Ingabe umgogodla wakho uzizwa sengathi uzolahlekelwa amandla awo? Ake sixoxe nge-Transverse Myelitis (TM)!

Wake wacabanga ngesimo lapho ulahlekelwa khona ukulawula imilenze yakho ngokuzumayo, uzizwe ungaphilile kwezinye izingxenye zomzimba wakho, noma ube nobunzima bokulawula umchamo wakho kanye nendle? Nakuba lokhu kuyesabeka kancane, ngezinye izikhathi lezi zimpawu zingavela ngenxa yokuvuvukala komgogodla wethu, okungukuthi, imicu yezinzwa edlula emgogodleni. Leso yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Transverse Myelitis (TM) . Lesi yisimo sezinzwa esingavamile.

Kuyini ngempela i-transverse myelitis (TM)?

Kalula nje, i-transverse myelitis (TM) ukuvuvukala komgogodla wakho, i-nerve fiber eyinhloko egeleza emgogodleni wakho. Cabanga ngale ndlela: ithwala imiyalezo esuka ebuchosheni bakho iye kuwo wonke umzimba wakho. Kufana nekhebula locingo.

Lokhu kuvuvukala kubangela umonakalo kwesembozo esivikelayo esizungeze amangqamuzana ezinzwa emgogodleni womgogodla, okuthiwa i-myelin sheath . Kufana nokuthi isembozo sepulasitiki esiphezu kwentambo sonakele. Kwenzekani-ke? Imiyalezo evela ebuchosheni ayidluli kahle. Lokhu kubangela izinkinga ezifana nokulahlekelwa umuzwa, ukungazweli, kanye nokulahlekelwa ukulawula isinyi.

Lesi simo, esibizwa ngokuthi i-TM, singathinta umgogodla noma kuphi emgogodleni. Igama elithi "Myelitis" libhekisela ekuvuvukeni komgogodla. Igama elithi "Transverse" libhekisela endleleni yokushintsha kwemizwa kanye nokusebenza. Kungazwakala sengathi ibhande liboshwe emzimbeni, kanye nezinguquko zemizwa ngaphansi kwebhande.

Esikhathini esiningi, i-TM yisimo esivele sibe ngcono noma sihlale sinjalo.

Ubani othinteka kakhulu yilesi simo, i-transverse myelitis (TM)?

Eqinisweni, lesi simo esibizwa ngokuthi i-transverse myelitis (TM) singakhula kunoma yimuphi ubudala, kunoma ubani. Kodwa-ke, uma ubheka idatha, ungabona ukuthi sikhula kancane kubantu abasha abaneminyaka ephakathi kweyi-10 neyi-19 nakubantu abaneminyaka ephakathi kweyi-30 neyi-39. Ngokumangazayo, cishe ama-25% alabo abasitholayo bangabantwana. Kodwa-ke, lesi akusona isifo sofuzo esidluliselwa ezizukulwaneni ngezizukulwane. Ngakho-ke, asikho isidingo sokukhathazeka ngokuthi nabanye bazosithola ngoba nje othile emndenini wayenaso.

Ngakho-ke lesi simo sivame kangakanani?

I-Transverse myelitis (TM) yisimo esingavamile kakhulu . Cabanga nje, ngisho nasezweni elifana neMelika, kubikwe amacala amasha elilodwa kuya kwayisishiyagalombili kuphela ngesigidi ngonyaka. Lokho kusho ukuthi cishe amacala amasha ayi-1400 ngonyaka. Ngakho akuyona into evame ukubonwa eSri Lanka.

Ziyini izimpawu ze-transverse myelitis (TM)?

Izimpawu ze-Transverse myelitis (TM) ngezinye izikhathi zingavela ngokuzumayo , esikhathini esingamahora noma izinsuku. Kwezinye, izimpawu zingase zikhule kancane kancane esikhathini esingangesonto elilodwa kuya kwamane. Kodwa-ke, kubalulekile ukuqaphela ukuthi izimpawu ze-TM zingaba zimbi ngokushesha .

