So w’akyi berɛmo te nka sɛ n’ahoɔden bɛhwere? Momma yɛnka Transverse Myelitis (TM) ho asɛm!

So woasusuw tebea bi a wotumi nni wo nan so mpofirim, wo nipadua no afã horow bi yɛ wo yaw, anaasɛ ɛyɛ den ma wo sɛ wubedi wo nsu ne wo nsu so ho pɛn? Ɛwom sɛ eyinom yɛ hu kakra de, nanso ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi aba esiane yɛn akyi berɛmo , kyerɛ sɛ, ntini ahorow a ɛfa akyi berɛmo no mu a ɛyɛ hyew nti. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no Transverse Myelitis (TM) . Eyi yɛ ntini mu yare a ɛntaa nsi koraa.

Dɛn ankasa ne transverse myelitis (TM)?

Sɛ yɛbɛka no tiawa a, transverse myelitis (TM) yɛ w’akyi berɛmo , ntini titiriw a ɛkɔ w’akyi berɛmo mu no a ɛyɛ hyew. Susuw ho saa kwan yi so: ɛde nkrasɛm fi w’amemene mu kɔ wo nipadua no fã a aka no mu. Ɛte sɛ telefon so nhama.

Saa ɔfe yi sɛe ade a ɛbɔ ho ban a atwa ntini mu nkwammoaa a ɛwɔ akyi berɛmo no mu ho ahyia, a wɔfrɛ no myelin sheath . Ɛte sɛ nea plastic a wɔde kata nhama bi atifi no asɛe. Dɛn na ɛba saa bere no? Nkrasɛm a efi amemene no mu no ntumi nkɔ mu yiye. Eyi de ɔhaw ahorow te sɛ nkate a wɔhwere, akisikuru, ne akisikuru a wontumi nni so ba.

Saa tebea yi a wɔfrɛ no TM no betumi aka akyi berɛmo no wɔ baabiara wɔ akyi berɛmo no ho. "Myelitis" kyerɛ akyi berɛmo mu ɔfe. "Transverse" kyerɛ nsakraeɛ a ɛba wɔ nkateɛ ne dwumadie mu. Ebetumi ayɛ te sɛ nea wɔakyekyere abɔso atwa nipadua no ho ahyia, na nsakrae a ɛba nkate mu wɔ abɔso no ase.

Mpɛn pii no, TM yɛ tebea a ɛba pɛnkoro na afei ɛyɛ yiye anaasɛ ɛkɔ so tra hɔ saa ara.

Hena na tebea yi, transverse myelitis (TM) ka no kɛse?

Nokwarem no, tebea a wɔfrɛ no transverse myelitis (TM) yi betumi aba wɔ mfe biara mu, wɔ obiara mu. Nanso, sɛ wohwɛ data no a, wubetumi ahu sɛ ɛkɔ soro kakra wɔ mmerante ne mmabaa a wɔadi fi mfe 10 kosi 19 ne nnipa a wɔadi fi mfe 30 kosi 39. Nea ɛyɛ nwonwa no, wɔn a wonya bi no mu bɛyɛ 25% yɛ mmofra. Nanso, eyi nyɛ awosu mu yare a wɔde fa awo ntoatoaso mu. Enti, ɛho nhia sɛ yɛhaw yɛn ho sɛ afoforo nso benya bi esiane sɛ na obi wɔ abusua no mu nti.

Enti tebea yi abu so dɛn?

Transverse myelitis (TM) yɛ tebea a ɛntaa nsi koraa . Susuw ho hwɛ, wɔ ɔman te sɛ Amerika mpo mu no, nnipa foforo biako kosi awotwe pɛ na wɔbɔ amanneɛ wɔ ɔpepem biara mu afe biara. Ɛno kyerɛ sɛ nnipa foforo bɛyɛ 1400 na wonya yare no afe biara. Enti ɛnyɛ biribi a wɔtaa hu wɔ Sri Lanka nso.

Dɛn ne transverse myelitis (TM) ho sɛnkyerɛnne ahorow?

Ɛtɔ mmere bi a, transverse myelitis (TM) sɛnkyerɛnne betumi ada adi mpofirim , wɔ nnɔnhwerew anaa nna bi mu. Wɔ afoforo mu no, yare no ho sɛnkyerɛnne betumi ada adi nkakrankakra wɔ adapɛn biako kosi anan mu. Nanso, ɛho hia sɛ wuhu sɛ TM ho sɛnkyerɛnne betumi asɛe ntɛmntɛm .

Mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ baabi a w’akyi berɛmo asɛe no ase. Sɛ nhwɛso no, sɛ nea asɛe no wɔ w’akyi mfinimfini, wo nsa ase a, wo nan ne wo akisikuru/dwotwaa mu tumidi bɛka. Ebia wo nsa renka.

TM taa ka nipadua no afã abien no nyinaa. Nanso, ɛtɔ mmere bi a ebetumi aka ɔfã biako pɛ. Saa mmerɛwyɛ a ɛba ɔfã biako yi taa ba nnipa a wɔwɔ nyarewa te sɛ Multiple Sclerosis (MS) so .

Fa no sɛ, wɔ TM no fã a emu yɛ den sen biara no, ayarefo 50% hwere wɔn nan abien no nyinaa kankyee nyinaa. Wɔn mu 80% kɔsi 94% nya akisikuru anaa nkateɛ a ɛyɛ soronko te sɛ pin ne nnade. Afei nso, ɛkame ayɛ sɛ obiara nya nsu mu a ɛyɛ mmerɛw kodu baabi.

Wɔ nnipa binom fam no, saa sɛnkyerɛnne ahorow yi so bɛtew anaasɛ ebeyera koraa bere a wɔsa wɔn yare no, nanso wɔ afoforo fam no, nsɛnnennen a ɛtra hɔ daa betumi aba.

Nsɛnkyerɛnne akuw atitiriw pii wɔ hɔ a wobetumi ahu wɔ TM mu:

• Nkate horow a ɛyɛ soronko
• Yeaw
• Ɔhaw ahorow a ɛba dwensɔtwaa ne nsu mu
• Ntini ne kankyee ho haw ahorow
• Ɔbarima ne ɔbea nna mu dwumadi ho haw ahorow
• Nsɛnkyerɛnne afoforo

Nkate horow a ɛyɛ soronko

Ɛgyina baabi a w'akyi berɛmo asɛe esiane TM nti, wobɛtumi anya nkateɛ a ɛnteɛ (a wɔsan frɛ no ``Paresthesia'' wɔ aduruyɛ mu) wɔ wo nipadua no afã bi, te sɛ:

• Nnipa a wɔyɛ mmerɛw
• Te nka sɛ worebɔ wo ho ban (Prickling) .
• Ɔhyew a ɛrehyew
• Nkate a ɛboro so wɔ nsa a wɔde ka anaa ɔhyew ho
• Ɔhyew/awɔw ho atenka kakraa bi

Yeaw

TM betumi ama nipadua no afã horow bi ayɛ yaw. Saa ɛyaw yi betumi ayɛ nea ano yɛ nnam anaasɛ ɛyɛ mmerɛw . Ɛtɔ da bi a, ɛyaw yi tumi hyerɛn kɔ abasa ne/anaasɛ nan ase, anaasɛ ebetumi ayɛ te sɛ nea efi koko ne yafunu mu.

Nsuo ne nsuo a wɔde gu nipadua mu ho sɛnkyerɛnne

TM betumi de ɔhaw ahorow aba nsu ne dwensɔtwaa mu te sɛ:

• Ayamtim
• Akisikuru a ɛnyɛ nea ɛda mpan koraa bere a woretow nsu (`(Urinary retention)`) .
• Nsuo a wɔde siw nsuo ano ho haw, sɛ nhwɛsoɔ no, ɛsɛ sɛ wɔtaa to nsuo (`(Urge incontinence)`)
• Ntumi nni nsu a wɔtow so (`(Urinary incontinence)`) .

Ntini ne kankyee ho haw ahorow

Ebia nnipa a wɔwɔ TM no benya mmerɛwyɛ wɔ wɔn nan mu, na ebetumi anya nkɔso ntɛmntɛm. Sɛ ɔfe no aka akyi berɛmo no wɔ ɔkwan bi so a , ebetumi aka abasa no nso.

Wubetumi ahu sɛnkyerɛnne ahorow te sɛ eyinom:

• Kari pɛ a ɛyera wɔ nipadua no mu
• Ɛyɛ den sɛ wobɛnantew (hintidua, nan a wɔtwe) .
• Ntini a ɛyɛ mmerɛw
• Ntini no dwumadi fã bi a ɛyera, na ɛtɔ mmere bi mpo a ɛde obubuafo ba .

Ɔbarima ne ɔbea nna mu dwumadi ho haw ahorow

Ebia ɛbɛyɛ den ama nnipa a wɔwɔ TM sɛ wobenya nna mu ɔbrasɛe. Nea ɛka ho no, mmarima betumi anya ɔbarima ne ɔbea nna mu ɔhaw.

