Ngaba uyazi ngale monakalo kwi-cervical spinal cord? (Central Cord Syndrome - CCS) Masithethe ngale nto!

Ngaba wakha waziva ngathi uza kufa isiqaqa? Mhlawumbi kwenzeke emva kokuwa kancinci okanye ukubetheka kakhulu entanyeni. Namhlanje siza kuthetha ngemeko enokubangela iimpawu ezifanayo, ingakumbi xa ibangelwa kukonakala kwenxalenye ephakathi yomqolo entanyeni yethu . Oogqirha babiza le nto ngokuba yiCentral Cord Syndrome , okanye i-CCS . Ungakhathazeki, masiyichaze ngokulula.

Yintoni kanye kanye iCentral Cord Syndrome?

Ngamafutshane, i-'CCS' kukonakala kwe-'cervical spinal cord' entanyeni yakho, i-nerve cord ephambili edlula emqolo wakho, kanye embindini . Cinga ngayo, i-spinal cord ithwala imiyalezo esuka ebuchotsheni iye emzimbeni wethu wonke. Ngoko ke xa le ndawo iphakathi yonakele, ukuhamba kwale miyalezo kuyaphazamiseka.

Kule meko, imithambo-luvo eya ezandleni ichaphazeleka kakhulu. Ngenxa yoko, ubuthathaka kunye nokungaziva mnandi kunokwenzeka ezandleni. Ngamanye amaxesha, esi siphumo sinokuchaphazela nemilenze kakhulu okanye kancinci. Kodwa uninzi lwexesha, zizandla ezichaphazeleka kakhulu.

Oku kukwabizwa ngokuba kukulimala komqolo okungaphelelanga . Oku kuthetha ukuba ayinguye wonke umntu onesi sifo okhubazekileyo ngokupheleleyo. Oku kuthetha ukuba ayingawo onke amalungu omzimba akhubazekileyo. Inqanaba elithile lomsebenzi lisenokusala.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Le meko ibizwa ngokuba yi-'CCS' idla ngokubangelwa kukwenzakala ngequbuliso entanyeni . Khawuthelekelele, ukuba amathambo amancinci '(i-vertebrae)' entanyeni yakho onakele , inokubangela uxinzelelo olukhulu kumqolo kwaye ibangele i-'CCS'.

Lo mngcipheko uphezulu kakhulu kubantu abaneminyaka engaphezu kwama-50 ubudala abane-arthritis entanyeni . Oku kungenxa yokuba banokuba nokuncitshiswa komjelo womqolo entanyeni (spinal stenosis). Abantu abanjalo banamathuba amaninzi okulimala entanyeni nokuba bawile kancinci.

Khawucinge nje, indoda endala kwilali yethu, mhlawumbi ibinentlungu encinci yentamo (i-arthritis) ixesha elide. Ukuba ngenye imini iyatyibilika ize iwe ngelixa ihamba ebaleni, ize intamo yayo ibethwe kancinci, oku kubizwa ngokuba yi-"Central Cord Syndrome" kunokukhula.

Ukongeza, kunqabile kakhulu ukuba i-CCS ibangelwe ziithumba ezisembindini womthambo womqolo, iingxaki zemithambo yegazi, okanye imingxunya egcwele ulwelo kumthambo womqolo (i-syringomyelia) .

Yintoni i-Acute Central Cord Syndrome?

I-CCS ebukhali kukuqala kwe-CCS ngequbuliso . Oku kudla ngokubangelwa kukwenzakala kwe-hyperextension apho intamo yakho igoba ngequbuliso ngasemva.Njengokuba ungena ngequbuliso emotweni uze uphoswe yintamo ngasemva, ingozi ye-"whiplash" inokonakalisa umbindi womqolo.

• Iingozi zeemoto
• Ukuwa (ukuwa usuka kwindawo ephakamileyo, ukutyibilika)

Le meko 'ye-Acute CCS' inokubangelwa ziingozi ezifana. Njengoko bekutshiwo ngaphambili, kunqabile, nokuba akukho ngozi, inokubangelwa ziithumba, iingxaki zemithambo yegazi, okanye imingxunya embindini wentambo yomqolo.

Ixhaphake kangakanani le meko?

Enyanisweni, le 'CCS' luhlobo lokulimala komqolo okungaphelelanga oluxhaphakileyo kumazwe afana ne-United States. Inani elikhulu lezigulana ezintsha ezineengozi zomqolo ziyaxelwa minyaka le. NaseSri Lanka, kukho abantu abalaliswa esibhedlele ngenxa yeengozi ezinjalo.

