Kuba akafaananyi ng’olina omusujja oba olubuto oluluma ennaku ntono emabega nga kati owulira bulungi katono. Naye amangu ago owulira ng’okulaba kwo kuzibuwalira katono, ebintu obiraba mu bitundu bibiri. Owulira nga totebenkedde ng’otambula, amagulu go gatabuka. Singa ekintu nga kino kibaawo, buli omu yanditidde nnyo, nedda? Leero twogera ku mbeera ereeta obubonero nga buno, abantu bangi gyebatawulirangako, naye nga kikulu nnyo okumanya. Ogwo gwe bulwadde bwa Miller Fisher Syndrome.
Mu ngeri ennyangu, obulwadde bwa Miller Fisher Syndrome kye ki?
Obulwadde bwa Miller Fisher bulwadde bwa busimu obutatera kulabika nnyo. Oyinza okuba nga wali owuliddeko ku bulwadde bwa Guillain-Barré syndrome (GBS). Era bulwadde abaserikale baffe mwe balumba obusimu bwaffe. Obulwadde bwa Miller Fisher syndrome nkyukakyuka ya GBS. Tekitera kubaawo nnyo ne kiba nti kikwata wakati wa 1% ne 5% ku balwadde ba GBS mu mawanga g’amawanga g’obugwanjuba. Kyokka mu mawanga agamu mu Asia nga Taiwan ne Japan, omuwendo guno gusingako katono. Kale osobola okukitegeera nti buno si bulwadde bwa bulijjo. Naye kikulu nnyo okukimanya ku kino.
Lwaki kino kibaawo? Ensonga ze ziruwa?
Kino kye kintu ekisinga obukulu. Obulwadde bwa Miller Fisher syndrome ne GBS byombi bikula nga biddamu yinfekisoni eyingira mu mibiri gyaffe.
Mu ngeri ennyangu, enkola yaffe ey’okwekuuma, abaserikale b’omubiri, ‘etabulwa’ katono era mu kifo ky’okulwanyisa yinfekisoni, etandika okulumba obusimu bwaffe mu nsobi. Abasawo n’okutuusa kati tebamanyi kituufu kivaako kino. Obubonero buno butera okulabika mu nnaku ntono okutuuka ku wiiki 4 ng’olina obulwadde naddala okulumwa olubuto ng’ekiddukano, oba obulwadde bw’okussa (omusujja, ssennyiga). Obuwuuka obukulu obuyinza okuleeta embeera eno ye `Campylobacter jejuni`. Kino kye kitera okuvaako okuzimba olubuto n’ekiddukano. Ng’oggyeeko ekyo, waliwo n’akawuka akayinza okuleeta embeera eno:
- Akawuka ka Zika
- Akawuka akalwaza abaserikale b’omubiri ( HIV ) .
- Akawuka ka Epstein-Barr, akaleeta obulwadde obulinga omusujja mononucleosis.
Obubonero bwe buliwa? Kino okitegeera otya?
Abantu bangi bagenda ew'omusawo
kubanga okulaba kwabwe kukendeera mangu mu nnaku ntono ne
bafuna obuzibu okutambula . Waliwo obubonero busatu obukulu obulaga obulwadde bwa Miller Fisher. Bino katubitegeere mu mmeeza.
| Akabonero akakulu | Mu ngeri ennyangu, kiki ekibaawo? |
|---|
| Obunafu bw’ebinywa by’amaaso (Ophthalmoplegia) . | Okulaba emirundi ebiri kubaawo, era kifuuka kizibu okufuga n’okulungamya amaaso mu kkubo ly’oyagala. |
| Okufiirwa bbalansi (Ataxia) . | Nneesittala nga ntambula, mpulira nga nvudde ku bbalansi. Nfuna obuzibu okukwasaganya ebitundu byange eby’omubiri. |
| Obulwadde bwa Areflexia | Ebintu ng’omusawo bw’akukuba okugulu n’ennyondo entono, okugulu tekujja kutambula. Ebitundu by’omubiri ebiyitibwa reflexes bibula. |
Ng’oggyeeko obubonero buno obukulu obusatu, abantu abamu bayinza okulaga obubonero obulala:
- Ebitundu by'amaaso ebigaziye .
- Okunafuwa kw’ebinywa by’omu maaso
- Ebinywa by’emimiro okunafuwa (okukendeera kwa gag reflex) .
Ekikulu: Singa obubonero buno buwerekerwako obunafu mu bitundu byo n’ebinywa by’okussa, kiyinza okuba embeera eyitibwa GBS-MFS overlap syndrome. Akabonero akakulu aka GBS bwe bunafu obutandikira mu magulu ne busaasaana mu mubiri gwonna.
Omusawo akizuula atya kino?
