Kuyini i-Arachnoiditis futhi iphathwa kanjani?

-Delile

• Ziyini izimpawu?
• Yini ebangela lesi simo?
• Kutholakala kanjani?
• Luthini uhlelo lokwelashwa?
• Yini ongayilindela?

Yini i-arachnoiditis?

I-Arachnoiditis yisimo esibuhlungu somgogodla. Kubandakanya ukuvuvukala kwe-arachnoid, okuphakathi kwezingqimba ezintathu ezizungeze futhi zivikele ubuchopho nezinzwa zomgogodla.

Ukuvuvukala ku-arachnoid kungaqala ngemuva kokuhlinzwa, ukulimala komgogodla, ukutheleleka, noma ukucasuka okuvela kumakhemikhali afakwe emgogodleni. Lokhu kuvuvukala kulimaza izinzwa zomgogodla, kubenze babe nesibazi futhi bahlangane. Ukuvuvukala nakho kungathinta ukuhamba kwegazi le-cerebrospinal. Lona uketshezi olugeza futhi luvikele ubuchopho nomgogodla.

Ukulimala kwezinzwa kungaholela ezimpawu zezinzwa ezinjengobuhlungu obukhulu, ikhanda elibuhlungu, ukuba ndikindiki nokushoshozela, nobunzima bokuhamba. Qhubeka ufunde ukuze ufunde kabanzi.

Ziyini izimpawu?

Izimpawu zakho zincike ekutheni yiziphi izinzwa noma izindawo zomgogodla ezilinyazwe ukuvuvukala. I-Arachnoiditis ivame ukudala ubuhlungu obukhulu endaweni elimele, okungabandakanya iqolo elingezansi, imilenze, izinqe, noma izinyawo.

Ubuhlungu bungazizwa njengokushaywa ugesi noma umuzwa ovuthayo. Ingasabalala emhlane wakho bese yehle ngemilenze yakho. Ubuhlungu bungaba bukhulu lapho uthuthela.

Ezinye izimpawu ezivamile ze-arachnoiditis zifaka:

• ukuba ndikindiki, ukuncinza, noma imizwa yezikhonkwane nezinaliti
• umuzwa wokukhasa esikhunjeni, sengathi izintuthwane zehla zenyuka ngomhlane wakho
• amajaqamba noma ama-spasms
• ubuthakathaka
• ukuhamba kanzima
• ikhanda elibuhlungu
• izinkinga zokubona
• izinkinga zokuzwa
• isiyezi
• isicanucanu
• Izinkinga zesinye noma zamathumbu
• inkathazo yokulala
• ukukhathala
• ubuhlungu obuhlangene
• ukulahlekelwa ibhalansi
• ukungasebenzi ngokocansi
• ukudana
• ukukhala ezindlebeni (tinnitus)
• ukungakwazi ukujuluka ngokujwayelekile (anhidrosis)

Ezimweni ezinzima kakhulu, imilenze ingakhubazeka.

Yini ebangela lesi simo?

I-Arachnoiditis ivame ukuqala ngemuva kokuhlinzwa, ukulimala, noma umjovo we-epidural emgogodleni.

Izimbangela zifaka:

• imijovo ye-epidural steroid esetshenziselwa ukwelapha izinkinga zediski nezinye izimbangela zobuhlungu emuva
• i-epidural anesthesia, evame ukusetshenziswa ngesikhathi sokubeletha nokubeletha
• izidakamizwa ze-chemotherapy, njenge-methotrexate (Trexall), ezijojelwa emgogodleni
• ukulimala noma izinkinga ngesikhathi sokuhlinzwa komgogodla
• ukulimala komgogodla
• ukopha emgogodleni ngenxa yokulimala noma ukuhlinzwa
• umpompi womgogodla (ukubhoboza i-lumbar), okuyisivivinyo esisusa isampula le-cerebrospinal fluid emgogodleni wakho ukufuna izifo, umdlavuza, nezinye izimo zesistimu yezinzwa
• i-myelogram, okuyi-imaging test esebenzisa udayi ohlukile nama-X-ray noma ama-CT scan ukuze ubheke izinkinga entanjeni yakho yomgogodla
• i-disk prolapse, eyenzeka lapho ingxenye yangaphakathi yediski entanjeni yakho iqhuma
• i-meningitis, okutheleleka ngegciwane noma ngamagciwane okubangela ukuvuvukala kolwelwesi oluzungeze ubuchopho nentambo yomgogodla
• isifo sofuba, okutheleleka ngamagciwane okungathinta amaphaphu, ubuchopho nomgogodla

Kutholakala kanjani?

I-Arachnoiditis ingaba nzima ukuyithola ngoba izimpawu zayo ziyefana nezinye izinkinga zemizwa ngemuva. Ukwazi ukuthi usanda kuhlinzwa umgogodla, ukulimala, noma umjovo we-epidural kungasiza udokotela wakho ukuthi agxile ku-arachnoiditis.

Ukuthola lesi simo, udokotela wakho angenza ukuhlolwa kwezinzwa. Bazohlola ingqondo yakho futhi babheke noma iziphi izindawo ezibuthakathaka.

Ukuqinisekisa ukuxilongwa, odokotela benza i-MRI yomhlane ongezansi. I-MRI isebenzisa ozibuthe abanamandla namagagasi omsakazo ukudala izithombe eziningiliziwe ezingaphakathi komzimba wakho. Idayi yokuqhathanisa ingasiza ukugqamisa ukulimala ngokucacile ezithombeni.

Luthini uhlelo lokwelashwa?

Alikho ikhambi le-arachnoiditis, futhi isimo kungaba nzima ukuselapha. Izindlela zokwelapha ezimbalwa zingasiza ekunciphiseni ubuhlungu bakho nezinye izimpawu. Ezinye izindlela zokwelashwa zalesi simo zifaka:

Ama-opioid: Le mithi ingasiza ekudambiseni ubuhlungu obukhulu, kepha kufanele isetshenziswe ngokuqapha. Ama-opioid angadala imiphumela emibi futhi angaba umlutha.

Ukwelashwa ngokomzimba: Ukusebenza nomelaphi womzimba kungakusiza ukuthi uphinde uthole ukunyakaza ezingxenyeni ezithintekile zomzimba wakho. Uchwepheshe wakho womzimba angasebenzisa ukungenelela okufana nokuzivocavoca umzimba, ukubhucunga umzimba, ukwelashwa ukushisa nokubanda, nokwelashwa kwamanzi.

Ukwelashwa kokukhuluma: Ukwelashwa kungasiza nganoma yiziphi izinguquko zemizwelo ezihlobene ne-arachnoiditis. Abantu abaningi abanalesi simo nabo babhekana nokudangala. Ukwelashwa kungakusiza ukuba ubhekane nobuhlungu obungokomzwelo nobungokomzimba besifo.

Ukuhlinzwa ngokuvamile akunconywa ukwelapha i-arachnoiditis. Lokho kungenxa yokuthi kuqeda izinhlungu okwesikhashana, futhi kungadala ukwakheka kwezicubu eziningi.

Yini ongayilindela?

I-Arachnoiditis ibangela izinhlungu ezingapheli nezinkinga zemizwa efana nokuba ndikindiki nokushoshozela. Abanye abantu banezimpawu eziphansi kakhulu. Abanye banezimpawu ezinzima. Iningi labantu abanesimo liphakathi kokunene nokubi.

Ukuqhubeka kwe-arachnoiditis kungaba nzima ukubikezela. Kwabanye abantu, izimpawu zingaba zimbi ngokuhamba kwesikhathi. Abanye bathola ukuthi izimpawu zabo zihlala zizinzile iminyaka eminingi.

Yize lungekho ikhambi lalesi simo, ukwelashwa kungakusiza ukuphatha izinhlungu nezinye izimpawu.