Kodi pali mitundu ingati ya mavairasi omwe amakhala m'matupi mwathu popanda ife kudziwa? Kachilombo ka JC ndi kamodzi mwa iwo. Ndipotu, kachilomboka kamakhala m'matupi a anthu opitilira theka la akuluakulu padziko lonse lapansi. Koma chodabwitsa ndichakuti, sichivulaza kapena kuvutitsa anthu ambiri. Chifukwa chake, lero tikambirana mwatsatanetsatane za izi, nthawi yomwe zimakhala vuto, komanso ngati tiyenera kuopa.
Kodi kachilombo ka JC ndi chiyani kwenikweni?
Mwachidule, kachilombo ka JC ndi kachilombo kofala kwambiri. Kadapezeka koyamba mu 1971. Dokotala adapeza kachilomboka muubongo wa munthu yemwe anali ndi khansa yotchedwa Hodgkin's lymphoma. Kachilomboka kanatchedwa dzina loyamba la wodwalayo (John Cunningham).
Koma akatswiri sakudziwabe momwe imafalikira kuchokera kwa munthu wina kupita kwa wina. Komabe, anthu ambiri amakhulupirira kuti kachilomboka kamalowa m'thupi lathu tili ana kudzera m'madzi kapena chakudya chodetsedwa. Kachilomboka kakalowa mkati, kamakhalabe m'njira ya mkodzo, m'mafupa, m'matumbo, kapena muubongo kwa zaka zambiri, osayambitsa mavuto. Zotsatira zake, anthu ambiri sadziwa ngakhale pang'ono kuti ali ndi kachilomboka.
Ndiye ndani ali pachiwopsezo cha izi?
Nayi mfundo yofunika. Bola chitetezo cha mthupi chanu chili bwino komanso champhamvu, kachilombo ka JC sikadzakuvutitsani. Zili ngati kugona.
Komabe, ngati pazifukwa zina chitetezo cha mthupi cha munthu chafooka kwambiri , kachilombo kameneka kamene kamakhala m'thupi mwake kamadzuka mwadzidzidzi ndikuyamba kugwira ntchito.
Kachiromboka kakayamba kugwira ntchito mwanjira imeneyi, kangayambitse matenda oopsa kwambiri muubongo otchedwa Progressive Multifocal Leukoencephalopathy , kapena PML .
Kodi PML ndi chiyani?
Izi zimawononga chophimba choteteza chomwe chimazungulira maselo athu amitsempha . Zili ngati chophimba cha pulasitiki chomwe chimasungunuka ndi waya wamagetsi. Izi zimasokoneza kwathunthu njira yotumizira mauthenga kudzera mumitsempha. Izi zitha kubweretsa kulumala kosatha komanso nthawi zina imfa .
Chiwopsezo chachikulu cha matenda a PML ndi:
- Kwa odwala HIV/AIDS .
- Matenda a Hodgkin), anthu omwe ali ndi matenda a khansa monga khansa ya m'magazi ndi khansa ya m'magazi.
- Kwa anthu omwe ali ndi matenda monga Multiple Sclerosis (MS) , Rheumatoid Arthritis , kapena omwe akumwa mitundu ina ya mankhwala oletsa chitetezo chamthupi atangoikidwa chiwalo china .
Kodi zizindikiro za PML ndi ziti?
Zizindikiro zimenezi nthawi zambiri zimayamba mofulumira ndipo zimakula pakapita nthawi. Zizindikiro zimatha kusiyana malinga ndi dera la ubongo lomwe lawonongeka. Komabe, izi ndi zizindikiro zodziwika kwambiri.
| Chizindikiro | Kufotokozera |
|---|---|
| Kusakhazikika | Zinthu monga kuvutika kuchita zinthu, kupunthwa poyenda, komanso kugwa m'manja. |
| Kufooka komwe kumaipiraipira | Kufooka kwa mkono, mwendo, kapena mbali imodzi ya thupi kumawonjezeka pang'onopang'ono. |
| Kusintha kwa umunthu | Kusintha monga mkwiyo wadzidzidzi, kusokonezeka maganizo, ndi kuiwala zinthu. |
| Kuvuta kulankhula | Mawu amasokonekera, ndipo sindingathe kunena zomwe ndikufuna kunena. |
| Mavuto a masomphenya | Kuona zinthu kumakhala kosawoneka bwino, ndipo mavuto monga kuona zinthu ziwiri nthawi imodzi. |
Kodi mumazindikira bwanji izi?
