Ungacinga ukuba ukuba ndindisholo okuncinci okuqala ezincamini zeenzwane zakho kunokusasazeka kancinci emzimbeni wakho, okubangela ukuba ndindisholo kwimilenze yakho kwanokukhubazeka? Libali eloyikekayo. Kodwa le yinyani yesifo esingaqhelekanga semithambo-luvo esibizwa ngokuba
yiGuillain-Barré Syndrome (GBS). Sidla ngokuvela emva kokuba uphilile kwi-bug eqhelekileyo yesisu (njenge-jaundice) okanye usulelo lokuphefumla (
njengomkhuhlane ).
Ngamafutshane, yintoni i-Guillain-Barré syndrome (GBS)?
Ngamafutshane, i-GBS kuxa inkqubo yethu yokuzikhusela yomzimba,
inkqubo yokuzikhusela , iqala ngequbuliso ukuhlasela imithambo-luvo yethu. Kufana nomkhosi wethu uhlasela abantu bethu ngengozi. Cinga ngayo ngathi imithambo-luvo yethu ifana neengcingo zombane. Kukho i-sheath yeplastiki ejikeleze ezi ngcingo njenge-insulation, akunjalo? Ngokufanayo, imithambo-luvo yethu ijikelezwe yi-sheath yokukhusela ebizwa ngokuba
yi-myelin . Xa i-GBS ikhula, inkqubo yethu yokuzikhusela ihlasela loo sheath ye-myelin. Xa le sheath yonakele, imiyalezo evela kwingqondo ayifiki kakuhle kwimisipha. Isiphumo kukuba buthathaka kwemisipha, ukungaziva, kwaye ngamanye amaxesha ukukhubazeka ngokupheleleyo.
Esi asisosifo esosulelayo okanye esidluliselwa kwilifa. Nangona kunjalo, yimeko efuna unyango olungxamisekileyo . Kungoko ke, kubaluleke kakhulu ukufuna ingcebiso kagqirha kwakuba nje iimpawu zokuqala zibonakala.
Ziziphi iintlobo eziphambili ze-GBS?
Kukho iintlobo ezininzi eziphambili ze-GBS, kodwa uhlobo lokuqala lolona luxhaphakileyo eSri Lanka.
| Uhlobo lwesifo | Ingcali ekhethekileyo |
|---|
| I-Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) | Olu lolona hlobo luxhaphakileyo. Kolu hlobo, ubuthathaka bemisipha buqala emilenzeni buze busasazeke bunyuke umzimba wonke. |
| Isifo sikaMiller Fisher (MFS) | Oku kuqhelekile kumazwe aseAsia. Kuqala ngokuba nzima ukuhambisa amehlo. Ukulahlekelwa yibhalansi xa uhamba nako luphawu. |
| Iintlobo ze-AMAN kunye ne-AMSAN | Ezi zixhaphake kakhulu kumazwe afana neTshayina neJapan. Iimpawu zinokuba nzima kakhulu kunezinye iintlobo. |
Izizathu kunye nemingcipheko yokuphuhlisa i-GBS
Isizathu esichanekileyo se-GBS asikaziwa okwangoku. Nangona kunjalo, oogqirha bakholelwa ukuba ezinye izifo zitshintsha uhlobo lweeseli zethu zemithambo-luvo, nto leyo ebangela ukuba inkqubo yomzimba yokuzikhusela iziphathe njengeentshaba. Malunga nesibini kwisithathu sabantu abafumana i-GBS banesifo sesisu esifana nesifo sorhudo okanye usulelo lokuphefumla olufana nomkhuhlane kwiintsuku ezimbalwa okanye iiveki ngaphambi kokuba kuvele iimpawu zemithambo-luvo.
Ezinye zezinto eziphambili ezinokubangela i-GBS ziquka:- Ibhaktiriya yeCampylobacter: Le bhaktiriya, edluliselwa yinkukhu engaphekwanga kakuhle, ithathwa njengeyona nto ibangela i -GBS .
- Intsholongwane yomkhuhlane
- Intsholongwane ye-covid -19
- I-Cytomegalovirus
- Intsholongwane ye-Epstein-Barr
- Intsholongwane kaZika
- IHepatitis A , B, C kunye no-E
- intsholongwane kaGawulayo
- Ezinye ii-operation okanye iingozi
- Kwiimeko ezingaqhelekanga, ezinye izitofu zokugonya (umz. i-Johnson & Johnson kunye ne-AstraZeneca COVID-19 vaccines)
Asinguye wonke umntu onesifo esibizwa ngokuba yi-GBS. Ngumntu omnye kwisigidi kuphela osengozini.
Zeziphi iimpawu ekufuneka uziqwalasele?
Iimpawu ze-GBS zinokubonakala ngokukhawuleza kakhulu, ngamanye amaxesha zibe nzima kwiiyure okanye kwiintsuku ezimbalwa.
| Uphawu | Inkcazo |
|---|
| Ukuba ndindisholo | Uvakalelo olunjengeembovane ezirhubuluza ezinzwaneni zakho, emaqatheni, kwiminwe, nasezihlahleni. |
| Ubuthathaka bemisipha | Ukuziva ungenabomi okuqala emilenzeni uze usasazeke kancinci kancinci uye kwiindawo eziphezulu zomzimba. |
| Ubunzima bokuhamba | Ndiyalahlekelwa kukulinganisela xa ndihamba kwaye kunzima ukunyuka izinyuko. |
| Utshintsho lobuso | Kuba nzima ukuthetha, ukuhlafuna ukutya, nokuginya. Ungabona into enye okanye ezimbini emehlweni omabini (ukubona kabini). |
| Intlungu ebuhlungu | Intlungu ehlabayo nehlabayo kwimisipha yomzimba. Le ntlungu inokuba qatha ngakumbi ebusuku. |
| Ezinye iimpawu | Ukubetha kwentliziyo okunyukileyo, uxinzelelo lwegazi oluphezulu noluphantsi, ukungakwazi ukulawula umchamo kunye nendle, ubunzima bokuphefumla. |
Okubaluleke kakhulu: Ukuba ngequbuliso uzive ungaphilanga kakuhle kwaye imeko iba mandundu ngokuhamba kweeyure ezimbalwa, okanye ukuba unengxaki yokuphefumla okanye yokuginya, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. Asikuko ukulibazisa oku.
Ugqirha usifumanisa njani esi sifo?
Ngenxa yokuba iimpawu ze-GBS zifana nezinye izifo zemithambo-luvo, ugqirha uya kwenza iimvavanyo ezininzi ukuqinisekisa ukuba azikho ezinye izifo.
- Ukukubuza imibuzo: Ukubuza izinto ezinje ngokuba iimpawu zakho ziqale njani kwaye nini, kunye nokuba ukhe waba nazo naziphi na izifo kutshanje.
- Uvavanyo lwenkqubo yemithambo-luvo: Olu vavanyo luvavanya amandla emisipha yakho, ukuhamba kwayo, ibhalansi, kunye nokusabela kwayo.
- Ukubhoboza umqolo/Ukubhoboza i-Lumbar: Oku kuquka ukufaka inaliti encinci kakhulu emqolo wakho ongezantsi uze uthathe inani elincinci lolwelo olujikeleze umqolo wakho (ulwelo lwe-cerebrospinal) uze uluthumele kwilebhu ukuze luvavanywe. Ukuba amanqanaba eeproteni kolu lwelo aphezulu, luphawu lwe-GBS.
- Uvavanyo lomsebenzi we-neurological:
- I-Electromyography (EMG): Oku kuquka ukufaka ii-electrode ezincinci ezifana neenaliti kwimisipha ukuze kulinganiswe umsebenzi wemithambo-luvo.
- Uphononongo lokuqhuba imithambo-luvo: Olu vavanyo lulinganisa isantya esihamba ngaso ii-nerve impulses ngokubeka ii-electrodes eluswini kwaye zithumele umbane omncinci. Olu santya luyancitshiswa kwi-GBS.
- I-MRI scan: Usenokwenza ne-MRI scan yengqondo okanye yomqolo wakho.
Zithini iindlela zonyango?
Ukuba ufunyaniswe une-GBS, kufuneka uqale unyango ngoko nangoko. Uya kunyangwa rhoqo kwigumbi lonyango olunzima (ICU) esibhedlele. Kukho iindlela ezimbini eziphambili zonyango: 1.
Ukutshintshwa kweplasma / iPlasmapheresis: Igazi lakho lifakwa kumatshini okhethekileyo, kwaye inxalenye engamanzi yegazi lakho (iplasma) iyahlulwa. Le plasma iqulethe ii-antibodies ezonakalisa imithambo-luvo. Umatshini ususa ezi antibodies zimbi kwaye ubuyisele iiseli zegazi ezilungileyo emzimbeni wakho. 2.
Unyango lwe-immunoglobulin: Inani elikhulu lee-antibodies ezilungileyo ezithathwe kubantu abaphilileyo zinikwa ngesisombululo se-saline. Ezi antibodies zilungileyo zinciphisa umsebenzi wee-antibodies ezibi emzimbeni wakho. Ukongeza kwezi ndlela zonyango ziphambili, uya kunikwa iintlungu, amayeza okunciphisa igazi, kwaye ukuba kuyimfuneko, uya kondliwa ngetyhubhu kuba awukwazi ukuginya ukutya.
Ukuba ubunzima bokuphefumla buba nzima, unokufuna ukuqhagamshelwa okwethutyana kwi-ventilator. Ngexesha lokuchacha kwakho, kuya kufuneka wenze uqeqesho lokuqina ngoncedo lonyango lomzimba kunye nonyango lomsebenzi.
Kuza kuba njani ukuchacha kunye nekamva?
Esi sifo sifikelela kwincopho yaso kwiiveki ezi-2-3 emva kokuba iimpawu ziqalile. Emva koko, ukuchacha kuqala kancinci kancinci.
- Malunga nama -80% ezigulana ziyakwazi ukuhamba ngaphandle koncedo kwiinyanga ezi-6.
- Malunga nama -60% ezigulana ziphinda zifumane amandla apheleleyo ezihlunwini kungekapheli nonyaka.
- Ukuchacha kungathatha phakathi kweenyanga ezi-6-12, kwaye kwabanye kungathatha ukuya kuthi ga kwiminyaka emi-3.
Abantwana abane-GBS bayachacha ngokukhawuleza kunabantu abadala. Wakuba uphilile ngokupheleleyo kwi-GBS, ungaphila ubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Ukuba une-hayindwo okanye ubuthathaka obuqala emilenzeni yakho busasazeke emzimbeni wakho, musa ukubutyeshela.
- Ukuba ezi mpawu zihamba nobunzima bokuphefumla okanye ukuginya, yingxaki yezonyango . Yiya kwiSebe lezeMpilo eNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- I-GBS sisifo esingaqhelekanga kodwa esinokuba yingozi. Nangona kunjalo, ukuba unyango luqalwe kwangethuba, uninzi lwabantu lunokuphila ngokupheleleyo.
- Musa ukoyika. Ukuba unale mpawu, bonana nogqirha wakho ngokukhawuleza ukuze akunike icebiso.
Isifo sikaGuillain-Barré, i-GBS, i-neuropathy, ukungaziva mnandi kwemilenze, ukungaziva mnandi, inkqubo yomzimba yokuzikhusela, i-myelin
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