IHydromyelia

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Kufunyaniswa njani?
• Inyangwa njani?
• Yintoni imbonakalo?

Yintoni i-hydromyelia?

IHydromyelia kukwanda okungaqhelekanga ngaphakathi komjelo ophakathi, oqhele ukuba yindlela encinci kakhulu ehamba embindini wentambo yomqolo. Oku kudala isithuba, esibizwa ngokuba yi-syrinx, apho ulwelo lwe-cerebrospinal fluid (CSF) lunokuqokelelana kwaye lubeke uxinzelelo kumqolo womqolo. Ixesha elingaphezulu, oku kungonakalisa imithambo-luvo kwintambo yomqolo.

Kuhlala kwenzeka ikakhulu kwiintsana nasebantwaneni, kodwa kukho imeko efanayo ebizwa ngokuba yi-syringomyelia ethande ukwenzeka ikakhulu kubantu abadala. I-Syringomyelia ibandakanya ukwenziwa kwe-cyst kwintambo yomqolo eyonakalisa esi sakhiwo somzimba njengoko sikhula ngokuqokelelana kolwelo. Oku kunokubangela ukonakala kwimithambo-luvo kumqolo womqolo.

Ziintoni iimpawu?

I-hydromyelia emnene ayisoloko ibangela iimpawu. Nangona kunjalo, njengoko iqhubeka, inokubangela:

• ukulahlekelwa yimvakalelo ezandleni nasezingalweni
• intlungu entanyeni nasezingalweni
• ubuthathaka bemisipha esandleni, iingalo namagxa
• intlungu yomlenze okanye ukuqina

Ngaphandle konyango, ubuthathaka kunye nokuqina kuhlala kusiba mandundu kwaye kunokwenza ukuba kube nzima ukuhamba.

Ibangelwa yintoni?

Oogqirha abaqinisekanga malunga nesona sizathu se-hydromyelia. Nangona kunjalo, kucingelwa ukuba kunokwenzeka ukuba kunxibelelene nokuvaleka okanye ukuphazamiseka ekuhambeni kwe-CSF. Oku akulunganga kwinkqubo yakho ye-nervous central, njengoko ukuhamba kwe-CSF efanelekileyo kunye noxinzelelo oluhambelanayo kuyadingeka ukukhusela ingqondo kunye nentambo yomgogodla. Ukonzakala, iimeko ezisisiseko, kunye neengxaki ezithile ngexesha lokukhula kwengqondo kunye nomqolo kwisibeleko konke kunokubangela iingxaki ngokuhamba kwe-CSF.

Kukho ikhonkco eliqinileyo phakathi kwe-hydromyelia kunye ne-Chiari malformations. Olu luhlobo lwesiphene sokuzalwa esichaphazela ukwakheka kwengqondo. Bahlala bebangela i-cerebellum- indawo engasemva kobuchopho elawula intshukumo- kwaye ngamanye amaxesha nengqondo yengqondo iye ezantsi kwaye inyathele kwindawo egcinelwe intambo yomqolo. Oku kuthintela ukuhamba kwe-CSF.

Ezinye iimeko ezidibene ne-hydromyelia zibandakanya:

• amathumba omqolo
• i-arachnoiditis, kukudumba kwenwebu ye-arachnoid ejikeleze ingqondo kunye nentambo yomqolo
• i-meningitis, kukudumba kwenwebu (iincindi zeminwe) ezijikeleze ingqondo kunye nentambo yomqolo
• intambo yomqolo ebotshelelwe, ebhekisa kwizincamathelisi zomzimba ezibandakanya ummandla osezantsi wentambo yomqolo, othintela ukuba ungahambeli kumjelo womqolo njengoko kufanelekile

Kufunyaniswa njani?

Ugqirha womntwana wakho uya kuqala ngokubuza imibuzo enxulumene nembali yonyango lomntwana wakho kunye neempawu zakhe. Banokucela umntwana wakho ukuba enze iintshukumo kunye nezenzo ezithile ukuze ajonge iimpawu zobuthathaka okanye ukuqina emilenzeni yabo.

Ukuqinisekisa ukuxilongwa, kuya kwenzeka ukuba baodole i-MRI scan. Oku kusebenzisa iimagnethi ezinamandla kunye neempembelelo zeradiofrequency ukwenza imifanekiso eneenkcukacha kakhulu, kwaye akukho kubonakaliswa kwemitha ngemitha ye-MRI. Olu vavanyo lokucinga luya kuvumela ugqirha ukuba achonge amathumba okanye ezinye izinto ezingaqhelekanga kwingqondo nakwimimandla yomqolo.

Inyangwa njani?

Amanye amatyala e-asymptomatic hydromyelia anokujongwa ngononophelo ngaphandle konyango. Kungenzeka, kodwa kunqabile, kwezinye iimeko ze-hydromyelia ukusombulula ngaphandle kwonyango. Nangona kunjalo, ukuba kukho iimpawu ezibonakalayo ezingaphuculiyo okanye eziba mandundu, umntwana wakho unokufuna utyando ukulungisa ukuhamba kwe-CSF.

Iindidi zotyando zibandakanya:

• Ukuthulisa. Inkqubo yokuhambisa amanzi enevalvu isetyenziselwa ukukhupha i-CSF ukusuka kwimithambo yengqondo ukuya kwisisu esiswini.
• Uxinzelelo lwasemva lwefossa. Inxalenye encinci yethambo ngasemva kwengqayi esezantsi kunye nomqolo womlomo wesibeleko (laminectomy) iyasuswa ukunciphisa uxinzelelo.
• I-ventriculostomy yesithathu. Umngxunya wenziwe emazantsi e-ventricle yesithathu yengqondo yakho yokujika ukuhamba kwe-CSF.

Ukuba umntwana wakho ufuna utyando, ugqirha wakhe uya kugqiba eyona ndlela ifanelekileyo ngokusekwe kubukhali bemeko yomntwana kunye nokuba yintoni enokubangela. Bayakuthathela ingqalelo izinto ezininzi, kubandakanya ubudala bomntwana wakho kunye nempilo iyonke, ukuqinisekisa ukuba bakhetha eyona ndlela ikhuselekileyo.

Unyango lomzimba lunokunceda ukulawula iimpawu ze-hydromyelia ngokwandisa amandla kunye nokuguquguquka kwiingalo okanye emilenzeni.

Yintoni imbonakalo?

IHydromyelia inokubangela uluhlu lweempawu ze-neurological, ezinje ngokuqina, ukulahleka kwemvakalelo, iintlungu kunye nobuthathaka. Nangona kunjalo, ayizizo zonke iimeko ezivelisa iimpawu. Ukuba unomntwana oneempawu ezibonisa ukumodareyitha ukuya kwi-hydromyelia, ugqirha wabo uya kuncoma utyando ukuphucula ukuhamba kwe-CSF ukunciphisa iimpawu.