Chikonzero Chokurumidza Kuparara muVechiduku
Fungidzira kuti mukati mezuva, iwe wakakurumidza kukanganisa unyanzvi hwako hwekunzwa kana kutamisa makumbo ako, kana kuti kunyange kutonga bhanha yako kana kufamba kwemuviri. Ichi chiitiko chinotyisa ndicho chinoitika kuvanhu vane transel myelitis.
Transversal myelitis inobata pakati pevanhu kusvika kune vashanu kubva pamamiriyoni pagore. Kunyange zvazvo kuchinja kwangu myelitis kwakajairika, zvinoparadza kune vanotambudzika.
Kufanana ne multiple multiple sclerosis , transversal myelitis ndeye chirwere chemoto. Mune muviri wemuviri wake unovhiringidza urwere hwehutano hwehutano nekurwisa. Chigumisiro ndechekupindura kwechiremera kune imwe nhanho yemutsipa wepelinha, iyo inogona kubvisa kukurukurirana pakati peuropi uye zvikamu zvose pasi peyero yepelinha.
Somugumisiro wekurasikirwa uku kwekukurukurirana, vanhu vane myelitis inotapukira vanogona kunetseka nekushaya simba, kusungira, kana kushaya simba kwechikamu kana muviri wose pasi pechimwe chikwata, kazhinji mukati me thoracic corde. Kunyange zvazvo izvi zvinowanzokonzera mativi maviri omuviri, unilateral syndromes yakadai seBrown-sequard inogonawo kuitika. Zvimwe zviitiko zvinogona kusanganisira dysautonomia kana kurasikirwa kwekanyara kana kutora mishonga. Urombo hahunajairika. Zviratidzo zvinogona kukurumidza kukurumidza, kazhinji mukati memaminitsi makumi maviri nemana, kunyange kuwedzera kunonoka kunogona kuitika zvakare.
Transverse myelitis inogona kuva chikamu che multiple sclerosis uye dzimwe nguva chinetso chekutanga mune chirwere.
Iyo inogonawo kuva chikamu cheDevic's disease (neuromyelitis optica), chimwe chichivhiringidza chirwere chinonyanya kukanganisa chirwere chepelinha uye neropa re optic . Transversal myelitis inowanikwawo ne rheumatologic disorders yakadai se systemic lupus erythematosus , yakavhiringidza zvirwere zvehutano , Behcet's, scleroderma uye Sjogren's syndrome .
Mukuwedzera kune kuongorora kwepanyama, vana vezveuropi vanoshandisa miedzo yakadai seongorori dzekuongorora, magnetic resonance imaging, uye lumbar punctures kuti vanzwisise zviri nani chikonzero chemumwe munhu anonzi myelitis. MRI inowanzoratidza zviratidzo zvisingaoneki pane zvimwe zvikamu zvepelinha. Inenge hafu yenguva, chidzidzo chechirebrospinal fluid (CSF) chinowanikwa nekwakagadzika kwemberi chicharatidza zviratidzo zvekuputika sepprotein yepamusoro. Mimwe miedzo inogona kushandiswa paCSF kuti iongorore zvekenza kana zvirwere. Miedzo inogona kuitwa muzvikamu zveropa kuti iongorore zvinetso zverheumatological.
Kurapa kwechirwere chinoputika myelitis kunobva pakuderedza kuderera mumutsipa wepelinha. Kushandiswa kwe-high-dose corticosteroids ndiyo nzira yakanakisisa yekuita izvi. Pano pane humwe uchapupu hushoma huri kutsigira izvi, nekuda kwekuziva kwemukati wangu myelitis. Mune dzimwe zvirwere zvinoderedza, zvisinei, zvakadai seoptic neuritis, high dose IV steroids yakaratidzwa kupfupisa nguva yezviratidzo. Mune zvimwe zviitiko, kushandiswa kweplasma kunogonawo kubatsira. Pashoma dhiyabhorosi iripo kutsigira kushandiswa kwemamwe marapirwo akadai seVIg munzvimbo ye transversal myelitis. Mushure meizvozvo, chero chirwere chinogadzirisa zvakadai sa multiple sclerosis kana chirwere chinogadzirisa chinetso chinofanirawo kutariswa.
Vanhu vakawanda vane myelitis inotapukira vachave nekuvandudzika mukati memwedzi umwe kusvika kumatatu. Inenge makumi mana kubva muzana yevanhu vane myelitis inotapukira vachava nedambudziko rakasara mushure mekutanga kwekuvandudza. Kudzokorora kwechirwere che myelitis hachisi nyore asi dzimwe nguva zvinowanzoitika. Kurapa kwepanyama uye yebasa kunogona kubatsira pakudzosa vanhu kumakumbo avo mushure mekurwiswa kweiyo myelitis.
> Sources:
> Benjamin M. Greenberg, Kurapa Kwechirwere Chetachiona Myelitis uye Matambudziko Ayo Epakutanga. Continuum: Mutsara wemutsipa, Muto, uye Plexus Zvinetso Mubhuku 17, Nhamba 4, August 2011
> AH Ropper, MA Samuels. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.