Ungafungidzira here kuti chiveve chidiki chinotanga pamigumo yetsoka dzako chinogona kupararira zvishoma nezvishoma mumuviri wako wese, zvichikonzera chiveve mumakumbo ako uye kutooma mitezo? Inyaya inotyisa. Asi ichi ndicho chokwadi chechirwere chetsinga chisingawanzoitiki chinonzi
Guillain-Barré Syndrome (GBS). Chinowanzo tanga mushure mekunge wapora kubva kuchirwere chemudumbu (senge jaundice) kana hutachiona hwekufema (senge
dzihwa ).
Zvichitaurwa zviri nyore, chii chinonzi Guillain-Barré syndrome (GBS)?
Muchidimbu, GBS inguva apo dziviriro yemuviri wedu,
iyo immune system , inotanga kurwisa tsinga dzedu. Zvakafanana neuto redu richirwisa vanhu vedu netsaona. Funga nezvazvo sekunge tsinga dzedu dzakaita sewaya dzemagetsi. Pane sheath yepurasitiki yakatenderedza waya idzi sekudzivirira, handiti? Saizvozvowo, tsinga dzedu dzakakomberedzwawo nesheath yekudzivirira inonzi
myelin . Kana GBS ikakura, immune system yedu inorwisa sheath yemyelin iyoyo. Kana sheath iyi ikakuvara, mashoko anobva kuuropi haasvike mutsandanyama zvakanaka. Mugumisiro wacho unova kushaya simba kwetsandanyama, kusanzwa simba, uye dzimwe nguva kuoma mitezo zvachose.
Ichi hachisi chirwere chinotapukira kana chinogara nhaka. Zvisinei, chirwere chinoda kurapwa nekukurumidza . Saka, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza kana zviratidzo zvekutanga zvaonekwa.
Ndedzipi mhando huru dzeGBS?
Kune mhando dzakawanda dzeGBS, asi rudzi rwekutanga ndirwo rwakanyanya kuwanikwa muSri Lanka.
| Rudzi rwechirwere | Hunyanzvi |
|---|
| Kuzvimba kwakanyanya kunobvisa myelination polyradiculoneuropathy (AIDP) | Urwu ndirwo rudzi rwakajairika. Murudzi urwu, kushaya simba kwetsandanyama kunotanga mumakumbo uye kunopararira kumusoro mumuviri wese. |
| Miller Fisher syndrome (MFS) | Izvi zvinowanzoitika munyika dzeAsia. Zvinotanga nekuomerwa nekufambisa maziso. Kurasikirwa nemwero pakufamba chiratidzowo. |
| Mhando dzeAMAN neAMSAN | Izvi zvinonyanya kuitika munyika dzakadai seChina neJapan. Zviratidzo zvinogona kuva zvakanyanya kupfuura dzimwe mhando. |
Zvinokonzera uye zvinhu zvinokonzera njodzi dzekuva neGBS
Chikonzero chaicho cheGBS hachisati chazivikanwa. Zvisinei, vanachiremba vanotenda kuti humwe utachiona hunochinja hunhu hwemasero edu etsinga, zvichiita kuti masoja emuviri afunge kuti ndiwo vavengi. Vanhu vanosvika zvikamu zviviri muzvitatu vanowana GBS vane chirwere chemudumbu chakadai semanyoka kana hutachiona hwekufema hwakaita sedzihwa mazuva mashoma kana mavhiki zviratidzo zvetsinga zvisati zvatanga.
Zvimwe zvezvinhu zvikuru zvinogona kukonzera GBS zvinosanganisira:- Mabhakitiriya eCampylobacter: Utachiona uhwu, hunotapuriranwa nehuku isina kubikwa zvakanaka, hunoonekwa sehonzeri huru yeGBS .
- Utachiona hwefuruwenza
- Utachiona hunokonzera covid -19
- Cytomegalovirus
- Utachiona hweEpstein-Barr
- Virusi reZika
- Hepatitis A , B, C uye E
- Hutachiona hweHIV
- Kuvhiyiwa kana tsaona
- Muzviitiko zvisingawanzoitiki, mamwe majekiseni ekudzivirira chirwere (semuenzaniso majekiseni ekudzivirira chirwere cheCOVID-19 eJohnson & Johnson neAstraZeneca)
Haasi munhu wese ane hutachiona uhu achabatwa neGBS. Munhu mumwe chete pavanhu miriyoni imwe chete ndiye ari panjodzi.
Ndezvipi zviratidzo zvaunofanira kutarisa?
Zviratidzo zveGBS zvinogona kuoneka nekukurumidza, dzimwe nguva zvichiva zvakanyanya mukati memaawa mashoma kana mazuva.
