Uyaqaphela yini lokhu kulimala komgogodla womlomo wesibeletho? (I-Central Cord Syndrome - CCS) Ake sixoxe ngalokhu!

Wake wazizwa sengathi uzoquleka ngokuzumayo? Mhlawumbe kwenzeke ngemva kokuwa okuncane noma ukushaywa kanzima entanyeni. Namuhla sizokhuluma ngesimo esingabangela izimpawu ezifanayo, ikakhulukazi uma sibangelwa ukulimala kwengxenye ephakathi yomgogodla entanyeni yethu . Odokotela babiza lokhu ngokuthi i-Central Cord Syndrome , noma i-CCS . Ungakhathazeki, ake sikuchaze kalula.

Iyini ngempela i-Central Cord Syndrome?

Kalula nje, i-'CCS' iwumonakalo 'kumgogodla womlomo wesibeletho' entanyeni yakho, intambo eyinhloko yemizwa edlula emgogodleni wakho, phakathi nendawo . Cabanga ngakho, intambo yomgogodla ithwala imiyalezo esuka ebuchosheni iye emzimbeni wethu wonke. Ngakho-ke lapho le ngxenye ephakathi yonakele, ukuhamba kwaleyo miyalezo kuyaphazamiseka.

Kulokhu, imizwa eya ezandleni ithinteka kakhulu. Ngakho-ke, ubuthakathaka kanye nokungazweli kungavela ezandleni. Ngezinye izikhathi, lo mphumela ungathinta nemilenze ngezinga elikhulu noma elincane. Kodwa isikhathi esiningi, yizandla ezithinteka kakhulu.

Lokhu kubizwa nangokuthi ukulimala komgogodla okungaphelele . Lokhu kusho ukuthi akuwona wonke umuntu onalesi simo okhubazeka ngokuphelele. Lokhu kusho ukuthi akuwona wonke amalungu omzimba akhubazeka. Izinga elithile lokusebenza lingasala.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Lesi simo esibizwa ngokuthi i-'CCS' sivame ukubangelwa ingozi engazelelwe entanyeni . Cabanga nje, uma amathambo amancane '(ama-vertebrae)' entanyeni yakho onakele , angabeka ingcindezi enkulu emgogodleni futhi abangele i-'CCS'.

Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwengu-50 abanesifo samathambo entanyeni . Lokhu kungenxa yokuthi bangase babe nokuncipha komsele womgogodla entanyeni (i-spinal stenosis). Abantu abanjalo banamathuba amaningi okulimala entanyeni ngisho noma bewa kancane.

Cabanga nje, indoda endala edolobhaneni lakithi, mhlawumbe ibilokhu inobuhlungu obuncane entanyeni (i-arthritis) isikhathi eside. Uma ngelinye ilanga ishelela futhi iwe ngenkathi ihamba egcekeni, bese intamo yayo ishaywa kanzima, khona-ke lokhu okubizwa ngokuthi "i-Central Cord Syndrome" kungavela.

Ngaphezu kwalokho, akuvamile kakhulu, i-CCS ingabangelwa izimila engxenyeni ephakathi yomgogodla, ukungasebenzi kahle kwemithambo yegazi, noma imigodi egcwele uketshezi emgogodleni (i-syringomyelia) .

Iyini i-Acute Central Cord Syndrome?

I-CCS ebukhali iqala ngokuzumayo, ngokuzumayo . Lokhu kuvame ukubangelwa ukulimala kwe-hyperextension lapho intamo yakho igoba khona ngokuzumayo.Njengoba nje ungena emotweni ngokuzumayo bese intamo yakho iphonswa emuva, ingozi ye-whiplash ingalimaza ingxenye ephakathi yomgogodla.

• Izingozi zezimoto
• Ukuwa (ukuwa usuka endaweni ephakeme, ukushelela)

Lesi simo 'se-Acute CCS' singabangelwa izingozi ezifana nokuthi. Njengoba kushiwo ngaphambili, akuvamile, ngisho nangaphandle kwengozi, singabangelwa nayizimila, izinkinga zemithambo yegazi, noma izimbobo eziphakathi komgogodla.

Sivame kangakanani lesi simo?

Eqinisweni, le 'CCS' uhlobo lokulimala komgogodla okungaphelele oluvame kakhulu emazweni afana ne-United States. Inani elikhulu leziguli ezintsha ezinezinhlungu zomgogodla libikwa minyaka yonke. NaseSri Lanka, kunabantu abalaliswa esibhedlela ngenxa yezingozi ezinjalo.

Kwenzekani kuwe nge-Central Cord Syndrome (CCS)?

Esimweni se-'CCS', imiyalezo yezinzwa ephakathi kobuchopho bakho nezingxenye zomzimba wakho ezingaphansi kwendawo yokulimala iyavalwa . Kalula nje, imiyalezo evela ebuchosheni bakho efana nokuthi "nyakazisa ingalo yakho" kanye nokuthi "phakamisa umlenze wakho" ayifiki ezindaweni ezifanele.

Lokhu kuthinta kakhulu ingxenye yesimiso sezinzwa esilawula ukunyakaza kwakho, "i-cortical spinal tract." Uhlelo lwezinzwa oluhamba phansi kwentambo yethu yomgogodla luhlelekile kakhulu. Imizwa engalweni ingaphakathi kwentambo yomgogodla, kanti imizwa emilenzeni ingaphandle. Ngakho-ke, lapho ingxenye ephakathi yentambo yomgogodla yonakele, imizwa engalweni inamathuba amaningi okulimala kunemizwa emilenzeni.

Ngakho-ke,

• Ubuthakathaka, ukungazweli ezandleni
• Ukuba ndikindiki
• Ungase ube nobunzima nokuhamba.

Yiziphi izinkinga ezingabangelwa yilokhu?

Abanye abantu bangase babe nezinye izinkinga nge-CCS, okuhlanganisa:

• Izinkinga zesinyi : Ukungakwazi ukulawula ukuchama noma ukungakwazi ukuchama.
• Izinkinga zamathumbu : Ukungakwazi ukulawula ukunyakaza kwamathumbu.
• Amahlule egazi emithanjeni yabo : ikakhulukazi emilenzeni.
• Izinkinga zokuphefumula : Uma ingxenye engenhla yentamo yonakele.
• Umfutho wegazi ophansi .
• Ukuba ndikindiki nobuthakathaka : Lolu uphawu oluyinhloko.
• Ukuqaqamba kwemisipha: Isitho siba siqinile futhi kube nzima ukugoba noma ukuqondisa.
• Umfutho wegazi ophakeme ngokuzumayo (i-autonomic dysreflexia) : Lesi yisimo esiyingozi futhi sidinga ukunakekelwa kwezokwelapha okusheshayo.

Yini ebangela lokhu?

Imbangela evame kakhulu ye-CCS umuntu one-cervical spinal canal stenosis ogoba intamo yakhe ngokuzumayo emuva (hyperextension).Ingozi eyenzeka ngenxa yalokhu. Isibonelo, lapho umuntu osekhulile ewa ngobuso phansi futhi intamo yakhe ishaya emuva, lokhu kungenzeka ngesikhathi esinjengalesi.

Ziyini izimpawu?

Ku-CCS, izimpawu zemizwa phakathi kobuchopho nomgogodla ziyavalwa, okubangela izimpawu ezahlukahlukene. Isici esiyinhloko esibonakalayo salesi simo ukuntuleka kwezimpawu zemizwa ezandleni nasezingalweni .

Izimpawu zivame ukwenzeka ezandleni nasezingalweni ngenxa yokuvaleka kwezimpawu zemizwa, kodwa ngezinye izikhathi zingathinta nemilenze. Ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu obubuhlungu : ezingalweni, ngezinye izikhathi emilenzeni.
• Ukusha : Abanye abantu bazizwa sengathi bafuna ukusha.
• Ukushaqeka : Kuzwakala sengathi kushaqeka ngogesi isikhashana, yilokho okuzwakalayo.
• Ukungakwazi ukwenza ukunyakaza okuncane ngezandla zakho (amakhono okunyakaza amancane) : Isibonelo, kungaba nzima ukunamathisela ihembe, ukubamba ipeni, noma ukubamba inkomishi.
• Ukuba ndikindiki ezandleni noma ezingalweni zakho .
• Ukukhubazeka noma ubuthakathaka .
• Ukuqaqamba kwemisipha .
• Ubunzima bokuhamba .

Lezi zimpawu zincike esimweni sakho noma ubukhali bokulimala. Abanye abantu bangase balahlekelwe umuzwa ngaphansi kwendawo yokulimala futhi bazizwe bengakwazi ukuzibamba. Abanye bangase bangakwazi nhlobo ukuhamba noma babe nezinkinga zokuhamba.

Odokotela bakuthola kanjani lokhu?

Uma ubona udokotela onalezi zimpawu, uzoqala ngokukuhlola ngokomzimba . Uzobuza nangomlando wakho wezokwelapha kanye nanoma yiziphi izingozi oye wabhekana nazo.

Bese, odokotela benza izivivinyo eziningana ezikhethekile ukuqinisekisa ukutholakala kwe-CCS. Lezi yizi:

• I-CT scan : Lokhu kungasetshenziswa ukubona ukuthi kukhona yini umonakalo emathanjeni entanyeni nokuthi umsele womgogodla unciphile yini.
• I-Electromyogram (EMG) : Lokhu kulinganisa indlela imiyalezo ehamba ngayo ngemizwa kanye nomsebenzi wemisipha.
• I-MRI Scan : Lena yindlela engcono kakhulu yokubona ngokucacile umonakalo emgogodleni, njengezigaxa, ama-cyst, kanye nezimbobo.
• I-X-ray : Lokhu kungasetshenziswa futhi ukubona indawo yamathambo entamo kanye nokuqhekeka kwawo.

Ngaphezu kwalokho, odokotela bangase benze nokuhlolwa okukucela ukuthi ugobe futhi welule intamo yakho ukuze babone ukuthi ungayishukumisa kangakanani.

Yiziphi izindlela zokwelapha?

Ukwelashwa kwe-CCS kuncike embangela yengozi kanye nohlobo lomonakalo. Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa kokuhlinzwa.

Ukwelashwa okungadingi ukuhlinzwa

Ukwelashwa kokuqala okufanele ukuzame yilokhu:

• Ukungasebenzi : Lokhu kungabandakanya ukubeka ikhola eqinile entanyeni yakho. Unganikwa futhi ama-splint ukuze ugcine izingalo zakho zisesimweni esifanele .
• Imithi : Imithi efana nama-steroids inganikezwa ukunciphisa ubuhlungu nokuvuvukala.
• Ukwelashwa Komsebenzi : Lokhu kubaluleke kakhulu. Kulokhu, ochwepheshe bayakusiza ukuthi wenze imisebenzi yakho yansuku zonke ngalesi simo. Isibonelo, uma unenkinga yokugqoka ihembe ngenxa yokucindezeleka kwemizwa, bazokufundisa izindlela ezilula zokukwenza, noma bazokufundisa ngamadivayisi aguquguqukayo ongawasebenzisa. Bazokusiza ukuthi ubuyisele impilo yakho esimeni esijwayelekile.
• Ukwelashwa ngokomzimba : Lokhu kuhilela ukuzivocavoca ukuze kwandiswe amandla kanye nokuguquguquka kwezitho zakho zomzimba. Unganikezwa nemishini yokukusiza uhambe uma unenkinga.

Khumbula, uma lokhu kwelashwa kuqala ngokushesha, amathuba okululama ayanda.

Ingabe ngizodinga ukuhlinzwa?

Kwezinye izimo, ukuhlinzwa kungadingeka. Lokhu kufaka phakathi:

• Uma une- "compressed spinal cord" , okungukuthi, uma kukhona ingcindezi emgogodleni, yikhulule.
• Uma umgogodla wakho womlomo wesibeletho unyakaza ngendlela engajwayelekile noma ungakwazi ukuthwala isisindo (ungazinzile).
• Uma kukhona isimila, ukungasebenzi kahle kwemithambo yegazi, noma umgodi (i-cavitation) emgogodleni.

Ithimba lezokwelapha lizonquma ukuthi udinga ukuhlinzwa noma cha.

Kuzothatha isikhathi esingakanani ukululama? (Ukululama)

Abantu abathola ukwelashwa ngokushesha ngemva kwengozi banamathuba amaningi okuthola kabusha izinga elithile lokusebenza kwezinzwa. Kodwa-ke, ukululama kungase kuhambe kancane kubantu abangaphezu kweminyaka engu-65 , futhi kungase kungapheleli. Kuyahlukahluka kuye ngomuntu nomuntu.

