I fa hian a ke leh ke a hloh nghal em? He AFM (Acute Flaccid Myelitis) hi kan hriat chian a ngai em?

Ngaihtuah teh, i fa nalh tak chu zing atang khan a inkhel a, tlai lamah chuan, ‘Mommy/Dad, ka kut ka chawi thei lo’ a ti thut a, a nih loh leh a kal lai chuan a ke chu a hlim nghal a, leiah a hruai lut ta a ni. Chutih laia a awm dân chu i ngaihtuah thei em? Vawiin hian kan fate, leh a chang chuan puitlingte taksa peng hrang hrang, a chang chuan puitlingte taksa peng hrang hrangte chu a ti na thei a, chu chu rang taka leh hriattirna awm lovin, rilru natna (neurological condition) hmuh tur awm lo mahse na tak tak a ni tih kan sawi dawn a ni. Hei hi AFM (Acute Flaccid Myelitis) an ti a. Hei hi he thu i hriat hian i tan thil thar a ni mai thei. Chuvangin chipchiar takin sawi ila.

He natna thar, AFM (Acute Flaccid Myelitis) hi eng nge ni?

A awlsam zawngin sawi ila, AFM (Acute Flaccid Myelitis) hi thluak lam natna hmuh tur awm lo mahse na tak a ni. Hemi kawngah hian thil thleng chu kan taksa ruh leh reflex thenkhat chu a chak lo nghal vek a ni. A dik tak chuan ‘flaccid’ an lo ni ta a, chu chu nunna nei lo an lo ni ta tihna a ni. Heng symptoms te hi a lo lang nghal thei a, a chang chuan thawk chakna pawh a nghawng thei bawk. Chuvang chuan a hlauhawm em em a ni.

Kan ruhro hi kan taksa inbiakpawhna hmunpui ber ang a ni tih i hria em? A ṭhen hnih a awm a, pakhat chu ‘gray matter’ a ni a, pakhat chu ‘white matter’ a ni. Hetiang dinhmun AFM an tih ah hian gray matter hi a nghawng ber a ni. He gray matter hi kan taksa peng hrang hrang chetna control tu nerve cell awmna hmun a ni. Chuvângin, chutiang hmun pawimawh takah chuan inflammation, chu chu swelling ang chi thil a lo awm chuan eng nge thleng tih han ngaihtuah teh? Chutah chuan taksa ruhte hian thuchah dik tak an dawng lo va, rang takin an chak lo va, nunna nei lovin an awm ta a ni. Dik tak chuan, kan central nervous system , chu chu thluak leh ruhroa he gray matter hi a ni a, chu chu kan hnathawh dan pangngaia kan thawh theih nan a pawimawh ber a ni.

He diagnosis, AFM hi a thar deuh hlek a ni. Doctor leh zirchiangtute chuan kum 2014 khan an sawi hmasa ber a, chumi hma chuan hetiang symptoms nei te hi neurological condition dang ``Transverse Myelitis'' tih neiah an dah a ni.

AFM hi mi tam takin an hriat lar Guillain-Barré Syndrome (GBS) nen a inang em? A danglam em?

Ni e, hei hi zawhna pawimawh tak a ni. AFM leh Guillain-Barré Syndrome (GBS) te hi a tlem hle a, taksa ruh tichak lo thei, thluak lam natna a ni. Mahse an pahnih inkarah hian danglamna chiang tak a awm.

GBS -ah chuan kan taksa hriselna (immune system), natna laka min humhimtu system chuan kan peripheral nerve te chu a rawn bei sual a ni . Heng peripheral nerve te hi kan central nervous system atanga kan ke leh taksa peng dang thlenga kal nerve te an ni. Hei hi autoimmune response an ti a . Mahse AFM-ah chuan spinal cord-a gray matter chu direct-in a nghawng a ni.

A danglamna dang chu GBS-ah hian taksa ruh chak lohna hi ke atanga intan a ni tlangpui a, chu chu taksa chunglam thlengin a darh leh thin. AFM-ah chuan taksa chak lohna hi kut emaw ke emaw atanga intan thei a ni. A châng chuan, a sir khatah kut emaw, ke pakhat emaw chauh a nghawng thei bawk.