Izimpawu zivame ukuvela ngaphansi kwendawo lapho umgogodla wakho ulimele khona. Isibonelo, uma umonakalo uphakathi nomhlane wakho, ngaphansi kwezingalo zakho, imilenze yakho kanye nokulawulwa kwesinyi/amathumbu akho kuzothinteka. Izingalo zakho zingase zingathinteki.

I-TM ivame ukuthinta izinhlangothi zombili zomzimba. Kodwa-ke, ngezinye izikhathi ingathinta uhlangothi olulodwa kuphela. Lolu hlobo lobuthakathaka obuhlangothini olulodwa luvame kakhulu kubantu abanezifo ezifana ne -Multiple Sclerosis (MS) .

Cabanga nje, esigabeni esibi kakhulu se-TM, ama-50% eziguli alahlekelwa yiyo yonke imilenze yomibili. Phakathi kwama-80% nama-94% abhekana nokungezwani noma imizwa engavamile njengezikhonkwane nezinaliti. Futhi, cishe wonke umuntu uhlangabezana nokungakhululeki komchamo ngezinga elithile.

Kwabanye abantu, lezi zimpawu zizoncipha noma zinyamalale ngokuphelele ngokwelashwa, kodwa kwabanye, kungase kuvele izinkinga ezingapheli.

Kunezinhlobo eziningana zezimpawu eziyinhloko ezingabonakala ku-TM:

• Imizwa engavamile
• Ubuhlungu
• Izinkinga zamathumbu kanye nomchamo
• Izinkinga zemisipha nokunyakaza
• Izinkinga zokusebenza kocansi
• Ezinye izimpawu

Imizwa engavamile

Kuye ngokuthi umgogodla wakho wonakele kuphi ngenxa ye-TM, ungase ube nemizwa engavamile (eyaziwa nangokuthi "i-Paresthesia" ngokwezokwelapha) ezingxenyeni ezithile zomzimba wakho, njenge:

• Ukuba ndikindiki
• Ukuzizwa sengathi uyahlaba (Ukuhlaba)
• Ukushisa
• Ukuzwela okukhulu ekuthinteni noma ekushiseni
• Ukuzwa okuncane kokushisa/ukubanda

Ubuhlungu

I-TM ingabangela ubuhlungu ezingxenyeni ezithile zomzimba. Lobuhlungu bungaba bukhali noma bube buthuntu . Ngezinye izikhathi lobu buhlungu bungasakazeka ezingalweni kanye/noma emilenzeni, noma bungase buzwe sengathi buvela esifubeni nasesiswini.

Izimpawu zendle kanye nomchamo

I-TM ingabangela izinkinga zomchamo kanye namathumbu njenge:

• Ukuqunjelwa
• Ukungasusi ngokuphelele isinyi lapho uchama (`(Ukugcinwa komchamo)`)
• Izinkinga zokulawula umchamo, isibonelo, ukuphoqeleka ukuchama njalo (`(Khuthaza ukungakwazi ukuzibamba)`)
• Ukungakwazi ukulawula ukuchama (`(Ukungakwazi ukuzibamba komchamo)`)

Izinkinga zemisipha nokunyakaza

Abantu abane-TM bangase babe nobuthakathaka emilenzeni yabo, okungathuthuka ngokushesha. Uma ukuvuvukala kuthinte intambo yomgogodla ngandlela thile , kungathinta nezingalo.

Ungabona izimpawu ezifana nalezi:

• Ukulahlekelwa yibhalansi emzimbeni
• Ubunzima bokuhamba (ukukhubeka, ukuhudula imilenze)
• Ukuqaqamba kwemisipha
• Ukulahlekelwa kancane kokusebenza kwemisipha, ngezinye izikhathi okuholela nasekukhubazekeni .

Izinkinga zokusebenza kocansi

Abantu abane-TM bangase babe nobunzima bokufinyelela i-orgasm. Ngaphezu kwalokho, amadoda angase abe nokungasebenzi kahle kokuchama.