Nsɛnkyerɛnne afoforo

Nea ɛka ho no, TM nso betumi de sɛnkyerɛnne ahorow a edidi so yi aba:

• Akɔnnɔ
• Tiyɛ (tiyɛ) .
• Huraeɛ
• Ɔhome a ɛyɛ den

Dɛn na ɛde transverse myelitis (TM) ba?

Sɛ yɛbɛka no ɔkwan biara so a, ade titiriw a ɛde transverse myelitis (TM) ba ne akyi berɛmo no mu ɔfe.

Fa no sɛ, sɛ biribi a epira hyɛn yɛn nipadua mu, te sɛ mmoawa, mmoawa, nnuru a awuduru wom, anaa sɛ yepira a, yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma.

Nkwammoaa a ɛko tia nyarewa no ma nkwammoaa a ɛyɛ hyew ne nneɛma afoforo (cytokines) a ɛkanyan nkwammoaa afoforo a ɛyɛ hyew no fi hɔ. Saa nkwammoaa yi na ɛkanyan ɔhyew ho mmuae a ɛboa ma wɔko tia nneɛma te sɛ mmoawa na wofi ase sa akuru. Bere a mpɛn pii no, ɔhyew ho mmuae yi ho hia no, ɛtɔ mmere bi a yɛn nipadua mu tumi a ɛko tia nyarewa no tumi tow hyɛ ntini a ɛte apɔw so a ntease biara nnim. Anaasɛ, sɛnea wɔyɛ ade wɔ saa ade foforo no ho no betumi ayɛ den dodo na asɛe nipadua no ntini ahorow.

Ɛno ne nea ɛkɔ so wɔ TM mu. Ɔfe no sɛe myelin aduru a atwa ntini mu nkwammoaa a ɛwɔ akyi berɛmo no ho ahyia no.

Nneɛma pii wɔ hɔ a ebetumi de ɔfe aba a ɛde TM ba. Yebetumi akyekyɛ nneɛma a ɛde ba yi mu akuw atitiriw pii:

• Nsɛm a wonnim nea ɛde ba ankasa (`(Idiopathic)`) .
• Ɔfe a ɔyare mmoawa bi de ba
• Nyarewa a nipadua no tumi ko tia nipadua no nyinaa (`(Systemic inflammatory autoimmune diseases)`)
• Mfinimfini ntini mu nyarewa (`(Mfinimfini ntini mu nyarewa)`)

Idiopathic transverse myelitis a ɛyɛ mmerɛw

``(Idiopathic) TM`` ne bere a wontumi nhu ade pɔtee biara a ɛde ba. TM ayarefo dodow no ara hyɛ saa kuw yi mu. Nyansahufo susuw sɛ ɛba saa efisɛ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no yɛ wɔn ade wɔ ɔkwan a ɛnteɛ so na ɛtra so tia akyi berɛmo no, na ɛde ɔfe ne ntini a ɛsɛe ba. Nanso wɔda so ara nnim nea ɛde ba ankasa, anaasɛ nea ɛkanyan no.

Nyarewa a ebetumi ama obi anya transverse myelitis

Mmoawa, mmoawa, mmoawa a wɔsɛe nnɔbae, ne fungal nyarewa pii wɔ hɔ a ebetumi ama wɔanya TM. Ebi ne:

• Enteroviruses (Eyinom yɛ mmoawa a abu so yiye, nanso mpɛn pii no ɛde yare a emu nyɛ den ba) .
• `West Nile mmoawa`
• Herpes mmoawa, sɛ nhwɛso no, ɔbarima ne ɔbea nna mu herpes
• `HIV`
• Varicella-zoster (yare mmoawa a ɛde akokɔsrade ne akisikuru ba) .
• `Nnipa T-cell leukemia mmoawa a ɛto so 1 (HTLV-1)`
• `Zika mmoawa`
• Ntini mu yare (Lyme yare) .
• `Akisikuru`
• `Nsamanwaw`
• Mmoawa a ɛde honam ani nyarewa ba
• `Mycoplasma ɔyare mmoawa ahurututu mu yare`

Mpɛn pii no, ɛyɛ den ma nnuruyɛfo sɛ wɔbɛka no pen sɛ ebia ɔyare mmoawa bi ankasa na ɛde TM ba, anaasɛ sɛnea nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade wɔ ɔyare bi ho.

