Ingabe ingane yakho ilahlekelwa yizitho zomzimba ngokuzumayo? Ingabe kufanele siqaphele le AFM (Acute Flaccid Myelitis)?

Cabanga nje, ingane yakho encane eyisiwula ibilokhu idlala kusukela ekuseni, futhi kusihlwa ngokuzumayo ithi, 'Mama/Baba, angikwazi ukuphakamisa ingalo yami', noma ngenkathi ihamba, umlenze wayo uvele ungabi namizwa futhi umhudule phansi. Ungacabanga ukuthi kunjani ngaleso sikhathi? Namuhla sizokhuluma ngesimo sezinzwa esingavamile kodwa esibi kakhulu esingase sibangele ngokuzumayo futhi ngaphandle kwesixwayiso kusengaphambili ukuthi amalungu ezingane zethu, futhi ngezinye izikhathi abantu abadala, abe namizwa. Lokhu kubizwa ngokuthi i-AFM (Acute Flaccid Myelitis) . Lokhu kungaba yinto entsha kuwe uma uzwa lokhu. Ngakho ake sixoxe ngakho ngokuningiliziwe.

Iyini lesi sifo esisha, i-AFM (Acute Flaccid Myelitis)?

Kalula nje, i-AFM (Acute Flaccid Myelitis) iyisifo sezinzwa esingavamile kodwa esibi kakhulu. Okwenzekayo kulokhu ukuthi eminye yemisipha yethu kanye nokusabela kwethu kuncipha ngokuzumayo. Uma sikhuluma iqiniso, iba 'yi-flaccid' , okusho ukuthi ayibe isaphila. Lezi zimpawu zingavela ngokuzumayo, futhi ngezinye izikhathi zingathinta nekhono lokuphefumula. Yingakho kuyingozi kangaka.

Ubuwazi ukuthi intambo yethu yomgogodla ifana nesikhungo esikhulu sokuxhumana somzimba wethu? Inezingxenye ezimbili, enye 'iyi-grey matter' kanti enye 'iyi-white matter'. Kulesi simo esibizwa ngokuthi i-AFM, i-grey matter ithinteka kakhulu. Le grey matter yilapho kutholakala khona amangqamuzana ezinzwa alawula ukunyakaza kwemisipha yethu. Ngakho cabanga ukuthi kwenzekani lapho into efana nokuvuvukala, okungukuthi, ukuvuvukala, kwenzeka endaweni ebaluleke kangaka? Yilapho imisipha ingatholi imiyalezo efanele, futhi ngokuzumayo iba buthakathaka futhi ingaphili. Eqinisweni, uhlelo lwethu lwezinzwa oluphakathi , okungukuthi, le grey matter ebuchosheni nasemgogodleni, luyingxenye ebaluleke kakhulu kithi ukuze sisebenze ngokujwayelekile.

Lokhu kutholakala, i-AFM, kusha kakhulu. Odokotela nabacwaningi bakuchaza okokuqala ngo-2014. Ngaphambi kwalokho, abantu ababebonisa izimpawu ezinjengalezi babehlukaniswa njengabanesinye isimo sezinzwa esibizwa ngokuthi "i-Transverse Myelitis."

Ingabe i-AFM ifana ne-Guillain-Barré Syndrome (GBS) abantu abaningi abajwayelene nayo? Ingabe ihlukile?

Yebo, lo mbuzo ubalulekile. Zombili i-AFM kanye ne-Guillain-Barré Syndrome (GBS) ziyizifo ezingavamile nezibuthakathaka zemisipha. Kodwa kunomehluko ocacile phakathi kwalezi ezimbili.

Ku -GBS , isimiso sethu somzimba sokuzivikela, uhlelo olusivikela ezifweni, luhlasela ngephutha imizwa yethu yangaphandle . Le mizwa yangaphandle iyimizwa ehamba isuka ohlelweni lwethu lwezinzwa oluphakathi iye emilenzeni nakwezinye izitho zomzimba. Lokhu kubizwa ngokuthi impendulo yokuzivikela komzimba . Kodwa ku-AFM, kuthinta ngqo into empunga emgogodleni.

Omunye umehluko ukuthi ku-GBS, ubuthakathaka bemisipha buvame ukuqala emilenzeni bese busakazekela emzimbeni ongaphezulu. Ku-AFM, ubuthakathaka bemisipha bungaqala ezingalweni noma emilenzeni. Ngezinye izikhathi, kungathinta ingalo eyodwa noma umlenze ohlangothini olulodwa.

