Ukuhlushwa yi-Chiari Malformation: Izimpawu, Izimbangela, Nokwelashwa

Ukuhlushwa yi-Chiari malformation kuyisimo lapho ingxenye yethishu yengqondo yakho ihlala khona endaweni yomgogodla. Lokhu kwenzeka lapho i-skull ingancane noma ingalungile, okucindezela ithishu yengqondo phansi ngesikhala esisemazantsi e-skull yakho.

Cabanga ngakho njengokuzama ukufaka izingcezu zomdlalo omkhulu endaweni encane. Ingqondo yakho idinga indawo yokusebenza kahle, futhi lapho leyo ndawo inqanyuliwe, ingabangela izimpawu ezahlukene. Izindaba ezinhle ukuthi abantu abaningi abane-Chiari malformation baphila impilo evamile, futhi kukhona ukwelashwa okuphumelelayo uma kudingeka.

Imikhakha yokuhlushwa yi-Chiari malformation yiyiphi?

Odokotela bahlukanisa i-Chiari malformation ngezinhlobo ezine eziyinhloko ngokusekelwe ekutheni kungakanani ithishu yengqondo ehlala phansi. Uhlobo lwe-I luyinhlobo evamile futhi ebuthakathaka kakhulu ozoyithola.

Ukuhlushwa yi-Chiari malformation Uhlobo lwe-I kuhilela ingxenye engezansi ye-cerebellum yakho ehlala endaweni yomgogodla. Abantu abaningi abalolu hlobo abazitholi izimpawu kuze kube yilapho sekukhulu, futhi abanye abazitholi neze izimpawu. Lolu hlobo luhlala lungabonakali kuze kube yilapho izimpawu zivele noma kwenziwe isithombe ngezizathu ezithile.

Ukuhlushwa yi-Chiari malformation Uhlobo lwe-II kubaluleke kakhulu futhi ngokuvamile kuhilela kokubili ithishu yengqondo nengxenye yestem yengqondo ehlala phansi. Lolu hlobo ngokuvamile lubonakala ne-spina bifida, isifo sokuzalwa esithinta umgogodla. Abantwana abane-Type II ngokuvamile badinga ukunakekelwa kwezokwelapha kusukela ekuzalweni.

Ukuhlushwa yi-Chiari malformation Uhlobo lwe-III yilona hlobo olukhulu kunazo zonke, lapho ingxenye ye-cerebellum ne-brain stem zivela khona ngesikhala esingavamile ngemuva kwe-skull. Lolu hlobo olungavamile lungabangela izinkinga ezinzima ze-neurological futhi ngokuvamile liyingozi ebomini.

Ukuhlushwa yi-Chiari malformation Uhlobo lwe-IV kuhilela i-cerebellum engathuthukisiwe noma engapheli. Lolu hlobo olungavamile kakhulu futhi lubaluleke kakhulu futhi ngokuvamile lubangela izinkinga ezinkulu zokuthuthuka.

Izimpawu ze-Chiari malformation zingaphi?

Izimpawu ongazihlangabezana nazo ziyahlukahluka kakhulu kuye ngohlobo nobunzima be-Chiari malformation yakho. Abantu abaningi abanohlobo olukhanyayo abanawo nhlobo izimpawu, kanti abanye bathuthukisa izinkinga ezibonakalayo eziwathinta ukuphila kwabo kwansuku zonke.

Nawa izimpawu ezivamile ongaziqaphela:

• Izinhlungu zikhanda - Zivame ukuba nzima futhi zitholakala emuva kwekhanda lakho, ikakhulukazi ngemva kokukhokha, ukuphihliza, noma ukucindezela
• Ubuhlungu bekhala - Ngokuvamile buhlala njalo futhi bungaba sibi kakhulu uma uthuthuka
• Izinkinga zokulinganisela - Ungase uzizwe ungaqinile noma ube nezinkinga zokubambisana
• Ukudideka - Lokhu kungaba ukukhathala okukhanyayo kuya ekudidekeni okukhulu
• Ubunzima bokuginya - Ungase uzizwe ukudla kunamathela noma ube nezinkinga ngezinsizi
• Izinkinga zokukhuluma - Ukukhuluma kwakho kungase kuphuze noma kube nomfutho
• Ukuphelelwa yizinzwa noma ukukhahlela - Ngokuvamile ezandleni nasezinzwaneni
• Ubuthakathaka bemisipha - Ikakhulukazi ezandleni nasezandleni

