Ngaba umqolo wakho uvakalelwa kukuba uza kuphelelwa ngamandla? Makhe sithethe nge-Transverse Myelitis (TM)!

Ngaba wakha wacinga ngemeko apho ngequbuliso ulahlekelwa lulawulo lwemilenze yakho, uzive ungenamandla kwezinye iindawo zomzimba wakho, okanye ube nobunzima bokulawula umchamo kunye nendle yakho? Nangona ezi ziyoyikisa kancinci, ngamanye amaxesha ezi mpawu zinokubakho ngenxa yokudumba komqolo wethu, oko kukuthi, imicu yemithambo-luvo ehamba ngomqolo. Leyo yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiTransverse Myelitis (TM) . Le yimeko engaqhelekanga yemithambo-luvo.

Yintoni kanye kanye i-transverse myelitis (TM)?

Ngamafutshane, i-transverse myelitis (TM) kukudumba komqolo wakho, i-nerve fiber ephambili ehamba emqolo wakho. Cinga ngale ndlela: ithwala imiyalezo esuka engqondweni yakho iye kuwo wonke umzimba wakho. Ifana nentambo yefowuni.

Oku kuvutha kubangela umonakalo kwisigqubuthelo esikhuselayo esijikeleze iiseli zemithambo-luvo kwintambo yomqolo, ebizwa ngokuba yi-myelin sheath . Kufana nokuba isigqubuthelo seplastiki esiphezu kwentambo sonakele. Kwenzeka ntoni emva koko? Imiyalezo evela engqondweni ayidluli kakuhle. Oku kubangela iingxaki ezifana nokulahlekelwa zimvakalelo, ukuba ndindisholo, kunye nokulahlekelwa kulawulo lwesinyi.

Le meko, ebizwa ngokuba yiTM, inokuchaphazela intambo yomqolo naphi na ecaleni komqolo. Igama elithi "Myelitis" libhekisa ekuvuvukeni kwentambo yomqolo. Igama elithi "Transverse" libhekisa kwindlela yotshintsho kwindlela ovakalelwa ngayo kunye nomsebenzi. Ingavakala ngathi ibhanti ibotshelelwe emzimbeni, kunye notshintsho lweemvakalelo ngaphantsi kwebhanti.

Uninzi lwexesha, i-TM yimeko eyenzeka kube kanye ize ibe ngcono okanye ihlale injalo.

Ngubani ochaphazeleka kakhulu yile meko, i-transverse myelitis (TM)?

Enyanisweni, le meko ibizwa ngokuba yi-transverse myelitis (TM) inokukhula nangaliphi na ixesha, nakubani na. Nangona kunjalo, xa ujonga idatha, ungabona ukuba ikhula kancinci kubantu abancinci abaphakathi kweminyaka eli-10 neli-19 kunye nakubantu abaphakathi kweminyaka engama-30 nengama-39. Okumangalisayo kukuba, malunga nama-25% abo bakhula nayo ngabantwana. Nangona kunjalo, esi asisosifo semfuza esidluliselwa kwizizukulwana ngezizukulwana. Ke ngoko, akukho mfuneko yokukhathazeka ukuba nabanye baya kuyifumana kuba nje kukho umntu kusapho owayenayo.

Ngoko ke ixhaphake kangakanani le meko?

I-Transverse myelitis (TM) yimeko engaqhelekanga kakhulu . Cinga nje, nakwilizwe elifana neMelika, kuxelwa amatyala amatsha elinye ukuya kwasibhozo kuphela kwisigidi ngonyaka. Oko kuthetha ukuba malunga namatyala amatsha ali-1400 ngonyaka. Ngoko ke asinto ibonwa rhoqo eSri Lanka.

Zithini iimpawu ze-transverse myelitis (TM)?

Iimpawu ze-Transverse myelitis (TM) ngamanye amaxesha zinokuvela ngequbuliso , kangangeeyure okanye iintsuku. Kwezinye, iimpawu zinokukhula kancinci kancinci kwiiveki enye ukuya kwezine. Nangona kunjalo, kubalulekile ukwazi ukuba iimpawu ze-TM zinokuba mandundu ngokukhawuleza .

