Uburwayi bw'umutwe uterwa no gucika kw'amazi asanzwe ari mu mugongo: Ibimenyetso, Intandaro, n'Ubuvuzi

Uburwayi bw'umutwe uterwa no gucika kw'amazi asanzwe ari mu mugongo ni ubwoko bw'uburwayi bw'umutwe butera iyo amazi ari mu mugongo acika ava mu muyoboro w'umugongo, akenshi nyuma y'ubuvuzi. Ibi bituma umuvuduko uba hafi y'ubwonko n'umugongo ugabanuka, bigatuma ububabare bwiyongera iyo wicaye cyangwa uhagaze.

Inkuru nziza ni uko uburwayi bw'umutwe uterwa no gucika kw'amazi ari mu mugongo buvurwa kandi akenshi bugakira ubwawo ukoresheje ubuvuzi bukwiye. Nubwo bushobora kuba bukomeye kandi bukateye impungenge, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha guhangana n'ububabare no kumenya igihe ukwiye gushaka ubufasha bundi.

Ni iki gituma umutwe ubabara uterwa no gucika kw'amazi ari mu mugongo?

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo buvaho iyo amazi ari mu bwonko acika anyura mu mwobo muto uri mu gishishwa gikikuje umugongo. Aya mazi asanzwe abungabunga ubwonko n'umugongo, akagumisha umuvuduko uhamye mu mikorere y'imitsi.

Iyo aya mazi acika, umuvuduko ugabanuka cyane. Ubwonko butakaza inkunga y'uburinganire, bigatuma ububabare bw'umutwe butangira. Izina ry'ubwo burwayi mu rurimi rw'abaganga ni "uburwayi bw'umutwe nyuma yo gucika kwa dura mater" kuko busanzwe buva nyuma y'aho dura mater (igishishwa gikomeye cyo hanze) gicitse.

Ubu bwoko bw'uburwayi bw'umutwe bufite imiterere idasanzwe. Burahinduka cyane iyo uri kuryama hasi kandi bukarushaho kuba bubi iyo wicaye cyangwa uhagaze. Iyi mpinduka ishingiye ku mwanya ni yo ntandaro ikomeye ifasha abaganga kumenya uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo.

Ni ibihe bimenyetso by'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Ikimenyetso nyamukuru cy'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo ni ububabare bukomeye buhinduka cyane bitewe n'aho uri. Iyo uri kuryama, ushobora kumva umeze neza cyangwa ukagira ububabare buke.

Dore ibimenyetso by'ingenzi ushobora kugira:

• Ububabare bukomeye bw'umutwe bujyana no kubabara cyane bukaza mu minota mike iyo wicaye cyangwa uhagaze
• Ububabare bugabanuka cyane iyo uri kuryama hasi
• Uburwayi bw'umutwe busanzwe bugira ingaruka ku gice cy'inyuma n'icy'imbere cy'umutwe
• Ububabare bw'ijosi n'ubukakaye bishobora kugera ku bitugu
• Isesemi no kuruka, cyane cyane iyo uri witeguye
• Kuzenguruka cyangwa gucika intege iyo uhagaze
• Kugira ubwoba bw'umucyo n'urusaku
• Guhumurizwa mu matwi (tinnitus)

Bamwe mu bantu bagira ibimenyetso bitagenda bikunze nk'uburakari bw'amaso, impinduka zo kumva, cyangwa kumva ibintu byuzuye mu matwi. Ubukana bushobora kuva ku kuba bitameze neza kugeza ku kuba bibi cyane, bigatuma bigoye gukora ibikorwa bisanzwe iyo uri witeguye.

Ni iki gituma umutwe ubabara uterwa no gucika kw'amazi ari mu mugongo?

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo buvaho iyo hari umwobo muto cyangwa umwobo muri dura mater, bituma amazi ari mu bwonko acika. Ibi bikunze kubaho mu gihe cy'ubuvuzi burimo gushyira igishishwa mu muyoboro w'umugongo.

Intandaro zikunze kubaho zirimo:

• Ubuvuzi bwo kubabara mu gihe cyo kubyara (bibaho mu gihe kingana na 1-2% by'imibare)
• Ubuvuzi bwo kubabara mu gihe cy'ubuvuzi
• Gucukura umugongo (spinal tap) kugira ngo hakorwe isuzuma
• Myelography (isura y'umugongo ikoresheje ibara ry'amabara)
• Injuru mu mugongo zo kuvura ububabare

Bitagenda bikunze, uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo bushobora kubaho ubwawo hatabayeho ubuvuzi. Ibi bishobora kubaho kubera umunaniro utunguranye, inkorora ikomeye, cyangwa n'imvune nto ihagije gutera umuvuduko wo gucika kwa dura mater.

