Isizathu Sokukhubazeka Ngokungazelelwe Kwabancane
Cabanga ukuthi kungakapheli usuku, ulahlekelwe ngokushesha ikhono lakho lokuzizwa noma ukuhambisa imilenze yakho, noma ngisho nokulawula ukunyakaza kwakho kwesibindi noma isisu. Lesi simo esesabekayo yilokho okwenzeka kubantu abane-myelitis engezansi.
I-myelitis eguquguqukayo ithinta phakathi kwabantu abayisithupha kuya kwezigidi ngonyaka. Ngenkathi i-myelitis eguquguqukayo ingavamile, kuyinkimbinkimbi kulabo abahluphekile.
Njenga- multiple sclerosis , i-myelitis ehamba phambili iyisifo esizimele. Amasosha omzimba omzimba aphikisana nesimiso sezinzwa zesifo nokuhlaselwa. Umphumela uba impendulo yokuvuvukala kwelinye lezintambo zomgogodla, okungavimbela ukuxhumana phakathi kobuchopho nazo zonke izingxenye ezingaphansi kwezinga lezintambo zomgogodla.
Ngenxa yokulahleka kokuxhumana, abantu abane-myelitis engathandana nabo bangabhekana nobunzima, ukuxubha, noma ubuthakathaka bezingxenye ezithile noma zomzimba wabo ngezansi ezingeni elithile, ikakhulukazi ngaphakathi kwe-thoracic cord cord. Nakuba lokhu kuvame ukuthelela zombili izinhlangothi zomzimba, ukuxilongwa okungafani okufana ne-Brown-sequard nakho kungenzeka. Eminye imiphumela ingabandakanya i- dysautonomia noma ukulahlekelwa kwesibindi noma isilonda. Ubuhlungu akuvamile. Izimpawu zingathuthuka masinyane, ngokuvamile zingakapheli amahora angu-24, nakuba ukuqhubeka kancane kancane kungase kwenzeke.
I-myelitis eguquguqukayo ingaba ingxenye ye-multiple sclerosis futhi ngezinye izikhathi inkinga yokuqala kule sifo.
Kungase futhi kube yingxenye yesifo se-Devic (neuromyelitis optica), esinye isifo esibangelwa ukuxoshwa komzimba esithinta kakhulu umgogodla nomswakama optic . I-myelitis eguquguqukayo itholakala ne- rheumatologic disorders efana ne- systemic lupus erythematosus , isifo esixutshwe nesifo sofuba, isifo sika-Behcet, i- scleroderma nesifo se- Sjogren .
Ngaphandle kokuhlolwa kwangokwenyama, izazi ze-neurologists zisebenzisa izivivinyo ezifana nezifundo ze-laboratory, i-imagination magnontic resonance, nama- punctures lumbar ukuze ziqonde kangcono imbangela yomlando wami we-myelitis. I- MRI ngokuvamile ibonisa izimpawu ezingavamile ezingxenyeni ezengeziwe zomgogodla. Cishe ingxenye yengxenye yesikhathi, isifundo se-cerebrospinal fluid (CSF) esitholakale ukukhishwa kwe-lumbar sizobonisa izimpawu zokuvuvukala njengezinga eliphezulu lamaprotheni. Ukuhlolwa okungeziwe kungenziwa ku-CSF ukuhlola nge-khansela noma izifo. Izivivinyo zingenziwa kuma-sampuli egazi ukuze zihlolwe izifo ezibangelwa yi-rheumatological disorders.
Ukwelashwa kwe-myelitis eguquguqukayo enhle kuncike ekunciphiseni ukuvuvukala emthonjeni womgogodla. Ukusetshenziswa kwe-corticosteroids ephezulu-dose kuyindlela ekhethwa kakhulu ukufeza lokhu. Kukhona empeleni kuphela ubufakazi obukhawulelwe bokusekela lokhu, ngenxa yokuqwashisa kwe-myelitis eguquguqukayo. Kwezinye izifo ezishisayo, Nokho, njenge-optic neuritis, i-dose IV i-steroids ephakeme ikhonjisiwe ukunciphisa ubude bezimpawu. Kwezinye izimo, ukushintshaniswa kwe-plasma kungasiza futhi. Idatha encane ikhona ukusekela ukusetshenziswa kweminye imithi efana ne-IVIg ekusetshenzisweni kwe-myelitis eguquguqukayo. Emva kwalokho, noma yikuphi ukuphazamiseka okuhambisanayo okufana ne-multiple sclerosis noma ukuxilongwa kwezicubu ezixhumene nazo kufanele kuqondiswe.
Iningi labantu abane-myelitis elithintekayo liyoba ngcono phakathi nezinyanga ezintathu kuya kwezintathu. Amaphesenti angama-40 abantu abane-myelitis engezansi bazoba nezinkinga ezisele ngemuva kwesikhathi sokuqala sokuthuthukiswa. Ukuphindaphindiwe kwe-myelitis engavamile kungavamile kepha ngezinye izikhathi kwenzeka. Ukwelapha ngokomzimba nokusebenza kungasiza ekubuyiseni abantu ezinyaweni emva kokuhlaselwa kwe-myelitis engezansi.
> Imithombo:
> Benjamin M. Greenberg, Ukwelashwa Kwe-Acel Transverse Acute Nezinkinga Zaso Zokuqala. I-Continuum: Umgogodla, Umsuka, ne-Plexus Disorders Umqulu 17, Inombolo 4, Agasti 2011
> AH Ropper, MA Samuels. Adams kanye Nemigomo kaVictor ye-Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.