Koj puas xav tias qhov mob me me uas pib ntawm koj cov ntiv taw tuaj yeem maj mam kis mus thoob plaws koj lub cev, ua rau koj txhais ceg tsis muaj zog thiab txawm tias tuag tes tuag taw? Nws yog ib zaj dab neeg txaus ntshai. Tab sis qhov no yog qhov tseeb ntawm ib qho kab mob tsis tshua muaj hu ua
Guillain-Barré Syndrome (GBS). Nws feem ntau tshwm sim tom qab koj zoo los ntawm kab mob plab (xws li mob daj ntseg) lossis kab mob ua pa (xws li
mob khaub thuas ).
Hais yooj yim xwb, Guillain-Barré syndrome (GBS) yog dab tsi?
Hauv cov lus yooj yim, GBS yog thaum peb lub cev tiv thaiv kab mob,
lub cev tiv thaiv kab mob , pib tawm tsam peb cov hlab ntsha. Nws zoo li peb cov tub rog tau tawm tsam peb cov neeg yam tsis tau xav txog. Xav txog nws zoo li peb cov hlab ntsha zoo li cov xov hluav taws xob. Muaj ib lub plhaub yas nyob ib puag ncig cov xov hlau no ua lub rwb thaiv tsev, puas yog? Ib yam li ntawd, peb cov hlab ntsha kuj raug ib puag ncig los ntawm ib lub plhaub tiv thaiv hu ua
myelin . Thaum GBS tshwm sim, peb lub cev tiv thaiv kab mob tawm tsam lub plhaub myelin ntawd. Thaum lub plhaub no puas lawm, cov lus los ntawm lub hlwb tsis mus txog cov leeg nqaij kom raug. Qhov tshwm sim yog cov leeg nqaij tsis muaj zog, tsis hnov tsw, thiab qee zaum tuag tes tuag taw tag nrho.
Qhov no tsis yog kab mob sib kis los yog kab mob uas los ntawm noob caj noob ces. Txawm li cas los xij, nws yog ib qho mob uas xav tau kev kho mob thaum muaj xwm txheej ceev . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai li sai tau thaum cov tsos mob thawj zaug tshwm sim.
Cov hom mob GBS tseem ceeb yog dab tsi?
Muaj ntau hom GBS tseem ceeb, tab sis hom thawj yog hom uas pom ntau tshaj plaws hauv Sri Lanka.
| Hom kab mob | Kev Tshwj Xeeb |
|---|
| Mob hnyav inflammatory demyelinating polyradiculoneuropathy (AIDP) | Qhov no yog hom mob uas feem ntau tshwm sim. Hauv hom mob no, cov leeg nqaij tsis muaj zog pib ntawm ob txhais ceg thiab nthuav mus rau sab saud thoob plaws lub cev. |
| Miller Fisher syndrome (MFS) | Qhov no feem ntau tshwm sim hauv cov tebchaws Es Xias. Thaum xub thawj nws pib nrog qhov nyuaj txav lub qhov muag. Kev poob qhov sib npaug thaum taug kev kuj yog ib qho tsos mob. |
| Hom AMAN thiab AMSAN | Cov no feem ntau tshwm sim hauv cov tebchaws xws li Tuam Tshoj thiab Nyiv Pooj. Cov tsos mob tuaj yeem hnyav dua li lwm hom. |
Cov ua rau thiab cov yam uas ua rau muaj kev pheej hmoo rau kev mob GBS
Tseem tsis tau paub meej tias yog vim li cas thiaj muaj GBS. Txawm li cas los xij, cov kws kho mob ntseeg tias qee yam kab mob hloov pauv peb cov hlab ntsha, ua rau lub cev tiv thaiv kab mob yuam kev tias lawv yog cov yeeb ncuab. Kwv yees li ob feem peb ntawm cov neeg uas muaj GBS muaj mob plab xws li raws plab lossis mob ua pa xws li mob khaub thuas ob peb hnub lossis ob peb lub lis piam ua ntej pib muaj cov tsos mob ntawm lub paj hlwb.
