I-myelopathy ehlukumezayo yisifo esiqhubekayo esibandakanya umgogodla. Kucatshangwa ukuthi yisifo esibangela ukuvuvukala, isifo esizimele esisodwa lapho isimiso somzimba sokuzivikela sikhubaza isimiso senzwa senja senja. Lokhu kuhlaselwa, okuguquguqukayo esimisweni saso nasesikoleni, kuholela ekulahlekelweni kokugxila emagqumeni ensimbi (myelin) nasezintanjeni zemisipha (axons).
Isilwane asisakwazi ukuhamba uma izinzwa zomgogodla zibhujiswa; ngaphandle kokuxhumeka kwemizwa, imisipha ayikwazi ukusebenza, futhi ilawula izindlela ezenza imisipha isebenze itholakale kuyo yonke insizwa yomgogodla.
I-Myelopathy ehlukumezayo kubelusi baseJalimane
Nansi ingxoxo no UMarjorie Zimmerman olahlekelwe isilwane sakhe esithandekayo esi sifo.
Q: Marj, sitshele kancane ngawe.
A: Nginomnikazi futhi ngithandwa ngabelusi baseJalimane kusukela ngo-1967. Umgogodla wawusuka ngaphansi kwezinyawo zami lapho uJack wami othandekayo wami ehlushwa isifo engingakaze ngizwe ngesimo sengqondo esingakahleleki. Ngingaholela ekuphileni okuvamile, kodwa akuyona indlela yami yokuhlala phansi futhi ngamukele ukungenakugwema.
Q: U-DM waba kanjani "imbangela"?
A: I-DM ayizange ibe yimbangela yami - yaba yisitha sami.
Isibindi nesibindi sikaJack kwasusa ukuzama ukugwaja. UJack Flash walondoloza impilo yami, kodwa bengingeke ngisindise. Lapho i-DM ithatha uJack Flash kimi eyaqala yonke impi!
Q: Uqala kanjani impi yakho?
A: Uma ngiphenya nge-DM, ngathola ukuthi iyimfihlo enkulu emnyama - engabonakali kubalimi. Lapho uJack Flash etholwe ukuthi unesifo sengculaza esiphelile ngo-1997, ngenza ingqondo yami ukuthi angamukeli isitatimende esibuhlungu besifo sezinzwa sokuthi akukho lutho okufanele lwenziwa.
Ucwaningo lwami luholele kuRoger Clemmons, DVM, Ph.D. Wayehlanganyela ngokucophelela ekucwaningeni kwe-myelopathy ekhubazekayo eNyuvesi yaseFlorida, njengoba ayelokhu enza kulo lonke umsebenzi wakhe. Ngenkathi kungelapheki, uDkt. Clemmons usemise uhlelo lwezokwelapha ukuphuthuma ukuqhubeka kweDM.
Ngokushesha ngemva kokuxhumana kwethu kokuqala, ngisekela iDegenerative Myelopathy Support Group.
Ngosizo lwakhe, amalungu akwazi ukubhekana nezikhathi ezinzima nezinkinga ezikhubazayo.
Q: Loluhlelo lwezokwelapha lwasebenza kanjani ngeJack Flash?
A: UJack waphelelwa yisikhathi sokunyakaza kwakhe kwezinyanga ezingu-2 kuya kwezingu-3 ngezinyanga ezingu-13, ngenkathi egcina izinga lokuphila. Ngathembise uJack, njengoba amehlo akhe evulekile okokugcina, ukuthi ngodumo lwakhe ngizoqhubeka ngilwa neDM, kuze kube yilapho isifo esithatha kimi singaphinde siphumelele ngokuphelele.
Q: Kuziphi izinhlobo ezivame kakhulu?
A: Kuze kube manje, izinhlobo ezilandelayo zitholakale ukuthuthukisa uhlobo olufanayo lwe-DM njengoba kuboniswe kuDlwane laseJalimane Inja: Inkosikazi yaseBelgium, i-Old English Sheepdog, i-Weimaraner, iRhodesian Ridgeback , i- Chesapeake Bay Retrievers , iLabs kanye ne- Great Pyreenes . Ukuqinisekiswa kokuxilongwa kwezinye izinhlobo kubaluleke kakhulu.
Kubonakala ngezikhathi eziningana emaJalimeni aseMalusi aseJalimane; Ngakho-ke, kubonakala sengathi kunezici ezakhiwe zofuzo kulolu hlobo. Yize izinhlanga eziningi zihlushwa yi-myelopathy eqhubekayo, i-myelopathy eyingozi kakhulu ye-German Shepherd Dog iyingqayizivele, njengoba kucatshangwa ukuthi iyisifo esizimele.
Q: Yiziphi izimpawu nezimpawu ezibonakala ku-DM?
A: I-DM ihlakaniphile kakhulu. Iza kancane kancane kancane kancane, okwenza lesi sifo sibe nenhle kakhulu.
Kungase kuhlasele eyodwa noma zombili izinhlangothi zomzimba futhi izipho ngokuxubha nokweqa izimpawu ezilandelayo, noma inhlanganisela elandelayo: Ubuthakathaka be-Hindquarter, imilenze yangemuva i-ataxia (ukungaqiniseki), ukulahlekelwa ibhalansi, ukukhubeka, ubunzima ukuphakama noma ukubeka phansi, ukugoqa (izinzwane zigoqa ngaphansi ngenkathi zihamba), imilenze yangemuva iwela ngaphansi komzimba, umlenze wangemuva uhudula, i-ataxia yomgogodla, i-hoarseness yamagxolo, umsila onomlenze, ukuchitheka kwemisipha, kanye / noma ukulahlekelwa kwemisipha yangemuva.
Lesi sifo esilimazayo siholela ekukhubaleleni nasekuziphatheni okungahambi kahle ezinyathelweni zayo zokugcina.
Q: Kanjani ukuqinisekiswa kwesifo?
A: I-DM isetshenziselwa ukuba "isifo sokulawula". Lokho akusasekho. Manje kukhona ukuhlolwa okuqondile kokuthi "lawula" ku-DM. Ngesikhathi kungekho khona ukuhlolwa okuqondile kwe-DM, kunezinhlanganisela zezivivinyo ezisiza ukuqinisekisa ukuxilongwa, kanti futhi zifuna nezinye izifo ezingase zilingise izibonakaliso zayo zomtholampilo noma ziphinde zibe khona no-DM.
Ukuhlolwa kwe-DM kuhlanganisa:
- Ukuhlolwa komzimba : kufaka phakathi umlando (ukutholakala kokuzalwa okubandakanya). Ukuhlola ngokomzimba kumele kuhlanganise nokuhlolwa kwegazi njalo (i-CBC, i-Chemistry Profile ne-UA), ama-rayographs wesifuba nesisu nesisu somzimba. Okunye ukuhlolwa kungaboniswa ngokusekelwe ekutholeni ngokomzimba. Izixuku ze-splenic azivamile kumagciwane e-DM, ngakho-ke i-palpation yesisu, i-radiographs noma (mhlawumbe) i-ultrasound ingabalulekile ekuqaleni nokuqapha iziguli.
- Ukuhlolwa kwe-neurological: ngifuna i-paresis engezansi engaziwayo. Amacala amaningi e-DM akhona njengengabonakali (ukungabi nobuhlungu) ukungasebenzi kahle kwe-motor neuronal (izimpande zomlenze zangemuva zikhona ekungeneni kahle) emilenzeni yangemuva, okuphakamisa ukuthi inkinga ingombuzo omhlophe wekholomu ye-TL yomgogodla.
- I-Electromyogram: kufaka phakathi ukuhlolwa kwe-Spinal Evoked Potential. Ezimweni ze-DM ezinzima, i-needle EMG, i-motor nerve conduction velocity kanye nezimpendulo eziphindaphindiwe zokuvuselela izinzwa zivamile, kodwa amandla okugaya umgogodla angabonakali. E-inter-vertebral disc isifo kanye ne-myelitis, i-EMG ayijwayelekile (igxile), kodwa amandla okugaya umgogodla angajwayelekile. Ku-polyradiculoneuropathy, i-EMG ayijwayelekile, ihluke kakhulu, futhi amandla okugaya umgogodla ajwayelekile.
- I-Lumbar CSF (i-cerebral fluid spinal) : ukuhlaziywa ngeziqu ezifanele kanye nezinga le-cholinesterase. E-DM engaqondakali, iphrotheni ye-lumbar i-lumb iphakanyisiwe, isibalo se-CSF sesisindo sivamile, izihloko azibi futhi ukukhishwa kwe-cholineterase kuphakanyisiwe. Ezifweni ezithathelwanayo noma ezivuthayo, amazinga weprotheyini nama-cholineterase nawo aphakanyisiwe, kodwa ukubalwa kwamaseli kanye nezihloko nakho akuvamile. Ezikhathini ze-disc-vertebral disc, amaprotheni kanye nokubalwa kwamaseli kuphakanyiswa kancane futhi amazinga we-titers nama-cholineterase ajwayelekile.
- Ama-Radiographs omgogodla: (i-imaging ejwayelekile nefanele - i-myelogram noma i-MRI) I-colinal coling imaging ibonisa kuphela izimpawu zonyaka, ngaphandle uma kunezinkinga ze-DM.
Ezinye iziguli ze-DM aziphatha kahle imyelography kahle futhi izimpawu zabo zezinzwa zingadala noma zingase zikhubazeke.
Ngakolunye uhlangothi, i-myelography ingaba isilingo esibaluleke kakhulu lapho sifuna izifo zokuhlinzwa. Akukubi ukugwema ukutholakala kwezifo zokuhlinza. I-DM ingenye yezifo ezingezona ukuhlinzwa; Nokho, kungcono ukuqala ukuhlolwa kwe-DM ngezivivinyo ezingenangqondo, bese kusale ukuhlolwa okujulile kokugcina.
Q: Kuyini ukuchazwa kwenja yeDM?
A: Kukhona ukuqhuma kokukhubazeka ezinyangeni ezingu-3-6 uma i-DM ingaphathwa. Uma ukwelashwa okufanele, lokhu kungase kube kabili. Ezinye izinja ngeke zithuthuke ngelashwa. Cishe zonke izinja zizoqhubeka ngaphandle kwayo.
Uma sekuvele ukukhubazeka kwesinye isikhathi, kukhona enye inkambo eqhubekayo ekuphelelweni kokuqala kokukhubazeka. Ekugcineni, kukhona enye inkambo eqhubekayo ekuhlulekeni kwengqondo. Zimbalwa izinja eziyosinda ezingaphezu kweminyaka emibili ngaphandle kokwelashwa.
Nakuba isitho esisodwa esithintekayo yi-DM yintambo yomgogodla kanye ne-brainstem (nakuba izinguquko zibonakala endabeni emhlophe ye-cerebrum), ukuphazamiseka kokukhubazeka kungaholela ekuhlulekeni kwezinso, inhliziyo kanye / noma amaphaphu. Ngokuvamile ngokuvamile udokotela wezilwane, ongafuni ukubeka izinja ngokusebenzisa noma yikuphi ukuhlolwa noma umnikazi ngokusebenzisa izindleko ezengeziwe, uyayinaki lezi zinkinga ezengeziwe. Ngokuvamile, izinkinga zingase zihanjiswe ukuze ziyingxenye ye-DM, okuyinto ngokuqinisekile akunjalo.
Kubalulekile ukuqapha impilo yezinja ze-DM futhi uphathe lezo zinto ezingaphathwa, kubandakanya nezinkinga ezengeziwe zezinzwa.
Izwi mayelana nokuvinjelwa kwezinambuzane enjazaneni ye-DM: Ukusiza inja ye-DM iphile impilo ende, imithi yokuvimbela kanye nemithi ye-heartworm kumele ihlolwe. Izinja kumele zithole ukuvimbela okukhukhulayo nokushaya inhliziyo uma zihlala ezindaweni lapho lezi zinkinga. UDkt. C. uzizwa i-Revolution inhle kakhulu inja ye-DM, ene-Frontline eyengeziwe njengoba kudingeka. Uma kungenjalo, inhlanganisela yePrelineline noFilarbits PLAIN (hhayi ngaphezulu) ingcono kakhulu.
Q: Ingabe uDkt Clemmons usabandakanyeka nezinja zeDM?
