Yu tink se pikin kin lɔs in an ɛn fut dɛn wantɛm wantɛm? Lɛ wi lan bɔt dis sik we nɔ kin bɔku (Acute Flaccid Myelitis) .

Imajin se yu smɔl pikin de rɔn rawnd ɛn ple, ɛn wantɛm wantɛm i tan lɛk se wan pan dɛn an ɔ dɛn fut nɔ ebul fɔ waka. Ɔ dɛn an ɛn fut dɛn so wik dat dɛn nɔ kin ivin ebul fɔ tinap stret. If ɛni mama ɔ papa si sɔntin lɛk dis, dat go mek ɛni mama ɔ papa fred. Tide wi go tɔk bɔt wan rare bɔt rili siriɔs nyurolɔjik kɔndishɔn we kin apin wantɛm wantɛm. Dis na Acute Flaccid Myelitis, ɔ AFM fɔ shɔt tɛm.

Wetin rili na Akyu Flaksid Maylaytis (AFM)?

Fɔ tɔk am simpul wan, AFM na siriɔs sik we kin afɛkt wi nervɔs sistɛm. I kin mek di grey tin na wi spɛnal kɔd inflamɛns, ɔ swel.

Naw yu go de wɔnda wetin na dis grey matta. Tink bɔt wi bɔdi lɛk wan kɔmpleks ilɛktrik sɛrkyut. di bren εn di spεnal kכd na di men kכntrol rum fכ dis. di grey tin we de insay dis kכntrol rum na di men ples we de sεnd signal dεm we de kכntro di muvmεnt fכ wi mכsul dεm. So we dis impɔtant ples dɔn pwɛl na AFM, di signal dɛn we dɛn kin sɛn frɔm di bren nɔ kin go na di mɔsul dɛn fayn fayn wan. Dis kin mek di an ɛn fut dɛn kin wik wantɛm wantɛm, dɛn kin swɛla, ɛn di tin dɛn we dɛn kin du nɔ kin ebul fɔ tink.

Dis na nyu sik. Dɔktɔ dɛn bin no se na sɛpret sik insay 2014. Bifo dat, we di simptom dɛn lɛk dis bin de apia, di dɔktɔ dɛn bin tink se na ɔda nyurolɔjik sik lɛk ``transvas maylaytis''.

Wetin na di difrɛns bitwin AFM ɛn Guillain-Barré Syndrome (GBS)?

Wan ɔda sik we bɔku pipul dɛn kin kɔnfyus wit AFM na `Guillain-Barré Syndrome` (GBS fɔ shɔt). Di men sayn fɔ dɛn tu sik ya na we di mɔsul dɛn wik. Bɔt dɛn tu tin ya rili difrɛn. Lɛ wi si wetin na dɛn difrɛns dɛn de.

Imajin se wi nervɔs sistɛm tan lɛk nɛtwɔk we de sheb ilɛktrishɔn ɔlsay na di kɔntri.

• insay AFM, di damej de apin to: di men pawa we de fכ dis nεtwכk, di grey matta na di spεnal kכd. We di pawa os insɛf pwɛl, i nɔ kin ebul fɔ mek ɛn transmit ilɛktrishɔn.
• GBS damej: Di waya dɛn we de kɛr ilɛktrishɔn frɔm di pawa plant to os dɛn. Wi kin kɔl dɛn periferik nɛv ya. We di waya dɛn pwɛl, pan ɔl we dɛn de sɛn kɔrɛnt frɔm di pawa plant, i nɔ de rich na os dɛn fayn fayn wan.

Fɔ tɔk am simpul wan, AFM na prɔblɛm we de na di sɛntral nervɔs sistɛm . GBS na prɔblɛm we de na di periferik nɛvɔ sistɛm .

Difrɛns de bak pan di we aw dɛn sik ya kin skata.

• Insay GBS: Wiknɛs kin bigin na di leg dɛn ɛn afta dat i kin go ɔp di bɔdi smɔl smɔl.
• Insay AFM: Wiknɛs kin bigin ɛnisay, sɔntɛm na wan an, ɔ ivin na ɔl tu di leg dɛn.

Wan ɔda impɔtant tin na di ej grup we dis sik kin apin bɔku tɛm. 90% pan di AFM pipul dεm na yכng pikin dεm we de bitwin 1 εn 7. Bɔt i nɔ kin apin so ɔltɛm pan big pipul dɛm. Bɔt dɛn kin si GBS mɔ pan big pipul dɛn we dɔn pas 40 ia.