Choyamba, mutha kuyezetsa kuti muwone ngati muli ndi kachilombo ka JC. Izi zimaphatikizapo kuyezetsa magazi kapena kuyesa minofu . Izi ndizofunikira makamaka ngati mukumwa mankhwala omwe amaletsa chitetezo chamthupi chanu .
Komabe, ngati dokotala wanu akukayikira kuti muli ndi PML, njira yoyezetsera imakhala yosiyana.
1. Kujambula kwa MRI: Kuyesa koyamba komwe mungachite ndi MRI (Magnetic Resonance Imaging) . Izi zimagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti zijambule zithunzi za ubongo wanu mwatsatanetsatane ndikuyang'ana mawonekedwe a minofu ya ubongo yomwe ndi yodziwika bwino pa PML.
2. Kuboola Msana: Kenako, dokotala wanu angasankhe kuchita kuboola msana (lumbar puncture) . Musadandaule, izi zimaphatikizapo kutenga singano yaying'ono ndikutenga madzi ochepa a msana kuchokera pansi pa msana wanu. Madzi awa amayesedwa kuti awone ngati ali ndi kachilombo ka JC. Ngati kachilombo ka JC kapezeka m'madzi awa, zimatsimikizira kuti PML ilipo.
3. Kufufuza Ubongo: Ngati mayeso omwe ali pamwambawa akadali osakwanira, chidutswa chaching'ono cha minofu yochokera muubongo chingafunike kutengedwa kuti chikayesedwe (kufufuza).
Ubale pakati pa mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena ndi kachilombo ka JC
Matenda a Multiple Sclerosis (MS) ndi Matenda a Crohn
Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga Multiple Sclerosis (MS) ndi Matenda a Crohn (monga Natalizumab, Dimethyl fumarate, Fingolimod, Ocrelizumab ) apezeka kuti amagwirizana ndi PML.
Choncho, musanayambe mankhwala amtunduwu, dokotala wanu adzakuyesani kuti aone ngati muli ndi kachilombo ka JC. Mutha kumwa mankhwalawa ngakhale mutakhala ndi kachilomboka, koma muyenera kukambirana za zoopsa ndi ubwino wake ndi dokotala wanu musanapange chisankho.
HIV/AIDS
Mankhwala ena amakono omwe amaperekedwa kwa anthu omwe ali ndi kachilombo ka HIV/AIDS amathandiza kulimbitsa chitetezo chamthupi. Izi zathandiza kwambiri popewa kufalikira kwa PML kuchokera ku kachilombo ka JC. Zotsatira zake, kuchuluka kwa odwala omwe ali ndi kachilombo ka HIV/AIDS kwachepa kwambiri m'zaka zaposachedwa.
Kodi mankhwala a PML ndi otani?
Pakadali pano, palibe mankhwala enieni omwe avomerezedwa kuti achiritse PML kwathunthu, ndipo asayansi akufufuzabe izi.
Chithandizo chabwino kwambiri chomwe chilipo pano ndi kuthandiza chitetezo cha mthupi kumenyana ndi kachilomboka kokha mwa kubwezeretsanso. Mwachitsanzo, ngati munthu akumwa mankhwala omwe amaletsa chitetezo cha mthupi, dokotala wake angasankhe kusiya kapena kusintha mankhwalawo.
Uthenga Wopita Nawo Kunyumba
- Kachilombo ka JC ndi kachilombo kofala kwambiri komwe sikovulaza anthu ambiri. Choncho musachite mantha nako mopanda chifukwa.
- Chiwopsezo chenicheni chokhacho ndi cha anthu omwe ali ndi chitetezo chamthupi chofooka kwambiri, omwe amatha kudwala matenda oopsa a muubongo otchedwa PML.
- Ngati mukuona zizindikiro monga kufooka kosazolowereka, kuvutika kuyenda kapena kulankhula, kapena kusintha kwadzidzidzi kwa umunthu, makamaka ngati mukumwa mankhwala oletsa chitetezo chamthupi chanu, pitani kwa dokotala nthawi yomweyo.
- Musanayambe mankhwala enaake a matenda monga MS ndi Crohn's, onetsetsani kuti mwalankhula ndi dokotala wanu za chiopsezo cha kachilombo ka JC ndi PML.
- Ngati muli ndi mafunso kapena kukayikira kulikonse pankhaniyi, chinthu chabwino kwambiri choti muchite ndikulankhula ndi dokotala wanu momveka bwino ndikudziwitsidwa.
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