Kana munhu achirwara uye ari muchipatara aine mvura shoma mumuviri nemunyu, vanachiremba vanomupa saline kuti vatsive kushomeka kwemvura. Izvozvo zvakajairika. Asi waizviziva here kuti dzimwe nguva, kana sodium shoma mumuviri ikawedzera kamwe kamwe uye nekukurumidza, inogona kukuvadza uropi? Ndizvo zvatinodaidza kuti chirwere chisingawanzoitiki asi chakakomba chinonzi Central Pontine Myelinolysis. Kunyangwe zita racho rakaoma zvishoma, ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, mamiriro ezvinhu akadai akaita sei?
Ichi chirwere chine chekuita netsinga. Zviratidzo zvemagetsi zvinodiwa nemuviri zvinofamba nemumasero etsinga (neurons) muuropi hwedu. Kune chifukidziro chinofukidza masero aya etsinga. Tinochidaidza kuti myelin sheath . Chakafanana nepurasitiki yakakomberedza waya yemagetsi . Iyi myelin sheath ndiyo inobvumira zviratidzo zvemagetsi kufamba nekukurumidza uye pasina zvipingamupinyi.
Kukuvadzwa kweCentral Pontine Myelinolysis (CPM) kunoitika kana myelin sheaths munzvimbo chaiyo yeuropi, kunyanya pons, ikakuvara. Kukuvara uku kunogona kukanganisa mashandiro ezvikamu zvakasiyana-siyana zvemuviri.
Dzimwe nguva, muzviitiko zvinenge gumi muzana, kukuvara uku kunogona kukanganisa kwete maponi chete, asiwo zvimwe zvikamu zveuropi. Saka, chirwere ichi chinozivikanwa nezita rakasiyana. Iroro ndiro Osmotic Demyelination Syndrome (ODS) .
Dambudziko iri hariwanzoitika, asi zvakaonekwa kuti varwere vanosvika 2.5% vanopinda mumakamuri ekuchengetwa kwevarwere vane chirwere chepfungwa (ICUs) vari panjodzi yekubatwa nechirwere cheODS.
Chii chiri kukonzera mamiriro ezvinhu aya?
Chikonzero chikuru cheizvi ndechekuti kana huwandu hwesodium mumuviri (huri mumunyu watinodya) hwakaderera zvikuru, hunoerekana hwawedzera nekukurumidza . Njodzi iyi inonyanya kuwedzera kana huwandu hwesodium mumuviri hwave hwakaderera kwemazuva anopfuura maviri uye kurapwa kuri kuitwa.
Chinhu chakakosha ndechekuti, ichi hachisi chinhu chatinodya kana kunwa. Ichi chinhu chinogona kuitika muchipatara, kana sodium ikapinzwa mutsinga , kureva kuti, kuburikidza nesaline, sekurapa.
Funga nezvazvo nenzira iyi. Munhu anga achirutsa kwemazuva akawanda, kana kuti aine manyoka. Zvadaro, kwete mvura chete, asiwo munyu wakaita sesodium unorasika mumuviri wake. Pavanosvika kuchipatara, sodium yavo inenge yakaderera zvikuru. Iye zvino vanachiremba vari kuvapa saline kuti vaedze kudzoreredza sodium yavo pakuva yakajairika. Zvisinei, kana vasingazive zvimwe zvinhu zvine njodzi zviri mumurwere, vanogona kukwanisa kuwedzera sodium yavo nekukurumidza.
Kana izvozvo zvikaitika, mvura iri mukati memasero europi inongoerekana yabuda mumasero. Masero acho anoderera semazambiringa akaoma. Kuchinja uku kamwe kamwe ndiko kunokuvadza myelin sheaths yatataura.
Ndiani ari panjodzi huru?
Havasi vese vanowana chirwere ichi kana huwandu hwesodium muropa ravo hukakwira nekukurumidza, asi vamwe vanhu vari panjodzi huru.
| Boka renjodzi | Tsananguro |
|---|---|
| Vanhu vakapindwa muropa nedoro | Kushaikwa kwezvekudya zvinovaka muviri uye kusaenzana kwemunyu zvakajairika muvanhu vanonwa doro kwenguva yakareba. |
| Varwere vanoisirwa chiropa | Njodzi iyi yakanyanya kukwira kune avo vakambovhiyiwa chiropa. |
| Hyperemesis panguva yekuzvitakura | Hyperemesis Gravidarum, chirwere chekurutsa nguva dzose panguva yekuzvitakura, chinogona kukonzera kudzikira kwakanyanya kwemunyu mumuviri. |
| Zvirwere zvenguva refu | Chero chimwe chirwere chipi zvacho chinogara kwenguva refu chinopedza simba muviri kana kukonzera kushaya chikafu chinowedzera njodzi yacho. |
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinowanzotanga kuoneka mukati memazuva maviri kusvika matatu mushure mekugadzirisa huwandu hwesodium mumuviri. Pane zviratidzo zvinoonekwa nekukurumidza, pamwe nezviratidzo zvinoonekwa mavhiki anotevera.
