Ukungcangcazela kunye noxinzelelo lwe-Spinal Cord

Ukungcangcazela kunqabile kakhulu, kodwa kunokukhokelela kuxinzelelo lomgogodla kwaye ayisiyiyo imeko yobuchopho Isifo sikaParkinson. Ukungcangcazela kukungaqhelekanga, iintshukumo zomzimba ezizenzekelayo ezineendlela ezahlukeneyo oonobangela, uninzi lwayo ludityaniswe nengqondo kungekhona umqolo. Uphononongo lunika ingxelo yokuba ngaphezulu kwe-75% yabantu abane-Parkinson bafumana ukungcangcazela okuphumlayo, kwaye malunga ne-60% bafumana ukungcangcazela ngelixa beshukuma. Ngamanye amaxesha umqolo unegalelo elibangelwa kukunyanzeliswa kwentambo yomgogodla.

Uphononongo lokuNxinzelela uMnqonqo

Indoda eneminyaka engama-90 ubudala yalaliswa esibhedlele emva kokungcangcazela, kwaye uParkinson waba sisifo sokuqala. Iinyikima zahambela phambili kangangokuba le ndoda yayingakwazi ukuzondla okanye ukuhamba ngaphandle kwenkxaso. Eli tyala liye laba ngumba we-a ingxelo yonyango epapashwe ngoogqirha kwi ISebe le-Orthopedic Surgery, iCandelo loMnqonqo, iSibhedlele saseSingapore iTan Tock Seng. Kanye kunye nokungcangcazela, iimpawu ziqhubela phambili zibe:

• Ubunzima bezakhono zobuchule bemoto obufana nokuqhobosha ihempe.
• Nangona kunjalo, kwakukhutshwe ngenxa yokuba isigulane sasingabonakali kunye nezinye iimpawu zeParkinson.
• Oko kwafunyanwa kwiimpawu kwaba I-myelopathy yomlomo wesibeleko, oluluxinzelelo lwe-spinal cord entanyeni.
• Uxinzelelo lwabangelwa yidiski ye-herniated ethintela umjelo womqolo kunye nokucinezela intambo yomqolo ebangela stenosis yomqolo.
• Uxinzelelo lwasonjululwa ngokuthi kwenziwe utyando lwe-ACDF.
• An i-discectomy yomlomo wesibeleko yangaphambili kunye nokudibanisa or ACDF inkqubo inokunceda ukulawula imeko.
• I-ACDF iphatha ukunyanzeliswa kwentambo yomgogodla ngokususa i-disc degenerative okanye i-herniated disc entanyeni.

I-Myelopathy yoMlomo wesibeleko

Izizathu ze-cervical spondylotic myelopathy ziquka:

• I ngxaki
• Infections
• Izifo ezivuthayo njenge-rheumatoid arthritis.
• I stenosis

Iimpawu eziqhelekileyo zibandakanya:

• Iingxaki zokulinganisela
• Iingxaki zokuququzelela
• Ukutshotshozela ezandleni
• Ubungqina
• Ubuthathaka
• Ukonakaliswa kwezakhono ezifanelekileyo zemoto

Ukungcangcazela njengophawu kunqabile.

I-Myelopathy yoMbeleko vs. Isifo sikaParkinson

Kukho iimeko apho i-cervical spondylotic myelopathy kunye neempawu zesifo sikaParkinson zinokungenana. Studies baye babonisa ubunzima phakathi kokuxilongwa kabini, ngokunjalo, abantu abane-Parkinson banokubonisa iimpawu ezifana ne-cervical spondylotic myelopathy enokubandakanya:

• Ubuthathaka
• Ukungabikho kolungelelaniso
• Ukungasebenzi kakuhle kwesisu
• Ukungasebenzi kakuhle kwesinyi

Unyango I-Cervical Myelopathy Iinyikima

Kubantu abane-cervical spondylotic myelopathy tremors, utyando lunokusetyenziswa ukunceda imeko. Nangona kunjalo, nge-myelopathy yomlomo wesibeleko, kuhlala kukho umonakalo osisigxina. Abantu ngabanye baye babonisa ukuba emva kokuhlinzwa kunye nokunciphisa iimpawu, iimpawu zisekhona, mhlawumbi zingekho kakhulu, kodwa kuya kubakho imfuneko yesicwangciso solawulo lweempawu.

