Yu pikin de lɔs in an ɛn fut dɛn wantɛm wantɛm? Wi fɔ no bɔt dis AFM (Acute Flaccid Myelitis)?

Imajin, yu naughty likl pikin don de ple sins moning, and by ivintɛm i se wantɛm wantɛm se, ‘Mama/Papa, a nɔ ebul fɔ es mi an’, ɔ we i de waka, in leg go numb wantɛm wantɛm ɛn drɛg am go na grɔn. Yu kin imajin aw i bin de fil da tɛm de? Tide wi go tɔk bɔt wan kayn nyurolɔjik kɔndishɔn we nɔ kin bɔku bɔt we rili siriɔs we kin mek wi pikin dɛn an ɛn sɔm tɛm dɛn we big pipul dɛn, nɔ ebul fɔ waka wantɛm wantɛm ɛn we dɛn nɔ wɔn wi bifo tɛm. Dɛn kɔl dis AFM (Acute Flaccid Myelitis) . Dis kin bi nyu tin to yu we yu yɛri dis. So lɛ wi tɔk bɔt am ditayli.

Wetin na dis nyu sik, AFM (Acute Flaccid Myelitis)?

Fɔ tɔk am simpul wan, AFM (Acute Flaccid Myelitis) na wan sik we nɔ kin apin so ɔltɛm bɔt we rili siriɔs. Wetin kin apin pan dis na dat sɔm pan wi mɔsul ɛn riflɛs dɛn kin wik wantɛm wantɛm. Fɔ tɔk di kɔrɛkt tin, dɛn kin bi ‘flaccid’ , we min se dɛn kin bi pɔsin we nɔ gɛt layf. Dɛn sayn ya kin apin wantɛm wantɛm, ɛn sɔntɛnde i kin ivin afɛkt di we aw pɔsin kin ebul fɔ blo. Na dat mek i rili denja.

Yu no se wi spɛnal kɔd tan lɛk di men say we wi bɔdi de tɔk to pipul dɛn? I gɛt tu pat, wan na di ‘grey matter’ ɛn di ɔda wan na di ‘wayt matter’. insay dis kכndishכn we dεn kכl AFM, di grey matεr de mεntal afekt. dis grey matta na di say we di nεv sεl dεm we de kכntrol wi mכsul dεm de muv. So imajin wetin kin apin we sɔntin lɛk inflamɛns, dat na, swɛlin, apin na dis kayn impɔtant ples? Na da tɛm de di mɔsul dɛn nɔ kin gɛt di rayt mɛsej, ɛn wantɛm wantɛm dɛn kin wik ɛn nɔ gɛt layf. Infakt, wi sɛntral nervous system , dat na dis grey tin we de na di bren ɛn spɛshal kɔd, na di tin we impɔtant pas ɔl fɔ mek wi ebul fɔ wok fayn fayn wan.

Dis diagnosis, AFM, na nyu tin. Dɔktɔ ɛn risach pipul dɛn bin fɔs tɔk bɔt am insay 2014. Bifo dat, dɛn bin de klas pipul dɛm wae sho sɔm kayn sik lɛk dis wae gɛt ɔda nyurolɔjik kɔndishɔn wae dɛn kɔl ``Transverse Myelitis.''

AFM na di sem wit di Guillain-Barré Syndrome (GBS) we bɔku pipul dɛn sabi? Yu tink se i difrɛn?

Yɛs, dis na impɔtant kwɛstyɔn. Ɔl tu di AFM ɛn Guillain-Barré Syndrome (GBS) na sik dɛn we nɔ kin apin so ɔltɛm, we kin mek di mɔsul dɛn wik. Bɔt klia difrɛns de bitwin dɛn tu.

