Uyini i-Syringomyelia? Izimpawu, Izimbangela, Nokwelashwa

I-Syringomyelia yisimo lapho ama-cyst agcwele i-fluid, abizwa ngama-syrinxes, aqala khona ngaphakathi emoyeni wakho. La ma-cyst angakhula kancane kancane ngokuhamba kwesikhathi, abeke uxinzelelo emathinini ezinzwa eziqondisa imiyalezo phakathi kobuchopho bakho nomzimba.

Cabanga ngomoya wakho njengendlela ebalulekile yemiyalezo yezinzwa. Uma ama-syrinxes eqala, afana neziqalekiso ezivimbela le nqubo ebalulekile yokuxhumana. Le simo sivame ukuqala kancane, okusho ukuthi izimpawu zingase zivele kancane kancane ezinyangeni noma eminyakeni eminingi.

Ziyini izimpawu ze-syringomyelia?

Izimpawu ze-syringomyelia ziyahluka kuye kokuthi ama-cyst aqala kuphi emoyeni wakho nokuthi amakhulu kangakanani. Abantu abaningi abaziboni izimpawu ngokushesha ngoba le simo sivame ukuqhubeka kancane.

Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukulahleka kokuzwa ubuhlungu nobushushu, ikakhulukazi ezandleni nasezingalweni zakho
• Ubuthakathaka bemisipha obuqala ezandleni nasezingalweni zakho
• Ukuqina emhlane, emagxeni, ezingalweni, noma emilenzeni
• Ubuhlungu entanyeni, ezingalweni, noma emhlane
• Izinhlungu zikhanda, ikakhulukazi ngemuva kwekhanda
• Ubunzima bokusebenzisa amakhono amancane njengokubopha izembatho noma ukubhala

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile. Lezi zingafaka izingqinamba zokulinganisela, ubunzima bokuhamba, noma ukushintsha kokusebenza kwesisu. Kwezinye izimo ezingavamile, ungase uqaphele ukugoba komgogodla noma ukukhula okungalingani kwemisipha phakathi kwecala lakho lokunxele nelokudla.

Okwenza i-syringomyelia ibe nzima ngokukhethekile ukuthi izimpawu zingase zihluke kakhulu kumuntu nomuntu. Abanye abantu banezimpawu ezilula ezingathinti kakhulu impilo yabo yansuku zonke, kanti abanye bangase bahlangabezane nezinguquko ezibonakalayo eziqeda imisebenzi yabo.

Ziyini izinhlobo ze-syringomyelia?

Odokotela bahlukanisa i-syringomyelia zibe izinhlobo ezimbili eziyinhloko kuye kokuthi yini ebangela le simo. Ukuqonda lezi zinhlobo kusiza ekuchazeni ukuthi kungani ama-cyst eqala futhi kuqondise izinqumo zokwelapha.

I-syringomyelia eyinhloko kwenzeka uma uzalwa unenkinga ebizwa ngokuthi i-Chiari malformation. Lokhu kusho ukuthi ingxenye yethishu yobuchopho yakho iyayela endleleni yomgogodla, iphazamise ukusabela okujwayelekile kwe-cerebrospinal fluid eduze komgogodla wakho.

I-syringomyelia yesibili ithuthukiswa ngemva kokulimaza, ukutheleleka, noma i-tumor ethinta umgogodla wakho. Lolu hlobo lungase lube khona ezinyangeni noma ngisho neminyaka ngemva kwenkinga yokuqala, njengoba i-scar tissue noma ezinye izinguquko zidala ukuphazamiseka ekusabela kwe-fluid.

Kukhona futhi uhlobo olungavamile oluthi i-communicating syringomyelia, lapho i-cyst ixhumeka ngokuqondile ezindaweni ze-fluid eduze nobuchopho bakho. Lolu hlobo aluvamile kodwa ngezinye izikhathi lungase lube khona kanye nezinye izimo zomgogodla.

Yini ebangela i-syringomyelia?

