Ka nalowale koke ʻana o ka ʻike ma nā wāwae? E aʻo kākou e pili ana i kēia maʻi laha ʻole, ʻo Guillain-Barré Syndrome.

Hiki iā ʻoe ke noʻonoʻo e hiki i kahi ʻano maeʻa liʻiliʻi e hoʻomaka ana ma nā wēlau o kou mau manamana wāwae ke pālahalaha mālie i loko o kou kino, e hoʻoulu ai i ka maeʻa ʻana o kou mau lālā a me ka maʻi lolo? He moʻolelo weliweli kēia. Akā ʻo kēia ka ʻoiaʻiʻo o kahi maʻi neurological laha ʻole i kapa ʻia ʻo Guillain-Barré Syndrome (GBS). Hoʻomohala pinepine ia ma hope o kou hoʻōla ʻana mai kahi ʻōpū maʻamau (e like me ka jaundice) a i ʻole ka maʻi hanu (e like me ke anu ).

I ka ʻōlelo maʻalahi, he aha ka Guillain-Barré syndrome (GBS)?

I nā huaʻōlelo maʻalahi, ʻo GBS ka manawa e hoʻomaka koke ai ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale , e hoʻouka i ko mākou mau aʻalolo ponoʻī. Ua like ia me ko mākou pūʻali koa ponoʻī e hoʻouka hewa ana i ko mākou poʻe ponoʻī. E noʻonoʻo e like me ko mākou mau aʻalolo e like me nā uea uila. Aia kahi ʻūpā palaki a puni kēia mau uea ma ke ʻano he insulation, ʻeā? Pēlā nō, ua hoʻopuni ʻia ko mākou mau aʻalolo e kahi ʻūpā pale i kapa ʻia ʻo myelin . Ke ulu ka GBS, hoʻouka kā mākou ʻōnaehana pale i kēlā ʻūpā myelin. Ke hōʻino ʻia kēia ʻūpā, ʻaʻole hiki i nā leka mai ka lolo i nā ʻiʻo pono. ʻO ka hopena, he nāwaliwali nā ʻiʻo, he mae wale, a i kekahi manawa he paralysis piha.

He aha nā ʻano nui o GBS?

Aia kekahi mau ʻano nui o GBS, akā ʻo ke ʻano mua ka mea maʻamau ma Sri Lanka.

Nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana o GBS

ʻAʻole ʻike ʻia ke kumu kikoʻī o GBS. Eia nō naʻe, manaʻo nā kauka ua hoʻololi kekahi mau maʻi i ke ʻano o kā mākou mau hunaola nerve, e hoʻolilo ana i ka ʻōnaehana pale e kuhihewa iā lākou he mau ʻenemi. Ma kahi o ʻelua hapakolu o ka poʻe i loaʻa iā GBS he maʻi ʻōpū e like me ka maʻi diarrhea a i ʻole kahi maʻi hanu e like me ke anu i kekahi mau lā a i ʻole nā ​​​​pule ma mua o ka hoʻomaka ʻana o nā hōʻailona neurological. ʻO kekahi o nā kumu nui e hiki ke kōkua i ka GBS:

• ʻO ka bacteria Campylobacter: ʻO kēia bacteria, ka mea i hoʻoili ʻia ma o ka moa i moʻa pono ʻole ʻia, ua manaʻo ʻia ʻo ia ke kumu nui o GBS .
• Maʻi palū
• Maʻi COVID -19
• ʻO ka maʻi Cytomegalovirus
• ʻO ka maʻi Epstein-Barr
• ka maʻi Zika
• Hepatitis A , B, C a me E
• ka maʻi HIV
• ʻO kekahi mau ʻoki kino a i ʻole nā ​​​​ulia pōpilikia
• I nā hihia kakaikahi, kekahi mau lāʻau pale (e like me nā lāʻau pale COVID-19 Johnson & Johnson a me AstraZeneca)

ʻAʻole nā ​​kānaka a pau i loaʻa i kēia maʻi e loaʻa iā lākou ka GBS. Hoʻokahi wale nō i loko o ka miliona o ka poʻe i pilikia.

He aha nā hōʻailona e pono ai ʻoe e makaʻala?

Hiki ke ʻike koke ʻia nā hōʻailona o GBS, i kekahi manawa e lilo i mea koʻikoʻi i loko o kekahi mau hola a i ʻole mau lā.

Pehea e ʻike ai ke kauka i kēia maʻi?

Ma muli o ka like o nā hōʻailona o GBS me nā maʻi neurological ʻē aʻe, e holo ke kauka i kekahi mau hoʻokolohua e hōʻoia i ʻaʻohe maʻi ʻē aʻe.

