Ðe wò akɔta se le eɖokui me abe ɖe ŋusẽ maganɔ eŋu oa? Mina míaƒo nu tso Transverse Myelitis (TM) ŋu!

Ðe nèbu nɔnɔme aɖe si me mègate ŋu ɖua wò afɔwo dzi zi ɖeka o, wò ŋutilã ƒe akpa aɖewo tsia dzodzodzoe, alo wò aɖuɖɔ kple aɖuɖɔ dzi ɖuɖu sesẽna na wò kpɔa? Togbɔ be esiawo doa vɔvɔ̃ na ame vie hã la, ɣeaɖewoɣi la, dzesi siawo ate ŋu ado mo ɖa le míaƒe aklã , si nye lãmeka siwo toa akɔta me ƒe dɔdzẽ ta. Emae nye nɔnɔme si ŋu míele nu ƒom tsoe egbea, si woyɔna be Transverse Myelitis (TM) . Esia nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ kura o.

Nuka tututue nye transverse myelitis (TM)?

Kpuie ko la, transverse myelitis (TM) nye wò aklã , si nye lãmeka vevitɔ si toa wò akɔta ƒe dɔdzẽ. Bu eŋu ale: etsɔa gbedasiwo tso wò ahɔhɔ̃ me yia wò ŋutilã ƒe akpa mamlɛa. Ele abe telefon ka ene.

Dzoxɔxɔ sia gblẽa nu le ametakpɔnu si ƒo xlã lãmeka siwo le aklã me, si woyɔna be myelin sheath . Ðeko wòle abe ɖe aŋe si wotsɔ tsyɔ ka aɖe tame la gblẽ ene. Nukae dzɔna ɣemaɣi? Gbedasi siwo tso ahɔhɔ̃a me metoa eme nyuie o. Esia hea kuxiwo abe seselelãme ƒe anyimanɔmanɔ, lãmetutudɔ, kple tsinyegoea dzi ɖuɖu ƒe anyimanɔmanɔ vɛ.

Nɔnɔme sia si woyɔna be TM ate ŋu agblẽ nu le aklã ŋu le akɔta ƒe akpa sia akpa. "Myelitis" fia aklã ƒe dɔdzẽ. "Transverse" fia tɔtrɔ siwo vaa seselelãme kple dɔwɔwɔ me ƒe ɖoɖo. Ate ŋu ase le eɖokui me abe ɖe wobla alidziblanu ɖe ​​ŋutilãa ŋu ene, eye seselelãme ƒe tɔtrɔwo le alidziblanua te.

Zi geɖe la, TM nyea nɔnɔme si doa mo ɖa zi ɖeka eye emegbe wòhayana alo nɔa nenema ke.

Amekae dɔléle sia, si nye transverse myelitis (TM), gblẽa nu le wu?

Le nyateƒe me la, nɔnɔme sia si woyɔna be transverse myelitis (TM) ate ŋu adze le ƒe ɖesiaɖe me, le ame sia ame me. Ke hã, ne èlé ŋku ɖe nyatakakaawo ŋu la, àte ŋu akpɔe be edzɔna vie le sɔhɛ siwo xɔ tso ƒe 10 va ɖo ƒe 19 kple amesiwo xɔ tso ƒe 30 va ɖo ƒe 39. Nukutɔe la, amesiwo xɔe la dometɔ siwo ade 25% nye ɖeviwo. Ke hã, esia menye domenyiŋusẽfianu ƒe dɔléle si tsoa dzidzimewo me o. Eya ta mehiã be míatsi dzi be ame bubuwo hã atue ɖo le esi wònɔ ƒomea me tɔ aɖe si ta ko o.

Eyata aleke gbegbee nɔnɔme sia bɔe?

Transverse myelitis (TM) nye dɔléle si mebɔ kura o . Bu eŋu kpɔ ko, le dukɔ abe Amerika ene gɔ̃ hã me la, ame yeye ɖeka va ɖo enyi koe wokpɔna le ame miliɔn ɖeka me ƒe sia ƒe. Ema fia be ame yeye siwo ade 1400 ye xɔa dɔlélea ƒe sia ƒe. Eyata menye nusi wokpɔna zi geɖe ŋutɔ le Sri Lanka hã o.

Nukae nye transverse myelitis (TM) ƒe dzesiwo?

Transverse myelitis (TM) ƒe dzesiwo ate ŋu adze kpata ɣeaɖewoɣi , le gaƒoƒo alo ŋkeke aɖewo me. Le bubuwo me la, dzesiawo ate ŋu adze vivivi le kwasiɖa ɖeka va ɖo ene me. Gake ele vevie be nànya be TM ƒe dzesiwo ate ŋu agblẽ ɖe edzi kabakaba .

