Ingaba une-cyst ngaphakathi komqolo wakho? (Syringomyelia) Masifunde ngayo.

Ngaba ngamanye amaxesha uziva iintlungu zomqolo, ukungaziva kakuhle ezandleni zakho, okanye ubunzima bokuhamba? Abanye abantu bacinga ukuba ezi zizinto eziqhelekileyo, kodwa emva kwezi mpawu kunokubakho isifo esinzulu. Namhlanje siza kuthetha ngemeko engaqhelekanga echaphazela umqolo wethu. Loo nto yi -syringomyelia .

Yintoni iSyringomyelia?

Ngamafutshane, iSyringomyelia yimeko apho ingxowa egcwele ulwelo (ebizwa ngokuba yisyrinx) yakheka ngaphakathi kwintambo yakho yomqolo . Cinga ngayo, intambo yomqolo idlula kumqolo wakho. Le ntambo yomqolo ifana 'nesithunywa' esithwala imiyalezo esuka engqondweni yakho iye kuwo wonke umzimba wakho, kwaye isuka emzimbeni wakho ibuyele engqondweni yakho. Ngoko ke, le 'syrinx' inokuba nkulu kwaye ibe yinde ngokuhamba kwexesha. Kwenzeka ntoni xa oko kusenzeka? Intambo yomqolo iqala ukonakala. Imicu yemithambo-luvo ethwala loo miyalezo iyancitshiswa kwaye yonakale.

Yintoni le nto ilulwelo?

Ulwelo olungaphakathi kwesi siva lubizwa ngokuba yiCerebrospinal Fluid (CSF) . Olu lwelo, olubizwa ngokuba yiCSF, luhlala lujikeleza ubuchopho bethu kunye nomqolo ukuze luzikhusele. Lufana nezinto ezifunxa uloyiko emotweni. Ayipheleli apho, kodwa nemingxunya engaphakathi kwengqondo yethu (ebizwa ngokuba yiVentricles) nayo izaliswe yile CSF. Le mingxunya iqhagamshelwe kumjelo omncinci (iCentral Canal) ohamba ecaleni komqolo.

Ngoko ke, ukuba une `(Syringomyelia)`, okwenzekayo kukuba olu lwelo lwe `(CSF)` luqokelelana ngaphakathi kwithishu yomqolo, lukhulise loo mjelo uphakathi `(Central Canal)` kwaye ludale `(Syrinx)`. Uninzi lwexesha, `(Syrinx)` lwenzeka xa `(CSF)` ijikeleza umjelo okanye ijikeleze inxalenye esezantsi yengqondo (`(Brain Stem)`) ingenzeki ngokwesiqhelo, oko kuthetha ukuba kukho into ethintela loo mjelo. Ukuba le `(Syrinx)` ichaphazela `(Brain Stem)`, loo meko ibizwa ngokuba yi `(Syringobulbia)`.

I-Syringomyelia idla ngokuchaphazela iindawo eziphezulu zomqolo, oko kukuthi, imimandla yomlomo wesibeleko neyesifuba.

Ngubani onokuthi abe nale meko? Ixhaphake kangakanani?

I-Syringomyelia ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-50. Nangona kunjalo, inokubakho nakubantu abadala. Nangona kunjalo, sisifo esingaqhelekanga . Sichaphazela abantu abamalunga nesi-8 kwabayi-100,000. Sikwabangela malunga ne-5% yamatyala e-paraplegia, imeko apho imilenze kunye nomzimba ongezantsi zikhubazekile.

Zithini iimpawu zeSyringomyelia?

Iimpawu zihlala zikhula kancinci, kwaye zinokuba mandundu ngokuhamba kweminyaka.Abanye abantu banokuba ne-`(Syrinx)` encinci baze bahlale ixesha elide bengenazo iimpawu. Iimpawu nazo ziyahluka, kuxhomekeke ekubeni i-`(Syrinx)` ikwindawo ephi emgogodleni, inkulu kangakanani, kwaye ingakanani ubude bayo. Iimpawu zinokubakho kwelinye icala lomzimba okanye kumacala omabini. Nangona abanye abantu bengenazo kangako, abanye banokuchaphazeleka kakhulu.

