Izwi rokuti myelopathy rinoreva dambudziko nemutsara wepelinha, izvo zvinogona kutungamirira kudiki, kushaya simba, dysautonomia , nezvimwewo. Kune zvakawanda zvakasiyana siyana zvinokonzera myelopathy. Utachiona hausi iyo inonyanya kukonzera, asi vanachiremba vanofanira kuzviziva nokuti zvirwere zvinoda marudzi akasiyana ekurapa. Mavairasi, mabhakitiriya, fungi, kana zvipembenene zvose zvinogona kutungamirira kumusana wechipfupa kukuvara.
Tora zvakanyanya zvinotevera 10 mhando dzepelinha cord infections.
Virusi
Human immunodeficiency virus (HIV): Zvinetso zvehutachiwana hweHIV zvinowanzoitika panguva yechirwere chechirwere. Zvimwe zvezvinetso izvi zvinokonzerwa nehutachiona hunoshandiswa hunoshandiswa nehutachiona hwehutachiona hunooma. HIV iyo pachayo, kunyange zvakadaro, inogona kurwisa sangano remagetsi, kusanganisira muromo wespelinha. Dzidzo yekuongorora mutsara wepelinha yevanhu vakafa neHIV vakawana mhemberero yakasiyana-siyana pakati pe11 kusvika kune 22 muzana yemagunha. Apo varwere ava vaiva nezviratidzo, vaizonyunyutira kugunun'una uye kusagadzikana mumakumbo avo, kuteverwa nekushaya simba nekurasikirwa kwehutano. Kakawanda, kurasikirwa kwemuviri kana chekudzora kunogona kutevera. Kazhinji, manzwiro ekudengenyeka uye chinangwa (chinangwa) chinoderera kupfuura mamwe mazwi sekushisa kana kurwadziwa. Mukuwedzera pakurapa HIV, kunyanya kunetseka kunodiwa kuti usabvisa zvimwe zvirwere kana zvirwere zvakadai se- lymphoma .
Human T-cell lymphotropic virus 1 (HTLV-1): Uyu hutachiona hunowanzoitika munzvimbo dzinotyisa, uye saka myelopathy inokonzerwa nehutachiona ino inozivikanwa sehutachiona hwepastic paraparesis (TSP), kana kuti HTLV-1-inosanganiswa myelopathy (HAM ). Kushaya simba kunowedzera zvishoma nezvishoma kwemakore. Kuchinja kunofadza uye dysautonomiya zvakarewo.
Herpes viruses: The herpes family of viruses includes varicella zoster (VZV, chinokonzera chickenpox), herpes simplex virus (HSV), Epstein-Barr virus (EBV, chikonzero chemononucleosis ), uye cytomegalovirus (CMV) . Zvose zvinogona kukonzera zvirwere mumutsipa wepelinha.
VZV inokonzera shingles mushure mekugadziriswa mumharaunda yegorosi iri pedyo nemutsara wepelinha, zvichiguma nekukurumidza kunorwadza. A myelitis inogona kuuya panguva imwechete seyekurumidza, zvichikonzera kushaya simba, asi inogona kuuyawo zvishoma nezvishoma uye pasina rusina muvanhu vasina kudzivirirwa.
Myelitis inokonzerwa nemamwe mavhamusi emukadzi, akadai seHSV, haawanzoitiki kune vanhu vane zvirwere zvekudzivirira zvirwere. Mune avo vane maitiro ekudzivirira zvirwere, zvakadai seavo vane hutachiona hweHIV hwakanyanya, zvirwere zvakadai se CMV zvinogona kukonzera myelitis nekushaya simba, kushaya simba, nekuchengetedza urinary. Kurapa nemishonga inorwisa maitiro ndiyo nzira yakanakisisa yekuita mumamiriro ezvinhu aya, pamwe nekugadzirisa mafungiro ekudzivirira mafungiro, kana zvichibvira.
- Ingoviruses: Enterovirus inonyanya kuzivikanwa kuti inobata ruvara rwepelinha chirwere cheporiyo, icho chine chivimbo chave chisingakwanisi munyika dzakabudirira. Kufanana neamyotrophic lateral sclerosis (ALS), poriyo inokanganisa runyanga rwenyendo rwemutsipa rwepelinha, zvichikonzera kuora mutezo pasina kuchinja kwekunzwa. Kunyange zvazvo kuora mutezo kunokonzerwa nechirwere cheporiyo chaizvoizvo kusanganisa kwakanyanya (1 muzana kusvika 2 muzana), migumisiro yacho yakaoma uye yaiva chikonzero chinowanzokonzera kukuvadza uye kuchipatara kusvikira kusvika kwekudzivirira kuchibatsira kubvisa chirwere chacho.
Utachiona hweWest Nile : Utachiona hweWest Nile hutakurwa nemumhutu. Zvinetso zvehutano zvinowanikwa munenge 5 muzana yevarwere vane utachiona, kusanganisira meningitis kana kupora. Kungofanana nePolio, kuparara uku kunofungidzirwa kuti kunokonzerwa nekurasikirwa kweanoramende runyanga masero. Mechanical ventilation inogona kudiwa kana zviratidzo zvikava zvakakwana.
Syphilis
Sirifi yakanzi "mutevedzeri mukuru" mune yeurologia nokuti chirwere chinogona kuita chero chipi zvacho mukati mehutachiona. Chirwere ichi chinowanzopinda muhurongwa hwemagetsi mukati megore rehutachiona, asi zvinenge 5 kubva muzana zvevanhu vane syphilis vanova nezvinetso zvemakiriniki.