I-Syringomyelia ithuthukiswa uma ukusabela okujwayelekile kwe-cerebrospinal fluid eduze komgogodla wakho kuphazamiseka. Le fluid ihlala isabela kahle eduze nobuchopho bakho nomgogodla wakho, inikeza isivikelo nezondlo.

Izimo eziningi zingaphazamisa ukusabela kwale fluid:

• I-Chiari malformation, lapho i-tissue yobuchopho iyayela endleleni yomgogodla
• Ukulimala komgogodla okuvela ezingozi noma ekulimala
• Ama-tumors omgogodla avimba izindlela ze-fluid
• Ukutheleleka njenge-meningitis okubangela ukuvuvukala nokwenziwa kwe-scar tissue
• Ukuphuza igazi eduze komgogodla
• Ukuhlinzwa komgogodla kwangaphambili okubangela ukwenziwa kwe-scar tissue

Kwezinye izimo ezingavamile, i-syringomyelia ingase ithuthukiswe ngaphandle kwesizathu esicacile. Odokotela babiza lokhu ngokuthi i-idiopathic syringomyelia, futhi aluvamile njengezinye izinhlobo.

Uma ukusabela kwe-fluid kuvimbelwe noma kushintshe, uxinzelelo lungase lukhule futhi lenze ama-pockets e-fluid ngaphakathi kwe-tissue yomgogodla. Ngemuva kwesikhathi, la ma-pockets angakhula futhi enze ama-cyst ajwayelekile e-syringomyelia.

Nini kufanele ubona udokotela nge-syringomyelia?

Kufanele uxhumane nodokotela wakho uma uqaphela izimpawu eziqhubekayo eziqeda imisebenzi yakho yansuku zonke. Ukubhekwa kwasekuqaleni kubalulekile ngoba i-syringomyelia ingase iqhubeke ngokuhamba kwesikhathi uma ingalashwa.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu obuqhubekayo entanyeni noma emhlane, ikakhulukazi uma buhambisana nobuthakathaka ezandleni noma ezingalweni. Ukushintsha kokuzwa, njengokuhluleka ukuzwa ubushushu noma ubuqandwe kahle, nakho kuyizimpawu ezibalulekile zokuqaphela.

Shaya udokotela wakho ngokushesha uma uthuthukisa izinhlungu ezinzima zikhanda, ikakhulukazi lezo ezibi uma ukhwehlela noma ucindezela. Izingqinamba zokulinganisela, ubunzima bokuhamba, noma ukushintsha kokusebenza kwesisu nakho kudinga ukubhekwa kwezokwelapha.

Uma unembali yokulimaza komgogodla, i-Chiari malformation, noma ukuhlinzwa komgogodla, kubalulekile ukubheka lezi zimpawu. Udokotela wakho angakusiza ekuqondeni ukuthi ingabe kufanele kwenziwe ukuhlolwa okwengeziwe ukuhlola i-syringomyelia.

Ziyini izinto ezikhulayo ezingozi ze-syringomyelia?

Izinto ezithile zingandisa amathuba akho okuthuthukisa i-syringomyelia. Ukuqonda lezi zinto ezikhulayo ezingozi kusiza wena nodokotela wakho ukuthi niqaphele izimpawu ezingase zibe khona.

Izinto ezikhulayo ezingozi ezibaluleke kakhulu zifaka:

• Ukuba ne-Chiari malformation, ikakhulukazi uhlobo lwe-I
• Ukulimala komgogodla kwangaphambili noma ukulimala
• Umbali wama-tumors omgogodla noma ama-cyst
• Ukutheleleka kwangaphambili okuthinta umgogodla noma ubuchopho
• Ukuhlinzwa komgogodla kwangaphambili noma izinqubo
• Izimo ezithile ze-genetic ezithinta ukukhula komgogodla

Ubudala bungase futhi bube nomthelela, ngezimpawu ezivame ukuvela phakathi kweminyaka engama-25 nama-40, yize le simo lingase lithuthukiswe kunoma iyiphi iminyaka. Amadoda nabesifazane bahlushwa ngokulinganayo yi-syringomyelia.

