Ushobora kugorwa no guhagarara cyangwa kugenda, ndetse ushobora no kumva amaguru yombi asa n'aho agiye gucika intege.
• Utundi tudasanzwe nko kugira ibinya, gushya, cyangwa gucika intege (paresthesia) inyuma y'amaguru, ku matako, ku kibuno, no mu matako y'imbere (agace k'igitambaro). Bishobora kumva nk'aho ukuguru kurimo gusinzira, cyangwa se bikaba byacitse intege burundu.
• Kunanirwa kwifata mu nkari cyangwa mu mwanda. Ushobora kuva inkari cyangwa umwanda utabizi.
• Kugorwa no gusohora inkari (kubikwa kw'inkari). Nubwo ushaka gusohora inkari, ushobora kudashobora gusohora inkari, cyangwa ushobora gusohora inkari buhoro buhoro.
• Impinduka zitunguranye mu byiyumvo by'imibonano mpuzabitsina.

Ubonye kimwe muri ibi bimenyetso, nyamuneka jya kwa muganga vuba vuba. Kuko kuvurwa hakiri kare ni bwo buryo bwiza bwo kwirinda ingaruka zikomeye.

Ese ushobora kugenda ufite iyi ndwara?

Ibi biragoye kubivugaho, kuko biterwa n'ibimenyetso ufite. Hari abantu bashobora kutagorwa no kugenda bafite iyi ndwara. Ariko ku bandi, cyane cyane iyo bafite intege nke cyangwa ibinure mu maguru yabo, kugenda bishobora kuba ingorabahizi. Niyo mpamvu ari ngombwa kujya kwa muganga ukimara kubona ibimenyetso.

Ni iki gitera ibi?

Impamvu nyamukuru itera indwara ya cauda equina, nkuko nabivuze mbere, ni uko imizi y'imitsi ya cauda equina, iherereye hasi cyane y'uruti rw'umugongo (uruti rwa L1 kugeza kuri L5), iterwa n'ikintu runaka.

Impamvu ikunze gutera ibi ni ikibazo cy’uruti rw’umugongo ruterwa n’uruti rw’umugongo . Utu duce tumeze nk’umusemburo dukora nk’udukingirizo hagati y’uruti rw’umugongo. Iyo agace k’umugongo kavuyemo, gashobora gukanda imizi y’imitsi.

Uretse ibyo, hari izindi mpamvu nyinshi zishobora gutuma iyi mitsi ikomera:

• Kwandura: Ingero zirimo ibibyimba byindwara, discitis, na meningite.
• Ibikomere byo mu mugongo wo hasi.
• Gucika k'umugongo mu rubavu: Iyi ni ukugabanya inzira y'imitsi yo mu rubavu.
• Ingorane zo kubagwa uruti rw'umugongo nyuma yo kubagwa.
• Amaraso apfundika hirya no hino mu ruti rw'umugongo (Spinal epidural hematoma).
• Kuva amaraso mu ruti rw'umugongo.
• Ibisebe by'umugongo cyangwa ibibyimba.

Ni izihe ngorane zishobora kubaho iyo zitavuwe?

Iyo iyi ndwara idavuwe neza, cyangwa iyo ubuvuzi butinze, ishobora kwangiza imitsi burundu. Iyo ibi bibaye, hashobora kubaho ingorane zikomeye kandi z’ubuzima bwose , nka:

• Imibonano mpuzabitsina idakora neza.
• Kubura burundu uburyo bwo kugenzura uruhago cyangwa amara.
• Kurema amaguru.

Niyo mpamvu dukomeza kuvuga ko ari ingenzi gushaka inama kwa muganga ukimara kubona ibimenyetso. Ntugatinde na gato!

Abaganga bapima iki kibazo gute?

Umuganga azasuzuma indwara ya cauda equina syndrome akoresheje isuzuma ry’umubiri, isuzuma ry’imitsi, no gupima bimwe na bimwe. Muganga azabaza amateka y’ubuzima bwawe kandi arebe niba ushobora gukora ibi bikurikira:

• Haguruka.
• icara
• Genda mu gatsinsino
• Genda ku mano
• Hanga amaso imbere.
• Garuka inyuma.
• Fata ku mpande
• Rambura uzamure amaguru yawe.

Aya makuru ashobora gufasha muganga wawe kumenya neza uburyo umubiri wawe uhagaze, uko wumva, imbaraga, ubushobozi bwo gukora neza, uko uruti rw'umugongo ruhagaze, n'uburyo ugenda. Hari igihe muganga wawe ashobora no gukora isuzuma ry'imitsi yo mu kibuno kugira ngo arebe uko imitsi yo mu kibuno imeze, kuko iyi mitsi na yo igira ingaruka kuri ako gace.

Ni ubuhe bwoko bw'ibizamini ukora?

