Ðe gbɔdzɔgbɔdzɔ wɔnuku aɖe le ŋku lém ɖe ŋuwò, tsɔ kpe ɖe wò azɔlizɔzɔ ƒe tɔtrɔ ŋua? Ate ŋu anye Miller Fisher Dɔléle!

Ðe nède dzesi vovototo aɖe le wò ŋkuwo me zi ɖeka, ɖewohĩ èkpɔ eve ɖe ɖeka teƒe, alo nèse le ɖokuiwò me be yeda sɔ ne èle zɔzɔm? Ðe wò hã nèsena le ɖokuiwò me be yeƒe dzi gbã vie ne èle nu ƒom? Esiawo menye nusiwo dzɔna le vome ko o, ɣeaɖewoɣi la, nɔnɔme aɖe si mebɔ o ate ŋu anɔ megbe na esia si woyɔna be Miller Fisher Syndrome. Egbea, míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nuka tututue nye Miller Fisher Dɔlélea?

Kpuie ko la, Miller Fisher Dɔléle nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o si me mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmeka siwo le lãmesẽ me dzi vodadatɔe. Ele abe míaƒe ŋutilã ŋutɔ ƒe amedzikpɔlawo dze mía ŋutɔwo míaƒe ƒomea me tɔwo dzi ene.

Le nɔnɔme sia me la, zi geɖe la, wò mo ƒe lãmekawoe wògblẽa nu le gbã. Vevietɔ ne lãmeka siwo kpɔa wò ŋkuwo dzi gblẽ la, ate ŋu asesẽ na wò be nàʋuʋu wò ŋkuwo. Menye ema ɖeɖeko o, ke ate ŋu akpɔ ŋusẽ ɖe wò dadasɔ, nuwɔwɔ aduadu, kple wò susuŋudɔwɔwɔ hã dzi. Zi geɖe la, dzesi siawo dzena ne dɔlékui alo dɔlékui ƒe dɔléle aɖe nu yi vɔ megbe.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Togbɔ be amesiame ate ŋu axɔ Miller Fisher Syndrome (MFS) hã la, anɔ eme be ame aɖewo axɔe. Esiawo dometɔ aɖewoe nye:

• Ame siwo tso Asia: Numekukuwo ɖee fia be ame siwo le Asia-dukɔwo me la ate ŋu ato nɔnɔme sia me vie wu ame siwo le Ɣetoɖoƒedukɔwo me.
• Ŋutsuwo: Ŋutsuwo ate ŋu axɔ esia zi gbɔ zi eve wu nyɔnuwo.
• Ame siwo xɔ wu ƒe 55: Edze abe afɔku sia dzina ɖe edzi ne ame le tsitsim ene.

Vovototo kae le Miller Fisher Dɔléle (MFS) kple Gilen-Barre Dɔléle (GBS) dome?

Ðewohĩ èse Guillain-Barré Dɔléle (GBS) ŋu nya kpɔ. Miller Fisher Syndrome (MFS) nye GBS ƒe tɔtrɔ aɖe. Wo ame evea siaa dze le dɔléle siwo dɔlélenutsiŋutete hena vɛ ƒe hatsotso me, si fia be wonye nɔnɔme siwo me ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea eɖokui dzi le. Zi geɖe la, wo ame evea siaa dzɔna le dɔlékui aɖe xɔxɔ vɔ megbe.

Gake vovototo vevi geɖe le wo dome.

• Le MFS me la , zi geɖe la, dzesiawo dzea egɔme tso ŋutilã ƒe akpa siwo le etame, vevietɔ le mo kple ŋkuwo dzi.
• Le GBS me la, dzesiawo dzea egɔme tso ŋutilã ƒe akpa siwo le ete (afɔwo, afɔwo) eye wokakana ɖe dzi vivivi.
• Akɔtave, gbɔgbɔ sesẽ, kple lãmekawo ƒe gbɔdzɔgbɔdzɔ le abɔ kple afɔwo me bɔ ɖe GBS me.
• GBS nye nɔnɔme si wokpɔna zi geɖe vie le hadomegbenɔnɔ me wu MFS.

Ðe Miller Fisher ƒe Dɔléle (MFS) xɔa ame mea?

Nya sia nye nya si ame geɖe biana. Ao, Miller Fisher Syndrome (MFS) menye dɔléle si xɔa ame me o.Esia fia be mekaka tso ame ɖeka me yi bubu gbɔ o. Mànya gɔ̃ hã be yedo ka kple ame aɖe si ŋu dɔléle sia le kpɔ o.

Aleke gbegbee nɔnɔme sia bɔe?

Miller Fisher Syndrome (MFS) nye dɔléle si mebɔ kura o. Le xexeame katã la, ame ɖeka alo eve koe wòdzena le ame miliɔn ɖeka me. Eyata àte ŋu akpɔ alesi gbegbe wòbɔe.