Ezinye izimpawu

Ngaphezu kwalokho, i-TM ingabangela nezimpawu ezilandelayo:

• Isifiso sokudla
• Ikhanda elibuhlungu (ikhanda elibuhlungu)
• Imfiva
• Ubunzima bokuphefumula

Yini ebangela i-transverse myelitis (TM)?

Ngokuvamile, imbangela eyinhloko ye-transverse myelitis (TM) ukuvuvukala komgogodla.

Cabanga nje, lapho into eyingozi ingena emizimbeni yethu, njengama-virus, amabhaktheriya, amakhemikhali anobuthi, noma lapho silimala, amasosha ethu omzimba ayasebenza.

Uhlelo lokuzivikela komzimba lukhipha amangqamuzana okuvuvukala nezinye izinto (ama-cytokine) avuselela amanye amangqamuzana okuvuvukala. Lawa maseli yiwo aqala impendulo yokuvuvukala esiza ukulwa nezinto ezifana namagciwane futhi aqale ukuphulukisa amanxeba. Nakuba le mpendulo yokuvuvukala ivame ukudingeka, ngezinye izikhathi uhlelo lwethu lokuzivikela komzimba lungahlasela izicubu ezinempilo ngaphandle kwesizathu. Noma, impendulo kuleyo nto yangaphandle ingaba namandla kakhulu futhi yonakalise izicubu zomzimba.

Yilokho okwenzekayo ku-TM. Ukuvuvukala konakalisa i-myelin sheath ezungeze amangqamuzana ezinzwa emgogodleni.

Kunezimbangela eziningana ezingaba khona zokuvuvukala eziholela ku-TM. Lezi zimbangela zingahlukaniswa ngezigaba eziningana eziyinhloko:

• Amacala lapho imbangela eqondile ingaziwa khona (`(Idiopathic)`)
• Ukuvuvukala okubangelwa ukutheleleka
• Izifo ezithinta umzimba wonke (`(Izifo ezithinta umzimba wonke)`)
• Izifo zesimiso sezinzwa esiphakathi (`(Izifo zesimiso sezinzwa esiphakathi)`)

I-myelitis eguquguqukayo ye-Idiopathic

"(Idiopathic) TM" yilapho kungatholakali khona imbangela ethile. Iningi leziguli ezine-TM liwela kulesi sigaba. Ososayensi bacabanga ukuthi kwenzeka ngoba amasosha ethu omzimba asabela ngendlela engavamile futhi ngokweqile ngokumelene nomgogodla, okubangela ukuvuvukala kanye nomonakalo wezicubu. Kodwa imbangela eqondile, noma imbangela, ayaziwa.

Izifo ezingabangela i-transverse myelitis

Kunezifo eziningana zamagciwane, amagciwane, amagciwane, kanye nesikhunta ezingabangela i-TM. Ezinye zazo yilezi:

• Ama-Enterovirus (Lawa amagciwane avame kakhulu, kodwa avame ukubangela ukugula okuncane)
• 'Igciwane laseNtshonalanga Nile'
• Amagciwane e-Herpes, isibonelo i-herpes yobulili
• `Igciwane lengculazi`
• I-Varicella-zoster (igciwane elibangela i-chickenpox kanye ne-herpes zoster)
• `Igciwane le-T-cell leukemia lohlobo 1 (HTLV-1)`
• `Igciwane leZika`
• I-Neuroborreliosis (isifo seLyme)
• `I-Syphilis`
• `Isifo Sofuba`
• Ukutheleleka kwesikhumba okubangelwa amagciwane
• `I-pneumonia yebhaktheriya ye-Mycoplasma`

Ngokuvamile, kunzima ngodokotela ukusho ngokuqinisekile ukuthi i-TM ibangelwa ukutheleleka ngegciwane uqobo, noma indlela amasosha omzimba asabela ngayo ekuthelelekeni.

