Syringomyelia

Syringomyelia ndeye cyst-senge muunganidzwa we cerebrospinal fluid (CSF) iyo inoumba mumuzongoza. Nekufamba kwenguva, zvinokuvadza musana.

Iyo cyst-izere cyst inonzi syrinx. Iyo spinal fluid fluid inovakwa inogona kukonzerwa ne:

• Kuremara kwekuzvarwa (kunyanya Chiari malformation, mune chimwe chikamu cheuropi chinosundira pasi pamutsipa wepelinasi pazasi pehenya.
• Spinal tambo kushungurudzika
• Mamota emuzongoza

Iyo cyst-izere cyst inowanzotanga munzvimbo yemutsipa. Inokura zvishoma nezvishoma, ichimanikidza musana uye zvishoma nezvishoma ichikanganisa.

Kutanga kwe syringomyelia kunowanzo kuve pakati pemakore makumi maviri kusvika makumi mana ekuberekwa. Vanhurume vanobatwa zvakanyanya kupfuura vakadzi.

Kana mamiriro acho ari nekuda kwekuremara kwekuzvara, pangave pasina zviratidzo kusvika pamakore makumi matatu kusvika makumi mana ekuberekwa. Zviratidzo zve syringomyelia zvinowanzoonekwa zvishoma nezvishoma uye zvichitowedzera kupfuura makore mazhinji. Muchiitiko chekushungurudzika, kutanga kwezviratidzo kunogona kunge kuri kwemwedzi miviri kusvika mitatu yezera. Kana paine zviratidzo, zvinogona kusanganisira:

• Kutemwa nemusoro
• Scoliosis (muvana)
• Kurasikirwa kwemhasuru (kuparara, atrophy), kazhinji mumaoko nemaoko
• Kurasikirwa kwekufungisisa mumakumbo ekumusoro
• Kuwedzera kwekufungisisa mumakumbo ezasi
• Spasms kana kuomarara mugumbo kana ruoko uye ruoko mhasuru
• Tsandanyama basa kurasikirwa, kurasikirwa kwekugona kushandisa maoko kana makumbo
• Unhu hunoderedza manzwiro ekurwadziwa kana tembiricha; inoderedza kugona kwekunzwa kana ganda riri kubatwa; inoitika mumutsipa, mapendekete, maoko ekumusoro, uye trunk mune yakafanana-cape pateni; uye zvishoma nezvishoma inowedzera kuwedzera nekufamba kwenguva
• Marwadzo pasi pemaoko, mutsipa, kana mukati yepakati kumashure kana makumbo
• Kushaya simba (kuderera kwesimba tsandanyama) mumaoko kana makumbo
• Kupisa kusingarwadzi kana kukuvara kweruoko
• Zvakaoma kufamba kana chigunwe kufamba muvana
• Kufambisa kusingadzoreki kwemeso (nystagmus)
• Mamiriro anokanganisa tsinga kune ziso uye kumeso (Horner syndrome)

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo, achitarisana nehurongwa hwekutyaira. Miedzo inogona kuitwa inosanganisira:

• MRI yemusoro uye musana
• Spinal CT scan ne myelogram (inogona kuitwa kana MRI isingakwanise)

Iko hakuna kuzivikanwa kunoshanda kurapwa kwe syringomyelia. Zvinangwa zvekurapa ndezvekumisa kukuvara kwemuzongoza kubva pakuwedzera uye kugadzirisa basa.

Kuvhiya kunogona kudikanwa kuti ubvise kumanikidza mumuzongoza. Kurapa kwepanyama uye kwekuita kunogona kudikanwa kuti uvandudze mhasuru mashandiro.

Ventriculoperitoneal shunting kana syringosubarachnoid shunting inogona kudikanwa. Iyi ndiyo nzira iyo catheter (yakatetepa, inochinjika chubhu) inoisirwa kudurura iyo inovaka mvura.

Pasina kurapwa, kusagadzikana kunogona kuwedzera zvakanyanya zvishoma nezvishoma. Nekufamba kwenguva, zvinogona kukonzera kuremara kwakanyanya.

Kuvhiya kunowanzo kumisa mamiriro acho kubva pakuwedzera. Kutya system kunovandudzika mu30% yevanhu vanovhiyiwa.

Pasina kurapwa, mamiriro acho anogona kutungamira ku:

• Kurasikirwa kwehurongwa hwehurongwa hunoshanda
• Kuremara zvachose

Zvinogona kuitika matambudziko ekuvhiya anosanganisira:

• Utachiona
• Zvimwe zvinetso zvekuvhiyiwa

Fonera mupiki wako kana iwe uine zviratidzo zve syringomyelia.

Iko hakuna inozivikanwa nzira yekudzivirira iyi mamiriro, kunze kwekudzivirira kukuvara kumuzongoza. Kurapwa ipapo kunononoka kusagadzikana kubva pakuwedzera.

Syrinx

• Central yetsinga hurongwa

Batzdorf U. Syringomyelia. Mune: Shen FH, Samartzis D, Fessler RG, eds. Chinyorwa cheCervical Spine. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 29.

Benglis DM, Jea A, Vanni S, Shah AH, Green BA. Syringomyelia. Mune: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. Rothman-Simeone naHerkowitz's The Spine. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 94.

Roguski M, Samdani AF, Hwang SW. Mukuru syringomyelia. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 301.