Mwana anongoerekana arasikirwa nemakumbo ake here? Ngatidzidzei nezvechirwere ichi chisingawanzoitiki (Acute Flaccid Myelitis)

Fungidzira mwana wako achimhanya-mhanya achitamba, uye kamwe kamwe ruoko rwake kana makumbo ake anoita seakaoma. Kana kuti nhengo dzake dzakaneta zvekuti haakwanise kumira akatwasuka. Kuona chimwe chinhu chakadai kungatyisa chero mubereki. Nhasi tichataura nezvechirwere chetsinga chisingawanzoitiki asi chakakomba chinogona kuitika kamwe kamwe. Ichi chirwere chinonzi Acute Flaccid Myelitis, kana kuti AFM muchidimbu.

Chii chinonzi Acute Flaccid Myelitis (AFM)?

Zvichitaurwa zviri nyore, AFM chirwere chakakomba chinokanganisa tsinga dzedu. Chinokonzera kuzvimba, kana kuzvimba, mu grey matter yemusana wedu.

Zvino ungave uchishamisika kuti chinhu ichi chegrey chii. Funga nezvemuviri wedu sedunhu remagetsi rakaomarara. Uropi nemusana ndizvo zvinonyanya kudzorwa. Chinhu chegrey chiri mukamuri iyi yekudzorwa ndiyo nzvimbo huru inotumira zviratidzo zvinodzora mafambiro emhasuru dzedu. Saka kana nzvimbo iyi inokosha ikakuvara muAFM, zviratidzo zvinotumirwa kubva kuuropi hazviendi kumhasuru zvakanaka. Nekuda kweizvozvo, makumbo nemakumbo zvinopera simba, zvisisina simba, uye mafungiro anorasika.

Ichi chirwere chitsva. Vanachiremba vakachiona sechirwere chakasiyana muna 2014. Zvisati zvadaro, zviratidzo zvakaita seizvi pazvakaonekwa, vanachiremba vaifunga kuti chaiva chimwe chirwere chetsinga chakadai se "transverse myelitis".

Chii chakasiyana pakati peAFM neGuillain-Barré Syndrome (GBS)?

Chimwe chirwere chinovhiringidzwa nevanhu vazhinji neAFM i'Guillain-Barré Syndrome' (GBS muchidimbu). Chiratidzo chikuru chezvirwere izvi zviviri kushaya simba kwetsandanyama. Asi zviviri izvi zvakasiyana zvachose. Ngationei kuti musiyano iwoyo ndeupi.

Fungidzira kuti sisitimu yedu yetsinga yakaita senetwork inoparadzira magetsi munyika yese.

• MuAFM, kukuvara kunoitika kune: simba guru re network iyi, grey matter iri mumusana. Kana simba remagetsi pacharo rakuvara, harigone kugadzira nekutumira magetsi.
• Kukuvadzwa kweGBS: Waya dzinotakura magetsi kubva kugwenya remagetsi kuenda kudzimba. Tinodzidaidza kuti tsinga dzemumativi. Kana waya dzakuvadzwa, kunyangwe magetsi achitumirwa kubva kugwenya remagetsi, haasvike kudzimba zvakanaka.

Zvichitaurwa zviri nyore, AFM idambudziko retsinga huru . GBS idambudziko retsinga huru dzemumativi .

Kune musiyanowo munzira iyo zviratidzo izvi zvinopararira nayo.

• MuGBS: Kushaya simba kunowanzotanga mumakumbo uye zvishoma nezvishoma kunokwira nemuviri.
• MuAFM: Kushaya simba kunogona kutanga chero kupi, zvichida muruoko rumwe chete, kana kunyange mumakumbo ese ari maviri.

Chimwe chinhu chakakosha iboka rezera iro chirwere ichi chinowanzoitika. 90% yevarwere veAFM vana vadiki vari pakati pemakore 1 ne7. Zvisinei, hazviwanzoitika kune vakuru. Zvisinei, GBS inonyanya kuonekwa kune vakuru vane makore anopfuura 40.