Iimpawu eziqhelekileyo ezinokubonwa zezi:

• Intloko ebuhlungu .
• Intlungu ehamba ngeengalo, entanyeni, embindini womqolo, okanye ezantsi emilenzeni (i-Radiculopathy).
• Ubuthathaka obuqhubekayo kunye nokuphelelwa ngamandla kwemisipha kwiingalo kunye/okanye emilenzeni (iMuscle Atrophy).
• Ukuxinana okanye ukuxinana kwezihlunu zomqolo, amahlombe, intamo, iingalo, okanye imilenze.
• Ukulahlekelwa luvakalelo kwiintlungu okanye ubushushu , ingakumbi ezandleni.
• Ukuba ndindisholo okanye ukurhawuzelela ezandleni okanye ezinyaweni.
• Iingxaki zokulinganisela kunye nobunzima bokuhamba.
• Ukulahlekelwa kulawulo lwamathumbu kunye nesinyi.
• Iingxaki ezinxulumene nokusebenza ngokwesondo.

Ukongeza kwezi mpawu, kukwakho neempawu ezichaphazela kakhulu abantwana abancinci:

• I-Scoliosis.
• Ukuhamba ngeenyawo.

Eyona nto ibalulekileyo kukuba ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, kufuneka nibone ugqirha ngokukhawuleza.

Kutheni iSyringomyelia ikhula? Zithini izizathu?

Enyanisweni, izazinzulu azikafumani ngqo ukuba yintoni imbangela ye-syrinx. Kodwa uninzi lweengcamango zibonisa ukuba imbangela ephambili kukuvaleka okanye ingxaki yokuhamba kolwelo lwe-cerebrospinal (CSF) esithethe ngalo ngaphambili.

Izizathu ze-syringomyelia zinokwahlulwa zibe ziindidi ezimbini eziphambili: i-congenital (intsingiselo yokubakho ekuzalweni) kunye ne-earned (intsingiselo eyaphuhliswa kamva ebomini) .

Izizathu Zokuzalwa

I-Syringomyelia idla ngokunxulunyaniswa nesifo esibizwa ngokuba yiChiari Malformation Type 1. Kulapho inxalenye esezantsi ye-cerebellum yethu iphuma khona iye kwi-foramen magnum, umngxuma osezantsi kwentloko. Intambo yomqolo idla ngokudlula kulo mngxuma. Le ngxaki yesakhiwo ithintela ukuhamba okuqhelekileyo kolwelo lwe-cerebrospinal (CSF).

Amaxesha amaninzi, le ``Chiari Malformation`` yinto ekhoyo xa umntu ezalwa. Nangona kunjalo, abanye abantu abane ``Chiari Malformation Type I`` basenokungabi nazo kwaphela iimpawu, okanye basenokungabi nazo kwaphela iimpawu de babe bancinci okanye badala.

Ezinye izizathu zokuzalwa zezi:

• I-Myelomeningocele: Ikwabizwa ngokuba yi-Open Spina Bifida, esi sisifo sokuzalwa. Kulapho umqolo kunye nomjelo womgogodla zingavali kakuhle ngaphambi kokuzalwa. Olu luhlobo lwesifo se-neural tube defect (NTD).
• Isifo seNtsinga eDibeneyo:Le yimeko engaqhelekanga kakhulu yemithambo-luvo. Okwenzekayo apha kukuba intambo yomgogodla inamathele kwizicubu ezijikeleze umqolo (oko kubizwa ngokuba yi-bound). Oku kudla ngokunxulunyaniswa ne-"Spina Bifida" kunye ne-"Scoliosis".

Izizathu Ezifunyenweyo

Izinto ezibangela uphuhliso lwe-"Syringomyelia" kamva ebomini zezi:

• Ukulimala Kwentambo Yomgogodla: Olu hlobo lwe-syringomyelia ngamanye amaxesha lubizwa ngokuba yi-post-traumatic syringomyelia. Lunokwenzeka kwiinyanga okanye kwiminyaka emva kokwenzakala kokuqala. Ludla ngokubangelwa zizicwili ezithintela ukuhamba kwe-CSF.
• Iintsholongwane ze-Spinal Cord: Iintsholongwane, ingakumbi i-hemangioblastomas kunye ne-ependymomas, zinokuthintela ukuhamba kolwelo lwe-cerebrospinal (CSF), nto leyo ebangela i-syringomyelia.
• I-Arachnoiditis: I -membrane ye-arachnoid yenye yee-membrane ezijikeleze kwaye zikhusela umqolo. Ukuba le membrane iyavuvukala (ukudumba), inokubangela i-syringomyelia. Oku kunokubangelwa zizifo ezifana ne-sarcoidosis, i-transverse myelitis, kunye ne-multiple sclerosis (MS).
• I-Meningitis: I-Meningitis lusulelo lwee-membranes ezikhuselayo (i-meninges) ezijikeleze ingqondo kunye nomqolo. Oku kunokubangela i-syringomyelia.