Okubalulekile, i-AFM ivame ukuthinta izingane ezincane , ikakhulukazi lezo eziphakathi kweminyaka eyi-1 neyi-7. I-GBS ivame kakhulu kubantu abadala abangaphezu kweminyaka engama-40. Ngakho-ke kubalulekile ukukhumbula lokhu kwehluka.

Ubani okungenzeka kakhulu ukuthi athuthukise i-AFM?

Njengoba ngishilo ngaphambili, cishe ama-90% eziguli ze-AFM yizingane ezincane . Ithinta kakhulu izingane eziphakathi konyaka owodwa nesikhombisa. Kodwa-ke, lokho akusho ukuthi abantu abadala abakwazi ukuyithola. Nakuba ingavamile kakhulu, abantu abadala nabo bangathola i-AFM. Ngakho-ke, kuhle ukuthi wonke umuntu aqaphele izimpawu.

Kuvamile kangakanani lokhu? Sinjani isimo eSri Lanka?

I-AFM iyisifo esingavamile kakhulu . Isibonelo, abacwaningi e-United States balinganisela ukuthi abantu abangaphansi koyedwa kwabayisigidi bathola i-AFM minyaka yonke. Kodwa-ke, naphezu kokungavamile kwayo, kube nokwanda okuncane kwenani lamacala e-AFM abikwe muva nje.

Lesi sifo sivame ukubikwa ngamaqoqo ezindaweni ezithile zezwe. Futhi, kuye kwabonwa iphethini ethile yesizini, ikakhulukazi iphethini yeminyaka emibili. Isibonelo, amaqoqo anjalo eziguli abikwa eCalifornia ngo-2012 naseColorado ngo-2014. Uma sikhuluma ngesimo eSri Lanka, njengoba lokhu kungavamile kakhulu, kusenokuntuleka kwedatha ecacile mayelana nemibiko ezweni lethu. Kodwa-ke, uma into efana nale ikhula ndawana thize emhlabeni, kubalulekile ukuthi siyiqaphele.

Ziyini izimpawu ze-AFM? Itholakala kanjani?

Izimpawu ze-AFM zivame ukuvela ngokuzumayo . Zingaba zimbi kakhulu ezinsukwini ezimbalwa, ngezinye izikhathi emahoreni. Izimpawu eziyinhloko yilezi:

• Ukulahlekelwa umuzwa ngokuzumayo ezingalweni noma emilenzeni: Lolu uphawu olubaluleke kakhulu noluyingozi. Kungaba yingalo eyodwa noma umlenze, noma zombili izingalo noma imilenze yomibili.
• Ukulahlekelwa yimisipha: Imisipha izwakala ikhululekile kakhulu uma uyithinta.
• Ukulahlekelwa yi-reflexes/areflexia: Odokotela bashaya idolo ngesando esincane, bese lezo reflexes ziyanyamalala.
• Ukulahlekelwa ukuhambisana komzimba kanye nokulinganisela: Uzizwa ungazinzile lapho uhamba futhi awukwazi ukulawula umzimba wakho ngendlela efanele.

Lezi yizimpawu eziyinhloko ezibonakala. Ngaphezu kwalezi, ezinye izimpawu zingase zivele:

• Ubunzima bokuhambisa amehlo noma izinkophe ezigobile.
• Ukuwa kohlangothi olulodwa lobuso noma ubuthakathaka bemisipha yobuso.
• Ubunzima bokugwinya (i-dysphagia).
• Inkulumo engaqondakali.
• Ubuhlungu ezingalweni, emilenzeni, entanyeni, noma emhlane.
• Ukulahlekelwa ukulawula ukuchama kanye nokuphuma kwendle.

I-AFM ingathinta noma iyiphi izingalo zakho, imilenze, noma wonke amalungu amane. Kodwa-ke, ivame ukuthinta amalungu angaphezulu , okuyizandla.

Ubunzima bokuphefumula - lokhu kuyingozi kakhulu!

Ngezinye izikhathi, i-AFM ingathinta nemisipha ebalulekile ekuphefumuleni kwethu . Uma lokhu kwenzeka, kungaholela esimweni esiyingozi kakhulu esibizwa ngokuthi ukwehluleka kokuphefumula . Lokhu kusongela impilo, ngakho-ke kudingeka usizo lwezokwelapha ngokushesha .

Izimpawu zokwehluleka kokuphefumula yilezi:

• Ukuphefumula okusheshayo nokungajulile.
• Ukukhathala ngokweqile kanye nokozela.
• Ukungahlaliseki.

