Myelitis ākea

ʻO ka myelitis transverse kahi kūlana i hoʻokumu ʻia e ka mumū o ke kuamoʻo. ʻO ka hopena, ua hōʻino ʻia ka uhi ʻana (myelin sheath) a puni nā aʻa nerve. Hoʻopilikia kēia i nā hōʻailona ma waena o nā aʻalolo iwi a me ke koena o ke kino.

Hiki i ka myelitis transverse ke kumu i ka ʻeha, nāwaliwali o nā mākala, ka maʻi lōlō, a me nā pilikia o ke ake a me nā ʻōpū.

ʻO ka myelitis transverse kahi maʻi ʻōnaehana maʻamau ʻole. I nā manawa he nui, ʻike ʻole ʻia ke kumu. Eia nō naʻe, hiki i kekahi mau ʻano ke alakaʻi i ka myelitis transversal:

• ʻO ka maʻi bacteria, viral, parasite, a fungal paha, e like me HIV, syphilis, varicella zoster (shingles), West Nile virus, Zika virus, enteroviruses, a me Lyme disease.
• Nā maʻi ʻōnaehana pale ʻole, e like me sclerosis (MS), Sjögren Syndrome, a me lupus
• ʻO nā maʻi ʻino ʻē aʻe, e like me sarcoidosis, a i ʻole kahi maʻi maʻi āpau i kapa ʻia ʻo scleroderma
• Nā maʻi o ke kīʻaha koko e pili i ka iwi kuamoʻo

Hoʻopili ka transel myelitis i nā kāne a me nā wahine o nā makahiki a me nā lāhui āpau.

E ulu paha nā ʻōuli o ka myelitis transverse i loko o kekahi mau hola a mau lā paha. A i ʻole, hoʻomohala paha lākou ma mua o 1 a 4 mau pule. Hiki i nā ʻōuli ke lilo i koʻikoʻi.

Kū nā ʻōuli ma a ma lalo paha o ka wahi i hōʻino ʻia o ka iwi kuamoʻo. Hoʻopili pinepine ʻia nā ʻaoʻao ʻelua o ke kino, akā i kekahi manawa hoʻokahi wale nō ʻaoʻao e hoʻopili ʻia.

ʻO nā hōʻailona me:

Nā manaʻo kūpono ʻole:

• Pōpō
• Pricking
• ʻŪlili
• Anuanu
• Hoʻā ʻana
• ʻO ka noʻonoʻo e hoʻopā a i ka mahana paha

Nā ʻōpū o ka ʻōpū a me ka ʻōpū:

• Konipōpō
• Pono ka mimi pinepine
• Ka paʻakikī e paʻa ana i ka mimi
• Urine leakage (incontinence)

ʻEha:

• Kaha a kolohe paha
• E hoʻomaka paha ma kou kua haʻahaʻa
• Hiki paha iā ʻoe ke kī i kou mau lima a me kou mau wāwae a wahī ʻia a puni kāu pahu a i ʻole ka umauma

Nawaliwali kaʻiʻo:

• Lilo o ke kaulike
• Ke hele nei i kahi paʻakikī (e hina ana a huki paha i kou mau wāwae)
• Hewa hapa o ka hana, i ulu i loko o ka lōlō

ʻO ka moe kolohe:

• ʻO ka paʻakikī he orgasm (nā kāne a me nā wahine)
• ʻO ka hana kīnā ʻole o Erectile i nā kāne

Hiki i nā ʻōuli ʻē aʻe ke komo pū me ka nalo ʻana o ka makemake, ke kuni, a me nā pilikia hanu. Hiki i ke kaumaha a me ka hopohopo ke kū i kahi hopena o ka hana ʻana me ka ʻeha mau a me nā maʻi.

E lawe kāu mea mālama ola i kāu mōʻaukala olakino a nīnau e pili ana i kāu mau hōʻailona. E hana pū ka mea hāʻawi i kahi ninaninau ʻōnaehana e nānā no:

• Ka nāwaliwali a i ʻole nalo ʻana o ka hana muscle, e like me ke kani o ka mākala a me nā reflexes
• Pae ʻeha
• Nā manaʻo kūpono ʻole

ʻO nā hoʻāʻo e kuhikuhi i ka myelitis transversal a e kāpae i nā kumu ʻē aʻe e like me:

• MRI o ka iwi kuamoo e nānā ai no ka mumū a i ʻole nā ​​mea kūpono ʻole
• Spinal tap (lumbar puncture)
• Nā hoʻāʻo koko

Kōkua ka lāʻau no ka myelitis transverse i:

• E mālama i kahi maʻi i hoʻokumu i kēia ʻano
• E hoʻemi i ka mumū o ke kuamoʻo
• Hoʻomaha a hōʻemi paha i nā ʻōuli

