Dɔlékui ƒomevi nenie li siwo nɔa míaƒe ŋutilã me evɔ míenya o? JC dɔlékuia nye wo dometɔ ɖeka. Le nyateƒe me la, dɔlékui sia nɔa ame tsitsi siwo wu afã le xexeame ƒe ŋutilã me. Gake nusi wɔ nukue nye be, mehea nuvevi alo fuɖename aɖeke vɛ na ame akpa gãtɔ o. Eyata, egbea míaƒo nu tsitotsito tso nusi tututu esia nye, ɣeyiɣi si wòava zu kuxi, kple nenye be ele be míavɔ̃.
Nuka tututue nye JC dɔlékuia?
Kpuie ko la, JC dɔlékuia nye dɔlékui si bɔ ŋutɔ. Woke ɖe eŋu zi gbãtɔ le ƒe 1971. Ðɔkta aɖe ke ɖe dɔlékui sia ŋu le ŋutsu aɖe si ŋu kansa si woyɔna be Hodgkin ƒe ʋumenugbagbeviɣidɔ le la ƒe ahɔhɔ̃ me. Wotsɔ dɔnɔa ƒe ŋkɔ gbãtɔ (John Cunningham) na dɔlékuia.
Gake eŋutinunyalawo meka ɖe alesi wòkakana tso ame gbɔ yi ame gbɔ dzi haɖe o. Ke hã, ame geɖe xɔe se be dɔlékuia gena ɖe míaƒe ŋutilã me ne míenye sɔhɛwo to tsi alo nuɖuɖu si me dɔlékuiwo le dzi. Ne dɔlékuia nya ge ɖe eme ko la, ate ŋu anɔ alɔ̃ dɔm le míaƒe aɖuɖɔtoe, ƒumeŋuɖui, aɖuɖɔtoe, alo ahɔhɔ̃ me ƒe geɖe, eye esia mahe kuxi aɖeke vɛ o. Esia wɔe be ame geɖe menya gɔ̃ hã be dɔlékuia le yewo ŋu o.
Eyata amekae le afɔku me le esia me?
Nu vevitɔe nye esi. Zi alesi wò dɔlélenutsiŋutete nyo eye ŋusẽ le eŋu ko la, JC dɔlékuia maɖe fu na wò o. Ðeko wòle abe alɔ̃dɔdɔ ene.
Gake ne le susu aɖe ta ame ƒe dɔlélenutsiŋutete gbɔdzɔ ŋutɔ , kasia dɔlékui ma si le alɔ̃ dɔm la nyɔna eye wòdzea dɔwɔwɔ gɔme.
Ne dɔlékuia va le dɔ wɔm alea la, ate ŋu ahe ahɔhɔ̃medɔ sesẽ aɖe ŋutɔ si woyɔna be Progressive Multifocal Leukoencephalopathy , alo PML , vɛ.
Nukae nye PML?
Esia gblẽa nu le ametakpɔnu si ƒo xlã míaƒe lãmekawo ŋu . Ele abe aŋe si wotsɔ tsyɔ elektrikka dzi ene. Esia gblẽa gbedasiwo ɖoɖoɖa to lãmekawo dzi keŋkeŋ. Esia ate ŋu ana ame nazu nuwɔametɔ tegbee eye ɣeaɖewoɣi ate ŋu aku gɔ̃ hã .
Afɔku gãtɔ kekeake si le PML xɔxɔ me enye:
- Le HIV/AIDS dɔnɔwo gome.
- Hodgkin ƒe dɔlélea), amesiwo ŋu kansadɔlélewo abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene le.
- Le amesiwo ŋu dɔlélewo abe Multiple Sclerosis (MS) , Rheumatoid Arthritis , alo amesiwo noa dɔlélenutsiŋutete ƒe atike ƒomevi aɖewo le ŋutinuwo dodo na wo megbe gome la .
Nukawoe nye PML ƒe dzesiwo?
Zi geɖe la, dzesi siawo dzea egɔme kabakaba eye wogblẽna ɖe edzi le ɣeyiɣi aɖe megbe. Dzesiawo ate ŋu ato vovo le ahɔhɔ̃a ƒe akpa si gblẽ nu. Gake esiawoe nye dzesi siwo bɔ wu.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Nusiwo mewɔa nuvevi ame o | Nuwo abe nuwo wɔwɔ sesẽ, nukikli ne wole zɔzɔm, kple gege le asi me ene. |
| Gbɔdzɔgbɔdzɔ si nu sẽna ɖe edzi | Gbɔdzɔgbɔdzɔ le alɔ, afɔ, alo ŋutilã ƒe akpa ɖeka dzina ɖe edzi vivivi. |
| Amenyenye ƒe tɔtrɔ | Tɔtrɔwo abe dzikudodo kpata, dzimaɖitsitsi, kple ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ ene. |
| Nuƒoƒo ƒe kuxi | Nyawo va tɔtɔna, eye nyemate ŋu agblɔ nya si medi be magblɔ la tututu o. |
| Nukpɔkpɔ ƒe kuxiwo | Nukpɔkpɔ va zua nusi me kɔ o, eye kuxiwo abe nu eve kpɔkpɔ zi ɖeka ene. |
Aleke tututu nèwɔna dea dzesi esia?