Insay GBS , wi yon imyun sistɛm, di sistɛm we de protɛkt wi frɔm sik, kin mistek atak wi yon periferik nɛv dɛn . dis pεriferal nεv dεm na di nεv dεm we de kכmכt frכm wi sεntri nεv sεstem to wi limb dεm εn כda כgan dεm. Dɛn kɔl dis ɔtoimyun rεspכns . bכt insay AFM, i de afekt di grey matta dεm na di spεnal kכd dεn dεn wan dεm.

כda difrεns na dat insay GBS, di mכsul dεm we wik kin bigin na di leg dεm εn afta dat i kin spre to di כp pat na di bכdi. insay AFM, di mכsul dεm we wik kin bigin na di an כ di leg dεm. Sɔntɛnde, i kin afɛkt jɔs wan an ɔ leg na wan say.

Impɔtant tin na dat, AFM kin afɛkt yɔŋ pikin dɛn , mɔ di wan dɛn we ol bitwin 1 ɛn 7. GBS kin bɔku pan big pipul dɛn we dɔn pas 40. So i impɔtant fɔ mɛmba dɛn difrɛns ya.

Udat kin gɛt AFM mɔ?

As a bin dɔn tɔk bifo tɛm, lɛk 90% pan di wan dɛn we gɛt AFM na yɔŋ pikin dɛn . I kin mɔna pikin dɛn we ol bitwin wan ɛn sɛvin ia. Bɔt, dat nɔ min se big pipul dɛn nɔ go ebul fɔ gɛt am. Pan ɔl we i nɔ kin apin so ɔltɛm, big pipul dɛn kin gɛt AFM bak. So, e fayn fɔ mek ɔlman no bɔt de sik.

Aw kɔmɔn tin dis? Wetin na di tin we de apin na Sri Lanka?

AFM na sik we nɔ kin bɔku . Fɔ ɛgzampul, sɔm pipul dɛn we de stɔdi bɔt dis na Amɛrika tɔk se i nɔ pas wan pan ɛvri milyɔn pipul dɛn we kin gɛt AFM ɛvri ia. Bɔt pan ɔl we i nɔ bɔku, di nɔmba fɔ di AFM kes dɛn we dɛn dɔn ripɔt dis biɛn tɛm dɔn go ɔp smɔl.

Dɛn kin ripɔt dis sik na grup dɛn na sɔm say dɛn. Dɔn bak, dɛn dɔn si wan patikyula sizin patɛn, mɔ wan patɛn we kin apin tu ia. Fɔ ɛgzampul, dɛn bin ripɔt dɛn kayn grup ya pan di sik pipul dɛn na Kalifonia insay 2012 ɛn na Kolorado insay 2014. If wi tɔk bɔt di tin dɛn we de apin na Sri Lanka, bikɔs dis nɔ kin apin so ɔltɛm, dɛn stil nɔ gɛt klia data bɔt di ripɔt dɛn na wi kɔntri. Bɔt if sɔntin lɛk dis bɔku sɔmsay na di wɔl, i impɔtant fɔ lɛ wi no bɔt am.

Wetin na di sayn dɛm fɔ AFM? Aw dɛn kin no se i gɛt am?

Di sayn dɛm fɔ AFM kin apin wantɛm wantɛm . Dɛn kin tranga pasmak insay sɔm dez, sɔmtɛm sɔm awa. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Wantɛm we yu nɔ de fil fayn na yu an ɔ yu leg: Dis na di sayn we impɔtant pas ɔl ɛn we de mek yu denja. I kin bi wan an ɔ leg, ɔ ɔl tu an ɔ ɔl tu leg.
• di mכsul dεm we de lכs: di mכsul dεm kin fil rili lכs we yu tכch am.
• di rεflεks dεm we de lכs / areflexia: dכkta dεn de tap di kכn wit sכm hama, εn dεn rεflεks dεm de dכn.
• Nɔr de woke fayn fayn wan ɛn yu nɔr de balans: Yu nɔr kin fil fayn we yu de waka ɛn yu nɔr kin ebul fɔ kɔntrol yu bɔdi fayn fayn wan.