Mu bihe bitoroshye, indwara zimwe na zimwe z'imiterere y'umubiri cyangwa ibibazo byo gukomera amaraso bishobora gutuma umuntu aba mu kaga cyane cyo gucika kw'amazi ari mu bwonko. Ariko rero, igice kinini cy'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo gifitanye isano n'ubuvuzi.

Ni ryari ukwiye kubona muganga kubera uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Ukwiye kuvugana n'abaganga bawe niba ugize ububabare bukomeye bw'umutwe mu minsi mike nyuma yo kuvurwa umugongo. Ntugerageze kubihanganira, kuko kuvurwa vuba bishobora gukumira ingaruka mbi no gutanga impumuro ikomeye.

Shaka ubufasha bwa muganga vuba niba ugize ibimenyetso byo kuburira ibi bikurikira:

• Umuhango hamwe n'uburwayi bw'umutwe
• Ubukakaye bukomeye bw'ijosi
• Gucika intege cyangwa kugorana gutekereza neza
• Impinduka z'amaso cyangwa kubona ibintu bibiri
• Intege nke mu maboko cyangwa amaguru
• Imihango
• Ibimenyetso by'indwara ahantu havuwe

Ndetse n'iyo udafite ibi bimenyetso bikomeye, birashimishije guhamagara muganga wawe niba ububabare bw'umutwe bukomeye ku buryo buguhangayikishije kurya, kunywa, cyangwa ibikorwa by'ibanze. Kuvurwa hakiri kare akenshi bituma hakira vuba kandi bigatanga umusaruro mwiza.

Ni ibihe bintu bishobora kongera ibyago by'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Ibintu byinshi bishobora kongera amahirwe yo kugira uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo nyuma yo kuvurwa. Gusobanukirwa ibi bintu bishobora kugufasha wowe n'itsinda ry'abaganga bawe gufata ingamba zikwiye.

Ibintu by'ingenzi byongera ibyago birimo:

• Kuba umugore (abagore bafite ibyago byinshi byo kugira uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo)
• Imyaka mike, cyane cyane hagati y'imyaka 18-40
• Amateka y'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo
• Ubunini buke bw'umubiri
• Amateka y'uburwayi bw'umutwe buhoraho cyangwa migraine
• Gukoresha ibyuma binini mu gihe cy'ubuvuzi
• Gushaka kenshi mu gihe cy'ubuvuzi bw'umugongo
• Uburyo bumwe na bumwe bw'ibyuma n'uburyo bwo kubishyiramo

Gutwita ubwawo ntibyongera ibyago, ariko ubuvuzi busanzwe bukoreshwa mu gihe cyo kubyara ni byo bibikora. Umuganga wawe uzaba afite inshingano yo kubitekerezaho mu gutegura ubuvuzi bwawe kandi ashobora gukoresha uburyo bwihariye kugira ngo agabanye ibyago byawe.

Ni izihe ngaruka zishoboka z'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Nubwo uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo bwinshi bugakira nta kibazo gihoraho, kubireka bitavuwe bishobora rimwe na rimwe gutera ingaruka zikomeye. Inkuru nziza ni uko izi ngaruka zidafite akaga iyo ubuvuzi bukwiye butanzwe.

Ingaruka zishoboka zirimo:

• Uburwayi bw'umutwe buhoraho buhoraho ibyumweru cyangwa amezi
• Subdural hematoma (amaraso hagati y'ibice by'ubwonko kubera umuvuduko muke)
• Ubwonko gucika cyangwa gucika mu bihe bikomeye
• Imihango ituruka ku mpinduka z'umuvuduko w'ubwonko
• Gutakaza kumva cyangwa guhumurizwa mu matwi
• Ibibazo by'imitsi y'ubwonko bigira ingaruka ku maso cyangwa kumva

Izi ngaruka zikomeye ntabwo zikunze kubaho, cyane cyane iyo ubuvuzi bukwiye butanzwe. Abantu benshi bahabwa ubuvuzi bukwiye barakira neza mu minsi mike cyangwa ibyumweru nta ngaruka zihoraho.

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo bumenyekanwa gute?

Kumenya uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo bishingira cyane ku bimenyetso byawe n'amateka yawe y'ubuvuzi, cyane cyane niba uherutse kuvurwa umugongo. Muganga wawe azakubaza ibibazo birambuye ku gihe ububabare bw'umutwe bwatangiye n'uburyo buhinduka bitewe n'aho uri.