Sezvo chirwere chinowanzotorwa musati wati mukana wezvinetso zvemagetsi unogona kubuda, izvi zvinetso zvino hazviwanzoitiki. Pakati pezvinhu zvakawanda zvinogona kuitika zvechirwere chinonzi syphilitic, chirwere chemusana chetachiona chaive chakawanzana katatu kupfuura zvimwe. Mushure maizvozvi kwaiva chirongwa chekuita meningomyelitis uye spinal vascular disease. Zvose mune zvose, saka, chirwere chechirwere chinogona kukonzera musana wemugero munzira dzakasiyana-siyana.
Izwi rokuti "mabhesi dorsalis" rinoreva zvinowanzoitwa musipinha tsvina iyo inobatanidza nechiphilis, uye inowanzotanga makore 10 kusvika ku15 mushure mekutachiona kwekutanga. Muna 70 muzana yevarwere ava, nguva yakaoma yekurwadziwa chiratidzo chekutanga. Izvi zvinoteverwa nekusava nehutano uye nezvinetso nehutachiona uye chemuviri. Unhu, kukomba, uye mamwe matambudziko ane chiitiko chekunzwa. Chikamu chinotevera chinosanganisira akaxiia yakasimba yemakumbo, izvo zvinoita kuti zvishoma nezvishoma zvive nyore kufamba. Pakupedzisira, danho rokupedzisira rakakwana kupera simba kwemakumbo.
Meningomyelitis ndiko kuputika kwezvisikwa zvakakomberedza rwonzi rwepelinha pamwe chete nomutsipa wepelinha pachako. Chiratidzo chekutanga nderokufunga kwegumbo kunetseka. Kurasikirwa kwepfungwa hakusi kudarika, asi makumbo anowedzera zvishoma.
Sirifi inogonawo kukonzera kupisa kunokonzera kukanganisa kwechemical kumutsipa wepelinha kuburikidza nekudzivisa kuteura ropa, kana kunogona kukonzera kukura kusina kuchena kunonzi magummas inononoka kuomesa masvini emasikirwo emagetsi mumudonzvo. Nenzira yakanaka, chirwere chacho chinowanzotarisa zvakanaka penicillin .
Tuberculosis
Kungofanana nechirwere, chifukidzo chinogona kukonzera mhando dzakawanda dzemhando dzakasiyana dzematambudziko eropa, asi nerufaro, hazviwanzo munyika dzakabudirira. Dambudziko repelinha rinowanzoitika rinokonzerwa nemabhesi ane mutsara mumharapamwe inopararira kumutsipa wepelinha. Kutambudzika kwemukoko ndiyo chiratidzo chinowanzoonekwa kare, sezvo tambo yakafukidzirwa nepus kubva kune vertebra ine utachiona.
Mabhakitiriya Masimba
Chivharo chetachiona chakave chakavharwa kubva kune imwe yose yomuviri nemusununguko wemuviri wemuviri. Chigumisiro ichocho chiri chekuunganidzwa kwepus. Izvi kukura dzimwe nguva zvinowedzera, zvichiita kuti kuwedzerwa kwezvigadzirwa zvemuviri mukati memuviri, kusanganisira musipinha. Chikonzero chinonyanya kukonzera mushonga wemusana wechipfuva ndeye Staphylococcus aureus. Utachiona hunoparadzaniswa kubva kune imwe yose yemuviri, saka kupa maantibioti kazhinji haisi nzira yakanakisisa, sezvo pasina nzira yokuti madhiragi apfuure mhirizhonga. A neurosurgeon inogona kudiwa kuti ibvise bumbiro risina kuisvibisa uye kupera utachiona mumuviri.
Fungal Infections
Chirwere chinokonzera fungal chinokanganisa musana wechipinha hachiwanzoitiki, uye kazhinji chinowanzoitika kune avo vane maitiro ezvirwere zvemuviri. Mimwe fungi, yakadai seAspergillus, inogona kupinda mumusana wepasidha nzvimbo, uye imwe inogona kutungamirira kukura kunonzi granulomas inogona kumanikidza musana wemugunha.
Parasitic Infections
Nepo zvirwere zvepasipiti zvepelinha zvisingawanzo munyika dzakabudirira, zvirwere zvepasi rose zveSchistosoma ndeimwe yezvikonzero zvinowanzokonzera zvirwere zvinotapukira. Izvi zvinowanzowanikwa kuSouth America, Africa, nekumabvazuva kweAsia. Zvisikwa zvinowanzogara mumvura itsva, uye vanhu vanogona kutapukirwa pavanenge vashambira mumvura iyoyo. Itainine tapeworm Echinococcus granulosus inogona kukonzera cysts iyo inomesa musipinha. Cysticercosis inogonawo kusanganisira muromo wepelinha mune anenge 5 muzana yematambudziko. Paragonimiasis ipamende fluke inonyanya kuwanika muAsia uye inogona kuwanikwa nokudya zvisina kunaka yakabikwa mvura yakachena. Zvose zvinogona kuguma pakupedzisira, kushaya simba, kushaya simba, uye mamwe matambudziko anokonzerwa nekurembera.
Kunyange zvazvo zvirwere izvi zvinogona kuva zvinoshamisa, zvinotyisa, uye kazhinji zvakakomba, chokwadi ndechekuti vazhinji vavo vanorapa kana vakanyatsozivikanwa, kunyanya kana vakawanikwa nokukurumidza sezvinobvira.
> Sources:
> Goodman, BP. Nzira yekuona nzira yeMyeloneuropathy; Continuum: Mutsara wemutsipa, Muto, uye Plexus Zvinetso Mubhuku 17, Nhamba 4, August 2011.
> AH Ropper, MA Samuels. Adams uye Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, 2009.