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile ezingakhathaza ngokulinganayo. Lezi zingafaka i-sleep apnea, lapho ukuphefumula kwakho kuye kuphazamiseke okwesikhashana ngesikhathi ulele, noma izinkinga zokulawula ukushisa. Ungase futhi uqaphele ukushintsha embonini yakho noma ekuzweleni.

Ezimweni ezingavamile, abantu bathuthukisa lokho odokotela abakubiza ngokuthi "ukukhokha kwe-Chiari" - ukukhokha okuhlukile, okuqinile okuvela uma ucindezela noma uzikhandla. Lokhu kwenzeka ngoba i-malformation ithonya izindawo zobuchopho eziqondisa ukuphefumula kanye nemiphumela yokukhokha.

Yini ebangela i-Chiari malformation?

Izigameko eziningi ze-Chiari malformation zenzeka phakathi nokuthuthukiswa kwesisu lapho i-skull ne-brain yakho zikhiqizwa. Imbangela eqondile ayicaci njalo, kodwa ngokuvamile ivela ezinkingeni zesakhiwo e-skull nase-brain.

Imbangela eyinhloko yilokho okubangelwa yigqolo eliphansi kunokujwayelekile noma elinefomu elingavamile. Lokhu kwenza kube khona isikhala esinganeli sezicubu zebongo lakho, ikakhulukazi i-cerebellum, bese kucindezelwa phansi emathunjini omhlane. Lo mqondo uvamise ukwenzeka ezinyangeni ezimbalwa zokuqala zokukhulelwa lapho izakhiwo zebongo lakho neqolo likhula.

Ngezinye izikhathi, i-Chiari malformation idlulela emindenini, okubonisa ukuthi izici ze-genetic zingase zidlale indima. Noma kunjalo, izingxenye eziningi zenzeka ngokungahleliwe ngaphandle komlando womndeni wesimo. Abacwaningi basafunda ngama-gene athile angase ahileleke.

Ezimweni ezingavamile, i-Chiari malformation ingase ithuthuke kamuva ekuphileni ngenxa yezinye izimo. Lokhu kungenzeka uma uhlushwa ukulimala ekhanda lakho noma emhlane, uthuthukise izinhlobo ezithile zezimpukane, noma unezimo ezihlasela ukugeleza kwe-spinal fluid eduze nebongo lakho nomhlane.

Ukutheleleka okuthile ngesikhathi sokukhulelwa kungase futhi kukhulise ingozi, yize lobu buhlobo bungaqondakali ngokuphelele. Ngaphezu kwalokho, amanye ama-meds athathwe ngesikhathi sokukhulelwa afundwe njengezingozi ezingaba khona, kodwa ucwaningo olwengeziwe luyadingeka ukuze kumiswe ukuxhumana okuqondile.

Ziyini izingozi ze-Chiari malformation?

Ukuqonda izingozi zakho kungakusiza ukuthi uqonde ukuthi kungani lesi simo singase sithuthuke. Izingozi eziningi yizinto ongenakukulawula, okusho ukuthi lesi simo akuyona into obungayivimba.

Ukuba owesifazane kukubeka engozini enkulu kancane yokuthuthukisa i-Chiari malformation Uhlobo I. Abafazi bahlonzwa ngalesi simo kakhulu kunamadoda, yize odokotela bengaqiniseki ngempela ukuthi lokhu kwenzeka kanjani.

Ukuba nomlando womndeni we-Chiari malformation kukhuphula amathuba akho okuthuthukisa lesi simo. Nakuba izingxenye eziningi zenzeka ngokungahleliwe, eminye imindeni ibonisa izindlela ezibonisa imiphumela ye-genetic. Uma unezihlobo ezine-Chiari malformation, ungase ufune ukuxoxa ngalokhu nodokotela wakho.

Ezinye izimo zezofuzo zingakwandisa nezingozi zakho. Lokhu kuhlanganisa izifo zezicubu ezihlanganisa njenge-Ehlers-Danlos syndrome, eithinta amaprotheni anikeza isimo esiqinile esikhunwini sakho, amajoyinti, nemiphunga yegazi.

Ukulimala kwentloko noma kwentamo kwangaphambili kungase kube nomthelela ekukhuleni kwe-Chiari malformation kamuva ekuphileni. Lokhu kuvamile kakhulu kunesimo esizalwa naso esikhula ngaphambi kokuzalwa, kodwa kufanele kuqapheleke uma uhlushwe ukulimala okukhulu kulezi zindawo.

Nini kufanele ubona udokotela nge-Chiari malformation?

Kufanele uxhumane nodokotela wakho uma uhlushwa yizikhathi eziqhubekayo zezinhlungu zentloko, ikakhulukazi lezo ezibi uma ukhwehlela, uthswala, noma ucindezela. Lezi zinhloso zentloko zivame ukuba ezahlukene nezinhlungu zentloko eziqhelekile futhi zivele emuva kwekhanda lakho.

Funani ukunakekelwa kwezokwelapha uma uthola izinkinga zokulinganisela, ukubambisana, noma ukuhamba. Lezi zimpawu zingase ziqale kancane kancane bese ziya ziba zimbi ngokuhamba kwesikhathi, noma zingase zivele ngesikhathi esisodwa. Noma ngabe kunjalo, zidinga ukuhlolwa ochwepheshe.

Xhumana nodokotela wakho uma uhlushwa ubunzima bokuginya, ukushintsha kokukhuluma kwakho, noma ukungathí sina nokukhahlela ezandleni noma ezinyaweni. Lezi zimpawu zingathinta kakhulu ikhwalithi yokuphila kwakho futhi zingabonisa ukuthi isimo sithinta izindlela eziqakathekile zezinzwa.

Kufanele ufunani ukunakekelwa kwezokwelapha ngokushesha uma uthola izinhloso ezinzima zentloko ezihambisana nokushintsha kokubona, ukukhungatheka okukhulu, noma ubunzima bokuqeda umoya. Nakuba kungavamile, lezi zimpawu zingabonisa izinkinga ezinkulu ezidinga ukunakekelwa okusheshayo.

Uma unomlando womndeni we-Chiari malformation futhi uthola noma yiziphi izimpawu zezinzwa, kufanele ukuxoxe lokhu nodokotela wakho ngisho noma izimpawu zibonakala zingenamandla. Ukutholwa kwangaphambi kwesikhathi nokubhekwa kungasiza ukuvimbela izinkinga.

Ziyini izinkinga ezingase zenzeke nge-Chiari malformation?

Nakuba abantu abaningi abane-Chiari malformation bephila ngaphandle kwezinkinga ezinzima, kubalulekile ukuqonda ukuthi yiziphi izinkinga ezingase zivele ukuze ukwazi ukubuka izimpawu zexwayiso bese ufuna ukunakekelwa okufanele.

Inkinga evame kakhulu yi-syringomyelia, isimo lapho ama-cyst agcwele i-fluid ewakha khona ngaphakathi komgogodla wakho. Lokhu kwenzeka lapho ukugeleza okujwayelekile kwe-spinal fluid kuphazanyiswa yi-malformation. I-Syringomyelia ingabangela ezinye izimpawu ezifana nobuthakathaka bemisipha, ukulahleka kokuzwa, nobuhlungu obuhlala njalo.

Abanye abantu bathuthukisa i-hydrocephalus, eyenzeka lapho i-spinal fluid iqongelela khona e-ventricles yengqondo yakho. Lolu cindezelo olukhulu lungabangela izikhathi zikhanda, isicanucanu, nokushintsha emisebenzini yengqondo. I-Hydrocephalus ivame kakhulu kubantwana abane-Chiari malformation Type II.

Izinkinga zokuphefumula zingase zenzeke uma i-malformation ithonya izindawo ze-brain stem eziphefumula. Ungase uthuthukise i-sleep apnea, lapho ukuphefumula kwakho kuye kuphazamiseke okwesikhashana ngesikhathi ulele, noma ube nobunzima ngemisebenzi yokuphumula okuzenzakalelayo.

Izinkinga ze-neurological eziqhubekayo zingase zithuthuke ngokuhamba kwesikhathi uma isimo singelaphiwa. Lezi zingase zihlanganise ukuwohloka kobuthakathaka bemisipha, ukwanda kobunzima bokuxhumanisa, noma izinkinga ngamakhono amahle okuhambisa njengokubhala noma ukubopha izinkinobho.

Kwezinye izimo ezingavamile, abantu bangase babhekane nalokho odokotela abakubiza ngokuthi “i-Chiari crisis”- ukuwohloka ngokuzumayo kwezimpawu okuhlanganisa izikhathi zikhanda ezinzima, ubunzima bokuphumula, nokushintsha koqapheleo. Lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha.

I-Chiari malformation ihlonishwa kanjani?

Ukuhlonishwa kwe-Chiari malformation kuvame ukuqala ngodokotela wakho olalele izimpawu zakho bese enza ukuhlolwa komzimba. Bayokunaka kakhulu umsebenzi wakho we-neurological, bahlole izimpendulo zakho, ibhalansi, ukuxhumanisa, nokuzwa.

Ithuluzi elibaluleke kakhulu lokuhlola yi-magnetic resonance imaging (MRI) yengqondo yakho nomgogodla. Lolu cwaningo oluqondile lwezithombe lungabonisa ngqo ukuthi yingakanani inyama yengqondo esele ihlukanile emagxalabeni akho omgogodla, nokuthi ingathinta yini ukugeleza kwelaphu le-spinal fluid ezungezile ingqondo yakho nomgogodla.

Udokotela wakho angase alayishe ezinye izifundo ze-MRI ngezindlela ezikhethekile zokuhlola ukugeleza kwelaphu le-spinal fluid. Lezi zifundo zisiza ekuqondeni ukuthi ingxaki yangempela ingabangela yini izinkinga noma uma nje kuyinto engenamsebenzi engadingi ukwelashwa.

Ngezinye izikhathi odokotela basebenzisa i-CT scans ukuthola izithombe ezinemininingwane yamathambo akho engqondo, ikakhulu uma bethukuthele ngokungaqondakali kwesakhiwo okungase kube yimbangela yale ngxaki. Noma kunjalo, i-MRI ihlala iyisilinganiso esiphezulu sokuhlola.

Izifundo zokulala zingase zinconywe uma unezimpawu ezibonisa i-sleep apnea noma ezinye izinkinga zokuphefumula. Lezi zihloko zingasiza udokotela wakho ukuqonda ukuthi lesi simo singathinta kanjani ukuphefumula kwakho ngesikhathi ulele.

Iyini impilo ye-Chiari malformation?

Ukuphathwa kwe-Chiari malformation kuncike ezimpawu zakho nokuthi lesi simo sithinta kangakanani impilo yakho yansuku zonke. Abantu abaningi abanezimpawu ezilula abadingi ukwelashwa futhi bangalandelelwa ngokuhlola okuvamile.

Uma ungabi nazimpawu, udokotela wakho cishe uzoncoma indlela yokulinda nokubuka. Lokhu kusho ukuthi kufanele ube nokuhlolwa okuvamile kwe-MRI nokubukwa ukuze uqaphele lesi simo futhi ubone noma yiziphi izinguquko ekuqaleni. Abantu abaningi abane-Chiari malformation engenazimpawu abadingi ukuhlinzwa.

