Ingabe une-cyst ngaphakathi komgogodla wakho? (Syringomyelia) Ake sifunde ngayo.

Ingabe ngezinye izikhathi uzizwa ubuhlungu emhlane, ukungazweli ezandleni zakho, noma ubunzima bokuhamba? Abanye abantu bacabanga ukuthi lezi yizinto ezivamile, kodwa ngemuva kwalezi zimpawu kungase kube nesifo esibi. Namuhla sizokhuluma ngesimo esingavamile esithinta umgogodla wethu. Leso yi -syringomyelia .

Iyini i-Syringomyelia?

Kalula nje, i-Syringomyelia yisimo lapho kwakheka khona isikhwama esigcwele uketshezi (esibizwa ngokuthi i-syrinx) ngaphakathi kwentambo yakho yomgogodla . Cabanga ngakho, intambo yomgogodla idlula emgogodleni wakho. Le ntambo yomgogodla ifana 'nesithunywa' esithwala imiyalezo esuka ebuchosheni bakho iye kuwo wonke umzimba wakho, futhi isuka emzimbeni wakho ibuyele ebuchosheni bakho. Ngakho-ke, le 'syrinx' ingaba nkulu futhi ibe yinde ngokuhamba kwesikhathi. Kwenzekani lapho lokho kwenzeka? Intambo yomgogodla iqala ukulimala. Imicu yezinzwa ethwala leyo miyalezo iyancishiswa futhi yonakale.

Luyini lolu ketshezi?

Uketshezi olungaphakathi kwalesi simila lubizwa ngokuthi i-Cerebrospinal Fluid (CSF) . Lolu ketshezi, olubizwa nge-CSF, luvame ukuzungeza ubuchopho bethu kanye nentambo yomgogodla ukuze luvikeleke. Lufana nezimbozi ezikhipha ukwethuka emotweni. Akukhona lokho kuphela, kodwa nezimbobo ezingaphakathi kobuchopho bethu (ezibizwa ngokuthi ama-Ventricles) nazo zigcwele le-CSF. Lezi zimbobo zixhunywe emseleni omncane (i-Central Canal) ohamba ngentambo yomgogodla.

Ngakho-ke, uma une-`(Syringomyelia)`, okwenzekayo ukuthi lolu ketshezi lwe-`(CSF)` luqoqana ngaphakathi kwezicubu zomgogodla, lwandise lowo msele ophakathi `(Central Canal)` bese kudala i-`(Syrinx)`. Esikhathini esiningi, i-`(Syrinx)` yakheka lapho ukugeleza kwe-`(CSF)` kuzungeze umgogodla noma engxenyeni engezansi yobuchopho (`(Brain Stem)`) kungenzeki ngendlela evamile, okusho ukuthi kukhona okuvimba lokho kugeleza. Uma le `(Syrinx)` ithinta i-`(Brain Stem)`, leso simo sibizwa ngokuthi `(Syringobulbia)`.

I-Syringomyelia ivame ukuthinta izingxenye eziphezulu zomgogodla, okungukuthi, izifunda zomlomo wesibeletho nezesifuba.

Ubani onamathuba amaningi okuthola lesi simo? Sivame kangakanani?

I-Syringomyelia ivame ukutholakala kubantu abaneminyaka ephakathi kuka-20 no-50. Kodwa-ke, ingatholakala nasezinganeni nakubantu asebekhulile. Kodwa-ke, iyisifo esingavamile kakhulu . Sithinta abantu abangaba ngu-8 kwabangu-100,000. Futhi sibangela cishe u-5% wamacala okukhubazeka, okuyisimo lapho imilenze nomzimba ongezansi kukhubazeka khona.

Ziyini izimpawu ze-Syringomyelia?

Izimpawu zivame ukukhula kancane, futhi zingase zibe zimbi kakhulu ngokuhamba kweminyaka.Abanye abantu bangaba ne-`(Syrinx)` encane bese behlala isikhathi eside bengenazo izimpawu. Izimpawu nazo ziyahlukahluka, kuye ngokuthi i-`(Syrinx)` ikuphi emgogodleni, ukuthi inkulu kangakanani, nokuthi ingakanani ubude bayo. Izimpawu zingavela ohlangothini olulodwa lomzimba noma kuzo zombili izinhlangothi. Nakuba abanye abantu bengenazo izimpawu eziningi, abanye bangathinteka kakhulu.

