Yala i bɛ se k’a miiri ko sɔgɔsɔgɔninjɛ fitinin min bɛ daminɛ i senkɔniw kunw na, o bɛ se ka jɛnsɛn dɔɔni dɔɔni i fari fan bɛɛ la, ka kɛ sababu ye ka i senkɔniw sɔgɔsɔgɔ ani ka i farikolo tiɲɛ yɛrɛ wa? O ye maana ye min bɛ siran mɔgɔ ɲɛ. Nka nin ye hakiliɲagami bana dɔ ye min man teli ka sɔrɔ, n’o bɛ wele ko
Guillain-Barré Syndrome (GBS). A ka ca a la a bɛ sɔrɔ i kɛnɛyalen kɔfɛ kɔnɔbara basigilen dɔ fɛ (i n’a fɔ jaŋɔni) walima ninakilidegun (i n’a fɔ
farigan ).
N’an y’a fɔ cogo nɔgɔman na, Guillain-Barré syndrome (GBS) ye mun ye?
Ni an y’a fɔ cogo nɔgɔman na, GBS ye waati ye min na an farikolo tangalan,
n’o ye farikolo tangalan ye , bɛ barika sɔrɔ ka bin an yɛrɛ ka nɛrɛw kan. A bɛ iko an yɛrɛ ka kɛlɛbolo bɛ bin an yɛrɛ ka mɔgɔw kan bala la. Miiri k’a filɛ i n’a fɔ an ka nɛrɛw bɛ i n’a fɔ kuran fiyɛw. Plastiki bɔgɔlan dɔ bɛ nin nɛgɛ ninnu lamini na i n’a fɔ insulasi, ɔnhɔn? O cogo kelen na, an farikolo yɔrɔw fana lamininen don ni fɛn dɔ ye min bɛ an tanga, n’o bɛ wele ko
miyɛlini . Ni GBS kɛra, an farikolo tangalanw bɛ bin o miyɛlini bɔgɔdaga kan. Ni nin bɔgɔdaga in tiɲɛna, cikan minnu bɛ bɔ hakili la, olu tɛ se farikolo yɔrɔw ma ka ɲɛ. O nɔ ye farikolo fanga dɔgɔyali ye, a bɛ sɔgɔsɔgɔ, ani tuma dɔw la a bɛ paralize pewu.
Nin tɛ bana ye min bɛ mɔgɔ minɛ walima min bɛ sɔrɔ cɛya la. Nka, o ye bana ye min ka kan ka taa dɔgɔtɔrɔso la joona . O la, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔso laadilikan ɲini ni bana taamasiɲɛ fɔlɔw bɔra dɔrɔn.
GBS suguya jɔnjɔnw ye jumɛnw ye?
GBS suguya kunbaba damadɔ bɛ yen, nka suguya fɔlɔ de ka ca Sri Lanka.
| Bana suguya | Kɛrɛnkɛrɛnnenya la |
|---|
| Poliradiculoneuropathie démyélinatrice inflammatoire acute (AIDP) . | Nin ye suguya ye min ka teli ka kɛ. Nin suguya in na, farikolo fanga dɔgɔyali bɛ daminɛ senw na ka jɛnsɛn san fɛ farikolo fan bɛɛ la. |
| Miller Fisher ka bana (MFS) . | O ka ca Azi jamanaw na. A bɛ daminɛ fɔlɔ ni ɲɛw lamaga gɛlɛya ye. Balannako bɔnɛni ni i bɛ taama, o fana ye a taamasiɲɛ ye. |
| AMAN ni AMSAN suguyaw | Olu ka ca jamanaw la i n’a fɔ Sinuwa ani Zapɔn. A taamasiɲɛw bɛ se ka juguya ka tɛmɛ suguya tɔw kan. |
GBS sɔrɔli sababuw ni farati minnu bɛ a la
GBS sababu tigitigi ma dɔn fɔlɔ. Nka, dɔgɔtɔrɔw dalen b’a la ko banakisɛ dɔw bɛ an farikolo yɔrɔw cogoya Changer, o bɛ kɛ sababu ye farikolo tangalanw bɛ fili k’u jate juguw ye. GBS bɛ mɔgɔ minnu na, olu tilancɛ fila ɲɔgɔn bɛ kɔnɔbara bana dɔ sɔrɔ i n’a fɔ kɔnɔboli walima ninakilidegun i n’a fɔ farigan tile damadɔ walima dɔgɔkun damadɔ sani hakiliɲagami taamasiɲɛw ka daminɛ.
