Maayilitis Guutuu

Myelitiis Transveers bu'aan lafa qooda magaalaa dhiiga keessatti qophaa'aa lamaanuu keessatti walitti qabamuu dha. Dhukkuba otoo-qooqa kanaa yeroo baay'ee meeshaalee uwwisaa fiigicha sirnaaf saaxilaa (myelin) miidha. Myelitiis Transveers ergaa gara qaamaa hundumaatti naannoo magaalaa dhiigaa irraa ergamu cufa. Kun immoo, dhiphina, dadhabbii fiigichaa, dhiphina qaamaa, rakkoo ilaalchaa, ykn rakkoo qolaa fi garaa fiduudha. Sababa myeilitiis transveers hedduun jira, kana keessatti dhibee faalamee fi dhukkuba sirna ittisaa qaamaa qaamaa qaamaa haleelan jira. Kunis, dhukkuba myelin biroo, kan akka MS (Multiple Sclerosis) irraa kan ka'e ta'uu danda'a. Haala biroo, kan akka dhibee magaalaa dhiigaa, yeroo baay'ee myeilitiis transveers waliin walitti bu'aa, haala kanaaf mala walitti fuudhaa adda barbaada. Walitti fuudhaa myeilitiis transveers qoricha fi wal'aansoo deebii dabalataa of keessatti qaba. Namoonni myeilitiis transveers qaban hedduun yoo xiqqoo illee deebi'a. Warri weerara cimaa qaban yeroo baay'ee qaamaa cimaa irraa dhaban.

Mallattoofiifi mallattoosa myelitisa giddu-galeessa yeroo muraasa sa'aatii muraasaa hanga guyyaa muraasaatti mul'atu, yeroo tokko tokko immoo torban muraasa keessatti tartiibaatti guddata. \n\nMyelitis giddu-galeessaan qaama qaama miiraa duuba jiru irratti qaama lamaanuu miidha, garuu yeroo tokko tokko qaama tokko qofa irratti mallattoosa jira. \n\nMallattoofiifi mallattoosaa gurguddoo keessaa:\n\n* Dhukkubbi. Dhukkubbi myelitisa giddu-galeessaatiin duuba ba'aa keessatti itti fuftee dhufuu danda'a. Dhukkubbi haxaa miira keessanitti ykn harkaan keessanitti ykn garaa keessanitti ykn garaa keessanitti ykn qaama keessanitti darbaa danda'a. Mallattoosa dhukkuba adda adda ta'an qaama miira keessanitti miidhamurraa kan hundaa'e dha.\n* Miirri hin barbaachifne. Namoonni myelitisa giddu-galeessa qaban tokko tokko miiraa dadhabbii, dhidhibaa, qorraa ykn gubbaa jedhuu gabaasa. Warri tokko tokko ifa uffata ykn ho'aa cimaa ykn qorraatti baay'ee miidhaman. Akka waan uffata garaa keessan, qaama keessan ykn miira keessan qabuutti dhaga'aa danda'a.\n* Dadhabbii harkaa ykn miiraa keessan. Namoonni tokko tokko ulfaataa miira keessatti ykn akka walitti bu'an ykn miira tokko harkisanitti hubatu. Warri kaan dadhabbii cimaa ykn jeequmsa guutuu horatuu danda'a.\n* Rakkoon ka'umsaa fi qaamaa. Kun immoo yeroo baay'ee dhibee ba'uu, dadhabbii dhibee ba'uu fi hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti 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hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti 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hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti hidhatti

Yoo mallattoofi malaammaltoonni transverse myelitis argitu, hayyicha kee bilbilaa ykn yaala fayyaa hatattamaa argadhu. Rakkoonwwan sirnaafinaa hedduun rakkoowwan miiraa, dadhabbii, akkasumas rakkoowwan qaloo ykn garaa keessatti uumamuu danda'u, kana keessatti cufni lafee dhagnaati, kunis yaala hatattamaa ta'a. Sababni biraa baay'ee hin mul'anne, rukutaa lafee dhagnaati kan ka'e socho'ina dhiiga gufachiisuudha. Kunis, cufni sibiila dhiiga lafee dhagnaatti kennitu dhaabbachuun, kunis hojii aartaatti ykn guddatni dhiiga keessa jiru itti fufuu danda'a. Hubannoo hatattamaa fi wal'aansa sirrii argachuun barbaachisaadha.

Sababa qixaattii myelitis transversee hin beekkamu. Yeroo tokko tokko, sababa hin beekamne hin jiru.

Infeekshinii vaayirasii, baakteeriyaa fi faangawaa kan ka'umsa lafee dhuunfaa ta'an myelitis transversee uumaa danda'u. Yeroo baay'ee, rakkoo walirraa ka'e kun erga infeekshinichi fayyadamtee booda mul'ata.

Vaayirasoota myelitis transversee waliin walitti hidhaman:

• Vaayirasoota herpes, kan keessaa inni shiingilzii fi chaakiipooksi (zooster) uumu
• Saytomegalo vaayiras
• Epstein-Barr
• HIV
• Enteerovaayirasoota akka polio vaayiras fi koksaakivaayiras
• West Nile
• Eekoovaayiras
• Zika
• Infuluenzaa
• Hepataayitisii B
• Mamps, meezilsii fi rubellaa

Vaayirasoota biroo ri'aksiinii awtooimyuuniitii akka kaasan danda'u, osoo lafee dhuunfaa hin qabne.

Infeekshinoota baakteeriyaa myelitis transversee waliin walitti hidhaman:

• Dhukkuba Laayim
• Sifiliis
• Tiibarkuloosiis
• Aktiinoomaayisiis
• Pertuusis
• Teetanoosi
• Difiteeriyaa

Infeekshinoota baakteeriyaa garaa, geestoroenteeriitii fi gosa baakteeriyaa nyumoniyaa tokko tokko myelitis transversee uumaa danda'u.

Baay'ee hin turre, paraasayitootni fi infeekshinoota faangawaa lafee dhuunfaa qabaa danda'u.

Rakkoo walirraa ka'e hedduun jiru kan rakkicha kana uumu fakkaatu:

• Eskiiroosiisi baay'ee rakkoo sirni ittisaa qaamaa maayiliin naannoo shaaraa fi uumaa keessatti argamu balleessuudha. Myelitis transversee mallattoo jalqabaa eskiiroosiisi baay'ee ta'uu danda'a ykn deebi'aa argisiisa. Myelitis transversee akka mallattoo eskiiroosiisi baay'ee jiruun, simtoomiin qaama qaama tokko qofa irratti mul'ata.

• Nyuromiyiliitiis optikaa (Dhukkubaa Deviis) haala walirraa ka'e kan ka'umsa lafee dhuunfaa fi shaaraa naannoo isaa fi shaaraa ija keessatti argamu kan odeeffannoo uumaatti erguudha. Myelitis transversee kan nyuromiyiliitiis optikaa waliin walitti hidhamuun, qaama qaama lama irratti miidhaa geessiisa.

  Dabalata myelitis transversee, miidhaa maayiliin shaaraa ijaa irratti uumamuu argituu danda'a, kan keessaa dhiphinni ijaa sochii waliin fi dhabuun mul'ataa yeroo gabaabaa. Kun myelitis transversee waliin ykn adda adda ta'uun uumaa danda'a. Haata'u malee, namoonni nyuromiyiliitiis optikaa qaban tokko tokko rakkoo ijaa waliin walitti hidhaman hin argatu, kan yeroo yeroo myelitis transversee qabaachuu qofa.

• Rakkoolee awtooimyuuniitii namoota tokko tokko myelitis transversee irratti gumaacha godhuu danda'u. Rakkoolee kunneen keessaa luupus, kan sirnoota qaama hedduu miidhaa geessisu, fi sindroomaa Shoogreen, kan qal'ina afaanii fi ijaa cimaa uumu, jiru.

  Myelitis transversee kan rakkoo awtooimyuuniitii waliin walitti hidhamuun, mallattoo akeekkachiisaa nyuromiyiliitiis optikaa ta'uu danda'a. Nyuromiyiliitiis optikaa namoota dhukkuba awtooimyuuniitii biroo qaban keessatti baay'inaan mul'ata.

• Shaakkoolee dhukkuba infeekshinootaa irratti yeroo tokko tokko akka ka'umsa itti fayyadamu waliin walitti hidhaman. Haata'u malee, yeroo ammaa walitti hidhamni kun shaakkoo kam iyyuu daangessuuf cimaa miti.

• Sarkooidoosis haala walirraa ka'e kan naannoo qaama hedduu keessatti walirraa ka'umsa uumuudha, kan keessaa lafee dhuunfaa fi shaaraa ijaa. Nyuromiyiliitiis optikaa fakkaataa ta'uu danda'a, garuu baay'ee simtoomiin sarkooidoosis gadi aanaa si'a si'aan mul'ata. Sababa sarkooidoosis hin beekkamu.