Kwenzeka ntoni kuwe xa une-Central Cord Syndrome (CCS)?

Kwimeko ye-'CCS', imiyalezo yemithambo-luvo ephakathi kwengqondo yakho kunye namalungu omzimba wakho angaphantsi kwendawo yokwenzakala iyavalwa . Ngamafutshane, imiyalezo evela engqondweni yakho efana nokuthi "shukumisa ingalo yakho" kunye nokuthi "phakamisa umlenze wakho" ayifiki kwiindawo ezifanelekileyo.

Oku kuchaphazela ngakumbi inxalenye yenkqubo yemithambo-luvo elawula intshukumo yakho, "i-cortical spinal tract." Inkqubo yemithambo-luvo ehamba phantsi kwi-spinal cord yethu icwangciswe kakuhle. Imithambo-luvo eya ezingalweni ingaphakathi kwi-spinal cord, kwaye imithambo-luvo eya emilenzeni ingaphandle. Ngoko ke, xa inxalenye ephakathi ye-spinal cord yonakele, imithambo-luvo eya ezingalweni inokonakala ngakumbi kunemithambo-luvo eya emilenzeni.

Ngoko ke,

• Ubuthathaka, ukungakhululeki ezandleni
• Ukuba ndindisholo
• Usenokuba nobunzima bokuhamba.

Zeziphi iingxaki ezinokubangela oku?

Abanye abantu banokufumana ezinye iingxaki nge-CCS, kuquka:

• Iingxaki zesinyi : Ukungakwazi ukulawula ukuchama okanye ukungakwazi ukuphuma komchamo.
• Iingxaki zamathumbu : Ukungakwazi ukulawula ukuhamba kwamathumbu.
• Amahlwili egazi emithanjeni yabo : ingakumbi emilenzeni.
• Iingxaki zokuphefumla : Ukuba inxalenye engentla yentamo yonakele.
• Uxinzelelo lwegazi oluphantsi .
• Ukuba ndindisholo kunye nobuthathaka : Olu luphawu oluphambili.
• Ukuxinana kwemisipha: Ilungu liba lukhuni kwaye kube nzima ukugoba okanye ukululula.
• Uxinzelelo lwegazi oluphezulu ngequbuliso (i-autonomic dysreflexia) : Le yimeko eyingozi kwaye ifuna unyango olukhawulezileyo.

Yintoni ebangela oku?

Eyona nto ixhaphakileyo ebangela i-CCS kukukhuhlana kwentamo ngequbuliso komntu one-cervical spinal canal stenosis.Ingozi eyenzeka ngenxa yoku. Umzekelo, xa umntu omdala ewa ngobuso phantsi kwaye intamo yakhe iqhekeka umva, oku kunokwenzeka ngexesha elinje.

Zithini iimpawu?

Kwi-CCS, imiqondiso yemithambo-luvo phakathi kwengqondo nomqolo iyavalwa, nto leyo ebangela iimpawu ezahlukeneyo. Uphawu oluphambili lwale meko kukungabikho kwemiqondiso yemithambo-luvo ezandleni nasezingalweni .

Iimpawu zihlala zibonakala ezandleni nasezingalweni ngenxa yemiqondiso yemithambo-luvo evalekileyo, kodwa ngamanye amaxesha zinokuchaphazela nemilenze. Unokufumana izinto ezifana nezi:

• Intlungu ebuhlungu : ezingalweni, ngamanye amaxesha emilenzeni.
• Ukutsha : Abanye abantu baziva ngathi bafuna ukutsha.
• Ukurhawuzelela : Kuvakala ngathi kukuthuthumela ngombane okwethutyana, yiloo ndlela okuvakala ngayo.
• Ukungakwazi ukwenza iintshukumo ezincinci ngezandla zakho (izakhono zokunyakaza ezicothayo) : Umzekelo, kunokuba nzima ukuqhobosha ihempe, ukubamba ipeni, okanye ukubamba ikomityi.
• Ukuba ndindisholo ezandleni okanye ezingalweni zakho .
• Ukukhubazeka okanye ubuthathaka .
• Ukuxinana kwemisipha .
• Ubunzima bokuhamba .

Ezi mpawu zixhomekeke kwimeko yakho okanye ubukhali bokwenzakala. Abanye abantu banokulahlekelwa ziimvakalelo ngaphantsi kwendawo yokwenzakala baze bangakwazi ukuzibamba umchamo. Abanye basenokungakwazi ukuhamba kwaphela okanye babe neengxaki zokuhamba.