Iimpawu zihlala zibonakala ngaphantsi kwendawo apho umqolo wakho wonakele khona. Umzekelo, ukuba umonakalo uphakathi komqolo wakho, ngaphantsi kweengalo zakho, imilenze yakho kunye nolawulo lwesinyi/amathumbu akho ziya kuchaphazeleka. Iingalo zakho zisenokungachaphazeleki.

I-TM idla ngokuchaphazela amacala omabini omzimba. Nangona kunjalo, ngamanye amaxesha inokuchaphazela icala elinye kuphela. Olu hlobo lobuthathaka obunye luqheleke kakhulu kubantu abanezifo ezifana ne -Multiple Sclerosis (MS) .

Khawucinge nje, kwinqanaba elibi kakhulu le-TM, ama-50% ezigulana alahlekelwa yintshukumo yonke kwimilenze yomibini. Phakathi kwama-80% nama-94% bafumana ukungakhululeki okanye iimvakalelo ezingaqhelekanga ezifana neepini neenaliti. Kwakhona, phantse wonke umntu ufumana ukungakhululeki komchamo kwinqanaba elithile.

Kwabanye abantu, ezi mpawu ziya kuncipha okanye zinyamalale ngokupheleleyo xa kunyangwa, kodwa kwabanye, iingxaki ezingapheliyo zisenokuvela.

Kukho amaqela amaninzi eempawu eziphambili anokubonwa kwi-TM:

• Iimvakalelo ezingaqhelekanga
• Intlungu
• Iingxaki zamathumbu kunye nomchamo
• Iingxaki zemisipha kunye nokuhambahamba
• Iingxaki zomsebenzi wesondo
• Ezinye iimpawu

Iimvakalelo ezingaqhelekanga

Ngokuxhomekeke ekubeni umthambo wakho womqolo wonakele phi ngenxa ye-TM, unokufumana iimvakalelo ezingaqhelekanga (ezaziwa ngokuba yi-"Paresthesia" ngokwezonyango) kwiindawo ezithile zomzimba wakho, ezinje:

• Ukuba ndindisholo
• Ukuziva ngathi uyahlaba (Ukuhlaba)
• Ukutsha
• Uvakalelo oluphezulu ekuchukumiseni okanye kubushushu
• Ukuziva ubushushu/ukubanda okuncinci

Intlungu

I-TM ingabangela intlungu kwiindawo ezithile zomzimba. Le ntlungu inokuba bukhali okanye ingabi nanto . Ngamanye amaxesha le ntlungu inokuhla ngeengalo kunye/okanye emilenzeni, okanye ingathi ivela esifubeni nasesiswini.

Iimpawu zendle kunye nomchamo

I-TM ingabangela iingxaki zomchamo kunye namathumbu ezifana nezi:

• Ukuqhinwa
• Ukungakhuphi isinyi ngokupheleleyo xa uchama (`(Ukugcinwa komchamo)`)
• Iingxaki zokulawula umchamo, umzekelo, ukufuneka uchame rhoqo (`(Ukukhuthaza ukungakwazi ukuzibamba)`)
• Ukungakwazi ukulawula ukuchama (`(Ukungakwazi ukuzibamba komchamo)`)

Iingxaki zemisipha kunye nokuhambahamba

Abantu abane-TM banokuba buthathaka emilenzeni yabo, nto leyo enokuqhubeka ngokukhawuleza. Ukuba ukudumba kuchaphazele umqolo ngandlela thile , kunokuchaphazela neengalo.

Ungazibona iimpawu ezifana nezi:

• Ukulahlekelwa yibhalansi emzimbeni
• Ubunzima bokuhamba (ukukhubeka, ukurhuqa imilenze)
• Ukuqaqamba kwemisipha
• Ukungasebenzi kakuhle kwezihlunu, ngamanye amaxesha kude kubangele ukukhubazeka .