Importantly, AFM usually affects young children , a bik takin kum 1 leh 7 inkar te hi GBS hi puitling kum 40 chunglam ah a tam ber a, chuvangin heng danglamna te hi ngaihtuah reng a pawimawh.

Tute nge AFM vei tam ber?

Ka sawi tawh ang khan AFM vei zinga 90% vel chu naupang tê tê an ni . Naupang kum khat leh kum sarih inkar a nghawng ber a ni. Mahse, chu chu puitlingin an hmu thei lo tihna erawh a ni lo. A tlem hle nachungin puitling pawhin AFM an vei thei bawk. Chuvangin, mi zawng zawng tan a symptoms hriat chian a tha.

Hei hi engtiang chiahin nge a hluar? Sri Lanka ram hi eng dinhmun nge ni?

AFM hi natna hmuh tur awm lo tak a ni . Entîr nân, United States-a zirchiangtute chuan kum tin mi maktaduai khat zînga pakhat aia tlem loin AFM an vei niin an chhut. Mahse, a tlem hle chung pawhin tun hnaiah AFM vei report zat chu a pung tlem hle.

He natna hi hmun thenkhatah cluster hrang hranga report a ni tlangpui. Tin, seasonal pattern engemaw tak, a bik takin biennial pattern hmuh tur a awm bawk. Entirnan, hetiang damlo cluster hi California-ah kum 2012 khan report a ni a, Colorado-ah pawh kum 2014 khan report a ni a, Sri Lanka dinhmun kan sawi chuan hei hi a tlem hle a nih avangin kan ramah hian report chungchangah data chiang tak a la awm lo. Amaherawhchu khawvel hmun dangah hetiang thil hi a lo pung zel a nih chuan kan hriat chian a pawimawh hle.

AFM natna lan chhuah dan chu engte nge ni? Engtin nge a hriat chhuah?

AFM symptoms hi a lang nghal mai thin . Ni rei lo te chhungin an na thei hle a, a chang chuan darkar tam tak chhungin an na thei bawk. A lan chhuah dan ber chu:

• Kut emaw ke emawa hriatna hloh nghal: Hei hi a chhinchhiahna pawimawh ber leh hlauhawm ber a ni. Kut pakhat emaw, ke pakhat emaw, kut pahnih emaw, ke pahnih emaw pawh a ni thei.
• Muscle tone hloh: Muscle te hi khawih chuan a lo hlim hle niin a lang.
• Reflexes hloh / areflexia: Doctor-te chuan khup chu hammer te tak te hmangin an tap a, chu reflexes chu a bo vek a ni.
• Coordination leh balance hloh: I kal laiin i nghet lo thei a, i taksa pawh i thunun tha thei lo thei bawk.

Hengte hi a symptom langsar ber berte chu an ni. Heng bakah hian natna lan chhuah dan dang a lang thei bawk:

• Mit tihchet harsat emaw, mitmeng tlak hniam emaw.
• Hmai sir khat tlak emaw, hmai ruh chak lo emaw.
• Chaw ei harsa (dysphagia).
• Thusawi hrual (slurred) a ni.
• Kut, ke, kawr emaw, hnungzang emaw natna.
• Zun leh ek chhuah chungchanga thununna hloh.

AFM hian i kut, ke leh ke pali zawng zawng a nghawng thei a ni. Mahse, a tam ber chu upper limbs , kut a ni.

Thâwk harsa - hei hi a hlauhawm hle!

A châng chuan AFM hian kan thawkna atana pawimawh tak tak ruhte pawh a nghawng thei bawk . Chutiang a nih chuan natna hlauhawm tak, thawkna lama harsatna (respiratory failure) tih chu a thlen thei a ni. Hei hi nunna atana hlauhawm a nih avangin damdawi lam pan vat a ngai a ni .

Thâwk lama harsatna lan chhuah dan chu:

• Thâwk rang leh thuk lo tak.
• Chauh lutuk leh mut theih loh.
• Restlessness a awm.