Oogqirha bayixilonga njani le nto?

Xa ubona ugqirha onezi mpawu, uya kuqala enze uvavanyo lomzimba . Uya kukubuza nangembali yakho yezonyango kunye nazo naziphi na iingozi oye wazifumana.

Emva koko, oogqirha benza iimvavanyo ezikhethekileyo ezininzi ukuqinisekisa ukuxilongwa ngokuchanekileyo kwe-CCS. Ezi zezi:

• I-CT scan : Oku kungasetyenziselwa ukubona ukuba kukho umonakalo emathanjeni entanyeni na nokuba umjelo womqolo unciphile na.
• I-Electromyogram (EMG) : Oku kulinganisa indlela imiyalezo ehamba ngayo kwimithambo-luvo kunye nomsebenzi wezihlunu.
• I-MRI Scan : Le yeyona ndlela ilungileyo yokubona ngokucacileyo umonakalo kwintambo yomqolo, njengemibhobho, ii-cysts, kunye nemingxunya.
• I-X-reyi : Oku kungasetyenziselwa ukubona indawo amathambo entamo kunye nokuqhekeka kwawo.

Ukongeza, oogqirha banokwenza uvavanyo olukucela ukuba ugobe kwaye wolule intamo yakho ukuze babone ukuba ungayishukumisa kangakanani.

Zithini iindlela zonyango?

Unyango lwe-CCS luxhomekeke kwisizathu sengozi kunye nohlobo lomonakalo. Kukho unyango olungelulo utyando kunye nonyango olungelulo utyando.

Unyango olungelulo utyando

Unyango lokuqala oza kulizama lu:

• Ukungakwazi ukuhamba : Oku kungabandakanya ukubeka ikhola eqinileyo entanyeni yakho. Unganikwa nee-splint ukuze ugcine iingalo zakho zikwindawo efanelekileyo .
• Amayeza : Amayeza anjengee-steroids anokunikwa ukunciphisa iintlungu nokudumba.
• Unyango lomsebenzi : Oku kubaluleke kakhulu. Kule meko, iingcali ziyakunceda ukuba wenze imisebenzi yakho yemihla ngemihla ngale meko. Umzekelo, ukuba unengxaki yokunxiba ihempe ngenxa yemithambo-luvo exineneyo, ziya kukufundisa iindlela ezilula zokwenza oko, okanye ziya kukufundisa ngezixhobo ezizilungelelanisayo onokuzisebenzisa. Ziya kukunceda ubuyisele ubomi bakho esiqhelweni.
• Unyango lomzimba : Oku kubandakanya ukuzilolonga ukuze womeleze amandla kunye nokuguquguquka kwamalungu akho. Unganikwa nezixhobo zokukunceda uhambe ukuba unengxaki.

Khumbula, okukhona olu nyango luqala ngokukhawuleza, kokukhona amathuba okuchacha aphezulu.

Ngaba ndiza kufuna utyando?

Kwezinye iimeko, utyando lunokufuneka. Ezi ziquka:

• Ukuba une "intambo yomqolo ecinezelweyo" , oko kukuthi, ukuba kukho uxinzelelo kwintambo yomqolo, yikhulule.
• Ukuba umqolo wakho wesibeleko uhamba ngendlela engaqhelekanga okanye awukwazi ukuthwala ubunzima (awuzinzanga).
• Ukuba kukho ithumba, ukungasebenzi kakuhle kwemithambo yegazi, okanye umgodi (i-cavitation) kwintambo yomqolo.

Iqela lezonyango liza kugqiba ukuba uyalufuna na utyando okanye akunjalo.

Kuza kuthatha ixesha elingakanani ukuchacha? (Ukuchacha)

Abantu abafumana unyango ngokukhawuleza emva kwengozi banamathuba amaninzi okubuyela kwizinga elithile lokusebenza kwemithambo-luvo. Nangona kunjalo, ukuchacha kunokuba kancinci kubantu abangaphezu kweminyaka engama-65 ubudala , kwaye kusenokungaphelelanga. Kuyahluka kumntu nomntu.