Uma wena noma ingane yakho nithola izimpawu ze-AFM, funa usizo lwezokwelapha ngokushesha. Ungalindi, ngoba lokhu kungaba kubi ngokushesha.

Kungani le AFM yenzeka? Iyini imbangela?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-AFM. Kodwa-ke, bakholelwa ukuthi amagciwane , ikakhulukazi ama-enterovirus angewona awopoliyo, ayabandakanyeka. Abantu abaningi abathola i-AFM banesifo sokuphefumula esincane, njengomkhuhlane noma umkhuhlane ovamile, ngaphambi kokuba babe nezimpawu.

Abacwaningi nodokotela bathole izinhlobo ezimbili zamagciwane, ikakhulukazi i-Enterovirus D68 kanye ne-Enterovirus A71, ezigulini eziningi ze-AFM. I-Enterovirus D68 ivame ukubangela izifo zokuphefumula futhi yaziwa ngokusabalala cishe njalo eminyakeni emibili ehlobo nasekwindla emazweni afana ne-United States.

Ungayithola kanjani i-AFM ngokunembile? (Ukuxilongwa)

Ukuxilonga i-AFM kungaba yinselele kodokotela ngoba kuyisifo esingavamile futhi izimpawu zaso zifana nezinye izifo zezinzwa ezifana ne-Transverse Myelitis, i-Guillain-Barré Syndrome (GBS), kanye ne-Polio .

Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Bangase ba-ode noma benze izivivinyo eziningana ukuqinisekisa i-AFM futhi bakhiphe ezinye izimo. Lezi zivivinyo zifaka:

• Ukuhlolwa komzimba.
• Ukuhlolwa kwe-neurological.
• I-MRI (Magnetic Resonance Imaging) yomgogodla nobuchopho: Lesi isivivinyo esibaluleke kakhulu sokuqinisekisa i-AFM. Ingabheka izinguquko (njengokuvuvukala) endabeni empunga yomgogodla.
• Ukubhoboza umgogodla/umgogodla: Lokhu kuhilela ukuthatha isampula yoketshezi lomgogodla wobuchopho (CSF) bese uyihlola ukuthi ayinazo yini izimpawu zokuvuvukala.
• Ukuhlolwa kwempendulo yemizwa:Isibonelo `(Izifundo zokuqhuba imizwa)`.
• Ukuhlolwa kokusabela kwemisipha: Isibonelo, i-Electromyography (EMG).

Udokotela ufika esiphethweni ngemva kokwenza zonke lezi zivivinyo.

Yiziphi izindlela zokwelapha i-AFM? Ingabe ingelapheka?

Ngeshwa, alikho ikhambi le-AFM okwamanje . Ngakho-ke, umgomo oyinhloko wokwelashwa ukuphatha izimpawu nokukusiza ukuthi ululame ngangokunokwenzeka. Uma kungenzeka, kungcono ukubona udokotela wezinzwa onolwazi futhi ocwaninga nge-AFM.

Ukwelashwa ngokomzimba kanye nokwelashwa ngokomsebenzi kubalulekile ekubuthakathakeni kwemilenze. Lokhu kusiza ukuqinisa imisipha nokuthuthukisa ukunyakaza. Odokotela bezinzwa bavame ukuncoma ezinye izindlela zokwelapha ezisekelwe ezidingweni zesiguli ngasinye. Isibonelo, ukuhlinzwa kwemizwa okuphathelene nomgogodla, okuvimbela ukulahleka kwemisipha, kuye kwaba yimpumelelo kwezinye iziguli ze-AFM.

Ngenxa yokuthi i-AFM iyisifo esingavamile futhi esisha kakhulu, ososayensi nodokotela basenokuningi okufanele bakufunde ngalesi sifo kanye nokwelashwa kwaso. Ngakho ucwaningo luyaqhubeka.

Ingabe ikhona indlela yokuvimbela i-AFM ukuthi ingathuthuki?

Njengoba imbangela eqondile ye-AFM ingaziwa, ayikakabikho indlela eqondile yokuyivimbela .