Ngamanye amaxesha, i-syringomyelia inokukhula ngaphandle kwesizathu esicacileyo. Oku kubizwa ngokuba yi-idiopathic syringomyelia .

Indlela yokuxilonga ngokuchanekileyo esi sifo?

Ukuze uqiniseke ukuba unayo na `(Syringomyelia)`, ugqirha wakho uza kuqala athathe imbali yakho yezonyango aze emva koko enze uvavanyo lomzimba. Uza kunika ingqalelo ekhethekileyo ekusebenzeni kwemithambo-luvo. Angakuthumela nakwi `(Neurology)` - ugqirha ogxile kwizifo zengqondo kunye nenkqubo yemithambo-luvo.

Okulandelayo, uza kucelwa ukuba wenze uvavanyo lokuthatha imifanekiso yomqolo wakho okanye ubuchopho. Ngamanye amaxesha, i-syringomyelia inokufunyanwa ngengozi ngelixa usenza olu vavanyo lokuthatha imifanekiso yesinye isifo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Ukuba ugqirha wakho ukrokrela ukuba une-syringomyelia, unokuyalela olunye okanye ngaphezulu kwezi mvavanyo:

• Iskeni ye-MRI (Magnetic Resonance Imaging): Eyona ndlela inokuthenjwa yokuxilonga `(Syringomyelia)` yiskeni ye-MRI.Oku kusebenzisa imagnethi enkulu kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha zezinto ezingaphakathi emzimbeni wakho. Ngolu vavanyo, ugqirha wakho unokufumanisa ukuba unayo na i-`(Syrinx)` kumqolo wakho, okanye ukuba kukho nasiphi na esinye isiphako, esifana nethumba. I-`(MRI)` ingabonisa ngokucacileyo ukuba iphi i-`(Syrinx)`, ubukhulu bayo, kunye nokuba isasazeke kangakanani.
• I-Dynamic MRI: Olu hlobo lwe-MRI lubonisa indlela i-cerebrospinal fluid (CSF) ehamba ngayo ijikeleza umqolo ize ingene kwi-syrinx. Oku kunokufuna ukuba kufakwe i-contrast agent (ulwelo olukhethekileyo olwenza imifanekiso icace ngakumbi) emthanjeni wakho.
• I-Myelogram ene-CT scan: Ukuba awukwazi ukwenza i-MRI, ukhetho olulandelayo yi-CT scan. I-myelogram luvavanyo olusebenzisa idayi ekhethekileyo ebizwa ngokuba yidayi yokungafani kunye ne-CT scan (i-Computed Tomography) ukukhangela iingxaki kumqolo.

Ziziphi iindlela zonyango lweSyringomyelia?

Unyango lwe-syringomyelia luxhomekeke ekubeni iimpawu zakho zinzima kangakanani kwaye zikhawuleza kangakanani.

Ukuba akukho zimpawu , oogqirha abadli ngokunyanga `(Syringomyelia)`. Nangona kunjalo, bacebisa ukuba `(Syrinx)` ijongwe ngononophelo yi `(Neurologist)` okanye `(Neurosurgeon)`. Kuba iimpawu zinokubonakala okanye zibe mandundu ngokuhamba kwexesha. Olu hlolo ludla ngokuquka ukuskena `(MRI)` rhoqo kunye novavanyo lwemithambo-luvo.

Kwabo baneempawu, iinjongo eziqhelekileyo zonyango lweSyringomyelia zezi:

• Ukuba kunokwenzeka, nyanga unobangela we -syrinx.
• Ukulawula iimpawu .
• Ukubuyisela ukuhamba kakuhle kolwelo lwe-cerebrospinal (CSF) kunye nokuthintela umonakalo ongakumbi kwintambo yomgogodla.

Uhlobo oluthile lotyando ludla ngokwenziwa ukuze kunyangwe unobangela oyintloko kunye nokuthintela umonakalo ongakumbi kumqolo. Unyango oluqhelekileyo lokulawula iimpawu luquka:

• Iipilisi zokunciphisa iintlungu kunye namanye amayeza.
• Unyango Lomzimba kunye Nokuvuselelwa.
• Ukunciphisa imisebenzi ethile, ingakumbi leyo ibangela uxinzelelo emqolo (njengokuphakamisa iintsimbi, ukutsiba).

Zeziphi iintlobo zotyando ezenziwayo kwiSyringomyelia?

