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Mu magambo make, indwara ya Miller Fisher Syndrome ni iki?
Indwara ya Miller Fisher ni indwara idakunze kugaragara cyane mu mitsi. Ushobora kuba warumvise indwara ya Guillain-Barré (GBS). Ni indwara kandi aho ubudahangarwa bw'umubiri wacu bwibasira imitsi yacu. Indwara ya Miller Fisher ni ubwoko bwa GBS. Ni indwara idakunze kugaragara cyane ku buryo yibasira hagati ya 1% na 5% by'abarwayi ba GBS mu bihugu by'Iburengerazuba bw'Isi. Ariko, mu bihugu bimwe na bimwe byo muri Aziya nka Tayiwani n'Ubuyapani, umubare uri hejuru gato. Bityo rero ushobora kumva ko iyi atari indwara isanzwe. Ariko ni ngombwa cyane kubimenya.Kuki ibi bibaho? Impamvu ni izihe?
Iki ni cyo kintu cy'ingenzi cyane. Indwara ya Miller Fisher na GBS byombi bikura bitewe n'ubwandu bwinjiye mu mibiri yacu. Muri make, ubwirinzi bwacu, ubudahangarwa bw'umubiri, burahindagurika gato, maze aho kurwanya ubwandu, bugatangira kwibasira imitsi yacu bwite. Abaganga ntibaramenya neza icyabitera. Ibi bimenyetso bikunze kugaragara mu minsi mike cyangwa ibyumweru 4 nyuma y'uburwayi, cyane cyane ububabare bw'igifu nk'impiswi, cyangwa indwara zo mu myanya y'ubuhumekero (ibicurane, grippe). Bagiteri nyamukuru zishobora gutera iki kibazo ni Campylobacter jejuni. Ibi nibyo bikunze gutera kuribwa mu gifu no gucibwamo. Byongeye kandi, hari na virusi zishobora gutera iki kibazo:- Virusi ya Zika
- Virusi itera SIDA ( HIV )
- Virusi ya Epstein-Barr, itera indwara isa n'umuriro yitwa mononucleosis.
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Check Availability →Ibimenyetso ni ibihe? Ubimenya ute?
Abantu benshi bajya kwa muganga kuko amaso yabo agabanuka vuba mu minsi mike kandi bakagorwa no kugenda . Hari ibimenyetso bitatu by'ingenzi bya Miller Fisher syndrome. Reka tubisobanukirwe mu mbonerahamwe.| Ikimenyetso cy'ingenzi | Mu magambo make, ni iki kibaho? |
|---|---|
| Intege nke z'imitsi y'amaso (Ophthalmoplegia) | Kubona ibintu bibiri bibaho, kandi biragora kugenzura no kwerekeza amaso mu cyerekezo wifuza. |
| Gutakaza uburinganire (Ataxia) | Ndasitara iyo ngenda, numva meze nk'aho ntari ku murongo. Ndagorwa no guhuza ingingo zanjye. |
| Areflexia | Ibintu nk'iyo muganga akukubise ivi akoresheje inyundo nto, ukuguru kwawe ntigushobora kunyeganyega. Ingufu z'umubiri zirabura. |
- Ishuri ryagutse .
- Intege nke z'imitsi yo mu maso
- Imitsi yo mu muhogo iragabanuka (igabanuka ry'imitekerereze yo mu muhogo)
Icy'ingenzi: Niba ibi bimenyetso biherekejwe n'intege nke mu ngingo zawe n'imitsi yo guhumeka, bishobora kuba indwara yitwa GBS-MFS overlap syndrome. Ikimenyetso nyamukuru cya GBS ni intege nke zitangirira mu maguru zigakwirakwira mu mubiri wose.
Ni gute umuganga asuzuma ibi?