Muganga wawe ashobora gutumiza ibizamini nk'ibi kugira ngo arebe amagufwa yawe, imizi y'imitsi, n'umugongo:

• Isuzuma rya Magnetic Resonance (MRI): Iki ni cyo kizamini cyiza cyo gusuzuma iyi ndwara. Kigaragaza neza imitsi n'uturemangingo tworoshye.
• Tomografia ya mudasobwa (CT scan):Iyo MRI idashobora gukorwa vuba, nabyo birakoreshwa.
• Myelogram: Ibi bikubiyemo gutera irangi ryihariye mu mazi yo mu ruti rw'umugongo no gufata X-ray cyangwa CT scan. Ahantu imitsi ikandagira mu mitsi bigaragara neza.

Ubishyira mu byiciro ute?

Muganga wawe ashobora gushyira indwara ya cauda equina mu byiciro by’indwara ikaze cyangwa iy’akarande. Iyi gahunda izagena ubwoko bw’ubuvuzi ukeneye.

• Indwara ya cauda equina syndrome iteye ubwoba: Ibimenyetso bitangira mu buryo butunguranye kandi bikarushaho kwiyongera vuba. Ushobora gukenera kubagwa mu masaha 24 kugeza kuri 48 uhereye igihe ibimenyetso bitangiriye.
• Indwara ya cauda equina syndrome idakira: Ibimenyetso byawe bimaze igihe kinini. Ushobora kuba waragize ibimenyetso igihe kirekire mbere yo gushaka ubuvuzi, cyangwa ushobora kugira ikibazo cy’imitsi idakira bitewe n’ibimenyetso.

Ni ubuhe buryo bwo kuvura?

Ibimenyetso bitunguranye bya cauda equina syndrome bisaba kubagwa byihutirwa . Umuganga ubaga arekura imizi y'imitsi icucitse kugira ngo isubire ku murongo. Ubu buryo bwo kubaga bwitwa lumbar laminectomy . Mu magambo make, bukuraho icyateye imitsi icucitse (nk'aho disiki yacitse).

Nyuma yo kubagwa, muganga ashobora kukugira inama y'ibintu nk'ibi:

• Fata imiti yo kunoza uburyo inkari n'amara bikoreshwa.
• Shyiramo umuyoboro wo gukuramo uruhago rwawe (self-catheterization).
• Witabire imyitozo ngororamubiri kugira ngo wongere imbaraga nyuma yo kubagwa.
• Shaka serivisi zo kuvura indwara z'akazi kugira ngo zigufashe mu mirimo ya buri munsi.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?

Abantu bose barakira ku rugero rutandukanye. Ushobora kongera kumva amatako n'amaguru mu minsi mike nyuma yo kubagwa. Ariko, ugomba kwirinda gukora imyitozo ngororamubiri kugeza igihe umubiri wawe wongeye kuba mwiza, ndetse no kugenda n'amaguru bigomba gukorwa witonze. Bishobora gufata ibyumweru, amezi, cyangwa imyaka kugira ngo wongere kugenzura uruhago rwawe n'amara nyuma yo kubagwa. Muganga wawe azagusobanurira icyo utegereje n'intambwe zikurikiraho mu nzira yawe yo gukira. Ni ngombwa kwihangana mu buvuzi bwawe.

Ese ibi bishobora kwirindwa?

Ntibishoboka gukumira impamvu zose zitera indwara ya cauda equina. Hari igihe tudashobora kugenzura ibintu nk'impanuka na kanseri. Ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo kurwara disiki zigenda zicika, ari na zo zikunze kugaragara. Dore inama zimwe na zimwe:

• Irinde kwambara inkweto ndende kenshi. Ubwo bwoko bw'inkweto bushobora guhindura aho umugongo wawe uhagaze neza.
• Hagarika gukoresha ibikomoka ku itabi (nk'itabi). Ibi bishobora gutuma imitsi iri hagati y'umugongo wawe igabanuka.
• Komeza imitsi yawe. Baza muganga wawe imyitozo ishobora gukomeza imitsi y'umugongo n'inda yawe (imitsi yo mu nda).
• Mu guterura ibyuma biremereye, bizamure neza. Niba ukeneye guterura ikintu kiremereye, pfukama amavi yawe kandi umugongo wawe ugororotse, aho kunama ugana mu rukenyerero.
• Itoze kwifata neza. Gukomeza kwifata neza bishobora kugabanya umuvuduko ku mugongo.
• Rambura umubiri wawe rimwe na rimwe, cyane cyane iyo wicaye igihe kirekire.

Ese ibi bigira ingaruka ku buzima bw'umuntu?

Indwara ya Cauda equina ntabwo igira ingaruka ku buzima bwawe. Ni ukuvuga ko itakwica vuba. Ariko, ibimenyetso n'ingorane zishobora kubaho bishobora kugira ingaruka zikomeye ku mibereho yawe. Kubwibyo, ni ngombwa gushaka ubuvuzi ukimara kubona ibimenyetso.

Uko icyerekezo kimeze ni ko kimeze?

