I-flaccid myelitis enamandla

I-acute flaccid myelitis yisimo esingajwayelekile esithinta uhlelo lwezinzwa. Ukuvuvukala kwento empunga emgogodleni kuholela ekubeni buthakathaka kwemisipha nokukhubazeka.

I-acute flaccid myelitis (AFM) ivame ukubangelwa ukutheleleka ngegciwane. Ngenkathi i-AFM ingavamile, kube nokwanda okuncane ezimweni ze-AFM kusukela ngonyaka wezi-2014. Amacala amaningi amasha enzekile ezinganeni noma kubantu abadala.

I-AFM ivame ukuvela ngemuva kokugula, umkhuhlane, noma ukugula kwamathumbu.

Izinhlobo ezahlukahlukene zamagciwane zingaba imbangela ye-AFM. Lokhu kufaka phakathi:

• Ama-Enteroviruses (i-poliovirus kanye ne-non-poliovirus)
• Igciwane le-West Nile kanye namagciwane afanayo afana ne-Japanese encephalitis virus kanye ne-Saint Louis encephalitis virus
• Ama-Adenoviruses

Akucaci ukuthi kungani amagciwane athile ebanga i-AFM, noma ukuthi kungani abanye abantu beba nalesi simo kanti abanye abasenzi.

Ubuthi bezemvelo nakho kungadala i-AFM. Ezimweni eziningi, imbangela ayitholakali.

Umkhuhlane noma ukugula okuphefumula kuvame ukuba khona ngaphambi kokuba ubuthakathaka nezinye izimpawu ziqale.

Izimpawu ze-AFM zivame ukuqala ngokubuthakathaka okungazelelwe kwemisipha kanye nokulahleka kwemicabango engalweni noma emlenzeni. Izimpawu zingakhula ngokushesha ngaphezulu kwamahora ambalwa kuya ezinsukwini. Ezinye izimpawu zingafaka:

• Ukudonsa ebusweni noma ubuthakathaka
• Ukujikisa izinkophe
• Kunzima ukuhambisa amehlo
• Ukukhuluma ngokungahambi kahle noma ubunzima bokugwinya

Abanye abantu bangaba:

• Ukuqina entanyeni
• Ubuhlungu obusezingalweni noma emilenzeni
• Ukungakwazi ukwedlulisa umchamo

Izimpawu ezinzima zifaka:

• Ukwehluleka kokuphefumula, lapho imisipha ebandakanyeka ekuphefumuleni iba buthakathaka
• Izinkinga ezinkulu zesistimu yezinzwa, ezingaholela ekufeni

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando wakho wezokwelapha nomlando wokugoma ukwazi ukuthi usesikhathini yini ngemigomo yakho ye-polio. Abantu abangagonyiwe abachayeke ku-poliovirus basengozini enkulu ye-acute flaccid myelitis. Umhlinzeki wakho futhi angafuna ukwazi ukuthi ngabe emasontweni amane edlule unayo:

• Uhanjisiwe
• Ubenomkhuhlane noma umkhuhlane noma isinambuzane esiswini
• Ubenemfiva engu-100 ° F (38 ° C) noma ngaphezulu

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba. Ukuhlolwa okungenziwa kufaka phakathi:

• I-MRI yomgogodla kanye ne-MRI yobuchopho ukubuka izilonda endabeni empunga
• Isivivinyo sokuqhuba isivinini semizwa
• I-Electromyography (EMG)
• Ukuhlaziywa kweCerebrospinal fluid (CSF) ukubheka ukuthi amaseli amhlophe egazi aphakeme yini

Umhlinzeki wakho futhi angathatha amasampula esitofu, egazi, namathe ukuze awahlole.

Akukho ukwelashwa okuqondile kwe-AFM. Ungathunyelwa kudokotela onguchwepheshe wokuphazamiseka kwemizwa nezinzwa zezinzwa (i-neurologist). Udokotela cishe uzokwelapha izimpawu zakho.

Iningi lemithi kanye nezindlela zokwelapha ezisebenza kumasosha omzimba sekuzamile kepha akutholakalanga ukuthi kusiza.

Ungadinga ukwelashwa ngokomzimba ukusiza ukubuyisela ukusebenza kwemisipha.

Ukubukwa kwesikhathi eside kwe-AFM akwaziwa.

Izinkinga ze-AFM zifaka:

• Ubuthakathaka bemisipha nokukhubazeka
• Ukulahlekelwa umsebenzi wezitho zomzimba

Xhumana nomhlinzeki wakho ngokushesha uma wena noma ingane yakho:

• Ubuthakathaka obungazelelwe ezingalweni noma emilenzeni noma ubunzima bokuhambisa ikhanda noma ubuso
• Noma yisiphi esinye isibonakaliso se-AFM

Ayikho indlela ecacile yokuvimbela i-AFM. Ukuba nomuthi wokugomela uvendle kungasiza ekunciphiseni ubungozi be-AFM obuhlobene ne-poliovirus.

Thatha lezi zinyathelo ukusiza ukugwema ukutheleleka ngegciwane:

• Geza izandla njalo ngensipho namanzi, ikakhulukazi ngaphambi kokudla.
• Gwema ukuxhumana okuseduze nabantu abanesifo segciwane.
• Sebenzisa izinto zokuxosha omiyane lapho uphumela ngaphandle ukuvimbela ukulunywa omiyane.

Ukuze ufunde kabanzi futhi uthole izibuyekezo zakamuva, iya ekhasini le-CDC mayelana ne-acute flaccid myelitis ku-www.cdc.gov/acute-flaccid-myelitis/index.html.

I-myelitis enamandla; AFM; Isifo esifana nepoliyo; Ukukhubazeka okukhulu kwe-flaccid; Ukukhubazeka okukhulu kwe-flaccid nge-myelitis yangaphakathi; Ngaphambili i-myelitis; I-Enterovirus D68; I-Enterovirus A71

• Ukuhlolwa kwe-MRI
• I-CSF chemistry
• I-Electromyography

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-flaccid myelitis enamandla. www.cdc.gov/acute-flaccid-myelitis/index.html. Kubuyekezwe uDisemba 29, 2020. Kufinyelelwe ngoMashi 15, 2021.

Iwebhusayithi ye-Genetic and Rare Diseases Information Center. I-flaccid myelitis enamandla. UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-US. Isikhungo Sikazwelonke Sezempilo. rarediseases.info.nih.gov/diseases/13142/acute-flaccid-myelitis. Kubuyekezwe u-Agasti 6, 2020. Kufinyelelwe ngoMashi 15, 2021.

UMessacar K, uModlin JF, u-Abzug MJ. Ama-Enteroviruses nama-parechoviruses. Ku: SS ende, Prober CG, Fischer M, eds. Izimiso kanye Nokuzijwayeza Kwezifo Ezithathelwanayo Zengane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 236.

I-Strober JB, i-Glaser CA. Ama-syndromes e-Parainfectious kanye ne-postinfectious syndromes. Ku: SS ende, Prober CG, Fischer M, eds. Izimiso kanye Nokuzijwayeza Kwezifo Ezithathelwanayo Zengane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 45.