Fɛnba minnu bɛ se ka kɛ sababu ye ka GBS kɛ, olu dɔw ye:- Kanpaɲi banakisɛ : Nin banakisɛ in, min bɛ sɔrɔ sogo tobilen juguman fɛ, o bɛ jate GBS sababuba ye.
- Kunfilanitu banakisɛ
- COVID -19 banakisɛ
- Sitomegalovirusi (cytomegalovirus) banakisɛ
- Epstein-Barr banakisɛ (Epstein-Barr) banakisɛ
- Zika banakisɛ
- Sugunɛbilenni A , B, C ani E
- Sidabanakisɛ
- Opereli dɔw walima kasaara dɔw
- A man teli ka kɛ, boloci dɔw (misali la, Johnson & Johnson ni AstraZeneca COVID-19 bolociw) .
Nin bana in bɛ mɔgɔ minnu na, olu bɛɛ tɛna GBS sɔrɔ. Mɔgɔ miliyɔn kelen o miliyɔn kelen dɔrɔn de bɛ farati la.
Aw ka kan ka aw janto bana taamasiɲɛ jumɛnw na?
GBS taamasiɲɛw bɛ se ka bɔ joona kosɛbɛ, tuma dɔw la u bɛ juguya lɛri damadɔ walima tile damadɔ kɔnɔ.
| Taamaʃyɛn | Cogojirali |
|---|
| Ɲɛgɛnɛsiraw | Ɲɛgɛnɛsiraw i n’a fɔ wuluw bɛ wuluwulu i senkɔniw, i senkɔniw, i bolokɔninw ani i bolokɔniw kan. |
| Farikolo fanga dɔgɔyali | Dusukunnata ɲɛnama don min bɛ daminɛ senw na ka jɛnsɛn dɔɔni dɔɔni ka taa farikolo sanfɛyɔrɔw la. |
| Taama gɛlɛya | N tɛ balansi tiɲɛ ni n bɛ taama ani a ka gɛlɛn n ma ka wuli ɛrɛzɛnsunw kan. |
| Ɲɛda bɛ fɛn caman Changer | A bɛ gɛlɛya ka kuma, ka dumuni ɲimi ani ka a munumunu. Aw bɛ se ka fɛn kelen walima fila ye ɲɛ fila bɛɛ la (yeli fila). |
| Dimi jugumanba | Dimi min bɛ mɔgɔ sɔgɔ, ka a sɔgɔ farikolo fasaw la. O dimi bɛ se ka juguya kɛrɛnkɛrɛnnenya la sufɛ. |
| Fɛn wɛrɛw | Dusukun tantanni caya, tansiyɔn jiginni ni a dɔgɔyali, sugunɛ ni banakɔtaa kunbɛnbaliya, ninakili gɛlɛya. |
A nafa ka bon kosɛbɛ: Ni aw barika banna, ni a bɛ juguya lɛri damadɔ kɔnɔ, walima ni ninakili walima dumuni munumunu gɛlɛyara aw la, aw bɛ taa dɔgɔtɔrɔso la joona joona. Nin tɛ fɛn ye min ka kan ka bila kɔfɛ.
Dɔgɔtɔrɔ bɛ nin bana in sɛgɛsɛgɛ cogo di?
Ikomi GBS taamasiɲɛw ni hakilibana wɛrɛw bɛ tali kɛ ɲɔgɔn na, dɔgɔtɔrɔ bɛna sɛgɛsɛgɛli caman kɛ walasa ka a dɔn ko bana wɛrɛw tɛ yen.
- Aw ye ɲininkali kɛ: Aw bɛ fɛnw ɲininka i n’a fɔ aw ka bana taamasiɲɛw daminɛna cogo min na ani waati min na, ani ni bana dɔw kɛra aw la kɔsa in na.
- Farikoloɲɛnajɛ sɛgɛsɛgɛli : O bɛ i farikolo fanga, taamacogo, balansi ani hakilijagabɔ kɛcogo kɔrɔbɔ.
- Kɔkolo tap / Kɔkolo sɔgɔli : O ye ka pikirijikɛlan finmanba dɔ don i kɔ duguma ani ka ji dɔɔni ta i kɔkolo lamini na (sɔgɔsɔgɔninjɛ ji) ka taa a bila laboratuwari la walasa ka a sɛgɛsɛgɛ. Ni farikolojɔli dumuniw hakɛ cayara nin ji in na, o ye GBS taamasiɲɛ ye.
- Hakilila-jɔ-sɛgɛsɛgɛliw:
- Electromyography (EMG): O ye ka elekitorode finmanw don farikolo la minnu bɛ i n’a fɔ pikirijikɛlan walasa ka farikolo yɔrɔw baara jateminɛ.
