Khawuthelekelele ukuba ubunentlungu yomkhuhlane okanye isisu kwiintsuku ezimbalwa ezidlulileyo kwaye ngoku uzive ungcono kancinci. Kodwa ngequbuliso uziva ngathi umbono wakho awubonakali kakuhle, ubona izinto ngamacandelo amabini. Uziva ungaqinisekanga xa uhamba, imilenze yakho iyabhideka. Ukuba kwenzeka into efana nale, wonke umntu ebeya koyika kakhulu, akunjalo? Namhlanje sithetha ngemeko ebangela iimpawu ezinje, abantu abaninzi abangazange beve ngazo, kodwa kubaluleke kakhulu ukwazi. Le yiMiller Fisher Syndrome.
Ngamafutshane, yintoni iMiller Fisher Syndrome?
Isifo sikaMiller Fisher sisifo esingaqhelekanga kakhulu semithambo-luvo. Usenokuba ukhe weva ngesifo sikaGuillain-Barré (GBS). Sikwasisifo apho amasosha omzimba wethu ahlasela khona imithambo-luvo yethu. Isifo sikaMiller Fisher sisifo esahlukileyo se-GBS. Sinqabile kangangokuba sichaphazela phakathi kwe-1% kunye ne-5% yezigulane ze-GBS kumazwe aseNtshona. Nangona kunjalo, kwamanye amazwe aseAsia afana neTaiwan neJapan, inani liphezulu kancinci. Ngoko ke ungaqonda ukuba esi asisosifo semihla ngemihla. Kodwa kubaluleke kakhulu ukuqaphela oku.
Kutheni oku kusenzeka? Zithini izizathu?
Le yeyona nto ibalulekileyo. Zombini i-Miller Fisher syndrome kunye ne-GBS zikhula ngenxa yosulelo olungena emizimbeni yethu.
Ngamafutshane, inkqubo yethu yokuzikhusela, inkqubo yokuzikhusela, iyadideka kancinci kwaye endaweni yokulwa nosulelo, iqala ukuhlasela imithambo-luvo yethu ngempazamo. Oogqirha abasazi ukuba yintoni ebangela oku. Ezi mpawu zihlala zibonakala kwiintsuku ezimbalwa ukuya kwiiveki ezi-4 emva kokugula, ingakumbi isisu esibuhlungu njengorhudo, okanye usulelo lokuphefumla (umkhuhlane, umkhuhlane). Iibhaktheriya eziphambili ezinokubangela le meko yi-'Campylobacter jejuni'. Oku kudla ngokubangela iintlungu zesisu kunye norhudo. Ukongeza, kukwakho neentsholongwane ezinokubangela le meko:
- Intsholongwane kaZika
- Intsholongwane yoKungakwazi Ukuzikhusela komzimba womntu ( i-HIV )
- Intsholongwane ka-Epstein-Barr, ebangela isifo esifana nomkhuhlane i-mononucleosis.
Zithini iimpawu? Uyibona njani le nto?
Abantu abaninzi baya kugqirha
kuba ukubona kwabo kuncipha ngokukhawuleza kwiintsuku ezimbalwa kwaye
banengxaki yokuhamba . Kukho iimpawu ezintathu eziphambili zesifo sikaMiller Fisher. Masiziqonde ezi kwitheyibhile.
| Uphawu oluphambili | Kalula nje, kwenzeka ntoni? |
|---|
| Ubuthathaka bemisipha yamehlo (i-Ophthalmoplegia) | Ukubona kabini kwenzeka, kwaye kuba nzima ukulawula nokuqondisa amehlo kwicala elifunekayo. |
| Ukulahlekelwa yibhalansi (i-Ataxia) | Ndiyakhubeka xa ndihamba, ndiziva ngathi andikwazi ukulinganisela. Ndinengxaki yokulungelelanisa amalungu am. |
| I-Areflexia | Izinto ezifana nokuba ugqirha ubetha idolo lakho ngesando esincinci, umlenze wakho awushukumi. I-reflexes yomzimba iyalahleka. |
Ukongeza kwezi mpawu zintathu ziphambili, abanye abantu banokubonisa ezinye iimpawu:
- Abafundi abavuleke kakhulu .
- Ubuthathaka bemisipha yobuso
- Imisipha yomphimbo ebuthathaka (ukuncipha kwe-gag reflex)
Kubalulekile: Ukuba ezi mpawu zihamba nobuthathaka kwimilenze yakho kunye nemisipha yokuphefumla, isenokuba yimeko ebizwa ngokuba yi-GBS-MFS overlap syndrome. Uphawu oluphambili lwe- GBS bubuthathaka obuqala emilenzeni busasazeke emzimbeni wonke.
Ugqirha uyixilonga njani le nto?
Kunzima kancinci ukufumanisa esi sifo ngokuchanekileyo. Kuba kukho ezinye izifo ezininzi ze-neurological ezineempawu ezifanayo. Umzekelo, izifo ezifana ne-'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. Ke ngoko, ugqirha uza kukuxilonga ngononophelo, akubuze ngeempawu zakho kunye nezifo zakho zamva nje. Emva koko, uza kwenza iimvavanyo ezininzi ukuqinisekisa isifo.
| Uvavanyo | Kalula nje, wenzani/ubona ntoni ngayo? |
|---|
| Ukubhoboza emqolo | Kuthathwa ulwelo oluncinci olujikeleze umqolo wakho (ulwelo lwe-cerebrospinal) luze luhlolwe amanqanaba aphezulu eproteni. Oku kudla ngokunyuka kwizigulana zeMiller Fisher. |
| Uvavanyo lweGazi | Igazi liyavavanywa ukuba kukho i-antibody ebizwa ngokuba yi-`anti-GQ1b`, ehambelana nesi sifo. Le antibody inokubonwa kwi-95% yezigulana. |
| Uphononongo lokuHanjiswa kweMithambo / i-EMG | Umbane omncinci kakhulu, ongenantlungu usetyenziswa ukulinganisa indlela esebenza kakuhle ngayo imithambo-luvo kunye nezihlunu zakho. Esi sifo sibonisa ukungasebenzi kakuhle kwemithambo-luvo. |
| Iskeni yeMRI | Olu vavanyo lwenziwa ukuze kuthintelwe ezinye iimeko, ezifana nestroke. KuMiller Fisher, iMRI idla ngokubonisa iziphumo eziqhelekileyo. |
Zithini iindlela zokunyanga oku? Kuthatha ixesha elingakanani ukuchacha?
Okokuqala, akukho 'nyango' luthile olunokunyanga ngokupheleleyo esi sifo.
Nangona kunjalo, kukho unyango olusebenzayo kakhulu olunokunceda ukulawula iimpawu kwaye lukuncede uphile ngokukhawuleza. Umntu onezi mpawu uhlala esibhedlele. Oku kukujonga ngononophelo iimeko ezinzima zesifo se-GBS. Kuba i-GBS ngamanye amaxesha inokuba yingozi ebomini. Iindlela ezimbini eziphambili zisetyenziswa njengonyango: 1.
I-Intravenous Immunoglobulin (IVIg): Eli liyeza lolwelo elifana netyuwa elinikwa umthambo. Liqulethe ii-antibodies ezicociweyo ezahlulwe kwi-plasma yegazi yamawaka abantu abaphilileyo. Oku kunikwa ngokuqhubekayo malunga neentsuku ezi-5. 2.
Ukutshintshwa kwePlasma (Plasmapheresis): Le yinkqubo enzima kancinci. Ngamafutshane, inani elincinci legazi lithathwa emzimbeni wakho, umatshini okhethekileyo ususa i-plasma enengxaki (inxalenye equlethe ii-antibodies ezihlasela imithambo-luvo) kwaye uyitshintshe ngeeseli zakho zegazi kunye ne-plasma yokutshintsha. Oku kwenziwa malunga namaxesha ama-5 kwixesha leeveki ezimbini. Ukuba izihlunu zakho zibuthathaka kakhulu emva kolu nyango, unokufuna
i-physiotherapy ukuze uziqinise kwakhona.Kuyimfuneko. Ngokuphathelele ukuchacha, kudla ngokuthatha iiveki ezisi-8 ukuya kwezili-12 ukuze kuphile kakuhle.
Uninzi lwabantu luyachacha ngokupheleleyo kwiinyanga ezi-6. Izinga lokuphinda kubuye lingaphantsi kwe-3%. Ke ngoko, ukuxilongwa kwangoko kunye nonyango zezona zinto zibalulekileyo.
Umyalezo Wokuya Ekhaya
- Isifo sikaMiller Fisher sisifo esingaqhelekanga esenzeka xa amajoni ethu omzimba ehlasela imithambo-luvo ngenxa yosulelo olusandula ukwenzeka.
- Iimpawu eziphambili kubuthathaka bemisipha yamehlo ( ukubona kabini), ukulahlekelwa kukulinganisela (ubunzima bokuhamba), kunye nokulahlekelwa kukusebenza kakuhle.
- Ukuba wena okanye umntu omaziyo uzive enezi mpawu ngequbuliso, bonana nogqirha ngoko nangoko. Musa ukoyika, kodwa ungalibazisi.
- Le yimeko enokunyangeka ngokulaliswa esibhedlele kunye nonyango lomzimba , kwaye uninzi lwabantu luyachacha ngokupheleleyo.
Isifo sikaMiller Fisher, isifo sikaGuillain-Barré, izifo ze-neurological, Ukulahlekelwa yimbono, Ubunzima bokuhamba, i-GBS, izifo ze-Autoimmune
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