Kumenya uburwayi akenshi biba byoroshye iyo ufite imiterere isanzwe y'ububabare bukomeye bw'umutwe buhinduka iyo uri kuryama hasi kandi bukarushaho kuba bubi iyo uri witeguye. Umuganga wawe azakora kandi isuzuma rya physique kugira ngo arebe ubukakaye bw'ijosi, ibimenyetso by'imitsi, n'ibimenyetso by'ingaruka.

Mu bihe bimwe na bimwe, ibizamini by'inyongera bishobora kuba bikenewe, cyane cyane niba kumenya uburwayi bitumvikana cyangwa hakekwa ingaruka. Ibi bishobora kuba harimo isesengura rya MRI kugira ngo harebwe ubwonko n'umugongo, cyangwa isura yihariye yo kubona gucika kw'amazi ari mu mugongo.

Ni iki kivura uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Kuvura uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo byibanda ku gupfunyika umwobo no guhangana n'ububabare mu gihe umubiri wawe ukomeza gukira. Uburyo bwo kuvura biterwa n'uburemere bw'ibimenyetso byawe n'igihe umaze ubiba ufite.

Uburyo bwo kuvura bukoreshwa harimo:

• Kuryama hasi amasaha 24-48
• Kunywa amazi menshi kugira ngo afashe gusimbuza amazi yaciye mu mugongo
• Caffeine (mu kanwa cyangwa mu mitsi) kugira ngo ifashe gukomera imiyoboro y'amaraso
• Imiti yo kurwanya ububabare nka acetaminophen cyangwa ibuprofen
• Imiti yo kurwanya isesemi niba ari ngombwa

Niba uburyo bwo kuvura busanzwe budaha impumuro mu masaha 24-48, muganga wawe ashobora kugusaba gukora epidural blood patch. Ubu buvuzi burimo gushyira igice gito cy'amaraso yawe hafi y'aho umwobo uri, ubundi bugakomera bugapfunyika umwobo.

Iyi nzira yo gukomera amaraso ifite akamaro cyane, itanga impumuro mu gihe kingana na 90% by'imibare. Mu bihe bitoroshye aho gukomera amaraso kenshi bitakora, kuvura imyanya y'umubiri bishobora kuba ngombwa, nubwo ari bito cyane.

Uburyo bwo guhangana n'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo mu rugo?

Nubwo ubuvuzi bwa muganga bukunze kuba ngombwa, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe guhangana n'ibimenyetso byawe no gufasha gukira. Ibi bintu bikora neza hamwe n'ubuvuzi bwa muganga, bitari aho gushyiraho ubuvuzi bwa muganga.

Dore ibyo ushobora gukora kugira ngo wiyumve neza:

• Komeza kuryama hasi uko bishoboka kose, uhaguruke gusa iyo ari ngombwa
• Nywa amazi menshi, harimo ibinyobwa birimo caffeine nka kawa cyangwa cola
• Fata imiti yo kurwanya ububabare ukoresheje imiti yo mu rugo uko byategetswe n'abaganga bawe
• Ruhukira mu cyumba gitonnye, gifite umwijima kugira ngo ugabanye ubwoba bw'umucyo n'urusaku
• Shyira igitambaro gikonje ku mutwe wawe iminota 15-20
• Kwirinda ibikorwa bikomeye nko gutwara ibiremereye cyangwa inkorora ikomeye

Wibuke ko ibi bintu byo mu rugo ari ibisubizo by'igihe gito mu gihe utegereje isuzuma rya muganga cyangwa ubuvuzi. Ntutinze gushaka ubufasha bwa muganga niba ibimenyetso byawe bikomeye cyangwa biri kuba bibi.

Uburyo bwo gukumira uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Nubwo udashobora gukumira burundu ibyago by'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo, uburyo bumwe na bumwe n'ingamba zishobora kugabanya cyane amahirwe yo kubona. Ingamba nyinshi zo gukumira zibanda ku buryo bw'ubuvuzi bw'umugongo.

Abaganga bashobora kugabanya ibyago binyuze muri:

• Gukoresha ibyuma bito uko bishoboka kose
• Guhitamo ibyuma bifite impera nk'ikaramu aho gukoresha ibyuma bica
• Kugabanya umubare w'uburyo bwo gushyiramo ibyuma
• Gukoresha uburyo bukwiye bwo gushyiramo ibyuma
• Kugira ngo habeho amazi ahagije mbere na nyuma y'ubuvuzi

Niba utegereje kuvurwa umugongo, banza uganire n'abaganga bawe ku byago byawe. Bashobora guhindura uburyo bwabo hashingiwe ku mimerere yawe bwite kandi bafate ingamba z'inyongera niba uri mu kaga cyane.

Uko wakwitegura gusura muganga wawe?

