Ese uzi iki kibazo cy’ibyangiritse ku mugongo w’inkondo y’umura? (Central Cord Syndrome - CCS) Reka tubiganireho!

Ese wigeze wumva ugiye gucika intege mu buryo butunguranye? Wenda byabaye nyuma yo kugwa gato cyangwa gukubitwa bikomeye mu ijosi. Uyu munsi tugiye kuvuga ku ndwara ishobora gutera ibimenyetso nk'ibyo, cyane cyane iyo iterwa no kwangirika k'igice cyo hagati cy'umugongo mu ijosi ryacu . Abaganga bita iyi ndwara yitwa Central Cord Syndrome , cyangwa CCS . Ntugahangayike, reka tubisobanure mu buryo bworoshye.

Mu by'ukuri indwara ya Central Cord Syndrome ni iki?

Mu magambo make, 'CCS' ni ukwangirika kw''umugongo w'inkondo y'umura' uri mu ijosi ryawe, umutsi mukuru unyura mu mugongo wawe, hagati . Tekereza nawe, umugongo utwara ubutumwa buva mu bwonko bugera ku mubiri wacu wose. Rero iyo igice cyo hagati cyangiritse, urujya n'uruza rw'ubwo butumwa rurahungabana.

Muri ibi, imitsi ijya mu maboko ni yo yibasirwa cyane. Kubwibyo, intege nke no gucika intege bishobora kubaho mu maboko. Rimwe na rimwe, iyi ngaruka ishobora no kugira ingaruka ku maguru ku rugero runaka cyangwa ruto. Ariko akenshi, amaboko ni yo yibasirwa cyane.

Ibi kandi byitwa impagarara y’umugongo idahagije . Ibi bivuze ko abantu bose bafite iyi ndwara atari bo bapfa burundu. Ibi bivuze ko atari amaguru yose apfa. Hari urwego rw’imikorere rushobora kugumaho.

Ni nde ushobora kugira ingaruka kuri iki kibazo?

Iyi ndwara yitwa `CCS` ikunze guterwa n'impanuka itunguranye ijya mu ijosi . Tekereza, niba amagufwa mato `(vertebrae)` ari mu ijosi ryawe yangiritse , bishobora gushyira igitutu kirenze urugero ku ruti rw'umugongo bigatera `CCS`.

Ibi byago biri hejuru cyane ku bantu barengeje imyaka 50 bafite rubagimpande mu ijosi . Ibi biterwa nuko bashobora kuba bafite umuyoboro w'umugongo mu ijosi ufunganye (spinal stenosis). Abantu nk'abo bashobora kwangirika mu ijosi ndetse no mu kugwa gato.

Tekereza, umusaza wo mu mudugudu wacu, wenda amaze igihe kinini ababara mu ijosi (arthritis). Iyo umunsi umwe anyerera akagwa agenda mu gikari, ijosi rye rigakubitwa cyane, ubwo iyi ndwara yitwa "Central Cord Syndrome" ishobora kugaragara.

Byongeye kandi, ni gake cyane, CCS ishobora guterwa n'ibibyimba biri hagati mu gice cy'umugongo, indwara z'imitsi, cyangwa utwobo twuzuyemo amazi mu mugongo (syringomyelia) .

Indwara y'umugongo wo hagati (Acute Central Cord Syndrome) ni iki?

CCS ikabije ni indwara ya CCS itunguranye kandi itunguranye . Ibi akenshi biterwa n'imvune ya hyperextension aho ijosi ryawe rihita rigorama inyuma.Nk’uko iyo uguye mu modoka utunguranye maze ijosi rigasubira inyuma, impanuka ya "whiplash" ishobora kwangiza igice cyo hagati cy’umugongo.

• Impanuka z'imodoka
• Kugwa (kugwa uvuye hejuru, kunyerera)

Iyi ndwara ya `Acute CCS` ishobora guterwa n'impanuka nka. Nkuko byavuzwe mbere, gake cyane, ndetse nta mpanuka, ishobora guterwa n'ibibyimba, ibibazo by'imitsi y'amaraso, cyangwa umwobo uri hagati mu ruti rw'umugongo.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, iyi 'CCS' ni ubwoko bw’imvune zidahagije zo mu mugongo zikunze kugaragara cyane mu bihugu nka Leta Zunze Ubumwe za Amerika. Umubare munini w’abarwayi bashya bafite imvune zo mu mugongo uravugwa buri mwaka. Muri Sri Lanka no, hari abantu barwariye mu bitaro kubera impanuka nk’izo.

