He aha ka Miller Fisher Syndrome? E kamaʻilio maʻalahi kākou e pili ana i ia mea!

E noʻonoʻo ua loaʻa iā ʻoe ke anu a ʻeha paha ka ʻōpū i kekahi mau lā i hala aku nei a ke manaʻo nei ʻoe ua ʻoi aku ka maikaʻi. Akā i kēia manawa ua manaʻo ʻoe ua pōkole iki kou ʻike, ʻike ʻoe i nā mea ma nā ʻāpana ʻelua. Manaʻo ʻoe ua kūpaʻa ʻole ʻoe i kou hele ʻana, ua hihia kou mau wāwae. Inā hana ʻia kekahi mea e like me kēia, e makaʻu loa nā mea a pau, ʻeā? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi e hoʻoulu ai i nā hōʻailona e like me kēia, kahi i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia e ʻike. ʻO ia ka Miller Fisher Syndrome.

I ka ʻōlelo maʻalahi, he aha ka Miller Fisher Syndrome?

He maʻi neurological laha ʻole ka Miller Fisher syndrome. Ua lohe paha ʻoe i ka Guillain-Barré syndrome (GBS). He maʻi nō hoʻi ia e hoʻouka ai kā mākou ʻōnaehana pale i ko mākou mau aʻalolo ponoʻī. He ʻano like ʻole ka Miller Fisher syndrome o GBS. He mea laha ʻole ia e pili ana ma waena o 1% a me 5% o nā maʻi GBS ma nā ʻāina Komohana. Eia nō naʻe, ma kekahi mau ʻāina ʻĀsia e like me Taiwan a me Iapana, ʻoi aku ka nui o ka helu. No laila hiki iā ʻoe ke hoʻomaopopo ʻaʻole kēia he maʻi o kēlā me kēia lā. Akā he mea nui loa ia e makaʻala i kēia.

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻO kēia ka mea nui loa. Hoʻomohala ʻia ka maʻi Miller Fisher a me GBS ma muli o kahi maʻi e komo i loko o ko kākou kino. I ka ʻōlelo maʻalahi, loaʻa i kā kākou ʻōnaehana pale ponoʻī, ʻo ia hoʻi ka ʻōnaehana pale, kahi "huikau" iki a ma kahi o ke kaua ʻana i ka maʻi, hoʻomaka ia e hoʻouka i ko kākou mau aʻalolo ponoʻī ma ke kuhihewa. ʻAʻole maopopo i nā kauka ke kumu o kēia. ʻIke pinepine ʻia kēia mau hōʻailona i loko o kekahi mau lā a i 4 mau pule o kahi maʻi, ʻoiai ka ʻeha ʻōpū e like me ka maʻi diarrhea, a i ʻole ka maʻi hanu (anu, flu). ʻO ka bacteria nui e hiki ai ke hana i kēia maʻi ʻo 'Campylobacter jejuni'. ʻO kēia ka mea maʻamau e hoʻoulu ai i nā ʻōpū ʻeha a me ka diarrhea. Eia kekahi, aia kekahi mau virus e hiki ke hana i kēia maʻi:

• ka maʻi Zika
• ʻO ka maʻi pale ʻole kanaka ( HIV )
• ʻO ka maʻi Epstein-Barr, ka mea e hoʻoulu ai i ka maʻi mononucleosis e like me ke kuni.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai i kēia?

He nui ka poʻe e hele e ʻike i ke kauka no ka mea e emi koke ana ko lākou ʻike i loko o kekahi mau lā a he paʻakikī iā lākou ke hele . ʻEkolu mau hōʻailona nui o ka Miller Fisher syndrome. E hoʻomaopopo kākou i kēia mau mea ma kahi papa. Ma waho aʻe o kēia mau hōʻailona nui ʻekolu, hiki i kekahi poʻe ke hōʻike i nā hōʻailona ʻē aʻe:

• Nā haumāna i hoʻonui ʻia .
• Ka nāwaliwali o nā ʻiʻo maka
• Nā ʻiʻo puʻu nāwaliwali (ua emi ka gag reflex)

Pehea e ʻike ai ke kauka i kēia?

He mea paʻakikī iki ke ʻike pololei i kēia maʻi. No ka mea, he nui nā maʻi neurological ʻē aʻe i loaʻa nā hōʻailona like. No ka laʻana, nā maʻi e like me ka 'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. No laila, e nānā pono ke kauka iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona a me nā maʻi i hala koke aku nei. A laila, e hana ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.

He aha nā lāʻau lapaʻau no kēia? Pehea ka lōʻihi e hoʻōla ai?

ʻO ka mea mua, ʻaʻohe 'lāʻau lapaʻau' kikoʻī e hiki ke hoʻōla loa i kēia maʻi. Eia nō naʻe, aia nā lāʻau lapaʻau kūpono loa e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a kōkua iā ʻoe e hoʻōla koke. ʻO ka mea maʻamau, hoʻokomo ʻia ke kanaka me kēia mau hōʻailona i ka haukapila. ʻO kēia ke nānā pono ʻana i nā hihia koʻikoʻi o ka maʻi GBS. No ka mea, hiki i ka GBS ke hoʻoweliweli i ke ola i kekahi manawa. ʻElua mau ʻano nui e hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau: 1. Intravenous Immunoglobulin (IVIg): He lāʻau lapaʻau wai e like me ka saline kēia i hāʻawi ʻia i loko o kahi vein. Loaʻa iā ia nā antibodies i hoʻomaʻemaʻe ʻia i hoʻokaʻawale ʻia mai ka plasma koko o nā tausani o nā kānaka olakino. Hāʻawi mau ʻia kēia no kahi o 5 mau lā. 2. Plasma Exchange (Plasmapheresis): He hana paʻakikī kēia. I ka ʻōlelo maʻalahi, lawe ʻia kahi koko liʻiliʻi mai kou kino, wehe kahi mīkini kūikawā i ka plasma pilikia (ka ʻāpana e loaʻa ana nā antibodies e hoʻouka i nā aʻalolo) a hoʻololi iā ia me kāu mau cell koko ponoʻī me ka plasma pani. Hana ʻia kēia ma kahi o 5 mau manawa i loko o ʻelua pule. Inā nāwaliwali loa kou mau ʻiʻo ma hope o kēia mau lāʻau lapaʻau, pono paha ʻoe i ka physiotherapy e hoʻoikaika hou iā lākou.He mea pono ia. No ka ho'ōla hou ʻana, maʻamau ma waena o 8 a me 12 mau pule no ka ho'ōla maikaʻi ʻana. Ho'ōla piha ka hapa nui o ka poʻe i loko o 6 mau mahina. ʻOi aku ka liʻiliʻi o ka hoʻi hou ʻana ma mua o 3%. No laila, ʻo ka ʻike mua a me ka mālama ʻana nā mea nui loa. ʻO ka Miller Fisher Syndrome, Guillain-Barré syndrome, nā maʻi Neurological, ka nalowale o ka ʻike, ka paʻakikī o ka hele wāwae, GBS, nā maʻi Autoimmune