Kizibu katono okuzuula obulwadde buno mu butuufu. Kubanga waliwo endwadde endala nnyingi ez’obusimu ezirina obubonero obufaananako bwe butyo. Okugeza endwadde nga `Basal meningitis`, `Botulism`, `Brainstem stroke`, `Myasthenia Gravis`. N’olwekyo, omusawo ajja kukukebera n’obwegendereza, akubuuze ku bubonero bwo n’endwadde z’ofunye gye buvuddeko. Olwo, agenda kukola ebigezo ebiwerako okukakasa obulwadde buno.
| Ekigezo | Mu ngeri ennyangu, kiki ky’okola/olaba nakyo? |
|---|
| Okufumita mu kifuba | Amazzi amatono ageetoolodde omugongo gwo (amazzi g’omugongo) gatwalibwa ne gakeberebwa oba galimu puloteyina nnyingi. Kino kitera okulinnya mu balwadde ba Miller Fisher. |
| Okukebera Omusaayi | Omusaayi gukeberebwa okulaba oba gulimu ekirungo ekiziyiza endwadde ekiyitibwa `anti-GQ1b`, ekikwata ku bulwadde buno. Antibody eno esobola okulabibwa mu balwadde 95%. |
| Okunoonyereza ku kutambuza obusimu (EMG) . | Amasannyalaze amatono ennyo agataliimu bulumi gakozesebwa okupima obusimu n’ebinywa byo bwe bikola obulungi. Obulwadde buno bulaga ebimu ebitali bya bulijjo mu busimu. |
| MRI Scan | Okukebera kuno kukolebwa okugoba embeera endala, gamba ng’okusannyalala. Mu Miller Fisher, MRI etera okulaga ebivaamu ebya bulijjo. |
Bujjanjabi ki obukolebwa ku kino? Kitwala bbanga ki okuwona?
Okusookera ddala, tewali ‘ddagala’ lyetongodde liyinza okuwonya ddala obulwadde buno.
Wabula waliwo obujjanjabi obulungi ennyo obuyinza okuyamba okufuga obubonero n’okukuyamba okudda engulu amangu. Omuntu alina obubonero buno atera okuweebwa ekitanda mu ddwaaliro. Kino kikoleddwa okulondoola n’obwegendereza abantu abalina obulwadde bwa GBS obw’amaanyi. Kubanga oluusi GBS eyinza okutta omuntu. Enkola bbiri enkulu ze zikozesebwa ng’obujjanjabi: 1.
Intravenous Immunoglobulin (IVIg): Lino ddagala lya mazzi eriringa omunnyo eriweebwa mu musuwa. Mulimu obutoffaali obuziyiza endwadde obulongooseddwa obwawuddwa okuva mu plasma y’omusaayi gw’enkumi n’enkumi z’abantu abalamu. Kino kiweebwa obutasalako okumala ennaku nga 5. 2.
Okuwanyisiganya Plasma (Plasmapheresis): Eno nkola erimu ebizibu. Mu ngeri ennyangu, omusaayi omutono guggyibwa mu mubiri gwo, ekyuma eky’enjawulo kiggyawo plasma eriko obuzibu (ekitundu ekirimu obuziyiza obulumbagana obusimu) ne kigikyusa n’obutoffaali bwo obw’omusaayi wamu ne plasma ekyusibwa. Kino kikolebwa emirundi nga 5 mu bbanga lya wiiki bbiri. Ebinywa byo bwe biba binafu nnyo oluvannyuma lw’obujjanjabi buno, oyinza
okwetaaga obujjanjabi bw’omubiri okuddamu okubinyweza.Kyetaagisa. Ku ky’okuwona, ebiseera ebisinga kitwala wakati wa wiiki 8 ne 12 okuwona obulungi.
Abantu abasinga bawona ddala mu myezi 6. Omuwendo gw’okuddamu okulwala guli wansi wa 3%. N’olwekyo, okuzuula amangu obulwadde n’okubujjanjaba bye bintu ebisinga obukulu.
Obubaka Obutwala Awaka
- Obulwadde bwa Miller Fisher bulwadde obutatera kulabika ng’abaserikale baffe bennyini balumba obusimu olw’obulwadde obwaakakwatibwa.
- Obubonero obukulu bwe bunafu bw’ebinywa by’amaaso ( okulaba emirundi ebiri ), okubulwa bbalansi (okukaluubirirwa okutambula), n’okubulwa ebirowoozo by’amaaso.
- Singa ggwe oba omuntu gw’omanyi afuna obubonero buno mu bwangu, laba omusawo mu bwangu. Tosattira naye era tolwawo.
- Eno mbeera esobola okujjanjabibwa n’okuweebwa ekitanda mu ddwaaliro n’okujjanjaba omubiri , era abantu abasinga bawona mu bujjuvu.
Miller Fisher Syndrome, Guillain-Barré syndrome, Endwadde z’obusimu, Okubulwa okulaba, Okukaluubirirwa okutambula, GBS, Endwadde z’abaserikale b’omubiri
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