Hāʻawi ʻia ʻoe:

• Hāʻawi ʻia nā lāʻau Steroid ma o ke aa (IV) e hoʻēmi ai i ka mumū.
• Pākuʻi kuapo Plasma. Hoʻopili kēia i ka wehe ʻana i ka ʻāpana wai o kou koko (plasma) a hoʻololi iā ia me ka plasma mai kahi mea hāʻawi maikaʻi a i ʻole me kahi wai ʻē aʻe.
• Nā lāʻau e kāohi i kou ʻōnaehana pale.
• Nā lāʻau e kāohi i nā ʻōuli ʻē aʻe e like me ka ʻeha, spasm, pilikia mimi, a i ʻole ke kaumaha.

Koi paha kāu mea hāʻawi:

• Hoʻomaʻamaʻa kino e kōkua ai i ka hoʻomaikaʻi ʻana i ka ikaika o ka mākala a me ke kaulike, a me ka hoʻohana ʻana i nā kōkua hele
• ʻO ka hoʻomaʻamaʻa ʻoihana e kōkua iā ʻoe e aʻo i nā ala hou e hana ai i nā hana o kēlā me kēia lā
• ʻSellelo aʻoaʻo e kōkua iā ʻoe e kūpale i ka pilikia a me nā pilikia o ka naʻau mai ka loaʻa ʻana o ka myelitis transverse

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻOkoʻa ka nānā no ka poʻe me myelitis transverse. Loaʻa ka hapa nui o ke ola i loko o 3 mau mahina ma hope o ke kūlana. No kekahi, he mau mahina paha ka hala ʻana o ka hoʻōla. Ma kahi o ka hapakolu o ka poʻe me ka myelitis transverse e hoʻōla hou. E ola hou kekahi poʻe me ke kino kīnā, e like me nā pilikia o ka ʻōpū a me ka pilikia e hele wāwae. Loaʻa i nā poʻe ʻē aʻe ke kīnā mau loa a pono ke kōkua me nā hana o kēlā me kēia lā.

ʻO ka poʻe i loaʻa ka manawa kūpono ʻole o ke ola ʻana:

• ʻO ka poʻe i loaʻa ka wikiwiki o nā ʻōuli
• ʻO ka poʻe i hoʻomaikaʻi ʻole ʻia nā ʻōuli ma waena o nā 3 a 6 mau mahina

ʻO ka myelitis transverse ʻike ʻia hoʻokahi wale nō manawa i ka hapanui o ka poʻe. Hiki paha ia i kekahi mau kānaka me ke kumu kumu, e like me MS. ʻO ka poʻe i komo i ka ʻaoʻao wale nō o ka iwi kuamoʻo paha e hoʻomohala iā MS i ka wā e hiki mai ana.

ʻO nā pilikia olakino e hele nei mai ka myelitis transverse hiki ke hoʻopili ʻia:

• ʻEha mau
• Hapa hapa a piha paha o ka hana muscle
• Nawaliwali
• ʻO ka paʻa ʻana o ka mākala a me ka spasticity
• Nā pilikia moekolohe

Kāhea i kāu mea hāʻawi inā:

• ʻIke ʻoe i kahi ʻeha a ʻeha hoʻi i kou kua i kī ʻia i kou mau lima a i ʻole nā ​​wāwae a wahī paha i kāu kumu
• Hoʻolālā ʻoe i ka nāwaliwali ʻole a me ka helu o ka lima a me ka wāwae
• Lilo ʻoe i ka hana muscle
• Loaʻa iā ʻoe nā pilikia o ka puhā (pinepine a i ʻole incontinence) a i ʻole nā ​​pilikia ʻōpū (constipation)
• Eʻoi aku ka maikaʻi o kāu mau hōʻailona, ​​ʻoiai me ka lāʻau

TM; Myelitis transverse ākea; Myelitis transverse lua; Myelitis transversal idio

• ʻO Myelin a me ke ʻano o ke aʻalolo
• Vertebra a me nā aʻa iwi kuamoʻo

Fabian MT, Krieger SC, Lublin FD. ʻO nā sclerosis he nui a me nā maʻi demyelinating maha o ka ʻōnaehana waena. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 80.

Hemingway C. Nā maʻi hōʻemi o ka ʻōnaehana waena. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC a me Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 618.

Lim PAC. Myelitis ākea. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 162.

National Institute of Neurological Disorder a me ka pūnaewele Stroke. Pepa ʻo myelitis transverse. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Transverse-Myelitis-Fact-Sheet. Hoʻohou i ʻAukake 13, 2019. Loaʻa iā Ianuali 06, 2020.