Kana iwe kana munhu waunoda akaudzwa kuti iwe wakanga uine musana wechipinha, iwe unenge usingazivi zvaunotarisira. Vanhu vazhinji havasati vambonzwa nezvemutsipa wepelinha inopera. Kunyange zvazvo huwandu hwehuroti hunoita huropi, kune zvironda zvinosangana nemutsipa wepelinha, uye zvinonzi muspinha cord infarcts kana musana wechirwere.
Overview
Mharapara inoparadzanisa chikamu che1 peresenti chete yezvirova zvose.
Izvo zvinokonzera nemigumisiro yepelinus infarcts inokasiyana. Zvose zvavanoita zvakafanana musipinha tsvina yakakonzerwa nekushayikwa kweropa kuderera kumutsipa wesipinha kana kune imwe nzvimbo yepelinha. Migumisiro yemutsara wepelinha inopararira kune nzvimbo yechipfuva mukati memutsipa wepelinha, kukuvadzwa kwakanyanya sei, uyewo kana chirwere chepinini chinoparadzirwa chinorapwa nekukurumidza.
Chii Chinonzi Spinal Cord Stroke?
Mutsipa wespelinha, sezvikamu zvose zvemuviri, unoda kugamuchira ropa kuitira kuti uwane oxygen nemuviri. Iyo oksijeni nemunyanzvi zvinobvumira musana waro kuti uite uye hupenyu. Kune mitsipa yeropa, inonzi maginal artery, iyo inopa oksijeni-yakawanda, ropa rekudya-muchero kumutsara wespelinha. Kana ropa richipfuura nemumwe kana kupfuura mamwe emagetsi epelinha akavhiringidzika, saka nzvimbo yeropa remutsipa inowanzogamuchira ropa kuburikidza neropa iro rinotambura. Ichocho chirwere chepempa tsanga, inowanzonzi spinal infarct.
Chii Chinonzi Spinal Cord?
Mutsipa wako wesipfupa wakavharwa mukati mako mushure mako (backbone.) Tsvimbo yako yesipinha ndiyo nzvimbo inotarisa zvakare iyo inobatanidza mashoko pakati pemativi akasiyana emuviri wako uye uropi hwako. Kana iwe uchida kutamisa imwe yemisungo yako, uropi hwako hunotumira mameseji kuburikidza nemutsipa wako wepamusoro uye zvakare kuburikidza nemisungo inodzora iyo tsvina, uye pakupedzisira kumusana wako, kuitira kuti musuru wako unogona kufamba.
Saizvozvowo, kana iwe uchinzwa kushungurudzika mune chikamu chemuviri wako, mitsipa iri paganda yako inotumira mameseji kuburikidza nemutsipa wako wepelinha kune uropi hwako kuitira kuti iwe uwane ruzivo rwekunzwa kwemuviri wako.
Chero zvinokonzerwa nemusana wepinhaini zvinogona kuchinja simba remusana remusana rekushanda senzvimbo inoshandiswa yekudzosa zvakare, inopesana nekunzwa kwako kana kushambadzira kwako, kana zvose zviri zviviri.
Ndezvipi Migumisiro yeSpinal Cord Infarct?
Kana iwe wakanga uine musana wecinara, iwe unogona kuve nemigumisiro yenguva dzose yehuroyo semugumisiro. Mimwe migumisiro inoenderana nenzvimbo yemupfupa wepenjini uye kuti yakanyanya sei.
Nzvimbo yemusana wepinct inotsanangurwa maererano nekukwirira nekudzika kwemutsara wepelinha. Chimwe chikamu chemupopotedzo nzvimbo inobva pachirongwa che 'kumusoro uye pasi' mukati memutsara wepelinha, chinotsanangurwa semusana wecinara. Chimwe chikamu chemupopotedzo nzvimbo chinomirira maitiro ari mukati kana mukati kunze kwemutsipa wepelinha kukuvara ndiko, kunotsanangurwa semutsara wepelinha.
