Yu de fil lɛk se yu nɔ ebul fɔ du natin ɛn yu de ed de tɔn? I kin bi wan sik we dɛn kɔl Guillain-Barré Syndrome!

Yu kin fil wantɛm wantɛm se yu de lɔs yu bɔdi, ɔ yu an ɛn fut dɛn dɔn swɛ? Sɔntɛnde, dis kin bi sayn fɔ sɔntin we siriɔs. Tide wi go tɔk bɔt wan pan dɛn kayn sik ya. Na Guillain-Barré Syndrome, ɔ GBS fɔ shɔt tɛm. Pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt am.

Wetin na di sik we dɛn kɔl Guillain-Barré Syndrome?

Fɔ tɔk am simpul wan, Guillain-Barré Syndrome na wan sik we nɔ kin apin so ɔltɛm we yu bɔdi in yon imyun sistɛm kin atak yu nervɔs sistɛm . I kin speshali damej di periferik nerv dɛm we de rɔn to yu limb dɛm ɛn ɔda pat dɛm na yu bɔdi. Tink bɔt dɛn nɛf ya lɛk waya dɛn na yu bɔdi. We dɛn nerv ya dɔn pwɛl, sɔm sayn dɛn lɛk fɔ swɛt, wik, ɛn ivin paralayz kin apin. Bɔt gud nyus de. If dɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl kpatakpata frɔm dis sik.

Di we aw dɛn kin kɔl dis nem bak difrɛn smɔl. Insay Inglish, dɛn kin kɔl am "ghee-AHN buh-RAY".

Udat kin gɛt GBS mɔ?

Guillain-Barré syndrome kin afɛkt ɛnibɔdi we ol ɛni ej. Bɔt i kin mɔs bi pan pipul dɛm wae ol bitwin 30 ɛn 50. Dis min se yɔŋ pipul dɛm ɛn pipul dɛm wae gɛt midul ej dɛnsɛf kin de pan denja.

Aw kɔmɔn tin dis?

GBS na rili sik we nɔ kin bɔku . Wit di pipul dɛm na di wɔl we na lɛk 7.8 bilyɔn, dɛn ripɔt se na lɛk 100,000 pipul dɛm nɔmɔ kin gɛt dis sik ɛvri ia. Dat min se na lɛk wan pan ɛvri 78,000 pipul dɛn kin jɔs gɛt dis sik ɛvri ia. So, dis nɔ kin rili kɔmɔn.

Wetin na di sayn dɛm fɔ GBS?

Bikɔs di sik we dɛn kɔl Guillain-Barré syndrome kin afɛkt wi peripheral nerves, i kin afɛkt di tin dɛn we dɛn nerves de kɔntrol, lɛk di mɔsul dɛn we de muv, aw wi de si pen, tɛmpracha, ɛn tɔch .

di fכs sayn dεm fכ GBS na we di mכsul dεm wik εn/כ nכmכ (paresthesia) . Dɛn sayn ya kin kam wantɛm wantɛm. Bɔku tɛm dɛn kin afɛkt ɔl tu di say dɛn na di bɔdi ikwal wan . Dɔn bak, i kin bigin na di leg ɛn fut ɛn smɔl smɔl i kin spre ɔp, to di an ɛn fes. We di mɔsul dɛn na di leg dɛn wik, i kin at fɔ waka ɔ klaym stej. Imajin se pɔsin we dɔn de wok nɔmal wan lɔs in tu leg dɛn wantɛm wantɛm ɛn i nɔ ebul fɔ waka.

Di kayn we aw GBS kin tranga kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak ɛn dɛn kin wɛl. Ɔda pipul dɛn kin gɛt mɔ siriɔs sik. Dipen pan aw di sik tranga, ɔda sayn dɛm kin bi:

• Tayt mɔsul pen na di bak ɛn/ɔ leg .
• Paralayz fɔ di mɔsul dɛn na di leg, an, ɛn/ɔ fes . If i siriɔs, di wan ol bɔdi kin paralayz.
• We di chɛst mɔsul dɛn wik. Dis kin mek i nɔ izi fɔ blo. Dis sik kin apun pan lɛk wan pat pan tri pipul dɛm wae gɛt GBS.
• I nɔ kin izi fɔ tɔk ɛn swɛla (dysphagia) .
• I nɔ izi fɔ muv di yay ɛn i nɔ de si fayn .

Di sayn dɛm fɔ GBS kin kam smɔl smɔl fɔ sɔm awa, sɔm dez, ɔr wik . Bɔrku pipul dɛn kin gɛt de sik wae pasmak insay di fɔs tu wiks afta dɛn dɔn bigin fɔ gɛt di sik. Bay di tɔd wik, lɛk 90% pan pipul dɛm kin de na dɛn mɔs debilitating.

