Yini i-transverse myelitis, izimpawu, izimbangela eziyinhloko nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu ze-transverse myelitis
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela eziyinhloko
• Yelashwa kanjani

I-transverse myelitis, noma i-myelitis nje, ukuvuvukala komgogodla okungenzeka ngenxa yokutheleleka ngamagciwane noma amabhaktheriya noma ngenxa yezifo ezizimele, futhi okuholela ekubonakaleni kwezimpawu nezimpawu zezinzwa, nokukhubazeka kwemoto umthamo noma ubucayi, isibonelo.

Ngakho-ke, izimpawu nezimpawu eziyinhloko ze-transverse myelitis zenzeka ngenxa yokubandakanyeka komnkantsha wethambo, okungaholela ekukhubazekeni kwemisipha ngaphezu kobuhlungu beqolo, ubuthakathaka bemisipha, ngokuncipha kokuzwela nokukhubazeka kwemilenze kanye / noma izingalo.

Ukwelashwa kwe-myelitis kuhlose ukukhuthaza ikhwalithi yempilo yomuntu futhi, ngakho-ke, isazi sezinzwa singancoma ukwelashwa okuqondile kwesizathu se-myelitis, kanti ukwelashwa kungasizakala ngamaseshini e-physiotherapy, ngoba lokhu kungenzeka kuvuse ukunyakaza kwemisipha futhi kuvimbele ukukhubazeka.

Izimpawu ze-transverse myelitis

Izimpawu ze-transverse myelitis zivela ngenxa yokubandakanyeka kwemizwa yomgogodla, futhi kungahle kube khona:

• Ubuhlungu bomgogodla, ikakhulukazi emhlane ongezansi;
• Ukuzwa noma ukushisa ukuzwa esifubeni, esiswini, emilenzeni noma ezingalweni;
• Ubuthakathaka ezingalweni noma emilenzeni, nobunzima bokubamba izinto noma ukuhamba;
• Ukutsheka kwekhanda phambili, nobunzima bokugwinya;
• Kunzima ukubamba umchamo noma indle.

Njengoba i-myelitis ingathinta i-myelin sheath yamangqamuzana ezinzwa, ukudluliswa kwesisusa sezinzwa kukhubazeka kakhulu ngokuhamba kwesikhathi futhi, ngakho-ke, kujwayelekile ukuthi izimpawu ziba zimbi kakhulu nsuku zonke, ziba namandla kakhulu, kungahle kube nokukhubazeka, okuvimba lowo muntu ekuhambeni.

Lapho ingxenye yomgogodla ithinta iphansi, kungenzeka ukuthi umuntu alahlekelwe ukunyakaza kwemilenze, futhi lapho indawo ethintekile isondele entanyeni, umuntu othintekile angalahlekelwa ukunyakaza kwamahlombe nezingalo. Ezimweni ezinzima kakhulu, kungaba nzima ukuphefumula nokugwinya, okudinga ukulaliswa esibhedlela.

Ngakho-ke, noma nini lapho kuvela izimpawu ezingakhombisa inkinga emgogodleni, kubaluleke kakhulu ukuxhumana nodokotela ojwayelekile noma udokotela wezinzwa, ngokwesibonelo, ukuthola imbangela bese uqala ukwelashwa, ngaphambi kokuvela kwezilonda okunzima ukuzixazulula. Kulesi simo, ngemuva kokuxilongwa kuyinto ejwayelekile ukuthi umuntu adluliselwe kudokotela wezinzwa.

Ungakuqinisekisa kanjani ukuxilongwa

Ukwenza ukuxilongwa kwe-myelitis, kufanele uthintane nodokotela ojwayelekile noma udokotela wezinzwa, lapho kunokusola okuningi kwenkinga yomgogodla. Udokotela, ngaphezu kokuhlola izimpawu nomlando wokugula, imvamisa futhi u-oda ezinye izivivinyo zokuxilonga, njenge-MRI, ukubhoboza i-lumbar kanye nokuhlolwa kwegazi okuhlukahlukene, okusiza ukwenza ukuxilongwa okwehlukile nokuqinisekisa ukuxilongwa kwe-transverse myelitis.

Izimbangela eziyinhloko

I-transverse myelitis yisimo esingajwayelekile esingavela ngenxa yezimo ezithile, okuyizona eziyinhloko:

• Ukutheleleka ngegciwane, ikakhulukazi emaphashini (I-Mycoplasma pneumoniae) noma ohlelweni lokugaya ukudla;
• Ama-Enteroviruses, afana ne-EV-A71 ne-EV-D68;
• I-Rhinovirus;
• Ukutheleleka ngama-parasites, njenge-toxoplasmosis noma i-cysticercosis;
• I-Multiple sclerosis;
• I-optic neuromyelitis;
• Izifo ezizimele, njenge-lupus noma i-Sjogren's syndrome.

Yize kuyivelakancane kakhulu, kunemibiko yamacala we-transverse myelitis aqhamuke ngemuva kokuthatha umuthi wokugoma olwa nesifo sokusha kwesibindi kohlobo B noma isimungumungwane, imvukuzane nenkukhu. Ngaphezu kwalokho, kunombiko futhi wokuthi izimpawu ze-transverse myelitis zivele kumuntu othole umuthi wokugoma wokulinga i-coronavirus entsha, i-SARS-CoV-2 / COVID-19, kepha lobu budlelwano busafundwa, kanye nomuthi wokugoma ukusebenza kahle.

Yelashwa kanjani

Ukwelashwa kwe-myelitis kuyehluka kakhulu kuye ngodaba ngalunye, kepha kuvame ukuqala ngokusetshenziswa kwemithi ukwelapha ukutheleleka okungenzeka, ukunciphisa ukuvuvukala komgogodla nokuqeda izimpawu, kuthuthukise ikhwalithi yempilo. Eminye yemithi esetshenziswa kakhulu ibandakanya:

• Ama-corticosteroids anomjovo, njengeMethylprednisolone noma i-Dexamethasone: yehlisa ngokushesha ukuvuvukala komgogodla futhi yehlise ukusabela kwesimiso somzimba sokuzivikela, kususe izimpawu;
• Ukwelashwa kwe-Plasma exchange: isetshenziswa kubantu abangazange bathuthuke ngomjovo wama-corticosteroids futhi basebenze ngokususa amasosha omzimba amaningi ngokweqile angadala ukuvuvukala komgogodla;
• Amakhambi we-Antiviral: ukwelapha noma yikuphi ukutheleleka ngegciwane okusebenzayo nokulimaza umgogodla;
• Ukudambisa izinhlungu, njenge-acetaminophen noma i-naproxen: ukudambisa ubuhlungu bemisipha kanye nanoma yiluphi olunye uhlobo lobuhlungu olungase luvele.

Ngemuva kwalokhu kwelashwa kokuqala, futhi lapho izimpawu zilawulwa kakhulu, udokotela angeluleka izikhathi ze-physiotherapy ukusiza ukuqinisa imisipha nokuhlanganisa ukuqeqeshwa, okungathinteka yilesi sifo. Yize i-physiotherapy ingeke iselaphe lesi sifo, ingathuthukisa kakhulu amandla emisipha, ukuxhumeka kokunyakaza, isize ukuhlanzeka kwayo kanye neminye imisebenzi yansuku zonke.

Kwezinye izimo, kusengadingeka ukwenza izikhathi zokwelashwa emsebenzini, ukuze umuntu afunde ukwenza imisebenzi yansuku zonke ngemikhawulo emisha engavela ngalesi sifo. Kepha ezimweni eziningi kukhona ukululama okugcwele emasontweni noma ezinyangeni ezimbalwa.