- Nɛrɛmuguma sɛgɛsɛgɛli : O bɛ nɛrɛmuguw ka taama teliya suman ni elekitorodew bilali ye fari la ani ka kuran fitini dɔ ci. O teliya in bɛ Dɔgɔya GBS la.
- MRI scan: Aw bɛ se ka MRI scan fana kɛ aw kunkolo walima aw kɔkolo la.
Furakɛliw ye jumɛnw ye?
Ni a sɔrɔla ko GBS bɛ aw la, aw ka kan ka furakɛli daminɛ o yɔrɔnin bɛɛ. Tuma caman na, aw bɛna furakɛ dɔgɔtɔrɔso dɔ ka dɔgɔtɔrɔso la min bɛ mɔgɔ tɔɔrɔ kosɛbɛ (ICU). Furakɛli kunba fila bɛ yen : 1.
Plasma exchange / Plasmapheresis : Aw bɛ aw joli don masin kɛrɛnkɛrɛnnen dɔ kɔnɔ, ka aw joli yɔrɔ jilama (plasma) fara ɲɔgɔn kan. Banakisɛfagalanw bɛ nin joli la min bɛ farikolojidɛsɛ tiɲɛ. Masina bɛ o banakisɛfagalan jugu ninnu bɔ ka joli kuru ɲumanw don i fari la kokura. 2.
Immunoglobuline furakɛli : Banakisɛfagalan ɲumanw hakɛ caman bɛ di aw ma minnu bɛ bɔ mɔgɔ kɛnɛmanw na, olu bɛ di aw ma ni kɔgɔji ye. Nin banakisɛfagalan ɲumanw bɛ dɔ bɔ farikolo tangalan juguw ka baara la aw fari la. Ka fara nin furakɛli kunbaba ninnu kan, dimimadafura, jolidɛsɛ furaw bɛna di aw ma, ni a mago bɛ a la, aw bɛ balo tubabufura fɛ barisa aw tɛ se ka dumuni munumunu.
Ni ninakili gɛlɛya juguyara, a bɛ se ka kɛ aw ka kan ka fiɲɛbɔlan siri waati dɔɔni. Aw ka kɛnɛya waati la, aw bɛna fanga dege ni farikoloɲɛnajɛ ni baarakɛcogo furakɛli dɛmɛ ye.
Kɔrɔbɔli ni sini bɛna kɛ cogo di?
Bana in bɛ se a dan na dɔgɔkun 2-3 a taamasiɲɛw daminɛ kɔfɛ. O kɔfɛ, kɛnɛya bɛ daminɛ dɔɔni dɔɔni.
- Banabagatɔ 80% ɲɔgɔn bɛ se ka taama k’a sɔrɔ dɛmɛ foyi ma kɛ u la kalo 6 kɔnɔ.
- Banabagatɔ 60% ɲɔgɔn bɛ farikolo fanga dafalen sɔrɔ kokura san kelen kɔnɔ.
- A kɛnɛyali bɛ se ka kalo 6-12 cɛ, dɔw fana bɛ se ka san 3 kɛ.
GBS bɛ denmisɛn minnu na, olu bɛ kɛnɛya joona ka tɛmɛ balikuw kan. Ni aw kɛnɛyara ka ban GBS la, aw bɛ se ka ɲɛnamaya kɛ cogo la min bɛ bɛn aw ma.
Take-Home cikan
- Ni sɔgɔsɔgɔninjɛ walima barikantanya dusukunnata dɔ bɛ aw la min bɛ daminɛ aw senw na ka aw farikolo jɛnsɛn, aw kana aw ɲɛmajɔ o la.
- Ni nin taamasiɲɛ ninnu ni ninakili walima dumuni munumunu gɛlɛya bɛ taa ɲɔgɔn fɛ, o ye furakɛli kɔrɔtɔko ye . Aw bɛ taa dɔgɔtɔrɔso dɔ ka kɔrɔtɔko ɲɛmɔgɔso la (ETU) o yɔrɔnin bɛɛ.
- GBS ye bana ye min man teli ka sɔrɔ, nka a bɛ se ka juguya. Nka, ni furakɛli daminɛna joona, mɔgɔ fanba bɛ se ka kɛnɛya dafalen sɔrɔ.
- Aw kana siran. Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona walasa ka laadilikan sɔrɔ.
Guillain-Barré Syndrome, GBS, neuropathie, senkɔniw, sɔgɔsɔgɔninjɛ, farikolo tangalanw, miyelin
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