Ingabe ngezinye izikhathi uzwa ubuhlungu obungabekezeleleki, obungavamile emhlane noma emilenzeni yakho? Kuzwakala njengokushaqeka kukagesi, noma umuzwa oshisayo njengokusha kwesikhumba sakho? Ngezinye izikhathi lobu buhlungu bukhulu kangangokuthi awukwazi ngisho nokuhlala endaweni eyodwa noma ulale ngokunethezeka. Abantu abaningi bacabanga ukuthi lolu hlobo lobuhlungu luwubuhlungu nje basemhlane. Kodwa ngezinye izikhathi imbangela yalokhu ingaba yisimo esiyinkimbinkimbi kakhulu abantu abaningi abangakaze bezwe ngaso. Namuhla, sizokhuluma ngesimo esingavamile kangaka, kodwa esisongela ukuphila. Leso yi -Arachnoiditis .
Kalula nje, iyini i-Arachnoiditis?
I-Arachnoiditis yisimo esibuhlungu kakhulu esibangelwa ukuvuvukala kwe-membrane evikelayo ezungeze imizwa emgogodleni wethu. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, masiligcine lilula.
Cabanga ukuthi ubuchopho bethu kanye nomgogodla kuyizitho ezimbili ezibaluleke kakhulu futhi ezizwelayo. Ngakho-ke ukuze sizivikele ekulimaleni, imvelo isinikeze izendlalelo ezintathu zezembozo zokuzivikela. Sibiza lolu hlelo lokumboza ngokuthi ama-meninges .
1. I-Dura mater: Lesi yisimbozo sangaphandle, esiqinile kancane, nesijiyile.
2. I-Arachnoid mater: Lokhu kuphakathi. Kuyi-membrane ethambile kakhulu, njenge-spider's web. Igama elithi arachnoiditis lisuselwa egameni lale membrane.
3. I-Pia mater: Lesi yisembozo esincane esinamathele ngaphakathi kobuchopho kanye nomgogodla.
I-Arachnoiditis yenzeka lapho ulwelwesi lwe-arachnoid oluphakathi nomgogodla lonakala futhi luqala ukuvuvukala. Lokhu kuvuvukala kuthinta kakhulu imizwa emhlane ongezansi (umgogodla we-lumbar) kanye nomhlane ophakathi (umgogodla we-thoracic). Umgogodla wonke awuthinteki kakhulu yilesi simo.
Lokhu kufana nezendlalelo ezintathu zokusonga into eyigugu. Kukhona okwenzekile engxenyeni ephakathi yokusonga futhi iqala ukucindezela izintambo (imizwa) ezingaphakathi.
Kwenzekani ngempela emzimbeni uma kwenzeka i-arachnoiditis?
Uma ulwelwesi lwe-arachnoid luvuvukala, kuqala uchungechunge lwezehlakalo. Kuyinqubo eyinkimbinkimbi eqala ngento eyodwa bese idala izinkinga ezengeziwe.
- Izicubu zezibazi: Uma kukhona ukuvuvukala noma umonakalo endaweni ethile, umzimba wethu uzama ukukwelapha. Kule nqubo, njengoba nje kwakheka isibazi lapho isikhumba sethu silimele, izicubu zezibazi ziqala ukwakheka zizungeze lolu lwelwesi olubucayi.
- Ukucindezelwa kwemizwa: Lesi sicubu sesibazi sibangela ukuthi izimpande zemizwa zicindezelwe futhi zixabane. Lapho imizwa okufanele ikhululeke ukuhamba icindezelwa, ukusebenza kwayo kuyaphazamiseka.
- Ukuvaleka koketshezi lwe-cerebrospinal: Imizwa engaphakathi komgogodla wethu intanta oketshezini olukhethekile olubizwa ngokuthi uketshezi lwe-cerebrospinal. Yilokhu okondla nokuvikela imizwa. Lapho isikhala siba sincane ngenxa yezibazi ezibangelwa yi-arachnoiditis, ukugeleza kwalolu ketshezi kuyavaleka.
- Ukuncipha kokunikezwa kwegazi: Njengoba imizwa icindezelwa futhi izicubu ezizungezile zikhula, ukunikezwa kwegazi emithanjeni kungancipha. Lokhu kungalimaza imizwa futhi kubangele ukuthi iphele kancane kancane (i-nerve atrophy).