Ukuba nesizathu esikhulayo esingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile i-syringomyelia. Abantu abaningi abanezi zinto ezikhulayo ezingozi abayithuthukisi le simo, kanti abanye abangenazo izinto ezikhulayo ezingozi ezicacile bangase basathinteka.

Ziyini izinhlanganisela ezingase zenzeke ze-syringomyelia?

Ngaphandle kokwelashwa okufanele, i-syringomyelia ingase ihole ezinkingeni eziqhubekayo zezinzwa. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavimbelwa noma zinciphisiwe ngokunakekelwa kwezokwelapha okufanele.

Izinhlanganisela ezivame kakhulu zifaka:

• Ubuthakathaka bemisipha obuqhubekayo, ikakhulukazi ezandleni nasezingalweni
• Ukulahleka okungapheli kokuzwa ubuhlungu nobushushu
• Ubuhlungu obuhlala njalo obungase bube nzima ukulawula
• I-Scoliosis noma ukugoba okungajwayelekile komgogodla
• Ubunzima lokulawula isisu noma amabele
• Ukukhubazeka okukhulu okuqeda imisebenzi yansuku zonke

Kwezinye izimo ezingavamile, i-syringomyelia engalashwanga ingase ihole ekukhubazekeni okukhulu noma ekuqedeni amandla. Noma kunjalo, leli yiqophelo elingavamile, ikakhulukazi uma le simo lihlonziwe futhi liphelelwe ngokufanele.

Ukuxilongwa kwasekuqaleni nokwelashwa kungasiza ekuvinjeni izinhlanganisela eziningi. Ukubhekwa okuqhubekayo neqembu lakho lokunakekelwa kwezempilo kuvumela ukungenelela ngesikhathi uma le simo liqhubeka.

I-syringomyelia ihlonishwa kanjani?

Ukuxilonga i-syringomyelia kudinga ukuhlolwa okuhlukile kwezithombe okungabona ngaphakathi komgogodla wakho. Udokotela wakho uzoqala ngombhalo wezokwelapha ophelele nokuhlolwa komzimba ukuqonda izimpawu zakho.

Ukuhlolwa okuyinhloko kokuxilonga yi-magnetic resonance imaging (MRI) yomgogodla wakho. Le scan eningiliziwe ingabonisa ngokucacile ama-cyst agcwele i-fluid ngaphakathi komgogodla wakho futhi isize ekuqondeni usayizi nendawo yawo.

Udokotela wakho angase futhi ayalele i-MRI yobuchopho bakho ukuhlola i-Chiari malformation noma ezinye izimo ezingase zibe yimbangela ye-syringomyelia. Ngezinye izikhathi, ukuhlolwa okwengeziwe njenge-CT scans noma i-myelography kungase kudingeke ukuze uthole ulwazi oluqondile.

Phakathi kokuhlolwa kwakho, udokotela wakho uzovivinya izinto zakho zokuzwa, amandla emisipha, nokuzwa. Bazogxila kakhulu ekuqondeni ukuthi ungazwa kahle kangakanani ubuhlungu, ubushushu, nokutheleleka kokukhanya ezindaweni ezahlukene zomzimba wakho.

Uyini ukwelashwa kwe-syringomyelia?

Ukwelashwa kwe-syringomyelia kuyahluka kuye kokuthi unezimpawu yini nokuthi yini ebangela le simo. Uma ungenawo izimpawu, udokotela wakho angase akukhuthaze ukubhekwa ngokucophelela nge-MRI scans eziqhubekayo.

Uma ukwelashwa kudingeka, ukuhlinzwa kuvame ukuba yindlela eyinhloko. Umgomo ukubuyisela ukusabela okujwayelekile kwe-fluid eduze komgogodla wakho futhi uvikele ama-cyst ekukhuleni.

