Dzimwe nguva unonzwa chiveve kana kuti usina hupenyu mumaoko ako nemakumbo pamwe chete nemutsipa kana musana zvinorwadza here? Dzimwe nguva unonzwa sekunge uri kurasikirwa nemwero wako paunenge uchifamba here, kana kuti unoomerwa nekuita mabasa akaomarara, akadai sekusunga mabhatani ehembe? Kana uine zviratidzo izvi, chikonzero chingave chakakomba kupfuura zvaunofunga. Nhasi tiri kutaura nezvechirwere chinonzi ' myelopathy ' chinokonzera zviratidzo izvi.
Chii chinonzi Myelopathy?
Zvichitaurwa zviri nyore, myelopathy chirwere chinoitika kana musana wedu wamanikidzwa . Funga nezvazvo, musana itambo yetsinga inokosha kwazvo inomhanya kubva muuropi hwedu kusvika kumusana wedu. Yakafanana ne'tambo' huru yemuviri wedu. Mashoko anobva kuuropi anotakurwa kuenda kumuviri wese, kusanganisira nhengo dzemuviri, uye manzwiro emuviri anotakurwa kudzokera kuuropi kuburikidza netambo iyi yemusana. Kudzivirira 'tambo' iyi inokosha, kune chifukidziro chakagadzirwa nemapfupa, cartilage, uye tishu dzakaipoteredza, chinonzi spinal canal .
Kana, nekuda kwechimwe chikonzero, nzvimbo iri mukati memugero uyu wemusana ikanyanya kusimba uye tambo yemusana ikatanga kudzvanywa, kutaurirana kwemashoko kunokanganiswa. Ndizvo zvatinodaidza kuti myelopathy.
Vanhu vazhinji vanovhiringidza mamiriro maviri aya e myelopathy ne myopathy . Asi maviri aya akasiyana zvachose. Myelopathy chirwere chinokanganisa tsinga dziri mumusana . Myopathy chirwere chinokanganisa tsandanyama .
Myelopathy yakakamurwa kuita mhando dzakasiyana-siyana zvichienderana nekuti inobatwa kupi mumusana.
| Rudzi rwe myelopathy | Nzvimbo yakabatwa |
|---|---|
| Myelopathy yemumuromo wechibereko | Kukanganisa musana munharaunda yemutsipa. (Uyu ndiwo rudzi rwakajairika.) |
| Myelopathy yechipfuva | Padanho rechipfuva, zvichireva kuti musana uri pakati nepamusana wepamusoro unokanganiswa. |
| Lumbar Myelopathy | Kukanganisa musana wepazasi. Ichi chirwere chisingawanzoitiki nekuti musana hauwanzo dzikama seizvi. |
Ndezvipi zvinokonzera myelopathy?
Pane zvikonzero zvakawanda zvinoita kuti musana uome. Zviviri zvezvikonzero zvikuru zvirwere zvinonzi arthritis ne spondylosis . Izvi zvinokonzerwa nekuoma kwemusana wedu, kana kuti vertebrae, sezvatinokura. Kuoma kwemusana uku kunogona kuchinja chimiro chemapfupa uye kutetepa kwemusana. Dambudziko rinowanzoitika kunyanya mumutsipa rinonzi Cervical Spondylotic Myelopathy .
Mukuwedzera, kune zvimwe zvikonzero:
- Kusvuuka kwepfupa: Chidimbu chidiki chepfupa chinogona kubuda kubva pamutsipa wepfupa chodzvanya musana kana tsinga dzinobuda pairi.
- Njodzi: Kukuvara kwemusana kunogona kuitika kamwe kamwe nekuda kwekukuvara kwemusana, sekudonha kana tsaona yemotokari. Tinodaidza izvi kuti acute myelopathy .
- Zvimwe zvirwere: Zvirwere zvinoderedza mashandiro etsinga dzakadai serheumatoid arthritis , spinal bundu, kana chirwere cheParkinson zvinogonawo kukonzera kuti myelopathy ikure zvishoma nezvishoma nekufamba kwenguva. Izvi zvinonzi chronic myelopathy .
Ndezvipi zviratidzo zve myelopathy?
Zviratidzo zve myelopathy zvinokura zvishoma nezvishoma. Kunyangwe zvingava zvishoma pakutanga, zvinogona kuwedzera nekufamba kwenguva. Zviratidzo zvikuru zvaunogona kuona ndeizvi:
- Kurwadziwa mumutsipa, kumusana, mumaoko, kana makumbo.
- Kunzwa kusanzwa, kutsva, kana kurasikirwa nemanzwiro mumakumbo.
- Kurasikirwa nepfungwa dzakanaka paunenge uchifamba, kunzwa sekunge uri kuzununguka.
- Kuomerwa nekubatanidza kufamba kwemuviri.
- Kuomerwa nekuita mabasa emaoko akanaka , akadai sekunyora, kusungira mabhatani ehembe, kana kusunga tambo dzeshangu.
- Kunzwa kusanzwa simba uye kushaya simba mumaoko nemakumbo.
- Sezvo chirwere ichi chichienderera mberi, unogona kuita weti isingadzoreki uye kuita tsvina .
Kana uine zviratidzo izvi, usazviregeredza . Zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.
Ungaongorora sei myelopathy nemazvo?
