Ukuba unjengabantu abaninzi, kunethuba elingazange live nge-flaccid myelitis (AFM). Isimo esinqabileyo kakhulu esingakhokelela ekukhubazeni, kwaye sithintela ngaphantsi kweyodwa kwisigidi se-1 abantu baseUnited States.
Nangona kunjalo, nangona i-AFM ayinqabile, ukwanda kwenani lamatyala afunyaniswe ngo-2014 no-2016 kwaqatshelwa.
Okuthakazelisayo, iimeko ezifunyanwe zifumanekile ngo-2015. Ngenxa yokuba le meko ayinakulinganiswa kwaye izizathu ezingeyo ziyaziwa, kufuneka sihlale phezulu kwaye sazi ukuba sijonge.
Oko Kufuneka Ukwazi
Ukuba le meko ayinqabile, unokuzibuza ukuba kutheni ufuna ukukwazi ngako konke. Ukuxhalabisa apha kukuba iimeko zanda kwaye asiyazi ukuba kutheni. Asazi ukuba yintoni ebangela i-myelitis ye-flaccid ye-flaccid kwaye asazi indlela yokukhusela ngayo.
Le meko ichaphazeleke kakhulu abantwana, nangona abanye abantu abadala bevavanyelwe kwakhona. Ukuzifundisa malunga neempawu kunye noko ukulindela kuya kunceda ukuba wena, umntwana wakho okanye umntu omaziyo uyifumene ne-AFM.
Iimpawu
Akunabo bonke abane-myelitis ye-flaccid ekhangayo abafumana iimpawu ezifanayo. Iimpawu eziza kwenzeka nge-AFM ziquka:
- Ubuthakathaka obunokukhawuleza kweelungu
- Ukulahlekelwa kwetoni ye-muscle kunye neengcamango
- Ubuso be-droop / ubuthathaka
- Unzima ukuhamba amehlo
- Iimbophe zeenwele
- Ukunzima ukuthetha okanye ukuthetha ngentetho
Abanye abantu banokuvava, ukubetha, okanye intlungu kwiingalo nasemilenzeni, kodwa ezi zibonakaliso ziyabunqabile.
Ukungaphumeleli kokuphefumula kungenzeka ukuba izihlunu ezinceda ekuphefumla zichaphazelekayo. Kule meko, i-ventilation engumatshini ingafuneka, edlalwa ngokuba ngumshini wokuphefumula okanye inkxaso yokuphila.
Abanye abantu banokuba neengxaki zokudlula umchamo. Ubunzima beempawu zihluka kwiimeko ngamatyala.
Ukuxilongwa
Ukuba umntwana wakho eneempawu ezibhalwe apha ngasentla kwaye ugqirha wakhe uxolisa ukuba unokufumana i-myelitis ye-flaccid ecacileyo, kukho iimvavanyo ezinokwenziwa. Umntwana wengane yomntwana uya kuvavanya inkqubo yakhe yeentlanzi ukujonga iingcamango zakhe, ithoni ye-muscle, kunye nobuthathaka. I-MRI idla ngokuphindaphindiweyo ukuba incede ekuxilongweni.
Kwakhona kunokwenzeka ukuba umntwana wakho unokufuna ukuba ne-lumbar-or spin tap-eyenziwa ukuvavanya i-cerebrospinal fluid (CSF) yeentsholongwane ezinokubangela iimpawu.
Zonke ezi mvavanyo zikunceda ndawonye iqela lokunakekelwa kwezempilo lenze i-diagnostic kwaye lifumane unyango.
Kukho iintsholongwane ezininzi (iintsholongwane) ezingabangela iimpawu ze-AFM-like. Okuqhelekileyo eziye zachongwa ziquka:
- I-enteroviruses (njengepilyoli)
- Intsholongwane yaseNtshonalanga yeNayile
- Adenovirus
Ngelishwa, ngokuphindaphindiweyo kunokuba kungenjalo, isizathu esona sizathu se-AFM asikwazi ukuchongwa.
Ngo-2014, kukho ukuqubuka kwe-enterovirus eyaziwa njenge-EV-68. Kukho ubungqina bokuthi lolu hlobo olutsha lwe-enterovirus lube lunobangela wenyuka kwiimeko ze-AFM ngaloo nyaka. Ngokutsho kweCDC:
I-EV-D68 ibonakaliswe ngaphambili kwiimpawu zekliniki ezivela kwizigulana ezimbalwa ze-AFM. Kuloo meko kunjalo, akucaci ukuba ubukho be-EV-D68 buyintlekeleko okanye nokuba ngaba yimbangela ye-AFM. Kungakhathaliseki ukuba uvavanyo olunzulu lweempawu zeklinikhi ezivela kwiimeko ze-AFM ngo-2014 aluzange zifumane i-pathogen ecacileyo.
Unyango
Akukho nonyango okanye unyango olwenzelwe i-myelitis e-flaccid. Iimpawu zisoloko zizinzulula zodwa kodwa zingasigxina okanye zisongela ubomi. Abantu abafunyaniswa nge-AFM kuya kufuneka ukuba baphathwe yiqela leogqirha elingabandakanya i-neurologist kwaye mhlawumbi-ukuba isifo esasifanelekileyo sisifo-isifo esiyingozi. Oogqirha baya kugqiba ukuba zeziphi unyango ezinokuthi zisebenze ekunciphiseni iimpawu kunye nokubuyisela umsebenzi. Abantu abaninzi abane-AFM badinga ubuncinane unyango okanye ukuvuselelwa.
Indlela i-AFM eyahlukileyo ngayo kwezinye iimeko ezikhubazekileyo
Kukho izifo ezininzi kunye neemeko ezibangelwa ngokukhawuleza okanye ukukhubazeka ngokukhawuleza kubantwana nakubantu abadala.
I-AFM ingenakho ukufumana kakubi okanye idideke ngemeko efanayo ebizwa ngokuba yi- Guillain-Barré syndrome (GBS). Nangona iimpawu zifana, ukungafani okwehlukeneyo phakathi kwe-AFM kunye ne-GBS kubonakala kwi-MRI kunye nangeminye imvavanyo i-neurologists engayenza. Ukuba umntwana weNkulisa wezilwanyana uyasolisa enye yeemeko, kufuneka akubhekiselele kwi-neurologist yabantwana ngokukhawuleza xa kunokwenzeka ukuhlolwa okuthe ngqo kunye nokuxilongwa.
Into onokuyenza
Inyaniso yokuba asiyazi into ebangela ukuba i-myelitis ye-flaccid ye-flaccid okanye indlela yokuyiphatha ngayo inokuyikrokra kubazali abaninzi kunye nababoneleli bezempilo. Kunzima ukwazi into enokuyenza okanye indlela yokukhusela ngayo. Amaziko ase-United States yokuLawula nokuVikela (CDC) anokufumana izikhokelo zokuzama ukuzikhusela wena nabantwana bakho:
- Gonyelwa.
- Zikhusele emantwini.
- Geza izandla .
Nangona ukwenza ezi zinto akuqinisekisi ukuba abantwana bakho abayi kufumana i-AFM, la ma nyathelo uya kubakhusela kwizifo ezininzi kunye nezifo ezinokubangela. Inambuzane ithwala intsholongwane yaseNtshonalanga, ngoko ukusetyenziswa kokukhusela umlingo kubalulekile ukukhusela.
Ayaziwa ukuba ukuhlanjwa kwesandla esifanelekileyo kuya kuthintela i-AFM okanye akunjalo, kodwa ngokuqinisekileyo ayikwazi ukulimaza. Ukuqinisekisa ukuba abantwana bakho bahlamba izandla ngokuchanekileyo kubaluleke kakhulu. Qinisekisa ukuba wonk 'ubani osapho usula izandla ngaphambi kokuba adle, emva kokusebenzisa indlu yokuhlambela, ngaphambi nangemva kokulungiselela ukutya, kwaye emva kokutshintsha i-diapers.
ILizwi
I-myelitis ye-flaccid ecacileyo yimeko engavumelekanga. Nangona into yokuba asiyazi ukuba yintoni ebangela yona kwaye asikwazi ukuyiphatha ngokuphathelele, akukho mfuneko yokuba abazali baxhalabele. Abaphandi be-CDC bazama kanzima ukufumana ulwazi oluninzi malunga nale meko.
> Imithombo:
> I-Flaccid Myelitis ecacileyo | Uhlolo lwe-AFM | CDC. https://www.cdc.gov/acute-flaccid-myelitis/afm-surveillance.html.
> I-Flaccid Myelitis. Amaziko e-US for Control and Prevention of Disease. https://www.cdc.gov/acute-flaccid-myelitis/about-afm.html
> I-Flaccid Myelitis ecacileyo | Imibuzo ebuzwa rhoqo CDC. https://www.cdc.gov/acute-flaccid-myelitis/faqs.html.
> Meissner, H. Cody MD, FAAP. Ngaba i-EV-D68 Inetyholo yeso sizathu se-Flaccid Myelitis kwi-Children? I-American Academy yePediatrics. http://www.aappublications.org/news/2017/01/30/EVD013017