Aw dis sik kin bɔku? Udat go mɔs gɛt am?

AFM na wan sik we nɔ kin apin so ɔltɛm . Ivin na kɔntri lɛk Amɛrika, dɛn se i nɔ pas wan pan ɛvri milyɔn pipul dɛn we kin gɛt dis sik ɛvri ia. Bɔt smɔl inkris dɔn de pan di nɔmba fɔ di kes dɛm we dɛn dɔn ripɔt dis biɛn tɛm.

As wi bin dɔn tɔk, dis sik kin bɔku pan yɔŋ pikin dɛn . Pikin dɛn we nɔ rich 7 ia yet kin gɛt prɔblɛm mɔ. Bikɔs dis kin apin to pikin dɛn, i impɔtant fɔ mek wi as mama ɛn papa no bɔt dis.

Wetin na di sayn dɛm fɔ AFM?

Di tin we denja pas ɔl bɔt dis sik na dat di sayn dɛn kin kam wantɛm wantɛm . Dɛn sayn ya kin apin insay sɔm awa ɔr sɔm dez. If yu pikin gɛt dɛn sik ya, nɔ ignore dɛn.

Wetin na di rizin fɔ dis?

Dis na di kwɛstyɔn we dɔktɔ dɛn stil nɔ ebul fɔ fɛn. Wi stil nɔ shɔ 100% wetin na di ɛksaktɔl kɔz fɔ AFM.

Bɔt bɔku pipul dɛn we de stɔdi bɔt dis ɛn dɔktɔ dɛn kin tink se wan kayn vayrɔs de insay di sik . strכng saspek de se di vayrus dεm we de na di `non-polio enteroviruses` grup kin bi di kכz.

Mɛmba se bifo di AFM simptom dɛn sho, bɔku pikin dɛn kin gɛt wan sik we dɛn kɔl respiratory infection, lɛk we dɛn kin gɛt kol, fiva, ɛn kɔf . Dis kin mek pipul dɛn tink mɔ se vayral kɔnekshɔn de. in patikyula, dεn dכn no di vayrus dεm `Enterovirus D68` εn `Enterovirus A71` insay plεnti AFM pasεnshכn dεm.

Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?

Fɔ no AFM na smɔl prɔblɛm bikɔs i nɔ kin apin so ɔltɛm ɛn i gɛt bɔku sayn dɛn we fiba ɔda nyurolɔjik sik dɛn lɛk GBS, transvas maylaytis, ɛn polio, we wi bin dɔn tɔk bɔt.

So, di dɔktɔ go gɛt fɔ du bɔku tɛst fɔ no if dis na AFM ɔ ɔda sik.

• Fɔ chɛk di pikin in bɔdi ɛn fɔ chɛk di nyurolɔjik: Fɔs, di dɔktɔ go tek tɛm chɛk di pikin. Dɛn go chɛk fɔ si if di an ɛn fut dɛn wik, aw di mɔsul dɛn de, ɛn aw di riflɛs dɛn de.
• MRI skan: Dis na di tɛst we impɔtant pas ɔl ɛn we yusful fɔ no if yu gɛt AFM. MRI skan fכ di bren εn spεnal kכd kin sho klia wan di chenj dεm, lεk inflameshn, we na di kכntribyushכn fכ AFM na di grey mat na di spεnal kכd.
• di spεnal Tap/Lכmba pankshכn: dis involv fכ put sכm sכm nidul insay di lכw bכk εn pul sכm sכm wata we de rawnd di spεnal kכd (sεribral spεnal fכluid - CSF). Dɛn kin tɛst dis wata fɔ si if infɛkshɔn ɔ inflamɛns de.
• fכ tεst di nεv εn mכsul dεm we de wok: dεn kin du spεshal tεst dεm, lεk stכdi fכ di nεv kכndukshכn, we de mכsu di spid we di signal dεm de travul tru di nεv dεm, εn εlektromayografi, we de mכsu di ilektrikal aktiviti fכ di mכsul dεm.

Di dɔktɔ kin kam fɔ no di las tin bay we i kin jɔyn di tin dɛn we dɛn kin gɛt frɔm ɔl dɛn tɛst dɛn ya.

Tritmɛnt de fɔ AFM?

