Khawucinge nje, umntwana wakho ebenomkhuhlane omncinci kangangeentsuku ezimbini okanye ezintathu kwaye ngoku uzive engcono kancinci. Kodwa ngequbuliso, kunye nomkhuhlane, ukuziphatha komntwana kuyatshintsha, uba nobunzima bokuhamba , kwaye amazwi akhe ayadideka xa ethetha. Kuqhelekile ukuba nawuphi na umama okanye utata oyike xa ebona into efana nale. I-ADEM, imeko engaqhelekanga kodwa enzima enokubangela iimpawu ezifana nezi, yile nto sithetha ngayo namhlanje.
Yintoni kanye kanye i-ADEM?
Ngamafutshane, i-ADEM (i-Acute Disseminated Encephalomyelitis) yimeko engaqhelekanga yokudumba echaphazela ingqondo kunye nomgogodla. NgesiSinhala, inokubizwa ngokuba yi-acute disseminated encephalomyelitis, kodwa ekubeni loo magama eyinkimbinkimbi kancinci, siza kusebenzisa igama elithi ADEM. Le meko ixhaphake kakhulu ebantwaneni.
Imithambo-luvo yethu ifana neentambo zombane. Ezi ntambo zemithambo-luvo zinesigqubuthelo esikhuselayo esizijikelezileyo. Siyibiza ngokuba yi -myelin . Ifana nesigqubuthelo seplastiki esikwintambo yombane . Esi sigqubuthelo se-myelin yiso esivumela imiyalezo yemithambo-luvo ukuba ihambe ngokukhawuleza nangokuchanekileyo. Kwi-ADEM, inkqubo yomzimba wethu yokuzikhusela ihlasela ngempazamo kwaye yonakalise esi sigqubuthelo se-myelin. Oku kuphazamisa ukudluliselwa kwemiyalezo yemithambo-luvo engqondweni nasemgogodleni.
Nangona iimpawu zinokuba nzima, eyona nto ilungileyo kukuba kukho unyango lwazo kwaye uninzi lwabantu luyachacha ngokupheleleyo .
Zithini iimpawu ze-ADEM?
Iimpawu ze-ADEM zinokuvela ngequbuliso zize zibe mandundu ngokukhawuleza. Umntwana unokufumana enye okanye ngaphezulu kwezi mpawu.
Kubalulekile: Ukuba umntwana wakho ngequbuliso ubonakala enempawu enye okanye ezingaphezulu kwezi zilandelayo, ingakumbi ukuba unesifo sokuxhuzula okanye i-coma, mse kwisebe likaxakeka lesibhedlele (ETU) ngokukhawuleza.
| Udidi lweempawu | Izinto onokuzibona |
|---|---|
| Iimpawu eziqhelekileyo | Umkhuhlane, intloko ebuhlungu, ukozela okugqithisileyo. |
| Utshintsho kwindlela yokuziphatha | Ukucaphuka ngaphandle kwesizathu, ukuziva uphazamisekile, udidekile. |
| Ukungonwabi ngokwasemzimbeni | Isicaphucaphu nokuhlanza, ubuthathaka bemisipha, ukulahlekelwa kukulinganisela xa uhamba. |
| Iimpawu ezinxulumene nenkqubo ye-nervous | Iingxaki zokubona (ukubona kabini, ukubona okufipheleyo), ukuthetha okungaqondakaliyo, ukungaziva okanye ukukhubazeka kwelinye icala lomzimba. |
| Amatyala aqatha | Ukuxhuzula, i-coma. |
Izizathu kunye nezinto ezibangela umngcipheko wokuphuhlisa i-ADEM
Oogqirha bakholelwa ukuba i-ADEM sisifo esibangelwa kukuzikhusela komzimba . Oku kuthetha ukuba inkqubo yomzimba wethu yokuzikhusela ihlasela ngempazamo iiseli zethu eziphilileyo kunye nezicubu. Kufana nomkhosi wethu ohlasela ilizwe lethu.
Isizathu esichanekileyo sale ngxaki yenkqubo yomzimba yokuzikhusela asikaziwa okwangoku, kodwa sidla ngokuvela emva kokuba umntwana ephilile kwisifo esiqhelekileyo sentsholongwane, njengomkhuhlane, umkhuhlane, okanye isisu esibuhlungu .
Kunqabile kakhulu ukuba i-ADEM ibikwe emva kokufumana ezinye izitofu. Nangona kunjalo, uphando alukabonisi unxibelelwano oluthe ngqo phakathi kwezitofu kunye ne-ADEM. Ngamanye amaxesha, ezi mpawu zinokwenzeka ngaphandle kwesizathu esicacileyo.
Zithini izinto ezibangela umngcipheko?
- Ubudala: Ngaphezulu kwama-80% ezigulana ze-ADEM ngabantwana abangaphantsi kweminyaka eli-10 ubudala. Abanye ngabantwana abadala.
- Isini: Abantwana abangabafana banamathuba amancinci okuba nayo kunabantwana abangamantombazana.
- Imozulu: Kwamanye amazwe, iimeko zixhaphake kakhulu ebusika nasentwasahlobo.
Yintoni umahluko phakathi kwe-ADEM kunye ne-MS (Multiple Sclerosis)?
