I-funicular myelosis iyisifo somgogodla esithinta izintambo zalo zangemva kwe-lateral. Ezimweni eziningi, lesi sifo senziwa kanye ne-perithic anemia. Ngokuvamile, ukuguqulwa okuhlangene kuyilinye igama lesi sifo - litholakala kubantu abangaphezu kweminyaka engamashumi amane ubudala. Iziguli ezincane zezifo azitholakali kakhulu ukugula.
Izimbangela ze-funicular myelosis
Isizathu esiyinhloko se-sclerosis ehlanganisiwe - lena enye igama elivamile elivamile lesi sifo - ukushoda okunamandla kwe-vitamin B12 ne-folic acid emzimbeni.
I-Cyanocobalamin iza nokudla. Ngokuba ukumuncwa kwalo emaphethelweni emathunjini kuhlangana nesici sangaphakathi seNqaba. Lezi zinsuku zikhiqizwa yizigulane ezise-mucosa esiswini. Ngakho-ke, uma izigulane ziyeka ukusebenza kahle, i-vitamin B12 ayinayo ikhono lokubanjwa.
Ukudlulisela isifo se-funicular myelosis izici yilokhu:
- I-Achilles gastritis;
- i-diphyllobothriasis;
- i-gastroectomy;
- isifo se-celiac;
- Isifo sikaCrohn;
- isifo sofuba;
- I-Pellagra;
- malabsorption syndrome;
- i-diverticulosis yamathumbu.
Njengoba ngokuvamile iziguli ezine-funicular myelosis zitholwa ngezifo ezizimele, kunesizathu sokukholelwa ukuthi ukungaxhunyiwe kuhlelo lokuzivikela komzimba kungaholela ekuntulekeni kwe-cyanocobalamin.
Izimpawu ze-funicular myelosis
Lesi sifo sinezici eziningana zezici. Phakathi kwabo:
- hypotension yemisipha;
- Ukuphazamiseka emsebenzini wezitho zomzimba;
- i-flaccid paresis;
- ubuthakathaka emilenzeni ;
- i-ataxia (ukusebenzisana okungalungile);
- ukugwinya kwamalungu;
- ukuzwa kwezingoma ezandleni nasezinyaweni;
- ukwanda kwe-tendon reflex.
Ukuxilongwa nokuphathwa kwe-miclosis funicular
Ukuthola inhlanganisela yokwehla, isazi akwanele ukulalela izikhalo. Izifo zihlanganisa:
- ukuhlolwa kwesisu;
- ukuhlolwa okuphelele kwegazi emtholampilo (ukuthola ukuthi i-anemia ne-vitamin B12 ayikho yini);
- ukuhlonza ukuhlukana;
- ukucwaninga ngomzimba ngokutholakala kwezifo ezifihlekile.
Ukwelashwa kwe-miclosis funicular kufanele kuhloswe ekuqedeni imbangela eyaholela ekubukeni kwayo:
- Ukubuyisela izinga le-cyanocobalamin lijojowe ngamanani amakhulu.
- I-folic acid inqunyelwe iziguli 5-15 mg ngosuku.
- Ngomsindo we-muscle okwandisiwe, kunconywa ukuphuza i-Baclofen, Midokalm , Seduxen.