Central Pontine Myénolyse ye mun ye? An k’a faamu cogo nɔgɔman na.

Ni mɔgɔ dɔ banana ani ni a donna dɔgɔtɔrɔso la ni farikoloji ni kɔgɔ hakɛ dɔgɔyara, dɔgɔtɔrɔw bɛna kɔgɔ di a ma walasa ka a dɛsɛ in dafa. O ye ko ye min tɛ kojugu ye. Nka yala i b’a dɔn ko tuma dɔw la, ni soja hakɛ dɔgɔyara farikolo la yɔrɔnin kelen ani teliya la, o bɛ se ka hakili tiɲɛ wa? An bɛ o de wele ko bana min man teli ka sɔrɔ nka a ka jugu, n’o bɛ wele ko Central Pontine Myelinolysis. Hali n’a tɔgɔ ka gɛlɛn dɔɔnin, an ka kuma a kan cogo nɔgɔman na.

N’an y’a fɔ cogo nɔgɔman na, nin ye ko sugu jumɛn ye?

Nin ye bana ye min bɛ tali kɛ farikolojidɛsɛ la. Farikolo mago bɛ kuran taamasiɲɛ minnu na, olu bɛ tɛmɛ nɛrɛmuguma (neurons) fɛ an ka hakili la. Lakanalifɛn dɔ bɛ o nɛrɛmuguma ninnu lamini na. An b' a wele ko miyɛlini bɔgɔdaga . A bɛ i n’a fɔ plastiki bɔrɔ min bɛ kuran nɛgɛ lamini. O miyɛlini bɔrɔ in de bɛ a to kuran taamasiɲɛw bɛ taa teliya la, k’a sɔrɔ bali foyi ma kɛ u la.

Central Pontine Myelinolysis (CPM) bɛ sɔrɔ ni miyɛlini dawolo tiɲɛna kunsɛmɛ yɔrɔ kɛrɛnkɛrɛnnen dɔ la, kɛrɛnkɛrɛnnenya la pons . O tiɲɛni bɛ se ka nɔ bila farikolo yɔrɔ suguya caman baara la.

Tuma dɔw la, 10% ɲɔgɔn na, o tiɲɛni bɛ se ka nɔ bila pons dɔrɔn na, nka a bɛ se ka nɔ bila hakili yɔrɔ wɛrɛw fana na. O la, nin bana in bɛ dɔn ni tɔgɔ wɛrɛ ye min ka bon kosɛbɛ. O ye bana ye min bɛ wele ko Osmotique Demyelination Syndrome (ODS) .

Nin bana in man teli ka kɛ, nka a jirala ko banabagatɔ 2,5% ɲɔgɔn minnu bɛ don dɔgɔtɔrɔsobaw la (ICU) farati bɛ olu la ka ODS sɔrɔ.

O ko in sababu ye mun ye?

O kunba ye ko ni farikolo natiri hakɛ (o ye an bɛ kɔgɔ min dun) dɔgɔyara kosɛbɛ, o bɛ barika sɔrɔ ka caya ani ka teliya kosɛbɛ . O farati bɛ bonya kɛrɛnkɛrɛnnenya la ni farikolo la soja hakɛ dɔgɔyara ka tɛmɛ tile fila kan ani ni furakɛli bɛ kɛ.

Miiri o la nin cogo la. Mɔgɔ bɛ fɔɔnɔ kosɛbɛ kabini tile caman, walima kɔnɔboli bɛ a la. O kɔ, ji dɔrɔn tɛ, nka kɔgɔ minnu bɛ i n’a fɔ soja, olu fana bɛ tunun u fari la. Ni u nana dɔgɔtɔrɔso la, u ka soja hakɛ bɛ dɔgɔya kosɛbɛ. Sisan dɔgɔtɔrɔw bɛ ka saline di u ma walasa k’a ɲini k’u ka soja hakɛ segin u cogo kɔrɔ la. Nka, ni u t’a dɔn farati wɛrɛ minnu bɛ banabagatɔ la, u bɛ se ka dɔ fara soja hakɛ kan joona dɔɔni.

N’o kɛra, ji min bɛ kunsɛmɛnasumaya kɔnɔ, o bɛ barika bɔ ka bɔ farikolokisɛw la. Kɔnɔnatumuw bɛ dɔgɔya i n’a fɔ rɛzɛn jalen. O fɛn barikama in ye min bɛ miyɛlini bɔgɔlanw tiɲɛ an ye minnu kofɔ.

Jɔn de bɛ faratiba la?

Nin bana in tɛ bɛɛ sɔrɔ ni u ka soja hakɛ wulila joona kojugu, nka mɔgɔ dɔw farati ka bon.

