Kutenderera myelitis

Transverse myelitis chiitiko chinokonzereswa nekuzvimba kwemuzongoza. Nekuda kweizvozvo, kufukidza (myelin sheath) kutenderedza maseru etsinga kwakakuvara. Izvi zvinokanganisa zviratidzo pakati pemitsipa yemuzongoza uye kuzorora kwemuviri.

Transverse myelitis inogona kukonzera kurwadziwa, kushaya simba kwemhasuru, kuoma mitezo, uye dundira kana ura matambudziko.

Transverse myelitis ndeye isingawanzo manzwi system kusagadzikana Muzviitiko zvakawanda, chikonzero hachizivikanwe. Zvisinei, mamwe mamiriro ezvinhu anogona kutungamira mukuyambuka myelitis:

• Hutachiona, hutachiona, utachiona, kana fungal hutachiona, senge HIV, syphilis, varicella zoster (shingles), West Nile hutachiona, Zika hutachiona, enteroviruses, uye chirwere cheLyme
• Immune system kusagadzikana, senge multiple sclerosis (MS), Sjögren syndrome, uye lupus
• Zvimwe zvinokonzeresa kusagadzikana, sarcoidosis, kana chinobatanidza hutachiona chirwere chinonzi scleroderma
• Dambudziko reropa reropa rinokanganisa musana

Transverse myelitis inobata varume nevakadzi veese mazera uye madzinza.

Zviratidzo zvekuyambuka myelitis zvinogona kukura mukati memaawa mashoma kana mazuva. Kana, vanogona kukura pamusoro pe1 kusvika kumavhiki mana. Zviratidzo zvinogona kukurumidza kuve zvakanyanya.

Zviratidzo zvinowanzoitika kana pasi penzvimbo yakakuvara yemuzongoza. Mativi ese emuviri anowanzo kanganiswa, asi dzimwe nguva rimwe chete divi rinokanganiswa.

Zviratidzo zvinosanganisira:

Kusanzwisisika kwekunzwa:

• Unhu
• Kubaya
• Kuchenjerera
• Kutonhora
• Kusvirwa
• Kunzwa kubata kana kupisa

Zviratidzo zvemudumbu uye chedundira:

• Kuzvimbirwa
• Kakawanda kacho kuda kuita weti
• Zvakaoma kubata weti
• Urine leakage (kusagadzikana)

Marwadzo:

• Sharp kana blunt
• Inogona kutanga muzasi kwako kumashure
• Unogona kupfura maoko ako nemakumbo kana kuputira trunk yako kana chipfuva

Tsvina kushaya simba:

• Kurasikirwa kwekuenzanisa
• Kunetseka kufamba (kugumburwa kana kudhonza tsoka dzako)
• Kusarudzika kusarongeka kwekushanda, uko kunogona kukura kuve kuoma mutezo

Kusagadzikana pabonde:

• Dambudziko rekuita orgasm (varume nevakadzi)
• Erectile kusagadzikana muvarume

Zvimwe zviratidzo zvinogona kusanganisira kurasikirwa nechido, fivha, uye matambudziko ekufema. Kushungurudzika uye kushushikana kunogona kuitika semhedzisiro yekubata nekusingaperi kurwadziwa uye kurwara.

Anopa hutano hwako anotora nhoroondo yako yekurapa uye obvunza nezve zviratidzo zvako. Iye mupi achaitawo kuongorora kwehurongwa hwehurongwa kuti atarise:

• Kushaya simba kana kurasikirwa kwemhasuru basa, senge mhasuru toni uye mafungiro
• Chikamu chehurombo
• Kusanzwisisika kwekunzwa

Kuyedza kuongorora kuyambuka myelitis uye kutonga kunze zvimwe zvikonzero zvinosanganisira:

• MRI yespinal cord kuti itarise kuzvimba kana kusagadzikana
• Musana pombi (lumbar puncture)
• Kuongororwa kweropa

Kurapa kwekuyambuka myelitis kunobatsira ku:

• Rapa chirwere chakakonzera mamiriro acho
• Deredza kuzvimba kwemuzongoza
• Kurerutsa kana kuderedza zviratidzo

Unogona kupihwa:

• Steroid mishonga inopihwa kuburikidza netsinga (IV) kudzikisa kuzvimba.
• Plasma kuchinjana kurapa. Izvi zvinosanganisira kubvisa chikamu cheropa rako (plasma) uye kuritsiva neplasma kubva kune anopa zvakanaka kana neimwe mvura.
• Mishonga yekudzvanyirira immune system yako.
• Mishonga yekudzora zvimwe zviratidzo sekurwadziwa, kupaza, kunetsa, kana kushushikana.

Mupi wako anogona kukurudzira:

• Kurapa kwepanyama kubatsira kuvandudza masimba etsandanyama uye kuenzanisa, uye kushandiswa kwekubatsira kufamba
• Yekurapa kwekushanda kuti ikubatsire kudzidza nzira nyowani dzekuita zviitiko zvezuva nezuva
• Kurairwa kwekubatsira iwe kuti utsungirire nekushushikana uye nenyaya dzekunetseka kubva pakuchinja myelitis

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Maonero evanhu vane transversion myelitis anosiyana. Kazhinji kupora kunoitika mukati memwedzi mitatu mushure mekunge mamiriro acho aitika. Kune vamwe, kupora kunogona kutora mwedzi kusvika kumakore. Inenge chetatu chevanhu vane transverse myelitis vanopora zvachose. Vamwe vanhu vanopora nehurema hune mwero, senge matambudziko ematumbo uye kunetseka kufamba. Vamwe vakaremara zvachose uye vanoda kubatsirwa nemabasa ezuva nezuva.

Avo vanogona kuve nemikana yakashata yekudzoreredza ndeaya:

• Vanhu vane kukurumidza kutanga kwezviratidzo
• Vanhu vane zviratidzo zvisingavanduke mukati memwedzi yekutanga kusvika mitanhatu yekutanga

Transverse myelitis inowanzoitika kamwe chete muvanhu vazhinji. Inogona kudzoka mune vamwe vanhu vane chikonzero chakakonzera, senge MS. Vanhu vane chekuita chete kune rumwe rutivi rwesipinha tambo vanogona kuve nemikana yekuvandudza MS mune ramangwana.

Kuenderera mberi kwehutano hutano kubva mukuyambuka myelitis kunogona kusanganisira:

• Kugara uchirwadziwa
• Kusarudzika kana kukwana kurasikirwa kwemhasuru basa
• Kushaya simba
• Kuomesa mhasuru uye kusimba
• Zvinetso zvepabonde

Fonera mupiki wako kana:

• Unocherekedza kamwe kamwe, kurwadziwa kwakapinza kumusana kwako uko kunopfura pasi maoko ako kana makumbo kana kuputira kutenderera rako
• Unokudziridza kushaya simba nekukasira kana kuunyana kwemaoko kana gumbo
• Iwe une kurasikirwa kwemhasuru basa
• Une matambudziko edundira (kuwanda kana kusagadzikana) kana matambudziko emudumbu (kupatira)
• Zviratidzo zvako zvinowedzera, kunyangwe nekurapwa

TM; Chirwere chinoputika myelitis; Sekondari transverse myelitis; Idiopathic transverse myelitis

• Myelin uye mamiriro etsinga
• Vertebra uye musana tsinga

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Hemingway C. Kuzvidzora kushushikana kwenzvimbo yepakati yetsinga. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC naWilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 618.

Lim PAC. Kutenderera myelitis. Muna: Frontera WR, Sirivha JK, Rizzo TD Jr, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chap 162.

National Institute yeNeurological Dambudziko uye Stroke webhusaiti. Transverse myelitis chokwadi pepa. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Transverse-Myelitis-Fact-Sheet. Yakagadziridzwa Nyamavhuvhu 13, 2019. Yakasvika munaNdira 06, 2020.