Koj puas muaj qhov tsis muaj zog txawv txawv hauv koj ob lub qhov muag, nrog rau kev hloov pauv hauv koj txoj kev taug kev? Tej zaum nws yog Miller Fisher Syndrome!

Koj puas tau pom qhov txawv ntawm koj ob lub qhov muag tam sim ntawd, tej zaum pom ob lub es tsis yog ib lub, lossis koj tsis muaj zog thaum koj taug kev? Koj puas kuj xav tias me ntsis txawv txawv thaum koj tham lus? Cov no tsis yog tej yam uas koj tsis paub xwb, tej zaum yuav muaj ib yam mob uas tsis tshua muaj tom qab qhov no hu ua Miller Fisher Syndrome. Hnub no, peb yuav tham txog qhov no kom meej, yooj yim heev.

Miller Fisher Syndrome yog dab tsi tiag?

Hais yooj yim xwb, Miller Fisher Syndrome yog ib qho mob tsis tshua muaj uas peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam peb cov hlab ntsha noj qab haus huv. Nws zoo li peb lub cev tus neeg zov lub cev tawm tsam peb tsev neeg.

Hauv qhov xwm txheej no, cov hlab ntsha hauv koj lub ntsej muag feem ntau raug cuam tshuam ua ntej. Tshwj xeeb tshaj yog thaum cov hlab ntsha uas tswj koj lub qhov muag raug puas tsuaj, koj yuav muaj teeb meem txav koj lub qhov muag. Tsis yog li ntawd xwb, tab sis nws kuj tseem tuaj yeem cuam tshuam rau koj qhov kev sib npaug, kev sib koom tes, thiab kev xav. Feem ntau, cov tsos mob no tshwm sim tom qab tus kab mob viral lossis bacterial tau ploj mus.

Leej twg yuav muaj tus mob no ntau dua?

Txawm hais tias leej twg los yeej muaj tau tus mob Miller Fisher Syndrome (MFS) los xij, qee tus neeg yuav muaj feem mob dua. Cov no suav nrog:

• Cov Neeg Esxias: Kev tshawb fawb pom tias cov neeg nyob hauv cov tebchaws Esxias feem ntau yuav muaj tus mob no ntau dua li cov neeg nyob hauv cov tebchaws sab hnub poob.
• Txiv neej: Cov txiv neej muaj feem yuav mob qhov no ob npaug ntau dua li cov poj niam.
• Cov neeg hnub nyoog tshaj 55 xyoos: Qhov kev pheej hmoo no zoo li yuav nce ntxiv thaum lawv muaj hnub nyoog.

Qhov txawv ntawm Miller Fisher Syndrome (MFS) thiab Gilen-Barre Syndrome (GBS) yog dab tsi?

Tej zaum koj twb tau hnov ​​txog Guillain-Barré Syndrome (GBS). Miller Fisher Syndrome (MFS) yog ib hom kab mob GBS. Ob hom kab mob no puav leej yog cov kab mob autoimmune, uas txhais tau tias lawv yog cov mob uas lub cev tiv thaiv kab mob tawm tsam nws tus kheej. Ob hom kab mob no feem ntau tshwm sim tom qab muaj kab mob.

Txawm li cas los xij, muaj ntau qhov sib txawv tseem ceeb.

• Hauv MFS , cov tsos mob feem ntau pib rau sab saud ntawm lub cev, tshwj xeeb tshaj yog lub ntsej muag thiab qhov muag.
• Hauv GBS , cov tsos mob pib ntawm cov qhov qis ntawm lub cev (ceg, taw) thiab maj mam nthuav mus rau sab saud.
• Mob nraub qaum, ua pa nyuaj, thiab cov leeg nqaij tsis muaj zog ntawm ob txhais ceg yog cov uas muaj ntau tus neeg mob GBS.
• GBS yog ib yam mob uas pom ntau dua hauv zej zog dua li MFS.

Puas yog Miller Fisher Syndrome (MFS) kis tau?

Qhov no yog ib lo lus nug uas ntau tus neeg nug. Tsis yog, Miller Fisher Syndrome (MFS) tsis yog ib yam kab mob sib kis tau.Qhov no txhais tau tias nws tsis kis tau ntawm ib tus neeg mus rau lwm tus. Koj yuav tsis paub tias koj tau ntsib ib tus neeg uas muaj tus mob no.

Tus mob no feem ntau tshwm sim li cas?