Nin bana in taamasiɲɛw ye jumɛnw ye?

A ka ca a la, a taamasiɲɛw bɛ daminɛ ka bɔ tile fila fo tile saba kɔnɔ, farikolo natiri hakɛ latilenni kɔfɛ. Taamasiɲɛ dɔw bɛ yen minnu bɛ bɔ joona, ka fara taamasiɲɛw kan minnu bɛ bɔ dɔgɔkun caman kɔfɛ.

Nka, kana siran. Hali ni a daminɛ na, a tun bɛ miiri ko mɔgɔ minnu bɛ sa, olu hakɛ ka ca, o tun bɛ dɔn ni suw sɛgɛsɛgɛli ye. Kunnafoni kuraw b’a jira ko nin bana in bɛ mɔgɔ minnu na, olu 94% bɛ kisi . Ani fana, u 25% ni 40% cɛ bɛ kɛnɛya pewu . Nka, 25% ni 30% cɛ bɛ se ka to ni fiɲɛ banbali dɔw ye.

Dɔgɔtɔrɔw bɛ o sɔrɔ cogo di?

Nin bana in dɔncogo ɲuman ye MRI (Magnetic Resonance Imaging) sɛgɛsɛgɛli ye . Aw ka dɔgɔtɔrɔ bɛna aw ka hakili la MRI ja lajɛ ani ka fɛn kɛrɛnkɛrɛnnenw lajɛ minnu bɛ fɛn kɛrɛnkɛrɛnnenw sɛgɛsɛgɛ minnu b’a jira ko miyɛlini dawolo tiɲɛna.

Tuma dɔw la, o tiɲɛni tɛ ye MRI la o yɔrɔnin bɛɛ, o la dɔgɔtɔrɔ bɛ se k’a ɲini aw fɛ aw ka MRI wɛrɛ kɛ dɔgɔkun kelen walima dɔgɔkun fila kɔnɔ.

CPM bɛ se ka kɛ i n’a fɔ bana damadɔ wɛrɛw MRI ja kan. O la, dɔgɔtɔrɔw b’u janto kosɛbɛ walasa u kana nin bana in ni nin bana ninnu ɲagami ɲɔgɔn na.

• Sklerose multiple (Sklerose multiple) bɛ sɔrɔ
• Kunsɛmɛnasumaya min bɛ sɔrɔ farikolo tangacogo fɛ walima min bɛ sɔrɔ banakisɛ fɛ (sugunɛbilenni) .
• Cɛmancɛ farikolo yɔrɔw joli-sira-funu
• Kansɛri suguya dɔw

Ni MRI dɔrɔn tɛ se ka tiɲɛni jira ka jɛya, dɔgɔtɔrɔ bɛna farikoloɲɛnajɛ sɛgɛsɛgɛli kɛ min ka dun kosɛbɛ. O bɛ se ka kɛ sɛgɛsɛgɛliw ye minnu bɛ kuran taamasiɲɛw suman kunsɛmɛ na, i n’a fɔ EEG (electroencephalography).

A furakɛcogo bɛ kɛ cogo di? Bana kunbɛnni de ka fisa!

Tiɲɛ na, Central Pontine Myelinolysis furakɛli kunba ye ka bana in bali ka kɛ .

Ni nin bana in bɛ aw la, furakɛli bɛna bɔ aw ka bana taamasiɲɛw de la. Tuma caman na, farikoloɲɛnajɛ furakɛli ni furakɛli wɛrɛw bɛna kɛ kalo caman kɔnɔ.

Ni taamasiɲɛw bɛ aw la minnu ni Parkinson ka bana bɛ tali kɛ ɲɔgɔn na, i n’a fɔ yɛrɛyɛrɛ, aw ka dɔgɔtɔrɔ bɛ se ka dopaminerizi furaw di aw ma .

Aw ka dɔgɔtɔrɔso la, gɛlɛya filanan wɛrɛw kunbɛnni fana ye furakɛli yɔrɔba dɔ ye. Dɔgɔtɔrɔso jɛkulu bɛna to ka fɛnw kɔlɔsi i n’a fɔ:

• A bɛ tali kɛ fiɲɛbɔlan dɔ la
• Sugunɛbilenniw
• Sɔgɔsɔgɔninjɛ
• Joli kurulen don jolisira la (Trombose de la veine profonde) .
• Farikoloɲɛnajɛ (atrophie musculaire).

Hali kɛnɛyaso sɛgɛsɛgɛliw bɛ sen na nin bana in kan, wa aw ka dɔgɔtɔrɔ bɛ se ka dɔ fɔ aw ye.