Iingxaki zomsebenzi wesondo

Abantu abane-TM banokuba nobunzima bokufikelela kwi-orgasm. Ukongeza, amadoda anokuba nokungasebenzi kakuhle kwe-erectile.

Ezinye iimpawu

Ukongeza, i-TM inokubangela ezi mpawu zilandelayo:

• Umnqweno wokutya
• Intloko ebuhlungu (intloko ebuhlungu)
• Ifiva
• Ubunzima bokuphefumla

Yintoni ebangela i-transverse myelitis (TM)?

Ngokubanzi, imbangela ephambili ye-transverse myelitis (TM) kukudumba komqolo.

Khawuthelekelele, xa into enobungozi ingena emizimbeni yethu, njengeentsholongwane, iibhaktheriya, iikhemikhali ezinobungozi, okanye xa senzakele, inkqubo yethu yokuzikhusela yomzimba iyasebenza.

Inkqubo yokuzikhusela komzimba ikhupha iiseli ezivuvukisayo kunye nezinye izinto (ii-cytokines) ezivuselela ezinye iiseli ezivuvukisayo. Ezi seli zezona zibangela impendulo yokuvuvukisa enceda ukulwa nezinto ezifana neebhaktheriya kwaye ziqale ukuphilisa amanxeba. Nangona le mpendulo yokuvuvukisayo idla ngokuba yimfuneko, ngamanye amaxesha inkqubo yethu yokuzikhusela yomzimba inokuhlasela izicwili eziphilileyo ngaphandle kwesizathu. Okanye, impendulo kuloo nto ingaqhelekanga inokuba namandla kakhulu kwaye yonakalise izicwili zomzimba.

Yiloo nto eyenzekayo kwi-TM. Ukuvuvukala konakalisa i-myelin sheath ejikeleze iiseli zemithambo-luvo kwi-spinal cord.

Kukho izizathu ezininzi ezinokubangela ukudumba ezikhokelela kwi-TM. Ezi zizathu zinokwahlulwa zibe ziindidi ezininzi eziphambili:

• Amatyala apho unobangela ochanekileyo ungaziwa (`(Idiopathic)`)
• Ukudumba okubangelwa lusulelo
• Izifo ezichaphazela umzimba wonke (`(Izifo ezichaphazela umzimba wonke)`)
• Izifo zenkqubo yemithambo-luvo ephakathi (`(Izifo zenkqubo yemithambo-luvo ephakathi)`)

I-myelitis enqamlezileyo ye-Idiopathic

``(Idiopathic) TM`` kuxa kungekho sizathu sithile sifumanekayo. Uninzi lwezigulane zeTM ziwela kolu didi. Izazinzulu zicinga ukuba oku kwenzeka kuba inkqubo yethu yokuzikhusela yomzimba isabela ngendlela engaqhelekanga nangokugqithisileyo nxamnye nomqolo, nto leyo ebangela ukudumba kunye nomonakalo kwizicubu. Kodwa isizathu esichanekileyo, okanye imbangela, asikaziwa.

Iintsholongwane ezinokubangela i-transverse myelitis

Kukho usulelo oluninzi lweentsholongwane, iintsholongwane, iintsholongwane, kunye neentsholongwane ezinokubangela i-TM. Ezinye zazo zezi:

• Iintsholongwane ze-Enterovirus (Ezi ziintsholongwane ezixhaphakileyo, kodwa zidla ngokubangela ukugula okungephi)
• 'Intsholongwane yeWest Nile'
• Iintsholongwane zeHerpes, umzekelo i-herpes yesini
• `Intsholongwane kaGawulayo`
• I-Varicella-zoster (intsholongwane ebangela i-chickenpox kunye ne-herpes zoster)
• `Intsholongwane ye-T-cell leukemia yohlobo 1 (HTLV-1)`
• `Intsholongwane kaZika`
• I-Neuroborreliosis (isifo seLyme)
• 'I-Syphilis'
• `Isifo sephepha`
• Usulelo lolusu olubangelwa ziintsholongwane
• `I-pneumonia yebhaktiriya yeMycoplasma`

Amaxesha amaninzi, kunzima koogqirha ukutsho ngokuqinisekileyo ukuba i-TM ibangelwa lusulelo lwentsholongwane ngokwalo, okanye yindlela amajoni omzimba asabela ngayo kusulelo.

