Mmoawa ahorow ahe na ɛwɔ hɔ a ɛtra yɛn nipadua mu a yennim? JC mmoawa no yɛ emu biako. Nokwarem no, saa mmoawa yi te mpanyin a wɔwɔ wiase no mu bɛboro fã nipadua mu. Nanso nea ɛyɛ nwonwa ne sɛ, ɛnsɛe nnipa dodow no ara anaa ɔhaw biara. Enti, ɛnnɛ yɛbɛka nea eyi yɛ ankasa, bere a ɛbɛyɛ ɔhaw, ne sɛ ebia ɛsɛ sɛ yesuro no ho asɛm kɔ akyiri.
Dɛn ankasa ne JC mmoawa no?
Sɛ yɛbɛka no tiawa a, JC mmoawa no yɛ mmoawa a abu so yiye. Wodii kan huu no wɔ 1971. Oduruyɛfo bi huu saa mmoawa yi wɔ ɔbarima bi a ɔwɔ kokoram bi a wɔfrɛ no Hodgkin lymphoma amemene mu. Wɔde ɔyarefo no din a edi kan (John Cunningham) na ɛtoo mmoawa no.
Nanso abenfo da so ara nnim sɛnea ɛtrɛw fi onipa biako so kɔ foforo so. Nanso, nnipa pii gye di sɛ mmoawa no nam nsu anaa aduan a efĩ wom so hyɛn yɛn nipadua mu bere a yɛyɛ mmofra. Sɛ mmoawa no kɔ mu pɛ a, ebetumi akɔ so ada wɔ yɛn nsu mu, nnompe mu ntini, tonsil, anaa amemene mu mfe pii, na ɛmma ɔhaw biara mma. Ne saa nti, nnipa pii nnim mpo sɛ wɔwɔ mmoawa no.
Enti hena na ɔwɔ asiane mu wɔ eyi mu?
Ade a ɛho hia ni. Bere tenten a wo nipadua mu ahoɔden a ɛko tia nyarewa no ye na ɛyɛ den no, JC mmoawa no renhaw wo. Ɛte sɛ nea woada ara kwa.
Nanso, sɛ biribi nti obi nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw kɛse a , saa mmoawa a wɔada no nyane mpofirim na efi ase yɛ adwuma.
Sɛ mmoawa no yɛ adwuma wɔ saa kwan yi so a, ebetumi ama amemene mu yare a emu yɛ den yiye a wɔfrɛ no Progressive Multifocal Leukoencephalopathy , anaa PML , aba.
Dɛn ne PML?
Eyi sɛe ade a ɛbɔ yɛn ho ban a atwa yɛn ntini mu nkwammoaa ho ahyia no . Ɛte sɛ plastic a wɔde kata anyinam ahoɔden hama so a ɛrewosow. Eyi sɛe nhyehyɛe a wɔde fa ntini ahorow so de nkrasɛm mena no koraa. Eyi betumi ama obi adi dɛm daa na ɛtɔ mmere bi mpo a obewu .
Asiane kɛse a ɛwɔ hɔ sɛ obi benya PML ne:
- Wɔ HIV/AIDS ayarefo fam.
- Hodgkin yare no), nnipa a wɔwɔ kokoram tebea horow te sɛ mogya mu kokoram ne lymphoma.
- Wɔ nnipa a wɔwɔ tebea horow te sɛ Multiple Sclerosis (MS) , Rheumatoid Arthritis , anaa wɔn a wɔnom nnuru ahorow bi a ɛmma nipadua no tumi ko tia nyarewa bere a wɔde akwaa foforo ama wɔn akyi no fam no .
Dɛn ne PML ho sɛnkyerɛnne ahorow?
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase ntɛm na bere kɔ so no, ɛyɛ kɛse. Nsɛnkyerɛnne no betumi ayɛ soronko a egyina amemene no fã a asɛe no so. Nanso, eyinom ne sɛnkyerɛnne ahorow a ɛtaa ba.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Clumsiness a wɔyɛ | Nneɛma te sɛ ɛyɛ den sɛ wobɛyɛ nneɛma, hintidua bere a wonam, ne nsa a wobɛhwe ase. |
| Mmerewa a ɛyɛ kɛse | Mmerewa a ɛba abasa, nan, anaa nipadua no fã biako mu no kɔ soro nkakrankakra. |
| Nsakrae a ɛba wɔ nipasu mu | Nsakrae te sɛ abufuw a ɛba mpofirim, dadwen, ne nkae a ɛyera. |
| Ɔhaw a ɛwɔ kasa mu | Nsɛmfua mu yɛ basaa, na mintumi nka nea mepɛ sɛ meka no yiye. |
| Anisoadehu mu haw ahorow | Anisoadehu bɛyɛ nea wontumi nhu, ne ɔhaw ahorow te sɛ nneɛma abien a wubehu prɛko pɛ. |
Wobɛyɛ dɛn ahu eyi ankasa?
