Yu pikin dɔn gɛt sɔm kayn sik dɛn we nɔ kɔmɔn wantɛm wantɛm? Lɛ wi tɔk bɔt ADEM (Acute Disseminated Encephalomyelitis).

Imajin, yu pikin dɔn gɛt smɔl kol fɔ tu ɔ tri dez ɛn naw i de fil fayn smɔl. Bɔt wantɛm wantɛm, wit di fiva, di pikin in bihayvya kin chenj, i nɔ kin izi fɔ am fɔ waka , ɛn in wɔd dɛn kin swɛ we i de tɔk. I rili nɔmal fɔ mek ɛni mama ɔ papa fred we i si sɔntin lɛk dis. ADEM, wae na wan sik wae nɔr kin bɔrku bɔt wae kin gɛt siriɔs sik wae kin mek pɔrsin gɛt sɔm kayn sik lɛk dis, na in wi de tɔk bɔt tide.

Wetin na ADEM rili?

Fɔ tɔk am simpul wan, ADEM (Acute Disseminated Encephalomyelitis) na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt di bren ɛn di spɛnal kɔd. Insay Sinhala, dɛn kin kɔl am akyu disseminated encephalomyelitis, bɔt bikɔs dɛn wɔd dɛn de kɔmplikt smɔl, wi go yuz di nem ADEM. Dis sik kin mɔs si pan pikin dɛm.

Wi nerv dɛn tan lɛk ilɛktrik waya. Dɛn nɛv fayv ya gɛt sɔntin we de protɛkt dɛn rawnd dɛn. Wi kɔl dis maylin . I tan lɛk di plastic sheath we de pan ilɛktrik waya. dis maylin sheath na in de alaw di nεv mεsej fכ travul kwik εn kכrekt wan. insay ADEM, wi bכdi in כwn imyun sistεm de mistek atak εn pwεl dis maylin sεt. dis de ambɔg di transmishכn fכ di nεv mεsej dεm na di bren εn di spεnal kכd.

Pan ɔl we de sik kin tranga, di bɛst tin na dat tritmɛnt de fɔ am ɛn bɔku pipul dɛn kin wɛl ful wan .

Wetin na di sayn dɛm fɔ ADEM?

Di sayn dɛm fɔ ADEM kin kam wantɛm wantɛm ɛn wɔs kwik kwik wan. Pikin kin gɛt wan ɔ mɔ pan dɛn sik ya.

Di tin dɛn we kin mek pɔsin gɛt ADEM ɛn di tin dɛn we kin mek i gɛt prɔblɛm

Dɔktɔ dɛn biliv se ADEM na sik we pɔsin kin gɛt we i de fɛt insɛf . Dis min se wi bɔdi in yon imyun sistɛm kin mistek atak wi yon sɛl ɛn tisu dɛn we gɛt wɛlbɔdi. I tan lɛk se wi yon ami de atak wi yon kɔntri.

Dɛn nɔ no yet di rayt tin we kin mek dis sik we de mek di bɔdi gɛt dis sik, bɔt bɔku tɛm i kin apin afta we di pikin dɔn wɛl frɔm wan kɔmɔn vayral infɛkshɔn, lɛk kol, flu, ɔ bɛlɛ we de at .

Na smɔl tɛm nɔmɔ, dɛn dɔn ripɔt ADEM afta dɛn dɔn gɛt sɔm vaysin dɛn. Bɔt, risach nɔ pruv yet se dairekt link de bitwin vaysin ɛn ADEM. Sɔntɛnde, dɛn sayn ya kin apin fɔ no rizin.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

• Ej: Mɔ pas 80% pan di wan dɛn we gɛt ADEM na pikin dɛn we nɔ rich 10 ia yet.Di ɔda wan dɛn na big pikin dɛn.
• Jɛnda: Man pikin dɛn kin gɛt am smɔl pas uman pikin dɛn.
• Weta: Insay sɔm kɔntri dɛn, di sik kin apin mɔ insay di kol sizin ɛn spring.

Wetin na di difrɛns bitwin ADEM ɛn MS (Multiple Sclerosis)?

