Kodi Cauda Equina Syndrome (CES) ndi Kodi Amathandizidwa Bwanji?

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa CES?
• Ndani ali pachiwopsezo cha CES?
• Kodi CES imapezeka bwanji?
• Kodi pamafunika opaleshoni?
• Kodi ndi njira ziti zamankhwala zomwe zingachitike mutachitidwa opaleshoni?
• Kodi malingaliro ake ndi otani?
• Kukhala ndi CES

Kodi CES ndi chiyani kwenikweni?

Kumapeto kwa msana wanu kuli mitolo ya mitsempha yotchedwa cauda equina. Ndicho Chilatini cha "mchira wa kavalo." Cauda equina amalumikizana ndi ubongo wanu, kutumiza maimidwe amitsempha mmbuyo ndi mtsogolo pokhudzana ndi chidwi ndi magwiridwe antchito amiyendo yanu yam'munsi ndi ziwalo mdera lanu.

Ngati mizu ya mitengoyi ifinya, mutha kukhala ndi vuto lotchedwa cauda equina syndrome (CES). Ndi, yoyerekeza kukhudza. CES imathandizira kuwongolera komwe mumakhala nako chikhodzodzo, miyendo, ndi ziwalo zina za thupi. Ngati sichichiritsidwa, zimatha kubweretsa zovuta kwakanthawi.

Pitilizani kuwerenga kuti mupeze zizindikilo zomwe matendawa amayambitsa, momwe amayendetsera, ndi zina zambiri.

Zizindikiro zake ndi ziti?

Zizindikiro za CES zimatha kutenga nthawi yayitali kuti zisinthe ndipo zimatha kusiyanasiyana. Izi zitha kupangitsa kuti matendawa akhale ovuta.

Nthawi zambiri, chikhodzodzo ndi miyendo ndi malo oyamba kukhudzidwa ndi CES.

Mwachitsanzo, mutha kukhala ndi zovuta kugwira kapena kumasula mkodzo (kusadziletsa).

CES imatha kupweteketsa kapena kutaya kumverera kumtunda kwa miyendo yanu, komanso matako, mapazi, ndi zidendene. Zosinthazi ndizodziwikiratu mu "chishalo," kapena ziwalo za miyendo yanu ndi matako anu zomwe zingakhudze chishalo ngati mutakwera hatchi. Zizindikirozi zimatha kukhala zowopsa ndipo, ngati sizichiritsidwa, zimawonjezeka pakapita nthawi.

Zizindikiro zina zomwe zitha kuwonetsa CES ndi izi:

• kupweteka kwakumbuyo kwenikweni
• kufooka, kupweteka, kapena kutaya chidwi mwendo umodzi kapena zonse ziwiri
• kusadziletsa matumbo
• kutaya mtima m'miyendo yanu yam'munsi
• Kulephera kugonana

Ngati mukumane ndi izi, muyenera kukaonana ndi dokotala.

Nchiyani chimayambitsa CES?

Diski ya herniated ndichimodzi mwazomwe zimayambitsa CES. Diski ndi khushoni pakati pa mafupa mu vertebrae yanu. Zimapangidwa ndi mkatikati mwa jelly komanso kunja kolimba.

Diski ya herniated imachitika mkati mkati mofewa mutatuluka kunja kwa hard disk. Mukamakula, zida za disk zimafooka. Ngati kutha ndikokulira mokwanira, kuyesetsa kukweza chinthu cholemetsa kapena ngakhale kupotoza njira yolakwika kumatha kupangitsa kuti disk iphulike.

Izi zikachitika, mitsempha yomwe ili pafupi ndi disk imatha kukwiya. Ngati disk ikuphulika m'chiuno mwanu ndikukula mokwanira, imatha kukankhira pa cauda equina.