| Zviratidzo zveCPM | |
|---|---|
| Zviratidzo zvekutanga (mukati memazuva maviri kusvika matatu) | |
| |
| Zviratidzo zvinogona kuoneka gare gare (mushure memavhiki mashoma kana mwedzi) | |
|
Asi musatya. Kunyangwe pakutanga huwandu hwevakafa hwaifungidzirwa kuti hwakakwira, izvozvo zvakazoonekwa nekuongorora chitunha. Sekureva kwedata idzva, 94% yevanhu vanorwara nechirwere ichi vanorarama . Uyewo, pakati pe25% ne40% yavo vanopora zvachose . Zvisinei, pakati pe25% ne30% vanogona kusara vaine hurema hwechigarire.
Vanachiremba vanozviwana sei izvi?
Nzira yakanakisisa yekuongorora chirwere ichi ndeyekushandisa MRI (Magnetic Resonance Imaging scan) . Chiremba wako achatarisa mifananidzo yeMRI yeuropi hwako uye achaongorora shanduko dzakati wandei dzinoratidza kukuvara kwe myelin sheaths.
Dzimwe nguva kukuvara uku hakuonekwi paMRI nekukasika, saka chiremba wako anogona kukukumbira kuti uite imwe MRI muvhiki imwe kana maviri.
CPM inogona kutaridzika semamwe mamiriro ezvinhu akawanda pamifananidzo yeMRI. Saka, vanachiremba vanongwarira zvikuru kuti vasavhiringidze chirwere ichi nezvirwere zvinotevera.
- Multiple Sclerosis
- Kuzvimba kweuropi (autoimmune kana infectious encephalitis)
- Kukuvara kwetsinga dzepakati
- Mamwe marudzi egomarara
Kana MRI yoga ikasakwanisa kuratidza kukuvara kwacho zvakajeka, chiremba achaita bvunzo yetsinga yakadzama. Izvi zvinogona kusanganisira bvunzo dzinoyera masaini emagetsi muuropi, senge EEG (electroencephalography).
Nzira yekurapa nayo? Kudzivirira ndiyo yakanakisisa!
Kutaura zvazviri, mushonga mukuru weCentral Pontine Myelinolysis ndekudzivirira kuti chirwere ichi chisaitike .
Zvakakosha zvikuru kuzivisa timu yako yezvekurapa nezve chero zvinhu zvine njodzi zvaunazvo (semuenzaniso, kana ukanwa doro, kana uine zvimwe zvirwere) kuitira kuti vagone kuwedzera huwandu hwesodium mumuviri wako zvakachengeteka uye zvishoma nezvishoma.
Kana ukava nechirwere ichi, kurapwa kunoenderana nezviratidzo zvauri kuona. Kazhinji, zvinoda mwedzi yakawanda yekurapwa kwemuviri uye mamwe marapirwo ekuvandudza muviri.
Kana ukava nezviratidzo zvakafanana nechirwere cheParkinson, zvakaita sekutetemeka, chiremba wako anogona kukupa mishonga yedopaminergic .
Munguva yaunogara muchipatara, kudzivirira mamwe matambudziko echipiri chikamu chakakosha chekurapa. Chikwata chekurapa chichagara chichitarisa zvinhu zvakaita se:
- Kuvimba nemuchina wekufema
- Utachiona hwemunzira yeweti
- Chirwere chemabayo
- Kugwamba kweropa mutsinga (Deep vein thrombosis)
- Kupera kwetsandanyama
Kune kunyange miedzo yekiriniki iri kuitwa yechirwere ichi, uye chiremba wako anogona kukurudzira imwe.
Mharidzo Yekuenda Nayo Kumba
- Central Pontine Myelinolysis (CPM) chirwere chakakomba chinokonzerwa nekukuvara kwe myelin sheaths muuropi nekuda kwekuwedzera kamwe kamwe uye nekukurumidza kwehuwandu hwakaderera hwe sodium (munyu) mumuviri.
- Mushonga wakanakisisa weizvi kudzivirira . Usati wawana chero kurapwa, udza chiremba wako nhoroondo yako yese yekurapa, kunyanya nezvekushandisa doro kana zvimwe zvirwere.
- Kana chirwere ichi chikaitika, mikana yekupona yakakura, asi kupora zvizere kunogona kutora nguva yakareba, kusanganisira physiotherapy.
- Kana iwe kana mumwe munhu waunoziva akasangana nezviratidzo izvi, kunyanya mushure mekurapwa nesodium muchipatara, zivisa chiremba nekukasika.
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