Ukuba unesifo esibizwa ngokuba yi-"Syringomyelia" esibangela iimpawu, okanye ukuba i-"Syrinx" iya isiba nkulu, ugqirha wakho wezifo zengqondo okanye ugqirha wezifo zengqondo usenokucebisa utyando. Kukho iintlobo ezimbini eziphambili zotyando: ukulungisa ukuhamba kwe-"CSF" ejikeleze umqolo kunye nokususa ulwelo ngqo kwi-"Syrinx". Uhlobo lotyando oluya kulwenza luya kuxhomekeka kwisizathu seempawu zakho.

Utyando luquka:

• Unyango lweChiari Malformation: Injongo yolu tyando kukudala indawo engakumbi ezantsi kwentloko kunye nomphezulu wentamo. Oku kunciphisa uxinzelelo engqondweni nakwintambo yomqolo, okuvumela ukuhamba kolwelo lwe-cerebrospinal (CSF) ukuba kubuyele esiqhelweni. Olona tyando luqhelekileyo loku lubizwa ngokuba yiPosterior Fossa Decompression . Kule nkqubo, ugqirha wezintso ususa iziqwenga ezincinci zamathambo ngasemva kwentloko ukuze enze indawo. Emva kolu tyando, ulwelo olukwiSyrinx lunokukhupha amanzi, ngamanye amaxesha lunciphe okanye lunyamalale ngokupheleleyo. Nokuba iSyrinx ihlala inobukhulu obufanayo okanye incinci kancinci, iimpawu zinokuphucuka.
• Ukunyanga okanye ukuthintela i-syringomyelia emva kwengozi: Kwi-syringomyelia ebangelwe yingozi, injongo ephambili kukuqala kukuthintela ukwakheka kwe-syrinx okanye ukuthintela esele ikho ukuba ibe nkulu. Olu tyando lubizwa ngokuba yi-expand duraplasty . Oku kubandakanya ukususa izicubu ezirhangqileyo ezijikeleze intambo yomqolo kwaye ngamanye amaxesha kufakwe i-patch ukwandisa i-dura mater. Oku kudala indawo ejikeleze intambo yomqolo kwaye kuyicoce, okuvumela ulwelo lwe-cerebrospinal (CSF) ukuba luhambe ngokwesiqhelo.
• Ukususa isithintelo: Ukususwa kwesithintelo ngotyando njengezicubu ezibomvu, iziqwenga zamathambo kumjelo womqolo, okanye iithumba kunokunceda ukubuyisela ukuhamba kwe-CSF. Ukuba ithumba libangela i-syringomyelia, ukususa ithumba kuya kusombulula i-syrinx. Ngamanye amaxesha, ugqirha wakho unokucebisa unyango lwe-radiation ukunciphisa ithumba.
• Ukukhupha amanzi kwi-syrinx: Ukuba akukho sizathu sicacileyo se-syrinx, ingakumbi ukuba iyanda, ugqirha wakho unokucebisa ukuba kukhutshwe amanzi. Oku kubandakanya ugqirha wezifo zengqondo obeka i-stent okanye i-shunt kwi-syrinx. I-stent yityhubhu encinci evumela ulwelo ukuba luphume lusuka kumqolo luye ngaphandle. I-shunt yityhubhu eguquguqukayo enevalvu evumela ulwelo ukuba luphume lusuka kwi-syrinx luye kwenye indawo yomzimba, ngesiqhelo isisu okanye isifuba. Zombini ezi nkqubo zinokunceda ukukhupha ulwelo kwi-syrinx, nto leyo enokunceda ekuthinteleni iimpawu ukuba zingabi mbi.

Emva kotyando, ugqirha uza kwenza i-MRI scan ukuze abone ukuba i-syrinx izinzile okanye inciphile na ngobukhulu.

Utyando lwe-`(Syringomyelia)` lunokuphucula iimpawu kwaye luzinzise imeko kubantu abaninzi. Nangona kunjalo, `(Syringomyelia)` inokuphinda ivele nasemva konyango oluphumeleleyo . Kwimeko enjalo, kunokufuneka utyando olongezelelweyo.

Ziziphi iingxaki ezinokubakho xa utyando?

Ezi ngxaki zilandelayo zinokwenzeka emva kotyando lweSyringomyelia:

• Ukuvuza kolwelo lomqolo (CSF).
• Iintsholongwane.
• Ukopha igazi.
• Umonakalo ongakumbi kwintambo yomqolo.
• Ukwakha kwakhona i-`(Syrinx)`.

Kubaluleke kakhulu ukuthetha nogqirha wakho weengqondo malunga nale mingcipheko inxulumene notyando lwakho kunye nokuba inokwenzeka kangakanani.