Di tin we impɔtant pas ɔl na dat, if yu mɔsul dɛn wik wantɛm wantɛm ɛn i wɔs fɔ sɔm awa ɔ sɔm dez, go to dɔktɔ wantɛm wantɛm. I rili impɔtant fɔ bigin fɔ trit GBS kwik kwik wan.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt GBS?

GBS kin afɛkt wi ɔtonomik nɛvɔ sistɛm, we kin mek wi gɛt prɔblɛm dɛn we kin mek wi layf de pan denja . di כtonom nεv sεstem de kכntro di imכtant prכsεs dεm we wi nכ no se wi gεt, lεk di hat rεt, blכd prεshכn, εn digεshכn. we dis sistεm nכ de wok fayn, dεn kכl am dysautonomia.

Di dysautonomia we GBS kin mek kin mek i gɛt prɔblɛm dɛn lɛk:

• Di at we nɔ de wok fayn.
• Blɔd prɛshɔn nɔ de stebul.
• Prɔblɛm dɛn we de na di dijestiv (gastrointestinal stasis).
• I nɔ izi fɔ kɔntrol di we aw yu de pis, fɔ ɛgzampul, we yu nɔ de pis.

Wetin na di tin dɛn we kin mek pɔsin gɛt GBS?

Guillain-Barré syndrome na wan nyuropathy we kin apin afta pɔsin gɛt di sik, we di imyun bɔdi kin gɛt . Lɛ wi ɛksplen dis smɔl mɔ:

• Pɔst-infɛkshɔn: Dis sik kin apin afta yu dɔn gɛt infɛkshɔn. Na lɛk 70% pan di pipul dɛm wae gɛt GBS kin gɛt sɔm kayn sik insay wan wik to siks wik afta di sik . Risach pipul dɛm stil nɔr no bɛtɛ bɛtɛ wan wetin mek dis kin apin to sɔm pipul dɛm ɛn nɔr kin apun to ɔda pipul dɛm.
• Immune-mediated: Dis min se di sik de kam bikɔs ɔf wan abnɔmal rispɔns frɔm wi imyun sistɛm. We sɔm pipul dɛn kin sik, dɛn imyun sistɛm nɔ kin du tin di rayt we ɛn i kin atak ɛn pwɛl dɛn yon periferik nɛv. Dis na wetin de mek GBS. Na wan kayn ɔtoimyun kɔndishɔn bak. Bɔt i nɔ tan lɛk bɔku sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, GBS nɔto sik we kin apin fɔ ɔl in layf.
• Nyuropati: 1.Nyuropati na wan jɛnɛral wɔd fɔ sik dɛm wae de pwɛl di nerv dɛm. insay GBS, di damej de apin to di pεriferal nεv dεm. wi imyun sistεm kin atak dεn nεv dεm ya kwik kwik wan fכ sכm dez, i kin pwεl di kכva we de kכba di kכba we dεn kכ l maylin (we fiba di insulεshכn we de rawnd wan ilektrikal waya).

Risach pipul dɛn dɔn no sɔm infɛkshɔn ɛn ɔda tin dɛn we gɛt fɔ du wit di imyun sistɛm we kin mek pɔsin gɛt GBS. Dɛn tin ya na:

• Daya ɔr infεkshɔn na di say we dɛn de blo: Na lɛk tu-tɛd pan di pipul dɛm wae gɛt GBS kin gɛt dayarɛa ɔ wan infεkshɔn na di say we dɛn de blo sɔm wik bifo di sayn dɛm bigin. Di men tin we kin mek pɔsin gɛt GBS na we pɔsin gɛt di sik we de mek pɔsin gɛt dayarɛa we nem Campylobacter jejuni .
• Vayral infεkshכn: Sɔm pipul dεm wae gεt GBS dεn bin gεt vayral infεkshכn dεm bifo lεk di flu, saytomegalovayrus, Epstein-Barr vayrus, εn Zika vayrus.
• Vaysin: Na smɔl tɛm nɔmɔ , sɔm pipul dɛn kin gɛt GBS sɔm dez ɔ wik afta dɛn dɔn gɛt sɔm vaysin. Bɔt dis impɔtant: Di bɛnifit dɛn we pɔsin kin gɛt we i gi pɔsin di vaysin pas di prɔblɛm dɛn we i kin gɛt. Stɔdi dɔn sho se pipul dɛn we gɛt di flu vaysin kin gɛt GBS pas di wan dɛn we gɛt di flu.
• Ɔpreshɔn: Na smɔl tɛm nɔmɔ, GBS kin apin afta ɛni ɔpreshɔn.