Izindlela zokwelapha ezivamile zifaka:

• Ukuqeda uxinzelelo lwe-posterior fossa nge-Chiari-related syringomyelia
• Izindlela zokukhipha i-syrinx ukususa i-fluid kuma-cyst
• Ukususwa kwe-tumor uma ukukhula kubangela ukuphazamiseka
• Ukubekwa kwe-shunt ukuqondisa kabusha ukusabela kwe-fluid
• Ukuqeda ukubopha komgogodla uma i-scar tissue ihilelekile

Ukuhlinzwa kuvame ukuyeka ukuqhubeka kwezimpawu futhi kungase kuthuthukise ezinye izinkinga ezikhona. Noma kunjalo, kubalulekile ukuqonda ukuthi ukuhlinzwa kuvame ukuvimbela ukubi kakhulu kunokubuyisela zonke izimpawu ezivele zithuthukile.

I-neurosurgeon yakho izoxoxa ngendlela efanele kakhulu isimo sakho. Isikhathi sokuphulukisa sihluka, kodwa abantu abaningi bangalindela amasonto amaningana kuya ezinyangeni zokwelapha ngemva kokuhlinzwa komgogodla.

Indlela yokulawula izimpawu ekhaya ngesikhathi se-syringomyelia?

Ngesikhathi ukwelashwa kwezokwelapha kubalulekile nge-syringomyelia, kunezindlela eziningi ongasiza ngazo ukulawula izimpawu zakho nokuthuthukisa ikhwalithi yakho yokuphila ekhaya.

Amasu okulawula ubuhlungu angasiza kakhulu. Ukwelashwa okufudumele okuthambile, njengokugeza okufudumele noma ama-heating pads, kungase kuqede ukucindezeleka kwemisipha nokungakhululeki. Abanye abantu bathola ukuthi ukwelula okuthambile noma i-yoga kusiza ekuqondiseni ukuguquguquka.

Ukuzivikela ekulimala kubalulekile ngoba ungase ube nokuzwa okuncishisiwe. Hlola ubushushu bamanzi ngokucophelela ngaphambi kokugeza, gqoka izihlangu uma uphatha izinto ezibukhali, futhi uhlole isikhumba sakho njalo ngokuqeda noma ukushisa ongazingazanga.

Ukuzivocavoca kwe-physical therapy, uma kuvunyelwe udokotela wakho, kungasiza ekuqondiseni amandla emisipha nokuqina. I-Occupational therapy ingase futhi inikeze amasu awusizo okuhlenga imisebenzi yansuku zonke ukusebenza ngezinkinga.

Amasu okulawula ukucindezeleka njengokucamngca noma ukuzivocavoca okuthambile kungakusiza ekuqondeni izici zomzwelo zokuphila nesimo esiqhubekayo. Unganqikazi ukufuna ukwesekwa kubacebisi noma amaqembu wokwesekwa uma uhlushwa ngokomzwelo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ekuqinisekiseni ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zishintshe kanjani ngokuhamba kwesikhathi.

Yenza uhlu lwawo wonke ama-medications, izithasiselo, nama-vitamins owawathatha. Buye uqoqe ulwazi mayelana nanoma yikuphi ukulimala kwangaphambili, ukuhlinzwa, noma izimo zezokwelapha ezingase zihambisane nezimpawu zakho zamanje.

Lungiselela imibuzo ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngezindlela zokwelapha, ukuthi yini okulindelekile, noma ukuthi le simo lingase lithinte kanjani impilo yakho yansuku zonke. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - udokotela wakho ufuna ukukusiza ekuqondeni isimo sakho.

Cabanga ngokuletha umngani othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo phakathi kwalokho okungase kube yivisting ecindezelayo.

Uma uke waba nokuhlolwa kwezithombe kwangaphambili noma amarekhodi ezokwelapha ahlobene nezimpawu zakho, letha amakhophi noma uhlanganise ukuthi athunyelwe ehhovisi lika-dokotela wakho ngaphambi kwe-aphoyintimenti yakho.

Iyini into ebalulekile mayelana ne-syringomyelia?