Umphumela wakho konke lokhu ubuhlungu obungapheli obungabekezeleleki nezinkinga ezihlobene nezinzwa.
Kuyini i-Adhesive Arachnoiditis?
Njengoba i-arachnoiditis iqhubeka, ingaba yimbi kakhulu. Leso sikhumba sesilonda esikhulume ngaso ngaphambilini kanye nemizwa enamathelana iba nzima kakhulu. Lokhu kubizwa ngokuthi i-Adhesive Arachnoiditis . Igama elithi "Adhesive" lisho "okunamathelayo."
Kulesi simo, imizwa iyabanjwa futhi ayikwazi ukusebenza kahle. Lokhu kungaholela ekukhubazekeni okukhulu kwabanye abantu. Kunezimo lapho imilenze ikhubazeka khona futhi umuntu akakwazi ukuhamba futhi asebenzise isihlalo sabakhubazekile . Lokhu akwenzeki kuwo wonke umuntu. Kodwa-ke, kubalulekile ukuqaphela ukuthi lokhu kungenzeka.
Ziyini izimpawu ze-arachnoiditis?
Akuwona wonke umuntu obhekana nezimpawu ezifanayo zalesi sifo. Kuyahlukahluka kuye ngokuthi iyiphi ingxenye yomgogodla ethintekile. Izimpawu zingaba mnene kakhulu kwabanye, futhi zibe nzima kakhulu kwabanye. Kodwa uphawu oluvame kakhulu noluyinhloko ubuhlungu.
Njengoba kuvame ukuthinta imizwa emhlane nasemilenzeni engezansi, izimpawu zivame ukubonakala kuleyo ndawo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu obukhulu, obuhlabayo | Ubuhlungu obubukhali, njengokushaywa ugesi noma ukugwazwa ngommese, buqala emhlane bese buyehla emilenzeni. |
| Ukuvuvukala kanye nokungazweli | Ungase uzwe umuzwa wokushisa emilenzeni yakho, noma imilenze yakho ingase izwakale indikindiki. |
| Imizwa engavamile | Kuzwakala sengathi izintuthwane zigijima emilenzeni yakho (ukwakheka) noma sengathi amaconsi amanzi ayawa. Lokhu kungenxa yokuthi imizwa ithumela izimpawu ezingalungile ebuchosheni, yize kungekho okwenzekayo ngempela. |
| Ubuthakathaka emilenzeni | Uzizwa ubuthakathaka emilenzeni yakho, kunzima ukuhamba, futhi kunzima ukukhuphuka izitebhisi. |
| Ubunzima bokuhlala endaweni eyodwa | Ubuhlungu buyanda ngemva kokuhlala imizuzu embalwa ngesikhathi, okwenza kube nzima ukuhlala isikhathi eside. |
| Ukuqhaqhazela nokuqhaqhazela kwemisipha | Ukuqaqamba kwemisipha emilenzeni, ukunyakazisa kwemisipha okungalawuleki. |
| Izinkinga zomchamo kanye namathumbu | Izimo ezinjengokulahlekelwa ukulawula isinyi (isinyi esibangela imizwa) kanye nokuqunjelwa kungase kube khona. |
| Ukuziphatha okubi ngokocansi | Amadoda angase abe nezinkinga zokumiswa kwenduku (ukungasebenzi kahle kwenduku yokuthomba) kanti abesifazane bangase babe nenkinga yokoma kwesitho sangasese sowesifazane. |
Lezi zimpawu zingaba zimbi kakhulu ngokuhamba kwesikhathi, futhi ngezinye izikhathi zibe zingapheli. Lobuhlungu obungapheli benza kube nzima ngabantu abaningi ukuqhubeka nokusebenza ngendlela evamile.
Kungani kwenzeka le Arachnoiditis? Ziyini izimbangela?
Ngokuvamile, kunzima ukuthola imbangela eqondile yalesi sifo. Ngenxa yokuthi yisifo esingavamile, futhi kunezimbangela eziningana ezingaba khona, ngezinye izikhathi izimpawu zivela kuphela ngemva kwesikhathi eside kusukela kwenzeka lesi sigameko.