Qee yam tseem ceeb uas tuaj yeem ua rau muaj GBS suav nrog:- Cov kab mob Campylobacter: Cov kab mob no, uas kis tau los ntawm nqaij qaib tsis tau siav, suav tias yog tus ua rau muaj GBS .
- Kab mob khaub thuas
- Kab mob vais lav covid -19
- Cytomegalovirus
- Kab mob Epstein-Barr
- Kab mob Zika
- Kab mob siab A , B, C thiab E
- Kab mob HIV
- Qee qhov kev phais lossis kev raug mob
- Muaj tej yam tsawg tsawg uas tsis tshua muaj, qee cov tshuaj tiv thaiv kab mob (piv txwv li Johnson & Johnson thiab AstraZeneca COVID-19 tshuaj tiv thaiv)
Tsis yog txhua tus neeg uas muaj tus kab mob no yuav muaj tus kab mob GBS. Tsuas yog ib tug ntawm ib lab tus neeg thiaj li muaj feem yuav muaj tus kab mob no.
Koj yuav tsum tau ceev faj txog cov tsos mob twg?
Cov tsos mob ntawm GBS tuaj yeem tshwm sim sai heev, qee zaum yuav hnyav zuj zus hauv ob peb teev lossis ob peb hnub.
| Cov tsos mob | Kev piav qhia |
|---|
| Kev tsis muaj zog | Ib qho kev xav tingling zoo li cov ntsaum nkag rau ntawm koj cov ntiv taw, pob luj taws, ntiv tes, thiab dab teg. |
| Cov leeg tsis muaj zog | Ib qho kev xav tsis muaj sia nyob uas pib ntawm ob txhais ceg thiab maj mam kis mus rau sab saud ntawm lub cev. |
| Kev taug kev nyuaj | Kuv tsis muaj zog thaum taug kev thiab muaj teeb meem nce ntaiv. |
| Kev hloov pauv ntawm lub ntsej muag | Nws yuav nyuaj rau hais lus, zom zaub mov, thiab nqos. Tej zaum koj yuav pom ib lossis ob yam hauv ob lub qhov muag (pom ob zaug). |
| Mob hnyav heev | Mob nqaij ntawm lub cev uas mob heev thiab mob ib yam li raug mob choking. Qhov mob no yuav mob hnyav dua tshwj xeeb tshaj yog thaum hmo ntuj. |
| Lwm yam nta | Lub plawv dhia ceev ceev, ntshav siab thiab qis, tsis muaj peev xwm tswj cov zis thiab quav, ua pa nyuaj. |
Tseem ceeb heev: Yog tias koj xav tias koj tsis xis nyob thiab nws hnyav zuj zus tuaj li ob peb teev, lossis yog tias koj ua pa nyuaj lossis nqos, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Qhov no tsis yog ib yam dab tsi uas yuav tsum ncua sijhawm.
Tus kws kho mob kuaj mob li cas?
Vim tias cov tsos mob ntawm GBS zoo ib yam li lwm yam kab mob ntawm lub paj hlwb, tus kws kho mob yuav ua ntau qhov kev kuaj mob kom paub tseeb tias tsis muaj lwm yam kab mob.
- Nug koj: Nug tej yam xws li koj cov tsos mob pib li cas thiab thaum twg, thiab seb koj puas tau muaj mob tsis ntev los no.
- Kev ntsuam xyuas lub paj hlwb: Qhov no ntsuas koj cov leeg nqaij lub zog, kev taug kev, kev sib npaug, thiab kev xav rov qab.
- Kev tho qhov txha nraub qaum / Kev tho qhov ntawm lub duav: Qhov no suav nrog kev ntxig ib rab koob nyias nyias rau hauv koj lub nraub qaum qis thiab muab me ntsis cov kua dej ncig koj lub hlwb qaum (cov kua dej hauv lub hlwb qaum) thiab xa mus rau chav kuaj mob kom kuaj. Yog tias cov protein hauv cov kua dej no siab dua, nws yog ib qho cim ntawm GBS.
- Kev ntsuam xyuas kev ua haujlwm ntawm lub paj hlwb:
- Electromyography (EMG): Qhov no suav nrog kev ntxig cov electrodes zoo li koob rau hauv cov leeg nqaij kom ntsuas kev ua haujlwm ntawm cov hlab ntsha.