Nangmah emaw i fain AFM symptoms i neih chuan doctor pan nghal rawh. Nghak suh, hei hi a pawi thuai thei a ni.

Engvangin nge he AFM hi a lo awm? Eng nge a chhan?

Researcher-te chuan AFM hi eng nge a thlen tih chiang takin an la hre lo . Mahse, virus , a bik takin non-polio enterovirus te hi an inrawlh niin an ngai. AFM vei tam tak chuan thawkna lam natna na lo tak, common cold emaw flu emaw an nei a, chu chu symptoms an neih hmain an nei a ni.

Researcher leh doctor-te chuan AFM vei tam takah hian virus chi hnih, a bik takin Enterovirus D68 leh Enterovirus A71 te an hmuchhuak a ni. Enterovirus D68 hian thawkna lam natna a thlen tlangpui a, kum hnih danah velin thlasik leh thlasik laiin a darh thin tih hriat a ni a, United States ang ramah te pawh a darh thin.

Engtin nge AFM hi dik taka kan hriat theih ang? (Diagnosis) tih a ni.

AFM hriatchhuah hi doctor-te tan chuan thil harsa tak a ni thei a, a chhan chu natna hmuh tur awm lo tak a nih avangin a lan chhuah dan hi thluak lam natna dang Transverse Myelitis, Guillain-Barré Syndrome (GBS), leh Polio te nen a inang a ni.

I doctor chuan i symptoms leh medical history te a zawt ang che. Chumi hnuah chuan AFM finfiah nan leh condition dang rule out turin test eng emaw zat order emaw, tih emaw an ti thei bawk. Heng test hrang hrangte hi:

• Taksa enfiahna.
• Neurological exam a ni.
• Ruh leh thluak MRI (Magnetic Resonance Imaging): Hei hi AFM finfiah nan test pawimawh ber a ni. Spinal cord-a gray matter-a inthlak danglamna (inflammation ang chi) a zawng thei.
• Spinal tap/Lumbar Puncture: Hei hi cerebral spinal fluid (CSF) sample lak a, inflammation chhinchhiahna awm leh awm loh enfiah a ni.
• Nerve response test hrang hrang:Entirnan `(Nerve conduction zirchianna)`.
• Muscle response test: Entirnan, Electromyography (EMG) tih a ni.

Doctor chuan heng test zawng zawng a tih zawh hian thutlukna a siam ta a ni.

AFM enkawlna tur engte nge ni? Dam theih a ni em?

Vanduaithlak takin AFM hi damdawi a la awm lo . Chuvangin, enkawlna tum ber chu symptoms enkawl leh a theih ang anga dam leh theihna tura puih hi a ni. A theih chuan AFM chungchanga tawnhriat nei leh zirchiangtu neurologist pan a tha ber.

Ke leh ke leh ke ruh chak lohna atan hian taksa lam enkawlna leh hnathawhna hmanga enkawlna hi a pawimawh hle. Chungte chuan taksa ruh tichaktu leh incheina tichak turin a pui bawk. Neurologist-te chuan damlo pakhat zel mamawh dan azirin enkawlna dang an rawt tlangpui. Entirnan, peripheral nerve surgery, muscle wasting venna chu AFM vei thenkhatah chuan a hlawhtling hle.

AFM hi natna hmuhchhuah tlem leh thar tak a nih avangin scientist leh doctor-te chuan he natna leh a enkawlna chungchang hi zir tur tam tak an la nei a ni. Chuvangin research hi a kal zel a ni.

AFM lo thang zel tur ven dan a awm em?

AFM thlen chhan dik tak hriat a nih loh avangin ven dan tur chiang tak a la awm lo .