Paunoenda kunoona chiremba wako, chinhu chekutanga chaachaita kuteerera zviratidzo zvako uye kuongorora muviri. Mushure meizvozvo, vanogona kukurudzira bvunzo dzinoverengeka kuti vasimbise chirwere uye kubvisa zvimwe zvirwere.
| Kuongororwa kwechiremba | Chii chinotarisirwa kubva pazviri? |
|---|---|
| Kuongorora X-ray | Tarisa zvimwe zvinetso zvakaita sekutyoka kana kutyoka kwemusana. |
| Kuongororwa kweMRI (Magnetic Resonance Imaging) | Iyi ndiyo bvunzo yakanakisisa. Unogona kuona zvese zvakajeka, kusanganisira musana, tsinga, uye madhisiki ari pakati pemapfupa emusana. Unogona kuziva kuti musana uri kupi uye kuti wakamanikidzwa zvakadii. |
| Kuongororwa kwemyelography | Bvunzo iyi inoitirwa vanhu vasingakwanise kupinda mumuchina weMRI (semuenzaniso, avo vane pacemakers). Chinhu chakakosha chinoiswa mumusana uye X-rays chaiyo (fluoroscopy) inoshandiswa kuona nzvimbo dzine matambudziko mumusana. |
| Miedzo yeMagetsi | Miedzo yakaita se electromyogram (EMG) inoongorora mashandiro etsinga uye kuti tsandanyama dzinopindura sei kwadziri. |
Ndeipi mishonga yekurapa myelopathy?
Kurapwa kunoenderana nerudzi rwe myelopathy yaunayo, chikonzero chayo, uye kuoma kwezviratidzo zvako.
Kurapa Kusiri Kwekuvhiya
Muzviitiko zvepakutanga kana kana zviratidzo zvisina kunyanya kuipa, chiremba wako anogona kukurudzira kurapwa kusingashandisi kuvhiyiwa.
- Kurapa Kwemuviri: Maekisesaizi aya anobatsira kusimbisa tsandanyama dzemusana nemutsipa uye kuderedza kumanikidzwa kwemusana.
- Chishongedzo chemutsipa: Izvi zvinobatsira kuderedza kufamba kwemutsipa, kuderedza marwadzo, uye kudzivirira kuti chirwere chisanyanya kuipa.
- Mishonga: Mishonga inouraya marwadzo yakaita seNSAIDs (Non-steroidal anti-inflammatory drugs) inopiwa kuderedza marwadzo nekuzvimba. Dzimwe nguva, kana marwadzo acho akanyanya, majekiseni esteroid anopihwa zvakananga kunzvimbo yakakanganiswa.
Kurapa Kwekuvhiya
Kana zviratidzo zvacho zvakanyanya, kunyanya kana paine kurasikirwa nedundira kana ura, kana chimwe chinhu chakaita sebundu kana chidimbu chepfupa chichifanira kubviswa, kuvhiyiwa ndiyo mhinduro yakanakisisa. Kuvhiyiwa kunogona kuderedza kumanikidzwa kwemusana uye kupa zororo risingaperi.
| Zita rekuvhiyiwa | Chii chinongoitika |
|---|---|
| Kuvhiyiwa kweLaminectomy | Chikamu chepfupa remusana (lamina) chiri kukonzera kudzvanywa kwemusana chinobviswa, zvichiita kuti musana urambe wakasununguka. |
| Laminoplasty | Pasina kubvisa pfupa zvachose, hinge inogadzirwa kune rumwe rutivi, zvichiita kuti pave nenzvimbo yakaita sekuvhura gonhi. Izvi zvinoitirwa mapfupa emutsipa chete. |
| Kusanganiswa Kwemusana | Magumbo maviri kana anopfuura anosungirirwa pamwe chete, zvichiita kuti musana ugare zvakanaka. Izvi zvinoderedza marwadzo zvakanyanya. |
Kupora mushure mekurapwa
Chinhu chinonyanya kukosha mu myelopathy kuziva chirwere ichi nekukurumidza uye kutanga kurapwa . Nekuti kana musana wakamanikidzwa zvakanyanya, kukuvara kusingagadzirisiki kwetsinga kunogona kuitika.Zvinogona kuitika. Saka, pane mukana wekuti kunyange kufamba kwemakumbo kunogona kurasika zvachose. Saka, kana uine zviratidzo zvataurwa munyaya ino, usatya, uye ona chiremba kuti uzive nezvazvo. Nekurapwa nekukasika, hupenyu hwako hunogona kuchengetedzwa zvakanaka.
Mharidzo Yekuenda Nayo Kumba
- Myelopathy harisi dambudziko retsandanyama, asi dambudziko retsinga rinokonzerwa nekumanikidzwa kwemusana.
- Usafuratira zviratidzo zvakaita sekurwadziwa kwemutsipa kana musana pamwe nekunzwa kusanzwa, kushaya simba, kunetseka kufamba, kana kuoma kuita mabasa emaoko.
- Kana uine chimwe chezviratidzo izvi kana kupfuura, enda kuna chiremba nekukurumidza kuti akupe mazano.
- Kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira kukuvara kwetsinga zvachose.
- Zvichienderana nechikonzero uye kuoma kwacho, kune nzira dzinoshanda dzekurapa kubva pakurovedza muviri nemishonga kusvika pakuvhiyiwa.
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