Ngaba ngamanye amaxesha uziva ungaphilanga okanye ungenampilo ezingalweni nasemilenzeni kunye nentamo okanye umqolo obuhlungu? Ngaba ngamanye amaxesha uziva ngathi ulahlekelwa yibhalansi yakho xa uhamba, okanye unengxaki yokwenza imisebenzi ebuthathaka, efana nokuqhobosha ihempe? Ukuba unale mpawu, unobangela unokuba mkhulu kunokuba ucinga. Namhlanje sithetha ngemeko ebizwa ngokuba yi- 'myelopathy ' ebangela ezi mpawu.
Yintoni iMyelopathy?
Ngamafutshane, i-myelopathy yimeko eyenzeka xa intambo yomqolo icinezelwe . Cinga ngayo, intambo yomqolo yintambo yemithambo-luvo ebaluleke kakhulu esuka kwingqondo yethu iye kutsho emqondweni wethu. Ifana 'nentambo' ephambili yomzimba wethu. Imiyalezo evela kwingqondo ithwalwa iye kuwo wonke umzimba, kuquka amalungu omzimba, kwaye iimvakalelo zomzimba zithwalwa zibuyele engqondweni ngale ntambo yomqolo. Ukukhusela le 'ntambo' ixabisekileyo, kukho isigqubuthelo esenziwe ngamathambo, i-cartilage, kunye nezicubu ezijikelezileyo, ezibizwa ngokuba yi-spinal canal .
Xa, ngesizathu esithile, indawo engaphakathi kulo mjelo womqolo incipha kwaye umthambo womqolo uqala ukucinezeleka, unxibelelwano lwemiyalezo luyaphazamiseka. Yiloo nto siyibiza ngokuba yi-myelopathy.
Abantu abaninzi babhidanisa ezi meko zimbini i-myelopathy kunye ne-myopathy . Kodwa ezi zimbini zahluke ngokupheleleyo. I-Myelopathy yimeko echaphazela imithambo-luvo kwi-spinal cord . I-Myopathy yimeko echaphazela izihlunu .
I-Myelopathy yahlulwe yaba ziintlobo ezininzi eziphambili ngokuxhomekeke ekubeni ichaphazeleke phi kwi-spinal cord.
| Uhlobo lwe-myelopathy | Indawo echaphazelekayo |
|---|---|
| I-Myelopathy yoMlomo | Ichaphazela umqolo kwindawo yentamo. (Olu lolona hlobo luqhelekileyo.) |
| I-Thoracic Myelopathy | Kwinqanaba lesifuba, oko kuthetha ukuba intambo yomqolo embindini nangasentla iyachaphazeleka. |
| I-Lumbar Myelopathy | Ichaphazela umqolo ongezantsi. Le yimeko engaqhelekanga kuba umthambo womqolo awuhlali uphantsi kangaka. |
Zithini izizathu ze-myelopathy?
Kukho izizathu ezininzi zokuba umthambo womqolo unokucinezelwa. Ezibini zezona zizathu ziphambili ziimeko ezibizwa ngokuba yi-arthritis kunye ne -spondylosis . Ezi zibangelwa kukuguguleka kancinci kancinci komqolo wethu, okanye i-vertebrae, njengoko sikhula. Oku kuguguleka kunokutshintsha imo yamathambo kwaye kunciphise umjelo womqolo. Imeko eyenzeka ngakumbi entanyeni ibizwa ngokuba yi -Cervical Spondylotic Myelopathy .
Ukongeza, kukho ezinye izizathu:
- Ukutyhafa kwamathambo: Iqhekeza elincinci lethambo linokuphuma kwi-vertebra lize licinezele intambo yomqolo okanye imithambo-luvo ephuma kuyo.
- Iingozi: I-Myelopathy inokwenzeka ngequbuliso ngenxa yokwenzakala komqolo, njengokuwa okanye ingozi yemoto. Oku sikubiza ngokuba yi-acute myelopathy .
- Ezinye iimeko zonyango: Izifo ze-neurodegenerative ezifana ne -rheumatoid arthritis , i-spinal tumors, okanye isifo sikaParkinson nazo zinokubangela ukuba i-myelopathy ikhule kancinci kancinci ngokuhamba kwexesha. Oku kubizwa ngokuba yi -chronic myelopathy .
Zithini iimpawu ze-myelopathy?
Iimpawu ze-myelopathy zikhula kancinci kancinci. Nangona zisenokuba zincinci ekuqaleni, zinokukhula ngokuhamba kwexesha. Iimpawu eziphambili onokuzibona zezi:
- Intlungu entanyeni, emqolo, ezingalweni, okanye emilenzeni.
- Ukuziva ngathi umzimba awusakwazi ukuziva, utshile, okanye uphelelwe zimvakalelo emalungeni.
- Ukulahlekelwa yibhalansi ngelixa uhamba, uzive ngathi uyashukuma.
- Ubunzima bokulungelelanisa iintshukumo zomzimba.
- Ubunzima bokwenza imisebenzi emihle yezandla , njengokubhala, ukuqhobosha ihempe, okanye ukubopha imitya yezihlangu.
- Ukuziva ngathi ubuthathaka kwiingalo nasemilenzeni akusebenzi kakuhle.
- Njengoko isifo siqhubeka, unokufumana ukuchama okungalawulekiyo kunye nokukhupha indle .
Ukuba unale mpawu, musa ukuzityeshela . Kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko.
Ungayixilonga njani ngokuchanekileyo i-myelopathy?