Mahse, enterovirus telin virus engemaw zat chu AFM nena inzawm nia ngaih a nih avangin, virus infection laka invenna tura hma kan lak hian eng emaw chen chu kan tihziaawm thei a ni. Chung zingah chuan:

• I kut chu sahbawn leh tuiin uluk takin silfai fo ang che. A bik takin chaw ei hma leh ei zawh hnu te, inbualna hman zawh te, ran khawih hnu te, damlo enkawl hnu te.
• Kut sil loh hmanga i hmai khawih loh tur.
• Damlote nena inbiak hnai tak loh tur.
• Vaccine pek tur rawt zawng zawng chu a hun takah la vek rawh.
• Khawih fo thinna hmun (dawhkan, kawngkhar khar ang chi) chu fai takin vawng la, disinfectant hmang bawk ang che.

Heng hriselna lama tih dan awlsam tak takte zawm hian natna tam tak lakah a venghim ang che.

AFM i tihhmasawn chuan hmalam hun eng nge ni ang? (Prognosis) tih a ni.

AFM hi natna hmuhchhuah thar a nih avangin zirchiangtute chuan he natna vei te tan hun rei tak chhunga an hmalam hun tur chu eng nge ni ang tih chiang takin an la hre lo.

Mahse, damlo tam tak chu hun kal zelah enkawl chhunzawm zel a nih chuan an ṭha chho zauh zauh a, chu chu physical therapy ang chi hi a ni . AFM vei zinga 10% aia tlem chuan an dam kim vek a ni. Mahse, mi tam tak chuan hmasawnna an lantir ve tho a, chuvangin beiseina bansan hi thil tha a ni lo.

AFM vang hian eng harsatna dang nge awm thei?

Ka sawi tawh ang khan AFM hian thawkna atana mamawh taksa peng hrang hrangte a nghawng thei a ni. Hei hian thawk lama harsatna a thlen thei a, chu chu emergency medical treatment mamawhna a ni. Thâwk lama harsatna nei te hian thawk thei tura pui turin machine (`ventilators`) an mamawh mai thei. AFM vei hmun thuma ṭhena hmun khat vel chuan intubation leh mechanical ventilation an mamawh a ni .

Tin, AFM hian thluak lama harsatna lian tak a thlen thei a, chu chu taksa lum leh vawt inthlak danglam, thisen sang a nghet lo, leh heart rate mumal lo te a ni. Chûngte chu nunna atana hlauhawm a ni thei bawk.

Chuvangin, nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan a rang thei ang bera damdawi lam pan a pawimawh hle.

Engtikah nge doctor i hmuh ang?

Nangmah emaw, i fa emaw chuan kut pakhat, ke pakhat, a nih loh leh ke leh ruh engemaw zatah taksa ruh chak lohna a neih thut chuan , doctor thurawn zawng nghal rawh . AFM hi natna a ni a, a zual zel a, thawk harsatna a thlen thei a ni. Chuvangin thil tih vat a pawimawh a, hlauthawng lo.

Nangmah emaw i fa emaw hian AFM i vei tih hmuhchhuah a nih chuan, physical therapy ang chi enkawlna dawng tur leh i natna lan chhuah dan enfiah turin i medical team i hmuh fo a ngai ang.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawiho atang hian AFM (Acute Flaccid Myelitis) chungchang hi hriatthiamna engemaw chen i neih ka beisei. Hei hi natna hlauhawm tak ni mahse, hriat reng a pawimawh hle tih hre reng ang che.

• Sudden muscle chak lohna hi thil awlsam tak a ni lo, a bik takin naupang tê tête tan chuan. Chutiang hunah chuan Doctor pan nghal tur a ni.
• AFM damdawi chiang tak awm lo mah se, a natna lan chhuah dan enkawlna leh nunphung tihchangtlunna tur enkawlna a awm . Physics therapy ang chi thil hi a pawimawh hle.
• Researcher leh doctor-te chuan AFM chungchang hi an la zir zel a, chuvangin i doctor thurawn rinchhan a, an enkawl dan tur ruahmanna zawm a tha ber .

Kan fate leh keimahni hriselna hi i enkawl vek ang u. Hetiang natna hmuh tur awm lote kan hriat chian hian a tul hunah hma kan la nghal vat thei a ni.

` AFM, Acute Flaccid Myelitis, Muscle Weakness, Neurological Diseases, Naupang natna, Spinal Cord, Virus, Enterovirus, Thluak lama harsatna, Paralysis