Tiyeni tiphunzire za Guillain-Barré Syndrome (GBS), matenda achilendo omwe amachititsa kuti munthu asadziwe zambiri komanso asadziwe zambiri.

Tangoganizani kuti munali ndi kupweteka m'mimba kapena chimfine pafupifupi sabata yapitayo ndipo munali bwino. Koma mwadzidzidzi mumayamba kumva kufooka kwachilendo, kuyambira ndi zala zanu zala. Patatha tsiku limodzi kapena awiri, kumva kumeneku kumafalikira m'miyendo yanu, zomwe zimapangitsa kuti kuyenda kukhale kovuta. Kenako manja anu amamva ngati achita dzanzi. N'zoopsa pang'ono kumva za chinthu chonga ichi, sichoncho? Lero tikambirana za vuto lachilendo komanso losowa lotchedwa Guillain-Barré Syndrome. Ngakhale kuti dzinali ndi lovuta kulitchula, ndikofunikira kudziwa za ilo.

Mwachidule, kodi Guillain-Barré Syndrome (GBS) ndi chiyani?

Matenda a Guillain-Barré (GBS) ndi matenda osowa kwambiri omwe chitetezo cha mthupi lathu chimatha kuukira mitsempha yathu, makamaka mitsempha ya m'mphepete yomwe imathamangira ku miyendo yathu. Amatchedwanso vuto la autoimmune .

Taganizirani za mitsempha m'thupi mwathu ngati mawaya amagetsi. Monga momwe zilili ndi chotetezera kuzungulira mawaya amagetsi awa, palinso chophimba choteteza chotchedwa myelin kuzungulira mitsempha yathu. GBS ikachitika, chitetezo chathu cha mthupi chimaukira ndikuwononga chophimba ichi cha myelin. Kenako, ngati kuti chotetezera cha mawaya amagetsi amenewo chachotsedwa, zizindikiro zochokera ku ubongo kudzera mu mitsempha sizimayenda bwino. Ichi ndichifukwa chake ziwalo zimayamba kuchita dzanzi ndikutaya moyo wawo.

Nkhani yabwino ndi yakuti ndi chithandizo choyenera, anthu ambiri amatha kuchira kwathunthu ku vutoli , koma zingatenge nthawi.

Ndani amene ali ndi mwayi waukulu wopeza matenda a GBS? Kodi ndi ofala bwanji?

Matenda a GBS angakhudze aliyense wa msinkhu uliwonse. Ana aang'ono, achinyamata, ndi okalamba onse ali pachiwopsezo. Komabe, deta ikuwonetsa kuti anthu azaka zapakati pa 30 ndi 50 ali ndi mwayi waukulu wopeza matendawa.

Imeneyi ndi matenda osowa kwambiri. Padziko lonse lapansi, GBS imapezeka mwa munthu mmodzi pa anthu 100,000 atsopano pachaka. Izi zikutanthauza kuti pafupifupi munthu mmodzi pa anthu 78,000,000 amadwala matendawa chaka chilichonse. Choncho si matenda ofala kwambiri.

Kodi zizindikiro zazikulu za GBS ndi ziti?

Mu GBS, zizindikiro zake zimagwirizana ndi kuwonongeka kwa mitsempha ya m'mphepete mwa thupi yomwe imalamulira zinthu monga kuyenda kwa minofu yathu, kupweteka, kutentha, ndi kukhudza.

Zimayamba ndi kufooka kwa minofu ndi/kapena dzanzi (paresthesia) . Zizindikirozi zimabwera mwadzidzidzi. Nthawi zambiri zimayamba m'miyendo ndi mapazi ndipo pang'onopang'ono zimafalikira mmwamba, mpaka m'manja ndi kumaso. Kufooka m'miyendo kungapangitse kuti zikhale zovuta kukwera masitepe kapena kuyenda.

Kuopsa kwa matenda a GBS kumasiyana malinga ndi munthu. Anthu ena akhoza kukhala ndi zizindikiro zochepa kwambiri ndipo amachira. Ena akhoza kukhala ndi zizindikiro zoopsa. Nazi zizindikiro zina zomwe zingawonekere.

Kodi ndi mavuto otani oopsa omwe angabwere chifukwa cha GBS?