• Ke nīnau nei iā ʻoe: Ke nīnau nei i nā mea e like me pehea a me ka wā i hoʻomaka ai kāu mau hōʻailona, ​​​​a inā he mau maʻi hou kāu.
• Hoʻāʻo ʻōnaehana nerve: Hoʻāʻo kēia i kou ikaika o nā ʻiʻo, ka hele ʻana, ke kaulike, a me nā reflexes.
• ʻO ke kī ʻana o ka iwi kuamoʻo / lumbar puncture: ʻO kēia ke komo ʻana i kahi nila lahilahi loa i loko o kou kua haʻahaʻa a lawe i kahi liʻiliʻi o ke wai a puni kou kaula iwi kuamoʻo (wai cerebrospinal) a hoʻouna aku i kahi lab no ka hoʻāʻo ʻana. Inā kiʻekiʻe nā pae protein i loko o kēia wai, he hōʻailona ia o GBS.
• Nā hoʻokolohua hana neurological:
• Electromyography (EMG): Pili kēia i ke kau ʻana i nā electrodes e like me ke nila maikaʻi i loko o nā ʻiʻo e ana i ka hana aʻalolo.
• Haʻawina hoʻoili aʻalolo: Ke ana nei kēia i ka wikiwiki o ka hele ʻana o nā impulses aʻalolo ma ke kau ʻana i nā electrodes ma ka ʻili a me ka hoʻouna ʻana i kahi au uila liʻiliʻi. Hoʻolohi ʻia kēia wikiwiki i ka GBS.
• MRI scan: Loaʻa paha iā ʻoe kahi MRI scan o kou lolo a i ʻole ka iwi kuamoʻo.

He aha nā lāʻau lapaʻau?

Inā ua ʻike ʻia ʻoe me GBS, pono ʻoe e hoʻomaka koke i ka lāʻau lapaʻau. E mālama pinepine ʻia ʻoe ma ka ʻāpana mālama koʻikoʻi (ICU) o kahi haukapila. ʻElua mau lāʻau lapaʻau nui: 1. Hoʻololi plasma / Plasmapheresis: Hoʻokomo ʻia kou koko i loko o kahi mīkini kūikawā, a hoʻokaʻawale ʻia ka ʻāpana wai o kou koko (plasma). Loaʻa i kēia plasma nā antibodies e hōʻino i nā aʻalolo. Hoʻopau ka mīkini i kēia mau antibodies maikaʻi ʻole a hoʻihoʻi i nā hunaola koko maikaʻi i loko o kou kino. 2. Immunoglobulin therapy: Hāʻawi ʻia iā ʻoe kahi nui o nā antibodies maikaʻi i lawe ʻia mai nā poʻe olakino ma o kahi hopena saline. Hoʻemi kēia mau antibodies maikaʻi i ka hana o nā antibodies maikaʻi ʻole i loko o kou kino. Ma waho aʻe o kēia mau lāʻau lapaʻau nui, e hāʻawi ʻia ʻoe i nā mea ʻeha, nā mea hoʻokahe koko, a inā pono, e hānai ʻia ʻoe ma o kahi paipu no ka mea ʻaʻole hiki iā ʻoe ke ale i ka meaʻai. Inā paʻakikī ka hanu ʻana, pono paha ʻoe e hoʻopili ʻia no kekahi manawa i kahi ventilator. I kou wā e hoʻōla ai, pono ʻoe e hana i ka hoʻomaʻamaʻa ikaika me ke kōkua o ka hoʻōla kino a me ka hoʻōla hana.

Pehea lā ke ʻano o ka hoʻōla hou ʻana a me ka wā e hiki mai ana?

Hiki ka maʻi i kona kiʻekiʻe loa he 2-3 mau pule ma hope o ka hoʻomaka ʻana o nā hōʻailona. Ma hope o kēlā, hoʻomaka mālie ka hoʻōla ʻana.

• Ma kahi o 80% o nā maʻi e hiki ke hele me ke kōkua ʻole i loko o 6 mau mahina.
• Ma kahi o 60% o nā maʻi e hoʻi hou i ka ikaika piha o nā ʻiʻo i loko o hoʻokahi makahiki.
• Hiki ke lōʻihi ka ho'ōla ʻana ma waena o 6-12 mau mahina, a no kekahi poʻe hiki ke lōʻihi a hiki i 3 mau makahiki.

ʻOi aku ka wikiwiki o ke ola ʻana o nā keiki me GBS ma mua o nā pākeke. Ke hoʻōla piha ʻia ʻoe mai GBS, hiki iā ʻoe ke ola i kahi ola maʻamau. ʻO Guillain-Barré Syndrome, GBS, neuropathy, hemohemo wāwae, hemohemo, ʻōnaehana pale, myelin