Izifo ezithinta umzimba wonke, ezihambisana ne-transverse myelitis

Ezinye izifo ezibangelwa yi-autoimmune ezihlobene ne-TM yilezi:

• `I-Ankylosing spondylitis`
• I-"Antiphospholipid syndrome"
• `Isifo sikaBehçet`
• `Isifo sezicubu ezixhumeneyo ezixubile`
• 'Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis'
• `I-Sarcoidosis`
• 'I-Scleroderma'
• `Isifo sikaSjogren`
• `I-systemic lupus erythematosus (SLE)`

Izifo zesimiso sezinzwa esiphakathi ezingabangela i-transverse myelitis

Izifo ezizenzakalelayo zesimiso sezinzwa esiyinhloko ezingabangela i-TM zifaka:

• `I-Multiple sclerosis (MS)`
• I-Neuromyelitis optica spectrum disorder (NMOSD) - Lokhu kubizwa nangokuthi isifo sikaDevic .
• `Izinkinga ze-Myelin oligodendrocyte glycoprotein antibody (MOGAD)`
• `I-encephalomyelitis esakazeke ngokuzumayo`

Kwabanye abantu, i-transverse myelitis ingaba uphawu lokuqala lwesifo sokuzivikela komzimba ohlelweni lwezinzwa oluphakathi, njenge- multiple sclerosis (MS) noma i-neuromyelitis optica spectrum disorder (NMOSD) .

I-myelitis "engaphelele", ethinta uhlangothi olulodwa lomzimba, ivame kakhulu ku-MS.

Uma umuntu one-NMOSD eba ne-myelitis, kungenzeka kakhulu ukuthi "iphelele," okusho ukuthi ibangela ukukhubazeka okukhulu kanye nokuba ndikindiki kuzo zombili izinhlangothi zomzimba. I-Myelitis kubantu abane-NMOSD ingaba nzima kakhulu futhi ingabi sengozini yokuphulukiswa kunabantu abane-MS.

Ingabe imijovo ingadala i-transverse myelitis (TM)?

Akuvamile kakhulu, abantu babike ukuthi banesifo se-transverse myelitis zingakapheli izinsuku ezimbili kuya kwezinyanga ezintathu bethole umuthi wokugoma. Ososayensi abakaqiniseki ukuthi kungani lokhu kwenzeka, kodwa omunye umbono uwukuthi amasosha omzimba abanye abantu angase aqalwe umuthi wokugoma bese eqala inqubo yokuzivikela komzimba. Kodwa nansi iphuzu elibalulekile: Imijovo yokugoma iboniswe iphephile ocwaningweni olubanzi. Lokhu kuhlangana ne-TM kungaba yinto eyenzeka ngengozi noma inkinga engavamile kakhulu.

Itholakala kanjani i-transverse myelitis (TM)?

Uma unezimpawu ze-transverse myelitis (TM), udokotela wakho uzobuyekeza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba.

Uma lezi zivivinyo zibonisa inkinga ngomgogodla, kuzokwenziwa ezinye izivivinyo. Kungani kunjalo?

• Qiniseka ukuthi umgogodla awuthintwa yinto ngaphandle kokuvuvukala, isibonelo , isimila somgogodla , idiski elihlungiwe , noma ukucindezelwa okubangelwa yithumba .
• Qinisekisa ukuthi kukhona ukuvuvukala okungavamile ngaphakathi komgogodla.
• Uma kungenzeka, thola ukuthi yini ebangela lokhu kuvuvukala okungavamile.

Odokotela baphetha ngokuthi i-TM ikhona uma izimpawu zomgogodla sezikhona izinsuku eziningana futhi kungekho esinye isizathu senkinga yomgogodla esingatholakala ku-scan ye-MRI (Magnetic Resonance Imaging) noma olunye uvivinyo.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale i-transverse myelitis?