Izimpawu ezivamile ezingabonakala yilezi:

• Ikhanda elibuhlungu .
• Ubuhlungu obuhamba ezingalweni, entanyeni, emhlane, noma emilenzeni (i-Radiculopathy).
• Ubuthakathaka obuqhubekayo kanye nokulahlekelwa yimisipha ezingalweni kanye/noma emilenzeni (i-Muscle Atrophy).
• Ukuqaqamba noma ukuqina kwemisipha yomhlane, emahlombe, entanyeni, ezingalweni, noma emilenzeni.
• Ukulahlekelwa ukuzwela ubuhlungu noma izinga lokushisa , ikakhulukazi ezandleni.
• Ukuba ndikindiki noma ukuqaqamba ezandleni kanye/noma ezinyaweni.
• Izinkinga ngokulinganisela kanye nobunzima bokuhamba.
• Ukulahlekelwa ukulawula amathumbu kanye nesinye.
• Izinkinga ezihlobene nokusebenza kocansi.

Ngaphezu kwalezi zimpawu, kunezimpawu ezithinta kakhulu izingane ezincane:

• I-Scoliosis.
• Ukuhamba ngezinyawo.

Into ebaluleke kakhulu ukuthi uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, kufanele nibone udokotela ngokushesha okukhulu.

Kungani i-Syringomyelia ikhula? Ziyini izimbangela?

Eqinisweni, ososayensi abakakayitholi kahle imbangela eyisisekelo ye-syrinx. Kodwa imibono eminingi iphakamisa ukuthi imbangela eyinhloko kungaba ukuvaleka noma inkinga yokugeleza koketshezi lomgogodla (CSF) esikhulume ngalo ngaphambili.

Izimbangela ze-syringomyelia zingahlukaniswa ngezigaba ezimbili eziyinhloko: ukuzalwa (okusho ukuthi kukhona lapho kuzalwa) kanye nokutholwa (okusho ukuthi kwakhula kamuva ekuphileni) .

Izimbangela Zokuzalwa

I-Syringomyelia ivame ukuhlotshaniswa nesimo esibizwa ngokuthi i-Chiari Malformation Type 1. Yilapho ingxenye engezansi ye-cerebellum yethu iphuma khona iye ku-foramen magnum, imbobo esezansi kwekhanda. Intambo yomgogodla ivame ukudlula kulo mbobo. Le nkinga yesakhiwo ivimbela ukugeleza okuvamile koketshezi lwe-cerebrospinal (CSF).

Ngokuvamile, le "Chiari Malformation" yinto ekhona lapho umuntu ezalwa. Kodwa-ke, abanye abantu abane "Chiari Malformation Type I" bangase bangabi nazimpawu nhlobo, noma bangase bangabi nazimpawu baze babe bancane noma badala.

Ezinye izimbangela zokuzalwa yilezi:

• I-Myelomeningocele: Ebizwa nangokuthi i-Open Spina Bifida, lokhu kuyiphutha lokuzalwa. Yilapho umgogodla kanye nomsele womgogodla kungavaleki kahle ngaphambi kokuzalwa. Lolu uhlobo lwephutha le-neural tube (NTD).
• I-Tethered Cord Syndrome:Lesi futhi yisimo esingavamile kakhulu sezinzwa. Okwenzekayo lapha ukuthi intambo yomgogodla inamathela ezicutshini ezizungeze umgogodla (yilokho okubizwa ngokuthi ukuboshwa). Lokhu kuvame ukuhlotshaniswa ne-"Spina Bifida" kanye ne-"Scoliosis".

Izimbangela Ezitholiwe

Izici ezifaka isandla ekuthuthukisweni kwe-"Syringomyelia" kamuva empilweni yilezi:

• Ukulimala Kwentambo Yomgogodla: Lolu hlobo lwe-syringomyelia ngezinye izikhathi lubizwa ngokuthi i-post-traumatic syringomyelia. Lungenzeka ezinyangeni noma eminyakeni ngemva kokulimala kokuqala. Luvame ukubangelwa yizicubu zesilonda ezivimba ukugeleza kwe-CSF.
• Izimila Zomgogodla: Izimila, ikakhulukazi i-hemangioblastomas kanye ne-ependymomas, zingavimba ukugeleza koketshezi lomgogodla (CSF), okubangela i-syringomyelia.
• I-Arachnoiditis: I -membrane ye-arachnoid ingenye ye-membranes ezungeze futhi ivikele umgogodla. Uma le membrane ivuvukala (ukuvuvukala), ingabangela i-syringomyelia. Lokhu kungabangelwa izifo ezifana ne-sarcoidosis, i-transverse myelitis, kanye ne-multiple sclerosis (MS).
• I-Meningitis: I-Meningitis ukutheleleka kwe-membranes evikelayo (ama-meninges) azungeze ubuchopho nomgogodla. Lokhu kungabangela ne-syringomyelia.

Ngezinye izikhathi, i-syringomyelia ingavela ngaphandle kwesizathu esisobala. Lokhu kubizwa ngokuthi i-idiopathic syringomyelia .

Ungasithola kanjani lesi sifo ngokunembile?

Ukuze athole ngokuqinisekile ukuthi unayo yini i-`(Syringomyelia)`, udokotela wakho uzoqala ngokuthatha umlando wakho wezokwelapha bese enza ukuhlolwa ngokomzimba. Uzonaka ngokukhethekile ukusebenza kwezinzwa. Angase futhi akuthumele ku-`(Neurology)` - udokotela ogxile ezifweni zobuchopho kanye nesimiso sezinzwa.

Okulandelayo, uzocelwa ukuthi wenze izivivinyo zezithombe ukuze uthathe izithombe zomgogodla wakho noma ubuchopho. Ngezinye izikhathi, i-syringomyelia ingatholakala ngengozi ngenkathi wenza lezi zivivinyo zezithombe zesinye isimo.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi sifo?

Uma udokotela wakho esola ukuthi une-syringomyelia, angase acele ukuhlolwa okukodwa noma ngaphezulu kwalokhu:

• Iskeni se-MRI (Magnetic Resonance Imaging): Indlela ethembekile kakhulu yokuxilonga `(Syringomyelia)` ukuskeni kwe-MRI.Lokhu kusebenzisa i-magnet enkulu kanye nekhompyutha ukuthatha izithombe ezinemininingwane zalokho okungaphakathi emzimbeni wakho. Ngalesi sivivinyo, udokotela wakho angathola ukuthi une-`(Syrinx)` emgogodleni wakho, noma ngabe kukhona okunye okungajwayelekile, njengesimila. I-`(MRI)` ingabonisa ngokucacile ukuthi ikuphi i-`(Syrinx)`, ubukhulu bayo, nokuthi isakazeke kangakanani.
• I-Dynamic MRI: Lolu hlobo lwe-MRI lubonisa ukuthi uketshezi lwe-cerebrospinal (CSF) lugeleza kanjani luzungeze umgogodla lungene ku-syrinx. Lokhu kungadinga ukuthi kufakwe i-contrast agent (uketshezi olukhethekile olwenza izithombe zicace) emthanjeni wakho.
• I-Myelogram ene-CT scan: Uma ungeke ukwazi ukwenza i-MRI, inketho elandelayo i-CT scan. I-myelogram ukuhlolwa okusebenzisa idayi ekhethekile ebizwa ngokuthi idayi yokungafani kanye ne-CT scan (i-Computed Tomography) ukubheka izinkinga emgogodleni.

Yiziphi izindlela zokwelapha i-Syringomyelia?

Ukwelashwa kwe-syringomyelia kuncike ekutheni izimpawu zakho zimbi kangakanani nokuthi zithuthuka ngokushesha kangakanani.

Uma kungekho zimpawu , odokotela ngokuvamile abalaphi i-`(Syringomyelia)`. Kodwa-ke, batusa ukuthi i-`(Syrinx)` iqashwe ngokucophelela yi-`(Neurologist)` noma `(Neurosurgeon)`. Ngoba izimpawu zingavela noma zibe zimbi kakhulu ngokuhamba kwesikhathi. Lokhu kuqapha kuvame ukufaka ukuskena kwe-`(MRI)` okuvamile kanye nokuhlolwa kwezinzwa.

Kulabo abanezimpawu, imigomo ejwayelekile yokwelashwa kwe-Syringomyelia yile:

• Uma kungenzeka, yelapha imbangela eyinhloko ye -syrinx.
• Ukulawula izimpawu .
• Ukubuyisela ukugeleza okufanele koketshezi lomgogodla (CSF) nokuvimbela ukulimala okwengeziwe emgogodleni.

Uhlobo oluthile lokuhlinzwa luvame ukwenziwa ukwelapha imbangela eyinhloko nokuvimbela umonakalo owengeziwe emgogodleni. Ukwelashwa okuvamile ukulawula izimpawu kufaka phakathi:

• Iziqeda-zinhlungu neminye imithi.
• Ukwelashwa Komzimba Nokuvuselelwa.
• Ukunciphisa imisebenzi ethile, ikakhulukazi leyo ecindezela umhlane (njengokuphakamisa izinsimbi, ukugxuma).

Yiziphi izinhlobo zokuhlinzwa ezenziwayo nge-Syringomyelia?

Uma unesifo esibizwa ngokuthi "iSyringomyelia" esibangela izimpawu, noma uma "iSyrinx" iba nkulu, udokotela wakho wezinzwa noma udokotela wezinzwa cishe uzoncoma ukuhlinzwa. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa: ukwenza kube lula ukugeleza kwe-"CSF" ezungeze umgogodla nokususa uketshezi ngqo ku-"Syrinx". Uhlobo lokuhlinzwa oluzokwenziwa luzoncika embangela yezimpawu zakho.

Ukuhlinzwa kufaka phakathi:

• Ukwelashwa Kokukhubazeka Kwe-Chiari: Umgomo walokhu kuhlinzwa ukudala isikhala esengeziwe phansi kwekhanda kanye naphezulu kwentamo. Lokhu kunciphisa ingcindezi ebuchosheni nasemgogodleni, okuvumela ukugeleza koketshezi lwe-cerebrospinal (CSF) ukuthi kubuyele esimweni esijwayelekile. Ukuhlinzwa okuvamile kwalokhu kubizwa ngokuthi i-Posterior Fossa Decompression . Kule nqubo, udokotela wezinzwa ususa izingcezu ezincane zamathambo ngemuva kwekhanda ukuze adale isikhala. Ngemva kwalokhu kuhlinzwa, uketshezi oluku-Syrinx lungaphuma, ngezinye izikhathi lunciphe noma lunyamalale ngokuphelele. Ngisho noma i-Syrinx ihlala inobukhulu obufanayo noma incane kancane, izimpawu zingathuthuka.
• Ukwelapha noma ukuvimbela i-syringomyelia ngemva kwengozi: Ku-syringomyelia ebangelwe ingozi, umgomo oyinhloko ukuqala ngokuvimbela i-syrinx ukuthi yakheke noma ukuvimbela ekhona ukuthi ingabi nkulu. Lokhu kuhlinzwa kubizwa ngokuthi i-expand duraplasty . Lokhu kuhilela ukususa izicubu zesibazi ezizungeze intambo yomgogodla futhi ngezinye izikhathi ukufaka i-patch ukuze kwandiswe i-dura mater. Lokhu kudala isikhala esizungeze intambo yomgogodla futhi kuyihlanze, okuvumela i-cerebrospinal fluid (CSF) ukuthi igeleze ngendlela evamile.
• Ukususa ukuvaleka: Ukususwa kokuhlinzwa kwezithiyo ezifana nezicubu ezibomvu, izingcezu zamathambo emgudwini womgogodla, noma izimila kungasiza ekubuyiseleni ukugeleza kwe-CSF. Uma isimila sibangela i-syringomyelia, ukususa isimila kuvame ukuxazulula i-syrinx. Ngezinye izikhathi, udokotela wakho angase futhi ancome ukwelashwa ngemisebe ukuze kuncishiswe isimila.
• Ukugeleza kwe-syrinx: Uma kungekho imbangela ecacile ye-syrinx, ikakhulukazi uma iba nkulu, udokotela wakho angase akuncome ukukhipha uketshezi. Lokhu kuhilela udokotela wezinzwa ofaka i-stent noma i-shunt ku-syrinx. I-stent iyipayipi elincane elivumela uketshezi ukuthi luphume lusuka emgogodleni luye ngaphandle. I-shunt iyipayipi eliguquguqukayo eline-valve evumela uketshezi ukuthi luphume lusuka ku-syrinx luye kwenye ingxenye yomzimba, ngokuvamile isisu noma isifuba. Zombili lezi zinqubo zingasiza ukukhipha uketshezi ku-syrinx, okungasiza ekuvimbeleni izimpawu ukuba zingabi zimbi kakhulu.

Ngemva kokuhlinzwa, udokotela uzokwenza i-MRI scan ukuze abone ukuthi i-syrinx isizinzile noma inciphile yini ngobukhulu.

Ukuhlinzwa kwe-`(Syringomyelia)` kungathuthukisa izimpawu futhi kuzinzise isimo kubantu abaningi. Kodwa-ke, `(Syringomyelia)` ingaphinde ivele ngisho nangemva kokwelashwa okuphumelelayo . Kuleso simo, kungadingeka ukuhlinzwa okwengeziwe.

Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa?

Izinkinga ezilandelayo zingase zenzeke ngemva kokuhlinzwa kwe-Syringomyelia:

• Ukuvuza koketshezi lomgogodla (CSF).
• Izifo.
• Ukopha kwegazi.
• Ukulimala okwengeziwe emgogodleni.
• Ukwakha kabusha i-`(Syrinx)`.

Kubaluleke kakhulu ukukhuluma nodokotela wakho wezinzwa ngalezi zingozi ezihlobene nokuhlinzwa kwakho nokuthi kungenzeka kangakanani.

