Chifukwa cha Kuwonongeka kwadzidzidzi ku Young
Tangoganizani kuti tsiku limodzi, mwataya nthawi yambiri kuti muzimva kapena kusuntha miyendo yanu, kapena kuyendetsa kayendedwe kako kapena chifuwa chanu. Zoopsya izi ndi zomwe zimachitika kwa anthu omwe ali ndi myelitis yopitirira.
Kutembenukira kwa myelitis kumakhudza pakati pa munthu mmodzi kapena asanu pa milioni pachaka. Ngakhale kutembenukira kwa myelitis sikunali kozolowereka, ndizovuta kwa ovutika.
Mofanana ndi multiple sclerosis , transverse myelitis ndi matenda osadziwika bwino. Chitetezo cha thupi cha thupi chimasokoneza dongosolo lamanjenje la matenda ndi kuukira. Chotsatira chake ndi kutulutsa kutupa pamtunda umodzi wa msana, zomwe zingathetsere kulankhulana pakati pa ubongo ndi ziwalo zonse pansi pa msinkhu wa msana.
Chifukwa cha kuperewera kwa chilankhulochi, anthu omwe ali ndi matenda osokoneza bongo angafooke chifukwa cha kufooka, kukhumudwa, kapena kufooka kwa thupi kapena thupi lawo pansi pamtunda wina, makamaka m'mimba mwa thothoki. Ngakhale kuti izi zimakhudza mbali zonse ziwiri za thupi, syndromes imodzimodzi monga Brown-sequard imatha kuchitika. Zotsatira zina zingaphatikizepo dysautonomia kapena kutaya chikhodzodzo. Ululu ndi wodabwitsa. Zizindikiro zingayambe mwamsanga, kawirikawiri mkati mwa maola 24, ngakhale kuti pang'onopang'ono pang'onopang'ono zingachitike.
Kutembenukira kwa myelitis kungakhale mbali ya multiple sclerosis ndipo nthawi zina vuto loyamba mu matendawa.
Zingakhalenso mbali ya Devic's disease (neuromyelitis optica), matenda ena othetsa matenda omwe amachititsa kuti msana wam'mimba ndi mitsempha ya optic imveke . Kutembenukira kwa myelitis kumapezekanso ndi matenda a rheumatologic monga systemic lupus erythematosus , matenda osokoneza bongo , Behcet's, scleroderma ndi Sjogren's syndrome .
Kuphatikiza pa kufufuza, akatswiri a sayansi ya zaukali amagwiritsa ntchito mayesero monga ma laboratory, maginito imaging resonance, ndi mapulctures lumbar kuti amvetse bwino chifukwa cha wina wanga transverse myelitis. MRI imakonda kusonyeza chizindikiro chosadziwika pamagulu ena a msana. Pafupifupi theka la nthawiyi, kuphunzira za cerebrospinal fluid (CSF) yomwe imapezeka pamtundu wa lumbar idzasonyeza zizindikiro za kutupa monga mapuloteni apamwamba. Mayesero owonjezereka akhoza kuyendetsedwa pa CSF kuti awonetsere khansa kapena matenda. Mayesero angathe kuchitidwa pazigawo za magazi kuti ayese matenda a rheumatological.
Mankhwalawa amathandiza kuchepetsa kupweteka kwa msana. Kugwiritsiridwa ntchito kwa mlingo wapamwamba corticosteroids ndiyo njira yokondweretsedwa kwambiri kuti akwaniritse izi. Pali umboni wokwanira wokhazikitsira izi, chifukwa chodziwitsidwa za zamoyo zamtundu wanga. Mu matenda ena owononga, komabe, monga optic neuritis, mlingo waukulu wa steroids wawonetsedwa kuti ufikitse nthawi ya zizindikiro. Nthawi zina, kusinthana kwa magazi kumathandizanso. Zosowa zochepa zomwe zilipo kuti zithandizire kugwiritsa ntchito mankhwala ena monga IVIg pazomwe zandigwira zanga. Pambuyo pake, matenda aliwonse okhwimitsa monga multiple sclerosis kapena matenda okhudzana ndi mitsempha ayenera kuyankhidwa.
Anthu ambiri omwe ali ndi myelitis wodutsa amakhala ndi kusintha mkati mwa miyezi itatu kapena itatu. Pafupifupi 40 peresenti ya anthu omwe ali ndi myelitis yodutsa amatha kukhala ndi mavuto pambuyo pa nthawi yoyamba. Kuchulukanso kwachinsinsi kwa myelitis sikusowa koma nthawi zina kumachitika. Thandizo la thupi ndi ntchito lingakhale lothandiza pobwezeretsa anthu pambuyo povutitsidwa ndi myelitis.
> Zotsatira:
> Benjamin M. Greenberg, Chithandizo cha Kutembenuka Kwachidule Myelitis ndi Mavuto Ake Oyambirira. Kupitiriza: Mphepete, Mzuzi, ndi Matenda a Plexus Volume 17, Number 4, August 2011
> AH Ropper, MA Samuels. Adams ndi Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.