Izifo ezichaphazela umzimba wonke, ezinxulumene ne-transverse myelitis

Ezinye izifo ezibangelwa kukuzikhusela komzimba ezinxulumene ne-TM zezi:

• `I-Ankylosing spondylitis`
• `Isifo se-Antiphospholipid`
• `Isifo sikaBehçet`
• `Isifo sezicubu ezidityanisiweyo`
• 'Isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis'
• `I-Sarcoidosis`
• `I-Scleroderma`
• `Isifo sikaSjogren`
• `I-systemic lupus erythematosus (SLE)`

Izifo zenkqubo ye-nervous central ezinokubangela i-transverse myelitis

Izifo ezihlasela umzimba ngokwazo ezinokubangela i-TM ziquka:

• `Isifo se-Multiple sclerosis (MS)`
• I-Neuromyelitis optica spectrum disorder (NMOSD) - Oku kukwabizwa ngokuba sisifo sikaDevic .
• `Iingxaki ze-antibody ze-Myelin oligodendrocyte glycoprotein (MOGAD)`
• `I-encephalomyelitis esasazekileyo`

Kwabanye abantu, i-transverse myelitis isenokuba luphawu lokuqala lwesifo sokuzikhusela komzimba kwinkqubo yemithambo-luvo ephakathi, esifana ne -multiple sclerosis (MS) okanye i-neuromyelitis optica spectrum disorder (NMOSD) .

I-myelitis "engaphelelanga", echaphazela icala elinye lomzimba kuphela, ixhaphakile kwi-MS.

Ukuba umntu one-NMOSD uba ne-myelitis, kusenokwenzeka ukuba "iphelele," oko kuthetha ukuba ibangela ukukhubazeka okukhulu kunye nokungaziva mnandi kumacala omabini omzimba. I-Myelitis kubantu abane-NMOSD inokuba yingozi kakhulu kwaye ingaphili kangako kunakubantu abane-MS.

Ngaba imigonyo ingabangela i-transverse myelitis (TM)?

Kunqabile kakhulu, abantu baye baxela ukuba banesifo se-transverse myelitis kwiintsuku ezimbini ukuya kwiinyanga ezintathu emva kokufumana isitofu. Izazinzulu azikaqiniseki ukuba kutheni oku kusenzeka, kodwa enye ingcamango kukuba amajoni omzimba abanye abantu asenokubangelwa sisitofu aze aqalise inkqubo yokuzikhusela komzimba. Kodwa nantsi ingongoma ebalulekileyo: Izitofu ziye zabonakala zikhuselekile kuphando olubanzi. Olu nxulumano ne-TM lunokuba yinto eyenzeka ngengozi okanye ingxaki engaqhelekanga.

Ifunyanwa njani i-transverse myelitis (TM)?

Ukuba uneempawu ze-transverse myelitis (TM), ugqirha wakho uza kujonga imbali yakho yezonyango aze enze uvavanyo lomzimba.

Ukuba ezi mvavanyo zibonisa ingxaki kwi-spinal cord, kuya kufuneka ezinye iimvavanyo. Kutheni kunjalo?

• Qinisekisa ukuba umqolo awuchaphazeleki yinto ngaphandle kokudumba, umzekelo , ithumba lomqolo , idiski ehluthwe yi-herniated , okanye ucinezelo olubangelwa lithumba .
• Qinisekisa ukuba kukho ukudumba okungaqhelekanga ngaphakathi kwintambo yomqolo.
• Ukuba kunokwenzeka, fumana ukuba yintoni ebangela oku kuvutha okungaqhelekanga.

Oogqirha bagqiba kwelokuba i-TM ikhona xa iimpawu zomqolo zikho kangangeentsuku ezininzi kwaye akukho sizathu sengxaki yomgogodla esinokufunyanwa kwi-MRI (Magnetic Resonance Imaging) scan okanye olunye uvavanyo.

