He aha ka myelitis transverse, hōʻailona, ​​kumu nui a pehea e mālama ai

Anter

• Nā ʻōuli o myelitis transverse
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu nui
• Pehea e hana ai i ka lāʻau

ʻO ka myelitis transverse, a i ʻole myelitis wale nō, he mumū o ka iwi kuamoʻo i hiki ke hopena ma ke ʻano he maʻi o nā mea ʻino a i ʻole nā ​​mea hoʻomaʻi a i ʻole nā ​​hopena o nā maʻi autoimmune, a alakaʻi ʻia i ke ʻano o nā hōʻailona neurological a me nā ʻōuli, me ka hōʻino ʻia o ka motika. hiki a maʻalahi paha, no ka laʻana.

No laila, ʻo nā hōʻailona nui a me nā ʻōuli o ka myelitis transverse hiki i ka pili ʻana o ka iwi o ka iwi, kahi e hopena ai i ka lolo palaka me ka ʻeha o ke kua, nāwaliwali o nā mākala, me ka hoʻemi ʻana i ka ʻike a me ka lōlō o nā wāwae a me / a i ʻole nā ​​lima.

Hoʻolālā ka mālama ʻana no ka myelitis e hoʻolaulaha i ke ola o ke kanaka a no laila, hiki i ka neurologist ke paipai i ka hana kūikawā no ke kumu o ka myelitis, a hiki ke kōkua ʻia i ka lāʻau lapaʻau e nā kau physiotherapy, no ka mea he hiki ke hoʻonāukiuki i ka neʻe ʻana o nā mākala a pale i ka palalysis.

Nā ʻōuli o myelitis transverse

Kū aʻe nā ʻōuli o ka myelitis transverse ma muli o ke komo ʻana o nā ʻaoʻao āpau o ke kuamoʻo, a aia paha:

• ʻEha Spine, keu hoʻi i ka ʻaoʻao haʻahaʻa;
• Ke kani a i ʻole ka wela i loko o ka umauma, ʻōpū, nā wāwae a i ʻole nā ​​lima;
• Ka nāwaliwali i nā lima a me nā wāwae, me ka paʻakikī e hoʻopaʻa i nā mea a i ʻole ka hele wāwae ʻana;
• Huli ke poʻo i mua, a paʻakikī i ka ale ʻana;
• ʻO ka paʻakikī e paʻa ana i ka mimi a i ʻole nā ​​feces.

No ka hiki i ka myelitis ke hoʻopili i ka uhi myelin o nā hunaola nerve, ʻoi aku ka maikaʻi o ka lawe ʻana o nā stimuli nerve i ka manawa a, no laila, he mea maʻamau ia e ʻoi aku ka maikaʻi o nā ʻōuli i kēlā me kēia lā, e lilo ana i ikaika loa, aia paha he paralysis, ka mea e pale ai i ke kanaka mai ka hele wāwae ʻana.

Ke haʻahaʻa ka ʻāpana o ke kuamoʻo, hiki i ke kanaka ke nalo i nā neʻe o nā wāwae, a ke kokoke ka ʻāpana i ka ʻāʻī, lilo paha i ka neʻe o ka poʻohiwi a me nā lima. I nā hihia ʻoi loa, paʻakikī paha e hanu a ale, e koi ana i ka haukapila.

No laila, i nā manawa a pau nā hōʻailona e hōʻike ai i kahi pilikia i ka iwi kuamoʻo, he mea nui e nīnau aku i ka loio a i ʻole neurologist, no ka laʻana, e ʻike i ke kumu a hoʻomaka i ka mālama ʻana, ma mua o ka ʻike ʻana o nā leʻaleʻa paʻakikī e hoʻonā. I kēia kūlana, ma hope o ka hōʻailona he mea maʻamau ia no ke kanaka e hāʻawi ʻia i kahi neurologist.

Pehea e hōʻoia ai i ke kuhi

I mea e hōʻoia ai i ka myelitis, pono ʻoe e nīnau i ka mea hana maʻamau a i ʻole kahi neurologist, ke nui ka kānalua no ka pilikia o ka iwi kuamoʻo. ʻO ke kauka, i ka nānā ʻana i nā hōʻailona a me ka mōʻaukala o ka maʻi, kauoha pū kekahi i nā hoʻokolohua diagnostics, e like me MRI, ka lumbar puncture a me nā hoʻokolohua koko like ʻole, e kōkua ai e hana i ka ʻike ākea a hōʻoia i ka ʻike o ka myelitis transversal.