Nukae nye Miller Fisher Syndrome (MFS) ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo ate ŋu adze kpata eye woadze le ŋkeke ʋɛ aɖewo megbe. Zi geɖe la, dzesi siawo dzena le abe ŋkeke 10 ene le dɔlékui alo dɔlékui ƒe dɔléle xɔxɔ vɔ megbe. Gake ɣeaɖewoɣi la, dzesiawo mate ŋu adze o kwasiɖa geɖe.

Dzesi vevi siwo ame akpa gãtɔ kpɔnae nye:

• Dadasɔ ƒe kuxiwo: Àte ŋu ase le ɖokuiwò me abe ɖe nèle dadasɔ me le zɔzɔm ene.
• Tɔtrɔ siwo va le azɔlizɔzɔ ƒe nɔnɔme me: Àte ŋu adze azɔlizɔzɔ gɔme le mɔ si mebɔ o nu, si to vovo na alesi nèzɔna zi geɖe.
• Diplopia alo nukpɔkpɔ si me kɔ o: Esia ate ŋu anye nu eve ƒe dzedzeme alo nukpɔkpɔ si me kɔ o.
• Ptosis alo mo ƒe lãmekawo dzi ɖuɖu sesẽ: Adze abe ŋku ɖeka alo evea siaa le gegem ene. Ate ŋu asesẽ hã be woaɖu mo ƒe dzedzeme dzi.
• Tendon reflexes ƒe bu: Reflexes le teƒewo abe afɔkpodzi, klo, kple asi ene ate ŋu agbɔdzɔ alo manɔ anyi o. Woate ŋu ade dzesi esia ne ɖɔkta tsɔ akplɔ sue aɖe ƒo wo.
• Ŋkuwo ʋuʋu sesẽ: Ate ŋu asesẽ be woaʋuʋu ŋkuawo tso axa ɖeka ayi axa ɖeka, ayi dzi kple anyime.
• Lãmetsiwo ƒe ʋuʋu si mewɔa dɔ nyuie o alo zitɔtɔ: Ðewohĩ màte ŋu aɖu wò abɔwo kple afɔwo dzi nyuie o, si ana wò nuwɔnawo nazu zitɔtɔ.

Bu eŋu kpɔ, ame aɖe li si ŋkɔe nye Nimal. Anɔ abe kwasiɖa ɖeka ene enye sia la, dzamezã sesẽ aɖe dze edzi eye eƒe lãme sẽ. Fifia, kasia, ezɔna kple lãmetututɔ, abe ahatsunola ene. Ne ekpɔ ahuhɔ̃e me la, edzena abe eƒe ŋkumeɖonu ɖeka ɖiɖi vie ene. Ne ele television kpɔm la, edzena abe ɖe wòkpɔa nɔnɔmetata eve zi ɖeka ene. Esiae nye nusi ate ŋu adzɔ.

Tsɔ kpe ɖe dzesi vevi siawo ŋu la, ame aɖewo ate ŋu akpɔ dzesiwo abe:

• Yagbɔgbɔ sesẽ
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ le abɔwo kple afɔwo me
• Nu mimi sesẽ
• Aɖe ƒe gbɔdzɔgbɔdzɔ

Nukae hea Miller Fisher ƒe Dɔléle (MFS) vɛ?

Ne míagblɔe tututu la, MFS dzɔna ne míaƒe dɔlélenutsiŋutete, le dɔlékui aɖe ƒe dɔwɔwɔ me, dze mía ŋutɔwo ƒe lãmekawo dzi dzedze gɔme vodadatɔe. Eyae nye be, esime mía ŋutɔwo ƒe ametakpɔnu lãmenugbagbeviwo le avu wɔm kple dɔlékui aɖe si ge ɖe ŋutilãa me la, wodzea lãmeka siwo le lãmesẽ me dzi vodadatɔe, hesusuna be futɔwoe wonye.

Dɔlékui kple dɔlékuiwo ƒe dɔléle aɖewo siwo ate ŋu ahe MFS vɛ enye:

• Campylobacter infection - Esia nye dɔgbo ƒe dɔléle si dzɔna zi geɖe tso nuɖuɖu siwo me dɔlékuiwo le gbɔ.
• Haemophilus influenzae - Esia nye dɔlékui si hea dɔlékuiwo vɛ le gbɔgbɔtsixe ƒe dɔwɔwɔ me.
• Amegbetɔ ƒe Dɔlélenutsiŋutete ƒe Dɔlékui (HIV) .
• Mononucleosis (Mononucleosis - Epstein-Barr dɔlékui) - Esia nye dzoxɔxɔ si woyɔna hã be "agbugbɔ nugbugbɔdɔ".
• Zika dɔlékui aɖe

Ðe esia nye nusi dzɔ tso dzidzimewo mea?

