Kea hriatna hloh nghal mai em? He natna hmuh tur awm lo, Guillain-Barré Syndrome hi i zir dawn nia.

I ke ruh zungbun atanga intan natna te tak te chu i taksa pum puiah zawi zawiin a darh thei a, i ke ruhte chu a ti na thei a, i ke ruh chu a tichak lo thei hial ang tih i ngaihtuah thei em? Thu hlauhawm tak a ni. Mahse hei hi neurological disorder hmuh tur awm lo tak Guillain-Barré Syndrome (GBS) tih tak takna a ni. I pum chhunga natna hrik (jaundice ang chi) emaw thawkna lama natna ( khawsik ang chi) atanga i dam leh hnuah a lo awm fo thin.

A awlsam zawngin, Guillain-Barré syndrome (GBS) hi eng nge ni?

A awlsam zawngin sawi ila, GBS chu kan taksa invenna system, immune system , chuan kan nerve te chu a rawn bei nghal mai a ni. Kan sipaite ngeiin kan mite an rawn beih palh ang mai a ni. Kan nerve te hi electrical wire ang maiin han ngaihtuah teh. Heng wire vel hi insulation atan plastic sheath a awm a ni lawm ni? Chutiang bawkin kan nerve pawh hi myelin tih hming puin a hual vel a ni. GBS a lo awm chuan kan immune system chuan chu myelin sheath chu a bei thin. He sheath hi a chhiat chuan thluak atanga message lo lut chu taksa ruh (muscles) ah a thleng tha lo. Chumi rah chhuah chu taksa ruh chak lohna, rilru hahna, leh a châng chuan paralysis vek a ni.

GBS chi hrang hrangte chu engte nge ni?

GBS hi chi hrang hrang a awm a, mahse a chi khatna hi Sri Lanka-ah chuan a tam ber a ni.

GBS vei chhan leh a hlauhawmna

GBS awm chhan dik tak erawh hriat a la ni lo. Mahse, doctor-te chuan natna hrik ṭhenkhatin kan nerve cell awm dan a tidanglam a, chu chuan immune system-in hmêlma anga a ngaih sual phah niin an ngai. GBS vei hmun thuma ṭhena hmun hnih vel chuan neurological symptoms a lo lan hma ni engemaw zat emaw, kar engemaw zat emaw chhungin pum natna, ril\am emaw, thawkna lam natna emaw, khawsik ang chi emaw an nei a ni. GBS thlentu thil pawimawh thenkhat chu:

• Campylobacter bacteria: He bacteria hi vawk tui lo hmanga kai a ni a, GBS thlentu ber nia ngaih a ni.
• Influenza virus a ni
• COVID -19 hri kai a ni
• Cytomegalovirus hmanga natna hrik pai a ni
• Epstein-Barr Virus atanga lo chhuak a ni
• Zika virus a ni
• Hepatitis A , B, C leh E te an ni
• HIV hrik pai a ni
• Surgery emaw accident emaw thenkhat
• A tlem berah chuan vaccine thenkhat (e.g. Johnson & Johnson leh AstraZeneca COVID-19 vaccine)

Hetiang natna vei zawng zawng hian GBS an vei vek dawn lo. Mi maktaduai khat zinga pakhat chauh hi hlauhawmah an awm.

Eng symptom nge i fimkhur tur?

GBS symptoms hi a lo lang nghal vat thei a, a chang chuan darkar tlemte emaw ni engemaw zat chhungin a na zual thei bawk.

He natna hi Doctor hian engtin nge a hriat chian?

GBS natna lan chhuah dan hi thluak lam natna dang nen a inang avangin doctor chuan natna dang a awm loh nan test eng emaw zat a kalpui ang.

• Zawhna zawh che: Engtin nge i natna lan chhuah dan leh engtikah nge a lo intan tih te, tun hnaia natna i neih leh neih loh zawh te.
• Nervous system test: Hei hian i taksa chakna, i kal dan, i balance leh i reflexes te a test thin.
• Spinal tap / Lumbar puncture: Hei hi i hnungzang hnuai lam ah needle te tak te tak te dahin i spinal cord vel a tui tlem te (cerebrospinal fluid) lak a, lab-ah test turin thawn a ni. He fluid-a protein level a san chuan GBS chhinchhiahna a ni.
• Neurological function test hrang hrang: 1.1.
• Electromyography (EMG): Hei hian nerve activity tehna atan muscle chhungah needle ang chi electrode tha tak tak dah a ni.
• Nerve conduction study: Hei hian vunah electrode dahin electrical current tlemte thawnin nerve impulse kal chak dan a teh a ni. He speed hi GBS ah chuan a slow a ni.
• MRI scan: I thluak emaw, i ruhro emaw MRI scan i nei thei bawk.

Enkawlnate chu engte nge ni?

GBS i vei tih hmuhchhuah a nih chuan enkawl tan nghal a ngai a ni. Hospital-a intensive care unit (ICU)-ah enkawl i ni fo ang. Enkawlna chi hnih a awm a, chungte chu: 1. Plasma exchange / Plasmapheresis: I thisen chu machine bikah dah a ni a, i thisen liquid part (plasma) chu a inthen a. He plasma hian nerve tichhe thei antibody a pai a. Machine hian heng antibody tha lo te hi a paih chhuak a, thisen cell tha te chu i taksaah a dah leh thin. 2. Immunoglobulin therapy: Mi hrisel hnen atanga antibody tha tak tak lak chhuah tam tak chu saline solution hmangin pek che a ni. Heng antibody tha te hian i taksa chhunga antibody tha lo te hnathawh a ti tlem a ni. Heng enkawlna lian ber berte bakah hian natna tidamtu, thisen tizautu damdawi te pek i ni ang a, a tul chuan tube hmangin chaw i ei theih loh avangin i chawm ang. Thâwk harsatna a lo nasat chuan hun eng emaw chen chu ventilator-ah connect a ngai mai thei. I dam chhung hian physical therapy leh occupational therapy hmangin strength training i tih a ngai dawn a ni.

Dam lehna leh hmalam hun chu eng ang nge ni ang?

He natna hi a natna lan chhuah tirh atanga kar 2-3 hnuah a sang ber a thleng thin. Chumi hnuah chuan dam lehna chu zawi zawiin a intan thin.

• Damlo 80% vel chu thla 6 chhungin tanpuina awm lovin an kal thei a ni.
• Damlo 60% vel chuan kum khat chhungin taksa chakna zawng zawng an nei leh thei a ni.
• Recovery hian thla 6-12 inkar a awh thei a, thenkhat tan chuan kum 3 thleng a daih thei bawk.

GBS vei naupangte chu puitling aiin an dam chak zawk. GBS atanga i dam kim tawh chuan nun pangngai i hmang thei tawh ang. Guillain-Barré Syndrome, GBS, neuropathy, ke ruh natna, ke ruh natna, taksa hriselna, myelin