I rilru a buai a, i lu a buai em? Guillain-Barré Syndrome a ni thei!

I taksa hloh ang maiin i inhria thut em, a nih loh leh i taksa pengte chu a hring vek em? A châng chuan hei hi thil pawi tak chhinchhiahna a ni thei bawk. Vawiin hian chutiang natna pakhat chungchang kan sawi dawn a ni. Guillain-Barré Syndrome, a tawi zawngin GBS a ni. Hei hi thil awm lo tak ni mahse, hriat reng a pawimawh.

Guillain-Barré Syndrome hi eng nge ni?

A awlsam zawngin, Guillain-Barré Syndrome hi i taksa ngeiin i nervous system a beih theihna tur natna awm lo tak a ni . A bik takin i ke leh i taksa peng dang thlenga tlan peripheral nerve te chu a tichhe vek a ni. Heng nerve te hi i taksaa wire angin ngaihtuah rawh. Heng nerve te hi a chhiat chuan symptoms, rilru hahna, chak lohna, leh paralysis thlengin a awm thei a ni. Mahse, chanchin lawmawm a awm. Enkawlna dik tak a awm chuan mi tam zawk chu he natna atang hian an dam chhuak vek thei a ni.

He hming lam dan pawh hi a danglam deuh hlek a ni. English-ah chuan "ghee-AHN buh-RAY" tia lam tur a ni.

Tute nge GBS vei tam ber?

Guillain-Barré syndrome hian kum eng pawh a nghawng thei. Amaherawhchu, kum 30 leh 50 inkar ah a tam ber a, hei hian kum naupang leh kum chanve vel te pawh an hlauhawm tihna a ni.

Hei hi engtiang chiahin nge a hluar?

GBS hi a takah chuan natna hmuh tur awm lo tak a ni. Khawvel mihring tluklehdingawn 7.8 vel awmnaah hian kum tin mi 100,000 vel chauhvin he natna hi an vei niin an sawi. Chumi awmzia chu kum tin mi 78,000 zinga pakhat vel chu he natna hi hmuhchhuah thar an ni tihna a ni. Chuvangin, hei hi a awm vak lo.

GBS natna lan chhuah dan chu engte nge ni?

Guillain-Barré syndrome hian kan peripheral nerve a nghawng avangin, chu nerve-in a thunun thil, taksa ruh incheina, natna hriatna, temperature, leh khawih te chu a nghawng a ni.

GBS chhinchhiahna hmasa ber chu taksa ruh chak lohna leh/ emaw, rilru hahna (paresthesia) a ni. Heng symptoms te hi a lo lang nghal mai thin. Taksa sir lehlamah inang tlangin an nghawng fo thin . Tin, ke leh ke atanga intan a, zawi zawiin chunglam, kut leh hmai thlengin a darh thei bawk. Ke ruh a chak loh chuan kea kal emaw, stairs chhoh emaw a harsa thei hle. Mi pakhat, a pangngaia hna thawk tawh chuan a ke pahnih a hloh nghal a, a kal thei lo tih han mitthla teh.

GBS natna nasat dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms na lo tak tak an nei a, an dam leh thei bawk. Mi dangte chuan symptom na zawk an nei thei bawk. Natna nasat dan azirin a lan chhuah dan dangte chu:

• Hnung leh/ emaw ke ruh tight muscle na .
• Ke, kut, leh/ emaw hmai ruhte paralysis . A nasat chuan taksa pum pui a paralyze thei a ni.
• Chest muscle chak lohna. Hei hian thawk a ti harsa thei hle. Hetiang dinhmun hi GBS vei hmun thuma ṭhena hmun khat velah a awm ṭhin.
• Thusawi leh ei harsa (dysphagia) .
• Mit tihchet harsatna leh mit hmuh lohna .

GBS natna lan chhuahna chu darkar engemaw zat, ni engemaw zat, a nih loh leh kar engemaw zat chhungin zawi zawiin a lo lang thei a ni . Mi tam zawk chuan natna lan chhuah tirh atanga kar hnih chhungin natna na ber chu an tawng thin. Kar thumnaah chuan mi 90% vel chu an chak lohna lai ber an ni thei.

A pawimawh ber chu, i taksa ruh chak lohna (muscle weakness) i neih thut a, darkar engemaw zat emaw ni engemaw zat emaw chhunga a na zual a nih chuan doctor pan nghal rawh. GBS enkawlna hi a rang thei ang bera tan a pawimawh hle.

GBS avanga harsatna awm thei te chu engte nge ni?

GBS hian kan autonomic nervous system a nghawng a, chu chuan nunna atana hlauhawm harsatna a thlen thei a ni . Kan autonomic nervous system hian kan neih loh thil pawimawh tak tak, heart rate, thisen sang, leh chaw ei dan te chu a control a ni. He system a chhiat chuan dysautonomia an ti thin.

GBS avanga dysautonomia hian harsatna a thlen thei a, chungte chu:

• Cardiac arrhythmies a awm thei.
• Thisen sang a nghet lo.
• Chaw ei lama harsatna (gastrointestinal stasis) a awm.
• Zun control harsa, entirnan, zun chhuah loh.

GBS hi engte nge ni?

Guillain-Barré syndrome hi natna hrik kai hnua lo awm, immune-mediated neuropathy . Hei hi tlem han sawifiah leh ila:

• Post-infectious: He natna hi infection i neih hnuah a lo awm tlangpui. GBS vei zinga 70% vel chuan an natna atanga kar khat atanga kar ruk chhungin natna lanchhuahna an nei thin . Zirchiangtute chuan engvangin nge hetiang thil hi mi thenkhatah a thlen a, midangte chungah a thlen loh chhan chiang takin an la hre lo.
• Immune-mediated: Chumi awmzia chu kan immune system atanga chhanna dik lo avanga natna lo awm a ni tihna a ni. Mi thenkhat an damloh hian an immune system hian a chhang dik lo va, anmahni peripheral nerve te chu a attack a, a tichhia a ni. Hei hi GBS thlentu a ni. Autoimmune condition chi khat a ni bawk. Mahse, autoimmune natna tam tak ang lo takin GBS hi dam chhung zawnga natna a ni lo.
• Neuropathy natna: 1.1.Neuropathy hi nerve tichhe thei natna sawina tlangpui a ni. GBS-ah chuan a chhiatna chu peripheral nerve-ah a thleng thin. Kan immune system hian ni engemaw zat chhung chu heng nerve te hi rang takin a bei a, myelin (electric wire chhehvela insulation ang chi) an tih, venhimna khuhna chu a tichhia a ni.

Researcher te chuan infection thenkhat leh immune system nena inzawm thil dang GBS thlen thei an hmuchhuak a. Chung zingah chuan:

• Diarrhea emaw thawkna lama natna: GBS vei hmun thuma ṭhena hmun hnih vel chuan a lan chhuah hma kar tlemteah ril\am emaw, thawkna lama natna emaw an nei a. GBS thlentu ber chu ril\amna thlentu bacteria Campylobacter jejuni -in a kai a ni.
• Viral infection: GBS vei thenkhat chuan a hmain virus infection flu, cytomegalovirus, Epstein-Barr virus, leh Zika virus te pawh an lo nei tawh bawk.
• Vaccine: Very rarely , mi thenkhat chuan vaccine thenkhat an dawn atanga ni engemaw zat emaw kar engemaw zat emaw hnuah GBS an vei thin. Mahse hei hi a pawimawh hle: Vaccine pek hlawkna hian a hlauhawmna a tluk pha hle. Zirchianna atanga a lan dan chuan flu vaccine latu te hian flu vei te aiin GBS an vei tam zawk a ni.
• Surgery: A tlem hle a, eng surgery pawh hnuah GBS hi a awm thei.

Engtin nge `(GBS)` hi kan hriat theih ang?

Doctor-te chuan Guillain-Barré syndrome hi i natna lan chhuah dan leh i damdawi lam chanchin a zirin an hmuchhuak tlangpui . I doctor chuan engtin nge leh engtikah nge i natna lan chhuah tan tih te, tun hnaia natna i neih leh neih loh te a zawt ang che. Tin, taksa leh thluak exam an nei bawk ang a, taksa ruh chak lohna leh deep-tendon reflexes (hyporeflexia emaw areflexia emaw) tlahniam emaw awm lo emaw an enfiah ang.

Mahse, GBS ang chi symptom nei neurological condition dang tam tak a awm bawk. Chuvangin, i doctor chuan natna dang a awm loh nan test dang a ti leh thei bawk. Heng test-ah hian:

• Electromyography (EMG) leh nerve conduction test: Heng test te hian i ruh (skeletal muscles) (ruh nena inzawm muscle) leh a thununtu nerve te hriselna leh hnathawh dan a zirchiang a ni.
• Spinal tap / lumbar puncture hmanga tihdam theih a ni.Hetiang tihnaah hian i doctor chuan i hnungzang hnuai lamah needle a dah a, i cerebrospinal fluid (CSF) sample a la a. Sample hi a chhunga thil awm leh awm loh enfiah turin lab-ah thawn a ni. GBS vei zinga 80% vel chuan CSF-a thisen var cell count hi a normal a, mahse protein level a sang hle. CSF-a thil danglam dangte chuan dinhmun dang a kawk thei bawk.
• Imaging test: I doctor chuan ruhro MRI (magnetic resonance imaging) scan neih a rawt thei bawk.

GBS hi engtin nge enkawl a nih?

Guillain-Barré syndrome i neih chuan damdawi in Intensive Care Unit (ICU)-ah enkawlna atan i awm a ngai mai thei. Hei hi medical team-in GBS avanga thawk harsatna leh thisen sang inthlak danglamna te uluk taka an enfiah theih nan a ni.

Guillain-Barré syndrome hi damdawi chiang tak a awm lo. Amaherawhchu, natna nasatzia tihziaawmna tur leh dam hun ti tawi thei tur enkawlna a awm. GBS hi enkawlna kawng hrang hrang pahnih a awm a, chungte chu:

• Plasma exchange (plasmapheresis): Hetianga enkawlnaah hian machine pakhatin i thisen atanga plasma chu a then hrang a, a enkawl a, chumi hnuah plasma leh thisen chu i taksaah a rawn thawn let leh thin. Plasma exchange hian i plasma atanga i nerve beitu antibodies te chu a filter chhuak thin.
• Intravenous immunoglobulin therapy (IVIG): He enkawlnaah hian mi hrisel sang tam tak thisen atanga lakkhawm immunoglobulins an tih protein te chu thisenah (vein pakhatah) pek a ni. Heng immunoglobulins te hi kan immune system hian a pianphung atanga siam chhuah protein a ni a, ram dang thil nungte bei turin a siam chhuak thin. IVIG hian i immune system-in i nerve a beih hun chhung a tihtlem thei a ni.

Heng enkawlna pahnih hmang hian GBS natna lan chhuah tirh atanga kar hnih chhunga enkawl tan a nih chuan a dam hun chhung hi a tawi thei a ni.

Harsatna awm thei enkawlna

GBS hian i autonomic nervous system a nghawng a, i taksa chu a paralyze vek a nih chuan complication a awm thei. I medical team chuan i thawk dan, heart rate leh blood pressure te uluk takin an enfiah ang. Harsatna a awm chuan an che nghal vat ang. Complication enkawl dan entirnan thenkhat chu:

• Thluak lam enkawlna: GBS hian i thawkna thau a nghawng a nih chuan mechanical ventilation i mamawh mai thei. GBS vei zinga 30% vel chuan thawk harsa an ti hle.
• Thisen zam venna: 1.1.I rilru a buai em em a, damdawi in khumah rei tak i awm chuan i doctor chuan i thisen zam thuk takah thisen zam (deep vein thrombosis) a awm loh nan heparin (anticoagulant) ang chi damdawi a pe thei che a ni.
• Intravenous fluids leh tube feeding: Chaw ei a harsat chuan dehydration ven nan intravenous fluids a ngai thei a, malnutrition ven nan nasogastric tube hmanga chaw pek a ngai thei bawk. Hei hian ei tur emaw tui emaw thlipui chhunga lut tur leh aspiration pneumonia thlen lohna turin a pui thei bawk.

Rehabilitation neih a ni

I dinhmun a ṭhat chhoh zel chuan i medical team chuan rehabilitation center-ah an sawn thei che a ni. Chutah chuan physical therapist leh therapist dangte nen thawk hovin i chakna i nei leh thei a, nitin hnathawhnaah i kir leh theih nan exercise i tan thei bawk. Heng enkawlnate hi a hnuaia mi ang hian a ni thei:

• Physical therapy: Hei hian i taksa che vel a titha thei a ni. Physics therapist chuan natna, rilru hahna, leh hahdam lohna ang chi symptoms te chu a enkawl thei che a ni. Tin, taksa chakna i neih leh theih nan exercise i tih theih nan an pui thei bawk.
• Occupational therapy: He enkawlna hian zawi zawiin nitin hna i thawh theihna a tipung a. Occupational therapist chuan i hna him taka thawk turin ding dan te, thut dan te, che dan te, hmanraw chi hrang hrang hman dan te a zirtir che a ni.
• Speech therapy: GBS hian i kâ emaw, i rilru emawa ruh a nghawng a nih chuan, speech-language pathologist chuan i ei leh in theihna leh thusawi theihna chu a neih leh theih nân a ṭanpui thei che a ni.
• Mobility aids: Cane, brace, walker, leh wheelchair ang chi device te hian i kal theihna a tichak thei a, tlu lo turin a pui thei bawk. Chauhna tihziaawmna atan pawh an pui thei bawk.

GBS hi ven theih a ni em?

A tam zawkah chuan Guillain-Barré syndrome hi ven theih a ni lo. Mi thenkhatin natna an neih hnua GBS an neih a, thenkhatin an neih loh chhan hi zirchiangtute chuan an la hre lo. Mahse, GBS vei theihna tihziaawmna tura i tih theih pakhat chu a theih ang anga hrisel taka awm hi a ni. Heng step te hian a pui thei a ni:

• Kut sil fo thin ang che.
• Stomach flu emaw natna dang emaw nei te lakah inthiarfihlim rawh.
• Chaw hrisel ei leh exercise neih fo hmangin i taksa hriselna tichak rawh.
• Table, infiamna, kawngkhar, telephone, leh bathroom fixture ang chi khawih fo thinna hmunte chu fai leh disinfected-in vawng reng ang che.
• I vaccine zawng zawng chu a hun takah la vek rawh.

GBS vei tan chuan eng prognosis nge a awm?

Guillain-Barré syndrome vei tan chuan prognosis a inang lo thei. GBS vei tam zawk chuan thla engemaw zat chhungin nasa takin an dam leh thin. Mahse, puitling 30% vel – leh naupang tam zawk pawh – an hmuhchhuah hnu kum thum hnuah pawh taksa ruh chak lohna engemaw chen an la nei thei tho.

Guillain-Barré syndrome hi tihdam theih vek a ni em?

A tam zawkah chuan Guillain-Barré syndrome symptoms hi hun leh enkawlna a zirin nasa takin a tha chho thin. Mi tam zawk chuan an natna lan chhuah tirh atanga kar hnih atanga kar thum chhungin an dam tan thin. A dam kim theihna hun chhung hi thla engemaw zat atanga kum khat emaw a aia rei emaw a ni thei a, chu chu natna nasat dan azirin a ni.

Guillain-Barré syndrome leh dam chhung zawng

Guillain-Barré syndrome atanga dam lehte chu an dam rei zawng pangngai an ni. Acute phase-ah hian GBS vangin mi 2% aia tlem an thi. GBS nena inzawm thihna thlentu tlangpui chu:

• Pneumonia natna (Pneumonia) a ni.
• Sepsis (thisen avanga rimchhia).
• Acute thawk lama harsatna nei (ARDS) a ni.
• Lung chhunga thisen zam (pulmonary embolism).
• Lung natna (Cardiac arrest) a awm.

GBS ka neih chuan engtin nge ka in enkawl ang?

Guillain-Barré syndrome atanga dam lehna hi mi thenkhat tan chuan a slow thei hle. I hmangaih tak takte hnen atangin taksa leh rilru lama tanpuina zawng hreh suh. I medical team te chu i tan an awm reng a ni.

Beisei loh taka hriatna hloh emaw, chak lohna emaw chuan lungngaihna nasa tak a thlen thei a ni. GBS chungchangah hian i stress a nih chuan mental health professional , psychologist ang chi te nen inbia ang che. Support group hian midangte nena inzawmna leh rilru put hmang inang nei te nena inzawmna siam turin a pui thei bawk che.

Guillain-Barré syndrome (GBS) hi natna khirh tak a ni a, i hriselna a tidanglam nghal thei a ni. Thu lawmawm tak chu GBS vei tam zawk hi enkawl an nih chuan an dam tha hle. Amaherawhchu, hun a la ngai thei. Recovery process hi a harsa thei a, a hahthlak thei bawk. I medical team te chu i kalna apiangah an awmpui reng tih hre reng ang che. Tin, i hmangaih tak takte hnen atangin thlawpna i dawng thei bawk ang.

Thil pawimawh ber ber (Take-Home Message) i hre reng ang u.

• Guillain-Barré Syndrome hi natna hmuh tur awm lo tak a ni a, kan taksa hriselna (immune system) hian kan nerve (nerve) a bei nasa hle.
• Hei hi natna hrik kai hnuah khawsik, khawsik emaw, riltam emaw hnuah a thleng tlangpui.
• A lan chhuah dan ber chu taksa ruh chak lohna leh rilru hahna a ni a, ke atanga intan a, taksa chunglam thlengin a darh thin.
• Thâwk harsa, ei harsa, leh hmai ruh (facial muscle dysfunction) a awm thei bawk.
• Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.Enkawl vat a pawimawh hle.
• Plasmapheresis leh IVIG ang chi enkawlna hian natna a thunun thei a, a dam thuai thei bawk.
• A dam leh theih nan hun engemaw chen a la ngai thei a, taksa enkawlna ang chi rehabilitation treatment a ngai thei bawk.
• Mi tam zawk chu dam chhuak vek mah se, ṭhenkhat chu chak lohna ṭhenkhat nen an awm reng thei.
• Hei hi ven harsa tak ni mah se, hrisel taka awmin i hlauhawmna chu i tihtlem thei a ni.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` Guillain-Barré syndrome, thluak lam natna, taksa hriselna, taksa chak lohna, rilru hahna, GBS, autoimmune natna