Wan ɔda sik we gɛt di sem kayn sik we ADEM gɛt naMɔltipɛl Sklɛrosis (MS). Dɛn tu sik ya kin pwɛl di maylin sheath. Dis kin mek yu si sayn dɛm lɛk we yu mɔsul dɛn wik, yu nɔr de fil fayn, ɛn yu nɔr de si fayn pan dɛn tu tin ya. Bɔt klia difrɛns de bitwin dɛn tu.

Aw dɛn kin no bɔt ADEM?

No wan tɛst nɔ de fɔ no if yu gɛt ADEM. Yu dɔktɔ go tek tɛm chɛk yu sik dɛn ɛn tray fɔ pul ɔda sik dɛn we gɛt di sem sayn dɛn. Dɛn kin yuz tu men tɛst dɛn fɔ du dis.

1. MRI skan we dɛn kin du:Wan tɛst we dɛn kin yuz magnɛtik fil ɛn redio wev fɔ mek difrɛn difrɛn pikchɔ dɛn bɔt di bren ɛn di spɛnal kɔd. di bren damej we dεn si pan ADEM difrεn frכm di damej we dεn si pan MS. Insay ADEM, di damej kin bɔku mɔ.

2. Lumbar Puncture: Dis involv fכ yuz wan rili sכm nidul fכ tek sכm sכm sכm sכ m sεribrospεnal fכluid frכm di spayna εn tεst am. Insay ADEM, di wata kin gɛt bɔku bɔku wayt blɔd sɛl dɛn. sכm pan di protin dεm we dεn si na MS dεn nכ de si na ADEM.

Dɛn tɛst ya kin pul bak di bren infɛkshɔn lɛk mɛningaytis.

Wetin na di tritmɛnt dɛm fɔ ADEM?

di men gol fכ tritmεnt na fכ kכntrכl di inflameshn na di bren εn spεnal kכd kwik kwik wan εn stכp di imyun sistεm in mistek atak. Dis kin mek dɛn put di pikin na ɔspitul fɔ wan ɔ tu wiks.

• Kɔtikosterɔyd: Bɔku pipul dɛn kin bigin fɔ trit wit ay doz stɛroyd we dɛn kin gi dɛn insay dɛn bɛlɛ (IV). Dis kin ɛp yu pikin fɔ fil fayn insay sɔm awa. Afta sɔm dez, di mɛrɛsin go smɔl smɔl te i bi pil ɔ srɔp fɔ sɔm wiks.
• Ɔda tritmɛnt dɛn: If sterɔyd mɛrɛsin nɔ fayn fɔ di pikin ɔ i nɔ wok, ɔda tritmɛnt dɛn de we de mek di imyun sistɛm kol.
• Plasmapheresis: Insay dis, wan mashin kin tek di pikin in blɔd, filta di bad bad antibodi dɛm, ɛn gi di blɔd we dɛn dɔn klin bak to di bɔdi.
• Intravenous Immunoglobulin (IVIG): Dɛn kin gi di pikin di antibodi dɛn we dɛn kin gɛt frɔm pipul dɛn we gɛt wɛlbɔdi tru wan vein, we de kɔntrol di wok we di pikin in imyun sistɛm de du.

Afta di pikin dɔn kɔmɔt na ɔspitul, i kin nid fɔ gɛt fizik tritmɛnt, ɔkupeshɔn tɛrapi, ɔ fɔ tɔk.

Aw di we aw wi de si tin de apin?

Dis na di tin we impɔtant pas ɔl. Bɔku pikin dɛn we gɛt ADEM kin wɛl ɔltogɛda. Bɔt dis we aw pɔsin kin wɛl kin sloslo. I kin tek 4-6 wik ɔ ivin wan ia fɔ mek i wɛl ful wan.

Sɔmtɛm, pikin dɛn nɔ kin wɛl frɔm ɔl di sayn dɛm. Dɛn kin kɔntinyu fɔ gɛt tin dɛn lɛk wae dɛn nɔr kin si fayn ɔr dɛn mɔsul dɛn kin wik. Skul kin afɛkt bak.

Bɔku tɛm (8 pan 10 tɛm) ADEM kin apin wan tɛm nɔmɔ. Bɔt nɔto ɔltɛm, i kin apin bak insay sɔm mɔnt. Na rare kes dɛm, pikin we gɛt ADEM kin leta gɛt MS. Insay lɛs dan 2% pan di kes dɛm, ADEM kin kil pɔsin. Na dat mek i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.