Ese umutwe ubabara nyuma yo gukoropa mu ruti rw'umugongo? Reka tuvuge ku mutwe ubabara mu ruti rw'umugongo

Ese wigeze uterwa "urushinge rw'umugongo" ukiri kubyara cyangwa ugiye gupimwa ikindi gipimo, hanyuma ukagira umutwe ukomeye utashoboraga kwihanganira? Cyane cyane iyo uhagaze cyangwa wicaye, ubu bubabare busa n'aho bwiyongera kandi bukagabanuka iyo uryamye? Hanyuma turavuga ubwoko bwihariye bw'umutwe ushobora kuba ufite. Ibi tubyita 'umutwe w'umugongo'. Ntugahangayike, iyi ni indwara abantu benshi barwara kandi ishobora gukira. Reka tubiganireho mu buryo bworoshye.

Mu magambo make, umutwe uterwa n'umugongo ni iki?

Kugira ngo tubisobanukirwe, tugomba kubanza gusobanukirwa gato uburyo ubwonko bwacu n'umugongo birindwa. Tekereza ko ubwonko bwacu n'umugongo ari nk'ibintu by'agaciro, bireremba mu mazi arinda. Mu buvuzi, aya mazi yitwa cerebrospinal fluid (CSF) . Aya mazi agaburira ubwonko n'umugongo kandi akabarinda guhungabana no gukubitwa n'ibintu.

Noneho, iyo ufite umugozi wo mu ruti rw'umugongo, ni ukuvuga iyo muganga ashyize urushinge mu muyoboro wawe w'umugongo agatera umuti (ibi tubyita epidural ), cyangwa iyo bafashe urugero ruto rw'ayo mazi ya CSF kugira ngo bapime (ibi byitwa lumbar puncture ), umwobo muto ukorwa aho urushinge rwashyizwe. Hari igihe ayo mazi y'agaciro ya CSF atangira kuva buhoro buhoro binyuze muri uwo mwobo.

Muri make, umutwe uterwa n'igabanuka ry'amazi ya CSF akikije ubwonko.

Ni ibihe bimenyetso by'uyu mutwe? Uwumenya ute?

Ibi bimenyetso bikunze kugaragara mu minsi ibiri cyangwa itatu nyuma y’uko uruti rw’umugongo rukomeretse. Ariko, rimwe na rimwe bishobora kugaragara nyuma y’amezi menshi. Ikimenyetso cy’ingenzi kandi cyoroshye kumenyekana ni ukurwara umutwe.

Uyu mutwe ushobora kumara igihe kingana iki?

Akenshi, iyi ndwara y'umutwe ishobora kumara amasaha make kugeza ku minsi mike. Ariko , niba ufite ibi bimenyetso mu gihe kirenga amasaha 24 yikurikiranya, menya neza ko ubimenyesheje muganga wawe.

Ni ibihe bintu bishobora gutera indwara y'umutwe wo mu mugongo?

Nubwo ibi bishobora kubaho kuri buri wese, hari abantu bashobora kubyibasira cyane.

• Imyaka: Ikunze kugaragara ku bantu bari hagati y'imyaka 20-40, cyane cyane abagore baterwa epidural mu gihe cyo kubyara.
• Kubura amazi mu mubiri: Ingaruka ziba nyinshi iyo umubiri ubuze amazi mu mubiri.
• Umutwe wabanje: Niba ukunda kugira umutwe kenshi, hari amahirwe make ko ibi bizakugeraho.
• Kugira igipimo cy'uburemere bw'umubiri kiri hasi (BMI): Abantu bananutse ni bo bafite amahirwe menshi yo kubyibasira.
• Ubwoko bw'urushinge rwakoreshejwe: Ibi bishobora kandi gutandukana bitewe n'ingano n'ubwoko bw'urushinge rwakoreshejwe na muganga.

Ibi bivurwa bite?

Inkuru nziza ni uko akenshi, iyi ndwara yo kubabara mu mugongo irashira nta buvuzi bwihariye. Ariko inkunga yawe ni ingenzi cyane kuri ibyo.

Ibintu ushobora gukora uri mu rugo

Ubwa mbere, muganga akugira inama yo gukora ibi bintu byoroheje.

1. Komeza kuruhuka uko bishoboka kose: Komeza kuryama, uryamye. Haguruka wicare, kuko umutwe uzarushaho kwiyongera, bityo ruhuka uko bishoboka kose.

2. Nywa ibinyobwa byinshi: Nywa amazi menshi n'ibinyobwa by'imbuto. Ibi bifasha kuzuza amazi ya CSF mu mubiri.

3. Nywa ibinyobwa birimo kafeyine: Kunywa ibintu nk'icyayi na kawa bishobora kugabanya ububabare bw'umutwe. Kafeyine igabanya imiyoboro y'amaraso mu bwonko kandi igafasha kugabanya ububabare.

4. Imiti igabanya ububabare: Ushobora gufata imiti igabanya ububabare rusange nka parasetamol nk'uko muganga yabigutegetse.

Uburyo muganga avura

Iyo umutwe udashize hamwe n'imiti yo mu rugo, kandi ububabare bugakomeza iminsi myinshi, muganga ashobora kukugira inama yo kongera kuvurwa.

Bitwa Epidural Blood Patch . Ntugatinye ubyumvise. Biroroshye cyane.

• Ibi bikora iki? Muganga azafata amaraso yawe make (agera kuri mililitiro 10-20) mu mutsi uri mu kuboko kwawe.
• Hanyuma, amaraso asubizwa aho yashyizwe mbere mu mugongo.
• Icyo bibaho ni uko amaraso apfundika aho, agafunga umwobo wavagamo amazi ya CSF, nk'aho washyizwemo "plaster".
• Abantu benshi bumva baruhutse umutwe mu masaha 24 nyuma y’ubu buvuzi.

Ni gake cyane, iyo ubu buryo budafashije, kubagwa bishobora kuba ngombwa kugira ngo umwobo uzibwe.

Ni ryari tugomba gushaka ubuvuzi bwihuse?

Nubwo ubusanzwe umutwe w'umugongo utari mubi, hari ingorane zimwe na zimwe zidasanzwe ariko zikomeye zishobora kubaho. Kubwibyo, niba ufite kimwe muri ibi bimenyetso, jya kwa muganga ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU) bo mu bitaro.

• Kugorwa no kunyara bitewe n'umutwe.
• Kubura kumva cyangwa kugira ibinya mu mugongo cyangwa amaguru.
• Kuruka cyane, gucika intege, cyangwa guta ubwenge.
• Kubabara cyane mu ijosi no kugira umuriro mwinshi.

Nubwo ibi ari ibimenyetso bidasanzwe, ni ngombwa cyane kubimenya.