Ni iki kikubaho urwaye indwara ya Central Cord Syndrome (CCS)?

Mu gihe ufite ikibazo cya "CCS", ubutumwa bw'imitsi hagati y'ubwonko bwawe n'ibice by'umubiri wawe biri munsi y'aho wakomeretse burafungwa . Mu magambo make, ubutumwa buturuka mu bwonko bwawe nka "sunika ukuboko kwawe" na "zamura ukuguru kwawe" ntibugera ahantu hakwiye.

Ibi bigira ingaruka cyane cyane ku gice cy’imitsi igenzura ingendo zawe, "inzira y’umugongo ya cortical." Sisitemu y’imitsi inyura mu mugongo wacu iratunganijwe neza. Imitsi igana ku maboko iba imbere mu mugongo, naho imitsi igana ku maguru iba hanze. Rero, iyo igice cyo hagati cy’umugongo cyangiritse, imitsi igana ku maboko iba ishobora kwangirika kurusha imitsi igana ku maguru.

Bityo rero,

• Intege nke, gucika intege mu biganza
• Gucika intege
• Ushobora kandi kugira ingorane zo kugenda.

Ni izihe ngorane ibi bishobora gutera?

Hari abantu bashobora kugira izindi ngorane bahura na CCS, harimo:

• Ibibazo by'inkari : Kudashobora kugenzura inkari cyangwa kunanirwa gusohora inkari.
• Ibibazo by'amara : Kudashobora kugenzura imyakura.
• Amaraso apfundika mu mitsi yabo : cyane cyane mu maguru.
• Ibibazo byo guhumeka : Iyo igice cyo hejuru cy'ijosi cyangiritse.
• Umuvuduko w'amaraso uri hasi .
• Kubura ibinya n'intege nke : Iki ni ikimenyetso cy'ingenzi.
• Kubabara kw'imitsi: Urugingo rukomera kandi bigorana kunama cyangwa kugorora.
• Umuvuduko ukabije w'amaraso (autonomic dysreflexia) : Iyi ni indwara iteje akaga kandi isaba ubuvuzi bwihuse.

Ni iki gitera ibi?

Impamvu ikunze gutera CCS ni ukwiyongera gutunguranye kw'ijosi ry'umuntu ufite stenosis y'umugongo w'inkondo y'umura.Impanuka iterwa n'ibi. Urugero, iyo umuntu ugeze mu za bukuru aguye agaramye ijosi rye rigasubira inyuma, ibi bishobora kubaho mu gihe nk'iki.

Ibimenyetso ni ibihe?

Muri CCS, ibimenyetso by'imitsi hagati y'ubwonko n'umugongo biraziba, bigatera ibimenyetso bitandukanye. Ikintu cy'ingenzi kiranga iyi ndwara ni ukubura ibimenyetso by'imitsi ku maboko no ku maboko .

Ibimenyetso bikunze kugaragara mu biganza no mu maboko bitewe n'ibimenyetso by'imitsi bifunganye, ariko rimwe na rimwe bishobora no kugira ingaruka ku maguru. Ushobora guhura n'ibintu nk'ibi:

• Kubabara : mu maboko, rimwe na rimwe mu maguru.
• Gutwika : Hari abantu bumva bashaka gutwika.
• Gushyuha : Bimera nk'aho byatewe n'amashanyarazi igihe gito, ni ko bimeze.
• Kudashobora gukora ingendo nto n'amaboko yawe (ubuhanga bwo gukora imiyoboro myiza) : Urugero, bishobora kugorana gupfunyika ishati, gufata ikaramu, cyangwa gufata igikombe.
• Ubusa mu biganza byawe cyangwa mu maboko yawe .
• Kurema cyangwa intege nke .
• Kubabara kw'imitsi .
• Kugorwa no kugenda .

Ibi bimenyetso biterwa n'uko imvune yawe imeze cyangwa uburemere bwayo. Hari abantu bashobora gutakaza ibyiyumvo munsi y'aho yakomeretse ndetse bakagira ikibazo cyo kunanirwa kwihagarika inkari. Abandi bashobora kudashobora kugenda na gato cyangwa kurwara indwara zo kugenda.