Togbɔ be kpeɖodzi aɖewo li be woate ŋu anyi MFS ƒe dome hã la, ƒã ŋutɔ be ame eve siwo le ƒome ɖeka me naxɔ dɔlélea, eyata kpeɖodzi boo aɖeke meli be domenyiŋusẽfianu mee wòtso o.

Aleke nàwɔ anya kple kakaɖedzi be Miller Fisher Syndrome (MFS) le ŋuwò?

Nublanuitɔe la, dodokpɔ ɖeka aɖeke meli si ate ŋu anya MFS godoo o. Ðɔkta ado wò kpɔ, alé ŋku ɖe wò dzesiwo ŋu nyuie, eye wòaxɔ wò atikewɔwɔ ŋutinya (vevietɔ dɔlékui ɖesiaɖe si nèxɔ nyitsɔ laa). Ne asrã alo dɔgbo ɖu wò nyitsɔ laa la, ele be nàgblɔe na wò ɖɔkta godoo.

Ne wò ɖɔkta susui be MFS le ŋuwò la, woate ŋu awɔ dodokpɔ geɖe, abe:

• Ʋudodokpɔ: Esiawo ate ŋu akpɔe ɖa be dɔlékuiwutike ƒomevi aɖewo sɔ gbɔ ɖe ʋua me hã. Dɔlékuiwutikewo nye protein siwo míaƒe dɔlélenutsiŋutete wɔna tsɔ wɔa avu kple dɔlékuiwo. Le MFS me la, woate ŋu akpɔ dɔlékuiwutike ƒomevi aɖe koŋ (Anti-GQ1b antibodies) le agbɔsɔsɔ gã me le ʋu me.
• Electromyography (EMG): Esia dzidzea alesi wò lãmekawo wɔa nu ɖe ​​dzesi siwo tso wò lãmekawo gbɔ nyuie.
• Lãmetsiŋusẽ ƒe dɔwɔwɔ ŋuti numekuku (NCS): Dodokpɔ sia dzidzea alesi elektrikŋusẽ ƒe dzesi aɖe zɔna kabakaba le lãmeka aɖe ŋu. Woate ŋu aɖe duƒuƒu sia dzi akpɔtɔ le MFS me.
• Spinal tap/lumbar puncture: Esia bia be nàxɔ tsi si ƒo xlã wò akɔta ƒe kpɔɖeŋu sue aɖe eye nàdoe kpɔ be dɔlékuiwutike aɖewo le eme eye protein sɔ gbɔ ɖe eme hã.

Aleke wodaa Miller Fisher Dɔléle (MFS)?

Atike aɖeke meli na Miller Fisher Syndrome (MFS) o. Gake atikewɔwɔ aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàxe mɔ na wò dɔlélenutsiŋutete be wòagadze lãmeka siwo le lãmesẽ me dzi o. Zi alesi nèdze atikewɔwɔ siawo gɔme kaba la, zi nenemae emetsonuwo nyona ɖe edzii.

Dɔdamɔnu siwo wozãna wue nye:

• Intravenous Immunoglobulin (IVIG) dɔdamɔnu: Esia bia be nàna ʋumenugbagbevi dzĩ si ŋu wokɔ (wò ʋu ƒe akpa si nye tsi) kple dɔlékuiwutike siwo le lãmesẽ me tso nunala siwo le lãmesẽ me gbɔ. Dɔlékuiwutike siawo siwo le lãmesẽ me kpena ɖe ŋuwò be wò ŋutɔ wò dɔlékuiwutikewo nagadze lãmenugbagbevi siwo le lãmesẽ dzi dzi o.
• Plasma exchange / Plasmapheresis: Esia bia be nàxɔ wò ʋu, akɔ ʋumenugbagbeviɣi si me dɔlékuiwutike siwo gblẽa nu le ame ŋu le la ɖa, eye nàtrɔ ʋu si susɔ la ayi wò ŋutilã me. Ele abe wò ʋu aɖewo "kɔklɔ" ene.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Àwɔ dɔ kple kamededeŋutinunyala alo dɔdamɔnufiala aɖe awɔ kamedede kple hehexɔxɔ be lãmekawo ƒe ŋusẽ nagaɖo wo ŋu, woate ŋu atrɔ ɖe nɔnɔmewo ŋu, eye woawɔ ɖeka. Woafia aɖaŋu siwo nàtsɔ ana wò dadasɔ, azɔlizɔzɔ, kple gbesiagbedɔwo nanyo ɖe edzi la wò.

Ðe woate ŋu axe mɔ ɖe Miller Fisher Dɔléle (MFS) nua?

