Seselelãme ƒe bu kpata le afɔwo mea? Mina míasrɔ̃ nu tso nɔnɔme sia si mebɔ o, si nye Guillain-Barré Syndrome ŋu.

Àte ŋu akpɔe le susu me be lãmetutudɔ sue aɖe si dzea egɔme tso wò afɔbidɛwo ƒe nugbɔ ate ŋu akaka ɖe wò ŋutilã katã me vivivi, si ana wò abɔwo natsi eye wòazu lãmetutudɔ gɔ̃ hã? Enye ŋutinya dziŋɔ aɖe. Gake esiae nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o si woyɔna be Guillain-Barré Syndrome (GBS) ƒe nyateƒenyenye. Zi geɖe la, edzɔna ne èhaya tso dɔgbo me dɔlékui si bɔ (abe jaundice ene) alo gbɔgbɔtsixe ƒe dɔléle (abe dzamezã ene ) me vɔ megbe.

Kpuie ko la, nukae nye Guillain-Barré ƒe dɔléle (GBS)?

Ne míagblɔe bɔbɔe la, GBS nye ne míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete , dze mía ŋutɔwo ƒe lãmekawo dzi dzedze gɔme zi ɖeka. Ele abe mía ŋutɔwo ƒe aʋakɔ si dze mía ŋutɔwo míaƒe amewo dzi le vo me ene. Bu eŋu abe míaƒe lãmekawo le abe elektrikkawo ene. Plastik-kplo aɖe le ka siawo ŋu abe nusiwo xea mɔ na dzoxɔxɔ ene, alo? Nenema ke míaƒe lãmekawo hã ƒo xlã ametakpɔnu aɖe si woyɔna be myelin . Ne GBS va do la, míaƒe dɔlélenutsiŋutete dzea myelin-kplu ma dzi. Ne akɔtaɖonu sia gblẽ la, gbedasi siwo tso ahɔhɔ̃a me meɖoa lãmekawo gbɔ nyuie o. Nusi dona tso emee nye lãmekawo ƒe gbɔdzɔgbɔdzɔ, lãmetutudɔ, eye ɣeaɖewoɣi la, lãmetutudɔ keŋkeŋ.

GBS ƒomevi vevi kawoe nye?

GBS ƒomevi vevi geɖewo li, gake ƒomevi gbãtɔe bɔ wu le Sri Lanka.

Nusiwo gbɔ GBS xɔxɔ tsona kple afɔku siwo le eme

Womenya nusi tututu gbɔ GBS tsona haɖe o. Gake ɖɔktawo xɔe se be dɔlékui aɖewo trɔa míaƒe lãmekawo ƒe nɔnɔme, si wɔnɛ be dɔlélenutsiŋutete bua wo vodadatɔe be wonye futɔwo. Ame siwo xɔa GBS la dometɔ siwo ade eve le etɔ̃ me la ƒe dɔgbo me dɔléle abe aɖuɖɔtoe alo gbɔgbɔtsixe ƒe dɔléle abe dzamezã ene le wo ŋu ŋkeke ʋee aɖewo alo kwasiɖa ʋɛ aɖewo do ŋgɔ na ahɔhɔ̃mekawo ƒe dzesiwo ƒe gɔmedzedze. Nu vevi siwo ate ŋu ana GBS nadzɔ dometɔ aɖewoe nye:

• Campylobacter dɔlékui: Wobua dɔlékui sia si toa koklozi si womeɖa nyuie o dzi kaka be eya koŋue hea GBS vɛ .
• Influenza dɔlékui
• COVID -19 dɔlékui
• Dɔlékui si nye Cytomegalovirus
• Epstein-Barr Dɔlékui
• Zika dɔlékui aɖe
• Aklãdɔléle A , B, C kple E
• HIV dɔlékui
• Amekoko alo afɔku aɖewo
• Le go siwo mebɔ o me la, atike aɖewo (e.g. Johnson & Johnson kple AstraZeneca COVID-19 atikewo) .

Menye amesiame si ŋu dɔléle sia le lae axɔ GBS o. Ame ɖeka le miliɔn ɖeka me koe le afɔku me.

Dzesi kawoe wòle be nàlé ŋku ɖo?

GBS ƒe dzesiwo ate ŋu adze kaba ŋutɔ, eye ɣeaɖewoɣi la, wosẽna ɖe edzi le gaƒoƒo alo ŋkeke ʋɛ aɖewo megbe.

Aleke ɖɔktaa wɔa anya dɔléle siae?

Esi wònye be GBS ƒe dzesiwo sɔ kple ahɔhɔ̃medɔ bubuwo ta la, ɖɔktaa awɔ dodokpɔ geɖe atsɔ akpɔe ɖa be dɔléle bubu aɖeke meli o hã.

• Nyabiase na wò: Nuwo abe alesi wò dzesiwo dze egɔmee kple ɣekaɣie wodze egɔmee, kple nenye be dɔléle aɖewo dze ŋuwò nyitsɔ laa ene biabia.
• Lãmetsiŋusẽ dodokpɔ: Esia doa wò lãmekawo ƒe ŋusẽ, azɔlizɔzɔ, dadasɔ, kple wò susu ƒe dɔwɔwɔ kpɔna.
• Spinal tap / Lumbar puncture: Esia bia be nàde aŋe si le sue ŋutɔ wò akɔta ƒe akpa si le anyime eye nàtsɔ tsi sue aɖe si ƒo xlã wò aklã (cerebrospinal fluid) eye nàɖoe ɖe dodokpɔxɔ me be woadoe kpɔ. Ne protein ƒe agbɔsɔsɔ si le tsi sia me dzi ɖe edzi la, ke enye GBS ƒe dzesi.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ dodokpɔwo:
• Electromyography (EMG): Esia bia be woatsɔ elektrikŋusẽ nyui siwo le abe aŋe ene ade lãmekawo me be woatsɔ adzidze lãmekawo ƒe dɔwɔwɔ.
• Lãmetsiŋusẽ ƒe ʋuʋu ŋuti numekuku: Esia dzidzea alesi lãmekawo ƒe ʋuʋu zɔna kabakaba to elektrikŋusẽnamɔ̃wo dada ɖe ŋutigbalẽa dzi kple elektrikŋusẽ sue aɖe ɖoɖo ɖa me. Woɖea duƒuƒu sia dzi kpɔtɔna le GBS me.
• MRI scan: Àte ŋu awɔ MRI scan na wò ahɔhɔ̃ alo akɔta hã.

Nukawoe nye atikewɔmɔnuawo?

Ne wokpɔe be GBS le ŋuwò la, ele be nàdze atikewɔwɔ gɔme enumake. Zi geɖe la, woawɔ atike na wò le kɔdzi ƒe dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU). Atikewɔwɔ vevi eve li: 1. Plasma exchange / Plasmapheresis: Wotsɔa wò ʋu dea mɔ̃ tɔxɛ aɖe me, eye woɖea wò ʋu ƒe akpa si nye tsi (plasma) la ɖa. Dɔlékuiwutike siwo gblẽa nu le lãmekawo ŋu le plasma sia me. Mɔ̃a ɖea dɔlékuiwutike vɔ̃ɖi siawo ɖa eye wògatsɔa ʋumenugbagbevi nyuiwo dea wò ŋutilã me. 2. Dɔlélenutsiŋutete ƒe dɔdamɔnu: Wotsɔa dɔlékuiwutike nyui gbogbo aɖewo siwo woxɔ tso ame siwo le lãmesẽ me gbɔ la naa wò to dzetsi me. Dɔlékuiwutike nyui siawo ɖea dɔlékuiwutike gbegblẽ siwo le wò ŋutilã me ƒe dɔwɔwɔ dzi kpɔtɔna. Tsɔ kpe ɖe dɔdamɔnu vevi siawo ŋu la, woana vevesesenutsitikewo, ʋuwutikewo wò, eye ne ehiã la, woana nuɖuɖu wò to mɔ̃ me elabena màte ŋu ami nuɖuɖu o. Ne gbɔgbɔ sesẽ va nu sẽ la, ahiã be woatsɔ wò aƒo ka na yagbɔgbɔmɔ̃ hena ɣeyiɣi aɖe. Le wò hayahaya me la, ahiã be nàwɔ ŋusẽdodo ƒe hehexɔxɔ to kamedede kple dɔwɔwɔ ƒe atikewɔwɔ ƒe kpekpeɖeŋu me.

Aleke hayahaya kple etsɔme anɔ?

Dɔlélea ɖoa eƒe kɔkɔƒe le kwasiɖa 2-3 le dzesiawo ƒe gɔmedzedze megbe. Le ema megbe la, hayahaya dzea egɔme vivivi.

• Dɔnɔ siwo ade 80% te ŋu zɔna kpekpeɖeŋu aɖeke manɔmee le ɣleti 6 me.
• Dɔnɔ siwo ade 60% gaɖoa lãmekawo ƒe ŋusẽ blibo le ƒe ɖeka me.
• Haya ate ŋu axɔ ɣleti 6-12, eye le ame aɖewo gome la, ate ŋu axɔ ƒe 3.

Ðevi siwo ŋu GBS le la hayana kabakaba wu ame tsitsiwo. Ne ènya haya keŋkeŋ tso GBS me ko la, àte ŋu anɔ agbe si sɔ. Guillain-Barré Dɔléle, GBS, ahɔhɔ̃mekawo ƒe dɔléle, afɔ ƒe ʋuʋu, lãmetutudɔ, dɔlélenutsiŋutete, myelin