Kutaya mwadzidzidzi kumva m'miyendo? Tiyeni tiphunzire za vuto losowa ili, Guillain-Barré Syndrome.

Kodi mungaganize kuti dzanzi laling'ono lomwe limayamba m'mphepete mwa zala zanu lingafalikire pang'onopang'ono m'thupi lanu lonse, zomwe zimapangitsa dzanzi m'miyendo yanu komanso ziwalo zanu? Ndi nkhani yoopsa. Koma iyi ndi nkhani yeniyeni ya matenda osowa amitsempha otchedwa Guillain-Barré Syndrome (GBS). Nthawi zambiri imayamba mutachira ku matenda wamba am'mimba (monga jaundice) kapena matenda opumira (monga chimfine ).

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

Mwachidule, GBS ndi pamene chitetezo cha mthupi lathu, chitetezo cha mthupi , chimayamba mwadzidzidzi kuukira mitsempha yathu. Zili ngati gulu lathu lankhondo likuukira anthu athu mwangozi. Taganizirani ngati mitsempha yathu ili ngati mawaya amagetsi. Pali chidebe chapulasitiki chozungulira mawaya awa ngati choteteza, sichoncho? Mofananamo, mitsempha yathu imazunguliridwanso ndi chidebe choteteza chotchedwa myelin . GBS ikakula, chitetezo chathu cha mthupi chimaukira chidebe cha myelin. Chidebechi chikawonongeka, mauthenga ochokera ku ubongo safika bwino ku minofu. Zotsatira zake zimakhala kufooka kwa minofu, dzanzi, komanso nthawi zina ziwalo zonse.

Kodi mitundu ikuluikulu ya GBS ndi iti?

Pali mitundu ingapo ikuluikulu ya GBS, koma mtundu woyamba ndi wofala kwambiri ku Sri Lanka.

Zifukwa ndi zoopsa zomwe zimayambitsa matenda a GBS

Choyambitsa chenicheni cha GBS sichinadziwikebe. Komabe, madokotala amakhulupirira kuti matenda ena amasintha mtundu wa maselo athu amitsempha, zomwe zimapangitsa kuti chitetezo cha mthupi chizione ngati adani. Pafupifupi anthu awiri mwa atatu omwe ali ndi GBS amakhala ndi matenda am'mimba monga kutsegula m'mimba kapena matenda opuma monga chimfine masiku angapo kapena milungu isanayambe zizindikiro za mitsempha. Zina mwazinthu zazikulu zomwe zingayambitse GBS ndi izi:

• Mabakiteriya a Campylobacter: Mabakiteriya amenewa, omwe amafalikira kudzera mu nkhuku yosaphikidwa bwino, amaonedwa kuti ndi omwe amachititsa kwambiri GBS .
• Kachilombo ka fuluwenza
• Kachilombo ka covid -19
• Kachilombo ka Cytomegalovirus
• Kachilombo ka Epstein-Barr
• Kachilombo ka Zika
• Matenda a chiwindi A , B, C ndi E
• Kachilombo ka HIV
• Maopaleshoni ena kapena ngozi zina
• Nthawi zina, katemera wina (monga katemera wa Johnson & Johnson ndi AstraZeneca COVID-19)

Si aliyense amene ali ndi matendawa amene adzadwala matenda a GBS. Munthu mmodzi yekha pa anthu miliyoni imodzi ali pachiwopsezo.

Ndi zizindikiro ziti zomwe muyenera kuziyang'anira?

Zizindikiro za GBS zimatha kuwoneka mwachangu kwambiri, nthawi zina zimakhala zovuta mkati mwa maola kapena masiku ochepa.

Kodi dokotala amazindikira bwanji matendawa?

Popeza zizindikiro za GBS zimafanana ndi matenda ena amitsempha, dokotalayo adzayesa mayeso angapo kuti atsimikizire kuti palibe matenda ena.