Ziziphi iimvavanyo ezenziwayo ukuze kufunyaniswe i-transverse myelitis?

Ugqirha wakho unokuyalela iimvavanyo ezifana nezi ukuze kufunyaniswe i-TMJ kunye nesizathu sayo:

• Iskeni ye-MRI (Magnetic Resonance Imaging) yomqolo wonke: I-MRI luvavanyo olungenabuhlungu. Isebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso ecacileyo yamalungu omzimba kunye nezakhiwo ngaphakathi emzimbeni. Kusenokufuneka ukuba ube neskeni ezimbini ze-MRI zomqolo wakho - esinye sinesithako esikhethekileyo esibizwa ngokuba yi-gadolinium contrast kunye nesinye esingenaso. Oku kuya kunceda ugqirha wakho ukuba ahlule phakathi kwezilonda ezixinzelelweyo nezingengoxinzeleliyo.
• I-Brain MRI scan: Ugqirha wakho unokuyalela ukuba kwenziwe i-MRI scan yengqondo yakho (enomahluko we-gadolinium okanye engenawo) ukuze kukhangelwe izilonda engqondweni yakho. I-Brain MRI ingakunika ulwazi ngezinye izizathu ezibangela oku, ingakumbi i-multiple sclerosis (MS) .
• Ukubhoboza i-Lumbar (ekwaziwa ngokuba yi-spinal tap): Kule nkqubo, ugqirha ufaka inaliti emqolo wakho ongezantsi aze athathe isampuli yolwelo lwe-cerebrospinal (CSF) . I-CSF lulwelo olucacileyo olujikeleze ingqondo yakho kunye nomqolo. Isampuli ye-CSF emva koko ivavanywa kwilebhu ukuze kubonwe ukuba kukho iiseli zegazi ezimhlophe ezininzi na, i-IgG index ephezulu, okanye ii-oligoclonal IgG bands kwi-CSF. Ezi mpawu zokuvuvukala zihlala zibonwa kwi-TM.
• Uvavanyo lwegazi: Ugqirha usenokuyalela uvavanyo lwegazi oluninzi ukujonga usulelo kunye nezizathu ezinxulumene nenkqubo yomzimba yokuzikhusela ezinokubangela i-TM.

Ngokuxhomekeke kwinto enokubangela i-TM, kunokwenziwa uvavanyo olongezelelweyo. Ukuba akukho nanye kwezi mvavanyo enokufumana unobangela othile, kucingelwa ukuba une-idiopathic transverse myelitis.

I-Transverse myelitis (TM) inyangwa yiIcomo estas ?

Kukho iinjongo eziphambili ezininzi ekunyangeni i-transverse myelitis (TM):

• Ukuba kunokwenzeka, nyanga unobangela we-TM (umz., usulelo).
• Ukunciphisa ukudumba kwintambo yakho yomqolo.
• Ukunciphisa okanye ukunciphisa iimpawu ezifana neentlungu.
• Ukulawula iingxaki zexesha elide.

Xa kunyangwa i-TM, unyango lwexesha elifutshane lunikezelwa ngenxa yokuvuvukala kunye nesizathu sako, kunye nolawulo lwexesha elide lweengxaki ezinokuvela kwi-TM.

Unyango lwexesha elifutshane lwe-transverse myelitis

Unyango lokuqala lwe-transverse myelitis yi-intravenous (IV) glucocorticoids . Ukuba ugqirha wakho ukrokrela ukuba une-TM, uza kuqala i-high-dose intravenous (IV) glucocorticoids ngokukhawuleza.

IiGlucocorticoids luhlobo lwehomoni ye-steroid ekwiqela lamayeza abizwa ngokuba yi -corticosteroids . La ngamayeza anamandla alwa nokudumba kwaye asebenza kunye nenkqubo yakho yomzimba yokuzikhusela. Kwi-transverse myelitis, ii-glucocorticoids zinceda ekunciphiseni ukudumba kwi-spinal cord. Kusenokufuneka uthathe la mayeza iintsuku ezintathu ukuya kwezintlanu, okanye ngaphezulu.

