Cervical myelopathy imabwera chifukwa cha kupsinjika kwakukulu pamitsempha msana. Ndilo vuto lachiwopsezo lodziwika bwino, yodziwika ndi clumsiness m'manja ndi kuyenda molingana.
Matendawa amapita patsogolo ndipo makamaka chifukwa cha kupanikizika kwa msana wa khomo lachiberekero., chifukwa cha kuwonongeka kwa mafupa ndi ma disc a anterior herniated, spondylitic spurs, ossified posterior longitudinal ligament kapena stenosis ya msana.
Myelopathy nthawi zambiri imakhala yocheperako pang'onopang'ono yomwe imakhudza okalamba.
Zitha kukhala chifukwa cha zizindikiro ndi zizindikiro zosiyanasiyana. Chiyambi cha matendawa ndi chobisika, kawirikawiri mwa anthu a 50 a 60 zaka.
Mlozera
Zifukwa za Cervical Myelopathy
Myelopathy nthawi zambiri imayamba pang'onopang'ono tikamakalamba, koma imathanso kubwera chifukwa cha kupunduka kwa msana komwe kumakhalapo pakubadwa. Zomwe zimayambitsa myelopathy ndizovuta zamtundu wa vertebral monga:
- Msana stenosis
- kuchepa kwa mafupa a msana ndi mizu ya mitsempha
- Matenda a nyamakazi
- Ma cysts
- Hematoma
- Zotupa
- Khansa ya mafupa
- Kuvulala kwa msana ndi matenda
- Matenda otupa
- Radiotherapy
- Matenda a ubongo
Kuwonongeka kwa khomo lachiberekero ndi chifukwa chofala kwambiri cha kupsinjika kwapang'onopang'ono kwa msana ndi mizu ya mitsempha.. Zomwe zimayambitsa khomo lachiberekero myelopathy zitha kugawidwa m'magulu osiyanasiyana:
Zinthu zosasintha
Izi nthawi zambiri zimakhala chifukwa cha kuchepa kwa kukula kwa msana wa msana ndi kusintha kwapang'onopang'ono kwa thupi la msana wa khomo lachiberekero., Chani: kuwonongeka kwa disc, spondylosis, stenosis, kupanga osteophyte, segmental ossification, ndi zina.
Zinthu zamphamvu
Zinthu izi ndi zotsatira za zovuta zamakina za msana wa khomo lachiberekero kapena kusakhazikika.
Mitsempha ndi ma cellular factor
Zina mwazinthu zamtunduwu tili nazo: ischemia ya msana yomwe imakhudza oligodendrocytes, kuchititsa demyelination yomwe imasonyeza zizindikiro za matenda osachiritsika osatha. Glutamatergic toxicity imathanso kuchitika, kuvulala kwa ma cell ndi apoptosis.
Zizindikiro
Zizindikiro zimayamba pang'onopang'ono. Chifukwa chosowa ululu, pangakhale nthawi ya zaka pakati pa kuyambika kwa matendawa ndi chithandizo choyamba.
Los síntomas tempranos de esta afección son “manos adormecidas, torpes y dolorosas” y alteración de las habilidades motoras finas.
Pamene msana ndi wothinikizidwa kapena kuvulala, zingayambitse kutaya kumverera, kutayika kwa ntchito ndi kupweteka kapena kusamva bwino m'dera kapena pansi pa nsonga ya kupanikizika.
Zizindikiro zenizeni zidzadalira kumene myelopathy ilipo mumsana.. Mwachitsanzo, khomo lachiberekero myelopathy ali ndi zizindikiro pakhosi ndi mikono.
Zizindikiro za myelopathy zingaphatikizepo:
- Ululu Wa Pakhosi, mkono, mwendo kapena kumunsi kumbuyo
- Kufooka kwakutali
- Tingle, dzanzi kapena kufooka
- Manja ofooka kapena ofooka
- Kuvuta ndi luso labwino lamagalimoto, monga kulemba kapena kumangirira malaya
- Kuwonjezeka kwa ma reflexes m'malekezero kapena kukula kwa ma reflexes achilendo
- Kuvuta kuyenda
- Zizindikiro za radiculopathic
- Kutaya mkodzo kapena matumbo
- Mutu wamba wa occipital
- Mavuto ndi kulinganiza ndi kugwirizana
- Axial khosi ululu
Matenda
Kuzindikira kukhalapo kwa khomo lachiberekero myelopathy, Akatswiri amalangiza kuyezetsa mwatsatanetsatane komanso mozama za minyewa kuphatikiza MRI kapena MRI. Ma radiographs okha sagwiritsidwa ntchito pang'ono ngati njira yodziwira matenda.
Chithunzi cha MRI (IRM) amaonedwa kuti ndi njira yabwino yowonetsera kuti atsimikizire kukhalapo kwa stenosis ya msana, kupsinjika kwa umbilical cord kapena myelomalacia, zinthu zokhudzana ndi cervical spine myelopathy.
Myelography imathandizanso kwambiri, amagwiritsa ntchito zinthu zosiyana ndi mawonekedwe a x-ray otchedwa real-time fluoroscopy kuwulula zovuta za msana.. Nthawi zina amagwiritsidwa ntchito m'malo mwa MRI kwa odwala omwe sangakhale mkati mwa makina.
Chithandizo
Chithandizo cha khomo lachiberekero myelopathy zimadalira makamaka zimene zimayambitsa. Komabe, nthawi zina, chifukwa chake chingakhale chosasinthika. Pankhaniyi, chithandizocho chingakhale chochepetsera zizindikiro kapena kuchepetsa kukula kwa matendawa..
Chithandizo cha matendawa chikhoza kugawidwa kukhala opaleshoni komanso osachita opaleshoni.
Chithandizo chosachita opaleshoni cha khomo lachiberekero myelopathy
Chithandizo chosapanga opaleshoni cha khomo lachiberekero myelopathy chitha kukhala ndi ma braces, kuthupi ndi mankhwala. Mankhwalawa angagwiritsidwe ntchito pazinthu zochepetsetsa ndipo cholinga chake ndi kuchepetsa ululu ndikukuthandizani kuti mubwerere kuntchito zanu za tsiku ndi tsiku..
Chithandizo chosachita opaleshoni sichichotsa kupsinjika. Zizindikiro zanu zidzakula, kawirikawiri pang'onopang'ono, koma nthawi zina amakwiya, nthawi zina. Ngati muwona kupitilira kwa zizindikiro zanu, lankhulani ndi dokotala wanu mwamsanga.
Chithandizo cha opaleshoni ya khomo lachiberekero myelopathy
Opaleshoni ya msana ndi njira yodziwika bwino yothandizira khomo lachiberekero myelopathy. Opaleshoni itha kugwiritsidwanso ntchito kuchotsa fupa spurs mafunde ma discs a herniated ngati apezeka kuti ndi chifukwa cha myelopathy.
Laminoplasty ndi njira yopulumutsa moyo, kutanthauza kuti msana wanu umakhalabe wosinthika pamalo oponderezedwa.
Odwala ena sangakhale okonzekera laminoplasty. Njira ina ndi decompression ndi kuphatikizika kwa msana komwe kungachitike kale. (kuchokera kutsogolo) pambuyo pake (kuchokera kumbuyo).
Poyembekezera opaleshoni, kuphatikiza masewera olimbitsa thupi, Kusintha kwa moyo, mankhwala otentha ndi ozizira, jakisoni kapena mankhwala amkamwa angakuthandizeni kuthana ndi zowawa zilizonse.