Kubura ibyiyumvo mu maguru bitunguranye? Reka twige kuri iyi ndwara idasanzwe, Guillain-Barré Syndrome.

Ese ushobora kwiyumvisha ko ububabare buto butangira mu mitwe y'amano yawe bushobora gukwirakwira buhoro buhoro mu mubiri wawe, bigatera ububabare mu maguru yawe ndetse no kurwara ubumuga? Ni inkuru iteye ubwoba. Ariko iyi ni yo ndwara idasanzwe yo mu bwonko yitwa Guillain-Barré Syndrome (GBS). Ikunze kubaho nyuma yo gukira indwara isanzwe yo mu gifu (nk'umuhondo) cyangwa indwara zo mu myanya y'ubuhumekero ( nk'ibicurane ).

Mu magambo make, indwara ya Guillain-Barré (GBS) ni iki?

Mu magambo make, GBS ni igihe ubwirinzi bw'umubiri wacu, ubudahangarwa bw'umubiri , butangira kwibasira imitsi yacu. Ni nk'aho ingabo zacu zitera abantu bacu ku bw'impanuka. Tekereza ko imitsi yacu imeze nk'insinga z'amashanyarazi. Hari agakoresho ka pulasitiki gakikije izi nsinga nk'uburinzi, si byo se? Mu buryo nk'ubwo, imitsi yacu nayo ikikije agakoresho gakingira kitwa myelin . Iyo GBS ikuze, ubudahangarwa bwacu bw'umubiri butera ako gakoresho ka myelin. Iyo aka gakoresho kangiritse, ubutumwa buva mu bwonko ntibugera ku mitsi neza. Ingaruka ni intege nke z'imitsi, ibinure, rimwe na rimwe no gucika intege burundu.

Ni ubuhe bwoko bw'ingenzi bwa GBS?

Hari ubwoko bwinshi bw'ingenzi bwa GBS, ariko ubwoko bwa mbere ni bwo bukunze kugaragara muri Sri Lanka.

Impamvu n'ibintu bishobora gutera indwara ya GBS

Impamvu nyayo ya GBS ntiramenyekana. Ariko, abaganga bizera ko indwara zimwe na zimwe zihindura imiterere y'uturemangingo tw'imitsi yacu, bigatuma ubudahangarwa bw'umubiri buyibeshyaho nk'abanzi. Abantu bagera kuri bibiri bya gatatu barwara GBS bagira indwara yo mu gifu nko gucibwamo cyangwa indwara zo mu myanya y'ubuhumekero nk'ibicurane iminsi mike cyangwa ibyumweru mbere yuko ibimenyetso by'imitsi bitangira. Zimwe mu mpamvu z'ingenzi zishobora gutera GBS harimo:

• Bagiteri ya Campylobacter: Iyi bagiteri, yandurira mu nkoko idatetse neza, ifatwa nk'intandaro nyamukuru ya GBS .
• Virusi ya Grippe
• Virusi ya COVID -19
• Virusi ya Cytomegalovirus
• Virusi ya Epstein-Barr
• Virusi ya Zika
• Hepatite A , B, C na E
• virusi itera SIDA
• Kubagwa cyangwa impanuka zimwe na zimwe
• Mu bihe bidasanzwe, zimwe mu nkingo (urugero: inkingo za Johnson & Johnson na AstraZeneca COVID-19)

Si abantu bose bafite ubu bwandu bazarwara GBS. Umuntu umwe gusa muri miliyoni ni we uri mu kaga.

Ni ibihe bimenyetso ugomba kwitondera?

Ibimenyetso bya GBS bishobora kugaragara vuba cyane, rimwe na rimwe bikarushaho gukomera mu masaha make cyangwa iminsi mike.

Ni gute muganga asuzuma iyi ndwara?

Kubera ko ibimenyetso bya GBS bisa n'izindi ndwara zo mu bwonko, muganga azakora ibizamini byinshi kugira ngo arebe neza ko nta zindi ndwara zibaho.

