Ngati muli ngati anthu ambiri, muli ndi mwayi woti simunamvepo zapadera flaccid myelitis (AFM). Ndizovuta kwambiri zomwe zingayambitse kufooka, ndipo zimakhudza ochepera mmodzi mwa anthu 1 miliyoni ku United States.
Komabe, ngakhale kuti AFM ndi yosawerengeka, kuwonjezeka kwakukulu kwa chiwerengero cha matenda omwe anapezeka mu 2014 ndi 2016 kunadziwika.
Chochititsa chidwi, matenda omwe anapeza anali otsika mu 2015. Chifukwa chakuti vutoli silikudziwika bwino ndipo zenizeni zenizeni sizidziwika, tifunika kukhala pamwamba pa izo ndi kudziwa zomwe tingaziyang'anire.
Zimene Mukuyenera Kudziwa
Ngati vutoli ndi losazolowereka, mukhoza kudabwa chifukwa chake muyenera kudziwa za izo. Chodetsa nkhaŵa pano ndikuti milandu ikukula ndipo sitikudziwa chifukwa chake. Sitikudziwa chomwe chimayambitsa flaccid myelitis ndipo sitidziwa momwe tingachitire.
Matendawa adakhudza makamaka ana, ngakhale akuluakulu ena atha kupezedwa. Kudziphunzitsa nokha za zizindikiro ndi zomwe muyenera kuyembekezera kudzakuthandizani ngati inu, mwana wanu, kapena munthu wina amene mumadziŵa ali ndi AFM.
Zizindikiro
Sikuti aliyense amene ali ndi vuto loopsa la flaccid myelitis ali ndi zizindikiro zomwezo. Zizindikiro zomwe zimachitika ndi AFM ndizo:
- Kufooka mwadzidzidzi kwa miyendo
- Kutaya kwa minofu ndi ma reflexes
- Zojambula za nkhope / zofooka
- Kuvuta kusuntha maso
- Kutsegula maso
- Kuvuta kulankhula kapena kusalankhula
Anthu ena amatha kumva kupweteka, kupweteka, kapena kupweteka m'mikono ndi miyendo, koma zizindikirozi sizodziwika.
Kulephera kupuma kupuma kungakhalepo ngati minofu yomwe imathandiza kupuma imakhudzidwa. Panthawiyi, mpweya wabwino umakhala wofunikira, nthawi zambiri umatchedwa makina opuma kapena thandizo la moyo.
Anthu ena akhoza kukhala ndi vuto lopitirira mkodzo. Kuwopsa kwa zizindikirozi kumasiyana pa mulandu wotsutsa.
Kudziwa
Ngati mwana wanu ali ndi zizindikiro zomwe tazitchula pamwambapa ndipo dokotala wake akudandaula kuti akhoza kukhala ndi vuto loopsa la myelitis, pali mayesero ambili omwe angayesedwe. Dokotala wa ana anu amayesa kayendedwe kake ka mitsempha kuyang'ana malingaliro ake, minofu, ndi kufooka. Kaŵirikaŵiri MRI imalamulidwa kuti imuthandize kupeza matenda.
N'kuthekanso kuti mwana wanu amafunika kukhala ndi pulogalamu yapamwamba-kapena kamphepete yamaginja yomwe imayesedwa kuti ayese cerebrospinal fluid (CSF) ya majeremusi omwe angayambitse zizindikiro.
Mayesero onsewa pamodzi athandize gulu lachipatala kuti lipeze chithandizo ndi kuchipatala.
Pali mavairasi angapo omwe angayambitse zizindikiro za AFM. Zowoneka kwambiri zomwe zazindikiridwa zikuphatikizapo:
- Mavitamini (monga poliyo)
- Ma Virusi a West Nile
- Adenovirus
Mwatsoka, nthawi zambiri, osati chifukwa chenicheni cha AFM sichidziwika.
Mu 2014, panali kuphulika kwa enterovirus yotchedwa EV-68. Panali zokayikitsa kuti mtundu uwu wa enterovirus ukhoza kukhala womwe unayambitsa kuwonjezeka kwa milandu ya AFM chaka chimenecho. Malingana ndi CDC:
EV-D68 yakhala ikudziwika kale mu zitsanzo zachipatala kuchokera kwa odwala ochepa omwe ali ndi AFM. Pazochitikazi, sizikuwonekeratu kuti kukhalapo kwa EV-D68 kunangochitika mwangozi kapena kuti ndi chifukwa cha AFM. Mosasamala kanthu, kuyesa kwakukulu kwa zitsanzo zachipatala kuchokera ku milandu ya AFM mu 2014 sanapeze tizilombo tooneka bwino komanso kosavomerezeka.
Chithandizo
Palibe mankhwala enieni kapena machiritso ovuta a flaccid myelitis. Zizindikiro nthawi zambiri zimawongolera okha koma zingakhale zamuyaya kapena ngakhale zowopsya. Anthu amene amapezeka ndi AFM adzafunika kuthandizidwa ndi gulu la madokotala lomwe lingaphatikizepo katswiri wa sayansi ya zamoyo ndipo mwinamwake-ngati chidziwitso chowopsa chimazindikiridwa-katswiri wodwala matenda opatsirana. Madokotala amadziwa kuti ndi chithandizo chiti chomwe chingathandize kuti kuchepetsa zizindikiro ndi kubwezeretsanso ntchito. Anthu ambiri omwe ali ndi AFM amafunikira mankhwala enaake kapena kukonzanso.
Momwe AFM Imasiyanirana ndi Mavuto Ena
Pali matenda ndi zikhalidwe zambiri zomwe zimayambitsa matenda onse obwera mwadzidzidzi kapena kuperewera kwa ana ndi akulu.
AFM ikhoza kuyamba kusokonezedwa kapena kusokonezeka ndi vuto lomweli lotchedwa Guillain-Barré syndrome (GBS). Ngakhale kuti zizindikirozo n'zofanana, kusiyana pakati pa AFM ndi GBS kumawonekeratu pa MRI komanso kupyolera muzoyezetsa zina zomwe akatswiri a zachipatala angachite. Ngati mwana wa ana wanu akudandaula chimodzi mwazimenezi, ayenera kukuwuzani kwa mwana wa matenda a ubongo posachedwapa kuti azindikire bwinobwino.
Zimene Mungachite
Mfundo yakuti sitikudziwa chomwe chimayambitsa flaccid myelitis kapena momwe tingachitire izo zingakhale zoopsya kwa makolo ambiri ndi othandizira zaumoyo. N'zovuta kudziwa zomwe mungachite kapena momwe mungapewere. Maofesi a United States for Control and Prevention (CDC) ali ndi malangizo ena oti muteteze nokha ndi ana anu:
- Pezani katemera.
- Tetezani ku udzudzu.
- Sambani manja anu .
Ngakhale kuchita izi sikungatsimikizire kuti ana anu sangapeze AFM, njirazi zidzawateteze ku matenda ambiri ndi matenda omwe angayambitse. Madzudzu amanyamula kachilombo ka West Nile, motero kugwiritsa ntchito chitetezo cha udzudzu n'kofunika kuti tipeŵe.
Sidziwika ngati kutsuka kwa manja kumadzitetezera AFM kapena ayi, koma ndithudi sikungapweteke. Kuonetsetsa kuti ana anu akusamba m'manja moyenera ndi kofunika kwambiri. Onetsetsani kuti aliyense m'banja amatsuka manja asanayambe kudya, atagwiritsa ntchito bafa, asanayambe kukonzekera chakudya, komanso atasintha.
Mawu Ochokera
Mwamtheradi flaccid myelitis ndizovuta kwambiri. Ngakhale kuti sitikudziŵa chimene chimayambitsa ndipo sitingathe kuchitapo kanthu, palibe chifukwa choti makolo azidandaula kwambiri. Ofufuza a CDC akugwira ntchito mwakhama kuti adziwe zambiri zokhudza vutoli.
> Zotsatira:
> Zovuta Flaccid Myelitis | Kusaka kwa AFM | | CDC. https://www.cdc.gov/acute-flaccid-myelitis/afm-surveillance.html.
> Zovuta Flaccid Myelitis. Maselo a US a Kuletsa ndi Kuteteza Matenda. https://www.cdc.gov/acute-flaccid-myelitis/about-afm.html
> Zovuta Flaccid Myelitis | Mafunso Omwe Amadzifunsa Kawirikawiri | CDC. https://www.cdc.gov/acute-flaccid-myelitis/faqs.html.
> Meissner, H. Cody MD, FAAP. Kodi Vuto la D-D68 Ndilo Chifukwa cha Flaccid Myelitis Pachiyambi cha Ana? American Academy of Pediatrics. http://www.aappublications.org/news/2017/01/30/EVD013017