Udokotela wakho angase acele ukuhlolwa okufana nalokhu ukuze kutholakale i-TMJ kanye nembangela yayo:

• Ukuskena kwe-MRI (Magnetic Resonance Imaging) yomgogodla wonke: I-MRI iyisivivinyo esingenabuhlungu. Isebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukwenza izithombe ezicacile zezitho nezakhiwo ngaphakathi komzimba. Kungase kudingeke ukuthi ube nokuskena kwe-MRI okubili komgogodla wakho - okukodwa okunento ekhethekile ebizwa ngokuthi i-gadolinium contrast kanye nokunye okungenakho. Lokhu kuzosiza udokotela wakho ukuhlukanisa phakathi kwezilonda ezicindezelayo nezingezona ezicindezelayo.
• I-Brain MRI scan: Udokotela wakho angase futhi acele ukuthi kuhlolwe ubuchopho bakho nge-MRI scan (noma ngabe kukhona noma kungekho i-gadolinium contrast) ukuze kubhekwe izilonda ebuchosheni bakho. I-Brain MRI ingakunikeza izinkomba ngezinye izimbangela eziyisisekelo, ikakhulukazi i-multiple sclerosis (MS) .
• Ukubhoboza i-Lumbar (okwaziwa nangokuthi i-spinal tap): Kule nqubo, udokotela ufaka inaliti emhlane wakho ongezansi bese ethatha isampula yoketshezi lwe-cerebrospinal (CSF) . I-CSF uketshezi olucacile oluzungeze ubuchopho bakho kanye nentambo yomgogodla. Isampula ye-CSF ihlolwa elabhorethri ukuze kubonakale ukuthi kunamaseli egazi amhlophe amaningi kakhulu, inkomba ye-IgG ephezulu, noma ama-oligoclonal IgG bands ku-CSF. Lezi zimpawu zokuvuvukala zivame ukubonakala ku-TM.
• Ukuhlolwa kwegazi: Udokotela cishe uzoyala ukuhlolwa kwegazi okuningana ukuze ahlole izifo kanye nezimbangela ezihlobene nesimiso somzimba ezingase zibangele i-TM.

Kuye ngokuthi imbangela engaba khona ye-TM ingaba yini, kungase kwenziwe izivivinyo ezengeziwe. Uma kungekho noyedwa kulezi zivivinyo ongathola imbangela ethile, kucatshangwa ukuthi une-idiopathic transverse myelitis.

I-Transverse myelitis (TM) iphathwa yi-Unjani ?

Kunemigomo eminingana eyinhloko ekwelapheni i-transverse myelitis (TM):

• Uma kungenzeka, yelapha imbangela ye-TM (isib. ukutheleleka).
• Ukunciphisa ukuvuvukala emgogodleni wakho.
• Ukuqeda noma ukunciphisa izimpawu ezifana nobuhlungu.
• Ukuphatha izinkinga zesikhathi eside.

Uma kwelashwa i-TM, kunikezwa ukwelashwa kwesikhashana ngenxa yokuvuvukala kanye nembangela yako, kanye nokuphathwa kwesikhathi eside kwezinkinga ezingase zivele ngenxa ye-TM.

Ukwelashwa kwesikhashana kwe-transverse myelitis

Ukwelashwa kokuqala kwe-transverse myelitis yi-intravenous (IV) glucocorticoids . Uma udokotela wakho esola ukuthi une-TM, uzoqala ukusebenzisa i-intravenous (IV) glucocorticoids ngomthamo ophezulu ngokushesha okukhulu.

Ama-Glucocorticoids uhlobo lwe-hormone ye-steroid eyingxenye yemithi ebizwa ngokuthi ama-corticosteroids . Lezi yimithi enamandla elwa nokuvuvukala futhi esebenza nesistimu yakho yomzimba. Ku-myelitis eguquguqukayo, ama-glucocorticoids asiza ekunciphiseni ukuvuvukala emgogodleni. Kungadingeka ukuthi uthathe le mithi izinsuku ezintathu kuya kwezinhlanu, noma ngaphezulu.