Nā kumu nui

ʻO ka myelitis transverse kahi ʻano maʻamau i hiki ke hana ʻia ma ke ʻano he hopena o kekahi mau hanana, ʻo nā mea nui:

• Nā maʻi virus, keu hoʻi i ka hāhā (Mycoplasma pneumoniae) a i ʻole i ka ʻōnaehana digestive;
• Enteroviruses, e like me EV-A71 a me EV-D68;
• Rhinovirus;
• Nā maʻi āpau e nā parasites, e like me ka toxoplasmosis a i ʻole cysticercosis;
• Sclerosis maha;
• Optomy neuromyelitis;
• Nā maʻi Autoimmune, e like me lupus a i ʻole Sjogren's Syndrome.

ʻOiai he kākaʻikahi loa ia, aia kekahi mau hōʻike o nā hihia o ka myelitis transverse i ala aʻe ma hope o ka lawe ʻana i kahi lāʻau lapaʻau e kūʻē i ka maʻi hepitis B a i ʻole ka maʻi ʻula, nā puʻupuʻu a me ka moa moa. Eia hou, aia kekahi hōʻike e hōʻike ʻia nā ʻōuli o transverse myelitis i kahi kanaka i loaʻa ka lāʻau lapaʻau hoʻokolohua e kūʻē i ka coronavirus hou, SARS-CoV-2 / COVID-19, eia nō naʻe ke aʻo ʻia nei kēia pilina, a me ka lāʻau lapaʻau. ka hoʻokō ʻana.

Pehea e hana ai i ka lāʻau

Hoʻololi nui ka mālama ʻana i ka myelitis e like me kēlā me kēia hihia, akā hoʻomaka mau ʻia ia me ka hoʻohana ʻana i nā lāʻau e mālama ai i nā maʻi hiki ke hōʻemi ʻia, hoʻoliʻiliʻi i ka mumū o ke kuamoʻo a hoʻokuʻu i nā ʻōuli, hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO kekahi o nā lāʻau i hoʻohana pinepine ʻia e komo pū me:

• Pākuʻi Corticosteroids, e like me Methylprednisolone a i ʻole Dexamethasone: hoʻēmi koke i ka hoʻowahāwahā o ka iwi kuamoʻo a hoʻēmi i ka pane o ka ʻōnaehana pale, e hoʻomaha ana i nā ʻōuli;
• Pākuʻi kuapo Plasma: hoʻohana ʻia ia i ka poʻe i hoʻomaikaʻi ʻole me ka ʻume ʻana o nā corticosteroids a hana me ka lawe ʻana i nā antibodies ʻoi aku paha e hoʻonāukiuki i ka iwi kuamoʻo;
• Nā lāʻau lapaʻau Antiviral: e mālama i nā maʻi viral hiki ke hana a hōʻeha hoʻi i ka iwi kuamoʻo;
• Nā mea hōʻeha ʻeha, e like me ka acetaminophen a i ʻole naproxen: e hoʻomaha ai i ka ʻeha o ka mākala a me nā ʻano ʻeha ʻē aʻe e ala aʻe.

Ma hope o kēia kauka mua, a ke kaohi ʻia nā ʻōuli, hiki i ke kauka ke ʻōlelo i nā kauōlaila e hoʻoikaika i nā mākala a hoʻomaʻamaʻa i nā lōkō, ka mea e hoʻopili ʻia e ka maʻi. ʻOiai ʻaʻole hiki i ka physiotherapy ke hoʻōla i ka maʻi, hiki iā ia ke hoʻomaikaʻi maikaʻi i ka ikaika o ka mākala, ka hoʻohui ʻana o nā neʻe, ka hoʻomaʻemaʻe ʻana i ka hoʻomaʻemaʻe ponoʻī a me nā hana o kēlā me kēia lā.

I kekahi mau hihia, pono pono paha e hana i nā kau hana ʻoihana, i mea e aʻo ai ke kanaka e hana i nā hana o kēlā me kēia lā me nā palena hou e kū aʻe me ka maʻi. Akā i nā manawa he nui he ola piha i kekahi mau pule a i ʻole mau mahina.