Yu kin imajin se smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Na stori we de mek pɔsin fred. Bɔt dis na di rial tin bɔt wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl
Guillain-Barré Syndrome (GBS). Bɔrku tɛm i kin kam afta yu dɔn wɛl frɔm wan kɔmɔn bɛlɛ bɔg (lɛk janda) ɔr infekshɔn na yu respiratory (lɛk
kol ).
Fɔ tɔk am simpul wan, wetin na Guillain-Barré syndrome (GBS)?
Fɔ tɔk am simpul wan, GBS na we wi bɔdi in difɛns sistɛm,
we na di imyun sistɛm , kin bigin fɔ atak wi yon nɛv dɛn wantɛm wantɛm. I tan lɛk se wi yon ami aksidɛntli atak wi yon pipul dɛn. Tink bɔt am lɛk se wi nerv dɛn tan lɛk ilɛktrik waya. Na plastic sheath de rawnd dɛn waya ya as insuleshɔn, nɔto so? Semweso, wan tin we de protɛkt wi nerv dɛn bak we dɛn kɔl
maylin . we GBS de divεlכp, wi imyun sistεm de atak da maylin sεt de. we dis sεf dεn dכn pwεl, di mεsej dεm we de kכmכt na di bren nכ de rich di mכsul dεm fayn fayn wan. Di rizin na dat di mɔsul dɛn kin wik, i kin swɛla, ɛn sɔntɛnde i kin paralayz ɔl.
Dis nɔto sik we pɔsin kin gɛt ɔ we pɔsin kin gɛt frɔm in mama ɛn papa. Bɔt na sik we nid fɔ go to dɔktɔ kwik kwik wan . So, i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw di fɔs sayn dɛn dɔn sho.
Wetin na di men kayn GBS?
Bɔku men kayn GBS de, bɔt di fɔs kayn na di wan we kɔmɔn pas ɔl na Sri Lanka.
| Di kayn sik we pɔsin kin gɛt | Speshal wok |
|---|
| Akyu inflammatory dimyelinatin poliradikulonyuropati (AIDP) . | Dis na di kayn we we pipul dɛn kin gɛt mɔ. pan dis kayn we, di mכsul dεm we wik de bigin na di lεg dεm εn i de spre כp כlsay na di bכdi. |
| Sindrom we nem Miller Fisher (MFS) we gɛt di sik. | Dis kin apin na di kɔntri dɛn na Eshia. I kin bigin fɔs wit prɔblɛm fɔ muv di yay. Fɔ lɔs balans we yu de waka na sayn bak. |
| AMAN ɛn AMSAN tayp dɛn | Dɛn tin ya kin apin mɔ na kɔntri dɛn lɛk Chaina ɛn Jepan. Di sayn dɛm kin tranga pas ɔda kayn. |
Di tin dɛn we kin mek pɔsin gɛt GBS ɛn di tin dɛn we kin mek i gɛt prɔblɛm
Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt GBS. Bɔt dɔktɔ dɛn biliv se sɔm infɛkshɔn dɛn kin chenj di we aw wi nerve sɛl dɛn tan, ɛn dis kin mek di imyun sistɛm tink se dɛn na ɛnimi. Na lɛk tu-tɛd pan di pipul dɛm wae gɛt GBS kin gɛt bɛlɛ sik lɛk dayarɛa ɔr kin gɛt infεkshɔn na di say we dɛn de blo lɛk kol sɔm dez ɔr wik bifo di nyurolɔjik simptom dɛn bigin.
Sɔm pan di men tin dɛm wae kin ɛp fɔ mek GBS gɛt dis sik na:- Campylobacter bacteria: Dɛn kin tek dis baktri we kin pas tru chukchuk we nɔ kuk fayn, as di men tin we kin mek pɔsin gɛt GBS .
- Influɛnsa vayrɔs
- COVID -19 vayrɔs
- Saytomɛgalovayrɔs
- Epstein-Barr Vayrɔs we dɛn kɔl Epstein-Barr
- Zika vayrɔs
- Epataytis A , B, C ɛn E
- HIV vayrɔs
- Sɔm ɔpreshɔn ɔ aksidɛnt dɛn
- Na rare kes, sɔm vaysin (e.g. Johnson & Johnson ɛn AstraZeneca COVID-19 vaysin)
Nɔto ɔlman we gɛt dis infɛkshɔn go gɛt GBS. Na wan pan ɛvri milyɔn pipul dɛn nɔmɔ de pan denja.
Us sayn dɛn yu fɔ tek tɛm luk fɔ?
Di sayn dɛm fɔ GBS kin apia kwik kwik wan, sɔmtɛm i kin tranga insay sɔm awa ɔr dez.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Wan tin we de mek yu fil lɛk ant we de kray na yu fut finga dɛn, yu anklɛ, yu finga dɛn, ɛn yu an. |
| Di mɔsul dɛn we wik | Wan filin we nɔ gɛt layf we kin bigin na di leg dɛn ɛn smɔl smɔl i kin go na di ɔp pat dɛn na di bɔdi. |
| I nɔ izi fɔ waka | A nɔ kin balans we a de waka ɛn i nɔ kin izi fɔ mi fɔ klaym stej. |
| Fes chenj | I kin at fɔ tɔk, fɔ it it, ɛn fɔ swɛla. Yu kin si wan ɔ tu tin na ɔl tu yu yay (dɔbul vishɔn). |
| I kin fil pen bad bad wan | Wan pen we pɔsin kin chuk, we kin chuk pɔsin na di mɔsul dɛn na di bɔdi. Dis pen kin wɔs mɔ na nɛt. |
| Ɔda tin dɛn we de apin | di at rit we de go ɔp, di blɔd prɛshɔn we de ɔp ɛn dɔŋ, we i nɔ ebul fɔ kɔntrol di urine ɛn stɔl, i nɔ izi fɔ blo. |
I rili impɔtant: If yu nɔ fil fayn wantɛm wantɛm ɛn i de wɔs fɔ sɔm awa, ɔ if i nɔ izi fɔ yu fɔ blo ɔ swɛla, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis nɔto sɔntin we wi fɔ delay.