Dis na di men sayn dɛm wae dɛn kin si. Apat frɔm dɛn tin ya, ɔda sayn dɛn kin sho:

• I nɔ izi fɔ muv di yay ɔ di aylid we de drɔp.
• Wan say na di fes de drɔp ɔ di fes mɔsul dɛn wik.
• I nɔ izi fɔ swɛla (dysphagia).
• Tɔk we nɔ de tɔk fayn.
• Pen na yu an, yu leg, yu nɛk, ɔ yu bak.
• Lɔs fɔ kɔntrol di urinate ɛn difecation.

AFM kin afɛkt ɛni wan pan yu an, yu leg, ɔ ɔl di 4 an ɛn fut dɛn. Bɔt bɔku tɛm, i kin afɛkt di ɔp pat dɛn , we na di an dɛn.

I nɔ kin izi fɔ yu fɔ blo - dis kin rili denja!

Sɔntɛnde, AFM kin afɛkt bak di mɔsul dɛn we impɔtant fɔ wi fɔ blo . If dis apin, i kin mek yu gɛt wan sik we rili denja we dɛn kɔl respiratory failure . Dis kin mek pɔsin in layf de pan denja, so i nid fɔ go to dɔktɔ wantɛm wantɛm .

Di sayn dɛm we de sho se pɔsin nɔ ebul fɔ blo fayn na:

• Fɔ blo kwik ɛn shalo.
• Taya pasmak ɛn slip.
• We pɔsin nɔ de rɛst.

If yu ɔ yu pikin gɛt ɛni sayn fɔ AFM, go to dɔktɔ wantɛm wantɛm. Nɔ wet, bikɔs dis kin bi siriɔs tin kwik kwik wan.

Wetin mek dis AFM kin apin? Wetin na di kɔz?

Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt AFM. Bɔt dɛn biliv se vayrɔs dɛn , mɔ di ɛnterovayrɔs dɛn we nɔ gɛt polio, de involv. Bɔrku pipul dɛm wae gɛt AFM kin gɛt wan sik wae nɔr kin gɛt bɛtɛ blɔd, lɛk kɔmɔn kol ɔr flu, bifo dɛn gɛt sɔm sayn dɛm.

Risach pipul ɛn dɔktɔ dɛn dɔn no tu kayn vayrɔs, spɛshal wan Enterovirus D68 ɛn Enterovirus A71, pan bɔku AFM pasɛnt dɛn. Enterovirus D68 kin mek yu gɛt sik dɛn we yu de blo ɛn dɛn no se i kin prɛd lɛk ɛvri tu ia insay di sɔmma ɛn fɔl na kɔntri dɛn lɛk Amɛrika.

Aw fɔ no di AFM kɔrɛkt wan? (Diagnosis) .

Fɔ no bɔt AFM kin tranga fɔ dɔktɔ dɛn bikɔs na sik we nɔ kin apin so ɔltɛm ɛn di sayn dɛm we i kin gɛt kin tan lɛk ɔda nyurolɔjik sik dɛm lɛk Transvas Maylaytis, Guillain-Barré Syndrome (GBS), ɛn Polio .

Yu dɔktɔ go aks yu bɔt yu sik ɛn mɛdikal histri. Dɔn dɛn kin ɔda ɔ du sɔm tɛst fɔ kɔnfɔm AFM ɛn pul ɔda kɔndishɔn dɛn. Dɛn tɛst ya na:

• Fɔ ɛgzam fɔ yu bɔdi.
• Nyurolɔjik ɛgzam.
• MRI (Magnetic Resonance Imaging) fכ di spayna εn bren: Dis na di mכst imכtant tεst fכ kכnfכm AFM. i kin luk fכ chenj dεm (lεk inflameshn) na di grey mat na di spεnal kכd.
• di spεnal tap/Lכmba pankshכn: Dis involv fכ tek sεmpl fכ sεribra spεnal fכluid (CSF) εn chεk am fכ sayn dεm fכ inflameshn.
• Tεst dεm we di nεv rεspכns de du:fכ egzampl `(Nεv kכndukshכn stכdi dεm)`.
• di mכsul rεspכns tεst dεm: fכ egzampl, Ilektromayografi (EMG).