Nokho, kunezizathu eziningana eziyinhloko ezitholakale ngocwaningo.
| Isizathu | Incazelo |
|---|---|
| Ukuhlinzwa komgogodla | Cishe amaphesenti angama-90 ezimo ze-arachnoiditis zibangelwa inkinga yokuhlinzwa komgogodla. Kodwa-ke, lokhu akusho ukuthi wonke umuntu ohlinzwa umgogodla uzoba nayo. Kuyinkinga engavamile kakhulu. Ngisho nokopha okuncane ngesikhathi sokuhlinzwa kungabangela ukuthi lolu lwelwesi luvuvuke. |
| Ukulimala komgogodla | Lesi simo singabangelwa ukulimala okukhulu ngqo emgogodleni, njengengozi yemoto noma ukuwa. |
| Amakhemikhali | Idayi esetshenziswe esivivinyweni esidala se-myelogram (esingasasetshenziswa) itholakale njengembangela, futhi kukhona nokukhathazeka ngokuthi izithasiselo kwezinye izijovo ze-epidural steroid nazo zingaba imbangela. |
| Izifo | Lesi simo singabangelwa ukutheleleka ngamagciwane noma ngamagciwane, ikakhulukazi ukutheleleka okuthinta umgogodla, njenge-meningitis kanye nesifo sofuba. |
| Ukucindezelwa kwemizwa kwesikhathi eside | Lokhu kungabangelwa futhi ukucindezelwa isikhathi eside kwemizwa ngenxa yesifo sediski esiwohlokayo noma ukuncishiswa komsele womgogodla (i-spinal stenosis). |
Ngaphezu kwalokho, ezinye izimo zezokwelapha ezifana ne-Ankylosing spondylitis kanye ne-Guillain-Barré syndrome nazo azivamile ukubangela i-Arachnoiditis.
Ungasithola kanjani lesi sifo?
I-Arachnoiditis ingaba nzima ukuyixilonga ngoba iyisimo esingavamile futhi akubona bonke odokotela abanolwazi oluningi ngayo. Akukho ukuhlolwa okukodwa okungakuqinisekisa ngokuqinisekile.
Uma udokotela esola lesi sifo, uzolalela ngokucophelela izimpawu zakho, akuhlole, futhi akuthumele kulezi zivivinyo.
- Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungaveza izithombe ezicacile zomgogodla, imizwa, kanye nezicubu ezizungezile. I-MRI ingahlola izinto ezifana nokuqina noma ukunamathela ezimpandeni zemizwa.
- I-CT Myelogram: Lokhu kuhilela ukufaka idayi ekhethekile emgogodleni kanye nokwenza i-CT scan. Lokhu kuvumela isithombe esicacile sezinzwa kanye nendawo ezizungezile.
- Ukubhoboza Kwethambo: Lokhu kuhilela ukufaka inaliti emgogodleni bese kuthathwa isampula yoketshezi lomgogodla ukuze luhlolwe. Lokhu kuhlolwa kubalulekile ukuze kutholakale ukuthi kukhona yini ukutheleleka okubangela lesi simo.
- Ukuhlolwa kwe-EMG (Electromyogram): Lokhu kusetshenziselwa ukukala ubukhali bomonakalo wemizwa. Kusebenzisa izimpawu zikagesi ukubona ukuthi imizwa isebenza kanjani.
Udokotela ufinyelela esiphethweni sokugcina ngemva kokucabangela kokubili ulwazi olutholwe kulezi zivivinyo kanye nezimpawu zakho.
Yiziphi izindlela zokwelapha i-arachnoiditis?
Ngeshwa, ayikho ikhambi le-arachnoiditis. Kuyisifo esingamahlalakhona, esihlala impilo yonke. Ngakho-ke, imigomo eyinhloko yokwelashwa ukulawula ubuhlungu, ukuphatha izimpawu, nokuthuthukisa ikhwalithi yokuphila.
Inhlanganisela yezindlela zokwelapha eziningana isebenza kangcono kunokwelashwa okukodwa.
- Ukuphathwa kobuhlungu: Lena yinto ebaluleke kakhulu. Udokotela wakho angase akunike imithi ehlukahlukene kusukela emithini engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) kuya emithini enamandla njenge-opioid yobuhlungu obukhulu. Ngaphezu kwalokho, kunemithi eyenzelwe ngqo ubuhlungu bezinzwa. Isibonelo, imithi efana ne -duloxetine, i-gabapentin, ne-pregabalin . Uma unemisipha ebuhlungu, unganikezwa nemithi efana ne -baclofen .