Zi geɖe la, dzesiawo dzena le afisi wò aklã gblẽ le la te. Le kpɔɖeŋu me, ne nusiwo gblẽ le wò akɔta titina, wò abɔwo te la, wò afɔwo kple tsinyegoe/dɔgbo dzi ɖuɖu akpɔ ŋusẽ ɖe edzi. Ðewohĩ magblẽ nu le wò abɔwo ŋu o.

Zi geɖe la, TM gblẽa nu le ŋutilãa ƒe akpa eveawo siaa ŋu. Gake ɣeaɖewoɣi la, ate ŋu agblẽ nu le akpa ɖeka ko ŋu. Gbɔdzɔgbɔdzɔ sia ƒomevi si le akpa ɖeka me bɔ ɖe amesiwo ŋu dɔlélewo abe Multiple Sclerosis (MS) ene le me wu.

Bu eŋu kpɔ, le TM ƒe akpa si nu sẽ wu la, dɔnɔ 50% megate ŋu ʋãa afɔ eveawo o. Ame 80% va ɖo 94% kpɔa lãmetutudɔ alo seselelãme siwo mebɔ o abe pin kple aŋe ene. Azɔ hã, amesiame kloe kpɔa aɖuɖɔtoe me vevesese aɖe vaseɖe afi aɖe.

Le ame aɖewo gome la, dzesi siawo dzi aɖe akpɔtɔ alo nu ayi keŋkeŋ ne wowɔ atike na wo, gake le ame bubuwo gome la, kuxi siwo anɔ anyi ɖaa ate ŋu ado mo ɖa.

Dzesi vevi geɖewo li siwo woate ŋu akpɔ le TM me:

• Seselelãme siwo mebɔ o
• Vevesese
• Dɔgbo kple aɖuɖɔtoe me kuxiwo
• Lãmetsiwo kple ʋuʋu ƒe kuxiwo
• Gbɔdɔdɔ ƒe dɔwɔwɔ ƒe kuxiwo
• Dzesi bubuwo

Seselelãme siwo mebɔ o

Le afisi wò aklã gblẽ le le TM ta nu la, àte ŋu ase seselelãme siwo mesɔ o (si woyɔna hã be ``Paresthesia'' le atikewɔwɔ me) le wò ŋutilã ƒe akpa aɖewo, abe:

• Gbɔdzɔgbɔdzɔ
• Sese le eɖokui me be yeaƒo nu (Prickling) .
• Dzobibi
• Asikaka ame ŋu alo dzoxɔxɔ ƒe seselelãme si gbɔ eme
• Dzoxɔxɔ/vuvɔ ƒe seselelãme si mesɔ gbɔ o

Vevesese

TM ate ŋu ana ame nase veve le ŋutilã ƒe akpa aɖewo. Vevesese sia ate ŋu asẽ alo anye esi me mekɔ o . Ɣeaɖewoɣi la, vevesese sia ate ŋu akɔ ɖe abɔwo kple/alo afɔwo dzi, alo ate ŋu ase le eɖokui me abe akɔta kple ƒodo mee wòtso ene.

Aɖuɖɔ kple aɖuɖɔtoe ƒe dzesiwo

TM ate ŋu ahe aɖuɖɔtoe kple dɔgbo ƒe kuxiwo abe:

• Miléle
• Tsinyegoe me kɔ keŋkeŋ ne wole aɖuɖɔ tom (`(Urinary retention)`) .
• Aɖuɖɔtoe dzi ɖuɖu ƒe kuxiwo, le kpɔɖeŋu me, aɖuɖɔtoe dodo enuenu (`(Urge incontinence)`)
• Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (`(Urinary incontinence)`)

Lãmetsiwo kple ʋuʋu ƒe kuxiwo

Amesiwo ŋu TM le ate ŋu akpɔ gbɔdzɔgbɔdzɔ le woƒe afɔwo ŋu, si ate ŋu ayi ŋgɔ kabakaba. Ne dɔdzẽa gblẽ nu le aklã ŋu le mɔ aɖe nu la , ate ŋu agblẽ nu le abɔwo hã ŋu.

Àte ŋu akpɔ dzesiwo abe esiawo ene:

• Dadasɔ ƒe bu le ŋutilãa me
• Azɔlizɔzɔ sesẽ (nukikli, afɔwo hehe) .
• Lãmetsiwo ƒe ʋuʋu
• Lãmetsiwo ƒe dɔwɔwɔ ƒe akpa aɖe meganɔa dɔ wɔm o, eye ɣeaɖewoɣi la, ewɔa lãmetutudɔ gɔ̃ hã .

Gbɔdɔdɔ ƒe dɔwɔwɔ ƒe kuxiwo

Ðewohĩ asesẽ na amesiwo ŋu TM le be woaɖo gbɔdɔdɔ ƒe dzodzro gbɔ. Tsɔ kpe ɖe eŋu la, ŋutsuwo ate ŋu akpɔ tsinyenye ƒe dɔmawɔmawɔ nyuie.

