So worehyia mmerɛwyɛ bi a ɛyɛ nwonwa wɔ w’ani so, ne nsakrae a ɛba wo nantew mu? Ebetumi ayɛ Miller Fisher Syndrome!

So woahu mpofirim sɛ nsonsonoe bi wɔ w’ani so, ebia wuhu abien mmom sen sɛ wubehu biako, anaasɛ wote nka sɛ worenkari pɛ bere a wonam no? So wo nso wote nka sɛ wo ho yɛ fɛre kakra bere a worekasa no? Eyinom nyɛ nneɛma a ɛba kwa kɛkɛ, ɛtɔ mmere bi a ebia tebea bi a ɛntaa nsi wɔ eyi akyi a wɔfrɛ no Miller Fisher Syndrome. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri, tiawa koraa.

Dɛn ankasa ne Miller Fisher Syndrome?

Sɛ yɛbɛka no tiawa a, Miller Fisher Syndrome yɛ ntini mu yare a ɛntaa nsi a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no di mfomso tow hyɛ yɛn ankasa ntini mu nkwammoaa a ɛte apɔw so. Ɛte sɛ yɛn nipadua no ankasa awɛmfo a wɔreto ahyɛ yɛn ankasa abusua mufo so.

Wɔ tebea yi mu no, ɛtaa di kan nya ntini a ɛwɔ w’anim no so nkɛntɛnso. Titiriw bere a ntini a ɛhwɛ w’ani so no sɛe a, ebia ɛbɛyɛ den ama wo sɛ wode w’ani bɛkyinkyin. Ɛnyɛ ɛno nko, na mmom ebetumi aka wo kari pɛ, sɛnea woyɛ adwuma bom, ne sɛnea wote nka nso. Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi bere a ɔyare mmoawa anaa ɔyare mmoawa bi afi hɔ akyi.

Hena na ɛda adi sɛ obenya saa tebea yi?

Ɛwom sɛ obiara betumi anya Miller Fisher Syndrome (MFS) de, nanso ɛda adi sɛ nnipa binom benya bi. Eyinom bi ne:

• Nnipa a wofi Asia: Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ Asia aman mu no taa nya saa tebea yi kakra sen nnipa a wɔwɔ Atɔe Fam aman mu.
• Mmarima: Mmarima betumi anya eyi mmɔho abien sen mmea.
• Nnipa a wɔadi boro mfe 55: Ɛte sɛ nea asiane yi kɔ soro bere a obi nyin no.

Nsonsonoe bɛn na ɛda Miller Fisher Syndrome (MFS) ne Gilen-Barre Syndrome (GBS) ntam?

Ebia woate Guillain-Barré Syndrome (GBS) ho asɛm. Miller Fisher Syndrome (MFS) yɛ GBS no fã bi. Wɔn baanu nyinaa hyɛ nyarewa a nipadua no tumi ko tia nyarewa no mu, a ɛkyerɛ sɛ ɛyɛ tebea horow a nipadua no ankasa nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ ne ho so. Mpɛn pii no, abien no nyinaa ba bere a obi anya ɔyare mmoawa akyi.

Nanso, nsonsonoe atitiriw pii wɔ hɔ.

• Wɔ MFS mu no, mpɛn pii no, sɛnkyerɛnne ahorow fi ase wɔ nipadua no afã horow a ɛwɔ soro, titiriw anim ne aniwa.
• Wɔ GBS mu no, sɛnkyerɛnne ahorow no fi ase wɔ nipadua no afã horow a ɛwɔ fam (nan, nan) na ɛde nkakrankakra trɛw kɔ soro.
• Akyi yaw, ahome a ɛyɛ den, ne ntini a ɛyɛ mmerɛw wɔ akwaa mu no abu so wɔ GBS mu.
• GBS yɛ tebea a wɔtaa hu kakra wɔ ɔmanfo mu sen MFS.

So Miller Fisher Syndrome (MFS) no tumi kɔ nnipa mu?

Eyi yɛ asɛm a nnipa pii bisa. Dabi, Miller Fisher Syndrome (MFS) nyɛ yare a ɛde ɔyare mmoawa ba.Eyi kyerɛ sɛ ɛntrɛw mfi onipa biako so nkɔ foforo mu. Worenhu mpo sɛ wo ne obi a ɔwɔ saa tebea yi adi nkitaho.

Saa tebea yi abu so dɛn?

Miller Fisher Syndrome (MFS) yɛ tebea a ɛntaa nsi koraa. Wɔ wiase nyinaa no, ɛka nnipa biako anaa baanu pɛ wɔ ɔpepem biako mu. Enti wubetumi ahu sɛnea ɛho yɛ na no.

Dɛn ne Miller Fisher Syndrome (MFS) ho sɛnkyerɛnne ahorow?

Saa tebea yi ho sɛnkyerɛnne betumi ada adi mpofirim na aba wɔ nna kakraa bi mu. Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi wɔ bɛyɛ nnafua 10 akyi wɔ ɔyare mmoawa anaa ɔyare mmoawa bi akyi. Nanso, ɛtɔ mmere bi a, ebia sɛnkyerɛnne ahorow no renna adi adapɛn pii.

Nsɛnkyerɛnne titiriw a nnipa dodow no ara hu ne:

• Kari pɛ ho haw ahorow: Ebia wobɛte nka sɛ worehwere wo kari pɛ bere a wonam no.
• Nsakrae a ɛba wɔ nantew mu: Ebia wubefi ase anantew wɔ ɔkwan soronko so, soronko wɔ ɔkwan a wotaa nantew so.
• Diplopia anaa aniwa a ɛyɛ kusuu: Eyi betumi ayɛ nneɛma abien a ɛda adi anaasɛ aniwa a ɛyɛ kusuu.
• Ptosis anaasɛ ɛyɛ den sɛ wobedi anim ntini so: Ebia ɛbɛyɛ te sɛ nea aniwa biako anaa abien no nyinaa ahwe ase. Ebetumi ayɛ den nso sɛ wobedi anim a wɔda no adi so.
• Tendon reflexes a ɛyera: Reflexes a ɛwɔ mmeae te sɛ ankle, kotodwe, ne nsa betumi ayɛ mmerɛw anaasɛ enni hɔ. Wobetumi ahu eyi bere a oduruyɛfo de hama ketewaa bi bɔ wɔn so no.
• Ɛyɛ den sɛ wobɛkanyan aniwa no: Ebia ɛbɛyɛ den sɛ wobɛma aniwa no akɔ nkyɛnkyɛn, akɔ soro ne fam.
• Ntini a ɛnyɛ adwuma yiye anaasɛ ɛyɛ basabasa: Ebia wuntumi nni wo nsa ne wo nan so yiye, na ɛbɛma wo nneyɛe ayɛ basabasa.

Fa no sɛ, obi wɔ hɔ a wɔfrɛ no Nimal. Bɛyɛ dapɛn biako a atwam ni no, atiridii bɔne bi bɔɔ no na ne ho tɔɔ no. Afei, mpofirim ara, ɔde ne ho nantew, te sɛ obi a wanom nsa. Sɛ ɔhwɛ ahwehwɛ mu a, ohu sɛ n’aniwa biako akɔ fam kakra. Sɛ ɔhwɛ TV a, ohu mfonini abien prɛko pɛ. Eyi ne nea ebetumi asi.

Wɔ saa sɛnkyerɛnne atitiriw yi akyi no, nnipa binom nso betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Ɔhome a ɛyɛ den
• Ntini a ɛyɛ mmerɛw wɔ nsa ne anan mu
• Ɛyɛ den sɛ wobɛmene
• Tɛkrɛma a ɛyɛ mmerɛw

Dɛn na ɛde Miller Fisher Syndrome (MFS) ba?

Sɛ yɛbɛka no pɛpɛɛpɛ a, MFS ba bere a yɛn nipadua mu tumi a ɛko tia nyarewa, sɛnea ɛbɛyɛ a ɛbɛyɛ ɔyare mmoawa bi ho mmuae no, di mfomso fi ase tow hyɛ yɛn ankasa ntini so no. Ɛne sɛ, bere a yɛreko atia ɔyare mmoawa bi a wahyɛn nipadua no mu no, yɛn ankasa nkwammoaa a ɛbɔ yɛn ho ban no di mfomso tow hyɛ ntini mu nkwammoaa a ɛte apɔw so, na wosusuw sɛ wɔyɛ atamfo.

Mmoawa ne mmoawa a wɔde nyarewa ba a ebetumi de MFS aba no bi ne:

• Campylobacter infection - Eyi yɛ yafunu mu yareɛ a ɛtaa fi aduane a efĩ wom mu.
• Haemophilus influenzae - Eyi yɛ ɔyare mmoawa a ɛde ɔyare mmoawa ba ɔhome nhyehyɛe mu.
• Nnipa Nkwammoaa a Wɔko Tia Nyarewa (HIV) .
• Mononucleosis (Mononucleosis - Epstein-Barr virus) - Eyi yɛ atiridiinini a wɔsan frɛ no "afew yare".
• Zika mmoawa

So eyi yɛ biribi a efi awo ntoatoaso ahorow mu?

