Ese umugongo wawe wumva ugiye gutakaza imbaraga zawo? Reka tuvuge kuri Transverse Myelite (TM)!

Ese wigeze utekereza ku kibazo aho uhita utakaza ubushobozi bwo kugenzura amaguru yawe, ukumva ufite ibinya mu bice bimwe na bimwe by'umubiri wawe, cyangwa ukagorwa no kugenzura inkari n'umwanda? Nubwo ibi biteye ubwoba gato, rimwe na rimwe ibi bimenyetso bishobora guterwa no kubyimba kw'umugongo wacu, ni ukuvuga imitsi inyura mu mugongo. Iyo ni yo ndwara tugiye kuvugaho uyu munsi, yitwa Transverse Myelitis (TM) . Iyi ni indwara ikunze kugaragara mu mitsi.

Mu by'ukuri se, indwara ya myelitis ihindagurika (TM) ni iki?

Mu magambo make, myelitis ifata imitsi (TM) ni ububyimbirwe bw'umugongo wawe, umuyoboro w'imitsi unyura mu ruti rw'umugongo wawe. Tekereza kuri ubu buryo: itwara ubutumwa buva mu bwonko bwawe bujya mu gice cyose cy'umubiri wawe. Ni nk'insinga ya telefoni.

Uku kubyimba kwangiza igipfundikizo cy’uburinzi gikikije uturemangingo tw’imitsi mu mugongo, cyitwa myelin sheath . Ni nk’aho igipfundikizo cya pulasitiki kiri hejuru y’insinga cyangiritse. Ni iki kibaho? Ubutumwa buva mu bwonko ntibunyura neza. Ibi bitera ibibazo nko kubura ibyiyumvo, gucika intege, no kubura uburyo bwo kugenzura uruhago rw’inkari.

Iyi ndwara yitwa TM, ishobora kugira ingaruka ku mugongo aho ari ho hose ku ruti rw'umugongo. "Myelitis" yerekeza ku kubyimba k'umugongo. "Transverse" yerekeza ku miterere y'impinduka mu buryo umuntu yumva n'imikorere ye. Ishobora kumva nk'aho umukandara uhambiriye umubiri wose, hamwe n'impinduka mu buryo umuntu yumva munsi y'umukandara.

Akenshi, TM ni indwara ibaho rimwe hanyuma ikagenda ikira cyangwa igakomeza kuba uko yari imeze.

Ni nde wibasirwa cyane n'iyi ndwara, transverse myelitis (TM)?

Mu by’ukuri, iyi ndwara yitwa transverse myelitis (TM) ishobora kugaragara mu myaka iyo ari yo yose, ku muntu uwo ari we wese. Ariko, iyo urebye amakuru, ubona ko igaragara cyane mu rubyiruko ruri hagati y’imyaka 10 na 19 no mu bantu bari hagati y’imyaka 30 na 39. Igitangaje ni uko hafi 25% by’abayirwara ari abana. Ariko, iyi si indwara iterwa n’uturemangingo ihererekanywa mu bisekuru. Kubwibyo, nta mpamvu yo guhangayikishwa n’uko abandi bazayirwara kubera ko hari umuntu wo mu muryango wayirwaye.

None se iki kibazo gikunze kugaragara gute?

Indwara ya myelitis ihindagurika (TM) ni indwara idakunze kugaragara . Tekereza gato, ndetse no mu gihugu nka Amerika, umuntu umwe kugeza ku munani ni we ufatwa n’indwara nshya kuri miliyoni imwe ku mwaka. Ibyo bivuze ko abantu bagera ku 1400 bafatwa n’indwara nshya ku mwaka. Rero si ikintu kigaragara kenshi muri Sri Lanka.

Ni ibihe bimenyetso bya myelitis ifatana (TM)?

Ibimenyetso bya myelitis ya transverse (TM) rimwe na rimwe bishobora kugaragara mu buryo butunguranye , mu masaha make cyangwa iminsi mike. Ku bandi bantu, ibi bimenyetso bishobora kwiyongera buhoro buhoro mu gihe cy'icyumweru kimwe kugeza kuri bine. Ariko, ni ngombwa kumenya ko ibimenyetso bya TM bishobora kwiyongera vuba .