Unganciphisa kanjani le ngozi? (Ukuvimbela)

Ayikho indlela eqinisekile yokuvimbela i-CCS ebukhali, eyenzeka ngokuzumayo ngemva kokulimala ekhanda. Kodwa-ke, kunezinto ongazenza ukuze uvikele umgogodla wakho ekulimaleni:

Ukunciphisa ingozi ye-Acute Central Cord Syndrome (i-Acute CCS):

• Ukuze unciphise ingozi yokuwa , thola izindawo ezishelelayo neziyingozi ekhaya lakho bese uzivikela kuzo.
• Qaphela ngokuphepha lapho usebenza ezitebhisini nasezindaweni eziphakeme.
• Gqoka izinto zokuzivikela (isib. isigqoko sokuzivikela) ngesikhathi semidlalo yokuthintana kanye nemisebenzi yomzimba.

Vimbela i-Cervical Spinal Stenosis:

Nakuba lokhu kungenzeka ngokukhula, kubalulekile ukunakekela kahle umgogodla wethu:

• Vivinya umzimba njalo .
• Qaphela ukuthi uhlala kanjani futhi ulala kanjani . Ungahlali esimweni esingalungile.
• Ukuze uvikele umhlane wakho lapho uphakamisa izinsimbi, ziphakamise ngendlela efanele.
• Gcina ukuma okunempilo .

Kufanele ngimbone nini udokotela?

Uma ulimele kakhulu noma ube sengozini, funa iseluleko sezokwelapha ngokushesha . Ikakhulukazi,

• Uma kunzima ukuhambisa izingalo noma imilenze yakho,
• Uma uzizwa ungenamizwa noma ubuthakathaka,

Yiya esibhedlela ngokushesha, ngoba ukwelashwa okusheshayo kubaluleke kakhulu ezimweni ezinjengalezi.

Yini engingayilindela uma ngine-Central Cord Syndrome (CCS)? (Isibikezelo)

Iningi labantu abane-CCS lithola izinga elithile lokusebenza kwezinzwa. Uma i-CCS ithinte imilenze yakho kanye nohlelo lomchamo, ungase ubone intuthuko kulezo zindawo kuqala. Kodwa-ke, kungathatha isikhathi eside ukuthi izimpawu zezinzwa zibuyele esimweni esijwayelekile ezandleni zakho .

Akukho ukwelashwa kwe-CCS, futhi imiphumela iyahlukahluka kumuntu nomuntu. Abanye abantu baphinde basebenze cishe ngokugcwele ezingalweni zabo, ezandleni nasemilenzeni, kodwa abanye bangase babe nobunzima bokwenza ukunyakaza kwezandla okuhle impilo yabo yonke.

Isikhathi sokululama asifani kuwo wonke umuntu. Kuncike eminyakeni yakho kanye nobunzima bokulimala noma isimo . Ngokuvamile, abantu abangaphezu kweminyaka engu-50 bathatha isikhathi eside ukululama kunabantu abasebasha.

Ngizinakekela kanjani? (Ukuzinakekela)

Uma une-CCS, khuluma nodokotela wakho ukuze ufunde kabanzi ngalokho ongakulindela nokuthi ungabhekana kanjani nakho. Njengoba kushiwo ngaphambili , ukwelashwa ngokomsebenzi kanye nokwelashwa ngokomzimba kungakusiza uhlale uqinile futhi uthuthukise amasu okubhekana nemisebenzi yansuku zonke eyinselele.

Into ebaluleke kakhulu ukuhlala uqinile, ulandele iseluleko sezokwelapha, futhi uhlanganyele ngokugcwele ezinhlelweni zokuvuselela.

Umlayezo Wokuya Nawe Ekhaya

I-Central cord syndrome (CCS) yisimo esibangelwa ukulimala komgogodla entanyeni yakho (umgogodla wesibeletho). Lokhu kuthinta imiyalezo yezinzwa ehamba iye ezithweni zakho, ikakhulukazi ezandleni zakho. Odokotela bangasebenzisa ukwelashwa nokuhlinzwa okungekhona ukuhlinzwa ukusiza ukubuyisela umuzwa nokusebenza ezingalweni zakho, ezandleni nasemilenzeni. Ukuxilongwa kusenesikhathi kanye nokwelashwa kwandisa amathuba akho okululama. Ngakho-ke, uma uzwa ukungakhululeki noma ubuthakathaka ezithweni zakho ngemuva kokulimala entanyeni, funa usizo lwezokwelapha ngokushesha.

I- Central Cord Syndrome, i-CCS, i-Spinal Cord, Izinkinga Zentamo, Ukuba ndikindiki, Izinkinga Zezinzwa, Umgogodla, Ukuba ndikindiki, i-Whiplash