Kodi transverse myelitis, zizindikiro, zoyambitsa zazikulu ndi momwe mungachiritsire

Zamkati

• Zizindikiro za kutuluka kwa myelitis
• Momwe mungatsimikizire matendawa
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Transverse myelitis, kapena myelitis chabe, ndikutupa kwa msana komwe kumatha kuchitika chifukwa cha matenda a ma virus kapena mabakiteriya kapena chifukwa cha matenda omwe amadzitchinjiriza, ndipo kumabweretsa kuwonekera kwa zizindikiritso zamitsempha, ndikuwonongeka kwa mota mphamvu kapena zovuta, mwachitsanzo.

Chifukwa chake, zizindikilo zazikulu za transverse myelitis zimachitika chifukwa chokhudzidwa ndi mafupa, zomwe zimatha kubweretsa kufooka kwa minofu kuwonjezera pa kupweteka kwa msana, kufooka kwa minofu, ndikuchepetsa mphamvu komanso kufooka kwa miyendo ndi / kapena mikono.

Chithandizo cha myelitis cholinga chake ndikulimbikitsa moyo wamunthuyo, chifukwa chake, katswiri wa zamankhwala angalimbikitse chithandizo chamankhwala cha myelitis, ndipo chithandizochi chitha kuphatikizidwa ndi magawo a physiotherapy, chifukwa izi ndizotheka kulimbikitsa kusuntha kwa minofu ndikupewa kufooka.

Zizindikiro za kutuluka kwa myelitis

Zizindikiro za kutuluka kwa myelitis zimayamba chifukwa chokhudzidwa ndi mitsempha yotumphukira ya msana, ndipo pakhoza kukhala:

• Kupweteka kwa msana, makamaka m'munsi kumbuyo;
• Kuyatsa kapena kutentha pachifuwa, pamimba, miyendo kapena mikono;
• Kufooka m'manja kapena m'miyendo, movutikira kunyamula zinthu kapena kuyenda;
• Kupendeketsa mutu patsogolo, ndi kuvutika kumeza;
• Kuvuta kugwira mkodzo kapena ndowe.

Popeza myelitis imatha kukhudza myelin sheath ya mitsempha, kufalikira kwa mitsempha kumawonongeka pakapita nthawi ndipo, chifukwa chake, ndizofala kuti zizindikilo zikuwonjezeka tsiku lililonse, kukulirakulira, pakhoza kukhala kulumala, komwe kumamulepheretsa munthuyo kuyambira kuyenda.

Pamene gawo la msana limakhudza ndilotsika, ndizotheka kuti munthuyo atayike miyendo, ndipo malo okhudzidwawo ali pafupi ndi khosi, munthu wokhudzidwayo amatha kutaya mayendedwe amapewa ndi mikono. Nthawi zovuta kwambiri, zitha kukhala zovuta kupuma ndi kumeza, zomwe zimafunikira kuchipatala.

Chifukwa chake, nthawi zonse pakawonekera zizindikiro zomwe zitha kuwonetsa vuto la msana, ndikofunikira kukaonana ndi dokotala kapena katswiri wazamaubongo, mwachitsanzo, kuti mudziwe chomwe chimayambitsa ndikuyamba chithandizo, zisanachitike zovuta zomwe zimavuta kuthetsa. Momwemonso, atapezeka kuti ndizachizolowezi kuti munthuyo apite kwa dokotala wa matenda a ubongo.

Momwe mungatsimikizire matendawa

Kuti mupeze matenda a myelitis, muyenera kufunsa dokotala kapena katswiri wa zamagulu, pakakhala kukayikira kwakukulu kwa vuto la msana. Dotolo, kuwonjezera pakuwunika zizindikilo komanso mbiri yakudwala, nthawi zambiri amalamuliranso mayeso ena okhudzana ndi matenda, monga MRI, kuboola lumbar ndi kuyesa magazi osiyanasiyana, zomwe zimathandizira kusiyanitsa ndikuzindikira matenda a transverse myelitis.

Zoyambitsa zazikulu

Transverse myelitis ndizovuta zomwe zimatha kuchitika chifukwa cha zochitika zina, zazikuluzikulu ndizo:

• Matenda a kachilombo, makamaka m'mapapo (Mycoplasma pneumoniae) kapena m'mimba;
• Enteroviruses, monga EV-A71 ndi EV-D68;
• Rhinovirus;
• Matenda ndi tiziromboti, monga toxoplasmosis kapena cysticercosis;
• Matenda angapo ofoola ziwalo;
• Chamawonedwe neuromyelitis;
• Matenda osokoneza bongo, monga lupus kapena Sjogren's syndrome.

Ngakhale ndizosowa kwambiri, palinso malipoti amilandu ya transverse myelitis yomwe idachitika atalandira katemera wa matenda a chiwindi a B kapena motsutsana ndi chikuku, ntchintchi komanso nthomba. Kuphatikiza apo, palinso lipoti loti zizindikilo za transverse myelitis zidayamba mwa munthu yemwe adalandira katemera woyeserera motsutsana ndi coronavirus yatsopano, SARS-CoV-2 / COVID-19, komabe ubalewu ukupitilirabe kuphunzira, komanso katemera mphamvu.

Momwe mankhwalawa amachitikira

Chithandizo cha myelitis chimasiyanasiyana kwambiri malingana ndi vuto lililonse, koma nthawi zambiri amayamba ndikugwiritsa ntchito mankhwala ochizira matenda omwe angachitike, kuchepetsa kutupa kwa msana ndikuchepetsa zizindikilo, kukonza moyo wabwino. Ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Jekeseni wa corticosteroids, monga Methylprednisolone kapena Dexamethasone: amachepetsa mwachangu kutupa kwa msana ndikuchepetsa kuyankha kwa chitetezo chamthupi, kuthetsa zizindikilo;
• Thandizo la Plasma: imagwiritsidwa ntchito mwa anthu omwe sanachite bwino ndi jakisoni wa corticosteroids ndipo imagwira ntchito pochotsa ma antibodies owonjezera omwe angayambitse kutupa kwa msana;
• Mankhwala a ma virus: kuchiza matenda aliwonse omwe angathenso kugwira ntchito omwe akuwononga msana;
• Kupweteka kumachepetsa, monga acetaminophen kapena naproxen: kuti athetse kupweteka kwa minofu ndi ululu wina uliwonse womwe ungachitike.

Pambuyo pa chithandizo choyambirira ichi, komanso ngati zizindikiro zikuwongoleredwa, adokotala amalangiza magawo a physiotherapy kuti athandizire kulimbitsa minofu ndikupanga mgwirizano, womwe ungakhudzidwe ndi matendawa. Ngakhale physiotherapy silingathe kuchiritsa matendawa, imatha kusintha mphamvu yamphamvu yamphamvu, kulumikizana kwa mayendedwe, kuwongolera ukhondo wawo ndi ntchito zina za tsiku ndi tsiku.

Nthawi zina, kumakhala kofunikira kuchita magawo azithandizo lantchito, kuti munthuyo aphunzire kuchita zochitika za tsiku ndi tsiku ndi zoperewera zatsopano zomwe zingachitike ndi matendawa. Koma nthawi zambiri pamakhala kuchira kokwanira m'masabata kapena miyezi ingapo.