Di dɔktɔ kin kam fɔ no wan kɔnklushɔn afta we i dɔn du ɔl dɛn tɛst ya.

Wetin na di tritmɛnt dɛm fɔ AFM? Yu tink se dɛn kin mɛn am?

I sɔri fɔ no se, no mɛrɛsin nɔ de fɔ AFM yet . So, di men gol fɔ tritmɛnt na fɔ kɔntrol di sayn dɛm ɛn ɛp yu fɔ wɛl as yu ebul. If i pɔsibul, i bɛtɛ fɔ go to nyurolɔjis we gɛt ɛkspiriɛns wit ɛn du risach bɔt AFM.

Fizik tɛrapi ɛn ɔkupeshɔn tɛrapi impɔtant fɔ mek di limb wik. Dɛn tin ya kin ɛp fɔ mek di mɔsul dɛn strɔng ɛn mek dɛn muv fayn fayn wan. Bɔku tɛm, di wan dɛn we de stɔdi bɔt nyurolɔjis kin advays ɔda tritmɛnt dɛn bay wetin di wan wan pɔsin nid. Fɔ ɛgzampul, di ɔpreshɔn we dɛn kin du na di periferik nɛv, we kin mek di mɔsul dɛn nɔ west, dɔn wok fayn pan sɔm pipul dɛn we gɛt AFM.

Bikɔs AFM na tin we nɔ kin apin so ɔltɛm ɛn we nɔ kin rili nyu, sayɛnsman ɛn dɔktɔ dɛn stil gɛt bɔku tin fɔ lan bɔt dis sik ɛn aw fɔ mɛn am. So risach de go bifo.

We de fɔ mek AFM nɔ de divɛlɔp?

Bikɔs dɛn nɔ no di rayt tin we kin mek pɔsin gɛt AFM, no patikyula we nɔ stil de fɔ mek i nɔ apin .

Bɔt bikɔs dɛn tink se sɔm vayrɔs dɛn, inklud ɛnterovayrɔs, gɛt fɔ du wit AFM, wi kin ridyus di risk to sɔm mak bay we wi tek stɛp fɔ protɛkt wisɛf frɔm vayral infɛkshɔn. Dɛn tin ya na:

• Wash yu an fayn fayn wan wit sop ɛn wata ɔltɛm. Ɛspɛshali bifo ɛn afta yu it, afta yu dɔn yuz di bafa, afta yu tɔch animal, ɛn afta yu dɔn kia fɔ pɔsin we sik.
• Nɔ tɔch yu fes wit an we yu nɔ was.
• Nɔ gɛt tayt padi biznɛs wit pipul dɛn we sik.
• Gɛt ɔl di vaysin dɛn we dɛn dɔn rɛkɔmɛnd di rayt tɛm.
• Kip di say dɛn we yu kin tɔch bɔku tɛm (lɛk tebul, domɔt knob) klin ɛn yuz disinfɛktant.

If yu fala dɛn simpul wɛlbɔdi abit ya, dat go ɛp fɔ protɛkt yu frɔm bɔku sik dɛn.

Wetin na di fiuja if yu divɛlɔp AFM? (Prɔgnosis) .

Bikɔs AFM na nyu sik we dɛn dɔn no, di wan dɛn we de stɔdi bɔt dis stil nɔ no bɛtɛ bɛtɛ wan wetin go bi fɔ di wan dɛn we gɛt dis sik fɔ lɔng tɛm .