• Kukubaza ibibazo: Kubaza ibintu nk'uko ibimenyetso byawe byatangiye n'igihe byatangiriye, ndetse niba hari indwara uherutse kugira.
• Ikizamini cy'imitsi: Ibi bipima imbaraga z'imitsi yawe, imikorere yayo, kuringaniza kwayo, n'imikorere yayo.
• Gupfuka umugongo / Gupfuka mu kibuno: Ibi bikubiyemo gushyira urushinge ruto cyane mu mugongo wawe wo hasi hanyuma ugafata amazi make akikije umugongo wawe (amazi yo mu bwonko) hanyuma ukayohereza muri laboratwari kugira ngo ikorerwe isuzuma. Niba urugero rwa poroteyine muri aya mazi ruri hejuru, ni ikimenyetso cya GBS.
• Ibizamini by'imikorere y'imitsi:
• Electromyography (EMG): Ibi bikubiyemo gushyira electrode ntoya zimeze nk'urushinge mu mitsi kugira ngo bipime imikorere y'imitsi.
• Inyigo yo kuyobora imitsi: Iyi ipima umuvuduko w'imitsi inyuramo ishyira electrodes ku ruhu hanyuma ikohereza amashanyarazi make. Uyu muvuduko ugabanuka muri GBS.
• MRI scan: Ushobora kandi gupimwa ubwonko bwawe cyangwa umugongo wawe na MRI scan.

Ni ubuhe buryo bwo kuvura?

Iyo ufashwe na GBS, ugomba gutangira kuvurwa ako kanya. Akenshi uzavurirwa mu cyumba cy’indembe (ICU) cy’ibitaro. Hari uburyo bubiri bw’ingenzi bwo kuvura: 1. Guhinduranya plasma / Plasmapheresis: Amaraso yawe ashyirwa mu mashini yihariye, hanyuma igice cy’amazi cy’amaraso yawe (plasma) kigatandukana. Iyi plasma irimo antibody zangiza imitsi. Iyi mashini ikuraho izi antibody mbi igasubiza uturemangingo tw’amaraso twiza mu mubiri wawe. 2. Kuvura immunoglobulini: Udukoko twinshi twiza twakuwe ku bantu bazima tuguhabwa binyuze mu muti wa saline. Utu dukoko twiza tugabanya imikorere y’utundi dukoko twiza mu mubiri wawe. Uretse ubu buryo bw’ingenzi bwo kuvura, uzahabwa imiti igabanya ububabare, imiti igabanya amaraso, kandi nibiba ngombwa, uzagaburirwa binyuze mu muyoboro kuko udashobora kumira ibiryo. Niba ibibazo byo guhumeka bikomeye, ushobora gukenera guhuzwa by’agateganyo n’icyuma gihumeka. Mu gihe cyo gukira, uzakenera gukora imyitozo yo kongera imbaraga hifashishijwe ubuvuzi bw’umubiri n’ubuvuzi bw’akazi.

Ese gukira no kuzaza bizaba bimeze bite?

Indwara igera ku rwego rwo hejuru nyuma y'ibyumweru 2-3 ibimenyetso bitangiye. Nyuma y'ibyo, gukira bitangira buhoro buhoro.

• Abarwayi bagera kuri 80% bashobora kugenda nta bufasha mu mezi 6.
• Abarwayi bagera kuri 60% bongera kugira imbaraga zuzuye mu mitsi mu mwaka umwe.
• Gukira bishobora gufata hagati y'amezi 6-12, naho kuri bamwe bishobora gufata imyaka 3.

Abana bafite indwara ya GBS bakira vuba kurusha abantu bakuru. Iyo umaze gukira burundu indwara ya GBS, ushobora kubaho ubuzima busanzwe. Indwara ya Guillain-Barré, GBS, indwara z'imitsi, kubura amaguru, kubura ubwishingizi bw'umubiri, myelin