Ibimenyetso bikunze kugaragara munsi y'aho uruti rw'umugongo wawe rwangiritse. Urugero, niba ibyangiritse biri hagati mu mugongo wawe, munsi y'amaboko yawe, amaguru yawe n'uburyo bwo kugenzura uruhago/amara bizahinduka. Amaboko yawe ashobora kutagerwaho n'ingaruka.

TM ikunze kugira ingaruka ku mpande zombi z'umubiri. Ariko, rimwe na rimwe ishobora kugira ingaruka ku ruhande rumwe gusa. Ubu bwoko bw'intege nke ku ruhande rumwe bukunze kugaragara cyane ku bantu barwaye indwara nka Multiple Sclerosis (MS) .

Tekereza, mu gihe cy’uburwayi bukomeye cyane bwa TM, 50% by’abarwayi batakaza uburyo bwose bwo kugenda mu maguru yombi. Hagati ya 80% na 94% bagira ibinya cyangwa kumva ibintu bidasanzwe nk’udushinge. Nanone, hafi ya buri wese agira ikibazo cyo kumererwa nabi mu nkari.

Ku bantu bamwe, ibi bimenyetso biragabanuka cyangwa bikarangira burundu iyo bivuwe, ariko ku bandi, ingorane zidashira zishobora kubaho.

Hariho amatsinda menshi y'ibimenyetso by'ingenzi ashobora kugaragara muri TM:

• Ibyiyumvo bidasanzwe
• Ububabare
• Ibibazo by'amara n'inkari
• Ibibazo by'imitsi n'imigendere
• Ibibazo by'imikorere y'imibonano mpuzabitsina
• Ibindi bimenyetso

Ibyiyumvo bidasanzwe

Bitewe n'aho umugongo wawe wangiritse bitewe na TM, ushobora kugira ibyiyumvo bidasanzwe (bizwi kandi nka "Paresthesia" mu magambo y'ubuvuzi) mu bice bimwe na bimwe by'umubiri wawe, nko:

• Gucika intege
• Kumva ushaka gukubita (Gukubita)
• Gutwika
• Gukomera cyane ku gukoraho cyangwa ubushyuhe
• Kumva ubushyuhe/ubukonje buke

Ububabare

Ububabare bushobora gutera ububabare mu bice bimwe na bimwe by'umubiri. Ubu bubabare bushobora kuba bukabije cyangwa butoroshye . Hari igihe ubu bubabare bushobora kumanuka mu maboko no mu maguru, cyangwa bugasa n'aho buva mu gituza no mu nda.

Ibimenyetso by'umwanda n'inkari

TM ishobora gutera ibibazo by'inkari n'amara nka:

• Impatwe
• Kudasohora burundu uruhago mu gihe cyo kunyara (`(Kubika inkari)`)
• Ibibazo byo kurwanya inkari, urugero, kunyara kenshi (`(Gusaba kudahagarika imibonano mpuzabitsina)`)
• Kudashobora kugenzura inkari (`(Kunanirwa kwihagarika inkari)`)

Ibibazo by'imitsi n'imigendere

Abantu bafite TM bashobora kugira intege nke mu maguru yabo, zishobora kwiyongera vuba. Niba ububyimbirwe bwaragize ingaruka ku mugongo mu buryo runaka , bushobora no kugira ingaruka ku maboko.

Ushobora kubona ibimenyetso nk'ibi:

• Gutakaza uburinganire mu mubiri
• Kugorwa no kugenda (gusitara, gukurura amaguru)
• Kubabara kw'imitsi
• Gutakaza igice cy'imikorere y'imitsi, rimwe na rimwe bigatera ubumuga .

Ibibazo by'imikorere y'imibonano mpuzabitsina

Abantu bafite TM bashobora kugira ingorane zo kugera ku ndunduro. Byongeye kandi, abagabo bashobora kugira ikibazo cyo kudakora neza kw'imibonano mpuzabitsina.