Mutsara Wematanda Nhamba
Mutsara wemutsara unorondedzera kuti yakakwirira kana yakadzika sepinini inopera, uye yakakwirira musipinha inopera, inowedzera kuipa. Izvi zvinoreva kuti kana musana wechipfuva unoitika pedyo nemutsipa, pamwero wepervical cord spinal cord, dambudziko rinoguma richasvibisa mabasa emumuviri uye pasi pemutsipa.
Kana musana wechipfuva uchinge wakaitika pakati nepakati pezasi, shure kwenharaunda, mumatare e-thoracic uye lumbar musungo wechipfuva, zvino muviri unoshanda mumakumbo uye zvikamu zviduku zvemuviri zvichataridzika, kwete mabasa emuviri mumaoko uye kumusoro zvikamu zvemuviri.
Nzira yepamuviri
Mutsipa wepelinha wakaumbwa zvakangofanana nesimbi yakasimba yechirungu, kunyange isiri denderedzwa rakakwana, uye haisi yakasimba zvakakwana. Izvo zvikamu zvemusana weropa remusana pedyo nechekupedzisira kwemabasa ekudzora muviri semafungiro, uye zvikamu zvemupopotedzo uri pedyo nechomukati memabasa ekudzora muviri sekufambisa.
Uyewo, rutivi rworuboshwe rwomutsipa runodzora chikamu chemuviri wemanzwiro uye kufamba, asi rutivi rworudyi rwemutsipa rwepelinha runodzora hafu yemanzwiro emuviri uye kufamba.
Iko 'basa' rechikamu chemukati memutsipa wepelinha rinowanzotaurwa semurakiti. Mutsipa wepinhaini ane zvakasiyana zvakasiyana zvichienderana nerutivi ripi rakakuvadzwa uye pamusoro pekuti ingave yakakonzera rutivi rworudyi rwomutsipa wepelinha kana rutivi rworuboshwe rwemutsipa wepelinha, kana maviri. Mimwe yemappinari inopinza inokonzera dambudziko nekunzwa, zvimwe zvinokonzera dambudziko nemasimba emasimba, mamwe anobaya rutivi rworudyi uye mamwe anobaya kuruboshwe. Zvizhinji zvepelinha zvinokonzera kusangana kwezvinetso izvi nokuti musana wemagunha unowanzokonzera zvinopfuura imwe gumbo remumumvuri panguva imwe.
Kurapa
Mushonga wepelinha chena infarct unogona kusanganisira ropa rakanyanyisa kana ropa rakagadzikana ndiro chikonzero chepinini inopera. Zvimwe zvitsva zvinoshandiswa pakushandiswa kwepelinha inonzi infarct zvinosanganisira vane simba vane simba rekuteerera ropa, sechizivo che plasminogen activator (TPA) , asi pane zvishoma zvidzidzo zvezesayenzi zvinotsanangura kubudirira kwe TPA mumamiriro emusana wepasina. Kana vanachiremba vako vakasarudza kukubata nechisimba TPA nokuda kwepinini isina simba, ichi chisarudzo chinofanira kuitwa nokukurumidza zvakanyanya kuti kuwedzere kubudirira uye kuderedza zvinetso zvinokuvadza, zvakadai sekubuda ropa.
Dzimwe nguva, kubuda ropa ndiko kunokonzera musana wepinha. Mumamiriro ezvinhu akadaro, inowanzoguma nemubhadha wekumimba ropa, uye kuvhiyirwa kunogona kuratidzwa, dzimwe nguva nokukurumidza.
Prognosis
Nhau dzakaipa ndeyokuti musana wemusana unokonzera kazhinji unoguma nemigumisiro yakaipisisa. Pane zvikonzero zvishoma zveizvi:
Chimwe chezvinhu zvinokonzera kukanganisa kwemusana wechipfuva chena, chirwere chepamuviri chinopera, chirwere chinotyisa uye chinotyisa chinokonzera kukonzera nekukurumidza kukuru uye kurasikirwa kweropa. Zvakawanda zvezvikonzero zvinokonzera musana wemutsara zvinokonzerwa nekushungurudzika kwakanyanya uye zvimwe zvirwere zvikuru, izvo zvinokonzera kurwisana nemusana wechipfupa pamwe nechimwe chirwere chakaita kuti musana wechipinha unopesana nekukwira kwemhepo.
