Ixesha eliqhelekileyo leMpilo yokuPhepha kwesifo seNtsholongwane ilukhuni ukuPhatha
I-Arachnoiditis yintlungu engaqhelekiyo yeentlungu ezinokuthi zenzeke xa utyando oluthile-umzekelo-lwenziwa kwintsipho yakho. Ngaloo nto yathi, imbangela ye-arachnoiditis ayigcini ekusebenzisweni kwangaphambili.
Ngokomzekelo, ukuqubuka kwe-meningitis enyangeni ka-2012 ngenxa yokungenwa kwe-steroid yabangelwa kuama-720 kunye nama-48 okufa. I-CDC ibhengeze ukuba i-arachnoiditis, kwakunye nezifo ezithe zenzeka, zenzeke kwisayithi yokungenwa kwezinye izigulane.
Yintoni iArachnoiditis?
I-Arachnoiditis ukuvuvukala okanye ukucaphukiswa kwebhanki ye-arachnoid yama-meninges. Ukukunceda uqonde oko oku kuthetha ntoni, isifundo esifutshane somfundi silinganiselwe:
Iimpawu zizinto ezintathu zethambo ezigubungela intambo yomgogodla kunye nengqondo. Ngokubambisana, ingqondo kunye nomthambo womgudu wenziwe yinkqubo yesantya ephakathi. I-membrane ye-arachnoid ngumqolo ophakathi kwesi simbozo. Uluhlu oluphezulu, olubizwa ngokuba ngumzali osisigxina - oku kuthetha "umama onzima" -, njengokuba igama libonisa, ithambo enamandla eyenzelwe ukukhusela kwimikhosi esebenza ngentambo evela ngaphandle. I-same mater, eyona ngqongqelo ejulile yamadoda, i-tissue ecebile kunye nemithambo emihle yegazi efakwe kuyo. I-membrane ye-arachnoid iqulethe imithana yegazi, kwaye zombini kunye ne-arachnoid ziqulethe i- cerebrospinal fluid , enye indlela yokukhusela kwinkqubo ye-nervous central. I-mater efanayo nayo ikhona phantsi kwebhanki ye-arachnoid, efumaneka phantsi kwe-mater.
Ngamanye amazwi, i-mater efanayo nendawo esecaleni kakhulu kumgca wesipelingi ngokwayo.
Njengokuba kunjalo neemeko ezininzi ezivuthayo, xa i-membrane ye-arachnoid iyacaphuka, ingabangela intlungu. Le ngxaki iyakwenzeka xa intambo yomgogodla igxininiswa, nokuba ingaba yingozi okanye inkqubo yomgogodla.
Ngo-arachnoiditis, ukuvuvukala kubangela ukubunjwa kwamathambo. I-scar tissue, kwakhona, ingabangela ukuba imisipha yomgudu ibambe ndawonye ngokungafanelekanga. Enye indlela yokucinga nge-arachnoiditis yimbobo yamathambo aphakathi kwendawo yomgogodla.
"Ukuba unokwenza iingcamango ezinjengeentambo ze-spaghetti ezidibeneyo, yilokho i-arachnoiditis ifana nayo," kutsho uDkt. Anand Gandhi, umzimba wokungenelela. UGandhi ngugqirha ochanekileyo kwiinkqubo ezincinci ezingenayo. Ugcina isenzo kwiLaser Spine Institute eTampa, eFlorida.
I-clumping ivame ukuba yindawo ethile kwindawo yomgudu womgudu . Oku kuhambelana nommandla nje ngaphakathi (ekuthiwa yi-"medial to") kwiingcambu zomgulane , uGandhi uthi. Uyakwazi ukuqonda indawo yokuqhawula njengendawo kwindawo yentambo ngaphambi kokuba iqala ukuphuma kwaye ikhule ibe yimbilini. Iimbulunga zepheripher are the nerves of individual which passes from the cord to the rest of your body; ezi zikhuseleko ziyakunceda uzive, uphendule kwaye uhambe.
Izizathu zeArachnoiditis
I-Arachnoiditis ivame ngenxa yoluhlobo oluthile lokulimala okanye ukuphazanyiswa emthonjeni. Ngokuqhelekileyo kubakho njengomphumo wento eyenziwe emthonjeni.
Ngokutsho kukaDkt. Gandhi, iinjongo eziphezulu ezi-3 ze-arachnoiditis, ngokukodwa, zilandelayo: Utyando lwezityalo, ngokukodwa uhlobo olungapheliyo, uhlobo lwesifo somgudu (oku kungaba yi-bacterial, viral, okanye zombini) kunye noxinzelelo. Ezinye izizathu, uthi, ziimvumi kunye ne- CT myelograms , ngamanye amaxesha anikezelwa ukuxilonga izilonda kwi-sub-arachnoid space. Isikhundla se-subarachnoid sibizwa nangokuthi indawo ye- intrathecal .