GBS ingayambitse mavuto omwe angawononge moyo ngati ingakhudze dongosolo lathu la mitsempha lodziyimira pawokha. Dongosolo la mitsempha lodziyimira pawokha ndi dongosolo lomwe limayang'anira ntchito za thupi lathu popanda ife kuzindikira. Mwachitsanzo, zinthu monga kugunda kwa mtima, kuthamanga kwa magazi, ndi kugaya chakudya. Kulephera kugwira ntchito kwa dongosololi kumatchedwa dysautonomia .

Mavuto akuluakulu omwe angachitike chifukwa cha GBS ndi awa:

• Matenda a mtima
• Kusakhazikika kwa kuthamanga kwa magazi (kokwera kwambiri kapena kotsika kwambiri)
• Mavuto a m'mimba
• Kuvuta kulamulira mkodzo, monga kusunga mkodzo

Chifukwa cha mavuto ngati amenewa, odwala a GBS nthawi zambiri amasungidwa m'chipinda chosamalira odwala kwambiri (ICU) ndipo amawunikidwa nthawi zonse.

N’chifukwa chiyani GBS imayamba? Kodi chifukwa chake n’chiyani?

Chifukwa chenicheni cha GBS sichikudziwikabe, koma madokotala amachitcha kuti ndi matenda amitsempha omwe amabwera pambuyo popatsirana, omwe amayambitsidwa ndi chitetezo chamthupi . Tiyeni tifotokoze mwachidule.

1. Pambuyo popatsirana: "Pambuyo popatsirana " amatanthauza "pambuyo." Izi zikutanthauza kuti matendawa nthawi zambiri amayamba pambuyo poti matenda ena atha. Pafupifupi 70% ya anthu omwe ali ndi GBS amakhala ndi matenda ena mkati mwa sabata imodzi mpaka milungu isanu ndi umodzi kuchokera pamene zizindikiro zayamba.

2. Chitetezo chamthupi: Takambirana kale za izi. Matendawa amayamba chifukwa cha kuyankha kosayenera kwa chitetezo chamthupi chathu. Pambuyo polimbana ndi matenda, chitetezo chamthupi cha anthu ena chimasokonekera ndipo chimayamba kuukira mitsempha yawo.

3. Matenda a mitsempha: Mwachidule, kuwonongeka kwa mitsempha. Mu GBS, kuwonongekako kumachitika ku mitsempha ya m'mbali.

Zinthu zazikulu zomwe zimapangitsa kuti GBS ichitike

Ofufuza apeza matenda akuluakulu angapo ndi zifukwa zina zomwe zimathandizira kukula kwa GBS.

• Kutsegula m'mimba kapena matenda opumira: Pafupifupi anthu awiri mwa atatu aliwonse omwe ali ndi GBS amakhala ndi matenda opumira m'mimba kapena matenda opumira milungu ingapo zizindikiro zisanawonekere. Campylobacter jejuni , bacteria yomwe imayambitsa kutsegula m'mimba, yadziwika kuti ndi yomwe imayambitsa GBS.
• Matenda opatsirana ndi mavairasi: Odwala ena a GBS akuti adadwala matenda opatsirana ndi mavairasi monga chimfine, cytomegalovirus, kachilombo ka Epstein-Barr, ndi kachilombo ka Zika .
• Katemera: Nthawi zina , GBS imanenedwa kuti imayamba patatha masiku kapena milungu ingapo mutalandira katemera wina. Komabe, chinthu chofunikira kumvetsetsa apa ndichakuti ubwino wolandira katemera umaposa kwambiri chiopsezo chosowachi . Kafukufuku wasonyeza kuti chiopsezo chotenga GBS chifukwa cha chimfine ndi chachikulu kwambiri kuposa chiopsezo chotenga GBS chifukwa cha katemera wa chimfine.
• Opaleshoni:Komanso, nthawi zambiri, GBS imatha kuchitika pambuyo pa opaleshoni zina.

Kodi matenda a GBS amapezedwa bwanji?

Madokotala amazindikira matenda a GBS makamaka potengera zizindikiro zanu ndi mbiri yanu yachipatala. Dokotala wanu adzakufunsani za momwe zizindikiro zanu zinayambira komanso nthawi yomwe zinayambira, komanso ngati mwadwala matenda enaake posachedwapa. Kenako adzakuyezani thupi, makamaka kuti awone ngati minofu yanu yafooka komanso ngati minofu yanu yayamba kuchepa, monga m'mawondo.

Komabe, popeza pali matenda ena ambiri amitsempha omwe ali ndi zizindikiro zofanana ndi za GBS, dokotalayo adzalangiza mayeso angapo kuti atsimikizire matenda ena ndikutsimikizira vuto la GBS.