Nublanuitɔe la, mɔ aɖeke meli si dzi woato axe mɔ ɖe Miller Fisher Syndrome (MFS) ƒe dzɔdzɔ nu o, elabena tɔtrɔ si va le alesi mía ŋutɔwo ƒe dɔlélenutsiŋutete wɔa dɔe gbɔe wòtsona.

Gake àte ŋu aɖe afɔ aɖewo atsɔ akpɔ ɖokuiwò ta tso dɔlékuiwo kple dɔlékuiwo ƒe dɔlékui siwo ate ŋu ahe esia vɛ la me. Ema fia be:

• Ðe kadodo kplikplikpli kple amesiwo dze dɔ dzi kpɔtɔ.
• Kpɔ wò nu kple ŋɔti dzi ne èle akɔta ƒom hele aɖuɖɔ tom.
• Tsɔ dɔlékuiwutike klɔ teƒe siwo ŋu nèka asi enuenu le (ʋɔtruwo, kplɔ̃wo) ŋu.
• Ƒo asa na asikaka wò mo ŋu evɔ màklɔ asi nyuie o.
• Klɔ asi edziedzi kple adzalẽ alo zã asikɔklɔtike.

Nukae nye etsɔme na amesi ŋu Miller Fisher Syndrome (MFS) le?

Zi geɖe la, nukpɔsusu si le amesiwo ŋu dɔléle sia le ŋu nyona. Ƒã hafi wòwua ame. Zi geɖe la, mehea lãmesẽkuxi sesẽ siwo nɔa anyi didi hã vɛ o. Ame akpa gãtɔ hayana le ɣleti eve va ɖo ade megbe. Togbɔ be ame aɖewo ate ŋu anye nuwɔametɔ suesuesuewo hena ɣeyiɣi aɖe hã la, ame akpa gãtɔ trɔna yia agbe si sɔ me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne lãmekawo ƒe dɔwɔwɔ, nuwɔwɔ ɖekae, alo lãmekawo ƒe ʋuʋu ƒe kuxiwo do mo ɖa zi ɖeka la, yi ɖɔkta gbɔ enumake. Miller Fisher Syndrome (MFS) ƒe dzesiwo ate ŋu asɔ kple dɔléle bubu siwo gblẽa nu le lãmekawo kple lãmekawo ŋu.

Ate ŋu ado vɔvɔ̃ na wò be nàde dzesi tɔtrɔ ɖesiaɖe si ava wò ŋkuwo, lãmekawo, alo wò dadasɔ me. Gake ɖo ŋku edzi be MFS nye dɔléle si mebɔ kura o, eyata mègasusu be MFS le ye ŋu le esi dzesi siawo le ye ŋu ta ko o. Ke hã, wonye dzesi be nane mesɔ o. Eyata ne èse le ɖokuiwò me be yeƒe dzi dze eme alea la, anyo wu be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui. Emegbe ɖɔkta ate ŋu alé ŋku ɖe wò lãmekawo, lãmekawo, kple wò lãmesẽ bliboa ŋu ahawɔ atikewɔwɔ ƒe ɖoɖo si anyo na wò.

Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nusiwo me míedzro me (Take-Home Message) .

Enyo, eyata fifia èse Miller Fisher Dɔléle si ŋu míeƒo nu tsoe egbea gɔme nyuie. Nu aɖewo siwo wòle be wòanɔ susu me na wòe nye esi:

• MFS nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ kura o.
• Nusi dzɔna le esia mee nye be mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmekawo dzi.
• Dzesi vevitɔwoe nye ŋku ƒe kuxiwo (nukpɔkpɔ zi eve, ŋku ƒe ʋuʋu, ŋkuwo ʋuʋu sesẽ), dadasɔ ƒe kuxiwo, kple ŋku ƒe dɔwɔwɔ ƒe gbegblẽ.
• Esia menye dɔléle si xɔa ame me o.
• Zi geɖe la, edzena le dɔlékui alo dɔlékui ƒe dɔléle vɔ megbe.
• Togbɔ be dodokpɔ aɖeke meli koŋ o hã la, woate ŋu akpɔe to dzesiwo kple dodokpɔ bubu geɖewo dzi.
• Atikewɔwɔwo abe IVIG kple plasma exchange ene ate ŋu ana nu nyuiwo nado tso eme.
• Ame akpa gãtɔ hayana le ɣleti ʋɛ aɖewo megbe.
• Ne èkpɔ dzesi siawo la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Mègatsi dzodzodzoe o, gake ele vevie be nànɔ ŋudzɔ. Mele lãmesẽ nyui dim na wò kple wò ƒomea!

` Miller Fisher Dɔléle, ahɔhɔ̃medɔlélewo, dɔlélenutsiŋutete, Gilen-Bere ƒe dɔléle, ŋku ƒe nukpɔkpɔ, dadasɔ, lãmekawo ƒe gbɔdzɔgbɔdzɔ