Zina mwazomwe zimayambitsa CES ndi monga:

• zotupa kapena zotupa kumsana wanu
• matenda a msana
• kutupa kwa msana wanu wam'munsi
• msana stenosis, kuchepa kwa ngalande yomwe imakhala ndi msana wanu
• zilema zobereka
• zovuta pambuyo pa opaleshoni ya msana

Ndani ali pachiwopsezo cha CES?

Anthu omwe atha kukhala ndi CES ndi omwe ali ndi disk ya herniated, monga achikulire kapena othamanga pamasewera okhudza masewera.

Zina mwaziwopsezo za diski ya herniated ndizo:

• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kukhala ndi ntchito yomwe imafunika kunyamula zolemetsa zambiri, kupotoza, kukankha, ndi kupindika chammbali
• wokhala ndi chibadwa cha disk ya herniated

Ngati mwakhala mukuvulala kwambiri msana, monga yoyambitsidwa ndi ngozi yagalimoto kapena kugwa, mulinso pachiwopsezo chachikulu cha CES.

Kodi CES imapezeka bwanji?

Mukawona dokotala wanu, muyenera kupereka mbiri yanu yachipatala. Ngati makolo anu kapena abale anu apamtima akhala ndi mavuto am'mbuyo, muuzeni zomwezo. Dokotala wanu adzafunanso mndandanda wazizindikiro zanu zonse, kuphatikiza pomwe adayamba komanso kuuma kwawo.

Mukamusankha, dokotala wanu amakakuyesani. Adzayesa kukhazikika, mphamvu, mayikidwe, ndi malingaliro amiyendo ndi mapazi anu.

Mwina mudzafunsidwa kuti:

• khalani
• imani
• yendani pazidendene ndi kumapazi
• kwezani miyendo yanu mutagona
• unama patsogolo, cham'mbuyo ndi mbali

Malingana ndi zizindikiro zanu, dokotala wanu angayang'anenso minofu yanu ya anal kuti mumveke komanso kuti musamveke.

Mutha kulangizidwa kuti mukhale ndi sikani ya MRI kumbuyo kwanu. MRI imagwiritsa ntchito maginito kuti ikuthandizeni kupanga zithunzi za mitsempha yanu ya msana ndi minofu yoyandikira msana wanu.

Dokotala wanu angalimbikitsenso mayeso a kujambula kwa myelogram. Pachiyesochi, utoto wapadera umalowetsedwa m'minyewa yoyandikira msana wanu. X-ray yapadera imatengedwa kuti iwonetse vuto lililonse ndi msana wanu wamanjenje kapena mitsempha yoyambitsidwa ndi disk ya herniated, chotupa, kapena zina.

Kodi pamafunika opaleshoni?

Matenda a CES nthawi zambiri amatsatiridwa ndi opaleshoni kuti athetse kupanikizika kwa mitsempha. Ngati chifukwa chake ndi diski ya herniated, opareshoni itha kuchitidwa pa disk kuti muchotse chilichonse chomwe chikukakamira pa cauda equina.

Kuchita opaleshoniyi kuyenera kuchitidwa mkati mwa maola 24 kapena 48 kuyambira pomwe matenda ayamba, monga:

• kupweteka kwakumbuyo kwenikweni
• kutaya mtima mwadzidzidzi, kufooka, kapena kupweteka mwendo umodzi kapena zonse ziwiri
• kuyambika kwaposachedwa kwaposachedwa kapena kwamikodzo
• kutayika kwa malingaliro anu kumapeto kwanu

Izi zitha kuthandiza kupewa kuwonongeka kwa mitsempha ndi kulema. Ngati vutoli silingalandire chithandizo, mutha kufooka ndikuyamba kusadziletsa.

Kodi ndi njira ziti zamankhwala zomwe zingachitike mutachitidwa opaleshoni?

Pambuyo pa opaleshoni, dokotala wanu amakuwonani nthawi ndi nthawi kuti muwone ngati mukuchira.

Kutha kwathunthu ku zovuta zilizonse za CES ndizotheka, ngakhale anthu ena ali ndi zizindikilo zakanthawi. Ngati mupitiliza kukhala ndi zizindikilo, onetsetsani kuti muwauze adotolo.

Ngati CES idakulepheretsani kuyenda, dongosolo lanu la mankhwala liphatikizira chithandizo chamankhwala. Katswiri wazachipatala atha kukuthandizani kuti mupezenso nyonga yanu ndikupatseni masewera olimbitsa thupi kuti muthandizire patsogolo. Wothandizira pantchito atha kuthandizanso ngati zochitika za tsiku ndi tsiku, monga kuvala, zimakhudzidwa ndi CES.

Akatswiri othandizira pakudziletsa komanso kusagonana nawonso atha kukhala mbali ya gulu lanu lochira.

Kuti mupeze chithandizo chanthawi yayitali, dokotala wanu angakulimbikitseni mankhwala ena othandizira kusamalira ululu:

• Mankhwala ochepetsa ululu, monga oxycodone (OxyContin), atha kukhala othandiza atangochitidwa opaleshoni.
• Mankhwala ochepetsa ululu, monga ibuprofen (Advil) kapena acetaminophen (Tylenol), atha kugwiritsidwa ntchito popumula ululu watsiku ndi tsiku.
• Corticosteroids atha kulembedwa kuti athandizire kuchepetsa kutupa ndi kutupa mozungulira msana.

Dokotala wanu amathanso kukupatsani mankhwala othandizira chikhodzodzo kapena matumbo. Zosankha zodziwika monga:

• oxybutynin (Ditropan)
• mavitamini (Detrol)
• hyoscyamine (Levsin)

Mutha kupindula ndi maphunziro a chikhodzodzo. Dokotala wanu angakulimbikitseni njira zokuthandizani kutulutsa chikhodzodzo chanu mwadala ndikuchepetsa chiopsezo chanu chodziletsa. Glycerin suppositories itha kukuthandizani kutulutsa matumbo anu mukafunanso.

Kodi malingaliro ake ndi otani?

Pambuyo pa opareshoni, mphamvu zanu zamagalimoto ndi zoyendetsa zamagalimoto zimatha kubwerera pang'onopang'ono. Ntchito ya chikhodzodzo makamaka ikhoza kukhala yomaliza kuchira. Mungafunike catheter mpaka mutayambanso kulamulira chikhodzodzo. Anthu ena, komabe, amafunikira miyezi yambiri kapena ngakhale zaka zingapo kuti achire. Dokotala wanu ndiye gwero lanu labwino kwambiri kuti mudziwe zambiri zamomwe mungaganizire.

Kukhala ndi CES

Ngati matumbo ndi chikhodzodzo sakugwiranso ntchito, mungafunike kugwiritsa ntchito kateti kangapo patsiku kuti muwonetsetse kuti chikhodzodzo chanu chilibe kanthu. Muyeneranso kumwa madzi ambiri kuti muteteze matenda am'mikodzo. Mapepala otetezera kapena matewera achikulire atha kukhala othandiza kuthana ndi chikhodzodzo kapena kusamwa kwa m'mimba.

Kudzakhala kofunika kuvomereza zomwe simungasinthe. Koma muyenera kukhala osamala pazizindikiro kapena zovuta zomwe zitha kuchiritsidwa mutachitidwa opaleshoni. Onetsetsani kuti mukambirana zomwe mungachite ndi dokotala wanu zaka zikubwerazi.

Upangiri wamalingaliro kapena wamaganizidwe ungakuthandizeni kusintha, chifukwa chake lankhulani ndi dokotala wanu pazomwe mungachite. Thandizo la abale anu komanso anzanu ndilofunikanso kwambiri. Kuphatikiza iwo mukuchira kwanu kungawathandize kumvetsetsa zomwe mumachita tsiku lililonse ndikuwathandiza kukuthandizani kuchira kwanu.