Subacute sclerosing panencephalitis

Subacute sclerosing panencephalitis (SSPE) inofambira mberi, inoremadza, uye inouraya uropi kusagadzikana kwakanangana nehusero (rubeola) hutachiona.

Chirwere ichi chinokura makore mazhinji mushure mehutachiona hwegwirikwiti.

Kazhinji, hutachiona hwemasero haukonzere kukuvara kwehuropi. Nekudaro, mhinduro isina kujairika yemasuru kana, pamwe, mamwe marudzi ehutachiona anogona kukonzera chirwere chakakomba uye kufa. Mhinduro iyi inotungamira mukuzvimba kwehuropi (kuzvimba uye kutsamwa) iyo inogona kugara kwemakore.

SSPE yakaziviswa kumatunhu ese epasi, asi munyika dzekumadokero chirwere chisingawanzoitika.

Zviitiko zvishoma kwazvo zvinoonekwa muUnited States kubvira chirongwa chekudzivirira gwirikwiti munyika yose chakatanga. SSPE inowanzoitika makore akati wandei mushure mekunge munhu ane gwirikwiti, kunyangwe hazvo munhu wacho achiratidzika kunge apora kubva pakurwara. Vanhurume vanowanzo kubatwa kupfuura vakadzi. Chirwere ichi chinowanzoitika muvana nevechiri kuyaruka.

Zviratidzo zveSSPE zvinoitika mumatanho mana akajairwa. Nedanho rega rega, zviratidzo zvakatonyanya kupfuura nhanho yapfuura:

• Chikamu I: Panogona kuve nekuchinja kwehunhu, kusanduka kwemamiriro, kana kushushikana. Fivha nemusoro zvinogona kunge zviripo. Iyi nhanho inogona kutora kusvika kumwedzi mitanhatu.
• Stage II: Panogona kunge paine kusadzora kufamba kwekufamba kunosanganisira kubvunda uye mhasuru mhasuru. Zvimwe zviratidzo zvinogona kuitika mune ino nhanho kurasikirwa kwemaonero, kuora mwoyo, uye kubatwa.
• Stage III: Jerking kufamba anotsiviwa nekumonyoroka (kumonyanisa) mafambiro uye kuomarara. Rufu runogona kuitika kubva kumatambudziko.
• Chikamu IV: Nzvimbo dzehuropi dzinodzora kufema, kurova kwemoyo, uye kuwedzerwa kweropa zvakakuvara. Izvi zvinotungamirira kukoma uye ipapo rufu.

Panogona kuve nenhoroondo yegwirikwiti mumwana asina kubayiwa. Kuongorora kwepanyama kunogona kuratidza:

• Kukuvadza kune optic nerve, iyo inoona nekuona
• Kukuvadza kune iyo retina, chikamu cheziso chinogamuchira mwenje
• Tsvina ichinyemwerera
• Kuita zvisirizvo pamota (kufamba) bvunzo dzekubatanidza

Iyi bvunzo inotevera inogona kuitwa:

• Electroencephalogram (EEG)
• Ubongo MRI
• Serum antibody titer yekutsvaga zviratidzo zvehutachiona hwemashure apfuura
• Musana pombi

Hapana mushonga weSSPE uripo. Kurapa kunowanzoitirwa kudzora zviratidzo. Mimwe mishonga inorwisa mabhakitiriya nemishonga inosimudzira immune system inogona kuyedzwa kudzikamisa kufambira mberi kwechirwere.

Izvi zvinotevera zviwanikwa zvinogona kupa rumwe ruzivo nezve SSPE:

• National Institute yeNeurological Disorders uye Stroke - www.ninds.nih.gov/Disorders/All-Disorders/Subacute-Sclerosing-Panencephalitis-Information-Page
• National Sangano reRare Dambudziko - rarediseases.org/rare-diseases/subacute-sclerosing-panencephalitis/

SSPE inogara ichiuraya. Vanhu vane chirwere ichi vanofa makore matatu kusvika matatu mushure mekuongororwa. Vamwe vanhu vanogona kurarama kwenguva yakareba.

Fonera wako mupi wehutano kana mwana wako asati apedza majekiseni avo akarongwa. Mushonga wechigunwe unosanganisirwa muchirwere cheMMR.

Kudzivirirwa gwirikwiti ndiyo chete inozivikanwa yekudzivirira yeSSPE. Mushonga wenhomba wave kushanda zvakanyanya mukuderedza huwandu hwevana vanobatwa nechirwere ichi.

Measles jekiseni rinofanira kuitwa zvinoenderana neyakakurudzirwa American Academy yePediatrics uye maCentre eDziase Kudzora chirongwa.

SSPE; Subacute sclerosing leukoencephalitis; Dawson encephalitis; Measles - SSPE; Rubeola - SSPE

Gershon AA. Measles virus (rubeola). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 160.

Mason WH, Zvikwata HA. Measles. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 273.