Hloov mus rau myelitis

Hloov tus mob myelitis yog ib yam mob los ntawm tus mob txha caj qaum. Yog li ntawd, cov ntaub npog (myelin sheath) nyob ib ncig ntawm cov leeg hlwb ntawm lub paj hlwb tau puas lawm. Qhov no cuam tshuam cov cim ntawm pob txha pob txha thiab ntawm lub cev.

Hloov myelitis tuaj yeem ua rau mob, leeg tsis muaj zog, tuag tes tuag taw, thiab zais zis lossis teeb meem hnyuv.

Transverse myelitis yog ib qho mob tsis txaus ntseeg siab ntawm lub cev. Ntau qhov xwm txheej, tseem tsis paub meej. Txawm li cas los xij, qee qhov xwm txheej yuav ua rau mob myelitis:

• Cov kab mob, kab mob kis, parasitic, lossis kab mob kis, xws li HIV, mob syphilis, varicella zoster (yoov yuag), tus kab mob West Nile, tus kab mob Zika, enteroviruses, thiab Lyme kab mob
• Kev tiv thaiv kab mob hauv lub nruab nrog cev, xws li ntau yam sclerosis (MS), Sjögren syndrome, thiab lupus
• Lwm txoj kev mob cuam tshuam, xws li sarcoidosis, lossis mob tiv thaiv cov nqaij mos hu ua scleroderma
• Cov ntshav ntsha uas cuam tshuam rau tus nqaj qaum

Hloov tus mob myelitis cuam tshuam rau tus txiv neej thiab poj niam txhua lub hnub nyoog thiab haiv neeg.

Cov tsos mob ntawm tus mob hu ua myelitis yuav tshwm sim li ntawm ob peb teev lossis ob peb hnub. Los yog, lawv yuav pib dhau li 1 txog 4 asthiv. Cov tsos mob tuaj yeem dhau los ua mob hnyav.

Cov tsos mob tshwm sim tshwm sim ntawm lossis qis dua thaj chaw ntawm tus txha caj qaum puas. Ob tog ntawm lub cev feem ntau cuam tshuam, tab sis qee zaum qee sab kuj cuam tshuam.

Cov tsos mob muaj xws li:

Qhov txawv txav:

• Looj
• Ntsuas
• Ntxim
• Mob khaub thuas
• Hlawv
• Hnov mus kov los yog qhov kub thiab txias

Cov tsos mob plob tsis so tswj thiab zais zis:

• Cem quav
• Nquag mus tso zis
• Nyuaj tuav zis
• Tso zis zis (tswj tsis tau)

Mob:

• Ntse lossis blunt
• Tuaj yeem pib hauv koj sab nraub qaum
• Tej zaum yuav tua koj ob txhais caj npab thiab txhais ceg los yog qhwv ib ncig koj lub pob tw lossis hauv siab

Nqaij tsis muaj zog:

• Poob ntawm kev tshuav
• Taug kev nyuaj (taug kev los yog rub koj ob txhais taw)
• Ib nrab ntawm qhov ua haujlwm ploj, uas tuaj yeem ua rau tuag tes tuag taw

Kev sib deev kawg:

• Nyuaj muaj orgasm (txiv neej thiab poj niam)
• Erectile kawg nyob hauv cov txiv neej

Lwm yam tsos mob tuaj yeem suav nrog ua tsis qab los noj mov, ua npaws, thiab ua pa nyuaj. Kev nyuaj siab thiab ntxhov siab tuaj yeem tshwm sim los ntawm kev ua haujlwm nrog kev mob nyhav thiab mob.

Koj tus kws kho mob yuav siv koj li keeb kwm kho mob thiab nug txog koj cov tsos mob. Tus kws kho mob tseem yuav ua lub paj hlwb soj ntsuam xyuas saib:

• Tsis muaj zog lossis poob ntawm cov leeg ua haujlwm, xws li mob leeg thiab cov leeg thim rov qab
• Mob theem
• Qhov txawv txav

Kev kuaj mob txhawm rau soj ntsuam transverse myelitis thiab txiav txim tawm lwm qhov laj thawj suav nrog:

• MRI ntawm tus txha caj qaum txhawm rau txhawm rau txhawm rau kuaj xyuas txhaws lossis txawv txav
• Tus txha caj qaum (caj pas sab nraud)
• Kuaj ntshav

Kev kho tus mob transverse myelitis pab kom:

• Kho cov mob uas ua rau muaj mob
• Txo txo ​​tus mob txha caj qaum
• Txo lossis txo cov tsos mob

Koj yuav tau muab:

• Cov tshuaj steroid tau muab los ntawm txoj leeg ntshav (IV) kom txo qhov mob.
• Kev hloov pauv ntshav. Qhov no suav nrog kev tshem tawm cov kua qhov ntawm koj cov ntshav (ntshav) thiab hloov nrog ntshav los ntawm tus pub khoom noj kom zoo lossis nrog lwm cov kua dej.
• Tshuaj noj rau tshuaj tiv thaiv koj lub cev tsis muaj zog.
• Tshuaj siv los tswj lwm cov tsos mob xws li mob, spasm, teeb meem tso zis, lossis poob siab.