- Kev tshawb nrhiav txog kev xa xov ntawm cov hlab ntsha: Qhov no ntsuas qhov ceev uas cov hlab ntsha txav mus los ntawm kev muab cov electrodes tso rau ntawm daim tawv nqaij thiab xa hluav taws xob me me. Qhov ceev no qeeb qeeb hauv GBS.
- Kev luam theej duab MRI: Koj kuj tseem yuav muaj kev luam theej duab MRI ntawm koj lub hlwb lossis tus txha nqaj qaum.
Cov kev kho mob yog dab tsi?
Yog tias koj raug kuaj pom tias muaj GBS, koj yuav tsum pib kho tam sim ntawd. Feem ntau koj yuav raug kho hauv chav saib xyuas mob hnyav (ICU) ntawm tsev kho mob. Muaj ob txoj kev kho mob tseem ceeb: 1.
Kev pauv ntshav / Plasmapheresis: Koj cov ntshav raug muab tso rau hauv lub tshuab tshwj xeeb, thiab cov kua ntawm koj cov ntshav (plasma) raug cais tawm. Cov plasma no muaj cov tshuaj tua kab mob uas ua rau cov hlab ntsha puas tsuaj. Lub tshuab tshem tawm cov tshuaj tua kab mob phem no thiab muab cov qe ntshav zoo rov qab rau hauv koj lub cev. 2.
Kev kho mob Immunoglobulin: Muaj ntau cov tshuaj tua kab mob zoo uas tau coj los ntawm cov neeg noj qab haus huv raug muab rau koj los ntawm cov kua ntsev. Cov tshuaj tua kab mob zoo no txo cov haujlwm ntawm cov tshuaj tua kab mob phem hauv koj lub cev. Ntxiv rau cov kev kho mob tseem ceeb no, koj yuav raug muab tshuaj tua kab mob, tshuaj ua kom cov ntshav nyias, thiab yog tias tsim nyog, koj yuav raug pub los ntawm lub raj mis vim tias koj tsis tuaj yeem nqos zaub mov.
Yog tias ua pa nyuaj heev, koj yuav tsum tau txuas nrog lub tshuab ua pa ib ntus. Thaum koj rov zoo, koj yuav tsum tau ua kev cob qhia lub zog nrog kev pab los ntawm kev kho lub cev thiab kev kho mob ua haujlwm.
Kev rov zoo thiab yav tom ntej yuav zoo li cas?
Tus kab mob no yuav mob hnyav tshaj plaws li ntawm 2-3 lub lis piam tom qab pib muaj cov tsos mob. Tom qab ntawd, kev kho mob yuav maj mam pib.
- Kwv yees li 80% ntawm cov neeg mob tuaj yeem taug kev yam tsis muaj kev pab hauv 6 lub hlis.
- Kwv yees li 60% ntawm cov neeg mob rov qab muaj zog tag nrho hauv ib xyoos.
- Kev kho kom rov zoo tuaj yeem siv sijhawm li 6-12 lub hlis, thiab rau qee tus nws tuaj yeem siv sijhawm txog 3 xyoos.
Cov menyuam yaus uas muaj GBS zoo sai dua li cov neeg laus. Thaum koj zoo tag nrho los ntawm GBS, koj tuaj yeem ua neej nyob li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog koj muaj qhov tsis muaj zog lossis tsis muaj zog uas pib ntawm koj ob txhais ceg thiab nthuav mus rau koj lub cev, tsis txhob tsis quav ntsej.
- Yog tias cov tsos mob no nrog rau kev ua pa nyuaj lossis nqos, nws yog qhov xwm txheej ceev . Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- GBS yog ib yam kab mob uas tsis tshua muaj tab sis tej zaum yuav ua rau mob hnyav. Txawm li cas los xij, yog tias pib kho mob thaum ntxov, feem ntau cov neeg tuaj yeem rov zoo tag nrho.
- Tsis txhob ntshai. Yog tias koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd kom tau txais lus qhia.
Guillain-Barré Syndrome, GBS, neuropathy, ceg tsis muaj zog, tsis muaj zog, lub cev tiv thaiv kab mob, myelin
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus