Kusuntha myelitis

Transverse myelitis ndimavuto omwe amayamba chifukwa cha kutupa kwa msana. Zotsatira zake, chophimba (myelin sheath) mozungulira maselo amitsempha chawonongeka. Izi zimasokoneza zikwangwani pakati pa mitsempha ya msana ndi thupi lonse.

Kusintha kwa myelitis kumatha kupweteka, kufooka kwa minofu, kufooka, ndi chikhodzodzo kapena matumbo.

Transverse myelitis ndimavuto osowa amanjenje. Nthaŵi zambiri, chifukwa chake sichidziwika. Komabe, zikhalidwe zina zimatha kuyambitsa kusintha kwa myelitis:

• Matenda a bakiteriya, mavairasi, parasitic, kapena fungal, monga HIV, syphilis, varicella zoster (shingles), kachilombo ka West Nile, Zika virus, enteroviruses, ndi matenda a Lyme
• Matenda amthupi, monga multiple sclerosis (MS), Sjögren syndrome, ndi lupus
• Matenda ena otupa, monga sarcoidosis, kapena matenda olumikizana ndi minofu otchedwa scleroderma
• Matenda amitsuko yamagazi omwe amakhudza msana

Transverse myelitis imakhudza amuna ndi akazi a mibadwo yonse ndi mafuko.

Zizindikiro za transversion myelitis zimatha kukhala patangotha ​​maola ochepa kapena masiku ochepa. Kapenanso, atha kupitilira milungu 1 mpaka 4. Zizindikiro zimatha kukulira.

Zizindikiro zimakonda kupezeka pansi kapena pansi pa malo owonongeka a msana. Mbali zonse ziwiri za thupi zimakhudzidwa, koma nthawi zina mbali imodzi yokha imakhudzidwa.

Zizindikiro zake ndi izi:

Zovuta zachilendo:

• Kunjenjemera
• Kubera
• Kujambula
• Kuzizira
• Kuwotcha
• Kutengeka kukhudza kapena kutentha

Matumbo ndi chikhodzodzo:

• Kudzimbidwa
• Pafupipafupi amafunika kukodza
• Zovuta kugwira mkodzo
• Kutuluka kwa mkodzo (kusadziletsa)

Ululu:

• Yakuthwa kapena yosamveka
• Mutha kuyamba kumbuyo kwanu
• Mutha kuwombera mikono ndi miyendo yanu kapena kukulunga thunthu lanu kapena chifuwa

Kufooka kwa minofu:

• Kutaya malire
• Kuvuta kuyenda (kupunthwa kapena kukoka mapazi anu)
• Kutaya pang'ono kwa ntchito, komwe kumatha kukhala ziwalo

Kulephera kugonana:

• Zovuta kukhala ndi vuto (amuna ndi akazi)
• Kulephera kwa Erectile mwa amuna

Zizindikiro zina zimaphatikizaponso kusowa kwa njala, malungo, komanso mavuto am'mapuma. Matenda okhumudwa komanso nkhawa zimatha chifukwa chothana ndi zowawa komanso matenda.

Wothandizira zaumoyo wanu atenga mbiri yanu yazachipatala ndikufunsani za zomwe mukudwala. Woperekayo ayeneranso kuyesa njira zamanjenje kuti awone:

• Kufooka kapena kutayika kwa minofu, monga kamvekedwe kake ndi malingaliro
• Mulingo wowawa
• Zovuta zachilendo

Kuyesera kuti mupeze transel myelitis ndikuwonetsa zina mwazinthu monga:

• MRI ya msana kuti iwone ngati pali zotupa kapena zovuta
• Mpampu ya msana (kuponyera lumbar)
• Kuyesa magazi

Chithandizo cha transverse myelitis chimathandiza:

• Chitani matenda omwe adayambitsa vutoli
• Kuchepetsa kutupa kwa msana
• Kuchepetsa kapena kuchepetsa zizindikiro