uthintelo

Indlela efanelekileyo yokuthintela ukuthuthumela okuhambelana nomlomo wesibeleko se-spondylotic myelopathy kukunciphisa uxinzelelo kumqolo ongakhokelela kwiidiski ze-herniated kunye / okanye ezinye iingozi zomgogodla. Iidiski kwi-spine degenerate, zome kwaye ziqale ukuqhaqha kunye nobudala, ukwandisa umngcipheko wokuqhawula. Ukuba ukungcangcazela kukhula, qhagamshelana nogqirha, ingcali yomgogodla, okanye i-chiropractor ukunceda ukuxilonga imeko. Aba gqirha banokwenza iimvavanyo zomzimba kunye ne-neurological ukufumanisa isizathu kunye neendlela zonyango.

---

UkuBumbiswa kweBhunga

---

Ukuguga kweMpilo

Ukufumana ubunzima obuzinzileyo kubo bonke ubomi kunokukhokelela kwisifo seswekile sabantu abadala. Oku ngokuyinxenye kubangelwa ukuba namafutha amaninzi kunye nokulahleka kwemisipha okuqhubekayo. Ukulahleka kwe-skeletal muscle mass kudibaniswa ukuxhatshazwa kwe-insulin oko kubandakanya:

• Isihlunu esincinci sifumaneka, kokukhona umzimba usiba buthathaka kwi-insulin.
• Njengoko uvakalelo lwe-insulin luyancipha, umzimba uye uxhathise ngakumbi, ukwanda kwemingcipheko yohlobo lwe-II yeswekile.
• Oku kunokukhokelela kwi-osteoporosis, apho ithambo elidala liphinda lifakwe ngakumbi kwaye lincinci ithambo elitsha lenziwe.

Bobabini amadoda nabasetyhini banokufumana ubunzima obunciphileyo obunokukhokelela ekubeni:

• Amathambo amancinci
• Amathambo abuthathaka
• Ukonyuka komngcipheko we-osteoporosis kunye nokulimala okukhulu ekuweni.

Ukunceda ukuthintela le miba, kuyacetyiswa ukuba:

• Yitya iprotheyini eyaneleyo imini yonke.
• Kuyacetyiswa ukuba ukhuphe iprotheyini ngexesha lokutya kunokuba uyitye yonke ngexesha elinye. Oku kunceda ukuqinisekisa ukuba isixa esifanelekileyo sifunyenwe.
• Ukubeka iliso ekubunjweni komzimba rhoqo kunokunceda ukunciphisa ukulahleka kobunzima bemisipha kunye nokuzuza ubunzima njengoko umzimba uguga.
• Inkqubo yoqeqesho lwamandla rhoqo iya kunceda ukuqinisa imisipha yamathambo kunye nokugcina ukujikeleza kakuhle.

Ucaphulo

Heusinkveld, Lauren Et al. "Impembelelo yokungcangcazela kwizigulana ezineSifo sikaParkinson sokuqala." Imida kwi-neurology vol. 9 628. 3 Agasti 2018, doi:10.3389/fneur.2018.00628

UJancso, uZ et al. "Umahluko ekuzuzeni ubunzima kwizifundo zokhathalelo oluphambili kunye nabanesifo seswekile." Ijenali yezondlo, impilo kunye nokuguga vol. 16,6 (2012): 592-6. doi:10.1007/s12603-011-0360-6

Srikanthan, Preethi, kunye Arun S Karlamangla. “Izihlunu ezizalanayo zinxulunyaniswa ngokungafaniyo nokunganyangeki kwe-insulin kunye ne-prediabetes. Iziphumo zoVavanyo lweSizwe lweMpilo neSondlo lwesithathu.” Ijenali ye-endocrinology yeklinikhi kunye nemetabolism vol. 96,9 (2011): 2898-903. doi:10.1210/jc.2011-0435

UTapia Perez, uJorge Humberto et al. "Unyango lwe-Spinal Myoclonus ngenxa ye-Degenerative Compression Myelopathy kunye ne-Cervical Spinal Cord Stimulation: Ingxelo yeemeko ze-2." World neurosurgery vol. 136 (2020): 44-48. doi:10.1016/j.wneu.2019.12.170