IHydromyelia

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Uyini umbono?

Kuyini i-hydromyelia?

IHydromyelia ukunwetshwa okungajwayelekile ngaphakathi komsele ophakathi nendawo, okuvame ukuba yindlela encane kakhulu ehamba phakathi komgogodla. Lokhu kudala umgodi, obizwa nge-syrinx, lapho i-cerebrospinal fluid (CSF) ingaqongelela khona futhi icindezele umgogodla. Ngokuhamba kwesikhathi, lokhu kungalimaza izinzwa emgogodleni.

Kuvame ukwenzeka kakhulu ezinganeni nasezinganeni, kepha kunesimo esifanayo esibizwa nge-syringomyelia esivame ukwenzeka ikakhulukazi kubantu abadala. I-Syringomyelia ifaka ukwakheka kwe-cyst entanjeni yomgogodla elimaza lesi sakhiwo somzimba njengoba ikhula ngokuqongelela uketshezi. Lokhu futhi kungadala ukulimala kwezinzwa zomgogodla.

Ziyini izimpawu?

I-hydromyelia emnene ayibangeli zimpawu ngaso sonke isikhathi. Kodwa-ke, njengoba iqhubeka, ingadala:

• ukulahlekelwa umuzwa ezandleni nasezingalweni
• ubuhlungu entanyeni nasezingalweni
• ubuthakathaka bemisipha esandleni, izingalo namahlombe
• ubuhlungu bomlenze noma ukuqina

Ngaphandle kokwelashwa, ubuthakathaka nokuqina kuvame ukuba kubi kakhulu futhi ekugcineni kungenza ukunyakaza kube nzima.

Kubangelwa yini?

Odokotela abaqiniseki ngembangela ngqo ye-hydromyelia. Kodwa-ke, kucatshangwa ukuthi kungenzeka ukuthi kuhlobene nokuvinjelwa noma ukuphazanyiswa kokugeleza kwe-CSF. Lokhu akukuhle ohlelweni lwakho lwezinzwa oluphakathi, njengoba ukugeleza okufanele kwe-CSF kanye nengcindezi ehambisanayo kuyadingeka ukuvikela ubuchopho nomgogodla. Ukulimala, izimo ezingaphansi, nezinkinga ezithile ngesikhathi sokukhula kobuchopho nomgogodla esibelethweni konke kungadala izinkinga ngokuhamba kwe-CSF.

Kukhona ukuxhumana okuqinile phakathi kwe-hydromyelia ne-Chiari malformations. Lezi zinhlobo zokukhubazeka kokuzalwa okuthinta ukwakheka kobuchopho. Imvamisa zibangela i-cerebellum - indawo engemuva kobuchopho elawula ukunyakaza - futhi kwesinye isikhathi futhi ne-brainstem yehle iye phansi futhi inyathele endaweni ebekelwe umgogodla. Lokhu kuvimba ukuhamba kwe-CSF.

Ezinye izimo ezixhunywe ne-hydromyelia zifaka:

• izimila zomgogodla
• i-arachnoiditis, okuwukuvuvukala kolwelwesi lwe-arachnoid oluzungeze ubuchopho nentambo yomgogodla
• i-meningitis, okuwukuvuvukala kolwelwesi (ama-meninges) azungeze ubuchopho nomgogodla
• intambo yomgogodla eqinisiwe, ebhekisa kokunamathiselwe kwezicubu okubandakanya indawo ephansi kakhulu yomgogodla, okukuvimbela ekuhambeni emseleni womgogodla njengoba kufanele

Kutholakala kanjani?

Udokotela wengane yakho uzoqala ngokubuza imibuzo ehlobene nomlando nezimpawu zezokwelapha zengane yakho. Bangase futhi bacele ingane yakho ukuthi yenze ukunyakaza okuthile nezenzo ezithile ukuze ibheke izimpawu zobuthakathaka noma ukuqina emilenzeni yabo.

Ukuqinisekisa ukuxilongwa, cishe bazo-oda ukuskena kwe-MRI. Lokhu kusebenzisa odonsa abanamandla nama-radiofrequency pulses ukudala izithombe ezinemininingwane eminingi, futhi akukho kutholakala kwemisebe ngemishini ye-MRI. Lokhu kuhlolwa kwe-imaging kuzovumela udokotela ukuthi abone izicubu noma okunye okungahambi kahle ebuchosheni nasezindaweni zomgogodla.

Ilashwa kanjani?

Ezinye izimo ze-asymptomatic hydromyelia zingabhekwa ngokucophelela ngaphandle kokwelashwa. Kungenzeka, kepha akuvamile, kwezinye izimo ze-hydromyelia ukuxazulula ngaphandle kokwelashwa. Kodwa-ke, uma kunezimpawu ezibalulekile ezingathuthuki noma zibe zimbi kakhulu, ingane yakho ingadinga ukuhlinzwa ukulungisa ukugeleza kwe-CSF.

Izinhlobo zokuhlinzwa zifaka:

• Kushuntwa. Uhlelo lwe-drainage nge-valve lusetshenziselwa ukukhipha i-CSF kusuka kuma-ventricles obuchopho kuye emgodini wesisu.
• Ukwehla kwesimo sangemuva kwe-posterior. Ingxenyana encane yethambo engxenyeni engemuva yogebhezi olungezansi nomgogodla womlomo wesibeletho (i-laminectomy) iyasuswa ukunciphisa ingcindezi.
• I-ventriculostomy yesithathu. Kudalwa imbobo ezansi kwe-ventricle yesithathu yobuchopho bakho ukuphambukisa ukugeleza kwe-CSF.

Uma ingane yakho idinga ukuhlinzwa, udokotela wayo uzonquma indlela engcono kakhulu ngokuya ngobukhulu besimo sengane nokuthi yini engase isibangele. Bazocubungula nezici eziningana, kufaka phakathi iminyaka yengane yakho kanye nempilo yonke, ukuqinisekisa ukuthi bakhetha inketho ephephe kunazo zonke.

Ukwelashwa ngokomzimba kungasiza futhi ukuphatha izimpawu ze-hydromyelia ngokwandisa amandla nokuguquguquka ezingalweni noma emilenzeni.

Uyini umbono?

I-Hydromyelia ingadala uhla lwezimpawu zemizwa, njengokuqina, ukulahlekelwa umuzwa, ubuhlungu nobuthakathaka. Kodwa-ke, akuwona wonke amacala aveza izimpawu. Uma unengane enezimpawu ezilinganiselwe nezimbi ze-hydromyelia, udokotela wabo kungenzeka ancoma ukuhlinzwa ukuze kuthuthukiswe ukugeleza kwe-CSF ukuze kuncishiswe izimpawu.