Chirwere ichi chakajairika zvakadii? Ndiani anonyanya kuchibata?

AFM chirwere chisingawanzoitiki . Kunyangwe munyika yakaita seUnited States, zvinofungidzirwa kuti vanhu vashoma pane mumwe chete pavanhu miriyoni vanobatwa nechirwere ichi gore rega rega. Zvisinei, kwave nekuwedzera kudiki kwenhamba yevanhu vanobatwa nechirwere ichi munguva pfupi yapfuura.

Sezvatakambotaura, chirwere ichi chinonyanya kuitika kuvana vadiki . Vana vari pasi pemakore manomwe ndivo vari panjodzi huru. Sezvo izvi zvichigona kuitika kuvana, zvakakosha kuti isu sevabereki tizive izvi.

Ndezvipi zviratidzo zveAFM?

Chinhu chine njodzi zvikuru pamusoro pechirwere ichi ndechekuti zviratidzo zvinongoerekana zvaitika . Zviratidzo izvi zvinogona kuonekwa mukati memaawa mashoma kana mazuva mashoma. Kana mwana wako aine zviratidzo izvi, usazviregeredza.

Chikonzero cheizvi chii?

Uyu ndiwo mubvunzo uchiri kushaikwa navanachiremba. Hatisati tava nechokwadi chechokwadi chekuti chii chinokonzera AFM.

Zvisinei, vaongorori vazhinji nevanachiremba vanofungidzira kuti pane rudzi rwehutachiona rwunobatanidzwa . Pane fungidziro yakasimba yekuti mavhairasi ari muboka re "non-polio enteroviruses" anogona kunge ari iwo anokonzera.

Yeukai, zviratidzo zveAFM zvisati zvaonekwa, vana vazhinji vane hutachiona hwekufema, hwakadai sedzihwa, fivha, uye kukosora . Izvi zvinowedzera fungidziro yekuti pane hukama hwehutachiona. Kunyanya, mavhairasi `Enterovirus D68` ne`Enterovirus A71` akaonekwa muvarwere vazhinji veAFM.

Chiremba anonyatsoongorora sei chirwere ichi?

Kuongororwa kweAFM kwakaoma nekuti hazviwanzoitiki uye kune zviratidzo zvakafanana nezvimwe zvirwere zvetsinga zvakaita seGBS, transverse myelitis, uye polio, zvatakakurukura kare.

Saka, chiremba achafanirwa kuita bvunzo dzinoverengeka kuti aone kana ichi chiri chirwere cheAFM kana chimwewo chirwere.

• Kuongororwa kwemuviri uye kuongororwa kwetsinga: Kutanga, chiremba achaongorora mwana nokungwarira. Vachaongorora kusasimba kwemakumbo, mamiriro emhasuru, uye kuti ma "reflexes" acho akaita sei.
• MRI scan: Iyi ndiyo bvunzo inonyanya kukosha uye inobatsira pakuongorora AFM. MRI scan yeuropi nemuzongoza inogona kuratidza zvakajeka shanduko, dzakadai sekuzvimba, izvo zvinoonekwa neAFM mu grey matter yezuropi.
• Kuboorwa kwemusana/kupwanywa kwemusana: Izvi zvinosanganisira kuisa tsono diki kumusana wepazasi uye kubvisa mvura shoma yakatenderedza musana (cerebral spinal fluid - CSF). Mvura iyi inogona kuongororwa kuti ionekwe kana paine hutachiona kana kuzvimba.
• Kuedza mashandiro etsinga netsandanyama: Miedzo yakakosha inogona kuitwa, yakadai seongororo dzekufambisa tsinga, dzinoyera kumhanya kunofamba kwemasaini netsinga, uye electromyography, inoyera mashandiro emagetsi etsandanyama.

Chiremba anosvika pamhedziso yekupedzisira nekubatanidza ruzivo rwakawanikwa kubva muongororo idzi dzese.