Ukwelashwa okwengeziwe kwe-TM kungafaka:

• Ukwelashwa ngokushintshana kwe-plasma (Plasmapheresis): Lena inqubo "ehlanza" igazi lakho. Kulokhu kwelashwa, udokotela wakho ususa ingxenye ewuketshezi yegazi lakho (i-plasma) bese eyishintsha nge-plasma evela kumuntu ophilile noma esikhundleni se-plasma. Lokhu kususa ama-antibodies namanye amaprotheni okucatshangwa ukuthi abangela ukusabela kokuvuvukala. Lokhu kwelashwa kungasiza abantu abane-TM abanesifo esibi sesimiso sezinzwa esiphakathi esingasabelanga ekwelashweni nge-glucocorticoid.
• I-Intravenous Immune Globulin (IVIG): Lokhu ukwelashwa okwenziwe ngama-antibodies. Kunikezwa ngemithambo yegazi. Lokhu kwelashwa kungabopha kuma-antibodies okucatshangwa ukuthi abangela i-TM futhi kunciphise impendulo yokuvuvukala emgogodleni.
• Imithi yokucindezela amasosha omzimba: Ezigulini ze-TM ezingasabelanga kahle kuma-glucocorticoids, ukushintshaniswa kwe-plasma, noma ukwelashwa kwe-IVIG, odokotela basebenzisa imithi efana ne -rituximab kanye ne-cyclophosphamide . Le mithi inezakhiwo zokucindezela amasosha omzimba.
• Imithi yokwelapha ezinye izimpawu: Udokotela wakho angase akunike eminye imithi yokwelapha izimpawu ezifana nobuhlungu, ukuqaqamba kwemisipha, izinkinga zomchamo, noma ukucindezeleka .

Ukuphathwa kwesikhathi eside kwe-transverse myelitis

Ngemva kokuthola ukwelashwa kwesiqephu esibi se-transverse myelitis (TM), uzodinga ukunakekelwa kokuvuselelwa ukuze uthuthukise amakhono akho okusebenza futhi uvimbele izinkinga zesibili ezingase zenzeke ngenxa ye-TM.

Nakuba ukuvuselelwa kungenakukwazi ukuguqula umonakalo ongokwenyama obangelwa yi-TM, kungasiza abantu abanokukhubazeka okukhulu ukuba bazimele ngangokunokwenzeka futhi baphile impilo enhle ngangokunokwenzeka.

Ukuphathwa kwesikhathi eside kwe-transverse myelitis kungafaka:

• Ukuphathwa kokusebenza komchamo: Abantu abane-TM bavame ukubhekana nezinkinga zomchamo. Izixazululo zifaka phakathi ukuphuma kwegazi ngesikhathi, imithi, ama-catheter ekhondomu, ukufaka i-catheter ehlanzekile ngezikhathi ezithile , kanye nezingubo zangaphansi ezimbozwe ngendwangu.
• Ukuphatha ukusebenza kwamathumbu: Ukuqunjelwa kuyinkinga evamile kubantu abane-TM. Kungaphathwa ngokudla okukhethekile, ukusetshenziswa okunesu kwezithambisi zendle kanye ne-fiber yokudla, kanye nokuvuselelwa kwe-rectal.
• Ukwelashwa kokungasebenzi kahle kocansi: Imithi yokungasebenzi kahle kocansi evame ukunqunywa yi -sildenafil (`sildenafil` - Viagra®) , i-vardenafil (`vardenafil` - Levitra®) , kanye ne -tadalafil (`tadalafil` - Cialis®) . Nakuba le mithi ingasebenzi kahle kwabesifazane, iboniswe futhi ukuthi ithuthukisa ukusebenza kocansi.
• Ukuvimbela ukuqhekeka kwesikhumba kanye nokulimala kwengcindezi (izilonda zokulala): Uma isikhumba sakho sicindezelekile isikhathi eside, singaqhekeka. Ukuze uvimbele lokhu, kufanele ushintshe indawo yakho okungenani njalo ngemizuzu eyi-15. Izihlalo zabakhubazekile ezinezindlela zokuphumula ezisebenza ngamandla noma ezithambekele endaweni ezingashintsha indlela isisindo sakho esisakazwa ngayo nazo zingasiza. Kunezinhlobo ezahlukene zezihlalo zabakhubazekile ezinganciphisa ingcindezi eyenzeka lapho uhleli.
• Ukulawula ukuvaleka kwemisipha: Imikhuba yokuzelula kanye nokusebenzisa ama-braces kanye nama-splint kungasiza ekulawuleni noma ekuvimbeleni ukuvaleka kwemisipha. Ukuzivocavoca okwakha amandla kanye nezinto zokuphumula imisipha nakho kungasiza.
• Ukuphathwa kokunyakaza: Abelaphi bomzimba bangakunikeza izivivinyo zokuthuthukisa ukuhamba. Izinsiza zokuhamba njengezinduku, izinduku zokuhamba, izinduku zokubambelela, kanye nezihlalo zabakhubazekile zingakusiza ukuthi uzimele kakhudlwana.
• Ukuphatha imisebenzi yansuku zonke: Abantu abane-TM bangakuthola kunzima kakhulu ukwenza imisebenzi yansuku zonke efana nokugqoka, ukugeza, ukuzihlanza, nokudla. Izingxoxo nemishini eguquguqukayo kanye nabelaphi bomsebenzi zingasiza ekutholeni izindlela zokwenza le misebenzi ibe lula futhi isebenze kahle.
• Ukuphathwa Kobuhlungu: Kuvamile ukuzwa ubuhlungu ngemva kwe-TMJ. Ubuhlungu bemisipha bungelashwa ngemithi yokulwa nokuvuvukala engeyona i-steroidal (ama-NSAID) njenge -acetaminophen (Tylenol®) , i-naproxen (Naprosyn®, i-Alleve® noma i-Motrin®) , noma ukwelashwa ngokushisa nokubanda. Ubuhlungu bemizwa bungaba nzima kakhulu ukwelapha. Amanye ama-antidepressants noma ama-anticonvulsants angasiza.
• Ukuphathwa kwempilo yengqondo: Ukucindezeleka kuvamile kubantu abane-TM. Uma unezimpawu zokucindezeleka noma ezinye izimo zempilo yengqondo, kubalulekile ukubona udokotela noma isazi sokusebenza kwengqondo. Imithi ingasiza futhi ekwelapheni ukucindezeleka.

Ingabe i-myelitis eguquguqukayo ingelapheka?

Yebo, i-transverse myelitis (TM) ingelapheka. Kodwa-ke, inqubo yokululama iyahlukahluka kuye ngomuntu nomuntu.

Ukwelashwa nge-TM kungaba okuphelele, okungaphelele, noma okungekho nhlobo. Ukwelashwa kuvame ukuqala phakathi nenyanga eyodwa kuya kwezintathu kusukela ekwelashweni kokuqala. Iningi labantu liyalulama nge-TM zingakapheli izinyanga ezintathu. Kwabanye, kungathatha izinyanga noma ngisho neminyaka ukuphulukiswa.

Abanye abantu bayalulama ekuguleni kwamalunga ngezinkinga ezincane noma ezingenazo nhlobo, kanti abanye bayalulama ngokukhubazeka okumaphakathi noma okunzima.

Abantu abangase babe nethuba elincane lokululama yilaba:

• Labo abaqala ngokushesha izimpawu.
• Labo abanezimpawu ezingathuthukanga ezinyangeni ezintathu kuya kweziyisithupha zokuqala zokwelashwa nokululama.

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

Umbono/isibikezelo sabantu abane-transverse myelitis siyahlukahluka:

• Cishe abantu abangu-33% bayalulama ngaphandle kwezinkinga zesikhathi eside noma ngaphandle kwazo.
• Cishe abantu abangu-33% bayalulama benokukhubazeka okulinganiselwe, njengezinkinga zamathumbu kanye nobunzima bokuhamba.
• Cishe abantu abangu-33% bayalulama benokukhubazeka okungapheli, njengokukhubazeka.