A: UDkt. Roger Clemmons, ngombono wami, umuntu owaziwa kakhulu ukubonisana uma kuziwa ku-DM ku-German Shepherd Dog. Uyi-DVM, Ph.D., kanye noProfesa ohlangene we-Neurology & Neurosurgery, i-Small Animal Clinical Sciences, e-University of Florida, eGainesville. Manje ufunda imiphumela yemithi emisha maqondana no-DM, enethemba lokunciphisa ukuqhubekela phambili kwesifo. Ubuye afune i-genetic (DNA) "iminwe yeminwe" ye-DM ukuze ubone ukuthi iziguli "ezisengozini" zingabonakala ngaphambi kokuthuthukisa izimpawu.
UDkt. Clemmons uyaqhubeka nokucwaninga izindlela zokulwa noDM. Ubhalele ku-AKC Canine Health Foundation kanye nesandulela sakhe sesandulelekile sibuyekezwe futhi sivunyiwe ukuze sikwazi ukuxhasa imali.
Q: Ingabe kukhona indlela esingayenza ukuvimbela i-DM ezinja zethu?
A: UDkt. C. uhamba ngezwi elidala, "Isikhathi sokuvimbela kufanele sithole amaphilisi omuthi." Ukholelwa ukuthi ukudla kungasiza ekwakhiweni kwezinkinga ezizimele. Ukhetha ukudla okungokwemvelo futhi abe nokudla okuphekwe ekhaya ekhaya lakhe. Futhi, ama-antioxidants angadlala indima enkulu ekuvikeleni isifo sokuzimela, ukulwa nomonakalo owenziwe ngama-radicals mahhala. Uhlanganisa inqubo yendabuko ye-allopathic ngendlela ehlukile yokuncoma ikhuthaza okulandelayo ukugcina inja iphilile:
- I-potency B ephezulu (B 50)
- I-vitamin E engu-400 ye-UU nsuku zonke (oneminyaka engaphezu kwengu-2, unikeza 800 IU)
- I-vitamin C 250mg kabili ngosuku (ngaphezu kweminyaka emibili ubudala, unike 500mg)
- I-100mg ye-selenium yansuku zonke (engaphezu kweminyaka emibili ubudala, unike i-200 mcg)
- I-500mg yamafutha we-borage kabili ngosuku
- 12 500 IU Beta I-Carotene (engaphezu kweminyaka emibili ubudala, unike 25,000)
- 1mg / kg (noma i-capsule engu-1) i-Ginkgo biloba izikhathi ezingu-2-3 ngosuku
- I-capsule 1 (noma indebe) itiye elihlaza, kabili ngosuku
- Imbewu yamagilebhisi ayi-50mg ikhishwe, kanye ngosuku
- 2 ama-sardine noma 1 T emhlabathini we-flax imbewu
- 1-2 Amaqabunga ama-garlic (achotshoziwe)
Qaphela: Engeza izithako kancane kancane, ukwengeza okusha okusha zonke izinsuku ezimbalwa. Ngaleyo ndlela, uma into engavumelani nenja yakho, uzokwazi ukuthi yini ebangele inkinga. Ukwandisa uhlelo lokugaya inja yezinto eziningi ezintsha ngesikhathi esisodwa akukaze kwaziswa. I-Vitamin C ayikhuthazwa izinja nge-IBD. Futhi:
- Zama ukugwema ukuvezwa kwezibulala-zinambuzane.
- Hlola izipikili zangemuva zenja yakho kanye ngenyanga. Bheka ukugqoka okungalingani kwizipikili, okungenzeka kube yi-off-off yokuqala ku-DM.
Q: Ingabe kuphephile ukuzala inja ye-DM?
A: Sicela ungazalanga inja enemithipathy ephuzayo. Nakuba i-DM ingase ingabizwa ngokuthi isifo sofuzo, kubonakala sengathi ihlanganisa izici zofuzo. Kuze kube yilapho izici ziqondwa kangcono, abalimi abanomthwalo wemfanelo akumele baphelele ukutholakala kwezakhi zofuzo. Uma i-genetic profiles yezinja ze-DM iqondwa ngokwesayensi, le nkinga ingaba yicacile. Okwamanje, uqaphele u-ally wethu ongcono kakhulu.