Abaganga bapima iki kibazo gute?

Iyo ugiye kwa muganga ufite ibi bimenyetso, abanza gukora isuzuma ry’umubiri . Azabaza kandi amateka y’ubuzima bwawe n’impanuka zose wagize.

Hanyuma, abaganga bakora ibizamini byinshi byihariye kugira ngo bemeze neza ko CCS ari yo isanzwe. Ibi ni ibi bikurikira:

• CT scan : Iyi scan ishobora gukoreshwa kugira ngo harebwe niba hari ibyangiritse ku magufwa mu ijosi ndetse niba umuyoboro w'uruti rw'umugongo waragabanutse.
• Electromyogram (EMG) : Ibi bipima uburyo ubutumwa bunyura mu mitsi no mu mikorere y'imitsi.
• MRI Scan : Ubu ni bwo buryo bwiza bwo kubona neza ibyangiritse ku mugongo, nk'ibibyimba, ibibyimba, n'ibihombo.
• X-ray : Iyi ishobora kandi gukoreshwa mu kureba aho amagufwa yo mu ijosi n'aho yavunitse.

Byongeye kandi, abaganga bashobora no gukora ibizamini bigusaba ko wongera ijosi ryawe kugira ngo barebe aho ushobora kurihindura.

Ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura CCS buterwa n'icyateye impanuka n'imiterere y'ibyangiritse. Hariho uburyo bwo kuvura butari ubwo kubaga n'ubwo kubaga.

Uburyo bwo kuvura butari ubwo kubaga

Uburyo bwa mbere bwo kugerageza ni ubu:

• Kudakora neza : Ibi bishobora gusaba gushyira ijosi rikomeye mu ijosi. Ushobora kandi guhabwa udupira two kugufasha kugumana amaboko yawe mu mwanya wayo .
• Imiti : Imiti nka steroid ishobora gutangwa kugira ngo igabanye ububabare no kubyimba.
• Ubuvuzi bw'akazi : Ibi ni ingenzi cyane. Muri ibi, inzobere zigufasha gukora imirimo yawe ya buri munsi ufite iyi ndwara. Urugero, niba ufite ikibazo cyo kwambara ishati kubera imitsi igoranye, bazakwigisha uburyo bworoshye bwo kubikora, cyangwa bazakwigisha ibikoresho byo kwihutisha ubuzima bwawe. Bazagufasha gusubira mu buzima busanzwe.
• Ubuvuzi bw'umubiri : Ibi bikubiyemo imyitozo ngororamubiri yo kongera imbaraga n'ubushobozi bw'amaguru yawe. Ushobora kandi guhabwa ibikoresho bigufasha kugenda niba ufite ikibazo.

Wibuke ko uko ubu buryo bwo kuvura butangira vuba, ni ko amahirwe yo gukira aba menshi.

Ese nkeneye kubagwa?

Mu bihe bimwe na bimwe, kubagwa bishobora kuba ngombwa. Muri ibi harimo:

• Niba ufite "umugongo ufunze" (compressed spinal cord) , ni ukuvuga ko niba hari igitutu ku mugongo, urekure.
• Niba umugongo wawe w'inkondo y'umura ugenda mu buryo budasanzwe cyangwa udashobora kwihanganira ibiro (udakomeye).
• Iyo hari ikibyimba, imiyoboro y'amaraso idakora neza, cyangwa umwobo (cavitation) mu ruti rw'umugongo.

Itsinda ry'abaganga niryo rizafata icyemezo niba ukeneye kubagwa cyangwa utabikeneye.

Bizatwara igihe kingana iki kugira ngo umuntu akire? (Gukira)

Abantu bakira vuba nyuma y’impanuka baba bafite amahirwe menshi yo kugarura imikorere y’imitsi. Ariko, gukira bishobora gutinda ku bantu barengeje imyaka 65 , kandi bishobora kutarangira. Bitandukanye bitewe n’umuntu ku giti cye.