Kodwa-ke, njengoba kucatshangwa ukuthi amagciwane amaningana, okuhlanganisa nama-enterovirus, ahlotshaniswa ne-AFM, singanciphisa ingozi ngezinga elithile ngokuthatha izinyathelo zokuzivikela ekuthelelekeni ngamagciwane. Lokhu kufaka phakathi:

• Geza izandla zakho kahle njalo ngensipho namanzi. Ikakhulukazi ngaphambi nangemva kokudla, ngemva kokusebenzisa indlu yangasese, ngemva kokuthinta isilwane, nangemva kokunakekela umuntu ogulayo.
• Gwema ukuthinta ubuso bakho ngezandla ezingagezwanga.
• Gwema ukusondelana nabantu abagulayo.
• Thola yonke imijovo enconyiwe ngesikhathi.
• Gcina izindawo ezithintwa njalo (njengamatafula, izibambo zeminyango) zihlanzekile futhi usebenzise isibulali-magciwane.

Ukulandela le mikhuba elula yezempilo kuzokusiza ekuvikeleni ezifweni eziningi.

Liyini ikusasa uma uthuthukisa i-AFM? (Isibikezelo)

Ngenxa yokuthi i-AFM iyisifo esisanda kutholakala, abacwaningi abasazi kahle ukuthi isibikezelo sesikhathi eside sizoba yini kulabo abathola lesi sifo.

Kodwa-ke, iziguli eziningi ziyathuthuka kancane kancane ngokuhamba kwesikhathi ngokwelashwa okuqhubekayo, njengokwelashwa ngokomzimba . Ngaphansi kuka-10% weziguli ze-AFM ziyalulama ngokugcwele. Kodwa-ke, abantu abaningi babonisa ukuthuthuka, ngakho-ke akuwona umqondo omuhle ukulahla ithemba.

Yiziphi ezinye izinkinga ezingase zivele ngenxa ye-AFM?

Njengoba ngishilo ekuqaleni, i-AFM ingathinta imisipha edingekayo ukuze kuphefumule. Lokhu kungaholela ekuhlulekeni kokuphefumula , isimo esidinga ukwelashwa okuphuthumayo. Abantu abanenkinga yokuphefumula bangadinga imishini (`ama-ventilator`) ukuze ibasize baphefumule. Cishe ingxenye yesithathu yabantu abane-AFM badinga ukufakwa kwepayipi kanye nokungena komoya ngomshini .

Ngaphezu kwalokho, i-AFM ingabangela izinkinga ezinkulu zemizwa, njengokushintsha kwezinga lokushisa lomzimba, ukungazinzi komfutho wegazi, kanye nokungalingani kwesilinganiso senhliziyo. Lokhu kungaba yingozi empilweni.

Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha okukhulu uma wena noma ingane yakho nizwa lezi zimpawu.

Kufanele ubonane nini nodokotela?

Uma wena noma ingane yakho niqala ukuba buthakathaka bemisipha engalweni eyodwa, emlenzeni owodwa, noma ezithweni eziningana , funa iseluleko sezokwelapha ngokushesha . I-AFM yisifo esingathuthuka ngokushesha futhi siholele ekubunzimeni kokuphefumula. Ngakho-ke kubalulekile ukuthatha isinyathelo ngokushesha, hhayi ukwethuka.

Uma wena noma ingane yakho nitholakala ninesifo i-AFM, kuzodingeka nibone ithimba lezokwelapha njalo ukuze nithole ukwelashwa, njengokwelashwa ngokomzimba, futhi niqaphe izimpawu zenu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi kulokho esikuxoxile, usuthole ukuqonda okuthile nge-AFM (Acute Flaccid Myelitis). Khumbula, yize lesi kuyisifo esingavamile, kusabalulekile kakhulu ukuqaphela.

• Ubuthakathaka bemisipha obungazelelwe akuyona into okufanele ithathwe kalula, ikakhulukazi ezinganeni ezincane. Ezimweni ezinjalo, bona udokotela ngokushesha.
• Nakuba kungekho ukwelashwa okuqondile kwe-AFM, kunezindlela zokwelapha zokuphatha izimpawu nokuthuthukisa ikhwalithi yokuphila . Izinto ezifana nokwelashwa ngokomzimba zibaluleke kakhulu.
• Abacwaningi nodokotela basafunda nge-AFM, ngakho-ke kungcono ukuthembela eselulekweni sikadokotela wakho bese ulandela izincomo zabo zokwelapha .

Sonke masinakekele impilo yezingane zethu neyethu. Ukuqaphela izifo ezingavamile njengalezi kusenza sikwazi ukuthatha isinyathelo ngokushesha uma kudingeka.

` I-AFM, I-Acute Flaccid Myelitis, Ubuthakathaka Bemisipha, Izifo Zezinzwa, Izifo Zabantwana, Intambo Yomgogodla, Amagciwane, Ama-Enterovirus, Ukucindezeleka Kokuphefumula, Ukukhubazeka