Xa usiya kugqirha wakho, into yokuqala aza kuyenza kukumamela iimpawu zakho aze enze uvavanyo lomzimba. Emva koko, banokucebisa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa kunye nokuthintela ezinye iimeko.
| Uvavanyo lwezonyango | Kulindeleke ntoni kuyo? |
|---|---|
| Uvavanyo lwe-X-ray | Jonga ezinye iingxaki ezifana nokuqhekeka okanye ukuqhekeka komqolo. |
| Iskeni se-MRI (Umfanekiso weMagnetic Resonance) | Olu lolona vavanyo lubalaseleyo. Ungayibona ngokucacileyo yonke into, kuquka umthambo womqolo, imithambo-luvo, kunye neediski eziphakathi kwamathambo omqolo. Ungafumanisa ukuba umthambo womqolo uphi kanye nokuba ucinezelwe kangakanani. |
| I-Myelography | Olu vavanyo lwenziwa kubantu abangakwaziyo ukungena kumatshini we-MRI (umzekelo, abo bane-pacemakers). Ulwelo olukhethekileyo (idayi) lufakwa emgogodleni kwaye ii-X-rays zexesha langempela (i-fluoroscopy) zisetyenziselwa ukuchonga iindawo ezinengxaki kumqolo. |
| Uvavanyo loMbane | Uvavanyo olufana ne -electromyogram (EMG) lujonga ukusebenza kwemithambo-luvo kunye nendlela izihlunu ezisabela ngayo kuyo. |
Ziziphi iindlela zonyango lwe-myelopathy?
Unyango luxhomekeke kuhlobo lwe-myelopathy onayo, unobangela wayo, kunye nobunzima beempawu zakho.
Unyango Olungelulo Utyando
Kwiimeko zokuqala okanye ukuba iimpawu azikho qatha kakhulu, ugqirha wakho unokucebisa unyango olungelulo utyando.
- Unyango Lomzimba: Olu qheliselo lunceda ukuqinisa izihlunu zomqolo nentamo kwaye lunciphise uxinzelelo kwintambo yomqolo.
- Isixhasi sentamo: Oku kunceda ekunciphiseni intshukumo yentamo, ukunciphisa iintlungu, kunye nokuthintela imeko ukuba ingabi mandundu.
- Amayeza: Iipilisi zokunciphisa iintlungu ezifana neeNSAID (iziyobisi ezichasene nokuvuvukala ezingezizo iisteroid) zinikwa ukunciphisa iintlungu nokudumba. Ngamanye amaxesha, ukuba iintlungu zinzima, iinaliti zesteroid zinikwa ngqo kwindawo echaphazelekayo.
Unyango lotyando
Ukuba iimpawu zinzima, ingakumbi ukuba kukho ukungasebenzi kakuhle kwesinyi okanye amathumbu, okanye ukuba into efana nethumba okanye iqhekeza lethambo kufuneka isuswe, utyando lolona sisombululo silungileyo. Utyando lunokunciphisa uxinzelelo kumqolo kwaye lunike isiqabu esingapheliyo.
| Igama lotyando | Kwenzeka ntoni nje |
|---|---|
| Utyando lweLaminectomy | Inxalenye yethambo lomqolo (i-lamina) ebangela ukucinezelwa kwentambo yomqolo iyasuswa, nto leyo evumela ukuba intambo yomqolo ihlale ikhululekile. |
| I-Laminoplasty | Ngaphandle kokususa ngokupheleleyo ithambo, kwenziwa ihinji kwicala elinye, nto leyo eyenza kube nendawo efana nokuvula ucango. Oku kwenziwa kuphela kumathambo entamo. |
| Ukudibana koMgogodla | Amathambo omqolo amabini okanye ngaphezulu aqiniswe kunye, nto leyo eqinisa umqolo. Oku kunciphisa kakhulu iintlungu. |
Ukubuyela esiqhelweni emva konyango
Eyona nto ibalulekileyo kwi-myelopathy kukuqaphela esi sifo kwangethuba uze uqale unyango . Kuba ukuba umqolo ucinezelwe kakhulu, umonakalo ongenakuguqulwa kwimithambo-luvo unokwenzeka.Inokwenzeka. Ngenxa yoko, kukho ithuba lokuba kwanokunyakaza kwamalungu omzimba kunokulahleka ngonaphakade. Ngoko ke, ukuba uneempawu ezikhankanyiweyo kweli nqaku, ungoyiki, kwaye ubone ugqirha ukuze ufumane ulwazi ngayo. Ngonyango olukhawulezileyo, umgangatho wobomi bakho unokugcinwa kakuhle.
Umyalezo Wokuya Ekhaya
- I-Myelopathy ayisiyongxaki yemisipha, kodwa yingxaki yemithambo-luvo ebangelwa kukucinezelwa kwentambo yomqolo.
- Musa ukuzityeshela iimpawu ezifana nentlungu yentamo okanye yomqolo ehamba nokungaziva mnandi, ubuthathaka, ubunzima bokuhamba, okanye ubunzima bokwenza imisebenzi yezandla.
- Ukuba unenye okanye ngaphezulu kwezi mpawu, bonana nogqirha ngokukhawuleza ukuze akunike icebiso.
- Ukuxilongwa kwangoko kunye nonyango kunokuthintela umonakalo osisigxina wemithambo-luvo.
- Ngokuxhomekeke kwisizathu kunye nobunzima, kukho unyango olusebenzayo oluqala ekuzilolongeni namayeza ukuya kutyando.
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