Ibindi bimenyetso

Byongeye kandi, TM ishobora no gutera ibimenyetso bikurikira:

• Gukunda kurya
• Kuribwa umutwe (umutwe)
• Umuriro
• Ingorane zo guhumeka

Ni iki gitera myelitis ihindagurika (TM)?

Muri rusange, impamvu nyamukuru itera myelitis ifata imitsi yo mu bwonko (TM) ni ukubyimba k'umugongo.

Tekereza, iyo ikintu kibi cyinjiye mu mubiri wacu, nka virusi, bagiteri, imiti ihumanya, cyangwa iyo twakomeretse, ubudahangarwa bwacu bw'umubiri burakora.

Ubudahangarwa bw'umubiri busohora uturemangingo tw'ububyimbirwe n'ibindi bintu (cytokines) bitera izindi selile z'ububyimbirwe. Utu turemangingo ni two dutera ububyimbirwe bufasha kurwanya ibintu nka bagiteri no gutangira gukiza ibikomere. Nubwo ubu bwimbirwe bukunze kuba ngombwa, rimwe na rimwe ubudahangarwa bwacu bw'umubiri bushobora kwibasira ingingo nzima nta mpamvu. Cyangwa, igisubizo kuri iyo ngingo y'amahanga gishobora gukomera cyane kikangiza ingingo z'umubiri.

Ibyo nibyo bibaho muri TM. Ubu bushyuhe bwangiza sheath ya myelin ikikije uturemangingo tw’imitsi mu ruti rw’umugongo.

Hari impamvu nyinshi zishobora gutera ububyimbirwe butera TM. Izi mpamvu zishobora kugabanywamo ibyiciro byinshi by'ingenzi:

• Ibibazo aho impamvu nyayo itazwi (`(Idiopathic)`)
• Ububyimbirwe buterwa n'ubwandu
• Indwara z’ubudahangarwa bw’umubiri zifata umubiri wose (`(indwara zitera ubudahangarwa bw’umubiri)`)
• Indwara z'imitsi yo hagati (`(indwara z'imitsi yo hagati)`)

Idiopathic transverse myelitis

"(Idiopathic) TM" ni igihe nta mpamvu yihariye iboneka. Abarwayi benshi ba TM bari muri iki cyiciro. Abahanga mu bya siyansi batekereza ko bibaho kubera ko ubudahangarwa bwacu bw'umubiri bukora ku buryo budasanzwe kandi bukabije ku ruti rw'umugongo, bigatera ububyimbirwe no kwangirika kw'ingingo. Ariko impamvu nyayo, cyangwa imbarutso, ntiramenyekana.

Indwara zishobora gutera myelitis inyuranamo

Hari indwara nyinshi ziterwa na bagiteri, virusi, parasites, na fungal zishobora gutera TM. Zimwe muri zo ni:

• Virusi za Enterovirusi (Izi ni virusi zikunze kugaragara cyane, ariko akenshi zitera indwara zoroheje)
• `Virusi ya Nile y'Iburengerazuba`
• Virusi za Herpes, urugero nk'indwara ya herpes mu gitsina
• `Umugera wa SIDA`
• Varicella-zoster (virusi itera inkoko n'indwara ya herpes zoster)
• Virusi ya leukemia y’uturemangingo twa T tw’abantu yo mu bwoko bwa 1 (HTLV-1)
• Virusi ya Zika
• Indwara ya Lyme (Neuroborreliosis)
• 'Syphilis'
• `Igituntu`
• Indwara z'uruhu ziterwa na bagiteri
• `Umusonga wa Mycoplasma bagiteri`

Akenshi, biragoye abaganga kumenya neza niba indwara ya TM iterwa n'ubwandu bwa virusi ubwayo, cyangwa se uburyo ubudahangarwa bw'umubiri bukora iyo bwandu bubayeho.

