Ingabe ngezinye izikhathi uzizwa ungenamizwa futhi ubuhlungu obukhulu entanyeni, emahlombe, noma ezingalweni zakho? Noma ingabe ulahlekelwa umuzwa ezingxenyeni zomzimba wakho? Uma unezimpawu ezingaphezu kweyodwa, kungaba ngenxa yesimo esingavamile esibizwa ngokuthi i-syringomyelia, esizokhuluma ngaso. Ungakhathazeki, lokhu akuyona into eyenzeka kubantu abaningi. Kodwa kubalulekile ukugcina lokhu kulula kusukela ekuqaleni.
Iyini ngempela le syringomyelia?
Kalula nje, leli yigama elinikezwe ukwakheka kwesikhwama esigcwele uketshezi, noma i-cyst, ngaphakathi komgogodla wethu. Odokotela babiza lesi sikhwama esigcwele uketshezi ngokuthi 'i-syrinx'. Yingakho abanye abantu bebiza lesi simo ngokuthi i-Hydromyelia, i-Syringohydromyelia.
Esikhathini esiningi, ungase ungakuboni nokukubona. Kodwa ngezinye izikhathi, uma lesi simila sikhula ngokuhamba kwesikhathi, singaqala ukucindezela futhi silimaze imizwa ebucayi emgogodleni wakho. Uma kunjalo, kudingeka ukwelashwa.
Lesi simo sivame kakhulu kubantu abadala abaneminyaka ephakathi kuka-20 no-40. Sivame kakhulu kwabesilisa kunabesifazane.
Zingaba yini izimpawu?
Izimpawu zalokhu zincike ekutheni i-cyst ikuphi emgogodleni nokuthi inkulu kangakanani. Ngokuhamba kwesikhathi, njengoba i-cyst ikhula, ingalimaza imizwa emgogodleni. Yilapho izinkinga ziqala khona.
Ngokuvamile, izimpawu zivela kancane kakhulu, eminyakeni eminingi. Kodwa-ke, ngezinye izikhathi izimpawu zingavela ngokuzumayo ngemva kwengozi, njengokuwa.
Ithebula elingezansi libala ezinye zezimpawu eziyinhloko ezingabonakala.
| Isigaba sezimpawu | Izinto okufanele uzibone |
|---|---|
| Ubuhlungu kanye nokuzwa | Ubuhlungu, ukungazweli, ukusha, noma umuzwa wokugwazwa entanyeni, emahlombe, ezingalweni nasezandleni. Ukulahlekelwa umuzwa wokushisa/ukubanda, njengamanzi ashisayo noma iqhwa, ezandleni, eminweni nasesifubeni esingaphezulu. |
| Ubuthakathaka bemisipha | Ubuthakathaka bemisipha (ikakhulukazi ezingalweni nasemahlombe), ubunzima bokuhamba ngenxa yokuqina kwemisipha, kanye nokulahlekelwa amandla okusabela. |
| Izinguquko zomzimba | Ukugoba komgogodla, isimo esisibiza ngokuthi i-scoliosis . Izinguquko noma ubunzima ekulawuleni indlu yangasese noma umchamo. |
| Ezinye izici | Ubuhlungu bekhanda, ukujuluka ngokweqile, izinguquko ezingavamile emcinini wegazi, izinkinga zocansi, kanye nokunyakaza okungahlelekile. |
Ngezinye izikhathi, uma lesi simila silimaza inzwa elawula imisipha yobuso namehlo ethu, isimo esibizwa ngokuthi i-Horner syndrome singavela. Kulesi simo, ungase ubone izinto ezifana nokugoba kwejwabu leso ohlangothini oluthintekile lobuso, i-pupil encane, kanye nokujuluka okunciphile kulolo hlangothi.
Kungani kwenzeka into efana nale?
Ake sithi ubuchopho bethu kanye nomgogodla kuzungezwe uketshezi olukhethekile olubizwa ngokuthi uketshezi lwe-cerebrospinal. Uma lolu ketshezi lugeleza ngendlela evamile, akukho nkinga. Kodwa uma ngesizathu esithile indlela yalolu ketshezi ivinjiwe, lolo ketshezi lunganqwabelana ngaphakathi komgogodla bese lwakha i-cyst esikhulume ngayo. Kunezinhlobo ezimbili eziyinhloko zezimbangela zalokhu.
Izimbangela Zokuzalwa
Lena yimbangela evame kakhulu. Lapho ezinye izingane zizalwa, ingxenye engezansi yobuchopho bazo (i-cerebellum) ingase icindezelwe phansi iye emgogodleni. Odokotela bakubiza lokhu ngokuthi i-Chiari I malformation . Lokhu kuvimbela ukugeleza koketshezi futhi kubangele ukwakheka kwe-cyst. Kodwa-ke, akuwona wonke umuntu onale malformation ye-Chiari I ozokhula abe ne -syringomyelia . Izimpawu zivame ukuvela phakathi kweminyaka engu-25 no-40.