Nea edi kan no, wubetumi ayɛ nhwehwɛmu ahwɛ sɛ wowɔ JC mmoawa no anaa. Eyi hwehwɛ sɛ wɔyɛ mogya mu nhwehwɛmu anaasɛ wɔyɛ ntini mu . Eyi ho hia titiriw sɛ worenom nnuru a esiw wo nipadua mu tumi a ɛko tia nyarewa ano a .
Nanso, sɛ wo duruyɛfo susuw sɛ wowɔ PML a, ɛsono sɛnea wɔyɛ nhwehwɛmu no.
1. MRI scan: Sɔhwɛ a edi kan a wobɛyɛ ne MRI (Magnetic Resonance Imaging) scan. Eyi de magnet a ano yɛ den ne radio asorɔkye di dwuma de twa w’amemene no ho mfonini a ɛkɔ akyiri na ɛhwehwɛ nsusuwii ahorow a ɛwɔ amemene no mu ntini mu a ɛyɛ PML su.
2. Akyi berɛmo mu Tap : Afei, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ spinal tap (akyi berɛmo a wɔtow) . Mma ɛnhaw wo, eyi hwehwɛ sɛ wobɛfa ade ketewaa bi na woafa akyi berɛmo mu nsu kakraa bi afi w’akyi ase. Wɔsɔ saa nsu yi hwɛ sɛ ebia JC mmoawa no wɔ hɔ anaa. Sɛ wohu JC mmoawa no wɔ saa nsu yi mu a, ɛkyerɛ sɛ PML wɔ hɔ.
3. Amemene mu Nhwehwɛmu: Sɛ atifi hɔ nhwehwɛmu ahorow no da so ara ntumi nwie a, ebia ɛho behia sɛ wɔfa ntini ketewaa bi fi amemene no mu de yɛ nhwehwɛmu (biopsy).
Abusuabɔ a ɛda nnuru a wɔde sa nyarewa bi ne JC mmoawa no ntam
Multiple Sclerosis (MS) ne Crohn Yare a Ɛyɛ Fɛ
Wɔahu sɛ nnuru bi a wɔde sa tebea horow te sɛ Multiple Sclerosis (MS) ne Crohn Yare (sɛ nhwɛso no, Natalizumab, Dimethyl fumarate, Fingolimod, Ocrelizumab ) ne PML wɔ abusuabɔ.
Enti, ansa na wobɛhyɛ saa aduru yi ase no, akyinnye biara nni ho sɛ wo duruyɛfo bɛsɔ wo ahwɛ sɛ wowɔ JC mmoawa no anaa. Ebia wubetumi anom saa aduru yi sɛ wowɔ mmoawa no mpo a, nanso ɛsɛ sɛ wo ne wo duruyɛfo susuw asiane ne mfaso a ɛwɔ so ho ansa na woasi gyinae.
HIV/AIDS
Nnɛyi nnuru bi a wɔde ma nnipa a wɔwɔ HIV/AIDS boa ma nipadua no tumi a ɛko tia nyarewa no mu yɛ den. Eyi aboa kɛse ma wɔasiw PML a efi JC mmoawa no mu ba no ano. Ne saa nti, PML a ɛba HIV/AIDS ayarefo mu no so atew kɛse wɔ nnansa yi mfe mu.
Dɛn ne ayaresa ahorow a wɔde sa PML?
Mprempren, aduru pɔtee biara nni hɔ a wɔapene so sɛ ɛbɛsa PML koraa, na nyansahufo da so ara reyɛ eyi ho nhwehwɛmu.
Ayaresa a eye sen biara a ɛwɔ hɔ mprempren ne sɛ ɛbɛboa nipadua no mu tumi a ɛko tia nyarewa no ma n’ankasa ako atia mmoawa no denam no a wɔbɛsan akyekye so. Sɛ nhwɛso no, sɛ obi renom aduru bi a esiw ne nipadua mu tumi a ɛko tia nyarewa ano a, ebia ne duruyɛfo no besi gyinae sɛ obegyae saa aduru no anaasɛ ɔbɛsesa.
Nkrasɛm a Wɔde Kɔ Fie
- JC mmoawa no yɛ mmoawa a abu so yiye a ɛnyɛ asiane mma nnipa dodow no ara. Enti nsuro no a ɛho nhia.
- Asiane ankasa biako pɛ a efi eyi mu ne nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw yiye, a wobetumi anya amemene mu yare a emu yɛ den a wɔfrɛ no PML.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ mmerɛwyɛ soronko, ɛyɛ den sɛ wobɛnantew anaa wobɛkasa, anaasɛ wo nipasu a ɛsakra mpofirim, titiriw sɛ worenom nnuru a esiw wo nipadua mu tumi a ɛko tia nyarewa ano a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Ansa na wubefi ase anom nnuru bi a wɔde sa nyarewa te sɛ MS ne Crohn yare no, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa asiane a ɛwɔ JC mmoawa ne PML mu ho.
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ eyi ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa afa ho pefee na wɔabɔ wo amanneɛ.
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