Iyintoni ikamva leSyringomyelia? (Ingxelo yokuqikelela)

Kubalulekile ukukhumbula ukuba iimpawu, ubukhali, kunye nezizathu zeSyringomyelia zahlukile kakhulu. Kwakhona, izinga esi sifo siqhubeka ngalo linokwahluka ukusuka kumntu ukuya komnye, okanye abanye abantu basenokungaphucuki konke konke. Ngenxa yezi zinto, kunzima koogqirha ukunika uqikelelo oluchanekileyo lweSyringomyelia.

Utyando lwakwangoko ludla ngokunciphisa iimpawu kwaye lube neziphumo ezilungileyo . Nangona ukuqhubeka kweengxaki zemithambo-luvo emva kotyando kudla ngokuqina, kwaye iimpawu ngamanye amaxesha ziyaphucuka, abantu abaninzi bahlala benazo iimpawu.

Ngokubanzi, ukuba ububanzi be-`(Syrinx)` bungaphezulu kweemilimitha ezintlanu `(5mm)` kwaye kukho ukudumba kwe-`(Edema)` kunye nayo, oko kubonisa ukuba imbonakalo ayilunganga kangako.

I-Myelopathy (umonakalo kumqolo ngenxa yokucinezelwa kakhulu) yingxaki enkulu yeSyringomyelia kwaye yinto ekufuneka ixhalatyelwe. Oku ekugqibeleni kunokukhokelela ekukhubazekeni/ekufeni, i-pneumonia ephindaphindayo, kunye neengxaki zokusebenza kwamathumbu kunye nesinyi.

Ngaba iSyringomyelia ingathintelwa?

I-Syringomyelia ayisoloko ithintelwa. Nangona kunjalo, ukufunyaniswa kwangoko kunye nonyango kunokunceda ukuthintela iimpawu ukuba zingabi mbi .

Ukuba ndineSyringomyelia, ndingazinyamekela njani?

Ukuba uneSyringomyelia, cinga ngezi zinto ukuze uncede ukulawula iimpawu zakho:

• Ziphephe izinto ezinokwenza iimpawu zakho zibe zimbi ngakumbi , njengokuphakamisa, ukutyhafa, okanye nantoni na ebeka uxinzelelo emqolo wakho (njengokutsiba).
• Cinga ngonyango lomzimba ukuze unciphise ubunzima bokuhamba, ubuthathaka okanye ukuqina kwemisipha, kunye nentlungu.
• Ukuba unentlungu engapheliyo ngenxa ye-syringomyelia, thetha nogqirha wakho malunga neendlela zonyango.
• Ukuhlala neSyringomyelia kunokuba nzima kwaye kuxinezeleke. Kubalulekile ukufuna inkxaso yempilo yengqondo kubahlobo, kusapho, kunye/okanye kumcebisi. Ukujoyina iqela lenkxaso nabanye abantu abaneSyringomyelia kunokukunceda uzive ngathi awuwedwa.

Ndifanele ndimbone nini ugqirha wam malunga neSyringomyelia?

Ukuba ufunyenwe uneSyringomyelia, jonga iimpawu zakho kunye neSyrinx, nokuba ukhe watyandwa okanye akunjalo.Ufanele udibane neqela lakho lezonyango rhoqo.

Ukufumanisa ukuba unesilonda somqolo kunokuba nzima kakhulu. Kodwa khumbula, awuwedwa, kwaye zininzi izixhobo zokukunceda. Kubalulekile ukuthetha nogqirha onolwazi ngeSyringomyelia kwaye ufunde ngakumbi ngendlela enokukuchaphazela ngayo. Ungoyiki ukubuza imibuzo yeqela lakho lezonyango - bakhona ukukunceda .

Umyalezo Wethu Wokubuyela Ekhaya

Kulungile, ndiyathemba ukuba uyaqonda into ethile kwinto esithethe ngayo `(Syringomyelia)`. Nangona esi sisifo esingaqhelekanga, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba uneempawu . Ingakumbi ukuba unentlungu engapheliyo yomqolo, ukungakhululeki kwamalungu, okanye ubuthathaka, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ukuba usibona kwangethuba isifo, ungafuna unyango olufanelekileyo kwaye ugcine umgangatho wobomi ulungile. Ungakhathazeki, kukho izisombululo kuyo yonke into, kwaye ukuba unemibuzo, buza oogqirha bakho.

I- Syringomyelia, umqolo, iintlungu zomqolo, i-syrinx, i-CSF, isifo semithambo-luvo, ukukhubazeka kweChiari