Dzesi bubuwo

Tsɔ kpe ɖe eŋu la, TM ate ŋu ahe dzesi siwo gbɔna hã vɛ:

• Nudzroame
• Taɖuame (taɖuame) .
• Asrã
• Yagbɔgbɔ ƒe kuxiwo

Nukae hea transverse myelitis (TM) vɛ?

Le nyateƒe me la, nusi koŋ gbɔ transverse myelitis (TM) tsonae nye aklã ƒe dɔdzẽ.

Bu eŋu kpɔ, ne nane si gblẽa nu le ame ŋu ge ɖe míaƒe ŋutilã me, abe dɔlékuiwo, dɔlékuiwo, atike siwo me aɖi le, alo ne míexɔ abi la, míaƒe dɔlélenutsiŋutete wɔa dɔ.

Dɔlélenutsiŋutete ɖea lãmenugbagbevi siwo naa dɔdzẽ kple nu bubu (cytokines) siwo doa ŋusẽ lãmenugbagbevi bubuwo. Lãmenugbagbevi siawoe ʋãa dɔdzẽ ƒe ŋuɖoɖo si kpena ɖe ame ŋu wòwɔa avu kple nuwo abe dɔlékuiwo ene eye wòdzea abiwo dada gɔme. Togbɔ be zi geɖe la, dɔdzẽ ƒe ŋuɖoɖo sia hiã hã la, ɣeaɖewoɣi la, míaƒe dɔlélenutsiŋutete te ŋu dzea lãmeka siwo le lãmesẽ dzi dzi le susu aɖeke manɔmee. Alo, alesi wowɔa nui ɖe dutanu ma ŋu ate ŋu asẽ akpa eye wòagblẽ nu le ŋutilãa ƒe lãkusiwo ŋu.

Emae nye nusi dzɔna le TM me. Dzoxɔxɔa gblẽa nu le myelin ƒe akɔta si ƒo xlã lãmeka siwo le aklãa me ŋu.

Nu geɖe li siwo ate ŋu ahe abi vɛ siwo hea TM vɛ. Woate ŋu ama nusiwo gbɔ wòtsona siawo ɖe hatsotso vevi geɖe me:

• Nya siwo me womenya nusi tututu gbɔ wòtso o (`(Idiopathic)`) .
• Dzoxɔxɔ si dɔlékui aɖe hena vɛ
• Dɔlélenutsiŋutete ƒe dɔléle siwo gblẽa nu le ŋutilã bliboa ŋu (`(Systemic inflammatory autoimmune diseases)`)
• Titina lãmekawo ƒe dɔlélewo (`(Titina lãmekawo ƒe dɔlélewo)`)

Dɔléle si nye idiopathic transverse myelitis

``(Idiopathic) TM`` nye ne womete ŋu ke ɖe nusi koŋ gbɔ wòtso ŋu o. TM dɔnɔ akpa gãtɔ dzena le hatsotso sia me. Dzɔdzɔmeŋutinunyalawo susui be edzɔna elabena mía ŋutɔwo ƒe dɔlélenutsiŋutete wɔa nu ɖe ​​aklã ŋu le mɔ si mesɔ o nu eye wògbɔa eme, si wɔnɛ be dɔdzẽ kple lãmenugbagbeviwo gblẽna. Gake womenya nusi tututu gbɔ wòtso, alo nusi gbɔ wòtso, haɖe o.

Dɔlékui siwo ate ŋu ahe transverse myelitis vɛ

Dɔlékuiwo, dɔlékuiwo, dɔlékuiwo, kple fungiwo ƒe dɔléle geɖe li siwo ate ŋu ahe TM vɛ. Wo dometɔ aɖewoe nye:

• Enteroviruses (Esiawo nye dɔlékui siwo bɔ ŋutɔ, gake zi geɖe la, wohea dɔléle si nu mesẽ o vɛ) .
• `Ɣetoɖoƒe Nile dɔlékui`
• Herpes dɔlékuiwo, le kpɔɖeŋu me, vidzinuwo ƒe herpes
• `HIV`
• Varicella-zoster (dɔlékui si hea koklozi kple herpes zoster vɛ) .
• `Amegbetɔ ƒe T-ʋumenugbagbeviɣidɔlékui ƒomevi 1 (HTLV-1)`
• `Zika dɔlékui`
• Neuroborreliosis (Lyme dɔléle) .
• `Syphilis ƒe dɔléle`
• `Yɔmekpe`
• Dɔlékuiwo ƒe ŋutigbalẽ ƒe dɔlélewo
• `Mycoplasma dɔlékui ƒe aklãdɔ`

Zi geɖe la, esesẽna na ɖɔktawo be woagblɔe kple kakaɖedzi nenye be dɔlékui aɖe ŋutɔ gbɔe TM tso, alo alesi dɔlélenutsiŋutete wɔa nui ɖe dɔlékui aɖe ŋu gbɔe wòtso.