Koj tus kws kho mob yuav pom zoo:

• Kev tawm dag zog lub cev los pab txhim kho cov leeg nqaij muaj zog thiab tshuav nyiaj li cas, thiab siv cov khoom ua si taug kev
• Txoj kev kho txoj haujlwm los pab koj kawm paub txoj kev tshiab los ua cov haujlwm txhua hnub
• Cov kev txhawb tswv yim los pab koj daws cov teeb meem kev ntxhov siab thiab kev xav los ntawm kev ua kom mob myelitis

Koj tuaj yeem daws kev ntxhov siab kev mob los ntawm koom nrog pab pawg txhawb nqa. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Qhov pom ntawm cov neeg mob transverse myelitis mas nws txawv. Feem ntau rov qab tshwm sim li ntawm 3 hlis tom qab mob. Rau qee qhov, kev kho kom zoo yuav siv ntau lub hlis. Li ib feem peb ntawm cov neeg mob transverse myelitis ua kom rov zoo hlo. Qee tus neeg rov zoo muaj mob xiam oob qhab me me, xws li teeb meem hnyuv thiab taug kev nyuaj. Lwm tus muaj qhov ua tsis taus mus tas li thiab xav tau kev pab ua haujlwm txhua hnub.

Cov uas yuav tsis zoo rov qab yog:

• Cov neeg uas muaj qhov pib sai sai ntawm cov tsos mob
• Cov neeg uas nws cov tsos mob tsis zoo li ntawm thawj 3 mus rau 6 lub hlis

Hloov tus mob myelitis feem ntau tsuas yog tshwm sim ib zaug rau hauv cov neeg feem coob. Nws yuav rov tshwm sim qee tus neeg uas muaj lub hauv paus pib, xws li MS. Cov tib neeg uas muaj kev koom tes ntawm tsuas yog ib sab ntawm tus txha nqaj qaum thiaj yuav muaj feem ntau los tsim MS yav tom ntej.

Cov teeb meem kev noj qab haus huv los ntawm transverse myelitis yuav muaj xws li:

• Tus mob tas li
• Ib feem lossis ua tiav ntawm cov leeg ua haujlwm
• Neeg tsis muaj zog
• Ua kom cov leeg nruj thiab nruj
• Teeb meem kev sib deev

Hu rau koj tus kws khomob yog:

• Koj pom dheev, qhov mob nraub qaum uas nraub qaum rau sab caj npab lossis ceg lossis ntaub caws ncig koj lub cev
• Koj mob caj dab cia li tsis muaj zog lossis loog ntawm caj npab lossis ceg
• Koj muaj poob ntawm cov leeg ua haujlwm
• Koj muaj teeb meem zais zis (ntau zaus los yog tsis voos) los sis mob plab hnyuv (cem quav)
• Koj cov tsos mob mob heev dua, txawm tias yog kev kho

TM; Mob transverse myelitis; Hloov mus rau lwm qhov theem nrab; Idiopathic transverse myelitis

• Myelin thiab cov hlab ntaws
• Vertebra thiab pob txha pob txha

Fabian MT, Krieger SC, Lublin FD. Ntau tus kab mob sclerosis thiab lwm yam kev mob vwm ntawm cov hlab ntsha nruab nrab. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 80.

Hemingway C. Demyelinating kev ua haujlwm ntawm cov hlab ntsha nruab nrab. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC thiab Wilson KM, eds. Nelson Phau Ntawv ntawm Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 618.

Lim PAC. Hloov mus rau myelitis. Hauv: Frontera WR, Nyiaj JK, Rizzo TD Jr, eds. Qhov tseem ceeb ntawm Kev Siv Lub Cev thiab Kev Rov Kho DuaCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 162.

Lub koom haum National of Neurological Disorders thiab Stroke lub vev xaib. Hloov daim ntawv qhia qhov tseeb myelitis. www.ninds.nih.gov/Disorders/Patient-Caregiver- Education-Fact-Sheets/Transverse-Myelitis-Fact-Sheet. Hloov kho thaum Lub Yim Hli 13, 2019. Nkag mus Lub Ib Hlis 06, 2020.