Miller Fisher Syndrome (MFS) yog ib yam mob tsis tshua muaj. Thoob ntiaj teb, nws tsuas cuam tshuam rau ib lossis ob tus neeg hauv ib lab tus neeg xwb. Yog li koj tuaj yeem pom tias nws tsis tshua muaj.

Cov tsos mob ntawm Miller Fisher Syndrome (MFS) yog dab tsi?

Cov tsos mob ntawm tus mob no tuaj yeem tshwm sim sai sai thiab tshwm sim hauv ob peb hnub. Feem ntau, cov tsos mob no tshwm sim li 10 hnub tom qab kis tus kab mob viral lossis bacterial. Txawm li cas los xij, qee zaum cov tsos mob yuav tsis tshwm sim rau ob peb lub lis piam.

Cov tsos mob tseem ceeb uas feem ntau cov neeg pom yog:

• Teeb meem sib npaug: Tej zaum koj yuav xav tias koj poob koj qhov sib npaug thaum taug kev.
• Kev Hloov Pauv ntawm Tus Qauv Kev Taug Kev: Tej zaum koj yuav pib taug kev hauv ib txoj kev txawv txawv, txawv ntawm koj txoj kev taug kev ib txwm.
• Diplopia lossis pom kev tsis meej: Qhov no tuaj yeem yog qhov tshwm sim ntawm ob yam khoom lossis pom kev tsis meej.
• Ptosis lossis nyuaj rau tswj cov leeg nqaij ntawm lub ntsej muag: Ib lossis ob lub qhov muag yuav zoo li poob qis. Nws kuj tseem yuav nyuaj rau tswj kev qhia tawm ntawm lub ntsej muag.
• Kev poob ntawm cov leeg reflexes: Cov reflexes hauv qhov chaw xws li pob luj taws, lub hauv caug, thiab tes yuav tsis muaj zog lossis tsis muaj. Qhov no tuaj yeem pom thaum tus kws kho mob siv lub rauj me me los ntaus lawv.
• Nyuaj txav lub qhov muag: Tej zaum yuav nyuaj txav lub qhov muag ib sab mus rau ib sab, saum toj thiab hauv qab.
• Kev txav cov leeg nqaij tsis zoo lossis tsis sib xws: Tej zaum koj yuav tsis tuaj yeem tswj koj ob txhais ceg kom zoo, ua rau koj cov kev ua tsis sib xws.

Xav txog, muaj ib tug neeg hu ua Nimal. Kwv yees li ib lub lim tiam dhau los, nws tau mob khaub thuas hnyav thiab tau zoo dua. Tam sim no, tam sim ntawd, nws taug kev nrog ib tug ceg tawv, zoo li ib tug neeg uas tau haus dej cawv. Thaum nws saib hauv daim iav, nws pom tias ib qho ntawm nws lub qhov muag me ntsis qis. Thaum nws saib TV, nws pom ob daim duab ib zaug. Qhov no yog qhov uas yuav tshwm sim.

Ntxiv rau cov tsos mob tseem ceeb no, qee tus neeg kuj tseem yuav muaj cov tsos mob xws li:

• Ua pa nyuaj
• Cov leeg tsis muaj zog hauv caj npab thiab ceg
• Nyuaj nqos
• Tus nplaig tsis muaj zog

Dab tsi ua rau muaj Miller Fisher Syndrome (MFS)?

Yog hais kom meej, MFS tshwm sim thaum peb lub cev tiv thaiv kab mob, teb rau kev kis kab mob, pib tawm tsam peb cov hlab ntsha tsis raug. Qhov ntawd yog, thaum tawm tsam cov kab mob uas tau nkag mus rau hauv lub cev, peb cov hlwb tiv thaiv tawm tsam cov hlab ntsha noj qab haus huv tsis raug, xav tias lawv yog yeeb ncuab.

Qee cov kab mob viral thiab bacterial uas ua rau MFS yog:

• Kev kis mob Campylobacter - Qhov no yog kev kis mob hauv plab uas feem ntau tshwm sim los ntawm cov khoom noj uas muaj kuab lom.
• Haemophilus influenzae - Qhov no yog ib hom kab mob uas ua rau muaj kev kis kab mob ntawm lub cev ua pa.
• Kab mob HIV (HIV)
• Kab mob Mononucleosis (Mononucleosis - Epstein-Barr virus) - Qhov no yog ib qho mob kub taub hau uas tseem hu ua "kab mob hnia".
• Kab mob Zika

Qhov no puas yog ib yam dab tsi uas los ntawm ntau tiam neeg los?