Dɔlélenutsiŋutete ƒe dɔléle siwo gblẽa nu le ŋutilã bliboa ŋu, siwo do ƒome kple transverse myelitis

Dɔléle siwo dɔlékuiwutikewo hena vɛ dometɔ aɖewo siwo do ƒome kple TMe nye:

• `Ankylosing spondylitis`
• `Antiphospholipid ƒe dɔléle`
• `Behçet ƒe dɔléle`
• `Mixed kadodoŋusẽ ƒe dɔléle`
• `Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ`
• `Sarcoidosis ƒe dɔléle`
• `Scleroderma ƒe dɔléle`
• `Sjogren ƒe dɔléle`
• `Dzɔdzɔmeŋusẽ ƒe lupus erythematosus (SLE)`

Titina lãmekawo ƒe dɔléle siwo ate ŋu ahe transverse myelitis vɛ

Dɔléle siwo dɔlékuiwutikewo tsona le lãmekawo ƒe dɔwɔwɔ me siwo ate ŋu ahe TM vɛ dometɔ aɖewoe nye:

• `Dɔléle si nye multiple sclerosis (MS)`
• Neuromyelitis optica spectrum disorder (NMOSD) - Wogayɔa esia be Devic ƒe dɔléle .
• `Myelin oligodendrocyte glycoprotein dɔlékuiwutikewo ƒe dɔlélewo (MOGAD)`
• `Acute kaka si kaka ɖe ahɔhɔ̃mekawo ƒe dɔléle`

Le ame aɖewo gome la, lãmeka siwo me ʋu sina tona ate ŋu anye lãmekawo ƒe dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna, abe lãmekawo ƒe dɔléle si nye multiple sclerosis (MS) alo neuromyelitis optica spectrum disorder (NMOSD) ene ƒe dzesi gbãtɔ .

"Partial" myelitis, si dzea ŋutilã ƒe akpa ɖeka ko dzi la bɔ ɖe MS me.

Ne ame aɖe si ŋu NMOSD le xɔ myelitis la, anɔ eme be "wòde blibo," si fia be ehea lãmetutudɔ sesẽ kple lãmetutudɔ vɛ le ŋutilã ƒe akpa eveawo. Lãmetsiŋusẽdɔléle si le amesiwo ŋu NMOSD le ŋu ate ŋu asẽ wu eye wòate ŋu ada gbe le ame ŋu wu amesiwo ŋu MS le.

Ðe atikewɔmɔnuwo ate ŋu ahe transverse myelitis (TM) vɛa?

Ƒã ŋutɔ hafi amewo gblɔ be yexɔ transverse myelitis le ŋkeke eve va ɖo ɣleti etɔ̃ me tso esime wodo atike na yewo. Dzɔdzɔmeŋutinunyalawo meka ɖe nusitae wòdzɔna alea dzi haɖe o, gake nufiafia ɖekae nye be ame aɖewo ƒe dɔlélenutsiŋutete ate ŋu atso atikewɔmɔnua gbɔ eye woadze dɔlélenutsiŋutete ƒe dɔwɔwɔ gɔme. Gake nya vevi aɖee nye esi: Wokpɔe be atikewɔmɔnuwo le dedie le numekuku geɖe me. Hadede sia kple TM ate ŋu anye nusi dzɔ le vome alo kuxi si mebɔ kura o.

Aleke wokpɔa dɔléle si nye transverse myelitis (TM) dzea sii?

Ne transverse myelitis (TM) ƒe dzesiwo le ŋuwò la, wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu eye wòado wò ŋutilã kpɔ.

Ne dodokpɔ siawo ɖee fia be kuxi aɖe le aklãa ŋu la, woaɖe gbe be woagawɔ dodokpɔ bubuwo. Nukatae wòle nenema?

• Kpɔ egbɔ be nu bubu aɖeke mekpɔ ŋusẽ ɖe aklãa dzi tsɔ wu abi o, le kpɔɖeŋu me , aklã me dɔdzẽ , lãkusi si me ʋuʋudedi le , alo nutete si tso ʋuʋudedi gbɔ .
• Ðo kpe edzi be dɔdzẽ si mesɔ o le aklãa me.
• Ne anya wɔ la, di nusi le abi sia si mebɔ o hem vɛ ɖa.

Ðɔktawo ƒo nya ta be TM nɔa anyi ne aklã ƒe dzesiwo li ŋkeke geɖe eye womate ŋu akpɔ nu bubu aɖeke si gbɔ aklã ƒe kuxia tso le MRI (Magnetic Resonance Imaging) scan alo dodokpɔ bubu me o.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi transverse myelitis?

Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ siawo tɔgbe atsɔ anya TMJ kple nusi gbɔ wòtso:

• MRI (Magnetic Resonance Imaging) ƒe fotoɖeɖe le akɔta bliboa ŋu: MRI nye dodokpɔ si me vevesese aɖeke mele o. Ezãa magnet gã aɖe, radio ƒe ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa ŋutinuwo kple nuwo ƒe wɔwɔme siwo le ŋutilãa me ƒe nɔnɔmetata siwo me kɔ. Ðewohĩ ahiã be woawɔ wò akɔta ƒe MRI scan eve - ɖeka si me nu tɔxɛ aɖe si woyɔna be gadolinium contrast le eye ɖeka manɔ eme o. Esia akpe ɖe wò ɖɔkta ŋu wòade vovototo abi siwo tea nu kple esiwo metena o dome.
• Ahɔhɔ̃ ƒe MRI-dɔdamɔnu: Wò ɖɔkta ate ŋu abia hã be woawɔ wò ahɔhɔ̃ ƒe MRI-dɔdamɔnu (si me gadolinium ƒe vovototo le alo esi mele eme o) be woatsɔ adi abi siwo le wò ahɔhɔ̃a me. Ahɔhɔ̃ ƒe MRI ate ŋu ana woakpɔ kpeɖodzi tso nu bubu siwo gbɔ wòtsona ŋu, vevietɔ dɔléle si nye multiple sclerosis (MS) .
• Akɔta ƒe dodo (si woyɔna hã be spinal tap): Le dɔ sia wɔwɔ me la, ɖɔktaa tsɔa aŋe dea wò akɔta eye wòɖea ahɔhɔ̃metsi (CSF) ƒe kpɔɖeŋu . CSF nye tsi si me kɔ si ƒo xlã wò ahɔhɔ̃ kple wò aklã. Emegbe wodoa CSF ƒe kpɔɖeŋua kpɔna le dodokpɔxɔ me be woakpɔe ɖa be ʋumenugbagbevi ɣiwo sɔ gbɔ akpa, IgG ƒe dzesi si kɔ, alo oligoclonal IgG bands le CSF me hã. Wokpɔa dɔdzẽ ƒe dzesi siawo zi geɖe le TM me.
• Ʋudodokpɔ: Anɔ eme be ɖɔktaa aɖe gbe be woado ʋu kpɔ zi geɖe atsɔ akpɔe ɖa be dɔlékuiwo kple dɔlélenutsiŋutete ƒe nusiwo ate ŋu ahe TM vɛ hã.

Le nusi ate ŋu ahe TM vɛ nu la, woate ŋu awɔ dodokpɔ bubuwo. Ne dodokpɔ siawo dometɔ aɖeke mete ŋu ke ɖe nusi koŋ gbɔ wòtso ŋu o la, woatsɔe be idiopathic transverse myelitis le ŋuwò.

Wotsɔa...Efɔ̃a ?

Taɖodzinu vevi geɖewo li le transverse myelitis (TM) dada me:

• Ne anya wɔ la, da nusi gbɔ TM tso (e.g., dɔlékui aɖe).
• Dɔdzẽ dzi ɖeɖe kpɔtɔ le wò aklã me.
• Ðe dzesiwo abe vevesese ene dzi kpɔtɔ alo ɖe edzi.
• Kuxi siwo nɔa anyi didi dzi kpɔkpɔ.

Ne wole TM dam la, wowɔa atike na dɔdzẽa kple nusi gbɔ wòtso ɣeyiɣi kpui aɖe, kpakple kuxi siwo ate ŋu ado tso TM me gbɔ kpɔkpɔ ɣeyiɣi didi.

Ɣeyiɣi kpui aɖe ƒe atikewɔwɔ na transverse myelitis

Atike gbãtɔ si wozãna na transverse myelitis enye glucocorticoids si wodona ɖe ʋuka me (IV) . Ne wò ɖɔkta susu be TM le ame ŋu la, woadze glucocorticoid siwo wodona ɖe ʋuka me (IV) dodo gɔme kaba ale si woate ŋui.

Glucocorticoids nye steroid lãmetsi ƒomevi aɖe si le atikewo ƒe hatsotso aɖe si woyɔna be corticosteroids me . Esiawo nye atike sẽŋu siwo wɔa avu kple dɔdzẽ eye wowɔa dɔ kple wò dɔlélenutsiŋutete. Le transverse myelitis me la, glucocorticoids kpena ɖe ame ŋu wòɖea dɔdzẽ si le aklã me dzi kpɔtɔna. Ðewohĩ ahiã be nàno atike siawo ŋkeke etɔ̃ va ɖo atɔ̃, alo wòadidi wu nenema.

Atike bubu siwo woate ŋu azã na TM ate ŋu anye:

• Plasma exchange therapy (Plasmapheresis): Esia nye dɔdamɔnu si "kɔa" wò ʋu ŋu. Le dɔdamɔnu sia me la, wò ɖɔkta ɖea wò ʋu ƒe akpa si nye tsi (plasma) ɖa eye wòtsɔa ʋumenugbagbeviɣi si tso ame si le lãmesẽ me alo ʋumenugbagbeviɣi teƒe. Esia ɖea dɔlékuiwutikewo kple protein bubu siwo wosusu be woawo gbɔe dɔdzẽa tsona ɖa. Atikewɔwɔ sia ate ŋu akpe ɖe amesiwo ŋu TM le siwo ŋu dɔléle sesẽ si ɖea lãmekawo ƒe dɔwɔwɔ ɖa si mewɔa nu ɖe ​​glucocorticoid dɔdamɔnu ŋu o la ŋu.
• Intravenous Immune Globulin (IVIG): Esia nye atike si wotsɔ dɔlékuiwutikewo wɔ. Wotsɔa esia naa to ʋuka aɖe me. Dɔdamɔnu sia ate ŋu abla ɖe dɔlékuiwutike siwo wosusu be woawoe hea TM vɛ ŋu eye wòaɖe dɔdzẽ ƒe ŋuɖoɖo si le aklã me dzi akpɔtɔ.
• Dɔlélenutsiŋutete ƒe atikewo: Le TM dɔnɔ siwo mewɔ nu nyuie ɖe glucocorticoids, plasma exchange, alo IVIG dɔdamɔnu ŋu o gome la, ɖɔktawo zãa atikewo abe rituximab kple cyclophosphamide . Dɔlélenutsiŋutete ƒe ŋutete le atike siawo ŋu.
• Atike siwo nàtsɔ akpɔ dzesi bubuwo gbɔ: Wò ɖɔkta ate ŋu aŋlɔ atike bubuwo na wò be nàtsɔ akpɔ dzesiwo abe vevesese, lãmekawo ƒe ʋuʋu, aɖuɖɔtoe me kuxiwo, alo blanuiléle ene gbɔ .

Ɣeyiɣi didi ƒe atikewɔwɔ na transverse myelitis

Ne èxɔ atike na wò ɖe transverse myelitis (TM) ƒe ɣeyiɣi sesẽ aɖe ta vɔ la, ahiã beléle na wò be nàgbugbɔ aɖɔ wò ɖo be wò dɔwɔwɔ ƒe ŋutetewo nanyo ɖe edzi eye nàxe mɔ ɖe kuxi evelia siwo ate ŋu ado mo ɖa le TM ta nu.

Togbɔ be nuwo gbugbɔgaɖɔɖo mate ŋu atrɔ ŋutilã me nusiwo TM hena vɛ o hã la, ate ŋu akpe ɖe amesiwo ŋu lãmetutudɔ sesẽ le ŋu be woanɔ wo ɖokui si alesi woate ŋui eye woanɔ agbe nyuie alesi woate ŋui.

Transverse myelitis dzi kpɔkpɔ ɣeyiɣi didi ate ŋu anye:

• Aɖuɖɔtoe ƒe dɔwɔwɔ dzi kpɔkpɔ: Zi geɖe la, aɖuɖɔtoe me kuxiwo doa go amesiwo ŋu TM le. Egbɔkpɔnuawo dometɔ aɖewoe nye tsi ɖeɖe le ɣeyiɣi si woɖo ɖi me, atikewo, kɔndɔm-kawo, ʋuka siwo me kɔ si me woɖea tsi le ɣeaɖewoɣi , kple awu te siwo ŋu wofa nu ɖo.
• Dɔgbo ƒe dɔwɔwɔ dzi kpɔkpɔ: Dɔmeɖui nye kuxi si bɔ ɖe amesiwo ŋu TM le dzi. Woate ŋu akpɔ egbɔ to nuɖuɖu tɔxɛwo, aɖuɖɔ fafɛ kple nuɖuɖu me ka zazã le mɔ nyuitɔ nu, kple dɔgbo ƒe ʋuʋu.
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie dada: Atike siwo woŋlɔna na ŋutsu ƒe tsitretsitsi ƒe dɔmawɔmawɔ nyuie wue nye sildenafil (`sildenafil` - Viagra®) , vardenafil (`vardenafil` - Levitra®) , kple tadalafil (`tadalafil` - Cialis®) . Togbɔ be atike siawo mewɔa dɔ ɖe nyɔnuwo dzi boo o hã la, wokpɔe hã be wonaa gbɔdɔdɔ ƒe dɔwɔwɔ nyona ɖe edzi.
• Mɔxexe ɖe ŋutigbalẽ ƒe gbagbã kple nyaƒoɖeamenu ƒe abixɔxɔ nu (abadzivɔ): Ne wò ŋutigbalẽ le nyaƒoɖeamenu me ɣeyiɣi didi aɖe la, ate ŋu agbã. Be nàxe mɔ ɖe esia nu la, ele be nàtrɔ wò nɔnɔme le miniti 15 ɖesiaɖe ya teti me. Bubuwo ƒe zikpui siwo ŋu ŋusẽ le siwo wotsɔna tsia anyi alo esiwo woate ŋu atrɔ ɖe yame si ate ŋu atrɔ alesi woma wò kpekpemee hã ate ŋu akpe ɖe ŋuwò. Bunɔkeke ƒe akɔtaɖonu ƒomevi vovovowo li siwo ate ŋu aɖe nyaƒoɖeamenu si dona tso eme ne èbɔbɔ nɔ anyi la dzi akpɔtɔ.
• Lãmetsiwo ƒe ʋuʋu dzi kpɔkpɔ: Kekeɖenudɔwɔwɔ kple akɔtaɖonu kple aŋenu zazã ate ŋu akpe ɖe ame ŋu wòakpɔ lãmekawo ƒe ʋuʋu gbɔ alo axe mɔ ɖe enu. Kamedede siwo tua ŋusẽ ame ɖo kple atike siwo naa lãmekawo naɖe dzi ɖi hã ate ŋu akpe ɖe ame ŋu.
• Ʋuʋu yi teƒe bubu dzi kpɔkpɔ: Lãmesẽdɔwɔlawo ate ŋu ana kamededewo be woatsɔ ana ʋuʋu nanyo ɖe edzi. Kpekpeɖeŋunanuwo abe atikplɔ, afɔzɔlawo, atizɔtiwo, kple bunɔkekewo ene ate ŋu akpe ɖe ŋuwò nànɔ ɖokuiwò si wu.
• Gbesiagbe dɔwɔnawo dzi kpɔkpɔ: Ate ŋu asesẽ ŋutɔ na amesiwo ŋu TM le be woawɔ gbesiagbedɔwo abe awudodo, tsilele, wo ɖokui dzadzraɖo, kple nuɖuɖu ene. Dzeɖoɖo kple dɔwɔnu siwo trɔna ɖe nɔnɔmewo ŋu kple dɔdamɔnufialawo ate ŋu akpe ɖe ame ŋu woake ɖe mɔ siwo dzi woato ana dɔ siawo nanɔ bɔbɔe eye woawɔ dɔ nyuie wu ŋu.
• Vevesese Dzi Ðeɖe Akpɔtɔ: Ebɔ be woase veve aɖewo le TMJ megbe. Woate ŋu atsɔ atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs) abe acetaminophen (Tylenol®) , naproxen (Naprosyn®, Alleve® alo Motrin®) , alo dzoxɔxɔ kple vuvɔ ƒe atikewɔwɔ ene ada lãmekawo ƒe vevesese. Lãmetsiŋusẽ ƒe vevesese dada ate ŋu asesẽ wu. Blanuilélenutsitike alo alɔ̃madɔmadɔ ƒe atike aɖewo ate ŋu akpe ɖe ame ŋu.
• Susu ƒe lãmesẽ dzi kpɔkpɔ: Blanuiléle bɔ ɖe amesiwo ŋu TM le dome. Ne blanuiléle alo susumedɔléle bubuwo ƒe dzesiwo le ŋuwò la, ele vevie be nàyi atikewɔla alo susuŋutinunyala gbɔ. Atikewo hã ate ŋu akpe ɖe ame ŋu wòada blanuiléle.

Ðe woate ŋu ada transverse myelitis?

Ẽ, woate ŋu ada transverse myelitis (TM) la. Gake ale si wòhayana la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Dɔyɔyɔ tso TM me ate ŋu ade blibo, eƒe akpa aɖe, alo manɔ anyi o. Zi geɖe la, dɔyɔyɔ dzea egɔme le ɣleti ɖeka va ɖo etɔ̃ me tso esime wowɔ atike nɛ zi gbãtɔ. Ame akpa gãtɔ hayana tso TM me le ɣleti etɔ̃ me. Le ame aɖewo gome la, ate ŋu axɔ ɣleti geɖe alo ƒe geɖe gɔ̃ hã hafi woahaya.

Ame aɖewo hayana tso ƒunukpeƒetetedɔ me eye kuxi boo aɖeke menɔa wo ŋu o alo womekpɔa wo ɣeyiɣi didi aɖeke o, gake ame bubuwo ya hayana ne nuwɔametɔnyenye si sɔ alo sesẽ.

Ame siwo ƒe hayahaya ƒe mɔnukpɔkpɔ dzi ɖe kpɔtɔe nye:

• Amesiwo ƒe dzesiwo dzea egɔme kabakaba .
• Amesiwo ƒe dzesiwo meva nyo ɖe edzi le ɣleti etɔ̃ va ɖo ade gbãtɔ siwo wotsɔ da dɔ na wo eye wohaya me o.

Nukae nye transverse myelitis (TM) ƒe ŋgɔdonya?

Nukpɔsusu/nyagblɔɖi na amesiwo ŋu transverse myelitis le la to vovo:

• Ame siwo ade 33% hayana kple kuxi sue aɖe ko alo womekpɔa wo ɣeyiɣi didi aɖeke o.
• Ame siwo ade 33% hayana kple nuwɔametɔnyenye si sɔ, abe dɔgbo ƒe kuxiwo kple azɔlizɔzɔ sesẽ ene.
• Ame siwo ade 33% hayana kple nuwɔametɔ siwo nɔa anyi ɖaa, abe lãmetutudɔ ene.

