Myelitis flaccid huʻi

ʻO ka myelitis flaccid ākea kahi ʻano laha ʻole e hoʻopili i ka ʻōnaehana. ʻO ka wela o ka hina hina i ka iwi kuamoʻo e alakaʻi ai i ka nāwaliwali o nā mākala a me ka lōlō.

Loaʻa pinepine ʻia ka myelitis flaccid huikau (AFM) e ka maʻi me kahi maʻi. ʻOiai he kākaʻikahi ʻo AFM, ua hoʻonui iki ʻia nā hihia o ka AFM mai ka makahiki 2014. Ua loaʻa ka hapa nui o nā hihia hou i nā keiki a i ʻole nā ​​ʻōpio makua.

Hana pinepine ʻo AFM ma hope o ke anuanu, ke kuni, a i ʻole ka maʻi gastrointestinal.

ʻO nā ʻano virus paha ke kumu o ka AFM. Pākuʻi ʻia kēia mau mea:

• Enteroviruses (poliovirus a me non-poliovirus)
• ʻO ka virus ʻo West Nile a me nā virus like e like me ka maʻi Kepanī encephalitis a me ka maʻi ʻo Saint Louis encephalitis
• Adenoviruses

ʻAʻole maopopo i ke kumu e hoʻonāukiuki ai kekahi mau virus iā AFM, a no ke kumu e hoʻomohala ai kekahi poʻe i kēia ʻano a ʻaʻole nā ​​poʻe ʻē aʻe e hana.

Hiki i nā toxins ākea ke hana i ka AFM. I nā manawa he nui, ʻaʻole i loaʻa kahi kumu.

Aia pinepine kahi fiva a i ʻole kahi maʻi hanu ma mua o ka hoʻomaka ʻana o ka nāwaliwali a me nā ʻōuli ʻē aʻe.

Hoʻomaka pinepine nā hōʻailona AFM me ka nāwaliwali o ka nāwaliwali me ka nalo ʻana o nā reflexes i ka lima a me ka wāwae. E holo wikiwiki paha nā ʻōuli ma kahi o kekahi mau hola i nā lā. Hiki i nā ʻōuli ʻē aʻe ke:

• Holo ka helehelena a nāwaliwali paha
• ʻElmiʻi maka maka
• Ka paʻakikī e hoʻoneʻe i nā maka
• ʻ speechlelo kūleʻa a paʻakikī paha i ka ale ʻana

Loaʻa paha i kekahi poʻe:

• ʻOʻoleʻa i ka ʻāʻī
• ʻEha ma nā lima a me nā wāwae
• Hiki ʻole ke hele i ka mimi

ʻO nā ʻōuli koʻikoʻi e pili pū me:

• Hiki ʻole ke hanu, ke nāwaliwali nā mākala e pili ana i ka hanu ʻana
• Nā pilikia ʻōnaehana koʻikoʻi nui, i hiki ai i ka make

Lawe kāu mea mālama ola i kāu mōʻaukala olakino a me ka mōʻaukala wailua e ʻike ai inā ʻoe i kēia lā me kāu lāʻau lapaʻau polio. ʻOi aku ka makaʻu o nā kānaka pono ʻole i hōʻike ʻia i ka poliovirus no ka myelitis flaccid huikau. Makemake paha kāu mea e ʻike inā i loko o nā pule he 4 i hala aku nei i loaʻa iā ʻoe:

• Huakaʻi
• Loaʻa i kahi anu a me ka flu a i ʻole kahi ʻōpū ʻōpū
• Loaʻa ke kuni 100 ° F (38 ° C) a ʻoi aku paha

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino. ʻO nā hoʻāʻo e hana ʻia ana paha:

• MRI o ka iwi kuamoo a me MRI o ka lolo e nānā i nā leona i ka mea hina
• Hōʻike wikiwiki wikiwiki lawelawe
• Uila (EMG)
• Nānā ka Cerebrospinal fluid (CSF) e nānā inā hoʻokiʻekiʻe ʻia nā hunaola keokeo

Lawe pū paha kāu mea hāʻawi i ka noho, ke koko, a me nā lawena lawaiʻa e hoʻāʻo.

ʻAʻohe mālama kūikawā no AFM. E kiʻi ʻia ʻoe i ke kauka e loea ana i nā maʻi o nā aʻa a me nā ʻōnaehana (neurologist). E mālama paha ke kauka i kāu mau hōʻailona.

Ua hoʻāʻo ʻia kekahi mau lāʻau a me nā hana e hana ma ka ʻōnaehana pale maʻi akā ʻaʻole i loaʻa e kōkua.

Pono paha ʻoe i ka hoʻōla kino e kōkua i ka hoʻihoʻi hou ʻana i ka hana i nā mākala.

ʻAʻole ʻike ʻia ka nānā lōʻihi o AFM.

Nā pilikia o AFM:

• ʻO ka nāwaliwali o ka mākala a me ka lōlō
• Lilo o ka hana lala

Kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe a ʻo kāu keiki paha:

• Ka nāwaliwali o nā lima a me nā wāwae a paʻakikī paha i ka neʻe ʻana i ke poʻo a i ʻole ke alo
• ʻO nā hōʻailona ʻē aʻe o AFM

ʻAʻohe ala maopopo e pale aku ai iā AFM. ʻO ka loaʻa ʻana o kahi lāʻau lapaʻau polio i mea e kōkua ai e hōʻemi i ka makaʻu o ka AFM e pili ana i ka poliovirus.

E hana i kēia mau hana e pale ai i ka maʻi viral:

• E holoi pinepine i nā lima me ke kopa a me ka wai, keu hoʻi ma mua o ka ʻai ʻana.
• Hōʻalo i ka pili pili loa me nā poʻe i loaʻa i ka maʻi viral.
• E hoʻohana i nā repelika makika ke hele i waho e pale i nā nahu makika.

E aʻo hou aʻe a loaʻa i nā mea hou, hele i ka pūnaewele pūnaewele CDC e pili ana i ka myelitis flaccid koʻikoʻi ma www.cdc.gov/acute-flaccid-myelitis/index.html.

Myelitis flaccid huehue; AFM; Maʻi maʻi Polio-like; Ka maʻi palahēhē nui; ʻO ka maʻi lōlō koʻikoʻi me ka myelitis mua; Myelitis mua; Enterovirus D68; Enterovirus A71

• Nānā MRI
• Kemika CSF
• Uila uila

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Myelitis flaccid huʻi. www.cdc.gov/acute-flaccid-myelitis/index.html. Hoʻohou i Kēkēmapa 29, 2020. Loaʻa iā Malaki 15, 2021.

Pūnaewele ʻIke ʻIke Genetic and Rare Diseases. Myelitis flaccid huʻi. Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka. National Institute of Health. rarediseases.info.nih.gov/diseases/13142/acute-flaccid-myelitis. Hoʻohou ʻia ʻAukake 6, 2020. Loaʻa iā Malaki 15, 2021.

ʻO Messacar K, Modlin JF, Abzug MJ. Enteroviruses a me nā parechoviruses. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 236.

ʻO Strober JB, Glaser CA. Nā mea hana maʻi neurologic parainfectious a me postinfectious. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 45.