Aw fɔ no `(GBS)`?

Bɔku tɛm, dɔktɔ dɛn kin no if yu gɛt di sik we dɛn kɔl Guillain-Barré syndrome bay di sayn dɛn we yu gɛt ɛn di mɛrɛsin we yu gɛt . Yu dɔktɔ go aks yu kwɛstyɔn bɔt aw ɛn ustɛm yu sik bigin, ɛn if yu dɔn gɛt ɛni sik we yu jɔs gɛt. dεn go du fכshal εn nyurolכjik εgzam bak fכ chεk fכ di mכsul dεm wik εn dip-tεndon rεflεks dεm dכn dכn כ nכ de (hyporeflexia כ areflexia).

Bɔt bɔku ɔda nyurolɔjik kɔndishɔn dɛn de we gɛt sayn dɛn we fiba GBS. So, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no ɔda tin dɛn we de apin. Dɛn tɛst ya kin bi:

• Ilektromayografi (EMG) ɛn nerve conduction test: Dɛn tɛst ya de asɛs di wɛlbɔdi ɛn wok we yu skel mɔsul dɛn (mɔsul dɛn we tay pan bon dɛn) ɛn di nerv dɛn we de kɔntrol dɛn de du.
• Spinal tap / lumbar pankchɔ: .Insay dis prɔsidyu, yu dɔktɔ kin put nidul insay yu lɔwa bak ɛn tek wan sɛmpul pan yu sɛribrospaynal fluid (CSF). Dɛn kin sɛn di sampul to wan lab fɔ mek dɛn tɛst am fɔ wetin de insay. pan lεk 80% pan di pipul dεm we gεt GBS, di wayt bכdi sεl kכnt na di CSF nכmal, bכt di protin lεvεl de εlevεt. Ɔda abnɔmal tin dɛn na di CSF kin sho se ɔda kɔndishɔn de.
• Imej tɛst: Yu dɔktɔ kin tɛl yu bak se yu fɔ du MRI (magnetic resonance imaging) skan fɔ di spayna.

Aw dɛn kin trit GBS?

If yu gɛt Guillain-Barré syndrome, yu kin nid fɔ de na ɔspitul in Intensive Care Unit (ICU) fɔ gɛt tritmɛnt. Dis na fɔ mek di mɛdikal tim go ebul fɔ wach yu gud gud wan fɔ si if yu gɛt prɔblɛm dɛn lɛk we yu nɔ ebul fɔ blo fayn ɛn chenj na di blɔd prɛshɔn we kin apin wit GBS.

Nɔr patikyula mɛrɛsin nɔr de fɔ Guillain-Barré syndrome. Bɔt sɔm tritmɛnt dɛn de we kin mek di sik nɔ bad ɛn shɔt tɛm fɔ mek i wɛl. Tu men tritmɛnt opshɔn dɛn de fɔ GBS:

• Plasma exchange (plasmapheresis): Insay dis tritmɛnt, wan mashin kin separet di plasma frɔm yu blɔd, trit am, dɔn i kin gi bak di plasma ɛn blɔd bak na yu bɔdi. Plasma exchange de filta di antibodi dɛm we de atak yu nerves frɔm yu plasma.
• Intravenous immunoglobulin therapy (IVIG): Insay dis tritmɛnt, dɛn kin gi prɔtin dɛn we dɛn kɔl immunoglobulins, we dɛn kin gɛda frɔm di blɔd fɔ bɔku bɔku pipul dɛn we gɛt wɛlbɔdi, insay wan vein (insay wan vein). dis imyunoglobulin dεm na protin dεm we wi imyun sistεm de mek fכ atak fכrin כganism dεm. IVIG kin ridyus di tɛm we yu imyun sistɛm de atak yu nerv dɛm.

Wit dɛn tu tritmɛnt ya, if dɛn bigin tritmɛnt insay tu wiks afta di GBS simptom bigin, di tɛm fɔ wɛl kin shɔt.