Mutha kupatsidwa:

• Steroid mankhwala operekedwa kudzera mumtsempha (IV) kuti achepetse kutupa.
• Thandizo la Plasma. Izi zimaphatikizapo kuchotsa gawo lamadzi m'magazi anu (plasma) ndikuikapo plasma kuchokera kwa wopereka wathanzi kapena madzi ena.
• Mankhwala opondereza chitetezo cha mthupi lanu.
• Mankhwala ochepetsa zisonyezo zina monga kupweteka, kuphipha, mavuto amikodzo, kapena kukhumudwa.

Wopereka wanu atha kulangiza:

• Thandizo lakuthupi kuti lithandizire kukulitsa mphamvu ya minofu ndikulimbitsa thupi, komanso kugwiritsa ntchito zothandizira kuyenda
• Thandizo lantchito kukuthandizani kuphunzira njira zatsopano zochitira zochitika za tsiku ndi tsiku
• Kulangizidwa kukuthandizani kuthana ndi zipsinjo komanso mavuto okhudzidwa ndi matenda a myelitis

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Maganizo a anthu omwe ali ndi vuto la myelitis amasiyanasiyana. Kuchira kwambiri kumachitika pakatha miyezi itatu izi zitachitika. Kwa ena, kuchira kumatha kutenga miyezi kapena zaka. Pafupifupi gawo limodzi mwa atatu mwa anthu omwe ali ndi matenda opatsirana a myelitis amachira kwathunthu. Anthu ena amachira ali olumala pang'ono, monga mavuto amatumbo komanso kuyenda movutikira. Ena ali ndi zilema zosatha ndipo amafunikira kuthandizidwa ndi zochita zawo za tsiku ndi tsiku.

Iwo omwe atha kukhala ndi mwayi wochepa wochira ndi awa:

• Anthu omwe ayamba kuziziritsa mofulumira
• Anthu omwe zizindikiro zawo sizikusintha m'miyezi itatu kapena isanu ndi umodzi yoyamba

Kusintha kwa myelitis nthawi zambiri kumachitika kamodzi kokha mwa anthu ambiri. Itha kubwereranso mwa anthu ena omwe ali ndi vuto, monga MS. Anthu omwe ali ndi mbali imodzi yokha ya msana amatha kukhala ndi MS mtsogolo.

Mavuto omwe akupitilira kuchokera ku transverse myelitis atha kukhala:

• Kupweteka kosalekeza
• Kutaya pang'ono kapena kwathunthu kwa minofu
• Kufooka
• Minofu zolimba ndi spasticity
• Mavuto azakugonana

Itanani omwe akukuthandizani ngati:

• Mukuwona kupweteka kwadzidzidzi kumbuyo kwanu komwe kumawombera pansi mikono kapena miyendo kapena kukulunga thunthu lanu
• Mumayamba kufooka mwadzidzidzi kapena kufooka kwa mkono kapena mwendo
• Mukutha kuchepa kwa minofu
• Muli ndi mavuto a chikhodzodzo (pafupipafupi kapena kusadziletsa) kapena mavuto amatumbo (kudzimbidwa)
• Zizindikiro zanu zimaipiraipira, ngakhale mutalandira chithandizo

TM; Myelitis; Sekondale yopitilira myelitis; Idiopathic transverse myelitis

• Myelin ndi kapangidwe ka mitsempha
• Vertebra ndi mitsempha ya msana

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Hemingway C. Kuwononga zovuta zamkati mwamanjenje. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC ndi Wilson KM, eds. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 618.

Lim PAC. Kusuntha myelitis. Mu: Frontera WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 162.

National Institute of Neurological Disorders ndi tsamba la Stroke. Tsamba lazidziwitso la myelitis. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Transverse-Myelitis-Fact-Sheet. Idasinthidwa pa Ogasiti 13, 2019. Idapezeka pa Januware 06, 2020.