| Chiratidzo | Tsananguro |
|---|
| Kushaya simba | Kunzwa kukwenya semasvosve ari kukambaira pazvigunwe zvako, muzviziso zvemakumbo, muminwe, uye muzvigunwe. |
| Kushaya simba kwetsandanyama | Kunzwa kusina hupenyu kunotanga mumakumbo uye zvishoma nezvishoma kunopararira kusvika kumusoro kwemuviri. |
| Kuomerwa nekufamba | Ndinorasikirwa nechiyero changu pandinofamba uye ndinoomerwa nekukwira masitepisi. |
| Kuchinja kwechiso | Zvinova zvakaoma kutaura, kutsenga chikafu, uye kumedza. Unogona kuona chinhu chimwe kana zviviri mumaziso ese (kuona kaviri). |
| Kurwadziwa kwakanyanya | Kurwadziwa kunobaya-baya mutsandanyama dzemuviri. Kurwadziwa uku kunogona kunyanya kuoma husiku. |
| Zvimwe zvinhu | Kurova kwemwoyo kwakanyanya, BP yakakwira uye yakaderera, kutadza kudzora weti netsvina, kunetseka kufema. |
Zvakakosha zvikuru: Kana ukangoerekana wanzwa kusanzwa zvakanaka uye zvikawedzera kuipa mukati memaawa mashoma, kana kuti kana uchinetseka kufema kana kumedza, enda kuchipatara cheEmergency Department (ETU) nekukasika. Izvi hazvisi zvekunonotsa.
Chiremba anoongorora sei chirwere ichi?
Nekuti zviratidzo zveGBS zvakafanana nezvimwe zvirwere zvetsinga, chiremba achaita bvunzo dzinoverengeka kuti ave nechokwadi chekuti hapana zvimwe zvirwere.
- Kukubvunza mibvunzo: Kubvunza zvinhu zvakaita sekuti zviratidzo zvako zvakatanga sei uye riini, uye kana wakamborwara nguva pfupi yadarika.
- Kuongororwa kwetsinga: Izvi zvinoedza simba remhasuru dzako, kufamba, kuenzana, uye simba rekuita kuti tsandanyama dzako dzishande zvakanaka.
- Kuboorwa kwemusana/Kuboorwa kwemusana: Izvi zvinosanganisira kuisa tsono yakatetepa mumusana wako wepazasi uye kutora mvura shoma yakatenderedza musana wako (cerebrospinal fluid) woitumira kurabhoritari kuti iongororwe. Kana huwandu hweprotein mumvura iyi hwakakwira, chiratidzo cheGBS.
- Kuongororwa kwebasa retsinga:
- Electromyography (EMG): Izvi zvinosanganisira kuisa maelectrode madiki akafanana netsono mutsandanyama kuti zviyere mashandiro etsinga.
- Kudzidza nezvekufambisa tsinga: Izvi zvinoyera kumhanya kunofamba kwetsinga nekuisa maerekitironi paganda uye kutumira magetsi madiki. Kumhanya uku kunodzikira muGBS.
- MRI scan: Unogonawo kutorwa MRI scan yeuropi hwako kana musana wako.
Ndezvipi zviri kurapwa?
Kana ukaonekwa uine GBS, unofanira kutanga kurapwa nekukasika. Unowanzo pihwa mushonga muchipatara (ICU) chechipatara. Kune nzira mbiri huru dzekurapa: 1.
Kuchinjana kweplasma / Plasmapheresis: Ropa rako rinoiswa mumuchina wakakosha, uye chikamu chemvura cheropa rako (plasma) chinoparadzaniswa. Plasma iyi ine ma antibodies anokuvadza tsinga. Muchina unobvisa ma antibodies aya akaipa uye unodzosera masero eropa akanaka mumuviri wako. 2.
Kurapa kweImmunoglobulin: Ma antibodies akawanda akanaka anotorwa kubva kuvanhu vane hutano anopihwa kwauri kuburikidza nesaline solution. Ma antibodies aya akanaka anoderedza kushanda kwema antibodies akaipa mumuviri wako. Kuwedzera kune aya marapirwo makuru, uchapihwa mishonga inoderedza marwadzo, mishonga inobvisa ropa, uye kana zvichidikanwa, uchapihwa chikafu kuburikidza nechubhu nekuti haugone kumedza chikafu.
Kana matambudziko ekufema akanyanya, ungangoda kubatanidzwa neventilator kwenguva pfupi. Paunenge uchipora, uchafanirwa kudzidzira simba nerubatsiro rwe physiotherapy uye occupational therapy.
Kupora uye ramangwana zvichave sei?
Chirwere ichi chinosvika pakakwirira mushure memavhiki maviri kusvika matatu zviratidzo zvatanga. Mushure meizvozvo, kupora kunotanga zvishoma nezvishoma.
- Varwere vanosvika 80% vanokwanisa kufamba vasina rubatsiro mukati memwedzi mitanhatu.
- Varwere vanosvika 60% vanowana simba rakazara remhasuru mukati megore.
- Kupora kunogona kutora pakati pemwedzi 6-12, uye kune vamwe kunogona kutora kusvika makore matatu.
Vana vane GBS vanopora nekukurumidza kupfuura vakuru. Kana wangopora zvakakwana kubva kuGBS, unogona kurarama hupenyu hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- Kana uine chiveve kana kunzwa kusasimba kunotanga mumakumbo ako kwopararira mumuviri wako, usazviregeredza.
- Kana zviratidzo izvi zvikaenderana nekuoma kwekufema kana kumedza, idambudziko rehutano . Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- GBS chirwere chisingawanzoitiki asi chinogona kunge chakakomba. Zvisinei, kana kurapwa kukatanga nekukurumidza, vanhu vazhinji vanogona kupora zvizere.
- Usavhunduke. Kana uine zviratidzo izvi, enda kuna chiremba wako nekukasika kuti akupe mazano.
Guillain-Barré Syndrome, GBS, neuropathy, kusanzwa kwemakumbo, kusanzwa, immune system, myelin
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