Esinye isifo esineempawu ezifanayo neze-ADEM sesiI-Multiple Sclerosis (MS). Zombini ezi zifo zonakalisa i-myelin sheath. Ngenxa yoko, iimpawu ezinjengobuthathaka bemisipha, ukungaziva, kunye neengxaki zokubona zinokubonakala kuzo zombini. Kodwa kukho umahluko ocacileyo phakathi kwezi zimbini.
| I-Factor | Isimo se-ADEM | Imeko ye-MS (Multiple Sclerosis) |
|---|---|---|
| Ubudala obuqhelekileyo | Ixhaphakile phakathi kwabantwana. | Inqabile kakhulu ebantwaneni. Ixhaphakile kubantu abadala. |
| Iimpawu zokuqala | Iimpawu ezinje ngomkhuhlane, intloko ebuhlungu, isifo sokuwa, kunye nokulahlekelwa yinkumbulo ziqhelekile. | Ezi mpawu azibonakali rhoqo. |
| Imeko yangaphambi kosulelo | Ihlala isenzeka emva kosulelo oluqhelekileyo lwentsholongwane. | Akukho nxibelelwano lucacileyo kangako. |
| Ukuphinda kwesifo | Uninzi lwexesha (malunga nama-80%) kwenzeka kube kanye kuphela . | Iimpawu zibonakala ngamanye amaxesha ngokuhamba kwexesha. |
Ifunyaniswa njani i-ADEM?
Akukho vavanyo lunye lokuxilonga i-ADEM. Ugqirha wakho uza kuhlola ngononophelo iimpawu zakho aze azame ukuthintela ezinye iimeko ezineempawu ezifanayo. Kusetyenziswa iimvavanyo ezimbini eziphambili ukwenza oku.
1. Iskeni ye-MRI:Uvavanyo olusebenzisa amasimi emagnethi kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zobuchopho kunye nomqolo. Umonakalo wobuchopho obonwa kwi-ADEM wahlukile kumonakalo obonwa kwi-MS. Kwi-ADEM, umonakalo unokuba ubanzi ngakumbi.
2. Ukubhaqwa kweLumbar: Oku kuquka ukusebenzisa inaliti encinci kakhulu ukuthabatha ulwelo oluncinci lwe-cerebrospinal emgogodleni nokuluvavanya. Kwi-ADEM, ulwelo lunokuba nenani elikhulayo leeseli ezimhlophe zegazi. Ezinye zeeproteni ezibonwa kwi-MS azibonwa kwi-ADEM.
Olu vavanyo lunokuthintela ukosuleleka kwengqondo okufana ne-meningitis.
Zithini iindlela zonyango ze-ADEM?
Injongo ephambili yonyango kukulawula ngokukhawuleza ukudumba engqondweni nasemgogodleni kunye nokuthintela ukuhlaselwa okungafanelekanga kwenkqubo yomzimba yokuzikhusela. Oku kufuna ukuba umntwana alaliswe esibhedlele iveki enye okanye ezimbini.
- IiCorticosteroids: Uninzi lwabantu luqala unyango ngee-steroids ezinedosi ephezulu ezinikwa ngemithambo yegazi (IV). Oku kunokunceda umntwana wakho azive ngcono kwiiyure ezimbalwa. Emva kweentsuku ezimbalwa, amayeza aya kuncipha kancinci abe yipilisi okanye isiraphu kangangeeveki ezininzi.
- Ezinye iindlela zonyango: Ukuba amayeza e-steroid awafanelekanga kumntwana okanye awasebenzi kakuhle, kukho ezinye iindlela zonyango ezizolisa inkqubo yomzimba yokuzikhusela.
- I-Plasmapheresis: Kule nto, umatshini uthatha igazi lomntwana, uhluze ii-antibodies eziyingozi, uze ubuyisele igazi elicociweyo emzimbeni.
- I-Intravenous Immunoglobulin (IVIG): Ii-antibodies ezifunyenwe kubantu abaphilileyo zinikwa umntwana ngomthambo, olawula ukusebenza kwenkqubo yomzimba yokuzikhusela yomntwana.
Emva kokuphuma esibhedlele, umntwana usenokufuna unyango lomzimba, unyango lomsebenzi, okanye unyango lokuthetha.
Injani imbono?
Le yeyona nto ibalulekileyo. Uninzi lwabantwana abane-ADEM bayachacha ngokupheleleyo. Nangona kunjalo, le nkqubo yokuchacha inokuba yinkqubo ecothayo. Kungathatha iiveki ezi-4-6 okanye unyaka ukuze baphile ngokupheleleyo.
Ngamanye amaxesha, abantwana basenokungaphindi baphile kuzo zonke iimpawu. Basenokuqhubeka benezinto ezifana neengxaki zokubona okanye ubuthathaka bemisipha. Isikolo sinokuchaphazeleka.
Uninzi lwexesha (izihlandlo ezisi-8 kwezili-10) i-ADEM iyenzeka kube kanye kuphela. Kodwa kunqabile, inokuphinda ivele kwiinyanga ezimbalwa. Kwiimeko ezinqabileyo kakhulu, umntwana one-ADEM unokufumana i-MS kamva. Kwiimeko ezingaphantsi kwe-2%, i-ADEM inokubulala. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza xa kuvela iimpawu.
Umyalezo Wokuya Ekhaya
- I-ADEM yimeko enzima kodwa enyangekayo echaphazela ingqondo kunye nomqolo wabantwana.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, utshintsho kwindlela oziphatha ngayo, kunye nobunzima bokuhamba, ezidla ngokulandelwa ngumkhuhlane oqhelekileyo wentsholongwane, bonana nogqirha wakho ngokukhawuleza.
- Oku kwahlukile kwi-MS (Multiple Sclerosis), apho i-ADEM idla ngokuvela kube kanye kuphela.
- Ngonyango olufanelekileyo, uninzi lwabantwana lunokuphila ngokupheleleyo, kodwa inkqubo yokuphiliswa ingathatha ixesha.
- Ukuba ubona iimpawu ezinzima ezifana nokuxhuzula okanye ukulahlekelwa zingqondo, mthathe umntwana umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho