Lefu le bohloko la myelitis

Hlobaetsang flaccid myelitis ke boemo bo sa tloaelehang bo amang tsamaiso ea methapo. Ho ruruha ha lintho tse bohlooho mokokotlong ho lebisa bofokoling ba mesifa le ho holofala.

Hangata flaccid myelitis (AFM) hangata e bakoa ke tšoaetso ea vaerase. Le ha AFM e sa tloaeleha, ho bile le keketseho e nyane maemong a AFM ho tloha ka 2014. Maemong a mangata a macha a etsahetse ho bana kapa ho batho ba baholo.

Hangata AFM e hlaha kamora ho kula ha sefuba, feberu kapa mala.

Mefuta e fapaneng ea livaerase e kanna ea ba sesosa sa AFM. Tsena li kenyelletsa:

• Enteroviruses (poliovirus le e seng poliovirus)
• Kokoana-hloko ea West Nile le likokoana-hloko tse tšoanang tse kang vaerase ea encephalitis ea Japane le vaerase ea Saint Louis encephalitis
• Li-adenoviruses

Ha ho hlake hore na hobaneng likokoana-hloko tse ling li baka AFM, kapa hobaneng batho ba bang ba hlahisa boemo boo 'me ba bang ba sa etse joalo.

Chefo ea tikoloho le eona e ka baka AFM. Maemong a mangata, sesosa ha se fumanoe.

Feberu kapa lefu la ho hema hangata le ba teng pele bofokoli le matšoao a mang a qala.

Matšoao a AFM hangata a qala ka bofokoli ba mesifa ka tšohanyetso le tahlehelo ea maikutlo letsohong kapa leotong. Matšoao a ka tsoela pele ka potlako ho feta lihora tse 'maloa ho isa matsatsing. Matšoao a mang a kenyeletsa:

• Ho nyahama sefahlehong kapa bofokoli
• Ho koala mahlo
• Ho thata ho tsamaisa mahlo
• Ho bua butle kapa ho emisa ka thata

Batho ba bang ba ka ba le:

• Ho satalla molaleng
• Bohloko matsohong kapa maotong
• Ho hloleha ho fetisa moroto

Matšoao a matla a kenyelletsa:

• Ho hloleha ho phefumoloha, ha mesifa e amanang le ho hema e fokola
• Mathata a tebileng a sistimi ea methapo, a ka lebisang lefung

Mofani oa hao oa tlhokomelo ea bophelo o tla nka nalane ea hau ea bongaka le nalane ea liente ho tseba hore na u se u le nakong ka liente tsa hau tsa polio. Batho ba sa tšoaetsoang ba pepesehileng ho poliovirus ba kotsing e kholo ea ho ba le lefu le bohloko la myelitis. Mofani oa hau le eena a kanna a batla ho tseba hore na o na le libeke tse 4 tse fetileng:

• O tsamaile
• Ke ne ke tšoeroe ke sefuba kapa feberu kapa kokoanyana ea ka mpeng
• Ke bile le feberu 100 ° F (38 ° C) kapa ho feta

Mofani oa hau o tla etsa tlhahlobo ea 'mele. Liteko tse ka etsoang li kenyelletsa:

• MRI ea mokokotlo le MRI ea boko ho bona liso bothateng
• Teko ea khatello ea methapo ea methapo
• Electromyography (EMG)
• Tlhatlhobo ea Cerebrospinal fluid (CSF) ho netefatsa hore na lisele tse tšoeu tsa mali li phahame

Mofani oa hau le eena a ka nka li-stool, mali le masapo ho etsa liteko.

Ha ho na kalafo e khethehileng bakeng sa AFM. U ka fetisetsoa ho ngaka e sebetsanang le mathata a methapo le methapo (neurologist). Ngaka e kanna ea sebetsana le matšoao a hau.

Meriana le liphekolo tse 'maloa tse sebetsang masoleng a mmele li lekile empa ha li fumanoe li thusa.

U kanna ua hloka kalafo ea 'mele ho thusa ho khutlisa ts'ebetso ea mesifa.

Pono ea nako e telele ea AFM ha e tsejoe.

Mathata a AFM a kenyelletsa:

• Bofokoli ba mesifa le ho holofala
• Ho lahleheloa ke setho sa 'mele

Ikopanye le mofani oa hau hang-hang haeba uena kapa ngoana oa hau le na le:

• Bofokoli ba tšohanyetso matsohong kapa maotong kapa bothata ba ho tsamaisa hlooho kapa sefahleho
• Letšoao le leng la AFM

Ha ho na mokhoa o hlakileng oa ho thibela AFM. Ho ba le vaksine ea polio ho ka thusa ho fokotsa kotsi ea AFM e amanang le poliovirus.

Nka mehato ena ho thusa ho qoba tšoaetso ea vaerase:

• Hlapa matsoho khafetsa ka sesepa le metsi, haholo pele u ja.
• Qoba ho kopana haufi le batho ba nang le tšoaetso ea vaerase.
• Sebelisa lintho tse itšireletsang monoang ha u ea kantle ho thibela ho longoa ke menoang.

Ho ithuta haholoanyane le ho fumana liapdeite tsa morao-rao, e ea ho leqephe la websaete ea CDC mabapi le a hlobaetsang le flaccid myelitis ho www.cdc.gov/acute-flaccid-myelitis/index.html.

Lefu le bohloko la myelitis; AFM; Lefu le kang pholio; Hlobaetsang flaccid shoele litho; Ho kula ho matla ha flaccid le anelitis e ka pele; Ka pele myelitis; Enterovirus D68; Enterovirus A71

• MRI e hlahloba
• Khemistri ea CSF
• Electromyography

Litsi tsa Taolo le Thibelo ea Maloetse. Lefu le bohloko la myelitis. www.cdc.gov/acute-flaccid-myelitis/index.html. E ntlafalitsoe ka la 29 Tšitoe 2020. E fihlile ka la 15 Hlakubele 2021.

Webosaete ea Setsi sa Tlhahisoleseling ea Genetic and Rare Diseases. Lefu le bohloko la myelitis. Lefapha la Bophelo le Litšebeletso tsa Botho la US. Setsi sa Naha sa Bophelo. rarediseases.info.nih.gov/diseases/13142/acute-flaccid-myelitis. E ntlafalitsoe ka la 6 Phato 2020. E fihlile ka la 15 Hlakubele 2021.

Messacar K, Modlin JF, Abzug MJ. Enteroviruses le parechoviruses. Ka: SS e telele, Prober CG, Fischer M, eds. Melao-motheo le Tloaelo ea Mafu a tšoaetsanoang a bana. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 236.

Jober ea Strober, CA ea Glaser. Li-syndromes tsa mafu a tšoaetsanoang le tse tšoaetsanoang ka morao. Ka: SS e telele, Prober CG, Fischer M, eds. Melao-motheo le Tloaelo ea Mafu a tšoaetsanoang a bana. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 45.