Zi ɖeka koe ame akpa gãtɔ xɔa transverse myelitis. Gake ame aɖewo siwo ŋu dɔléle aɖe le, abe lãmekawo ƒe ʋuʋu (MS) ene, ate ŋu ana wòagatrɔ ava (`(gbugbɔ)`). Ne TM le ŋuwò si gblẽa nu le wò ŋutilã ƒe akpa ɖeka ko ŋu la, àte ŋu axɔ MS le etsɔme.

Aleke malé be na ɖokuinye, alo amesi ŋu transverse myelitis (TM) le?

Ne transverse myelitis le ŋuwò la, ele vevie be nàkpɔ egbɔ be yele atike nyuitɔ xɔm be yeatsɔ axe mɔ ɖe TM ƒe kuxiwo abe dɔgbo kple tsinyegoe ƒe kuxiwo kple lãmekawo ƒe sesẽ ene nu alo ada wo.Àte ŋu abu eŋu hã be yeage ɖe kpekpeɖeŋunaha aɖe me be yeado go ame bubu siwo ate ŋu ase nu tso wò nuteƒekpɔkpɔwo ŋu. Azɔ hã, ne èle blanuiléle alo dzimaɖitsitsi le TM ta la, ele vevie be nàdi kpekpeɖeŋu tso atikewɔla alo susuŋutinunyala gbɔ.

Ne èle ame aɖe si ŋu TM le dzi kpɔm la, ele vevie be nàʋli eta be nàkpɔ egbɔ be woxɔ atikewɔwɔ nyuitɔ kekeake, mɔ̃ siwo wotsɔ ʋãa ame, kple atikewɔmɔnu siwo akpe ɖe eŋu be woanɔ wo ɖokui si wu.

Ate ŋu asesẽ na wò kple wò ƒomea be miatrɔ ɖe TM ƒe susu kple ŋutilã me ŋusẽkpɔɖeamedziwo ŋu. Le hayahaya ƒe gɔmedzedze la, ele vevie be nàfia nu wò ƒomea eye nàwɔ ɖoɖo atsɔ akpɔ kuxi siwo le ɖokuisinɔnɔ me gbɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta le transverse myelitis (TM) ŋu?

Ne èkpɔ dzesi siwo nye transverse myelitis, abe lãmekawo ƒe gbɔdzɔgbɔdzɔ kpata kple vevesese sesẽ ene la, yi kɔdzi si te ɖe ŋuwò kaba ale si nàte ŋui .

Ne wokpɔ TM le ŋuwò la, ele be nàdo go kple wò atikewɔlawo ƒe ƒuƒoƒoa edziedzi be woawɔ atike na wò ahalé ŋku ɖe kuxi siwo ate ŋu ado mo ɖa ŋu.

Alesi wò alo wò lɔlɔ̃tɔa kpɔ dɔléle si nye transverse myelitis (TM) gɔmesese ate ŋu agbɔ eme. Gake wò atikewɔlawo ƒe ƒuƒoƒoa ana atikewɔwɔ kple gbugbɔgaɖɔɖo ƒe ɖoɖo sesẽ aɖe wò si sɔ ɖe wò alo wò lɔlɔ̃tɔa ƒe dzesiwo nu. Ele vevie be nàkpɔ egbɔ be yexɔ lɔlɔ̃ kple kpekpeɖeŋu si nèhiã le wò hayahaya ƒe mɔzɔzɔ bliboa me, eye nànɔ ŋudzɔ ɖe dzesi yeye ɖesiaɖe si ate ŋu ado mo ɖa ŋu.

Nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wò (Take-Home Message) .

Enyo, eyata fifia èkpɔ nusi transverse myelitis (TM) nye nyuie wu. Ðo ŋku edzi be togbɔ be enye dɔléle si mebɔ o hã la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èkpɔ dzesiwo.

Nu vevitɔe nye be, ne èkpɔ gbɔdzɔgbɔdzɔ kpata, lãmetutudɔ, alo tsinyegoe dzi ɖuɖu ƒe kuxiwo la, mègaŋe aɖaba ƒu edzi o. Yi ɖɔkta gbɔ enumake.

Nu geɖe ate ŋu ahe TM vɛ, eye ɣeaɖewoɣi la, womate ŋu akpɔ nusi gbɔ wòtso o. Gake ne woda dɔ na ame akpa gãtɔ eye wogbugbɔ wo ɖo nyuie la, woate ŋu ahaya vaseɖe afi aɖe. Ame aɖewo hayana keŋkeŋ.

Ne èle agbe kple nɔnɔme sia tɔgbe la, ele vevie be wò susu nasẽ eye wò ƒomea kple ɖɔktawo nakpe ɖe ŋuwò. Eyata, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta tso nusiwo ŋu nètsi dzi ɖo ŋu o.

` Transverse myelitis, TM, aklã, ahɔhɔ̃mekawo ƒe dɔléle, dɔdzẽ, myelin, dzesiwo, atikewɔwɔ