IArachnoiditis Symptoms
Ubunzima beentlungu ezihamba phambili ezihambisana ne-arachnoiditis zinokuqala ukusuka kumnxeba ukuya kwibala, uGandhi uthi. Uthi iimpawu zingabandakanyeka kwiimbilini ezinjenge-stinging kunye nokutshisa kwi-back back and legs.
Uyabona ukuba i-arachnoiditis ngamanye amaxesha ihamba kunye ne-paresthesia (oko kukuthi, ukukhwaza, ukuvakalelwa kwezikhonkwane kunye neenaliti, kunye / okanye ukuphazamisa ingalo okanye umlenze). Le ntlungu kunye ne-paresthesia zihlala zihlala kwiindawo ezinqamlekileyo ezingahambelani nokusabalalisa i- dermatomal , uthi. Ukusabalaliswa kwe-Dermatomal kubhekisela kwipatheni kuwo wonke umzimba apho izibilini "zomlilo".
Iimpawu zingaphinde zibandakanye iincampu ezixakekayo, iziqu, okanye i-spasms. I-Arachnoiditis inokuchaphazela isisu, isilonda, kunye nesondo, kwaye kwiimeko ezinzima, kunokubangela ukukhubazeka kwamalungu angaphantsi, uGandhi uthi.
Arachnoiditis Treatment
I-Arachnoiditis yintlupheko engapheliyo yintlungu leyo, inxalenye enkulu, ayiphenduli ngokwenene kwizifo zonyango ezikhoyo. Ngaphezulu kwelo, ukugxekwa kwayo kubonakala kunzima ngenxa yokungahambi kwimizekelo yempawu.
UGandhi uyavuma ukuba i-arachnoiditis ingaba nzima ukuyiphatha. Oku kukuthi, ngenxa yokuba unyango kunye nemiphumo emibi evela kwonyango zihlala zifana. Ukufikelela kwindawo ye-arachnoid ngaphandle kokwenza umonakalo omkhulu kwinto yokwenza unyango olungalindelekanga. Akunjalo nje kuphela, kodwa unyango olungenakunokuthi lube negalelo elininzi lobunzima bomzimba kwisithuba. Yona nto yokugqibela oyifunayo kwiimeko ze-arachnoiditis (kunye nezinye izimo zomgudu). Makhe sijonge ezi zimbini ukulinganiselwa omnye ngexesha ukwenzela ukuba kucace ngokucacileyo ukuba kutheni unyango lwe-arachnoiditis alisoloko lucacile:
- Indawo yonyango: Umbono osemva kwonyango lwe-arachnoiditis kukunciphisa uxinzelelo (kwisithuba esinqununu) esibangelwa "i-spaghetti ehluthayo," kusho uGandhi. "Kodwa indawo ene-sub-arachnoid ingaba nzima kakhulu ukuyifumana ngaphandle kokuyicaphukisa loo ndawo ebuthakathaka," uyongezelela. Ngelishwa, oku kubonisa ukuxhalabisa oogqirha abayiphatha le meko.
- I-Scar Tissue Ibahla i-Scar Tissue: Nangona kukho iindlela ezininzi oogqirha abanokuphatha ngayo izicubu ezinqabileyo, ezininzi zibangele amaninzi amanxeba kwiindawo ezi-arachnoid. Ukuguqulwa: Ionyango zesikhumba esinqabileyo ezijoliswe kwisithuba se-sub-arachnoid zivame ukuphakamisa umngcipheko wokunyusa inani "le-spaghetti ehluthayo" entanjeni yakho yomgudu.
Ngoko yintoni eyona ndlela yonyango ephezulu kakhulu ye-arachnoiditis? Oku kunokuxhomekeka kwindlela yokuxhatshazwa ngayo, uGandhi uthi. Kwakhona, akukho siqinisekiso sokuba nayiphi na unyango luya kusebenza ekunciphiseni iimpawu.
"I-Arachnoiditis yimeko ecelomngeni kunye nemithi embalwa. Akukho namnye umgangatho wegolide wokuphatha, "ushilo. "Ukuba une-arachnoiditis, thetha nodokotela wakho malunga nokukhetha kwakho."
Iziko lezeMpilo zeSizwe zibonisa ukuba ezininzi unyango lwe-arachnoiditis zijolise ekuncediseni ubuhlungu kunye nokuphuculwa kweempawu - ukwenzela ukuba usebenze kangcono kwimpilo yakho yemihla ngemihla. Baphinde bathi ukuhlinzwa kuyimpikiswano, ingakumbi kuba kungcono, ukukhulula kukuphela kwexesha elifutshane.
UGandhi uthi unyango ngokubanzi luqala ngokuzenzekelayo kwaye luza kwiintlobo ezithile zeenkqubo eziphazamisayo. Nantsi ingqungquthela (ngokulandelelana):
- Ulungiso lwenyama
- (Ngomlomo) amayeza enzongqungquthela yesifo, umzekelo: uLyrica okanye i-Neurotonin
- Injini ye-intrathecal steroid kwindawo ye-subwaychnoid, eyona nto imithi echasene nokuvuvukala ifuna ukuthoba ukucaphuka kwendawo
- Ukuphunyezwa (inkqubo encinci ye-invinus) yokuvuselela intambo yomgudu ongasinceda ukugubungela iintlungu zokuba uziva ungabonakali
- I-Thecaloscopy, intsha, ngokuyininzi inqubo engavumelekanga yokungena emveni kokuveliswa emva kokuba oogqirha baqala ukusebenzisa i-endoscope ukuxilonga i-arachnoiditis. Oogqirha baqaphela ukuba inkqubo yokuxilonga ingatshintshwa kwi-opereshoni eyaqeda uxinzelelo obangelwa yi-"spaghetti" eneentsholongwane. Kuze kube ngoku, olu unyango lugqityiwe kuphela kwizandi ezingama-23; ngamanye amagama, akukho uphando oluthe xaxa malunga ne-kracoscopy lwenziwa, ngoko ke akukho yonke imibuzo malunga nokukhuseleko kunye nokusebenza kwayo iphendulwe.
Nengqondo, akuyimfuneko ukuba i -losloscapy yenzelwe ukuze ifumane i-arachnoiditis. I-Thecaloscopy yindlela enye enokwenzeka. Enyanisweni, uGandhi uthi umgangatho wegolide wokufumana ukuxilongwa yi- MRI .
Uphulo olungcono lwe-arachnoiditis lukhuselo, uGandhi uthi. Oku kubangele kwiyona nto iphambili yamatyala amaninzi - ukubunjwa kwamathambo enqabileyo emva kokuba kwenziwe okuthile kwintsipho yakho. Le ngcamango apha kukunciphisa umngcipheko wakho wokubamba izicubu. Kule Gandhi ithi ukuba uceba ukwenza utyando lomgudu, qwalasela inkqubo encinci yokungena. Ukukhetha ukungena emncinci (apho kufanelekile kwimeko yakho) kunokunciphisa umngcipheko wokwakheka kwezinto ezinobunzima obuninzi, kwaye ngenxa yoko, ukunciphisa umngcipheko we-arachnoiditis. Njengoko naluphina unyango lwentlambo, thetha nogqirha wakho xa ugqwesa ikhondo elincinane lezenzo kuwe.
Yintoni Uphando Olwenziwa?
Intsimi yeyeza le-arachnoiditis yinto ebonakalayo yokuba abanikezeli kunye nabaphandi abancinci baye bafika ukuze bazalise. Uphando olunzulu noluthembekileyo lunokwenzeka ukuba luyenziwe kwiZizwe zeSizwe zezeMpilo. Ngenxa yoko, uphando lwe-arachnoiditis lukhulu kakhulu kunye nophando olwenziwe kwezinye izifo zonyango ezingapheliyo. Ukuba unqwenela ukwandisa ukhetho lwenyango, kwakhona, xela ugqirha wakho malunga nezinto ezichazwe ngasentla.
Imithombo:
Ukuqokelela kweCerebral Spinal Fluid (CSF). Medline Plus. Ukuhlaziywa kokugqibela: ngoJuni 2011.
Di leva, A., et al. I-Lumbar Arachnoiditis kunye ne-Thecaloscopy: Ukuhlaziywa okufutshane. Cent Eur. Neurosurg 2012.
UGandhi, A., uMbutho we-Interventional Physics, iLaser Spine Institute, iTampa, iPlay. Meyi 2013.
Iingcaciso zezigulane: Ukuqhambuka kweMultistate of Fungal Meningitis kunye nezinye izifo. Iwebhusayithi yeCCDC.
Imiba yeBongo. Medline Plus. Ukuhlaziywa kokugqibela: Oktobha 2012.
I-NINDS i-Arachnoiditis Information Information. I-National Institute Neurological Disorders kunye neStroke ikhasi lewebhu. Ukuhlaziywa kokugqibela: uJan 2011.
Isaziso kwiiNtsholongwane: Ukunyamezela okuqhubekayo kukhuthazwa ukusulelwa kwezifo ezifayilini phakathi kwezigulane ezithe zafumana i-Steroid Injections. Iwebhusayithi yeCCDC.
> Tetsuryu Mitsuyama, Shunji Asamoto, Takakazu Kawamata. I-Novel UkuLawula Ulawulo lwe-Aradnoiditis ye-Spinal Adhesive nge-Arachnoid Microdissection kunye ne-Ventriculo-Subarachnoid Shunting. Umbhalo we-Clinical Neuroscience 18 (2011).