Izimbangela Ezitholiwe
Ngezinye izikhathi lesi simo singabangelwa nawukulimala komgogodla, okusho into eyenzeka ngemva kokuzalwa.
- Ukulimala komgogodla
- Izifo ezifana ne -meningitis
- Isimila somgogodla
- Ukuvuvukala kwezicubu ezimboze umgogodla
- KuboshelweIsimo somgogodla (lapho ingxenye engezansi yomgogodla inwebeka ngendlela engavamile).
Akuvamile kakhulu, kungavela ngaphandle kwesizathu esisobala. Odokotela bakubiza ngokuthi i-idiopathic syringomyelia .
Ukuthola kanjani lokhu ngqo?
Indlela engcono kakhulu necacile yokuxilonga lesi simo ukwenza i-MRI (Magnetic Resonance Imaging) . Lokhu kuskena ubuchopho bakho kanye nomgogodla wonke. Lokhu kungabonisa ngokucacile ukuthi i-cyst ikhona, inkulu kangakanani, nokuthi yini eyibangele (isib., ukukhubazeka kwe-Chiari).
Ngezinye izikhathi, lesi simo sitholakala ngengozi ngesikhathi se-MRI ngesinye isizathu. Kwezinye izimo, udokotela wakho angase futhi ancome ukuthi kwenziwe i-CT (Computed Tomography) scan .
Iphathwa kanjani?
Ukwelashwa okutholayo kuzoncika ekutheni unezimpawu nokuthi zinzima kangakanani. Akuwona wonke umuntu onikezwa ukwelashwa okufanayo.
Uma kungekho noma kungekho zimpawu eziningi: ukubonwa
Uma ungenazo izimpawu noma unezimpawu ezincane kuphela, ungase ungadingi ukwelashwa okukhulu. Kodwa udokotela wakho cishe uzokuhlola njalo . Bazokwenza ama-MRI scan njalo ukuze bahlole noma yiziphi izimpawu ezintsha noma babone ukuthi i-cyst iyakhula yini. Bazokweluleka nokuthi ugweme imisebenzi enzima, njengokuphakamisa izinto ezisindayo. Bangase bakunikeze imithi yobuhlungu futhi bakuthumele ekwelashweni ngokomzimba.
Uma izimpawu zinzima: Ukuhlinzwa
Uma izimpawu zakho zinkulu ngokwanele ukuthi zingaphazamisa impilo yakho yansuku zonke, ungase udinge ukuhlinzwa. Umgomo oyinhloko wokuhlinzwa ukubuyisela ukugeleza koketshezi okuvalekile.
Uhlobo lokuhlinzwa ozolwenza luzoncika ekutheni yini ebangela isimo sakho. Isibonelo, uma imbangela kungukukhubazeka kwe-Chiari I, udokotela wakho angenza inqubo ebizwa ngokuthi i-posterior fossa decompression . Lokhu kuhilela ukususa ingxenye encane yethambo ngemuva kwekhanda kanye nengxenye ephezulu yomgogodla ukuze kwenziwe isikhala esengeziwe sobuchopho kanye nezinzwa. Lokhu kunciphisa ingcindezi futhi kuvumela uketshezi ukuthi lugeleze ngendlela evamile.
Kubaluleke kakhulu ukuxoxa ngezingozi nezinzuzo zokuhlinzwa nodokotela wakho ngaphambi kokwenza isinqumo.
Kwenzekani ngemva kokwelashwa?
Kuhle ukuqaphela lokhu futhi. Ngezinye izikhathi, ngisho nangemva kokuhlinzwa, inkinga ayixazululwa ngokuphelele. Uketshezi lungaphinde luqongelelane. Futhi, umonakalo wemizwa ngezinye izikhathi ungaba unomphela.
Ngakho-ke, ngisho nangemva kokuhlinzwa,Kubalulekile ukuhlala uxhumana nodokotela wakho njalo. Kufanele uhlolwe njalo nge-MRI ukuze uhlole ukuthi i-cyst isiphinde yavela yini. Lesi yisimo esidinga ukuphathwa isikhathi eside. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Syringomyelia yisimo esingavamile lapho kwakheka khona i-cyst egcwele uketshezi ngaphakathi komgogodla.
- Ubuhlungu entanyeni, ezingalweni, ukungazweli, futhi ikakhulukazi ukulahlekelwa umuzwa wokushisa/ukubanda kungaba yizimpawu eziyinhloko.
- Imbangela eyinhloko yalokhu ukuvaleka kokuhamba koketshezi ebuchosheni nasemgogodleni. Iphutha elivame kakhulu lokuzalwa yi-Chiari I malformation.
- Ukuskena kwe-MRI kubalulekile ekuxilongweni.
- Izindlela zokwelapha zifaka phakathi ukubhekwa uma kungekho zimpawu, kanye nokuhlinzwa uma izimpawu zinzima. Khuluma nodokotela wakho nganoma yiziphi izimpawu onazo.
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