Unyango olongezelelweyo lwe-TM lungabandakanya:

• Unyango lokutshintshiselana ngeplasma (Plasmapheresis): Le yinkqubo "ecoca" igazi lakho. Kolu nyango, ugqirha wakho ususa inxalenye yolwelo egazini lakho (iplasma) aze ayifake iplasma kumntu ophilileyo okanye into ethatha indawo yeplasma. Oku kususa ii-antibodies kunye nezinye iiproteni ekucingelwa ukuba zibangela ukuvuvukala. Olu nyango lunokunceda abantu abane-TM abanesifo esihlasela inkqubo yemithambo-luvo ephakathi esingaphendulanga kunyango lwe-glucocorticoid.
• I-Intravenous Immune Globulin (IVIG): Olu lunyango olwenziwe ngee-antibodies. Lunikwa ngemithambo yegazi. Olu nyango lunokubopha kwii-antibodies ekucingelwa ukuba zibangela i-TM kwaye lunciphise impendulo yokuvuvukala kwi-spinal cord.
• Amayeza okunciphisa umzimba: Kwizigulane ze-TM ezingasabelanga kakuhle kwi-glucocorticoids, i-plasma exchange, okanye unyango lwe-IVIG, oogqirha basebenzisa amayeza anjenge -rituximab kunye ne -cyclophosphamide . La mayeza aneempawu zokunciphisa umzimba.
• Amayeza okulawula ezinye iimpawu: Ugqirha wakho unokukunika amanye amayeza okulawula iimpawu ezifana neentlungu, ukuqaqamba kwemisipha, iingxaki zomchamo, okanye ukudakumba .

Ulawulo lwexesha elide lwe-transverse myelitis

Emva kokuba ufumene unyango lwesiganeko esikhawulezileyo se-transverse myelitis (TM), uya kufuna unyango lokubuyisela kwimeko yesiqhelo ukuphucula izakhono zakho zokusebenza kunye nokuthintela iingxaki zesibini ezinokubakho ngenxa ye-TM.

Nangona ukuvuselelwa kwengqondo kungenakuwuguqula umonakalo obangelwe yi-TM, kunokunceda abantu abakhubazekileyo ukuba bazimele kangangoko kwaye baphile ubomi obusemgangathweni kangangoko kunokwenzeka.

Ulawulo lwexesha elide lwe-transverse myelitis lungabandakanya:

• Ulawulo lomsebenzi womchamo: Abantu abane-TM badla ngokuba neengxaki zomchamo. Izisombululo ziquka ukuvaleka umchamo ngexesha elifanelekileyo, amayeza, ii-catheter zekhondom, i-catheter ecocekileyo ephuma rhoqo , kunye neengubo zangaphantsi ezigqunywe ngephedi.
• Ukulawula ukusebenza kwamathumbu: Ukuqhina yingxaki eqhelekileyo kubantu abane-TM. Ingalawulwa ngokutya okukhethekileyo, ukusetyenziswa kwezixhobo zokuthambisa isitulo kunye nefayibha yokutya, kunye nokukhuthaza amathumbu.
• Unyango lokungasebenzi kakuhle ngokwesondo: Amayeza aqhelekileyo okungasebenzi kakuhle kwe-erectile yi -sildenafil (`sildenafil` - Viagra®) , i-vardenafil (`vardenafil` - Levitra®) , kunye ne -tadalafil (`tadalafil` - Cialis®) . Nangona la mayeza engasebenzi kakuhle kwabasetyhini, akwabonakalisiwe ukuba aphucula ukusebenza ngokwesondo.
• Ukuthintela ukuqhekeka kolusu kunye nokwenzakala koxinzelelo (izilonda zokulala): Ukuba ulusu lwakho luphantsi koxinzelelo ixesha elide, lunokuqhekeka. Ukuthintela oku, kufuneka utshintshe indawo yakho ubuncinci rhoqo emva kwemizuzu eli-15. Izitulo ezinamavili ezixhonyiweyo ezinomqolo oqinileyo okanye iindlela zokuthambekela endaweni ezinokutshintsha indlela ubunzima bakho obusasazwa ngayo nazo zinokunceda. Kukho iintlobo ngeentlobo zeekhushini zamavili ezinokunciphisa uxinzelelo oluvela xa uhleli.
• Ukulawula ukuqina kwemisipha: Ukuzilolonga kunye nokusebenzisa ii-braces kunye nee-splints kunokunceda ukulawula okanye ukuthintela ukuqina kwemisipha. Ukuzilolonga okwakha amandla kunye nezinto zokukhulula imisipha nazo zinokunceda.
• Ulawulo lokuhamba: Iingcali zonyango lomzimba zinokubonelela ngemithambo yokuphucula ukuhamba. Izixhobo zokuncedisa ukuhamba ezifana neenduku, ii-walker, iintonga, kunye nezitulo ezinamavili zinokukunceda ukuba uzimele ngakumbi.
• Ukulawula imisebenzi yemihla ngemihla: Abantu abane-TM banokukufumanisa kunzima kakhulu ukwenza imisebenzi yemihla ngemihla efana nokunxiba, ukuhlamba, ukuzicoca, nokutya. Ingxoxo nezixhobo ezizilungelelanisayo kunye neengcali zonyango lomsebenzi zinokunceda ekufumaneni iindlela zokwenza le misebenzi ibe lula kwaye isebenze ngakumbi.
• Ulawulo lweentlungu: Kuqhelekile ukuba uve iintlungu emva kwe-TMJ. Iintlungu zemisipha zinokunyangwa ngamayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne -acetaminophen (Tylenol®) , i-naproxen (Naprosyn®, i-Alleve® okanye i-Motrin®) , okanye unyango lobushushu nokubanda. Iintlungu zemithambo-luvo zinokuba nzima ngakumbi ukuzinyanga. Ezinye izidambisi-ntlungu okanye izithinteli-convulsants zinokunceda.
• Ulawulo lwempilo yengqondo: Uxinzelelo luqhelekile kubantu abane-TM. Ukuba uneempawu zoxinzelelo okanye ezinye iingxaki zempilo yengqondo, kubalulekile ukubonana nogqirha wengqondo okanye ingcali yezengqondo. Amayeza anokunceda ekunyangeni uxinezeleko.

Ngaba i-transverse myelitis inokunyangeka?

Ewe, i-transverse myelitis (TM) inokunyangeka. Nangona kunjalo, inkqubo yokuchacha iyahluka ukusuka kumntu ukuya komnye.

Ukuphiliswa yi-TM kusenokuba kuphelele, kungaphelelanga, okanye kungabikho. Ukuphiliswa kudla ngokuqala kwinyanga enye ukuya kwezintathu emva konyango lokuqala. Uninzi lwabantu luyaphola kwi-TM kwinyanga ezintathu. Kwabanye, kungathatha iinyanga okanye iminyaka ukuphiliswa.

Abanye abantu bayachacha kwi-arthritis bengenazo iingxaki ezinde okanye abafumani kwaphela, ngelixa abanye bechacha benokukhubazeka okuphakathi okanye okunzima.

Abantu abanokuba nethuba elinciphileyo lokuchacha ngaba:

• Abo baqala ngokukhawuleza iimpawu.
• Abo iimpawu zabo zingaphucukanga kwiinyanga ezintathu ukuya kwezintandathu zokuqala zonyango nokuchacha.

Ithini i-prognosis ye-transverse myelitis (TM)?

Imbono/ukubikezela kwabantu abane-transverse myelitis kuyahluka:

• Malunga nama-33% abantu bayachacha ngaphandle kweengxaki ezincinci okanye ezingenazo kwaphela ixesha elide.
• Malunga nama-33% abantu bayachacha benokukhubazeka okuphakathi, okufana neengxaki zamathumbu kunye nobunzima bokuhamba.
• Malunga nama-33% abantu bayachacha bekhubazekile ngokusisigxina, njengokukhubazeka.

Uninzi lwabantu lufumana i-transverse myelitis kube kanye kuphela. Nangona kunjalo, abanye abantu abaneengxaki ezifihlakeleyo, ezifana ne -multiple sclerosis (MS), banokuyibuyisa (`(iphinda ibuyele)`). Ukuba une-TM echaphazela icala elinye lomzimba wakho, usenokuba nethuba elingcono lokufumana i-MS kwixesha elizayo.

Ndingazinyamekela njani mna, okanye umntu one-transverse myelitis (TM)?

Ukuba une-transverse myelitis, kubalulekile ukuqinisekisa ukuba ufumana unyango olufanelekileyo ukuthintela okanye ukunyanga iingxaki ze-TM, ezifana neengxaki zamathumbu kunye nesinyi kunye nokuqina kwemisipha.Usenokufuna nokucinga ngokujoyina iqela lenkxaso ukuze udibane nabanye abanokukuqonda amava akho. Kwakhona, ukuba uziva udandathekile okanye uxhalabile ngenxa ye-TM, kubalulekile ukufuna uncedo kwingcali yezonyango okanye kwingcali yezengqondo.

Ukuba unyamekela umntu one-TM, kubalulekile ukuba umkhuthaze ukuba aqinisekise ukuba ufumana unyango olufanelekileyo, izixhobo zokuhamba, kunye nonyango oluya kumnceda ukuba azimele ngakumbi.

Kunokuba nzima kuwe nakusapho lwakho ukuqhelana nemiphumo yengqondo neyomzimba ye-TM. Kwinqanaba lokuqala lokuchacha, kubalulekile ukufundisa usapho lwakho kunye nokwenza isicwangciso sokujongana nemingeni yokuzimela.

Ndifanele ndimbone nini ugqirha malunga ne-transverse myelitis (TM)?

Ukuba ufumana iimpawu ze-transverse myelitis, ezinje ngobuthathaka bemisipha obukhawulezileyo nobuqatha kunye nentlungu, yiya kwisibhedlele esikufutshane ngokukhawuleza .

Ukuba ufunyaniswe une-TM, kufuneka udibane neqela lakho lezonyango rhoqo ukuze ufumane unyango kwaye ubeke iliso kwiingxaki ezinokubakho.

Ukuqonda ukuchongwa kwe-transverse myelitis (TM) nguwe okanye umntu omthandayo kunokuba nzima. Kodwa iqela lakho lezonyango liya kukunika unyango oluqinileyo kunye nesicwangciso sokubuyisela esilungiselelwe iimpawu zakho okanye zomntu omthandayo. Kubalulekile ukuqinisekisa ukuba ufumana uthando kunye nenkxaso oyifunayo kulo lonke uhambo lwakho lokuchacha, kwaye uhlale uphaphile kuzo naziphi na iimpawu ezintsha ezinokuvela.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku unombono ongcono wokuba yintoni i-transverse myelitis (TM). Khumbula, nangona isisifo esingaqhelekanga, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko ukuba ufumana iimpawu.

Eyona nto iphambili kukuba, ukuba ufumana ubuthathaka ngequbuliso, ukungaziva mnandi, okanye iingxaki zokulawula umchamo, musa ukuzityeshela. Yiya kugqirha ngoko nangoko.

I-TM inokuba nezizathu ezininzi, kwaye ngamanye amaxesha akukho sizathu sinokufunyanwa. Nangona kunjalo, ngonyango olufanelekileyo kunye nokuvuselelwa, uninzi lwabantu lunokufikelela kwinqanaba elithile lokuchacha. Abanye abantu bayachacha ngokupheleleyo.

Xa uphila kwimeko efana nale, kubalulekile ukuhlala uqinile engqondweni kwaye ufumane inkxaso yosapho lwakho kunye noogqirha. Ngoko ke, ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na into exhalabisayo onokuba unayo.

I- Transverse myelitis, i-TM, intambo yomgogodla, i-neuropathy, ukudumba, i-myelin, iimpawu, unyango