Iningi labantu lithola i-transverse myelitis kanye kuphela. Kodwa-ke, abanye abantu abanesimo esingaphansi, njenge -multiple sclerosis (MS), bangayibuyisa (`(iphinde ibuyele)`). Uma une-TM ethinta uhlangothi olulodwa lomzimba wakho, ungase ube namathuba amaningi okuthola i-MS esikhathini esizayo.

Ngingazinakekela kanjani mina, noma umuntu one-transverse myelitis (TM)?

Uma une-transverse myelitis, kubalulekile ukuqinisekisa ukuthi uthola ukunakekelwa kwezokwelapha okufanele ukuvimbela noma ukwelapha izinkinga ze-TM, njengezinkinga zamathumbu kanye nesinye kanye nokuqina kwemisipha.Ungase futhi uthande ukucabanga ngokujoyina iqembu lokusekelana ukuze uhlangane nabanye abangakwazi ukuqonda okuhlangenwe nakho kwakho. Futhi, uma uzizwa ucindezelekile noma ukhathazekile ngenxa ye-TM, kubalulekile ukufuna usizo kudokotela wezokwelapha noma kudokotela wengqondo.

Uma unakekela umuntu one-TM, kubalulekile ukuthi umkhuthaze ukuthi aqinisekise ukuthi uthola ukunakekelwa kwezokwelapha okungcono kakhulu, amadivayisi okunyakaza, kanye nokwelashwa okuzomsiza ukuthi azimele kakhudlwana.

Kungaba nzima ngawe nomndeni wakho ukujwayela imiphumela yengqondo neyomzimba ye-TM. Ezigabeni zokuqala zokululama, kubalulekile ukufundisa umndeni wakho nokuthuthukisa uhlelo lokubhekana nezinselele zokuzimela.

Kufanele ngimbone nini udokotela mayelana ne-transverse myelitis (TM)?

Uma ubona izimpawu ze-transverse myelitis, njengobuthakathaka bemisipha obungazelelwe nobubucayi kanye nobuhlungu, hamba uye esibhedlela esiseduze ngokushesha okukhulu .

Uma utholakale une-TM, kufanele uhlangane nethimba lakho lezokwelapha njalo ukuze uthole ukwelashwa futhi uqaphe izinkinga ezingaba khona.

Ukuqonda ukutholakala kwe-transverse myelitis (TM) yakho noma yothandekayo wakho kungaba yinto enzima kakhulu. Kodwa ithimba lakho lezokwelapha lizokunikeza uhlelo oluqinile lokwelashwa kanye nohlelo lokuvuselela oluhambisana nezimpawu zakho noma zothandekayo wakho. Kubalulekile ukuqinisekisa ukuthi uthola uthando nokusekelwa okudingayo phakathi nohambo lwakho lokululama, futhi uhlale uqaphile nganoma yiziphi izimpawu ezintsha ezingase zivele.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usunombono ongcono wokuthi iyini i-transverse myelitis (TM). Khumbula, yize kuyisimo esingavamile, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nezimpawu.

Into eyinhloko ukuthi, uma ubhekene nobuthakathaka obungazelelwe, ukuba ndikindiki, noma izinkinga zokulawula umchamo, ungakushayi indiva. Bonana nodokotela ngokushesha.

I-TM ingaba nezimbangela eziningi, futhi ngezinye izikhathi akukho sizathu esingatholakala. Kodwa-ke, ngokwelashwa okufanele kanye nokuvuselelwa, abantu abaningi bangafinyelela izinga elithile lokululama. Abanye abantu bayalulama ngokuphelele.

Uma uphila nesimo esinjengalesi, kubalulekile ukuhlala uqinile engqondweni futhi uthole ukwesekwa ngumndeni wakho nodokotela. Ngakho-ke, ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izinkinga ongase ube nazo.

I- Transverse myelitis, i-TM, intambo yomgogodla, i-neuropathy, ukuvuvukala, i-myelin, izimpawu, ukwelashwa