Txawm hais tias muaj qee qhov pov thawj tias MFS tuaj yeem tau txais los ntawm noob caj noob ces, nws tsis tshua muaj ob tug neeg hauv tib tsev neeg los tsim tus kab mob, yog li muaj me ntsis pov thawj tias nws tau kis los ntawm noob caj noob ces.

Koj yuav paub tseeb li cas tias koj muaj Miller Fisher Syndrome (MFS)?

Tu siab kawg li, tsis muaj ib qho kev kuaj mob twg uas yuav kuaj tau MFS. Tus kws kho mob yuav kuaj koj, saib xyuas koj cov tsos mob kom zoo, thiab sau koj cov keeb kwm kev kho mob (tshwj xeeb tshaj yog cov kab mob tsis ntev los no). Yog tias koj nyuam qhuav kub taub hau lossis mob plab, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd.

Yog koj tus kws kho mob xav tias koj muaj MFS, lawv yuav ua ntau yam kev kuaj mob, xws li:

• Kev kuaj ntshav: Cov no tuaj yeem kuaj xyuas seb puas muaj cov tshuaj tua kab mob ntau hauv cov ntshav. Cov tshuaj tua kab mob yog cov protein uas peb lub cev tiv thaiv kab mob ua los tawm tsam kev kis kab mob. Hauv MFS, ib hom tshuaj tua kab mob tshwj xeeb (Anti-GQ1b antibodies) tuaj yeem pom muaj ntau hauv cov ntshav.
• Electromyography (EMG): Qhov no ntsuas seb koj cov leeg teb tau zoo npaum li cas rau cov teeb liab los ntawm koj cov hlab ntsha.
• Kev kawm txog kev xa xov ntawm cov hlab ntsha (NCS): Qhov kev xeem no ntsuas seb lub teeb liab hluav taws xob mus raws cov hlab ntsha sai npaum li cas. Qhov ceev no yuav qeeb qeeb hauv MFS.
• Kev tho qhov txha nraub qaum/lub duav: Qhov no suav nrog kev coj ib qho qauv me me ntawm cov kua dej nyob ib puag ncig koj lub nraub qaum thiab kuaj nws rau qee cov tshuaj tiv thaiv kab mob thiab cov protein ntau.

Yuav kho tus mob Miller Fisher Syndrome (MFS) li cas?

Tsis muaj kev kho mob rau Miller Fisher Syndrome (MFS). Txawm li cas los xij, muaj kev kho mob uas tuaj yeem pab tiv thaiv koj lub cev tiv thaiv kab mob kom tsis txhob tawm tsam cov hlab ntsha noj qab haus huv. Thaum koj pib kho cov kev kho mob no sai npaum li cas, qhov tshwm sim yuav zoo dua.

Cov kev kho mob uas siv ntau tshaj plaws yog:

• Kev kho mob Immunoglobulin hauv cov hlab ntsha (IVIG): Qhov no suav nrog kev muab cov ntshav dawb huv rau koj lub cev (qhov kua ntawm koj cov ntshav) thiab cov tshuaj tiv thaiv kab mob zoo los ntawm cov neeg pub dawb noj qab haus huv. Cov tshuaj tiv thaiv kab mob noj qab haus huv no pab tiv thaiv koj cov tshuaj tiv thaiv kab mob kom tsis txhob tawm tsam cov nqaij noj qab haus huv.
• Kev pauv Plasma / Plasmapheresis: Qhov no suav nrog kev rho koj cov ntshav, lim cov plasma, uas tej zaum yuav muaj cov tshuaj tua kab mob tsis zoo, thiab xa cov ntshav seem rov qab rau koj lub cev. Nws zoo li "ntxuav" qee qhov ntawm koj cov ntshav.
• Kev kho lub cev kom rov zoo: Koj yuav ua haujlwm nrog tus kws kho lub cev lossis tus kws kho mob ua haujlwm kom ua cov kev tawm dag zog thiab kev cob qhia kom rov qab tau lub zog ntawm cov leeg, kev ywj pheej, thiab kev sib koom tes. Lawv yuav qhia koj cov txheej txheem los txhim kho koj qhov kev sib npaug, kev taug kev, thiab kev ua ub no txhua hnub.

Puas tiv thaiv tau Miller Fisher Syndrome (MFS)?