Ɛwom sɛ adanse bi wɔ hɔ a ɛkyerɛ sɛ wobetumi anya MFS fi awo mu de, nanso ɛntaa nsi koraa sɛ nnipa baanu a wɔwɔ abusua biako mu benya yare no, enti adanse kakraa bi na ɛwɔ hɔ a ɛkyerɛ sɛ efi awosu mu.

Wobɛyɛ dɛn ahu sɛ wowɔ Miller Fisher Syndrome (MFS) anaa?

Nea ɛyɛ awerɛhow no, nhwehwɛmu biako biara nni hɔ a ebetumi ahu MFS koraa. Oduruyɛfo bɛhwehwɛ wo mu, ahwɛ wo yare no ho sɛnkyerɛnne ahorow no mu yiye, na wagye w’aduruyɛ ho abakɔsɛm (titiriw ɔyare mmoawa biara a woanya nnansa yi). Sɛ woanya atiridii anaa yafunu mu yaw nnansa yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo.

Sɛ wo duruyɛfo susuw sɛ wowɔ MFS a, ebia wɔbɛyɛ nhwehwɛmu ahorow pii, te sɛ:

• Mogya mu nhwehwɛmu: Eyinom betumi ahwɛ sɛ nnuru ahorow bi a ɛko tia nyarewa no dɔɔso wɔ mogya no mu. Nkwammoaa a ɛko tia nyarewa yɛ protein ahorow a yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ de ko tia nyarewa. Wɔ MFS mu no, wobetumi ahu antibody pɔtee bi (Anti-GQ1b antibodies) wɔ dodow a ɛkɔ soro wɔ mogya no mu.
• Electromyography (EMG): Eyi kyerɛ sɛnea wo ntini ahorow no yɛ n’ade yiye wɔ nsɛnkyerɛnne a efi wo ntini ahorow mu ho.
• Ntini a ɛkɔ nipadua mu ho nhwehwɛmu (NCS): Saa sɔhwɛ yi susuw sɛnea anyinam ahoɔden sɛnkyerɛnne bi fa ntini bi so ntɛmntɛm. Ebia ahoɔhare yi bɛbrɛ ase wɔ MFS mu.
• Spinal tap/lumbar puncture: Eyi hwehwɛ sɛ wobɛfa nsu a atwa w’akyi berɛmo ho ahyia no ketewaa bi na woasɔ ahwɛ sɛ ebia ɛwɔ nipadua mu nkwammoaa bi a ɛko tia nyarewa ne protein dodow a ɛdɔɔso anaa.

Ɔkwan bɛn so na wɔsa Miller Fisher Syndrome (MFS) no?

Aduru biara nni hɔ a wɔde sa Miller Fisher Syndrome (MFS). Nanso, ayaresa ahorow bi wɔ hɔ a ebetumi aboa ma wo nipadua mu tumi a ɛko tia nyarewa no agyae sɛ ɛbɛtow ahyɛ ntini a ɛte apɔw so. Dodow a wufi saa ayaresa ahorow yi ase ntɛm no, dodow no ara na nea efi mu ba no ye.

Ayaresa a wɔtaa de di dwuma ne:

• Intravenous Immunoglobulin (IVIG) ayaresa: Nea ɛka eyi ho ne sɛ wobɛma wo nipadua no plasma a wɔatew ho (wo mogya no fã a ɛyɛ nsu) ne nipadua mu nkwammoaa a ɛko tia nyarewa a ahoɔden wom a efi wɔn a wɔde ma a wɔwɔ apɔwmuden hɔ. Saa nnuru a ɛko tia nyarewa a ɛte apɔw yi boa ma w’ankasa nipadua mu nkwammoaa a ɛko tia nyarewa no ntumi ntow nhyɛ ntini a ɛwɔ apɔwmuden so.
• Plasma exchange / Plasmapheresis: Eyi hwehwɛ sɛ wofa wo mogya, yi plasma a ebia nnuru a epira a ɛko tia nyarewa wom no fi mu, na wode mogya a aka no san kɔ wo nipadua mu. Ɛte sɛ nea "woretew" wo mogya no bi.
• Nipadua mu ahosiesie: Wo ne apɔw-mu-teɛteɛ ho ɔyaresafo anaa adwumayɛ ho ɔyaresafo bɛyɛ adwuma ayɛ apɔw-mu-teɛteɛ ne ntetee na ama woasan anya ntini ahoɔden, wotumi ayɛ nsakrae, na woayɛ adwuma pɛpɛɛpɛ. Wɔbɛkyerɛ wo akwan a wobɛfa so ama wo kari pɛ, wo nantew, ne da biara da dwumadi ahorow atu mpɔn.