Ukulawula izimpawu, udokotela wakho angase anikeze imithi ezosiza nge-headaches, ubuhlungu, noma ukubamba kwemisipha. Ukwelashwa ngokomzimba kungasiza ngezinkinga zokulinganisela nobuthakathaka bemisipha. Abanye abantu bathola impumuzo ngezindlela ezifana nokuxilonga noma i-acupuncture, yize kufanele ukhulume nodokotela wakho kuqala.

Ukuhlinzwa kuya kuba yingqopha lapho izimpawu zinzima noma zibi kakhulu naphezu kokwelashwa okunye. Inkqubo evamile kakhulu ibizwa ngokuthi ukuqothulwa kwendawo yangemuva yefosa, lapho ochwepheshe bokuhlinzwa benza khona indawo enkulu yengqondo yakho ngokususa izingxenye ezincane zethambo ngemuva kwekhanda lakho.

Phakathi nokuhlinzwa, udokotela wakho angase futhi asuse ingxenye yangemuva yomqhele wokuqala entanyeni yakho futhi avule isikhumba esizungezile ingqondo yakho nomgogodla wakho. Lokhu kwenza indawo enkulu yethishu yengqondo futhi kusiza ekubuyiseni ukugeleza okujwayelekile kwefulamu yomgogodla.

Ezimweni lapho i-syringomyelia ithuthukile, izinqubo ezengeziwe zingase zidingeke ukuze kuphuculwe ama-cyst agcwele amanzi emgogodleni wakho. Iqembu lakho lokuhlinzwa lizochaza zonke izinketho futhi likusize uqonde izinzuzo nezingozi zendlela ngayinye.

Ukuvimbela kanjani ukuphazamiseka kweChiari?

Ngeshwa, ayikho indlela eyaziwayo yokuvimbela ukuphazamiseka kweChiari njengoba kuvame ukuthuthuka ngesikhathi sokuthuthukiswa kwesisu ngenxa yezinto ezingaphezu kokulawula komuntu. Isimo sivame ukubangelwa ukungafani kokwakheka kokwakheka kwekhanda okuvela ezigabeni zokuqala zokukhulelwa.

Njengoba ezinye izimo zingaba nezinto zofuzo, ukwelulekwa ngofuzo kungaba usizo uma unemlando womndeni wokuphazamiseka kweChiari futhi uhlela ukuba nezingane. Umluleki wezinto zofuzo angakusiza uqonde noma yiziphi izingozi ezingaba khona futhi uxoxe ngezinketho zakho.

Ukugcina impilo enhle ngokujwayelekile ngesikhathi sokukhulelwa ngokunakekelwa okuhle kokukhulelwa, ukudla okwanele, nokuqeda izinto eziyingozi kubalulekile njalo ekuthuthukiseni kwesisu. Noma kunjalo, lezi zinyathelo azivimbeli ngokuqondile ukuphazamiseka kweChiari.

Kubantu abasuke besuke behlonishwa ngalesi simo, ukugxila kuguqukela ekuvimbeleni izinkinga kunokuvimbela isimo ngokwalo. Lokhu kusho ukulandela izincomo zedokotela yakho zokubeka iliso, ukuthatha imithi ebekiwe, nokufuna ukunakekelwa kwangaphambi kwesikhathi ngezimpawu ezintsha noma ezibi kakhulu.

Indlela yokuphatha ukuphazamiseka kweChiari ekhaya?

Ukuphatha isifo se-Chiari ekhaya kugxile ekunciphiseni izimpawu nokuzivikela emisebenzini engase ibe nzima isimo sakho. Ukwenza izinguquko ezincane empilweni yakho kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Gwema imisebenzi ephakamisa ukucindezeleka ekhanda lakho, njengokuphakamisa izinto ezisindayo, ukuqina ngesikhathi sokuya esikhathini, noma ukukhokha okukhulu. Uma kudingeka ukhokha noma unciphe, zama ukwenza kancane. Uma unesibindi, sebenzisa izinto ezithambisa isisu kunokuba uqine.

