Ka yi tunanin cewa kana da mura ko ciwon ciki 'yan kwanaki da suka wuce kuma yanzu kana jin daɗi kaɗan. Amma ba zato ba tsammani sai ka ji kamar ganinka ya ɗan yi duhu, kana ganin abubuwa a sassa biyu. Kana jin rashin kwanciyar hankali lokacin da kake tafiya, ƙafafunka suka yi karo. Idan wani abu makamancin haka ya faru, kowa zai ji tsoro sosai, ko ba haka ba? A yau muna magana ne game da wata cuta da ke haifar da alamu kamar haka, wadda mutane da yawa ba su ji ba, amma tana da matuƙar muhimmanci a sani. Wannan ita ce Ciwon Miller Fisher.
A taƙaice dai, menene cutar Miller Fisher?
Ciwon Miller Fisher cuta ce da ba kasafai ake samunta a jijiyoyi ba. Wataƙila kun ji labarin ciwon Guillain-Barré (GBS). Haka kuma cuta ce da garkuwar jikinmu ke kai hari ga jijiyoyinmu. Ciwon Miller Fisher wani nau'in cutar GBS ne. Yana da wuya sosai har yana shafar tsakanin kashi 1% zuwa 5% na marasa lafiya na GBS a ƙasashen Yamma. Duk da haka, a wasu ƙasashen Asiya kamar Taiwan da Japan, adadin ya ɗan fi haka. Don haka za ku iya fahimtar cewa wannan ba cuta ce ta yau da kullun ba. Amma yana da matuƙar muhimmanci a san da wannan.
Me yasa hakan ke faruwa? Menene dalilan?
Wannan shine mafi mahimmanci. Ciwon Miller Fisher da GBS suna tasowa ne sakamakon kamuwa da cuta da ke shiga jikinmu.
A taƙaice dai, tsarin tsaronmu, tsarin garkuwar jiki, yana ɗan 'rikitarwa' kuma maimakon yaƙar kamuwa da cuta, yana fara kai hari ga jijiyoyinmu bisa kuskure. Likitoci har yanzu ba su san ainihin abin da ke haifar da hakan ba. Waɗannan alamun yawanci suna bayyana cikin 'yan kwanaki zuwa makonni 4 bayan rashin lafiya, musamman ciwon ciki kamar gudawa, ko kamuwa da cutar numfashi (sanyi, mura). Babban ƙwayoyin cuta da ke iya haifar da wannan yanayin shine 'Campylobacter jejuni'. Wannan shine abin da yawanci ke haifar da ciwon ciki da gudawa. Bugu da ƙari, akwai ƙwayoyin cuta da ke iya haifar da wannan yanayin:
- Cutar Zika
- Kwayar cutar Kanjamau ( HIV )
- Kwayar cutar Epstein-Barr, wadda ke haifar da mononucleosis mai kama da zazzabi.
Menene alamomin? Ta yaya za ku gane hakan?
Mutane da yawa suna zuwa ganin likita
saboda ganinsu yana raguwa cikin sauri cikin 'yan kwanaki kuma
suna fuskantar wahalar tafiya . Akwai manyan alamomi guda uku na cutar Miller Fisher. Bari mu fahimci waɗannan a cikin teburi.
| Babban alamar cutar | A taƙaice dai, me zai faru? |
|---|
| Rashin ƙarfin tsokoki na ido (Ophthalmoplegia) | Ganin ido sau biyu yana faruwa, kuma yana zama da wahala a sarrafa da kuma jagorantar idanu zuwa ga alkiblar da ake so. |
| Rashin daidaito (Ataxia) | Ina tuntuɓe idan ina tafiya, ina jin kamar ban daidaita ba. Ina da matsala wajen daidaita gaɓoɓina. |
| Areflexia | Abubuwa kamar idan likita ya taɓa gwiwa da ƙaramin guduma, ƙafarka ba za ta motsa ba. Hankalin jikinka ya ɓace. |
Baya ga waɗannan manyan alamu guda uku, wasu mutane na iya nuna wasu alamu:
- Ɗaliban da suka faɗaɗa .
- Raunin tsokar fuska
- Tsokokin makogwaro masu rauni (rage yawan jin zafi)
Muhimmi: Idan waɗannan alamomin suna tare da rauni a gaɓoɓinka da tsokoki na numfashi, yana iya zama wata cuta da ake kira GBS-MFS overlap syndrome. Babban alamar GBS ita ce rauni wanda ke farawa daga ƙafafu kuma ya bazu ko'ina cikin jiki.
Ta yaya likita ke gano wannan?
Yana da ɗan wahala a gano wannan cuta daidai. Domin akwai wasu cututtukan jijiyoyi da yawa waɗanda ke da alamu iri ɗaya. Misali, cututtuka kamar 'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. Saboda haka, likita zai duba ku a hankali, ya tambaye ku game da alamun cutar da kuma cututtukan da kuka yi kwanan nan. Sannan, zai yi gwaje-gwaje da yawa don tabbatar da cutar.
| Gwaji | A taƙaice dai, me kake/kake gani da shi? |
|---|
| Hudawar ƙashi | Ana ɗaukar ƙaramin adadin ruwan da ke kewaye da kashin baya (ruwan cerebrospinal) kuma a duba ko akwai yawan furotin. Wannan yakan yi yawa ga marasa lafiya da ke fama da cutar Miller Fisher. |
| Gwajin Jini | Ana gwada jinin don ganin akwai wani maganin rigakafi mai suna `anti-GQ1b`, wanda ya kebanta da wannan cuta. Ana iya ganin wannan maganin rigakafi a cikin kashi 95% na marasa lafiya. |
| Nazarin Gudanar da Jijiyoyi / EMG | Ana amfani da ƙaramin wutar lantarki mara zafi don auna yadda jijiyoyinku da tsokoki suke aiki. Wannan cutar tana nuna wasu matsaloli a cikin jijiyoyi. |
| Duban MRI | Ana yin wannan gwajin ne domin a kawar da wasu cututtuka, kamar bugun jini. A Miller Fisher, MRI yawanci yana nuna sakamako na yau da kullun. |
Menene maganin wannan? Tsawon wane lokaci ake ɗauka kafin a warke?
Da farko dai, babu wani takamaiman 'magani' da zai iya warkar da wannan cuta
gaba ɗaya.
Duk da haka, akwai magunguna masu tasiri waɗanda zasu iya taimakawa wajen sarrafa alamun kuma su taimaka muku murmurewa da sauri. Mutumin da ke da waɗannan alamun yawanci ana kwantar da shi a asibiti. Wannan shine don sa ido a hankali don manyan lamuran cutar GBS. Domin GBS wani lokacin yana iya zama barazana ga rayuwa. Ana amfani da manyan hanyoyi guda biyu azaman magani: 1.
Immunoglobulin na ciki (IVIg): Wannan magani ne mai kama da saline wanda ake bayarwa a cikin jijiya. Yana ɗauke da ƙwayoyin rigakafi masu tsabta waɗanda aka raba daga jinin dubban mutane masu lafiya. Ana ba da wannan akai-akai na tsawon kimanin kwanaki 5. 2.
Musayar Plasma (Plasmapheresis): Wannan tsari ne mai ɗan rikitarwa. A taƙaice, ana ɗaukar ƙaramin jini daga jikin ku, injin musamman yana cire plasma mai matsala (ɓangaren da ke ɗauke da ƙwayoyin rigakafi waɗanda ke kai hari ga jijiyoyi) kuma yana maye gurbinsa da ƙwayoyin jinin ku tare da plasma mai maye gurbin. Ana yin wannan kusan sau 5 cikin tsawon makonni biyu. Idan tsokokinku sun yi rauni sosai bayan waɗannan jiyya, kuna iya
buƙatar physiotherapy don sake ƙarfafa su.Yana da mahimmanci. Dangane da murmurewa, yawanci yana ɗaukar tsakanin makonni 8 zuwa 12 don murmurewa mai kyau.
Yawancin mutane suna murmurewa gaba ɗaya cikin watanni 6. Yawan sake dawowa bai wuce kashi 3% ba, saboda haka, gano cutar da wuri da magani su ne mafi mahimmanci.
Saƙon Ɗauka Gida
- Ciwon Miller Fisher cuta ce da ba kasafai ake samunta ba wacce ke faruwa lokacin da garkuwar jikinmu ke kai hari ga jijiyoyinmu saboda kamuwa da cuta kwanan nan.
- Manyan alamomin sune raunin tsokokin ido ( gani biyu), rashin daidaito (wahalar tafiya), da kuma rashin ƙarfin amsawa.
- Idan kai ko wani da ka sani ya fara samun waɗannan alamun, to ka ga likita nan take. Kada ka firgita, amma kada ka jinkirta.
- Wannan yanayi ne da za a iya magance shi ta hanyar kwantar da hankali da kuma yin amfani da magani na jiki , kuma yawancin mutane suna samun cikakkiyar lafiya.
Ciwon Miller Fisher, Ciwon Guillain-Barré, Cututtukan jijiyoyi, Rashin gani, Wahalar tafiya, GBS, Cututtukan garkuwar jiki
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