Kwitunganya gusura muganga wawe bishobora gufasha guhamya ko ubonye ubuvuzi bukwiye bw'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo. Kugira amakuru akwiye biteguye bizafasha muganga wawe gukora isuzuma nyaryo n'uburyo bwo kuvura.

Mbere yo gusura, kora ibi bikurikira:

• Itariki nyayo n'ibintu byose by'ubuvuzi bw'umugongo uheruka
• Igihe ububabare bw'umutwe bwatangiye n'uburyo bwakomeje
• Ibisobanuro by'uburyo impinduka z'aho uri zigira ingaruka ku bubabare bwawe
• Urutonde rw'imiti yose ukoresha ubu
• Ibindi bimenyetso wabonye
• Amateka y'uburwayi bw'umutwe cyangwa ubuvuzi bw'umugongo

Andika ibibazo byihariye ushaka kubaza, nko kuvura, igihe cyo gukira, n'ibikorwa byo kwirinda. Kugira umuntu wo mu muryango cyangwa inshuti bakugendana bishobora kugufasha, cyane cyane niba ububabare bw'umutwe buguhangayikishije kwibanda mu gihe cy'isura.

Icyingenzi cyo kuzirikana ku burwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo ni uburwayi buvurwa, nubwo budashimishije, busanzwe bugakira ukoresheje ubuvuzi bukwiye. Imiterere idasanzwe y'ububabare buhinduka bitewe n'aho uri bituma byoroshye kubumenya iyo biba nyuma y'ubuvuzi bw'umugongo.

Ikintu cy'ingenzi cyo kuzirikana ni uko ntukeneye kubabara kubera ubwo burwayi bw'umutwe. Ubuvuzi bukoreshwa, kuva ku buryo busanzwe kugeza ku buryo bukomeye nk'epidural blood patches.

Niba ugize ububabare bukomeye bw'umutwe nyuma y'ubuvuzi bw'umugongo, vugana n'abaganga bawe vuba. Kuvurwa hakiri kare bitanga impumuro vuba kandi bifasha gukumira ingaruka zishoboka. Ukoresheje ubuvuzi bukwiye, abantu benshi barakira neza kandi basubira mu bikorwa byabo bisanzwe mu minsi mike cyangwa ibyumweru.

Ibibazo bikunze kubaho ku burwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo buramara igihe kingana iki butaravuwe?

Uburwayi bw'umutwe butaravuwe buterwa no gucika kw'amazi ari mu mugongo bushobora kumara kuva ku minsi mike kugeza ku byumweru byinshi, nubwo bwinshi butangira gukira mu minsi 5-7 uko umwobo ucika ugenda ukora ubwawo. Ariko rero, gutegereza gukira kw'umubiri bisobanura kwihanganira ububabare bukomeye n'ingaruka zishoboka, ariyo mpamvu ubuvuzi bwa muganga busabwa cyane.

Nshobora gukora imyitozo ngororamubiri cyangwa akazi mu gihe mfite uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Imikino ngororamubiri n'akazi ntibikunze gusabwa mu gihe ufite uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo, kuko guhagarara no gukora cyane bishobora kongera ububabare kandi bikatinda gukira. Abaganga benshi bagira inama yo kuryama hasi kugeza ububabare bw'umutwe bucika cyangwa ubonye ubuvuzi buhamye nka blood patch.

Ni byiza gufata imiti yo kurwanya ububabare kubera uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo?

Imiti yo kurwanya ububabare yo mu rugo nka acetaminophen na ibuprofen ni nziza kandi ishobora gutanga impumuro ku burwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo. Ariko rero, ntabwo ikuraho ububabare burundu kuko idakemura ikibazo cy'amazi yaciye. Buri gihe menya neza ukoresha imiti, cyane cyane niba ufite izindi ndwara.

Nzakenera kurara mu bitaro kugira ngo mvurwe?

Ubuvuzi bwinshi bw'uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo, harimo epidural blood patches, bushobora gukorwa hanze y'ibitaro nta gukenera kurara mu bitaro. Uzasuzumwa amasaha make nyuma y'ubuvuzi kugira ngo harebwe niba bikora neza, hanyuma ugasubira mu rugo kugira ngo ukomeze gukira.

Uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo bushobora kubaho inshuro nyinshi?

Yego, niba warigeze kugira uburwayi bw'umutwe buterwa no gucika kw'amazi ari mu mugongo, ushobora kuba ufite ibyago byinshi byo kubona ikindi niba ukeneye ubuvuzi bw'umugongo. Ariko rero, itsinda ry'abaganga bawe rishobora gufata ingamba z'inyongera kandi rikore uburyo bwo kugabanya ibyo byago hashingiwe ku byo warigeze kubona.