Dala indawo yokulala enhle esekela ukuphumula okuhle. Sebenzisa amapilishi ukuze ugcine ikhanda lakho nemuthi ziqondile, futhi cabanga ngokulala nekhanda lakho liphezulu kancane. Uma une-sleep apnea ehlobene nesimo sakho, landela izimiso zonyango wakho zokusebenzisa amadivayisi okuphefumula.

Phatha izikhathi zokukhathazeka ngezindlela udokotela wakho azamukele, njengokufaka iqhwa noma ukushisa, ukwenza imisebenzi yokuphumula, noma ukuthatha imithi eyalwe. Gcina idayari yezinhlungu zikhanda ukuze usize ukubona izinto ezibangela nokuziphatha.

Hlala usebenza ngaphakathi kwemingcele yakho ngokwenza imisebenzi elula njengokuhamba, ukubhukuda, noma ukwelula. Gwema imidlalo yokuxhumana noma imisebenzi engozi enkulu yokulimaza ikhanda. Imisebenzi yokwelapha yomzimba eyalwe udokotela wakho ingasiza ekuqondeni amandla nokuqina.

Qapha izimpawu zakho futhi ugcine irekhodi lazo zonke izinguquko. Ulwazi lolu lubalulekile eqenjini lakho lokunakekelwa kwezempilo futhi lusiza ukuqinisekisa ukuthi uthola ukulungiswa kokunakekelwa okufanele uma kudingeka.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezempilo. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenzayo ukuze zibe ngcono noma zibe zimbi.

Dala uhlu oluphelele lwemithi yakho, kuhlanganise nemithi yokwelapha, imithi ongayithenga ngaphandle kokubhalwa yi-dokotela, nanoma iyiphi imithi engeziwe oyithathayo. Faka imithamo nokuthi uyayithatha kangakanani. Phawula futhi noma iyiphi imithi oye wayizama ngaphambili ngenxa yezimpawu zakho.

Butha amarekhodi akho ezempilo nezifundo zokwenza izithombe, ikakhulu noma iyiphi i-MRI scan yobuchopho bakho noma umgogodla. Uma ubone odokotela abanye ngenxa yesimo sakho, letha amakhophi emibiko yabo nezincomo. Ulwazi lolu lusiza udokotela wakho wamanje ukuqonda isithombe sakho sezempilo esiphelele.

Bhala imibuzo ethile ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelapha, ukuthi yini okulindelekile esimweni sakho, ukuthi nini kufanele ufuna ukunakekelwa okuphaphandayo, noma ukuthi isimo singathinta kanjani imisebenzi yakho yansuku zonke noma umsebenzi.

Cabanga ukuthi ulethe ilungu lomndeni noma umngani ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa phakathi kwalokho okungase kube yivisting ecindezelayo. Ukuba nomuntu omunye lapho kungakusiza futhi ukuthi ucabange ngemibuzo ongase ungayicabanganga.

Lungiselela ukuxoxa ngendlela izimpawu zakho ezithinta ngayo impilo yakho yansuku zonke, umsebenzi, nobudlelwano. Ulwazi lolu lusiza udokotela wakho ukuqonda umthelela wesimo sakho futhi enze izincomo zokwelapha ezifanele.

Iyini into ebaluleke kakhulu mayelana nokuhlanganiswa kweChiari?

Ukuhlanganiswa kweChiari kuyisimo esingaphekwa esithinta wonke umuntu ngokuhlukile. Nakuba kungabangela izimpawu ezinkulu, abantu abaningi baphila impilo egcwele, esebenzayo ngenxa yokunakekelwa kwemithi efanele nokuqapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuba nezimpawu akusho ukuthi udinga ukuhlinzwa ngokuzenzakalelayo. Abantu abaningi baphatha isimo sabo ngempumelelo ngemithi, ukuguqulwa kwesitayela sempilo, nokuqapha okuvamile. Ukuhlinzwa kugcinelwe ezimweni lapho izimpawu zithinta kakhulu ikhwalithi yempilo noma ziya ziba zimbi.