Tritmɛnt fɔ kɔmplikeshɔn dɛn

Kɔmplikɛshɔn kin apin we GBS afɛkt yu ɔtonomik nɛvɔ sistɛm ɛn mek yu bɔdi paralayz ɔl. Yu mɛdikal tim go wach aw yu de blo, aw yu at de bit, ɛn aw yu blɔd prɛshɔn. Dɛn go du sɔntin kwik kwik wan if ɛni prɔblɛm kam. Sɔm ɛgzampul fɔ tritmɛnt fɔ kɔmplikeshɔn na:

• Kia fɔ yu we yu de blo: If GBS afɛkt yu mɔsul dɛm we yu de blo, yu kin nid fɔ yuz mashin fɔ mek yu blo. Na lɛk 30% pan di pipul dɛm wae gɛt GBS kin gɛt prɔblɛm fɔ blo.
• Fɔ mek blɔd nɔ klɔt:We yu nɔ no natin ɛn yu de na ɔspitul bed fɔ lɔng tɛm, yu dɔktɔ kin gi yu mɛrɛsin lɛk heparin (wan antikɔagulɛnt) fɔ mek blɔd nɔ klɔt na yu dip vein dɛn (dip vein thrombosis).
• Fluid we dɛn kin put insay di bɛlɛ ɛn fɔ it di tiub: If i at fɔ swɛla, dɛn kin nid fɔ put wata insay di bɛlɛ fɔ mek yu nɔ gɛt wata ɛn it tru nasogastric tyub fɔ mek yu nɔ gɛt bɛtɛ it. Dis kin ɛp bak fɔ mek it ɔ wata nɔ go insay di winda ɛn mek yu gɛt aspireshɔn nyumonia.

Rihabiliteshɔn

As yu sik de go bifo, yu mɛdikal tim kin transfa yu to rihabiliteshɔn sɛnta. Na de, yu kin wok wit di wan dɛn we de mɛn yu bɔdi ɛn ɔda pipul dɛn we de mɛn yu fɔ gɛt trɛnk bak ɛn bigin fɔ du ɛksɛsayz fɔ ɛp yu fɔ go bak to di tin dɛn we yu de du ɛvride. Dɛn tritmɛnt ya kin bi:

• Fizik tritmɛnt: Dis kin ɛp fɔ mek yu bɔdi de muv fayn fayn wan. Wan dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ kɔntrol di sayn dɛm lɛk pen, stif, ɛn nɔr fil fayn. Dɛn kin ɛp yu bak fɔ du ɛksɛsayz fɔ mek yu mɔsul dɛn gɛt trɛnk bak.
• Occupational therapy: Dis tritmɛnt de ɛp yu smɔl smɔl fɔ mek yu ebul fɔ du di wok dɛn we yu de du ɛvride. Wan ɔkupeshɔn tɛrapist de tich yu aw fɔ tinap, sidɔm, muv, ɔ yuz difrɛn tin dɛn fɔ du yu wok sef wan.
• Tɛrapi fɔ tɔk: If GBS dɔn afɛkt di mɔsul dɛn na yu mɔt ɔ yu trot, dɔktɔ we de stɔdi bɔt aw yu de tɔk ɛn tɔk kin ɛp yu fɔ ebul fɔ swɛla ɛn tɔk bak.
• Di tin dɛn we de ɛp yu fɔ muv: Di tin dɛn lɛk ken, bres, tin fɔ waka, ɛn wilchia kin ɛp fɔ mek yu ebul fɔ muv fayn ɛn mek yu nɔ fɔdɔm. Dɛn kin ɛp bak fɔ mek yu nɔ taya.

Yu tink se dɛn kin mek dɛn nɔ gɛt GBS?

Bɔrku tɛm, dɛn nɔ kin ebul fɔ avɔyd di sik we dɛn kɔl Guillain-Barré syndrome. Risach pipul dɛn stil nɔ no wetin mek sɔm pipul dɛn kin gɛt GBS afta dɛn dɔn sik ɛn ɔda wan dɛn nɔ kin gɛt am. Bɔt wan tin we yu kin du fɔ ridyus di prɔblɛm we yu gɛt fɔ gɛt GBS na fɔ gɛt wɛlbɔdi as yu ebul. Dɛn step ya kin ɛp:

• Wash yu an ɔltɛm.
• Stay away frɔm pipul dɛm wae gɛt bɛlɛ flu ɔr ɔda infekshɔn.
• Strɔng yu imyun sistɛm bay we yu de it tin dɛn we go mek yu gɛt wɛlbɔdi ɛn du ɛksɛsayz ɔltɛm.
• Kip say dɛn we yu kin tɔch bɔku tɛm lɛk tebul, tɔys, domɔt knob, tɛlifon, ɛn tin dɛn we yu kin yuz fɔ was, klin ɛn gɛt disinfɛkt.
• Gɛt ɔl yu vaysin dɛn di rayt tɛm.

Wetin na di prɔgnosis fɔ pɔsin we gɛt GBS?

Di prɔgnosis fɔ pɔrsin wae gɛt Guillain-Barré syndrome kin difrɛn. Bɔrku pipul dɛm wae gɛt GBS kin gɛt bɔrku wɛl bɔdi insay sɔm mɔnt. כltu, lεk 30% pan di big pipul dεm – εn ivin mכr pikin dεm – kin stil gεt sכm digri fכ di mכsul dεm we wik tri ia afta dεn no di sik.