Ni gute wagabanya iyi ngaruka? (Kwirinda)

Nta buryo bwizewe bwo kwirinda CCS ikabije, ibaho mu buryo butunguranye nyuma yo gukomereka ku mutwe. Ariko, hari ibintu ushobora gukora kugira ngo urinde uruti rw'umugongo wawe gukomereka:

Kugira ngo ugabanye ibyago byo kurwara indwara ya “Acute Central Cord Syndrome” (Acute CCS):

• Kugira ngo ugabanye ibyago byo kugwa , menya ahantu hanyerera kandi hateje akaga mu rugo rwawe kandi ubyirinde.
• Witondere umutekano mu gihe ukorera ku ngazi no ahantu hirengeye.
• Ambara ibikoresho byo kwirinda (urugero: ingofero) mu gihe cy'imikino ngororamubiri no mu myitozo ngororamubiri.

Kurinda Stenose y'umugongo w'inkondo y'umura:

Nubwo ibi bishobora kubaho uko umuntu akura, ni ngombwa kwita ku mugongo we neza:

• Gukora imyitozo ngororamubiri buri gihe .
• Witondere uko wicara n'uko uryama . Ntugume mu buryo butari bwo.
• Kugira ngo urinde umugongo wawe mu gihe uterura ibiremereye, bizamure neza.
• Komeza kugira imiterere myiza .

Ni ryari ngomba kujya kwa muganga?

Niba wakomeretse bikomeye cyangwa wagize impanuka, shaka ubufasha bwa muganga ako kanya . Cyane cyane,

• Niba bigoye kwimura amaboko cyangwa amaguru yawe,
• Niba wumva ufite intege nke cyangwa udafite icyo ushoboye,

Jya kwa muganga vuba, kuko kuvurwa byihuse ni ingenzi cyane mu bihe nk'ibi.

Ni iki nakwitega mu gihe mfite indwara ya CCS (Central Cord Syndrome)? (Ibisobanuro ku ndwara)

Abantu benshi barwaye CCS bongera kugira imikorere y’imitsi. Niba CCS yagize ingaruka ku maguru yawe no ku ntera z’inkari, ushobora kubanza kubona iterambere muri ibyo bice. Ariko, bishobora gufata igihe kirekire kugira ngo ibimenyetso by’imitsi bisubire ku murongo mu ntoki zawe .

Nta muti uhari wa CCS, kandi ibisubizo biratandukanye bitewe n'umuntu ku giti cye. Hari abantu bongera gukora neza mu maboko yabo, mu biganza no mu maguru, ariko abandi bashobora kugorwa no gukora neza mu buzima bwabo bwose.

Igihe cyo gukira si kimwe kuri buri wese. Biterwa n'imyaka yawe n'uburemere bw'imvune cyangwa indwara . Muri rusange, abantu barengeje imyaka 50 bafata igihe kirekire kugira ngo bakire ugereranyije n'abakiri bato.

Niyitaho nte? (Kwiyitaho)

Niba ufite CCS, vugana na muganga wawe kugira ngo umenye byinshi ku byo witeze n'uko wabyitwaramo. Nkuko byavuzwe mbere , ubuvuzi bw'akazi n'ubuvuzi bw'imyitozo ngororamubiri bishobora kugufasha gukomeza gukomera no gushyiraho ingamba zo guhangana n'imirimo igoye ya buri munsi.

Igikuru ni ugukomeza gukomera, gukurikiza inama za muganga, no kwitabira byimazeyo gahunda zo kugarura ubuzima mu buryo burambye.

Ubutumwa bwo kujyana mu rugo

Indwara ya "Central Cord Syndrome" (CCS) ni indwara iterwa no kwangirika k'umugongo mu ijosi (umugongo wo mu mugongo w'inkondo y'umura). Ibi bigira ingaruka ku butumwa bw'imitsi bugera ku ngingo zawe, cyane cyane ku maboko yawe. Abaganga bashobora gukoresha uburyo bwo kuvura no kubaga butari ubw'ubuganga kugira ngo bagufashe kugarura ibyiyumvo n'imikorere mu maboko yawe, mu ntoki no mu maguru. Gusuzuma no kuvurwa hakiri kare byongera amahirwe yo gukira. Kubwibyo, niba ugize ikibazo cyangwa intege nke mu ngingo zawe nyuma yo gukomereka mu ijosi, shaka ubufasha bwa muganga vuba.

` Indwara yo mu mugongo wo hagati, CCS, Uruti rw'umugongo, Indwara zo mu ijosi, Kubura ibisebe, Indwara zo mu bwonko, Uruti rw'umugongo, Kubura ibisebe, Kubabara mu gifu