Kana iwe wakaita sevanhu vazhinji, pane mukana wakaisvonaka wausati wambonzwa pamusoro pechiratidzo che flaccid myelitis (AFM). Icho chinhu chisingawanzoitiki chinogona kutungamirira kukuora mitezo, uye chinokanganisa vashoma kupfuura mumwe mumamiriyoni 1 muUnited States.
Zvisinei, kunyange zvazvo AFM isingawanzoitiki, kuwedzerwa kwakakura kwenhamba yematambudziko akaonekwa muna 2014 ne2016 yakaonekwa.
Zvinonakidza, zviitiko zvehutachiwana zvaive zvakaderera muna 2015. Nemhaka yokuti chiitiko ichi hachizivikanwi uye zvinokonzera zvinokonzera hazvizivikanwe, tinoda kugara pamusoro payo uye kuziva chatinofanira kutarisa.
Zvaunoda Kuziva
Kana izvi zvisingashamisi, unganetseka kuti sei uchida kuziva nezvazvo zvachose. Kunetseka apa ndechokuti matambudziko ari kuwedzera uye hatizivi nei. Hatizivi chinokonzera acccid myelitis uye hatizivi kuti tingadzivirira sei.
Ichi chiitiko chakakonzera vana zvikuru, kunyange zvazvo vamwe vanhu vakuru vanga vaongororwawo. Kudzidzisa pamusoro pezviratidzo uye izvo zvaunotarisira zvichakubatsira kana iwe, mwana wako, kana mumwe munhu waunoziva akawanikwa ane AFM.
Zviratidzo
Haasi munhu wose ane acucidal flaccid myelitis ane zviratidzo zvakafanana. Zviratidzo zvinowanzoitika ne AFM zvinosanganisira:
- Kukurumidza kushaya simba kwemakumbo
- Kurasikirwa kwematauriri temazwi uye mafungiro
- Facial droop / weak
- Dambudziko rekutarisa meso
- Drooping mayeli
- Kuoma kutaura kana kutaura kusinganzwisisiki
Vamwe vanhu vangave vachinetseka, kushungurudza, kana kurwadziwa mumakumbo nemakumbo, asi zviratidzo izvi hazviwanzoitiki.
Kukundikana kwokuputika kunogona kuitika kana mishonga inobatsira mukufema inobata. Mune zviitiko izvi, mechanical ventilation inogona kudiwa, inowanzonzi semhepo yekufema kana kutsigirwa kweupenyu.
Vamwe vanhu vangave vane dambudziko rokupfuura urini. Kuoma kwezviratidzo izvi kunoparadzaniswa nedare nemhosva.
Kuziva
Kana mwana wako ane zviratidzo zvakanyorwa pamusoro apa uye chiremba wake anofungira kuti angave akaoma flaccid myelitis, kune mimwe miedzo inogona kuitwa. Chiremba wevana vako achaedza nhungamiro yake yehutano kuongorora mafungiro ake, mutsindo, uye utera. MRI inowanzorairwa kuti ibatsire pakuonekwa.
Zvinogonawo kuti mwana wako angave achida kuva nechikwereti-kana mutsara-wakaitwa kuti aedze cerebrospinal fluid (CSF) yezvirwere zvinogona kuisa zviratidzo.
Zvose izvi zvinoedza pamwe chete zvinobatsira boka rehutano hunoita kuti uongororwe uye uone kurapwa.
Kune hutachiwana hutachiona (hutachiona) hunogona kukonzera zviratidzo zveAlm-se. Zvose zvinowanzoonekwa zvinosanganisira:
- Inoviruses (yakadai seporiyo)
- Virus yeNew West
- Adenovirus
Zvinosuruvarisa, kakawanda kupfuura kwete, chinonyatsokonzera AFM hachigoni kuonekwa.
Muna 2014, pakanga pane kuputika kwe enterovirus inozivikanwa seEV-68. Pakanga paine pfungwa yokuti iyi mhando itsva ye enterovirus ingadai yakakonzera kuwedzera mumatambudziko e AFM gore iroro. Maererano neCDC:
EV-D68 yakambotaurwa kare mumakiriniki emakiriniki kubva kune vashoma vasikana vane AFM. Mune zviitiko izvi, hazvisi pachena kana kuvapo kweEV-D68 kwakangoerekana kwakanganisa kana kuti ndicho chaiva chikonzero che AFM. Pasinei, kuongororwa kwakawanda kwemakiriniki emakemikari kubva kumakambani e AFM muna 2014 haana kuwana zvakajeka uye zvakasimba pathogen.
Kurapa
Hapana hutano husina kunyanya kana mushonga wehutachiona hwe flaccid myelitis. Zviratidzo zvinowanzogadzirisa pachavo pachazvo asi zvinogona kuva zvekusingaperi kana kunyange kutyisa upenyu. Vanhu vanoonekwa kuti vane AFM vachangoda kurapwa neboka rechiremba rinogona kusanganisira nyanzvi yehutano uye zvichida-kana chikonzero chinotapukira chinozivikanwa-chirwere chinopfurikidza chirwere. Vanachiremba vachaona kuti kurapa kupi kunogona kubudirira mukuderedza zviratidzo uye kudzokazve basa. Vanhu vazhinji vane AFM vanoda kunyanya kurapwa muviri kana kugadziriswa.
Iyo AFM Yakasiyana Sei Nezvimwe Zvokuremara Mamiriro
Kune zvirwere zvakawanda nemamiriro ezvinhu zvinokonzera kamwe kamwe kana kupera zvishoma nezvishoma vana nevakuru.
AFM inogona kutanga isingazivikanwi kana kusanganiswa nemamiriro ezvinhu akadaro anonzi Guillain-Barré syndrome (GBS). Kunyange zvazvo zviratidzo zvakafanana, kusiyana kwakasiyana pakati pe AFM neGGS kunogona kuonekwa paMRI uye kuburikidza nedzimwe mimwe miedzo inogona kuitwa neurologists. Kana mwana weChipatara wemwana wako akangomira chimwe chezviitiko izvi, anofanira kukuendesa kune mwana wezveuropiristiki yevana nokukurumidza sezvinobvira kuongororwa kwakajeka uye kuongororwa.
Zvaunogona Kuita
Izvo zvatisingazivi zvinokonzera acccid myelitis yakaoma kana kuti nzira yekurapa zvinogona kutyisa kuvabereki vazhinji nevarapi vehutano. Zvakaoma kuziva zvaungaita kana kuti ungadzivirira sei. Mapoka eUnited States for Disease Control and Prevention (CDC) ane mamwe mazano ekuedza kuzvidzivirira iwe nevana vako:
- Wana chirwere.
- Zvidzivirire pamumhutu.
- Shamba maoko ako .
Kunyangwe kuita zvinhu izvi hakusi kuvimbisa kuti vana vako havangagoni kuwana AFM, matanho aya achavadzivirira kubva kune zvirwere zvakawanda uye zvirwere zvinogona kuitisa. Utsi hutakura utachiona hweWest Nile, saka kushandiswa kwemushutu kunokosha kuti urege kuzvidzivirira.
Hazvizivikanwe kana kushayiwa maoko nemaoko kunodzivirira AFM kana kwete, asi zvechokwadi haigoni kukuvadza. Kuvimbisa kuti vana vako vari kushamba maoko avo zvakakosha zvakakosha. Ita kuti munhu wose ari mumhuri ageze maoko ake vasati vadya, mushure mekushandisa imba yekugezera, vasati vasvika vachigadzirira kudya uye shure, uye mushure mokunge vashandura diapers.
Shoko Rinobva
Acute flaccid myelitis chinhu chisingawanzoitiki. Kunyangwe chokwadi chekuti hatizivi chinokonzera uye isu hatigoni kuchibata ndechokuti, hapana chikonzero chekuti vabereki vanyanyiswe. Vatsvakurudzi veCDC vari kushanda nesimba kuti vawane ruzivo rwakanyanya pamusoro pemamiriro aya.
> Sources:
> Flaccid Myelitis | AFM Surveillance | CDC. https://www.cdc.gov/acute-flaccid-myelitis/afm-surveillance.html.
> Yakanaka Flaccid Myelitis. US Centers for Disease Control and Prevention. https://www.cdc.gov/acute-flaccid-myelitis/about-afm.html
> Flaccid Myelitis | Inowanzobvunzwa Mibvunzo | CDC. https://www.cdc.gov/acute-flaccid-myelitis/faqs.html.
> Meissner, H. Cody MD, FAAP. IEV-D68 Inobata Chikonzero cheAvidence Flaccid Myelitis muvana here? American Academy of Pediatrics. http://www.aappublications.org/news/2017/01/30/EVD013017