I sɔri fɔ no se, no difinitiv tritmɛnt nɔ de we go ebul fɔ mɛn AFM ɔltogɛda. Bikɔs na nyu sik, dɔktɔ ɛn sayɛnsman dɛn stil de du risach bɔt di bɛst tritmɛnt fɔ am.

So, di men gol fɔ tritmɛnt na fɔ kɔntrol di sik ɛn ɛp di pikin fɔ wɛl as i pɔsibul.

• Fizik Tɛrapi ɛn Ɔkupeshɔn Tɛrapi: Dis na impɔtant pat pan tritmɛnt. Dɛn tritmɛnt ya kin ɛp fɔ ɛksesaiz di an ɛn fut dɛn we wik, mek di mɔsul dɛn gɛt trɛnk bak, ɛn tren di pikin fɔ du wok dɛn fɔ insɛf.
• Ɔda tritmɛnt dɛn: Sɔntɛnde, dɛn dɔn sho se tin dɛn lɛk ɔpreshɔn na di periferik nɛv kin wok fayn fɔ mek di mɔsul dɛn nɔ west. Bɔt wan dɔktɔ we de mɛn di nyurolɔjis go disayd if dɛn tin ya fayn fɔ ɛni wan pan di sikman dɛn.

If i pɔsibul, i go fayn fɔ mek yu go to tritmɛnt ɔnda nyurolɔjis we gɛt ɛkspiriɛns wit dis sik.

Wetin na di prɔgnosis fɔ di sik ɛn di prɔblɛm dɛn we kin apin?

Bikɔs AFM na nyu sik, di wan dɛn we de stɔdi bɔt dis stil nɔ ebul fɔ tɔk bɛtɛ bɔt wetin go apin to am fɔ lɔng tɛm wans i dɔn apin. Bɔt bay wetin dɛn no, di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

• Dɛn kin wɛl sloslo: Bɔrku pikin dɛm, wae gɛt tritmɛnt wae de kɔntinyu lɛk fɔ trit dɛn bɔdi, kin wɛl smɔl smɔl as tɛm de go. Di mɔsul dɛn trɛnk de go ɔp smɔl smɔl.
• Komplit rεkכvεshכn: Lεs dan 10% pan AFM pasεnshכn dεm de mek komplit rεkכvεshכn. Bɔku pan dɛn kin kɔntinyu fɔ gɛt sɔm kayn wikɛd tin.

Sɔm siriɔs prɔblɛm dɛn we kin apin

• Respiratory Failure: Dis na di prɔblɛm we denja pas ɔl we wi bin dɔn tɔk bɔt. If di mɔsul dɛm we de ɛp fɔ blo wik, di pɔsin we sik nɔ go ebul fɔ blo fɔ insɛf. Da tɛm de, dɛn go nid fɔ kɔnɛkt dɛn to ventilator. Dis kɔndishɔn kin apin pan lɛk wan pat pan tri pan di wan dɛn we gɛt AFM.
• Ɔda nyurolɔjik kɔmplikeshɔn dɛn:I kin gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, lɛk we di bɔdi in tɛmpracha ɛn blɔd prɛshɔn nɔ kin chenj, ɛn di at nɔ kin bit ɔltɛm.

Yu tink se we de fɔ avɔyd dis?

Bikɔs wi nɔ no di rayt tin we kin mek pɔsin gɛt AFM, no patikyula we nɔ de fɔ mek i nɔ apin. Bɔt bikɔs dɛn kin tink se na vayral infɛkshɔn mɔ kin mek i kam, i rili impɔtant fɔ fala di wɛlbɔdi abit dɛn we wi kin fala fɔ avɔyd vayrɔs.

• Was yu an ɔltɛm wit sop ɛn wata. Tich yu pikin dɛn fɔ was dɛn an fayn fayn wan, mɔ bifo dɛn it, afta dɛn dɔn yuz di bafa, ɛn afta dɛn dɔn kia fɔ pɔsin we sik.
• Nɔ tɔch yu fes, yu yay, yu nos, ɛn yu mɔt wit yu an we yu nɔ was.
• Stay away frɔm pipul dɛn we sik.
• Gi yu pikin ɔl di vaysin dɛn we i nid fɔ in ej.
• Klin say dɛn we yu kin tɔch bɔku tɛm (doknob, tebul) wit disinfɛktant.

Dɛn simpul wɛlbɔdi abit ya kin protɛkt wi pikin dɛn frɔm AFM nɔmɔ, bɔt bɔku ɔda sik dɛn we pɔsin kin gɛt.