Nyarewa a nipadua no tumi ko tia nipadua no nyinaa, a ɛne transverse myelitis wɔ abusuabɔ

Nyarewa bi a nipadua no tumi ko tia nyarewa a ɛbata TM ho ne:

• `Ankylosing akyi berɛmo mu yare`
• `Antiphospholipid yare a ɛma obi nya ɔyare no`
• `Behçet yareɛ no`
• `Nkitahodi ntini a wɔadi afra yare`
• `Ntini mu yare a ɛma ntini mu yare`
• `Sarcoidosis a ɛyɛ ɔyare mmoawa`
• `Scleroderma a ɛwɔ nipadua no mu`
• `Sjogren ɔyare mmoawa`
• `Nhyehyɛe mu lupus erythematosus (SLE)`

Ntini a ɛwɔ mfinimfini no mu nyarewa a ebetumi ama obi anya transverse myelitis

Nyarewa a nipadua no tumi ko tia nyarewa a ɛwɔ ntini a ɛwɔ mfinimfini no mu a ebetumi de TM aba no bi ne:

• `Akisikuru a ɛma obi ho yɛ hyew (MS)`
• Neuromyelitis optica spectrum disorder (NMOSD) - Wɔsan frɛ eyi Devic yare .
• `Myelin oligodendrocyte glycoprotein nipadua mu nkwammoaa a ɛko tia nyarewa (MOGAD)`
• `Amemene mu yare a ɛtrɛw a emu yɛ den`

Wɔ nnipa binom fam no, ebia transverse myelitis bɛyɛ yare a nipadua no tumi ko tia nyarewa a ɛwɔ mfinimfini no mu, te sɛ multiple sclerosis (MS) anaa neuromyelitis optica spectrum disorder (NMOSD) ho sɛnkyerɛnne a edi kan .

"Partial" myelitis a ɛka nipadua no fã biako pɛ no abu so wɔ MS mu.

Sɛ obi a ɔwɔ NMOSD nya myelitis a, ɛda adi sɛ "ɛyɛ nea edi mũ," a ɛkyerɛ sɛ ɛde obubuafo kɛse ne nipadua no afã abien no nyinaa yɛ mmerɛw. Myelitis a ɛwɔ nnipa a wɔwɔ NMOSD mu no betumi ayɛ kɛse na ɛnyɛ den sɛ ɛbɛsa sen nnipa a wɔwɔ MS no.

So nnuru a wɔde bɔ nkurɔfo ho ban betumi ama obi anya transverse myelitis (TM)?

Ɛntaa mma koraa sɛ nkurɔfo bɛbɔ amanneɛ sɛ wɔanya transverse myelitis wɔ nna abien kosi asram abiɛsa akyi bere a wɔde vaccine ama wɔn no. Nyansahufo da so ara nnim nea enti a eyi ba, nanso nsusuwii biako ne sɛ ebia nnuru a wɔde bɔ nkurɔfo ho ban no na ɛkanyan nnipa binom nipadua mu ahoɔden a ɛko tia nyarewa no na efi ase yɛ adwuma a nipadua no tumi ko tia nyarewa no. Nanso asɛm a ɛho hia ni: Wɔada no adi sɛ nnuru a wɔde bɔ nkurɔfo ho ban yɛ nea asiane biara nni ho wɔ nhwehwɛmu a ɛkɔ akyiri mu. Saa abusuabɔ a ɛda TM ntam yi betumi ayɛ nea ɛbae ara kwa anaasɛ ɔhaw a ɛntaa nsi koraa.

Ɔkwan bɛn so na wohu sɛ obi anya transverse myelitis (TM)?

Sɛ wowɔ transverse myelitis (TM) ho sɛnkyerɛnne a, wo duruyɛfo bɛhwɛ w’aduruyɛ ho abakɔsɛm mu na wayɛ wo nipadua mu nhwehwɛmu.

Sɛ nhwehwɛmu ahorow yi kyerɛ sɛ ɔhaw bi wɔ akyi berɛmo no mu a, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo. Dɛn nti na ɛte saa?

• Hwɛ hu sɛ biribi foforo biara nnya akyi berɛmo no so nkɛntɛnso a ɛnyɛ ɔfe, sɛ nhwɛso no , akyi berɛmo mu akisikuru , akyi berɛmo mu akisikuru , akisikuru a ɛyɛ mmerɛw , anaasɛ nhyɛso a akisikuru bi de ba .
• Si so dua sɛ ɔfe a ɛnteɛ wɔ akyi berɛmo no mu.
• Sɛ ɛbɛyɛ yiye a, hwehwɛ nea ɛde ɔfe soronko yi ba.

Nnuruyɛfo de ba awiei sɛ TM wɔ hɔ bere a akyi berɛmo mu sɛnkyerɛnne ahorow wɔ hɔ nna pii na wontumi nhu ade foforo biara a ɛde akyi berɛmo mu haw no ba wɔ MRI (Magnetic Resonance Imaging) scan anaa nhwehwɛmu foforo mu no.

Nhwehwɛmu bɛn na wɔyɛ de hu transverse myelitis?

Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom na ama wɔahu TMJ ne nea ɛde ba:

• MRI (Magnetic Resonance Imaging) a wɔde hwɛ akyi berɛmo no nyinaa: MRI yɛ nhwehwɛmu a ɛnyɛ yaw. Ɛde magnet kɛse, radio asorɔkye, ne kɔmputa di dwuma de yɛ akwaa ne nneɛma a ɛwɔ nipadua no mu ho mfonini a emu da hɔ. Ebia ɛho behia sɛ woyɛ w’akyi berɛmo ho MRI scan abien - biako wɔ ade titiriw bi a wɔfrɛ no gadolinium contrast na biako nni mu. Eyi bɛboa wo duruyɛfo ma wahu nsonsonoe a ɛda akuru a ɛtwetwe ne nea ɛnyɛ nea ɛhyɛ no ntam.
• Amemene mu MRI mfonini: Ebia wo duruyɛfo nso bɛhyɛ sɛ wɔnyɛ w’amemene no MRI mfonini (a gadolinium nsonsonoe wom anaasɛ enni mu) mfa nhwehwɛ akuru wɔ w’amemene mu. Amemene mu MRI betumi ama woahu nneɛma afoforo a ɛde ba, titiriw multiple sclerosis (MS) .
• Lumbar puncture (a wɔsan frɛ no spinal tap): Wɔ saa adeyɛ yi mu no, oduruyɛfo no de ade bi hyɛ w’akyi ase na ɔfa amemene mu nsu (CSF) . CSF yɛ nsu a emu da hɔ a atwa w’amemene ne w’akyi berɛmo ho ahyia. Afei wɔsɔ CSF nhwɛsode no hwɛ wɔ aduruyɛdan mu hwɛ sɛ mogya mu nkwammoaa fitaa pii dodo, IgG index a ɛkɔ soro, anaasɛ oligoclonal IgG bands wɔ CSF no mu anaa. Wɔtaa hu saa ɔhyew agyiraehyɛde ahorow yi wɔ TM mu.
• Mogya mu nhwehwɛmu: Ɛda adi sɛ oduruyɛfo no bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu pii mfa nhwɛ sɛ ɔyare mmoawa ne nneɛma a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho a ebetumi de TM aba anaa.

Wobetumi ayɛ nhwehwɛmu afoforo a egyina nea ebetumi de TM aba so. Sɛ nhwehwɛmu ahorow yi mu biara ntumi nhu nea ɛde ba pɔtee bi a, wosusuw sɛ wowɔ idiopathic transverse myelitis.

Transverse myelitis (TM) no yɛ nea wɔde sa yare denamWo ho te sɛn ?

Botae atitiriw pii wɔ transverse myelitis (TM) a wɔsa mu:

• Sɛ ɛbɛyɛ yiye a, sa nea ɛde TM ba (e.g., ɔyare mmoawa).
• Ɔfe a ɛwɔ w’akyi berɛmo mu a wobɛtew so.
• Ma yare no ho sɛnkyerɛnne te sɛ ɛyaw ano brɛ ase anaasɛ tew so.
• Nsɛnnennen a ɛtra hɔ kyɛ a wobedi ho dwuma.

Sɛ wɔsa TM a, wɔde bere tiaa mu ayaresa ma wɔ ɔfe no ne nea ɛde ba no ho, na wɔde bere tenten di nsɛnnennen a ebetumi afi TM mu aba no ho dwuma.

Bere tiaa mu ayaresa a wɔde sa transverse myelitis

Ayaresa a edi kan a wɔde sa transverse myelitis ne glucocorticoids a wɔde fa ntini mu (IV) . Sɛ wo duruyɛfo susuw sɛ TM wɔ hɔ a, wobefi ase de glucocorticoids a wɔde fa ntini mu (IV) a ɛboro so adi dwuma ntɛm ara sɛnea wobetumi.

Glucocorticoids yɛ steroid hormone bi a ɛka nnuru bi a wɔfrɛ no corticosteroids ho . Eyinom yɛ nnuru a ano yɛ den a ɛko tia ɔfe na ɛne wo nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma. Wɔ transverse myelitis mu no, glucocorticoids boa ma ɔfe a ɛwɔ akyi berɛmo no mu no so tew. Ebia ɛho behia sɛ wonom nnuru yi nnansa kosi anum, anaa nea ɛboro saa.

Ayaresa afoforo a wɔde sa TM betumi ayɛ:

• Plasma exchange therapy (Plasmapheresis): Eyi yɛ adeyɛ a "ɛtew" wo mogya ho. Wɔ saa ayaresa yi mu no, wo duruyɛfo yi wo mogya no fã a ɛyɛ nsu (plasma) no na ɔde plasma a efi obi a ɔwɔ apɔwmuden mu anaa nea wɔde si plasma ananmu si ananmu. Eyi yi nipadua mu nkwammoaa a ɛko tia nyarewa ne protein afoforo a wosusuw sɛ ɛde ɔyare no ba no fi hɔ. Saa ayaresa yi betumi aboa nnipa a wɔwɔ TM a wɔwɔ acute central nervous system demyelinating disease a ennyaa glucocorticoid ayaresa no ho biribi.
• Intravenous Immune Globulin (IVIG): Eyi yɛ aduru a wɔde nnuru a ekum ɔyare mmoawa na ɛyɛ. Wɔnam ntini bi so na ɛma. Saa ayaresa yi betumi akyekyere nnuru a ɛko tia nyarewa a wosusuw sɛ ɛde TM ba no na ɛtew ɔfe a ɛwɔ akyi berɛmo no mu no so.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: Wɔ TM ayarefo a wɔanyɛ wɔn ade yiye wɔ glucocorticoids, plasma exchange, anaa IVIG ayaresa ho no, nnuruyɛfo de nnuru te sɛ rituximab ne cyclophosphamide di dwuma . Saa nnuru yi wɔ tumi a ɛma nipadua no tumi ko tia nyarewa.
• Nnuru a wode bedi sɛnkyerɛnne afoforo ho dwuma: Ebia wo duruyɛfo bɛkyerɛw nnuru afoforo a wode bedi sɛnkyerɛnne te sɛ ɛyaw, ntini a ɛyɛ mmerɛw, nsu mu haw, anaa adwenemhaw ho dwuma .

Bere tenten a wɔde di dwuma wɔ transverse myelitis ho

Bere a woanya ayaresa ama transverse myelitis (TM) a emu yɛ den akyi no, wubehia ɔhwɛ a ɛbɛma woasan asiesie wo ho na ama wo dwumadi atu mpɔn na woasiw nsɛnnennen a ɛto so abien a ebetumi aba esiane TM nti no ano.

Ɛwom sɛ ahosiesie ntumi nsan nipadua mu ɔsɛe a TM de ba no nsan de, nanso ebetumi aboa nnipa a wɔabubu kɛse no ma wɔde wɔn ho sɛnea wobetumi na wɔatra ase yiye sɛnea wobetumi.

Transverse myelitis a wɔde di dwuma bere tenten no betumi ayɛ:

• Nsuo dwumadi a wɔhwɛ so: Nnipa a wɔwɔ TM taa nya nsuo mu haw. Ano aduru no bi ne bere a wɔde gyae nsu mu, nnuru, kɔndɔm a wɔde hyɛ mu, nhama a ɛho tew a wɔde hyɛ mu bere ne bere mu , ne ntade ase a wɔde ntama ayɛ.
• Dwensɔtwaa dwumadi a wɔhwɛ so: Akisikuru yɛ ɔhaw a ɛtaa ba nnipa a wɔwɔ TM so. Wobetumi de aduan titiriw, nnuru a ɛma nsu mu yɛ mmerɛw ne aduan mu nhama a wɔde di dwuma wɔ ɔkwan a ɛfata so, ne akyi berɛmo a wɔkanyan no adi ho dwuma.
• Ɔbarima ne ɔbea nna mu ɔhaw a wɔsa: Nnuru a wɔtaa kyerɛw ma ɔbarima ne ɔbea nna mu ɔhaw ne sildenafil (`sildenafil` - Viagra®) , vardenafil (`vardenafil` - Levitra®) , ne tadalafil (`tadalafil` - Cialis®) . Ɛwom sɛ nnuru yi ntumi nyɛ adwuma yiye wɔ mmea so de, nanso wɔada no adi nso sɛ ɛma nna mu dwumadi tu mpɔn.
• Wo honam ani mpaapaemu ne nhyɛso a opira (mpa so apirakuru) a wobesiw ano: Sɛ wo honam ani nhyɛso bere tenten bi a, ebetumi apaapae. Nea ɛbɛyɛ na eyi asiw ano no, anyɛ yiye koraa no, ɛsɛ sɛ wosakra wo gyinabea simma 15 biara. Mmubuafo nkongua a ahoɔden a wɔde gyina hɔ anaasɛ wɔde dannan wo ho wɔ ahunmu a ebetumi asesa ɔkwan a wɔfa so kyekyɛ wo mu duru nso betumi aboa. Mmubuafo akongua mu nkataso ahorow ahorow wɔ hɔ a ebetumi atew nhyɛso a ɛba bere a wote ase no so.
• Ntini a ɛyɛ mmerɛw a wobedi ho dwuma: Nneyɛe a wɔde trɛw mu ne nhama a wɔde hyɛ nipadua mu ne nhama a wɔde hyɛ nipadua mu no betumi aboa ma wɔadi ntini a ɛyɛ mmerɛw ho dwuma anaasɛ wɔasiw ano. Apɔw-mu-teɛteɛ a ɛma ahoɔden ne nnuru a ɛma ntini dwo nso betumi aboa.
• Sɛnea wotumi nantew: Apɔw-mu-teɛteɛ ho animdefo betumi de apɔw-mu-teɛteɛ ama na ama wɔatumi atu mpɔn. Nneɛma a ɛboa ma wotumi nantew te sɛ poma, nantew, poma, ne mmubuafo akongua betumi aboa wo ma woayɛ ahofadi kɛse.
• Da biara da dwumadi ahorow a wɔhwɛ so: Ɛyɛ den ma nnipa a wɔwɔ TM no yiye sɛ wɔbɛyɛ da biara da nnwuma te sɛ ntadehyɛ, aguare, wɔn ho a wɔbɛtew, ne adidi. Nkɔmmɔbɔ a wɔne nnwinnade a wɔde sesa nneɛma ne adwuma mu ayaresa ho animdefo bɛbɔ no betumi aboa ma wɔahu akwan a wɔbɛfa so ama saa nnwuma yi ayɛ mmerɛw na etu mpɔn.
• Ɛyaw a Wɔde Di Dwuma: Ɛtaa ba sɛ wobɛte ɛyaw bi wɔ TMJ akyi. Wobetumi de nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) te sɛ acetaminophen (Tylenol®) , naproxen (Naprosyn®, Alleve® anaa Motrin®) , anaa ɔhyew ne awɔw aduru asa ntini mu yaw. Ntini mu yaw betumi ayɛ den kɛse sɛ wɔbɛsa. Nnuru bi a ekum adwenemhaw anaa nnuru a ekum akisikuru betumi aboa.
• Adwene mu akwahosan ho nhyehyɛe: Adwenemhaw abu so wɔ nnipa a wɔwɔ TM mu. Sɛ wowɔ adwenemhaw anaa adwenemyare afoforo ho sɛnkyerɛnne a, ɛho hia sɛ wokɔ oduruyɛfo anaa adwene ho ɔbenfo nkyɛn. Nnuru nso betumi aboa ma wɔasa adwenemhaw.

So wobetumi asa transverse myelitis?

Yiw, wobetumi asa transverse myelitis (TM) no. Nanso, ɛsono sɛnea obi ho tɔ no wɔ onipa biara mu.

Ebia ayaresa a efi TM mu no yɛ nea edi mũ, ne fã bi, anaasɛ enni hɔ. Mpɛn pii no, ayaresa fi ase wɔ asram biako kosi abiɛsa akyi wɔ ayaresa a edi kan no akyi. Nnipa dodow no ara ho tɔ wɔn wɔ TM mu wɔ asram abiɛsa ntam. Ebinom fam no, ebetumi agye asram pii anaa mfe pii mpo ansa na wɔasa.

Nnipa binom ho tɔ wɔn fi ntini mu yare a nsɛnnennen kakraa bi na ɛba anaasɛ enni hɔ bere tenten, bere a afoforo nso ho tɔ wɔn bere a wɔadi dɛm a ɛkɔ fam anaasɛ emu yɛ den.

Nnipa a ebia hokwan a ɛwɔ hɔ sɛ wɔn ho bɛtɔ wɔn no so atew ne:

• Wɔn a wɔn yare no ho sɛnkyerɛnne fi ase ntɛmntɛm .
• Wɔn a wɔn yare no ho sɛnkyerɛnne nnyaa nkɔso wɔ asram abiɛsa kosi asia a edi kan a wɔde sa wɔn yare na wɔn ho atɔ wɔn no mu.

Dɛn ne nkɔmhyɛ a ɛfa transverse myelitis (TM) ho?

Adwene/nkɔmhyɛ a ɛwɔ nnipa a wɔwɔ transverse myelitis ho no gu ahorow:

• Nnipa bɛyɛ 33% ho tɔ wɔn a nsɛnnennen kakraa bi anaasɛ enni hɔ bere tenten.
• Nnipa bɛyɛ 33% ho tɔ wɔn a wɔadi dɛm a ɛkɔ fam, te sɛ dwensɔtwaa mu haw ne nantew a ɛyɛ den.
• Nnipa bɛyɛ 33% ho tɔ wɔn a wɔadi dɛm a ɛtra hɔ daa, te sɛ obubuafo.

Nnipa dodow no ara nya transverse myelitis pɛnkoro pɛ. Nanso, nnipa binom a wɔwɔ tebea bi a ɛhyɛ ase te sɛ multiple sclerosis (MS) betumi ama asan aba bio (`(recur)`). Sɛ wowɔ TM a ɛka wo nipadua no fã biako pɛ a, ebia ɛbɛyɛ mmerɛw sɛ wubenya MS daakye.

Mɛyɛ dɛn ahwɛ me ho, anaa obi a ɔwɔ transverse myelitis (TM)?

Sɛ wowɔ transverse myelitis a, ɛho hia sɛ wohwɛ hu sɛ worenya aduruyɛ a ɛfata de asiw TM nsɛnnennen te sɛ dwensɔtwaa ne akisikuru mu haw ne ntini a ɛyɛ den ano anaasɛ wobɛsa.Ebia wobɛpɛ nso sɛ wususuw ho sɛ wobɛkɔ akɔka kuw bi a wɔboa wɔn ho na woahyia afoforo a wobetumi ne wo suahu ahorow no ayɛ biako. Afei nso, sɛ wote adwenemhaw anaa dadwen nka esiane TM nti a, ɛho hia sɛ wohwehwɛ mmoa fi ɔyaresafo anaa adwene ne nneyɛe ho ɔbenfo hɔ.

Sɛ worehwɛ obi a ɔwɔ TM a, ɛho hia sɛ wokamfo no kyerɛ na ama wahwɛ ahu sɛ obenya aduruyɛ a eye sen biara, mfiri a ɛbɛma watumi akɔ baabiara, ne ayaresa ahorow a ɛbɛboa no ma wade ne ho kɛse.

Ebetumi ayɛ den ama wo ne w’abusua sɛ mobɛyɛ nsakrae wɔ adwene ne nipadua mu nkɛntɛnso a TM de ba no mu. Wɔ ahotɔ mfiase no, ɛho hia sɛ wokyerɛkyerɛ w’abusua na woyɛ nhyehyɛe a wode bedi ahofadi ho nsɛnnennen ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ transverse myelitis (TM) ho?

Sɛ wuhu transverse myelitis ho sɛnkyerɛnne te sɛ ntini a ɛyɛ mmerɛw mpofirim na emu yɛ den ne ɛyaw a, kɔ ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi .

Sɛ wɔahu sɛ wowɔ TM a, ɛsɛ sɛ wo ne w’aduruyɛfo kuw no hyia daa de nya ayaresa na wohwɛ nsɛnnennen a ebetumi aba anaa.

Sɛ wobɛte sɛnea wo anaa wo dɔfo bi ahu sɛ ɔwɔ transverse myelitis (TM) no ase a, ebetumi ayɛ den. Nanso w’aduruyɛfo kuw no bɛma wo ayaresa ne ahosiesie nhyehyɛe a emu yɛ den a wɔayɛ ama wo anaa wo dɔfo no sɛnkyerɛnne ahorow. Ɛho hia sɛ wohwɛ hu sɛ wubenya ɔdɔ ne mmoa a wuhia wɔ w’ahoɔden akwantu no nyinaa mu, na woma w’ani da hɔ wɔ sɛnkyerɛnne foforo biara a ebetumi aba ho.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Okay, enti seesei woanya adwene pa wɔ nea transverse myelitis (TM) yɛ ho. Kae sɛ, ɛwom sɛ ɛyɛ tebea a ɛntaa nsi de, nanso sɛ wuhu yare no ho sɛnkyerɛnne bi a, ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Ade titiriw ne sɛ, sɛ wunya mmerɛwyɛ mpofirim, wo ho yɛ wo yaw, anaasɛ wuhyia ɔhaw ahorow wɔ wo nsu a wotumi siw mu ho a, mmu w’ani ngu so. Kɔ oduruyɛfo nkyɛn ntɛm ara.

TM betumi de nneɛma pii aba, na ɛtɔ mmere bi a wontumi nhu nea ɛde ba biara. Nanso, sɛ wɔsa wɔn yare yiye na wɔsan siesie wɔn a, nnipa dodow no ara betumi anya ahoɔden bi. Nnipa binom ho tɔ wɔn koraa.

Sɛ wo ne tebea a ɛte sɛɛ te ase a, ɛho hia sɛ wokɔ so yɛ den wɔ w’adwene mu na wunya w’abusua ne nnuruyɛfo mmoa. Enti, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa nneɛma biara a ɛhaw wo ho.

` Transverse myelitis, TM, akyi berɛmo, ntini mu yare, ɔfe, myelin, sɛnkyerɛnne, ayaresa