Chimwe chikonzero icho musana wemutsara anoparadzanisa kazhinji chinoguma nemigumisiro yakaipa ndeyokuti mutsara wemugunha wakakuvadza kunonyanya kuoma kupora kubva. Hazviwanzoiti kupindira mune zvezvokurapa kuti 'vadzose' chero basa rakarasikirwa kubva pamusana wepasina. Kazhinji yenguva, kupindira kwezvechiremba pamusana pemutsipa wechipupuriro inzira yekudzivirira humwe uipi, kwete kudzorera kana kugadzirisa mutsara wesimbi.
Tsvakurudzo itsva kutsvaga kurapwa kwezvirwere zvisingagoni kuurayiwa semusana wechipinha kukanganisa kunosanganisira kuongorora kweuropeplasticity, iyo kugadzirisa zvinokonzera mitsipa, nekutsvakurudza pane stem cell therapy , iyo inotsiva zvinokonzera mitsipa.
Zvinokonzera
Pane zvikonzero zvinokonzera musipinha tsvina infarct. Dambudziko iri harisi izvo zvinokonzerwa nechirwere chemwoyo uye atherosclerosis, iyo inowanzokonzera kukanganisa muuropi. Mutsara wemutsara unokonzerwa nekubuda ropa kana kuvhara ropa mune imwe yemidziyo yeropa yemudumbu, kunyanya mudumbu rehara. Kushungurudzika kwakanyanya mumuviri kunogona kukanganisa kuerera kweropa kumutsipa wepelinha, zvichiita kuti musana wechipfupa uwane infarct. Zvimwe zvinokonzera musipinha tsvina zvinosanganisira zvirwere, kenza, zvirwere zveropa uye chirwere chemoto chinoputira. Kana iwe kana munhu waunoda aine chirwere chepamuviri chisina simba, zvino vanachiremba vako vachashanda nekukurumidza kuti vaone chikonzero uye kuti vabate chikonzero nokukurumidza.
Kutsungirira
Upenyu mushure megumbo rwonzi rwechirwere chinokonzerwa nehutachiwana hunogona kutora mararamiro akaipa. Kana iwe kana mudiwa wako usina hurema hwakakosha semugumisiro wecinara remusana, ipapo chikamu chikuru chekudzikinura chinosanganisira kurapwa kwechikonzero chemupinha unopera. Kana iwe uine hurema hwakakura, ipapo chirongwa chemuviri chakazvitsaurira uye chirongwa chebasa chinogona kukubatsira iwe kuwedzera mano ako uye kudzidza kuchengetedza muviri wako sehutano uye wakachengeteka sezvaunogona. United United Spinal Association neChristopher uye Dana Reeve Foundation ndiyo mashoma emasangano akazvitsaurirwa kupa zvigadzirwa uye kubatsira vanhu vanogara nemusana wenzara kukuvadzwa.
> Sources:
> Koch M, Sepp D, Prothmann S, Poppert H, Seifert CL. Systemic thrombolysis mu anterior spinal artery syndrome: chii chatinofanira kufunga ?. J Thromb Thrombolysis . 2016; 41 (3): 511-3.
> Lee J, Lim YM, Kim KK. Chiitiko chemusana wechechi infarction inokonzerwa ne polycythemia vera. Musana. 2015; 53 Kubatsira 1: S19-21.
> Munyon CN, Hart DJ. Vascular disease yemupfupa. Neurologist . 2015; 19 (5): 121-7.
> Rabinstein AA. Vascular myelopathies. Continuum (Minneap Minn) . 2015; 21 (1 Spinal Cord Disorders): 67-83.
> Rigney L >, Cappelen-smith C, Sebire D, Beran RG, Cordato D. Mutsara wemutsara > ischemic > syndrome. J Clin Neurosci. 2015; 22 (10): 1544-9.