• Kukufunsani mafunso: Kufunsa zinthu monga momwe zizindikiro zanu zinayambira komanso nthawi yomwe zinayambira, komanso ngati mwadwala matenda aliwonse posachedwapa.
• Kuyesa kwa mitsempha: Izi zimayesa mphamvu ya minofu yanu, kuyenda, kulinganiza bwino, ndi mphamvu zogwira ntchito.
• Kuboola msana/Kuboola msana: Izi zimaphatikizapo kulowetsa singano yopyapyala kwambiri m'munsi mwa msana wanu ndikutenga madzi pang'ono ozungulira msana wanu (cerebrospinal fluid) ndikutumiza ku labu kuti akayesedwe. Ngati kuchuluka kwa mapuloteni m'madzi awa kwakwera, ndi chizindikiro cha GBS.
• Mayeso a ntchito ya mitsempha:
• Electromyography (EMG): Izi zimaphatikizapo kuyika ma electrode ooneka ngati singano m'minofu kuti ayesere momwe mitsempha imagwirira ntchito.
• Kuphunzira za kayendedwe ka mitsempha: Izi zimayesa liwiro limene mitsempha imayendera poika ma electrode pakhungu ndikutumiza mphamvu yamagetsi yaying'ono. Liwiro limeneli limachepetsedwa mu GBS.
• Kujambula kwa MRI: Mungathenso kujambulidwa kwa MRI mu ubongo wanu kapena msana wanu.

Kodi mankhwala ake ndi otani?

Ngati mwapezeka ndi matenda a GBS, muyenera kuyamba kulandira chithandizo nthawi yomweyo. Nthawi zambiri mudzalandira chithandizo mu chipinda cha odwala kwambiri (ICU) m'chipatala. Pali njira ziwiri zazikulu zothandizira: 1. Kusinthana kwa plasma / Plasmapheresis: Magazi anu amaikidwa mu makina apadera, ndipo gawo lamadzimadzi la magazi anu (plasma) limalekanitsidwa. Plasma iyi ili ndi ma antibodies omwe amawononga mitsempha. Makinawa amachotsa ma antibodies oipawa ndikubwezeretsa maselo abwino amagazi m'thupi lanu. 2. Chithandizo cha Immunoglobulin: Ma antibodies ambiri abwino omwe amatengedwa kuchokera kwa anthu athanzi amaperekedwa kwa inu kudzera mu saline solution. Ma antibodies abwino awa amachepetsa kugwira ntchito kwa ma antibodies oipa m'thupi lanu. Kuphatikiza pa mankhwala akuluakulu awa, mudzapatsidwa mankhwala ochepetsa ululu, ochepetsa magazi, ndipo ngati pakufunika, mudzadyetsedwa kudzera mu chubu chifukwa simungathe kumeza chakudya. Ngati vuto la kupuma likukula, mungafunike kulumikizidwa kwakanthawi ndi chopumira. Mukamachira, muyenera kuchita masewera olimbitsa thupi mothandizidwa ndi chithandizo cha thupi komanso chithandizo cha ntchito.

Kodi kuchira ndi tsogolo zidzakhala bwanji?

Matendawa amafika pachimake patatha milungu iwiri kapena itatu zizindikiro zitayamba. Pambuyo pake, kuchira kumayamba pang'onopang'ono.

• Pafupifupi 80% ya odwala amatha kuyenda popanda thandizo lililonse mkati mwa miyezi 6.
• Pafupifupi 60% ya odwala amapezanso mphamvu zonse za minofu mkati mwa chaka chimodzi.
• Kuchira kungatenge pakati pa miyezi 6-12, ndipo kwa ena kungatenge mpaka zaka zitatu.

Ana omwe ali ndi GBS amachira mwachangu kuposa akuluakulu. Mukachira mokwanira ku GBS, mutha kukhala moyo wabwinobwino. Matenda a Guillain-Barré, GBS, neuropathy, dzanzi la mwendo, dzanzi, chitetezo chamthupi, myelin