Bɔt bɔku pan di wan dɛn we sik kin bɛtɛ smɔl smɔl as tɛm de go we dɛn kɔntinyu fɔ gɛt tritmɛnt, lɛk fɔ trit dɛn bɔdi . Lεs dan 10% pan di AFM pasεn dεm de mek ful rεkכvεshכn. Bɔt bɔku pipul dɛn kin sho se dɛn dɔn bɛtɛ, so i nɔ fayn fɔ lɛ wi lɛf fɔ gɛt op.

Us ɔda kɔmplikɛshɔn dɛn kin apin bikɔs ɔf AFM?

As a bin dɔn tɔk, AFM kin afɛkt di mɔsul dɛn we yu nid fɔ blo. Dis kin mek yu nɔ ebul fɔ blo fayn , ɛn dis kin mek yu nid fɔ gɛt mɛrɛsin kwik kwik wan. Pipul dɛm wae nɔr de blo fayn kin nid mashin (`ventilator`) fɔ ɛp dɛn fɔ blo. Na lɛk wan pat pan tri pipul dɛn we gɛt AFM nid fɔ put intubeshɔn ɛn mek dɛn gɛt mɛkanikal ventileshɔn .

Apat frɔm dat, AFM kin mek siriɔs nyurolɔjik prɔblɛm dɛn, lɛk we di bɔdi in tɛmpracha kin chenj, di blɔd prɛshɔn nɔ kin stebul, ɛn di at nɔ kin rit ɔltɛm. Dɛn tin ya kin mek pɔsin in layf de pan denja bak.

So, i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu ɔ yu pikin gɛt dɛn sik ya.

Ustɛm yu fɔ go to dɔktɔ?

If yu ɔ yu pikin gɛt wikɛd mɔsul dɛn wantɛm wantɛm na wan an, wan leg, ɔ sɔm pat dɛn , go to dɔktɔ wantɛm wantɛm . AFM na sik we kin go bifo kwik kwik wan ɛn mek i nɔ izi fɔ blo. So i impɔtant fɔ du sɔntin kwik kwik wan, nɔto fɔ fred.

If dɛn no se yu ɔ yu pikin gɛt AFM, yu go nid fɔ go to yu mɛdikal tim ɔltɛm fɔ gɛt tritmɛnt, lɛk fɔ trit yu bɔdi, ɛn fɔ wach aw yu de fil.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so a op se frɔm wetin wi dɔn tɔk bɔt, yu dɔn gɛt sɔm ɔndastandin bɔt AFM (Acute Flaccid Myelitis). Mɛmba se pan ɔl we dis na sik we nɔ kin bɔku, i stil rili impɔtant fɔ no bɔt am.

• We di mɔsul dɛn wik wantɛm wantɛm nɔto sɔntin we wi fɔ tek am layt, mɔ pan yɔŋ pikin dɛn. If na so i bi, go to dɔktɔ wantɛm wantɛm.
• Pan ɔl we no patikyula mɛrɛsin nɔ de fɔ AFM, tritmɛnt dɛn de fɔ kɔntrol di sayn dɛn ɛn fɔ mek yu layf bɛtɛ . Tin dɛm lɛk fyzikal tritmɛnt rili impɔtant.
• Risach pipul ɛn dɔktɔ dɛn stil de lan bɔt AFM, so i bɛtɛ fɔ abop pan yu dɔktɔ in advays ɛn fala wetin dɛn tɛl yu fɔ du fɔ mɛn yu .

Lɛ wi ɔl tek kia ɔf wi pikin dɛn ɛn wi yon wɛlbɔdi. We wi no bɔt sik dɛn we nɔ kin bɔku lɛk dɛn wan ya, dat kin mek wi ebul fɔ du sɔntin kwik kwik wan we nid de.

` AFM, Akyu Flaksid Maylaytis, Mɔsul Wiknɛs, Nyurolɔjik Sik, Pikin dɛn Sik, Spinal Kɔd, Vayrɔs, Ɛnterovayrɔs, Respiratory Distress, Paralysis