I-Syringomyelia yisimo esinzima kodwa esingelashwa esithinta umgogodla. Ngesikhathi ukuxilongwa kungase kuzwakale kukhulu, abantu abaningi abane-syringomyelia baphila impilo egcwele, esebenzayo ngokunakekelwa kwezokwelapha okufanele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kwasekuqaleni nokwelashwa okufanele kungavimbela le simo ekukhuleni. Uma uhlangabezana nezimpawu, ungalindi ukufuna ukunakekelwa kwezokwelapha.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo kubalulekile ekulawuleni i-syringomyelia ngokuphumelelayo. Ukubhekwa okuqhubekayo, ukulandela izikhuthazo zokwelapha, nokuba olukhulu mayelana nesimo sakho kuzokusiza ukufeza imiphumela emihle kakhulu.

Khumbula ukuthi isipiliyoni ngasinye somuntu nge-syringomyelia sihlukile. Udokotela wakho angakusiza ekuqondeni ukuthi yini okulindelekile futhi akhe uhlelo lokwelapha olufanele isimo sakho esithile.

Imibuzo evame ukubuzwa mayelana ne-syringomyelia

Ingase iphiliswe ngokuphelele i-syringomyelia?

Ngesikhathi kungekho ukwelapha okuqeda ngokuphelele i-syringomyelia, ukwelashwa kuvame ukuyeka ukuqhubeka kwayo nokuthuthukisa izimpawu. Ukuhlinzwa kungabuyisela ukusabela okujwayelekile kwe-fluid futhi kuvikele ama-cyst ekukhuleni. Abantu abaningi bahlangabezana nokuthuthuka okukhulu kwezimpawu zabo ngemva kokwelashwa okufanele, yize ezinye izinguquko zingase zihlale njalo uma zikhona isikhathi eside ngaphambi kokwelashwa.

Ingabe i-syringomyelia iyefa?

I-Syringomyelia ngokwayo ayiyona ifa, kodwa ezinye izimo eziyibangela zingase zihambe emindenini. I-Chiari malformation, eyingumbangela ovame kakhulu we-syringomyelia, ngezinye izikhathi ingaba ne-genetic component. Uma unezilwane zomndeni ezinayo i-Chiari malformation noma i-syringomyelia, kufanele uxoxe lokhu nodokotela wakho, yize izimo eziningi zenzeka ngaphandle komlando womndeni.

I-syringomyelia iqhubeka ngokushesha kangakanani?

Ukuqhubeka kwe-syringomyelia kuyahluka kakhulu kumuntu nomuntu. Abanye abantu bahlangabezana nezinguquko ezihamba kancane, eziqhubekayo eminyakeni eminingi, kanti abanye bangase baqaphele izimpawu ezithuthuka ngokushesha. Izimo eziningi zihlala ziqina isikhathi eside ngaphandle kokubi kakhulu. Ukubhekwa okuqhubekayo nge-MRI scans kusiza odokotela ukulandelela noma yiziphi izinguquko nokulungisa ukwelashwa ngokufanele.

Ungaphila impilo evamile nge-syringomyelia?

Abantu abaningi abane-syringomyelia baphila impilo egcwele, ephumelelayo. Isibonelo ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukulawula le simo ngokuphumelelayo. Abanye abantu bangase badinge ukwenza izinguquko ezimisebenzini ethile, kodwa abaningi bangase baqhubeke nokusebenza, ukuzivocavoca, nokujabulela imisebenzi yabo. Ukwelashwa kwasekuqaleni nokubhekwa okuqhubekayo kusiza ekuqinisekiseni ikhwalithi yokuphila enhle kakhulu.

Yini engingayigwema uma ngine-syringomyelia?

Udokotela wakho uyonikeza isiqondiso esithile esisekelwe esimweni sakho, kodwa ngokuvamile, kufanele ugweme imisebenzi engase ibe yimbangela yokulimaza komgogodla, njengemidlalo yokuxhumana noma imisebenzi engozi enkulu yokwehla. Qaphela kakhulu ngezimo zobushushu obukhulu ngoba ungase ube nokuzwa okuncishisiwe. Imisebenzi ephazamisayo noma ukuphakamisa okunzima kungase futhi kudingeke ukulinganiselwe. Xoxani njalo ngokulinganiselwa kwemisebenzi neqembu lakho lokunakekelwa kwezempilo kunokwenza iziphetho.