Iyini ikusasa le-Syringomyelia? (Isibikezelo)

Kubalulekile ukukhumbula ukuthi izimpawu, ubukhali, kanye nezimbangela ze-Syringomyelia ziyahlukahluka kakhulu. Futhi, izinga lesi sifo esiqhubeka ngalo lingahluka kumuntu nomuntu, noma abanye abantu bangase bangalulami nhlobo. Ngenxa yalezi zici, kunzima kodokotela ukunikeza isibikezelo esinembile se-Syringomyelia.

Ukuhlinzwa kusenesikhathi ngokuvamile kunganciphisa izimpawu futhi kube nemiphumela emihle . Nakuba ukuqhubeka kokukhubazeka kwezinzwa ngemva kokwelashwa ngokuhlinzwa kuvame ukuqina, futhi izimpawu ngezinye izikhathi ziyathuthuka, abantu abaningi basalokhu benazo izimpawu.

Ngokuvamile, uma ububanzi be-`(Syrinx)` bungaphezu kwamamilimitha amahlanu `(5mm)` futhi kukhona ukuvuvukala kwe-`(Edema)`, kubonisa ukuthi ukubukeka akukuhle kakhulu.

I-Myelopathy (umonakalo emgogodleni ngenxa yokucindezelwa okukhulu) iyinkinga enkulu ye-Syringomyelia futhi yinto okufanele ikhathazeke ngayo. Lokhu kungagcina kuholele ekukhubazekeni/ekufeni okuphindwe kane, i-pneumonia ephindaphindayo, kanye nezinkinga zokusebenza kwamathumbu kanye nesinye.

Ingabe i-Syringomyelia ingavinjelwa?

I-Syringomyelia ngokuvamile ayinakuvinjelwa. Kodwa-ke, ukutholakala kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni izimpawu ukuthi zingabi zimbi kakhulu .

Uma ngine-Syringomyelia, kufanele ngizinakekele kanjani?

Uma une-Syringomyelia, cabanga ngalezi zinto ezizokusiza ukulawula izimpawu zakho:

• Gwema imisebenzi engenza izimpawu zakho zibe zimbi kakhulu , njengokuphakamisa, ukukhama, noma yini ebeka ingcindezi emhlane wakho (njengokugxuma).
• Cabanga ngokwelashwa ngokomzimba ukuze unciphise ubunzima bokuhamba, ubuthakathaka noma ukuqina kwemisipha, kanye nobuhlungu.
• Uma unezinhlungu ezingapheli ngenxa ye-syringomyelia, khuluma nodokotela wakho mayelana nezinketho zokwelapha.
• Ukuhlala ne-Syringomyelia kungaba yinto ekucindezelayo nekhungathekisayo. Kubalulekile ukufuna ukwesekwa kwezempilo yengqondo kubangani, emndenini, kanye/noma kumeluleki. Ukujoyina iqembu lokusekelana nabanye abantu abane-Syringomyelia kungakusiza futhi uzizwe sengathi awuwedwa.

Kufanele ngimbone nini udokotela wami mayelana ne-Syringomyelia?

Uma utholakale une-Syringomyelia, qaphela izimpawu zakho kanye ne-Syrinx, kungakhathaliseki ukuthi uke wahlinzwa noma cha.Kufanele uhlangane nethimba lakho lezokwelapha njalo.

Ukuthola ukuthi unesifo sokulimala komgogodla kungaba yinto enzima kakhulu. Kodwa khumbula, awuwedwa, futhi kunezinsiza eziningi zokukusiza. Kubalulekile ukukhuluma nodokotela onolwazi nge-Syringomyelia futhi ufunde kabanzi ngokuthi ingakuthinta kanjani. Ungesabi ukubuza imibuzo yethimba lakho lezokwelapha - bakhona ukukusiza .

Umyalezo Wethu Wokuya Ekhaya

Kulungile, ngakho-ke ngithemba ukuthi uzwile okuthile kulokho esikhulume ngakho `(Syringomyelia)`. Nakuba lesi kuyisifo esingavamile, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu . Ikakhulukazi uma unobuhlungu obuqhubekayo emhlane, ukungazweli ezithweni, noma ubuthakathaka, kufanele nakanjani ubone udokotela. Uma ubona lesi sifo kusenesikhathi, ungafuna ukwelashwa okufanele futhi ulondoloze impilo enhle. Ungakhathazeki, kunezixazululo zakho konke, futhi uma unemibuzo, buza odokotela bakho.

I- Syringomyelia, umgogodla, ubuhlungu bomhlane, i-syrinx, i-CSF, isifo sezinzwa, ukukhubazeka kwe-Chiari