Q: Usho ukuthi kungenzeka ukuthi kukhona i-DM. Sitshele ngomsebenzi wakho we-Pedigree.
A: Ngiqoqa izindiza zezinja ze-DM ngomzamo wokwakha i-database. Ngolunye usuku le iqoqo lezinhlamvu linganikeza ukuqonda okubalulekile lapho izinja zingase zibe engozini yokuthuthukisa i-DM. Uma singakwazi ukuvula labo abasengozini, singakwazi ukuhlinzeka ngokungenelela kokuqala noma ukuvimbela lesi sifo ukuba singathuthuki.
Amalungu amaningi eqembu lokusekela athumele ama-pedigrees ezinja zabo ze-DM ebhodini lami lomlayezo ku-Forum Pedigree. Ngaphezu kwalokho, abanye baye bathumela nge-pedigrees, ngasese, befuna ukuba kubonakale kuphela kubacwaningi, kunokuba umphakathi uwonke.
Lapho i-pedigrees ithunyelwe esidlangalaleni, abalimi abanolwazi bayakwazi ukubona ukuthi yiziphi izinhlanganisela zokuzalanisa ezikhiqize inja / izinja ze-DM. Akukho ukusweleka kwezilwane ezizalisayo, futhi ayikho inhlabamkhosi noma idamu okufanele inqunywe ohlelweni lokuzalanisa. Kodwa-ke, lolu lwazi lunikeza abalimi abanolwazi ngolwazi mayelana nokuhlanganiswa okungaholela etafuleni le-DM. U-Sibling DM akavamile, futhi ukuthunyelwa kwama-pedigrees kunokwenza ukukhetha okuhlakaniphile kanye neziphuzo ezinempilo. Kungaba kuhle ukuba nesibambiso lapho imigqa yemigqa ingase ibe nenengozi enkulu yokuthuthukisa i-DM.
Q: Ngitshele kabanzi mayelana ne-questionnaire ebonakala kuwebhusayithi yakho.
A: Njengobe ulwazi lwami lwe-DM lukhulile, kanjalo ne-questionnaire esayithini lami. Umbuzo owodwa uholela kwesinye futhi, ngokwesayensi, ngokuvamile isimo kufanele sihlolwe ngobuncane. Ucwaningo lwami luyi-anecdotal hhayi lwesayensi. Kodwa-ke, ngiye ngaqala ukuvula amaphethini okwenzeka. Ngiyethemba ukuthi lolu lwazi lungakwazi ukunikeza idatha ebalulekile ekutadisheni kwesayensi esikhathini esizayo.
Lapho abantu abaningi abanezinja ze-DM abambe iqhaza emiphakathini yami, ulwazi oluthe xaxa engingakukhothoza ngokuthi "ngubani, nini, nini, kuphi nokuthi kungani" ku-DM. Sicela, sisize ekusakazeni igama - kubangani bakho, abangane, amaklayenti kanye nabaqeqeshi bezempilo bezilwane.
Q: Singasiza kanjani?
- Ukusekela nge-DNA / ucwaningo lweminwe nokuhlolwa.
- Khetha inyanga ezinkampanini zakho zendawo ukuze ucacise njengeNyanga Yokuqwashisa Ye-DM - babambe izikhwama zezimali, izindalini noma amaminithi emfundo.
- Buza iklabhu yakho yomzali ukuthi ibheke imali yokucwaninga kwe-DM.
- Ukuncenga izinhlangano zokusiza, njenge-Morris Foundation, i-AKC Canine Health Foundation, njll ngemali yesibonelelo kulabo abanolwazi ku-DM ucwaningo.
Futhi sicela, uphakamise izimali zeqembu noma uthumele isheke somuntu ngamunye, intela-deductible noma imali elandelayo:
UDkt Roger Clemmons
PO Box 100126
Ikholeji yeMithi Yezokwelapha
University of Florida
Gainesville, FL 32610-0126
Cacisa ngesheke sakho noma umyalelo wemali ukuthi lo mnikelo uzosetshenziselwa ucwaningo lukaDkt Clemmons, KUPHELA.