Namoonni maayilitis transveers qaban yeroo baay'ee rakkina tokko qofa keessa darbu. Haa ta'u malee, rakkoolee baay'een itti fufu, kanneen armaan gadiitti dabalatee:

• Dhukkubbiin, tokko keessaa rakkoolee itti fufan hedduu miidhaa guddaa fidu.
• Quuqama, cufni ykn dhiibbaan miidhaa fidu fiigicha keessatti (muskulii spastisiti). Kun imimmaan fi miila keessatti hedduu mul'ata.
• Hiraarni ykn hirriin guutuun harka, miila ykn lamaanuu. Kun mallattoowwan jalqabaatii booda itti fufuu danda'a.
• Rakkoo saalaa, rakkoo hedduu maayilitis transveers keessatti mul'atu. Dhiironni rakkoon qaama saalaa ol kaasu ykn gammachuu argachuu keessatti qabaachuu danda'u. Dubartootni gammachuu argachuu keessatti rakkoo qabaachuu danda'u.
• Dhiibbaan ykn yaaddoo, kun hedduu namoota rakkoolee itti fufan qaban keessatti mul'ata sababa jijjiirama jireenya guddaa, dhiibbaa dhukkubbii ykn hirriirra waaraa, fi dhiibbaa rakkoo saalaa hariiroo irratti fidu.

Doktarriin gaaffiiwwan ilaalchisee mallattootaafi malaammaltoota kee, seenaa fayyaa kee, qorannoo klinikaalaa hojii naarsaa, fi bu'uura qorannoo irratti hundaa'ee myelitis guutuu sirreeffamaa adda baasa. Qorannoolee kunneen, kanneen walitti bu'iinsa kaappii duubaatiif agarsiisanii fi rakkoolee biroo ittisuuf, kanneen armaan gadii of keessaa qabaatu:

Dhukkubbii lumbar (dhukkubbii kaappii), miila gadiidhaan qarqara xinnoon xiyyaaraa kaappii (CSF), xiyyaaraa eeggataa kan kaappii fi uumaa kee daangessu, fudhata.

Namootni myelitis guutuu sirreeffamaa qaban tokko tokko keessatti, xiyyaaraa kaappii (CSF) lakkoofsa baay'ee olkaa'e seluloota adii ykn prootiinii sirna ittisaa kan walitti bu'iinsa agarsiisu qaba. Xiyyaaraa kaappii irratti infeekshinii vaayirasii ykn kaansarii tokko tokko qoratamu ni danda'a.

Qorannoo dhiiga qorannoo antibaadii wajjin wal qabate neuromyelitis optica, haala walitti bu'iinsa kaappii kee fi naarsaa ija keetti uumamu keessatti, qorachuu danda'a. Namootni qorannoo antibaadii positiivi qaban weerara myelitis guutuu sirreeffamaa hedduu keessa darbuuf balaa guddaa qabu, fi walitti bu'iinsa itti aanu ittisuuf wal'aansoo barbaadu.

Qorannoo dhiiga biroo infeekshinii myelitis guutuu sirreeffamaa irratti gumaacha qabu adda baasu, ykn sababoota mallattoota biroo ittisuu danda'a.

• Suuraa maagneetik rizonans (MRI) dirree maagneetikii fi leewooti raadiyoo fayyadamuun suuraa 3D qaama qal'aa uuma. Suuraa maagneetik rizonans (MRI) walitti bu'iinsa kaappii duubaatiifi sababoota danda'an mallattootaa, kanneen abnormaaliitii kaappii duubaatiifi sharafa dhiigaa miidhan of keessaa qabaatu, agarsiisu danda'a.

• Dhukkubbii lumbar (dhukkubbii kaappii), miila gadiidhaan qarqara xinnoon xiyyaaraa kaappii (CSF), xiyyaaraa eeggataa kan kaappii fi uumaa kee daangessu, fudhata.

  Namootni myelitis guutuu sirreeffamaa qaban tokko tokko keessatti, xiyyaaraa kaappii (CSF) lakkoofsa baay'ee olkaa'e seluloota adii ykn prootiinii sirna ittisaa kan walitti bu'iinsa agarsiisu qaba. Xiyyaaraa kaappii irratti infeekshinii vaayirasii ykn kaansarii tokko tokko qoratamu ni danda'a.

• Qorannoo dhiiga qorannoo antibaadii wajjin wal qabate neuromyelitis optica, haala walitti bu'iinsa kaappii kee fi naarsaa ija keetti uumamu keessatti, qorachuu danda'a. Namootni qorannoo antibaadii positiivi qaban weerara myelitis guutuu sirreeffamaa hedduu keessa darbuuf balaa guddaa qabu, fi walitti bu'iinsa itti aanu ittisuuf wal'aansoo barbaadu.

  Qorannoo dhiiga biroo infeekshinii myelitis guutuu sirreeffamaa irratti gumaacha qabu adda baasu, ykn sababoota mallattoota biroo ittisuu danda'a.