Biragoye gato kumenya neza iyi ndwara. Kubera ko hari izindi ndwara nyinshi zo mu bwonko zifite ibimenyetso bisa. Urugero, indwara nka 'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. Kubwibyo, muganga azagusuzuma neza, akubaze ibimenyetso byawe n'indwara uherutse kurwara. Hanyuma, azakora ibizamini byinshi kugira ngo yemeze iyo ndwara.| Ikizamini | Mu magambo make, ukora iki/ubona iki? |
|---|---|
| Gutobora mu kibuno | Uduce duto tw’amazi akikije uruti rw’umugongo (cerebrospinal fluid) turafatwa tugasuzumwa niba dufite poroteyine nyinshi. Ibi bikunze kwiyongera ku barwayi ba Miller Fisher. |
| Isuzuma ry'amaraso | Amaraso apimwa kugira ngo harebwe niba hari antibody yitwa anti-GQ1b, ifite umwihariko w’iyi ndwara. Iyi antibody iboneka muri 95% by’abarwayi. |
| Inyigo ku bijyanye no kuyobora imitsi (EMG) | Umuyoboro muto cyane w'amashanyarazi utagira ububabare ukoreshwa mu gupima uburyo imitsi n'imitsi yawe bikora neza. Iyi ndwara igaragaza ibintu bimwe na bimwe bitameze neza mu mitsi. |
| Gupima MRI | Iki kizamini gikorwa kugira ngo hatabaho izindi ndwara, nko kurwara indwara yo mu bwonko. Muri Miller Fisher, MRI ikunze kugaragaza ibisubizo bisanzwe. |
Ni ubuhe buryo bwo kuvura ibi? Bifata igihe kingana iki kugira ngo umuntu akire?
Mbere na mbere, nta 'muti' wihariye ushobora gukiza iyi ndwara burundu. Ariko, hari uburyo bwiza cyane bwo kuvura bushobora gufasha kugenzura ibimenyetso no kugufasha gukira vuba. Umuntu ufite ibi bimenyetso akunze kuba mu bitaro. Ibi ni ukureba neza indwara ikomeye ya GBS. Kuko GBS rimwe na rimwe ishobora gushyira ubuzima mu kaga. Uburyo bubiri bw'ingenzi bukoreshwa mu kuvura: 1. Immunoglobulin Intravenous (IVIg): Uyu ni umuti w'amazi umeze nk'umunyu ushyirwa mu mitsi. Urimo uturemangingo twasukuwe twatandukanijwe n'amaraso y'abantu ibihumbi bazima. Ibi bitangwa buri gihe mu gihe cy'iminsi 5. 2. Plasma Exchange (Plasmapheresis): Iyi ni inzira igoye. Mu magambo make, amaraso make akurwa mu mubiri wawe, imashini yihariye ikuraho plasma ifite ikibazo (igice kirimo uturemangingo twibasira imitsi) ikayisimbuza uturemangingo tw'amaraso hamwe na plasma isimbuza. Ibi bikorwa inshuro zigera kuri 5 mu gihe cy'ibyumweru bibiri. Niba imitsi yawe ifite intege nke cyane nyuma y'ubu buryo bwo kuvura, ushobora gukenera physiotherapy kugira ngo wongere uyikomeze.Ni ngombwa. Ku bijyanye no gukira, akenshi bifata hagati y'ibyumweru 8 na 12 kugira ngo umuntu akire neza. Abantu benshi bakize burundu mu mezi 6. Igipimo cyo kugaruka kwabyo kiri munsi ya 3%. Kubwibyo, gusuzuma no kuvurwa hakiri kare ni byo bintu by'ingenzi cyane.Ubutumwa bwo kujyana mu rugo
- Indwara ya Miller Fisher ni indwara idakunze kugaragara ibaho iyo ubudahangarwa bw'umubiri bwacu bwibasiye imitsi bitewe n'ubwandu buherutse kwandura.
- Ibimenyetso by'ingenzi ni intege nke z'imitsi y'amaso ( kubona kabiri), kubura uburinganire (kugorwa no kugenda), no kubura ubushobozi bwo gukora reflexes.
- Niba wowe cyangwa undi muntu uzi agize ibi bimenyetso mu buryo butunguranye, hita ubonana na muganga. Ntugatinye, ariko ntugatinde.
- Iyi ni indwara ishobora kuvurwa no kujyanwa mu bitaro no kuvurwa n'imiti , kandi abantu benshi barakira neza.
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