Kubagwa bishobora kugabanya umuvuduko ku mizi y'imitsi yawe. Iyo uvuwe hakiri kare, ushobora gukumira kwangirika burundu kw'imitsi. Ikibabaje ni uko abaganga b'inzobere mu kubaga badashobora gusubiza inyuma kwangirika kw'imitsi igihe byamaze kuba. Nyuma yo kubagwa, muganga wawe azagukurikirana kugira ngo arebe uko kubagwa byagenze kandi akubwire intambwe zikurikira muri gahunda yawe yo kuvura. Uko byagenda kose, ushobora gukenera kuvurwa igihe kirekire kugira ngo uvure ububabare ubwo aribwo bwose bukomeje, kubura uburyo bwo kugenzura uruhago/amara, cyangwa intege nke z'imitsi.

Kubana n'indwara yo kudakora imibonano mpuzabitsina, ubumuga bwo mu gitsina, cyangwa izindi ngorane zijyanye na cauda equina syndrome ntabwo byoroshye. Ushobora kumva ufite stress, depression, cyangwa uhangayitse muri iki gihe. Bishobora kandi kugira ingaruka ku kazi kawe ko ku ishuri, ku kazi, no ku mibanire yawe n'inshuti n'umuryango. Itsinda ry'abaganga rishobora kugufasha guhindura gahunda zawe za buri munsi no kumenyera iyi ndwara. Ushobora kandi gushaka kubonana n'umujyanama mu by'ubuzima bwo mu mutwe cyangwa kujya mu itsinda ry'abagufasha kugira ngo uhuze n'abandi bahuye n'ibintu nk'ibyo. Wibuke ko utari wenyine.

Ni ryari ukwiye kujya kwa muganga?

Niba ubonye ibi bimenyetso bya cauda equina syndrome, ugomba guhita ugana ishami ryita ku barwayi barembye :

• Ububabare bukomeye mu mugongo wo hasi (butunguranye cyangwa bukomeje).
• Kugorwa cyangwa kubura ubushobozi bwo kugenzura igihe cyo kunyara cyangwa kwituma.
• Kugorwa no kugenda, intege nke mu maguru.
• Kubura ibinure cyangwa ibindi bintu bidasanzwe mu bibero byo hejuru, mu matako, cyangwa mu myanya ndangagitsina.

Kubona ubuvuzi vuba bishoboka bishobora kugufasha kugabanya ibyago byo kugira ibibazo by'igihe kirekire.

Ibibazo byo kubaza muganga wawe

Ntutindiganye kubaza muganga wawe ibibazo nk'ibi:

• Ni ubuhe bwoko bwa cauda equina syndrome mfite?
• Ese ni indwara ikabije cyangwa idakira?
• Nzakenera kubagwa vuba gute?
• Kubagwa bizatwara igihe kingana iki?
• Nzamara igihe kingana iki mu bitaro nyuma yo kubagwa?
• Ese mfite ikibyimba cy'uruhu gifite ibara ry'umugongo (herniated discus) cyangwa ni ikindi kintu?
• Ni gute inzira yanjye yo gukira izaba imeze nyuma yo kubagwa?

Niba ugaragaje ibimenyetso bya cauda equina syndrome, ntutindiganye kujya kwa muganga wita ku barwayi b’incuke. Nubwo bishobora gutera ubwoba, uko uvurwa vuba, niko urushaho kugira ibyago bito byo kwangirika burundu ku mubiri wawe (nk'ukubura uburyo bwo kugenzura uruhago/amara, gucika intege).

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka

Yego, indwara ya Cauda Equina Syndrome ni indwara ikomeye cyane, ariko ishobora kugenzurwa cyane cyane iyo umuntu avuwe vuba .

• Itondere ibimenyetso: Ntukabirengagize, cyane cyane niba ugize ikibazo cy'amaguru, intege nke, cyangwa impinduka mu mikorere y'uruhago/amara hamwe no kubabara umugongo.
• Sobanukirwa ko iki ari ikibazo cyihutirwa: Iki ni ikibazo cyihutirwa cy’ubuvuzi. Uko utegereza igihe kirekire, niko imitsi ishobora kwangirika cyane.
• Shaka muganga vuba: Ukimara kubona ibimenyetso, jya kwa muganga vuba bishoboka.
• Igihe cyo gukira nyuma yo kuvurwa: Ndetse na nyuma yo kubagwa, bishobora gufata amezi cyangwa imyaka kugira ngo ukire neza. Muri iki gihe, ushobora gukenera gukora ibintu nko gukuramo amazi mu ruhago rwawe n'intoki. Ntugatinye kuvugana na muganga wawe ku bijyanye no kunyara no kwituma. Itsinda ry'abaganga rizagufasha kumenyera no gucunga ubuzima bwawe bwa buri munsi.
• Ubuzima bwo mu mutwe nabwo ni ingenzi: Mu gihe ubana n'ikibazo nk'iki, ubuzima bwo mu mutwe ni ingenzi kimwe n'ubuzima bw'umubiri. Niba bibaye ngombwa, shaka inama z'umujyanama mu by'ubuzima bwo mu mutwe cyangwa winjire mu itsinda ry'abaterankunga.

Twizeye ko aya makuru azaba ingirakamaro. Komeza kugira ubuzima bwiza!

` Cauda Equina Syndrome, Kubabara umugongo, Gukanda imitsi, Kubura amaguru, Kugenzura inkari, Kubagwa byihutirwa