- Ukwelashwa ngokomzimba: Ukuzivocavoca ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba onolwazi kubaluleke kakhulu. Ukwelashwa ngamanzi , okuwukuzivocavoca okwenziwa emanzini, kungasebenza kahle kakhulu. Ngenxa yokuthi umzimba uzizwa unesisindo esincane emanzini, ungazivocavoca ngaphandle kokucindezela umhlane wakho nasemalungeni. Ukuhlikihla okuthambile kanye nokuzelula kungasiza ekunciphiseni ubuhlungu.
- Ukuvuselelwa Kwentambo Yomgogodla:Lokhu kuhilela ukufakwa kwedivayisi encane emzimbeni ngokuhlinzwa nokuthumela izimpawu zikagesi ezincane emgogodleni, okuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Nakuba lokhu kungafanele wonke umuntu, kuyindlela enhle yokulawula ubuhlungu kwabanye abantu.
- Ukwelapha Ngengqondo: Ukuphila nobuhlungu obungapheli isikhathi eside kungandisa ingozi yokucindezeleka, ukukhathazeka, kanye nokucindezeleka. Ngakho-ke, ukukhuluma nodokotela wengqondo (i-talk therapy) kungakusiza ufunde ukuthi ungaphila kanjani nalolu buhlungu ngengqondo.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese uqhamuka nohlelo lokwelashwa olungcono kakhulu kuwe. Uma umuthi owodwa ungasebenzi, kunezinye izinketho. Ngakho ungalilahli ithemba.
Ungaphila kanjani ne-arachnoiditis?
Ukuphila nalesi sifo akulula, kodwa ngokwenza izinguquko ezincane endleleni yakho yokuphila nokuzinakekela, ungabhekana nale nselele.
- Gwema ukubhema: Ukubhema kuphazamisa ukujikeleza kwegazi emzimbeni, okungalimaza kakhulu imizwa.
- Yazi imingcele yakho: Ungazami ukwenza okuningi kakhulu ngosuku olulodwa. Hlela umsebenzi wakho. Beka eceleni isikhathi sokuphumula kanye nawe.
- Ukudla Okunempilo: Ukudla ukudla okunempilo kuhle empilweni iyonke.
- Vivinya umzimba ngangokunokwenzeka: Kungaba nzima ukuzivocavoca ngenxa yobuhlungu. Kodwa buza udokotela wakho noma uchwepheshe wezokwelapha umzimba bese uhlanganyela ekuzivocavoceni okulula ongakwenza.
- Lala kahle ebusuku: Ubuhlungu bungaphazamisa ubuthongo, kodwa ukulala kahle ebusuku kungasiza kakhulu ekukusizeni ukuthi ubhekane nobuhlungu.
- Lawula ukucindezeleka: Zama ukunciphisa ukucindezeleka ngezinto ezifana nokuzindla, i-aromatherapy, kanye nokuqaphela.
- Joyina iqembu lokusekela: Ukujoyina iqembu lokusekela nabantu ababhekene nobuhlungu obungapheli njengawe kungakusiza uzizwe sengathi awuwedwa. Ungafunda futhi kokuhlangenwe nakho kwabanye.
- Nciphisa utshwala: Utshwala bungabangela izinkinga ezengeziwe zokulala nobuhlungu.
Ukuphila nobuhlungu obungapheli kuyinselele yomzimba nengqondo. Ngakho-ke ungesabi ukuzimela ucele usizo oludingayo. Kungcono ukuthola udokotela onolwazi nge-arachnoiditis bese usebenzisana naye eduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Arachnoiditis yisimo esingavamile esibangela ubuhlungu obukhulu obungapheli obubangelwa ukuvuvukala kolwelwesi oluvikela imizwa emgogodleni.
- Lokhu kuvame ukubangelwa inkinga yokuhlinzwa komgogodla, kodwa kungabangelwa nezinye izici, njengezingozi kanye nokutheleleka.
- Izimpawu eziyinhloko ubuhlungu obufana nokushaqeka kagesi, ukuvuvukala, ukungazweli, ubuthakathaka emilenzeni, kanye nezinkinga zomchamo.
- Nakuba lesi sifo singelapheki ngokuphelele, ubuhlungu nezimpawu kungalawulwa ngempumelelo ngemithi, ukwelashwa ngokomzimba, kanye nezinye izindlela zokwelapha.
- Kubaluleke kakhulu ukusebenzisana eduze nodokotela wakho, ukulandela uhlelo lokwelashwa olukufanele, nokugcina indlela yokuphila enempilo.
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