Indwara z’ubudahangarwa bw’umubiri zifata umubiri wose, zijyanye na myelitis inyura ku murongo

Zimwe mu ndwara ziterwa n’ubwiyongere bw’umubiri zifitanye isano na TM ni izi:

• `Ankylosing spondylitis`
• `Indwara ya Antiphospholipide`
• `Indwara ya Behçet`
• `Indwara y'imitsi ivanze`
• "Urumogi rwa rubagimpande"
• `Sarcoidosis`
• "Scleroderma"
• `Sjogren's syndrome`
• `Systemic lupus erythematosus (SLE)`

Indwara z'imitsi yo hagati zishobora gutera myelitis inyuranamo

Indwara z’ubudahangarwa bw’umubiri zo mu bwonko zishobora gutera indwara ya TM zirimo:

• `Multiple sclerosis (MS)`
• Indwara ya Neuromyelitis optica spectrum disorder (NMOSD) - Iyi nanone yitwa indwara ya Devic .
• `Ibibazo by'umubiri w'umubiri wa Myelin oligodendrocyte glycoprotein (MOGAD)`
• `Indwara ya encephalomyelitis ikwirakwira mu buryo butunguranye`

Ku bantu bamwe, myelitis ifata imitsi ishobora kuba ikimenyetso cya mbere cy'indwara y'ubwiyongere bw'umubiri mu mitsi yo hagati, nka sclerosis nyinshi (MS) cyangwa neuromyelitis optica spectrum disorder (NMOSD) .

"Partial myelitis", ifata uruhande rumwe rw'umubiri gusa, ikunze kugaragara muri MS.

Iyo umuntu urwaye NMOSD arwaye myelitis, birashoboka cyane ko iba "yuzuye," bivuze ko itera ubumuga bukomeye no kugira ibisebe ku mpande zombi z'umubiri. Myelitis ku bantu barwaye NMOSD ishobora kuba ikomeye cyane kandi idakira neza kurusha ku bantu barwaye MS.

Ese inkingo zishobora gutera indwara ya myelitis inyura ku ruhande (TM)?

Ni gake cyane, abantu bagaragaje ko barwaye indwara ya myelitis igendanwa mu minsi ibiri cyangwa amezi atatu nyuma yo guhabwa urukingo. Abahanga mu bya siyansi ntibaramenya neza impamvu ibi bibaho, ariko igitekerezo kimwe ni uko ubudahangarwa bw'umubiri bw'abantu bamwe bushobora guterwa n'uru rukingo maze rugatangira inzira y'ubwiyongere bw'umubiri. Ariko dore ingingo y'ingenzi: Inkingo zagaragaye ko zifite umutekano mu bushakashatsi bwagutse. Iyi sano na TM ishobora kuba impanuka cyangwa ingorane idasanzwe.

Ni gute indwara ya myelitis inyura ku murongo (TM) ipimwa?

Niba ufite ibimenyetso bya myelitis ihindagurika (TM), muganga wawe azasuzuma amateka y'ubuzima bwawe kandi agukorere isuzuma ry'umubiri.

Niba ibi bizamini bigaragaza ko hari ikibazo ku mugongo, hazasabwa ibindi bizamini. Kuki ari uko bimeze?

• Menya neza ko uruti rw'umugongo rudaterwa n'ikindi kintu kitari ububyimbirwe, urugero , ikibyimba cy'umugongo , disiki ya herniated , cyangwa gukandamizwa guterwa n'igisebe .
• Emeza ko hari ububyimbirwe budasanzwe imbere mu ruti rw'umugongo.
• Niba bishoboka, shakisha icyaba gitera ubu bubyimba budasanzwe.

Abaganga banzura ko TM ibaho iyo ibimenyetso by'umugongo bimaze iminsi myinshi bigaragara kandi nta yindi mpamvu itera ikibazo cy'umugongo ishobora kuboneka kuri scan ya MRI (Magnetic Resonance Imaging) cyangwa ikindi kizamini.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane indwara ya myelitis ifata inzira?