Gbã la, àte ŋu ado wò kpɔ be JC dɔlékuia le ŋuwò hã. Esia bia be woado ʋu kpɔ alo woaɖe lãkusi aɖe . Esia le vevie ŋutɔ ne èle atike siwo tea wò dɔlélenutsiŋutete ɖe to zãm .
Gake ne wò ɖɔkta susui be PML le ŋuwò la, dodokpɔa to vovo.
1. MRI scan: Dodokpɔ gbãtɔ si nàwɔe nye MRI (Magnetic Resonance Imaging) scan. Esia zãa magnet sesẽwo kple radio ƒutsotsoewo tsɔ ɖea wò ahɔhɔ̃a ƒe foto tsitotsito eye wòdia nɔnɔme siwo le ahɔhɔ̃mekawo me siwo bɔ ɖe PML me.
2. Akɔtaƒu : Eyome, wò ɖɔkta ate ŋu atso nya me be yeawɔ akɔtaƒu (akɔta ƒe ʋuʋu) . Mègatsi dzi o, esia bia be nàxɔ aŋe sue aɖe eye nàɖe aklã me tsi sue aɖe tso wò akɔta ƒe akpa si le anyime. Wodoa tsi sia kpɔna be JC dɔlékuia le eme hã. Ne wokpɔ JC dɔlékuia le tsi sia me la, eɖoa kpe PML ƒe anyinɔnɔ dzi.
3. Ahɔhɔ̃ me Dzodzro: Ne dodokpɔ siwo le etame me mekɔ haɖe o la, ahiã be woaɖe lãkusi sue aɖe tso ahɔhɔ̃a me atsɔ adoe kpɔ (biopsy).
Ƒomedodo si le atike siwo wozãna tsɔ daa dɔléle aɖewo kple JC dɔlékuia dome
Sclerosis (MS) kple Crohn ƒe Dɔléle
Wokpɔe be atike aɖewo siwo wozãna tsɔ daa dɔlélewo abe Multiple Sclerosis (MS) kple Crohn ƒe Dɔléle (le kpɔɖeŋu me, Natalizumab, Dimethyl fumarate, Fingolimod, Ocrelizumab ) do ƒome kple PML.
Eyata hafi nàdze atike sia ƒomevi zazã gɔme la, wò ɖɔkta ado wò kpɔ godoo be yeakpɔe ɖa be JC dɔlékuia le ŋuwò hã. Àte ŋu ano atike sia ne dɔlékuia le ŋuwò gɔ̃ hã, gake ele be nàdzro afɔku kple viɖe siwo le eme me kple wò ɖɔkta hafi atso nya me.
HIV/AIDS dɔlélea
Egbegbe atike aɖewo siwo wonana amesiwo ŋu HIV/AIDS le kpena ɖe ame ŋu wòdoa ŋusẽ dɔlélenutsiŋutete. Esia nye kpekpeɖeŋu gã aɖe le mɔxexe ɖe PML ƒe dzɔdzɔ tso JC dɔlékuia me nu. Esia wɔe be PML ƒe dzɔdzɔ le HIV/AIDS dɔnɔwo dome dzi ɖe kpɔtɔ ŋutɔ le ƒe ʋɛ siwo va yi me.
Nukawoe nye atike siwo wozãna na PML?
Fifia la, atike aɖeke meli si dzi woda asi ɖo be wòada PML keŋkeŋ o, eye dzɔdzɔmeŋutinunyalawo gale numekuku wɔm tso esia ŋu.
Atike nyuitɔ kekeake si li fifiae nye be wòakpe ɖe ŋutilãa ƒe dɔlélenutsiŋutete ŋu awɔ avu kple dɔlékuia le eɖokui si to egbugbɔgatu me. Le kpɔɖeŋu me, ne ame aɖe le atike si tea eƒe dɔlélenutsiŋutete ɖe to zãm la, eƒe ɖɔkta ate ŋu atso nya me be yeadzudzɔ atike ma alo atrɔe.
Gbedasi si Wotsɔ Yi Aƒeme
- JC dɔlékui nye dɔlékui si bɔ ŋutɔ si megblẽa nu le ame akpa gãtɔ ŋu o. Eyata mègavɔ̃e madzemadzee o.
- Afɔku ŋutɔŋutɔ si le esia me koe nye amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ ŋutɔ, amesiwo ate ŋu axɔ ahɔhɔ̃medɔ sesẽ aɖe si woyɔna be PML.
- Ne èkpɔ dzesiwo abe gbɔdzɔgbɔdzɔ si mebɔ o, azɔlizɔzɔ alo nuƒoƒo sesẽ, alo amenyenye ƒe tɔtrɔ kpata, vevietɔ ne èle atike siwo tea wò dɔlélenutsiŋutete ɖe to zãm la, yi ɖɔkta gbɔ enumake.
- Hafi nàdze dɔlélewo abe MS kple Crohn ƒe atike aɖewo zazã gɔme la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta tso afɔku si le JC dɔlékui kple PML ŋu.
- Ne nyabiase alo ɖikeke aɖe le ŋuwò le esia ŋu la, nu nyuitɔ si nàwɔe nye be nàƒo nu tso eŋu na wò ɖɔkta eme nakɔ eye nàna nànya.
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