Pane mushonga weAFM here?

Zvinosuwisa kuti hapana mushonga chaiwo unogona kurapa AFM zvachose. Nekuti chirwere chitsva, vanachiremba nevesainzi vachiri kutsvaga mushonga wakanakira chirwere ichi.

Saka, chinangwa chikuru chekurapa ndechekudzora zviratidzo uye kubatsira mwana kuti apore zvakanyanya.

• Kurapa Kwemuviri Uye Kurapa Kwebasa: Ichi chikamu chakakosha chekurapa. Kurapa uku kunobatsira kurovedza muviri makumbo asina simba, kuvakazve simba remhasuru, uye kudzidzisa mwana kuita mabasa ega.
• Mamwe marapirwo: Mune zvimwe zviitiko, zvinhu zvakaita sekuvhiyiwa kwetsinga dzeropa zvakaratidzwa kuti zvinobudirira mukudzivirira kurasikirwa netsandanyama. Zvisinei, chiremba wetsinga ndiye achasarudza kana izvi zvakakodzera kumurwere wega wega.

Kana zvichibvira, zvakanaka kutsvaga kurapwa nachiremba wetsinga ane ruzivo nechirwere ichi.

Chii chinonzi fungidziro yechirwere ichi uye matambudziko angangoitika?

Nekuti AFM chirwere chitsva, vaongorori havasati vakwanisa kutaura kuti mhedzisiro yenguva refu ichave ipi kana chaitika. Asi zvichibva pane zvinozivikanwa, mhedzisiro inogona kusiyana zvakanyanya kubva kumunhu nemunhu.

• Kupora zvishoma nezvishoma: Vana vazhinji, vachirapwa nguva nenguva sekurovedza muviri, vanopora zvishoma nezvishoma nekufamba kwenguva. Simba retsandanyama rinowedzera zvishoma nezvishoma.
• Kupora zvachose: Varwere veAFM vanosvika pasi pe10% vanopora zvakakwana. Vazhinji vanogona kuramba vaine kushaya simba.

Matambudziko akakomba anogona kuitika

• Kutadza Kufema: Iri ndiro dambudziko rine njodzi zvikuru ratakambokurukura kare. Kana tsandanyama dzinobatsira kufema dzikashaya simba, murwere haazokwanisi kufema ega. Panguva iyoyo, anofanira kubatanidzwa nemuchina wekufema. Dambudziko iri rinowanikwa muchikamu chimwe muzvitatu chevarwere veAFM.
• Mamwe matambudziko etsinga:Pane mukana wekuti pave nematambudziko akakomba, anotyisidzira hupenyu, akadai sekuchinja kusingawanzoitika kwetembiricha yemuviri neBP, uye kurova kwemoyo kusingawanzoitiki.

Pane nzira yekudzivirira izvi here?

Sezvo chikonzero chaicho cheAFM chisingazivikanwi, hapana nzira chaiyo yekudzivirira. Zvisinei, sezvo ichifungidzirwa kuti inokonzerwa nehutachiona, zvakakosha kutevedzera tsika dzehutano dzatinowanzo tevedzera kudzivirira mavhairasi.

• Gezai maoko enyu nesipo nemvura nguva dzose. Dzidzisai vana venyu kugeza maoko avo zvakanaka, kunyanya vasati vadya, mushure mekushandisa chimbuzi, uye mushure mekutarisira munhu anorwara.
• Dzivisa kubata kumeso, maziso, mhino, uye muromo nemaoko asina kugezwa.
• Gara kure nevanhu vanorwara.
• Ipai mwana wenyu majekiseni ese aanoda pazera rakakodzera.
• Chenesa nzvimbo dzinobatwa nguva nenguva (magonhi, matafura) nemushonga wekuuraya utachiona.

Maitiro aya ehutano akareruka anogona kudzivirira vana vedu kwete kubva kuAFM chete, asiwo kune zvimwe zvirwere zvakawanda zvinotapukira.