Ukuxilongwa kwasekuqaleni nokuphathwa komuthi okufanele kwenza umehluko omkhulu emiphumeleni. Uma ubhekene nobunzima beentloko ezihlala njalo, izinkinga zokulinganisela, noma ezinye izimpawu zezinzwa, ungangabazi ukufuna ukwelashwa kwezokwelapha. Ngokushesha nje lapho uqonda ukuthi yini ebangela izimpawu zakho, ngokushesha nje lapho ungaqala ukwelashwa okufanele.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo nokuba olukhulu ngesimo sakho kukusiza ukwenza izinqumo ezinhle kakhulu zezempilo yakho. Khumbula ukuthi awuwedwa ekubhekaneni naleli simo, futhi ukwelashwa okuphumelelayo kuyatholakala uma ukudinga.

Imibuzo evame ukubuzwa mayelana nokuhlanekezelwa kweChiari

Q1: Ingabe ukuhlanekezelwa kweChiari kungaba sibi ngokuhamba kwesikhathi?

Ukuhlanekezelwa kweChiari kungaba luhle ngeminyaka noma ngisho nemashumi eminyaka ngaphandle kokuba sibi. Noma kunjalo, abanye abantu bayabhekana nokuqhubeka kwezimpawu ngokuhamba kwesikhathi, ikakhulukazi uma isimo sihilela ukugeleza kwe-spinal fluid noma sibangela izinkinga zesibili njenge-syringomyelia. Ukulandelela njalo nodokotela wakho kusiza ukubamba noma yikuphi ukuguquka kwasekuqaleni futhi kulungise ukwelashwa njengoba kudingeka.

Q2: Ingabe ukuhlanekezelwa kweChiari kuyifa?

Nakuba izincazelo eziningi zokuhlanekezelwa kweChiari zenzeka ngokungahleliwe, kubonakala sengathi kunengxenye yezakhiwo ezithile emindenini ethile. Uma une-Chiari malformation, abantwana bakho banengozi encane yokuthuthukisa isimo uma kuqhathaniswa nabantu abavamile. Noma kunjalo, iningi labantu abane-Chiari malformation abanamalungu omndeni abathintekayo.

Q3: Ngingazivocavoca ngokujwayelekile nge-Chiari malformation?

Abantu abaningi abane-Chiari malformation bangabamba iqhaza ekuzivocavoca okujwayelekile, kodwa kufanele ugweme imisebenzi eyandisa ukucindezeleka ekhanda lakho noma ethwala ingozi enkulu yokulimaza ikhanda. Ukubhukuda, ukuhamba, no-yoga oluthambile kuvame ukuba izindlela eziphephile. Ukuqhakambisa, ukuphakamisa isisindo, nemisebenzi ehilela ukunyakaza okuqhumayo kufanele kugwenywe ngokujwayelekile. Hlala uxoxa ngezinhlelo zakho zokuzivocavoca nodokotela wakho.

U-Q4: Ingabe ngizodinga ukuhlinzwa ngenxa yokuphazamiseka kweChiari?

Ukuhlinzwa akudingeki kubo bonke abantu abane-Chiari malformation. Abantu abaningi, ikakhulu labo abanemizimba emaphakathi noma abangenayo neze, bangaphathwa ngokubhekwa nokuphathwa okungeyona ukuhlinzwa. Ukuhlinzwa kuvame ukunconywa kuphela uma izimpawu zinzima, ziyaqhubeka, noma zithinta kakhulu ikhwalithi yempilo yakho naphezu kokwelashwa okunye.

U-Q5: Ingabe ukukhulelwa kungathinta ukuphazamiseka kweChiari?

Ukukhulelwa ngezinye izikhathi kungenza izimpawu zokuphazamiseka kweChiari zibe zimbi ngenxa yokwanda kwegazi nokushintsha kwezingcindezi okuvela ngesikhathi sokukhulelwa. Isigaba sokusunduzela sokubeletha singase futhi sikhulise izimpawu isikhashana. Uma une-Chiari malformation futhi uhlela ukukhulelwa, xoxa nalona nodokotela wakho wezinzwa nodokotela wakho wokubeletha ukuze wenze uhlelo olufanele lokuqapha nokubeletha.