Ungayinciphisa njani le ngozi? (Ukuthintela)

Akukho ndlela iqinisekileyo yokuthintela i-CCS ebukhali, eyenzeka ngequbuliso emva kokwenzakala entloko. Nangona kunjalo, kukho izinto onokuzenza ukukhusela umqolo wakho ekwenzakaleni:

Ukunciphisa umngcipheko we-Acute Central Cord Syndrome (i-Acute CCS):

• Ukuze unciphise umngcipheko wokuwa , chonga iindawo ezityibilikayo neziyingozi ekhayeni lakho kwaye uzikhusele kuzo.
• Lumka ngokhuseleko xa usebenza kwiileli nakwiindawo eziphakamileyo.
• Nxiba izixhobo zokuzikhusela (umz. isigcina-ntloko) xa udlala imidlalo kunye nemisebenzi yomzimba.

Ukuthintela i-Cervical Spinal Stenosis:

Nangona oku kunokwenzeka ngokuhamba kweminyaka, kubalulekile ukuba sinyamekele umqolo wethu kakuhle:

• Zilolonge rhoqo .
• Lumka ngendlela ohlala ngayo nolala ngayo . Musa ukuhlala ngendlela engafanelekanga.
• Ukuze ukhusele umqolo wakho xa uphakamisa iintsimbi, ziphakamise ngokuchanekileyo.
• Hlala usempilweni .

Ndifanele ndimbone nini ugqirha?

Ukuba wonzakele kakhulu okanye ube sengozini, funa ingcebiso kagqirha ngoko nangoko . Ingakumbi,

• Ukuba kunzima ukushukumisa iingalo okanye imilenze yakho,
• Ukuba uziva ungenamandla okanye ubuthathaka,

Yiya esibhedlele ngoko nangoko, kuba unyango olukhawulezileyo lubaluleke kakhulu kwiimeko ezinje.

Yintoni endinokuyilindela ukuba ndineCentral Cord Syndrome (CCS)? (Ingxaki yokuxela kwangaphambili)

Uninzi lwabantu abane-CCS luphinda lufumane umgangatho othile wokusebenza kwemithambo-luvo. Ukuba i-CCS ichaphazele imilenze yakho kunye nenkqubo yomchamo, ungabona uphuculo kwezo ndawo kuqala. Nangona kunjalo, kungathatha ixesha elide ukuba imiqondiso yemithambo-luvo ibuyele esiqhelweni ezandleni zakho .

Akukho nyango lwe-CCS, kwaye iziphumo ziyahluka kumntu nomntu. Abanye abantu baphinda basebenze ngokupheleleyo ezingalweni zabo, ezandleni nasemilenzeni, kodwa abanye banokuba nobunzima bokwenza iintshukumo zezandla ezintle ubomi babo bonke.

Ixesha lokuchacha alifani kumntu wonke. Kuxhomekeke kwiminyaka yakho kunye nobunzima bokwenzakala okanye imeko . Ngokubanzi, abantu abangaphezu kweminyaka engama-50 bathatha ixesha elide ukuchacha kunabantu abancinci.

Ndingazinyamekela njani? (Ukuzinyamekela)

Ukuba une-CCS, thetha nogqirha wakho ukuze ufunde okungakumbi malunga nokuba ungalindela ntoni kwaye ungenza njani. Njengoko bekutshiwo ngaphambili , unyango lomsebenzi kunye nonyango lomzimba lunokukunceda uhlale uqinile kwaye uphuhlise amaqhinga okujongana nemisebenzi yemihla ngemihla enzima.

Eyona nto ibalulekileyo kukuhlala uqinile, ulandele iingcebiso zonyango, kwaye uthathe inxaxheba ngokupheleleyo kwiinkqubo zokubuyisela impilo yakho kwimeko yesiqhelo.

Umyalezo Wokuya Ekhaya

I-Central cord syndrome (CCS) yimeko ebangelwa kukonakala komqolo entanyeni yakho (umqolo wesibeleko). Oku kuchaphazela imiyalezo yemithambo-luvo ehamba iye emalungeni akho, ingakumbi ezandleni zakho. Oogqirha banokusebenzisa unyango olungelulo utyando kunye notyando ukunceda ukubuyisela imvakalelo kunye nokusebenza kwiingalo zakho, izandla, kunye nemilenze. Ukuxilongwa kwangoko kunye nonyango kwandisa amathuba akho okuchacha. Ke ngoko, ukuba ufumana ukungakhululeki okanye ubuthathaka emalungeni akho emva kokwenzakala entanyeni, funa uncedo lonyango ngokukhawuleza.

I- Central Cord Syndrome, i-CCS, i-Spinal Cord, iingxaki zentamo, ukungaziva, iingxaki ze-Neurological, umqolo, ukungaziva, i-Whiplash