Aw di dɔktɔ kin no bɔt dis sik?
Bikɔs di sayn dɛm fɔ GBS tan lɛk ɔda nyurolɔjik sik dɛm, di dɔktɔ go du bɔku tɛst fɔ mek shɔ se ɔda sik nɔ de.
- Kwɛshɔn fɔ yu: Aks tin dɛm lɛk aw ɛn ustɛm yu sik bigin, ɛn if yu dɔn gɛt ɛni sik we yu dɔn gɛt dis biɛn tɛm.
- Nεvɔs sistεm tεst: Dis de tεst yu mכsul dεm trεnk, aw yu de waka, bεlε, εn aw yu de rifleks.
- spεnal tap / lכmba pankshכn: Dis involv fכ put wan rili tכn nidul insay yu lכw bכk εn tek sכm sכm di wata we de rawnd yu spεnal kכd (sεribrospεnal fכluid) εn sεnd am to lab fכ tεst. if di protin lεvεl dεm na dis fכluid hכy, na sayn fכ GBS.
- Nyurolכjik fכnshכn tεst dεm:
- ilektromayografi (EMG): dis na fכ put fayn fayn εlektrod dεm we lεk nidul insay di mכsul dεm fכ mכsu di nεv dεm we de wok.
- Nεv kכndukshכn stכdi: dis de mכsu di spid we di nεv impuls dεm de travul bay we dεn de put εlektrod dεm na di skin εn sεnd sכm sכm ilektrikal kכrant. Dis spid de slo na GBS.
- MRI skan: Yu kin gɛt MRI skan bak fɔ yu bren ɔ yu spayna.
Wetin na di tritmɛnt dɛn?
If dɛn no se yu gɛt GBS, yu nid fɔ bigin tritmɛnt wantɛm wantɛm. Bɔku tɛm dɛn go trit yu na di intensiv kia yunit (ICU) na ɔspitul. Tu men tritmɛnt de: 1.
Plasma exchange / Plasmapheresis: Dɛn kin put yu blɔd insay spɛshal mashin, ɛn di likwid pat pan yu blɔd (plasma) kin separet. Dis plasma gɛt antibodi dɛn we de pwɛl di nerv dɛn. Di mashin de pul dɛn bad bad antibodi ya ɛn put gud blɔd sɛl dɛn bak insay yu bɔdi. 2.
Immunoglobulin therapy: Dɛn kin gi yu bɔku bɔku gud antibodi dɛm we dɛn tek frɔm pipul dɛm we gɛt wɛlbɔdi tru wan saline solution. Dɛn gud antibodi ya de ridyus di aktiviti fɔ di bad antibodi dɛm na yu bɔdi. Apat frɔm dɛn men tritmɛnt ya, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen, tin dɛn we de mek yu blɔd tan, ɛn if nid de, dɛn go gi yu tin fɔ it tru tiub bikɔs yu nɔ ebul fɔ swɛla it.
If yu nɔ ebul fɔ blo bɛtɛ, yu kin nid fɔ kɔnɛkt yu to ventilator fɔ sɔm tɛm. We yu de wɛl, yu go nid fɔ du trɛnk trenin wit di ɛp fɔ fizik tɛrapi ɛn ɔkupeshɔn tɛrapi.
Aw fɔ wɛl ɛn aw tumara bambay go tan lɛk?
Di sik kin rich in mak 2-3 wik afta di sik bigin. Afta dat, i kin bigin fɔ wɛl smɔl smɔl.
- Na lɛk 80% pan di sik pipul dɛn kin ebul fɔ waka we dɛn nɔ gɛt ɛni ɛp insay 6 mɔnt.
- Na lɛk 60% pan di sik pipul dɛn kin gɛt ful mɔsul trɛnk bak insay wan ia.
- Fɔ wɛl kin tek bitwin 6-12 mɔnt, ɛn fɔ sɔm kin tek 3 ia.
Pikin dɛn we gɛt GBS kin wɛl kwik pas big pipul dɛn. Wae yu dɔn wɛl frɔm GBS, yu kin liv nɔrmal layf.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt swɛt ɔ yu fil se yu wik we bigin na yu leg ɛn spre yu bɔdi, nɔ ignore am.
- If dɛn sik ya kam wit prɔblɛm fɔ blo ɔ fɔ swɛla, na mɛdikal imejensi . Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- GBS na sik we nɔ kin bɔku bɔt we kin rili siriɔs. Bɔt if dɛn bigin fɔ trit am kwik, bɔku pipul dɛn kin wɛl ful wan.
- Nɔ panik. If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm fɔ advays.
Guillain-Barré Syndrome, GBS, nyuropati, leg we de sכmtεm, sכmtεm sכmtεm, imyun sistεm, maylin
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