So wobetumi asiw Miller Fisher Syndrome (MFS) ano?

Nea ɛyɛ awerɛhow no, ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw Miller Fisher Syndrome (MFS) ano, efisɛ nsakrae a ɛba ɔkwan a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa so yɛ adwuma mu na ɛde ba.

Nanso, wubetumi ayɛ nneɛma bi de abɔ wo ho ban afi ɔyare mmoawa ne ɔyare mmoawa a ebetumi de eyi aba no ho. Ɛno kyerɛ sɛ:

• Tew nnipa a wɔyare a wo ne wɔn bɛbɔ kɛse no so.
• Kata w’ano ne wo hwene bere a worefefe na worefefe no.
• Fa nnuru a ekum mmoawa hohoro mmeae a wɔtaa de wo nsa ka (apon ano nhama, pon) ho.
• Kwati sɛ wode wo nsa bɛka w’anim a worenhohoro wo nsa yiye.
• Fa samina hohoro wo nsa daa anaa fa aduru a wɔde tew nsa ho di dwuma.

Dɛn ne daakye ma obi a ɔwɔ Miller Fisher Syndrome (MFS)?

Mpɛn pii no, adwene a nnipa a wɔwɔ saa tebea yi wɔ no ye. Ɛntaa nkum nnipa. Ɛntaa mma akwahosan mu nsɛnnennen a emu yɛ den a ɛtra hɔ kyɛ nso. Nnipa dodow no ara ho tɔ wɔn wɔ asram abien kosi asia ntam. Ɛwom sɛ ebia nnipa binom bedi dɛm nketenkete bere tiaa bi de, nanso nnipa dodow no ara san kɔ asetra a ɛfata mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ mpofirim ara wuhyia ɔhaw ahorow wɔ sɛnea wotumi yɛ ade, sɛnea wotumi yɛ adwuma, anaa wo ntini a ɛkeka ne ho no ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. Miller Fisher Syndrome (MFS) ho sɛnkyerɛnne betumi ayɛ te sɛ nyarewa afoforo a ɛka ntini ne ntini ahorow no de.

Ebetumi ayɛ hu sɛ wubehu nsakrae biara a ɛba w’ani, wo ntini, anaa wo kari pɛ mu. Nanso kae sɛ MFS yɛ yare a ɛntaa nsi koraa, enti nsusuw sɛ wowɔ MFS esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi ara kwa nti. Nanso, wɔyɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi nteɛ. Enti, sɛ wote nka sɛ wo ho nyɛ wo dɛ te sɛ eyi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Afei oduruyɛfo no betumi ahwehwɛ wo ntini, wo ntini, ne w’akwahosan nyinaa mu na wayɛ ayaresa nhyehyɛe a eye ma wo.

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ Miller Fisher Syndrome a yɛkaa ho asɛm nnɛ no ho. Nneɛma bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:

• MFS yɛ ntini mu yare a ɛntaa nsi koraa.
• Nea ɛkɔ so wɔ eyi mu ne sɛ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa ntini so.
• Nsɛnkyerɛnne titiriw ne aniwa mu haw (aniwa a ɛhwɛ ade mprenu, n’ani a ɛyɛ mmerɛw, ɛyɛ den sɛ ɛbɛkanyan aniwa), kari pɛ ho haw, ne adwene a ɛma obi tumi yɛ ade a ɛnyɛ adwuma yiye.
• Eyi nyɛ yare a wɔde kɔ nnipa mu.
• Ɛtaa ba bere a obi anya ɔyare mmoawa anaa ɔyare mmoawa akyi.
• Ɛwom sɛ nhwehwɛmu pɔtee biara nni hɔ de, nanso wobetumi afa sɛnkyerɛnne ahorow ne nhwehwɛmu afoforo pii so ahu.
• Ayaresa te sɛ IVIG ne plasma exchange betumi ama nneɛma pa afi mu aba.
• Nnipa dodow no ara ho tɔ wɔn wɔ asram kakraa bi mu.
• Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Mma wo ho nnyɛ wo hu, nanso ɛho hia sɛ wohu. Mepɛ sɛ wo ne w’abusua nya akwahosan pa!

` Miller Fisher Syndrome, ntini mu nyarewa, nipadua mu ahoɔden a ɛko tia nyarewa, Gilen-Bere syndrome, aniwa a ɛhwɛ ade, kari pɛ, ntini mu mmerɛwyɛ