সংজ্ঞা
Post-polio syndrome (PPS) is a condition that affects polio survivors. About 20% to 40% of people who recover from polio will later develop PPS. The onset may occur 10 to 40 years after the initial polio attack.
কারণসমূহ
The exact cause is unknown. It is not due to the original polio virus. However, the virus can cause damage to nerve and muscle cells that may lead to the development of PPS.
ঝুঁকির কারণ
Factors that may increase your chance of developing PPS include:
- Previous polio attack
- Severe original polio attack
- Later age at onset of infection
লক্ষণ
উপসর্গ অন্তর্ভুক্ত হতে পারে:
- Slowly progressive muscle weakness
- Muscular atrophy
- পেশী আক্ষেপ
- পেশী ব্যথা
- Difficulty swallowing or breathing
- Intolerance to heat or cold
If the symptoms during the first attack of polio were severe, the symptoms of PPS may also be severe.
রোগ নির্ণয়
The doctor will ask about your symptoms and medical history. A neuromuscular exam may also be done. PPS may be hard to diagnose because symptoms come and go. The symptoms may also overlap with other diseases.
Testing often involves electromyography. This measures how well your nerves and muscles are communicating. Other, less common tests may include:
- এম.আর. আই স্ক্যান
- Muscle biopsy
- মেরুদণ্ডের আংটা
চিকিৎসা
Treatment focuses on managing symptoms. The goals are to:
- Prevent overuse of weak muscles
- Prevent disuse atrophy and weakness
- Protect joints left vulnerable from weak muscles
- Maximize function
- Minimize discomfort
চিকিত্সা অন্তর্ভুক্ত হতে পারে:
- শারীরিক চিকিৎসা
- পেশাগত থেরাপি
- স্পিচ থেরাপি
- Assistive devices
- ওজন কমানো, ওজন বেশি হলে
- Medicine to relieve muscle spasms and pain
- Occasionally, surgery to correct deformities that interfere with function
- Immunoglobulin—currently being studied to treat PPS
প্রতিরোধ
There are no guidelines for preventing PPS. But, polio survivors who keep physically fit may have a reduced risk of PPS.