Yu tink se di sik we dɛn kɔl Guillain-Barré syndrome kin mɛn ɔltogɛda?

Bɔrku tɛm, di sayn dɛm fɔ Guillain-Barré syndrome kin bɛtɛ pasmak wit tɛm ɛn tritmɛnt. Bɔrku pipul dɛn kin bigin fɔ wɛl insay tu to tri wiks afta dɛn dɔn bigin fɔ gɛt di sik. De tɛm wae i kin tek fɔ wɛl kin kɔmɔt frɔm sɔm mɔnt to wan ia ɔr mɔr, i kin dipen pan aw de sik kin tranga.

Guillain-Barré syndrome ɛn layfspan

Pipul wae kin wɛl frɔm Guillain-Barré syndrome kin gɛt nɔrmal layf ɛkspɛkteshɔn. lεs dan 2% pan di pipul dεm de day frכm GBS di tεm we di akyu fεz de. Di kɔmɔn tin dɛn we kin mek pɔsin day we gɛt fɔ du wit GBS na:

• Nyumonia.
• Sepsis (blɔd pɔyzin).
• Akyu respiratɔri distres sindrom (ARDS).
• Blɔd we de klɔt na di lɔng dɛn (pulmonary embolism).
• Di at we de mek di at nɔ de wok.

Aw a go tek kia ɔf misɛf if a gɛt GBS?

Di prɔses fɔ wɛl frɔm Guillain-Barré syndrome kin slo fɔ sɔm pipul dɛm. Nɔ shek fɔ aks di wan dɛn we yu lɛk fɔ sɔpɔt yu bɔdi ɛn aw yu de fil. Yu mɛdikal tim de fɔ yu.

Wantɛm wantɛm, we yu nɔ bin de tink se yu go ebul fɔ no ɔ we yu nɔ ebul fɔ du natin, dat kin mek yu at pwɛl bad bad wan. If yu de fil strɛs bɔt GBS, tɔk to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs , lɛk pɔsin we de stɔdi bɔt pɔsin in maynd. Sɔpɔt grup kin ɛp yu bak fɔ kɔnɛkt wit ɔda pipul dɛn we gɛt di sem ɛkspiriɛns ɛn filin.

Guillain-Barré syndrome (GBS) na wan siriɔs sik wae kin chenj yu wɛl bɔdi wantɛm wantɛm. Di gud nyus na dat, bɔrku pipul dɛm wae gɛt GBS kin wɛl fayn fayn wan wit tritmɛnt. Bɔt, i kin tek tɛm. Di prɔses fɔ wɛl kin tranga ɛn kin taya. Mɛmba se yu mɛdikal tim de wit yu ɛvri step na di rod. Ɛn nɔ fɔgɛt fɔ gɛt sɔpɔt frɔm di wan dɛn we yu lɛk.

Lɛ wi mɛmba di tin dɛn we impɔtant pas ɔl (Take-Home Message)

• Guillain-Barré Syndrome na wan sik wae nɔr kin bɔrku wae wi yone imyun sistɛm kin atak wi yone nerves.
• Dis kin apin afta yu gɛt infekshɔn lɛk fiva, kol, ɔ dayarɛa.
• di men sayn dεm na we di mכsul dεm wik εn sכmtεm sכmtεm we de stat na di leg dεm εn spre to di כp pat na di bכdi.
• I nɔ kin izi fɔ blo, i nɔ kin izi fɔ swɛla, ɛn di mɔsul dɛn na di fes nɔ kin wok fayn bak.
• If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.Kwik tritmɛnt rili impɔtant.
• Tritmɛnt lɛk plasmapheresis ɛn IVIG kin kɔntrol di sik ɛn mek i wɛl kwik kwik wan.
• E kin tek sɔm tɛm fɔ wɛl, ɛn i kin nid fɔ gɛt tritmɛnt fɔ rihabiliteshɔn lɛk fɔ trit yu bɔdi fayn.
• Pan ɔl we bɔku pipul dɛn kin wɛl kpatakpata, sɔm kin stil gɛt sɔm wikɛd tin dɛn.
• Pan ɔl we i nɔ kin izi fɔ mek dɛn nɔ du dis, yu kin ridyus di prɔblɛm we yu gɛt if yu gɛt wɛlbɔdi.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Guillain-Barré syndrome, nyurolכjik sik dεm, imyun sistεm, mכsul wik, sכm, GBS, כtoimyun sik dεm