Muganga wawe ashobora gutumiza ibipimo nk'ibi kugira ngo amenye indwara ya TMJ n'icyayiteye:

• Isuzuma rya MRI (Magnetic Resonance Imaging) ry'umugongo wose: MRI ni ikizamini kidababaza. Gikoresha rukuruzi nini, imiraba ya radiyo, na mudasobwa kugira ngo hagaragazwe neza ingingo n'imiterere y'umubiri. Ushobora gukenera isuzuma rya MRI ry'umugongo wawe inshuro ebyiri - rimwe rifite ikintu cyihariye cyitwa gadolinium contrast n'iridafite. Ibi bizafasha muganga wawe gutandukanya ibisebe bikomeretsa n'ibidakomeretsa.
• Gupima ubwonko mu buryo bwa MRI: Muganga wawe ashobora kandi gutegeka ko ubwonko bwawe bupimwa mu buryo bwa MRI (harimo cyangwa hatarimo gadolinium contrast) kugira ngo arebe ibisebe mu bwonko bwawe. Gupima ubwonko mu buryo bwa MRI bishobora gutanga ibimenyetso ku zindi mpamvu zibitera, cyane cyane multiple sclerosis (MS) .
• Gutobora mu kibuno (bizwi kandi nka "spinal tap"): Muri ubu buryo, muganga ashyira urushinge mu mugongo wo hasi hanyuma agafata icyitegererezo cy'amazi yo mu bwonko (CSF) . CSF ni amazi asobanutse neza akikije ubwonko bwawe n'umugongo. Icyitegererezo cya CSF gisuzumwa muri laboratwari kugira ngo barebe niba hari uturemangingo tw'amaraso tw'umweru twinshi cyane, urugero rwa IgG ruri hejuru, cyangwa imigozi ya oligoclonal IgG muri CSF. Ibi bimenyetso by'ububyimbirwe bikunze kugaragara muri TM.
• Ibizamini by'amaraso: Muganga ashobora gutegeka ko hakorwa ibizamini byinshi by'amaraso kugira ngo arebe niba hari indwara zandura n'impamvu zifitanye isano n'ubudahangarwa bw'umubiri zishobora gutera indwara ya TM.

Bitewe n'impamvu ishobora gutera TM, hashobora gukorwa ibindi bizamini. Niba nta na kimwe muri ibi bizamini gishobora kubona impamvu yihariye, bifatwa nk'aho ufite idiopathic transverse myelitis.

Myelite ihinduranya (TM) ivurwa naUmeze ute ?

Hari intego nyinshi z'ingenzi mu kuvura indwara ya myelitis ihindagurika (TM):

• Niba bishoboka, vura icyateye TM (urugero: ubwandu).
• Kugabanya ububyimbirwe mu mugongo wawe.
• Kugabanya cyangwa kugabanya ibimenyetso nk'ububabare.
• Gukemura ibibazo by'igihe kirekire.

Mu kuvura TM, hatangwa ubuvuzi bw'igihe gito ku bijyanye n'ububyimbirwe n'icyabuteye, ndetse no gucunga ingorane zishobora guterwa na TM mu gihe kirekire.

Uburyo bw'igihe gito bwo kuvura indwara ya myelitis ihindagurika

Uburyo bwa mbere bwo kuvura indwara ya myelitis inyura mu mitsi ni glucocorticoids zo mu mitsi (IV) . Niba muganga wawe akeka ko afite TM, azatangira gukoresha glucocorticoids zo mu mitsi (IV) vuba bishoboka.

Glucocorticoids ni ubwoko bwa hormone ya steroid iri mu bwoko bw'imiti yitwa corticosteroids . Iyi ni imiti ikomeye irwanya ububyimbirwe kandi igakorana n'ubudahangarwa bw'umubiri wawe. Mu ndwara ya myelitis ifata imirasire y'umugongo, glucocorticoids ifasha kugabanya ububyimbirwe mu ruti rw'umugongo. Ushobora gukenera gufata iyi miti mu gihe cy'iminsi itatu kugeza kuri itanu, cyangwa irenga.

Ubundi buryo bwo kuvura TM bushobora kuba burimo:

• Uburyo bwo kuvura amaraso hakoreshejwe plasma (Plasmapheresis): Ubu buryo ni uburyo "busukura" amaraso yawe. Muri ubu buryo bwo kuvura, muganga wawe akura igice cy'amazi mu maraso yawe (plasma) akagisimbuza plasma iva ku muntu muzima cyangwa indi plasma isimbuza. Ibi bikuraho ubudahangarwa bw'umubiri n'izindi poroteyine zikekwaho kuba zitera indwara yo kubyimba. Ubu buryo bushobora gufasha abantu bafite TM bafite indwara ikomeye yo gukuraho myelin mu mitsi itarakira imiti ya glucocorticoid.
• Intravenous Immune Globulin (IVIG): Ubu ni uburyo bwo kuvura bukozwe mu buryo bw’umubiri. Butangwa binyuze mu mitsi. Ubu buryo bushobora gufatana n’umubiri usanzwe ufatwa nk’utera TM no kugabanya ingaruka zo kubyimba mu mugongo.
• Imiti igabanya ubudahangarwa bw'umubiri: Ku barwayi ba TM batakiriye neza glucocorticoids, plasma exchange, cyangwa IVIG treatments, abaganga bakoresha imiti nka rituximab na cyclophosphamide . Iyi miti ifite ubushobozi bwo kugabanya ubudahangarwa bw'umubiri.
• Imiti yo kuvura ibindi bimenyetso: Muganga wawe ashobora kukwandikira indi miti yo kuvura ibimenyetso nko kubabara, imitsi icikagurika, ibibazo by'inkari, cyangwa kwiheba .

Uburyo bwo kuvura indwara ya myelitis igendanwa mu gihe kirekire

Nyuma yo kuvurwa indwara ya transverse myelitis (TM) ikabije, uzakenera ubuvuzi bwo kuvura indwara yo kuvura indwara kugira ngo wongere ubushobozi bwawe bwo gukora no gukumira izindi ngorane zishobora guterwa na TM.

Nubwo kuvura indwara ziterwa na TM bidashobora gusubiza inyuma ingaruka mbi z’umubiri, bishobora gufasha abantu bafite ubumuga bukomeye kwigenga uko bishoboka kose no kubaho ubuzima bwiza uko bishoboka kose.

Uburyo bwo kuvura indwara ya myelitis ifata imirasire y'amaraso mu gihe kirekire bushobora kuba bukubiyemo:

• Gucunga imikorere y'inkari: Abantu barwaye TM bakunze kugira ibibazo by'inkari. Ibisubizo birimo kureka imibonano mpuzabitsina ku gihe, imiti, catheter z'udukingirizo, catheter isukuye ihoraho, n'imyenda y'imbere ifite amabati.
• Gucunga imikorere y'amara: Kurya impatwe ni ikibazo gikunze kugaragara ku bantu barwaye TM. Kirashobora gukemurwa hakoreshejwe indyo yihariye, ikoreshwa ry'ibintu bifasha mu koroshya umwanda n'imirire, ndetse no gutera imbaraga mu mitsi yo mu nda.
• Uburyo bwo kuvura ikibazo cy’imibonano mpuzabitsina: Imiti ikunze gutangwa cyane igabanya ubukana bw’imibonano mpuzabitsina ni sildenafil (`sildenafil` - Viagra®) , vardenafil (`vardenafil` - Levitra®) , na tadalafil (`tadalafil` - Cialis®) . Nubwo iyi miti idakora neza ku bagore, byagaragaye ko yongera imikorere y’imibonano mpuzabitsina.
• Kwirinda kwangirika k'uruhu no gukomereka k'umuvuduko (ibisebe byo ku buriri): Niba uruhu rwawe rufite umuvuduko mu gihe kinini, rushobora kwangirika. Kugira ngo wirinde ibi, ugomba guhindura aho uhagaze nibura buri minota 15. Intebe z'abamugaye zifite imbaraga zo kuruhuka cyangwa uburyo bwo kuzunguruka mu mwanya zishobora guhindura uburyo ibiro byawe bikwirakwizwa nabyo bishobora gufasha. Hari ubwoko butandukanye bw'imitako y'abamugaye ishobora kugabanya umuvuduko uba iyo wicaye.
• Gucunga imitsi idakora neza: Imyitozo yo kunanura imitsi no gukoresha imitsi ifata imitsi n'udupira bishobora gufasha mu gucunga cyangwa gukumira imitsi idakora neza. Imyitozo yo kongera imbaraga n'imitsi iruhura imitsi na byo bishobora gufasha.
• Gucunga imikorere y'umubiri: Abaganga b'umubiri bashobora gutanga imyitozo ngororamubiri kugira ngo bongere imikorere y'umubiri. Imfashanyigisho zo kugenda nk'inkoni, abagenda n'amaguru, imbago, n'amagare y'abamugaye zishobora kugufasha kwigenga kurushaho.
• Gucunga imirimo ya buri munsi: Abantu bafite TM bashobora kugorwa cyane no gukora imirimo ya buri munsi nko kwambara, kwiyuhagira, kwisukura no kurya. Ibiganiro n'ibikoresho byo kwihuza n'imikorere y'umubiri n'abaganga b'inzobere mu by'imyuga bishobora gufasha kubona uburyo bwo koroshya iyi mirimo no kuyikora neza kurushaho.
• Kugabanya ububabare: Ni ibisanzwe kugira ububabare nyuma yo kurwara TMJ. Ububabare bw'imitsi bushobora kuvurwa n'imiti igabanya ububabare itari steroide (NSAIDs) nka acetaminophen (Tylenol®) , naproxen (Naprosyn®, Alleve® cyangwa Motrin®) , cyangwa imiti ivura ubushyuhe n'ubukonje. Ububabare bw'imitsi bushobora kugorana kuvura. Imiti imwe n'imwe igabanya ububabare cyangwa imiti igabanya ububabare ishobora gufasha.
• Kubungabunga ubuzima bwo mu mutwe: Ihungabana rikunze kugaragara ku bantu barwaye TM. Niba ufite ibimenyetso by'ihungabana cyangwa izindi ndwara zo mu mutwe, ni ngombwa kubonana n'umuganga w'indwara zo mu mutwe cyangwa inzobere mu by'imitekerereze. Imiti ishobora kandi gufasha kuvura ihungabana.

Ese myelitis ihindagurika ishobora gukira?

Yego, myelitis ihindagurika (TM) ishobora gukira. Ariko, inzira yo gukira iratandukanye bitewe n'umuntu ku giti cye.

Gukira bivuye kuri TM bishobora kuba byuzuye, igice kimwe, cyangwa ntibibeho. Gukira akenshi bitangira mu mezi atatu uhereye igihe umuntu yavuwe bwa mbere. Abantu benshi bakira nyuma y'amezi atatu. Kuri bamwe, bishobora gufata amezi cyangwa imyaka kugira ngo bakire.

Hari abantu bakira indwara ya rubagimpande bafite ibibazo bike cyangwa ntibagire n’ibibazo by’igihe kirekire, mu gihe abandi bakira bafite ubumuga buri hagati cyangwa bukomeye.

Abantu bashobora kugabanuka amahirwe yo gukira ni:

• Abafite ibimenyetso byihuse .
• Abafite ibimenyetso bitaragabanuka mu mezi atatu kugeza kuri atandatu ya mbere bamaze kuvurwa no gukira.

Ni iki gipimo cy’indwara ya myelitis inyura ku ruhande (TM)?

Uko abantu barwaye myelitis ihindagurika/ihindagurika biratandukanye:

• Abantu bagera kuri 33% bakira indwara badahuye n'ibibazo by'igihe kirekire cyangwa ntibagire n'ingaruka mbi z'igihe kirekire.
• Abantu bagera kuri 33% bakira bafite ubumuga buri hagati y’amara n’amaguru.
• Abantu bagera kuri 33% bakira bafite ubumuga buhoraho, nko kuba ubumuga bw'ingingo.

Abantu benshi barwara myelitis ihindagurika rimwe gusa. Ariko, hari abantu bafite indwara ihishe inyuma, nka multiple sclerosis (MS), bashobora kugaruka (`(isubira)`). Niba ufite TM ifata uruhande rumwe rw'umubiri wawe gusa, ushobora kuba ufite amahirwe menshi yo kurwara MS mu gihe kizaza.

Nitwara nte, cyangwa umuntu urwaye myelitis ifata imirasire y'amaraso (TM)?

Niba ufite myelitis ifata imitsi, ni ngombwa kumenya neza ko ubona ubuvuzi bukwiye kugira ngo wirinde cyangwa uvure ibibazo bya TM, nk'ibibazo by'amara n'uruhago ndetse no kunanuka kw'imitsi.Ushobora kandi gutekereza kwinjira mu itsinda ry’abagufasha kugira ngo uhure n’abandi bashobora kwiyumvisha ibyakubayeho. Nanone, niba wumva wihebye cyangwa uhangayitse kubera TM, ni ngombwa gushaka ubufasha ku baganga b’inzobere mu by’imitekerereze cyangwa imitekerereze y’abantu.

Niba wita ku muntu urwaye TM, ni ngombwa ko umukorera ubuvugizi kugira ngo amenye neza ko abona ubuvuzi bwiza, ibikoresho byo kugenda, n'imiti izamufasha kwigenga kurushaho.

Bishobora kugorana wowe n'umuryango wawe kumenyera ingaruka zo mu mutwe no ku mubiri za TM. Mu ntangiriro zo gukira, ni ngombwa kwigisha umuryango wawe no gushyiraho gahunda yo guhangana n'ibibazo byo kwigenga.

Ni ryari nkwiye kujya kwa muganga ku bijyanye n'indwara ya myelitis ihindagurika (TM)?

Niba ubonye ibimenyetso bya myelitis ihindagurika, nko kunanirwa gutunguranye kandi gukomeye kw'imitsi no kubabara, jya kwa muganga uri hafi vuba bishoboka .

Niba warasanzwe urwaye indwara ya TM, ugomba guhura n'itsinda ry'abaganga buri gihe kugira ngo baguhe ubuvuzi kandi bakurikirane niba hari ingorane zishobora kubaho.

Gusobanukirwa indwara ya myelitis ihindagurika mu buryo bw'umubiri (TM) bishobora kugutera ubwoba. Ariko itsinda ry'abaganga rizaguha uburyo bukomeye bwo kuvura no gusubiza mu buzima busanzwe ibimenyetso byawe cyangwa iby'uwo ukunda. Ni ngombwa kumenya neza ko ubona urukundo n'ubufasha ukeneye mu rugendo rwawe rwo gukira, no gukomeza kuba maso ku bimenyetso bishya bishobora kuvuka.

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu ufite igitekerezo cyiza cy'icyo transverse myelitis (TM) ari cyo. Wibuke ko nubwo ari indwara idakunze kugaragara, ni ngombwa cyane gushaka inama kwa muganga vuba niba ubonye ibimenyetso.

Igikuru ni uko, niba ugize intege nke zitunguranye, ukagira ibinya cyangwa ufite ibibazo byo kugabanya inkari, ntubyirengagize. Shaka muganga ako kanya.

TM ishobora kugira impamvu nyinshi, kandi rimwe na rimwe nta mpamvu ishobora kuboneka. Ariko, iyo umuntu avuwe neza kandi agakira neza, abantu benshi bashobora gukira ku rwego runaka. Hari abantu bakira burundu.

Mu gihe ubana n'ikibazo nk'iki, ni ngombwa gukomeza kugira ubwenge bukomeye no gushyigikirwa n'umuryango wawe n'abaganga. Bityo rero, ntutinye kuvugana na muganga wawe ku mpungenge ushobora kuba ufite.

Myelite ihinduranya, TM, umugongo, indwara z'imitsi , ububyimbirwe, myelin, ibimenyetso, uburyo bwo kuvura