• Mayeso a Electromyography (EMG) ndi Mitsempha: Mayesowa amatha kuwona thanzi ndi ntchito ya minofu yanu komanso mitsempha yomwe imayilamulira.
• Kuboola Msana/Lumbar: Izi zimaphatikizapo kulowetsa singano yaying'ono kumbuyo kwanu kuti mutenge chitsanzo cha madzi a m'mitsempha ya ubongo (CSF), omwe amazungulira ubongo wanu ndi msana wanu. Pafupifupi 80% ya odwala omwe ali ndi GBS ali ndi mapuloteni ambiri m'madzi awa.
• Kujambula kwa MRI: Kujambula kwa MRI kwa msana wanu kungalimbikitsidwenso.

Kodi mankhwala a GBS ndi otani?

Ngati mwapezeka ndi matenda a GBS, mwina mudzalowetsedwa ku chipinda chosamalira odwala kwambiri (ICU) cha chipatala kuti mukalandire chithandizo mwachangu pamavuto aliwonse omwe takambirana kale, monga kupuma movutikira komanso kusintha kwa kuthamanga kwa magazi.

Palibe mankhwala enieni a GBS pakadali pano. Komabe, pali njira ziwiri zazikulu zothandizira zomwe zingachepetse kuopsa kwa matendawa ndikufupikitsa nthawi yochira.

Ngati chithandizo chilichonse mwa izi chayamba mkati mwa milungu iwiri kuchokera pamene zizindikiro zayamba, nthawi yochira ikhoza kuchepetsedwa kwambiri.

Kukonzanso

Pamene vuto lanu likukula pang'onopang'ono, mungasamutsidwire ku malo ochiritsira odwala. Kumeneko, akatswiri osiyanasiyana angakuthandizeni kupezanso mphamvu zanu ndikubwerera pamlingo womwe mungathe kuchita zinthu za tsiku ndi tsiku nokha.

• Kuchiza Thupi: Maseŵero olimbitsa thupi ndi mankhwala amaperekedwa kuti amangenso mphamvu za minofu ndikuletsa ululu ndi kuuma.
• Chithandizo cha Occupational Therapy: Chimakuthandizani kuphunzira kuchita ntchito za tsiku ndi tsiku monga kuvala ndi kudya kachiwiri mosamala komanso mosavuta.
• Chithandizo cha Kulankhula: Ngati mukuvutika kumeza kapena kulankhula, tingakuthandizeni kupezanso luso limenelo.

Kodi tsogolo la munthu amene ali ndi GBS ndi lotani?

Anthu ambiri omwe ali ndi GBS amachira bwino mkati mwa miyezi ingapo. Komabe, anthu ena, makamaka akuluakulu, angakhalebe ndi kufooka kwa minofu patatha zaka zitatu. Kuchira kungatenge nthawi yayitali kwa anthu ena.

Nkhani yabwino ndi yakuti anthu omwe achira ku GBS amatha kukhala ndi moyo wabwinobwino . Chiwopsezo cha imfa panthawi yovuta ya matendawa ndi chochepera 2%. Izi makamaka chifukwa cha chithandizo chapamwamba cha odwala omwe ali ndi vuto la mtima chomwe chilipo masiku ano.

Kodi GBS ingapewedwe?

Nthawi zambiri, GBS singathe kupewedwa. Ofufuza sakudziwabe chifukwa chake anthu ena amadwala GBS akatenga matenda ena ndipo ena satero.

Koma tingachepetse chiopsezochi pang'ono podziteteza ku matenda omwe angayambitse matenda a GBS.

• Sambani m'manja mwanu nthawi zonse ndi sopo.
• Pewani anthu omwe ali ndi matenda opatsirana monga kutsegula m'mimba ndi chimfine.
• Kuti chitetezo chanu cha mthupi chikhale champhamvu, idyani zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi.
• Pezani katemera wanu wonse pa nthawi yake.

GBS ndi matenda aakulu omwe angasinthe moyo wanu mwadzidzidzi. Koma chabwino kwambiri ndichakuti ndi chithandizo choyenera komanso kuchira, anthu ambiri amatha kubwerera ku moyo wabwinobwino. Ulendo wopita kuchire ukhoza kukhala wautali komanso wotopetsa. Musazengereze kupempha thandizo kwa madokotala anu, anamwino, ndi banja lanu ndi anzanu panjira.