Fungidzira kuti wakamborwadziwa nedzihwa kana mudumbu mazuva mashoma apfuura uye ikozvino wava kunzwa zviri nani. Asi kamwe kamwe unonzwa sekunge kuona kwako kwava kusviba zvishoma, unoona zvinhu muzvikamu zviviri. Unonzwa kusagadzikana paunofamba, makumbo ako anovhiringika. Kana chimwe chinhu chakadai chikaitika, munhu wese aizotya zvikuru, handiti? Nhasi tiri kutaura nezvechirwere chinokonzera zviratidzo zvakaita seizvi, icho vanhu vazhinji vasati vanzwa nezvacho, asi chakakosha kuziva. Ndiyo Miller Fisher Syndrome.
Zvichitaurwa zviri nyore, chii chinonzi Miller Fisher Syndrome?
Miller Fisher syndrome chirwere chisingawanzoitiki chetsinga. Ungave wakambonzwa nezveGuillain-Barré syndrome (GBS). Ichi chirwerewo umo masoja edu emuviri anorwisa tsinga dzedu. Miller Fisher syndrome imhando yeGBS. Haiwanzoitiki zvekuti inobata pakati pe1% ne5% yevarwere vane GBS munyika dzekuMadokero. Zvisinei, mune dzimwe nyika dzeAsia dzakadai seTaiwan neJapan, nhamba yacho yakakwira zvishoma. Saka unogona kunzwisisa kuti ichi hachisi chirwere chemazuva ese. Asi zvakakosha kuziva izvi.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Ichi ndicho chinhu chakakosha zvikuru. Miller Fisher syndrome neGBS zvose zvinokura nekuda kwehutachiona hunopinda mumiviri yedu.
Zvichitaurwa zviri nyore, dziviriro yedu, immune system, inovhiringidzika zvishoma uye pachinzvimbo chekurwisa hutachiona, inotanga kurwisa tsinga dzedu netsaona. Vanachiremba havasati vaziva kuti chii chinokonzera izvi. Zviratidzo izvi zvinowanzoonekwa mukati memazuva mashoma kusvika kumavhiki mana echirwere, kunyanya kurwadziwa kwemudumbu senge manyoka, kana hutachiona hwekufema (chikosoro, furuu). Mabhakitiriya makuru anogona kukonzera chirwere ichi ndi 'Campylobacter jejuni'. Izvi ndizvo zvinowanzo kukonzera kurwadziwa mudumbu nemanyoka. Pamusoro pezvo, kunewo mavhairasi anogona kukonzera chirwere ichi:
- Virusi reZika
- Virusi reHuman Immunodeficiency Virus ( HIV )
- Utachiona hweEpstein-Barr, hunokonzera chirwere chakafanana nefivha chinonzi mononucleosis.
Zviratidzo zvacho ndezvipi? Unozviziva sei izvi?
Vanhu vazhinji vanoenda kunoona chiremba
nekuti kuona kwavo kunodzikira nekukurumidza mukati memazuva mashoma uye
vanonetseka nekufamba . Pane zviratidzo zvikuru zvitatu zveMiller Fisher syndrome. Ngatizvinzwisisei mutafura.
| Chiratidzo chikuru | Zvichitaurwa zviri nyore, chii chinoitika? |
|---|
| Kushaya simba kwetsandanyama dzemaziso (Ophthalmoplegia) | Kuona kaviri kunoitika, uye zvinova zvakaoma kudzora nekutungamira maziso munzira yaunoda. |
| Kurasikirwa nekuenzana (Ataxia) | Ndinogumburwa pandinofamba, ndinonzwa sekunge handina kugadzikana. Ndinoomerwa nekubatanidza makumbo angu. |
| Areflexia | Zvinhu zvakaita sekuti kana chiremba akakurova pabvi nenyundo diki, gumbo rako harifambi. Kushanda kwemuviri kunorasika. |
Kuwedzera kune zviratidzo zvikuru zvitatu izvi, vamwe vanhu vanogona kuratidza zvimwe zviratidzo:
Zvakakosha: Kana zviratidzo izvi zvichiperekedzwa nekushaiwa simba kwemakumbo ako uye tsandanyama dzekufema, ingave chirwere chinonzi GBS-MFS overlap syndrome. Chiratidzo chikuru cheGBS kushaya simba kunotangira mumakumbo kwopararira mumuviri wese.
Chiremba anoongorora sei izvi?
Zvakaoma zvishoma kuziva chirwere ichi nemazvo. Nekuti kune zvimwe zvirwere zvakawanda zvetsinga zvine zviratidzo zvakafanana. Semuenzaniso, zvirwere zvakaita se'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. Saka, chiremba achakuongorora nokungwarira, obvunza nezvezviratidzo zvako nezvirwere zvawakaita munguva pfupi yapfuura. Zvadaro, achaita bvunzo dzinoverengeka kuti asimbise chirwere chacho.
| Bvunzo | Zvichitaurwa zviri nyore, chii chaunoita/unoona nayo? |
|---|
| Kuboorwa kwemusana | Chidimbu chidiki chemvura iri mumutsara wako (cerebrospinal fluid) chinotorwa choongororwa kuti chine mapuroteni akawanda here. Izvi zvinowanzo wedzera muvarwere veMiller Fisher. |
| Kuongororwa kweRopa | Ropa rinoongororwa kuti rionekwe kuti rine antibody inonzi `anti-GQ1b`, iyo inoenderana nechirwere ichi. Antibody iyi inogona kuonekwa mu95% yevarwere. |
| Chidzidzo Chekufambisa Mitsipa / EMG | Kagetsi kadiki kasingarwadzi kanoshandiswa kuyera kuti tsinga dzako netsandanyama zviri kushanda zvakanaka sei. Chirwere ichi chinoratidza kusashanda zvakanaka kwetsinga. |
| Kuskena kweMRI | Kuongororwa uku kunoitwa kuti pasave nezvimwe zvirwere zvakaita sestroke. MuMiller Fisher, MRI inowanzo ratidza mhedzisiro yakajairika. |
Mishonga yeizvi ndeipi? Zvinotora nguva yakareba sei kuti munhu apore?
Chekutanga, hapana mushonga chaiwo unogona kurapa chirwere ichi zvachose.
Zvisinei, kune mishonga inoshanda zvikuru inogona kubatsira kudzora zviratidzo uye kukubatsira kuti upore nekukurumidza. Munhu ane zviratidzo izvi anowanzo pihwa muchipatara. Izvi ndezvekutarisa nekungwarira nyaya dzakakomba dzechirwere cheGBS. Nekuti GBS dzimwe nguva inogona kuisa hupenyu panjodzi. Nzira mbiri huru dzinoshandiswa sekurapa: 1.
Intravenous Immunoglobulin (IVIg): Uyu mushonga wemvura wakaita semunyu unopihwa mutsinga. Une ma antibodies akacheneswa akaparadzaniswa neropa revanhu vane zviuru vane hutano. Izvi zvinopihwa nguva dzose kwemazuva angangoita mashanu. 2.
Plasma Exchange (Plasmapheresis): Uyu muitiro wakaoma. Zvichitaurwa zviri nyore, ropa diki rinotorwa mumuviri wako, muchina wakakosha unobvisa plasma ine dambudziko (chikamu chine ma antibodies anorwisa tsinga) wochitsiva nemasero ako eropa pamwe chete neplasma inotsiva. Izvi zvinoitwa kanenge kashanu mukati memavhiki maviri. Kana tsandanyama dzako dzisina simba mushure mekurapwa uku, ungangoda
physiotherapy kuti uvasimbise zvakare.Zvinodiwa. Kana kuri kupora, zvinowanzotora pakati pemavhiki masere negumi nemaviri kuti munhu apore zvakanaka.
Vanhu vazhinji vanopora zvachose mukati memwedzi mitanhatu. Kudzoka kwechirwere kushoma pane 3%. Saka, kuongororwa nekukurumidza uye kurapwa ndizvo zvinonyanya kukosha.
Mharidzo Yekuenda Nayo Kumba
- Miller Fisher syndrome chirwere chisingawanzoitiki chinoitika kana masoja edu emuviri achirwisa tsinga nekuda kwehutachiona hwatichangobva kuwana.
- Zviratidzo zvikuru kushaya simba kwetsandanyama dzemaziso ( kuona kaviri), kurasikirwa nemwero (kuomerwa nekufamba), uye kurasikirwa nemaitiro ekuita kuti pfungwa dzishande zvakanaka.
- Kana iwe kana mumwe munhu waunoziva akaonekwa nezviratidzo izvi kamwe kamwe, enda kuna chiremba nekukasika. Usavhunduke, asi usanonokawo.
- Ichi chirwere chinogona kurapwa nekuiswa muchipatara uye physiotherapy , uye vanhu vazhinji vanopora zvizere.
Miller Fisher Syndrome, Guillain-Barré syndrome, Zvirwere zvetsinga, Kutadza kuona zvakanaka, Kutadza kufamba zvakanaka, GBS, Zvirwere zve autoimmune
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