Tu siab kawg li, tsis muaj ib txoj kev tshwj xeeb los tiv thaiv Miller Fisher Syndrome (MFS) kom tsis txhob loj hlob, vim nws yog los ntawm kev hloov pauv hauv txoj kev uas peb lub cev tiv thaiv kab mob ua haujlwm.

Txawm li cas los xij, koj tuaj yeem ua cov kauj ruam los tiv thaiv koj tus kheej ntawm cov kab mob viral thiab bacterial uas tuaj yeem ua rau qhov no. Qhov ntawd txhais tau tias:

• Txo kev sib cuag ze nrog cov neeg mob.
• Npog koj lub qhov ncauj thiab lub qhov ntswg thaum hnoos thiab txham.
• Ntxuav cov chaw uas koj kov ntau zaus (cov pob qhov rooj, cov rooj) nrog tshuaj tua kab mob.
• Tsis txhob kov koj lub ntsej muag yam tsis tau ntxuav koj txhais tes kom huv si.
• Ntxuav koj txhais tes tsis tu ncua nrog xab npum los yog siv cov tshuaj ntxuav tes.

Yav tom ntej rau ib tus neeg uas muaj Miller Fisher Syndrome (MFS) yuav zoo li cas?

Feem ntau cov neeg uas muaj tus mob no zoo li qub. Nws tsis tshua ua rau neeg tuag taus. Nws kuj tsis ua rau muaj teeb meem loj rau kev noj qab haus huv mus sij hawm ntev. Cov neeg feem coob rov zoo li qub hauv ob mus rau rau lub hlis. Txawm hais tias qee tus neeg yuav muaj kev tsis taus me me ib ntus, feem ntau cov neeg rov qab mus ua neej li qub.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj teeb meem nrog kev xav, kev sib koom tes, lossis kev txav mus los ntawm cov leeg, mus ntsib kws kho mob tam sim ntawd. Cov tsos mob ntawm Miller Fisher Syndrome (MFS) zoo ib yam li cov kab mob ntawm lwm yam kab mob uas cuam tshuam rau cov hlab ntsha thiab cov leeg.

Nws yuav ua rau ntshai thaum pom tej kev hloov pauv hauv koj lub qhov muag, cov leeg, lossis qhov sib npaug. Tab sis nco ntsoov, MFS yog ib yam kab mob tsis tshua muaj, yog li ntawd tsis txhob xav tias koj muaj MFS tsuas yog vim koj muaj cov tsos mob no. Txawm li cas los xij, lawv yog ib qho cim qhia tias muaj qee yam tsis raug. Yog li ntawd, yog tias koj xav tias muaj kev tsis xis nyob zoo li no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau. Tom qab ntawd tus kws kho mob tuaj yeem kuaj xyuas koj cov leeg, cov hlab ntsha, thiab kev noj qab haus huv tag nrho thiab tsim ib txoj kev npaj kho mob uas zoo tshaj plaws rau koj.

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo txog Miller Fisher Syndrome uas peb tau tham txog hnub no. Nov yog qee yam uas yuav tsum nco ntsoov:

• MFS yog ib qho kab mob neurological tsis tshua muaj heev.
• Qhov tshwm sim hauv qhov no yog tias peb lub cev tiv thaiv kab mob tawm tsam peb cov hlab ntsha.
• Cov tsos mob tseem ceeb yog teeb meem ntawm qhov muag (pom ob sab, ntsia tsis meej, txav qhov muag nyuaj), teeb meem kev sib npaug, thiab kev ua haujlwm tsis zoo.
• Qhov no tsis yog ib yam kab mob sib kis tau.
• Nws feem ntau tshwm sim tom qab kis kab mob los yog kab mob bacterial.
• Txawm hais tias tsis muaj kev kuaj mob tshwj xeeb los xij, nws tuaj yeem kuaj tau los ntawm cov tsos mob thiab ntau lwm yam kev kuaj mob.
• Kev kho mob zoo li IVIG thiab kev pauv plasma tuaj yeem muab cov txiaj ntsig zoo.
• Feem ntau cov neeg yuav zoo rov qab los hauv ob peb lub hlis.
• Yog koj muaj cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd.

Tsis txhob ntshai, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub. Kuv xav kom koj thiab koj tsev neeg noj qab nyob zoo!

Miller Fisher Syndrome, cov kab mob ntawm lub paj hlwb, lub cev tiv thaiv kab mob, Gilen-Bere syndrome, qhov muag pom kev, kev sib npaug, cov leeg tsis muaj zog