Ukulahlekelwa umuzwa ngokuzumayo emilenzeni? Ake sifunde ngalesi simo esingavamile, i-Guillain-Barré Syndrome.

Ungacabanga ukuthi ukuba ndikindiki okuncane okuqala ezinzwaneni zakho kungasakazeka kancane kancane emzimbeni wakho wonke, kubangele ukuba ndikindiki ezithweni zakho ngisho nokukhubazeka? Indaba eyesabekayo. Kodwa lokhu kuyiqiniso lesifo sezinzwa esingavamile esibizwa ngokuthi i-Guillain-Barré Syndrome (GBS). Sivame ukuvela ngemva kokuba usululame esifweni esivamile sesisu (njenge-jaundice) noma ukutheleleka kokuphefumula ( njengomkhuhlane ).

Kalula nje, iyini i-Guillain-Barré syndrome (GBS)?

Kalula nje, i-GBS yilapho uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela , luqala khona ukuhlasela izinzwa zethu. Kufana nebutho lethu lihlasela abantu bethu ngengozi. Cabanga ngakho njengoba izinzwa zethu zifana nezintambo zikagesi. Kukhona igobolondo lepulasitiki elizungeze lezi zintambo njengokuvikela, akunjalo? Ngokufanayo, izinzwa zethu nazo zizungezwe igobolondo elivikelayo elibizwa ngokuthi i-myelin . Lapho i-GBS ikhula, uhlelo lwethu lokuzivikela luhlasela lelo gobolondo le-myelin. Lapho le gobolondo lonakele, imiyalezo evela ebuchosheni ayifiki kahle emisipheni. Umphumela uba ubuthakathaka bemisipha, ukungakhululeki, kanye nokukhubazeka okuphelele ngezinye izikhathi.

Yiziphi izinhlobo eziyinhloko ze-GBS?

Kunezinhlobo eziningana eziyinhloko ze-GBS, kodwa uhlobo lokuqala yilona oluvame kakhulu eSri Lanka.

Izimbangela kanye nezici eziyingozi zokuthuthukisa i-GBS

Imbangela eqondile ye-GBS ayaziwa okwamanje. Kodwa-ke, odokotela bakholelwa ukuthi ukutheleleka okuthile kushintsha uhlobo lwamaseli ethu ezinzwa, okwenza amasosha omzimba acabange ukuthi yizitha. Cishe izingxenye ezimbili kwezintathu zabantu abathola i-GBS banesifo sesisu esifana nesifo sohudo noma ukutheleleka kokuphefumula njengomkhuhlane ezinsukwini ezimbalwa noma amasonto ngaphambi kokuqala kwezimpawu zezinzwa. Ezinye zezici eziyinhloko ezingaba nomthelela ku-GBS zifaka:

• Ibhaktheriya ye-Campylobacter: Leli bhaktheriya, elidluliselwa ngenkukhu engaphekiwe kahle, libhekwa njengembangela eyinhloko ye -GBS .
• Igciwane lomkhuhlane
• Igciwane le-covid -19
• I-Cytomegalovirus
• Igciwane le-Epstein-Barr
• Igciwane leZika
• I-Hepatitis A , B, C kanye no-E
• igciwane lesandulela ngculaza
• Ukuhlinzwa okuthile noma izingozi
• Ezimweni ezingavamile, eminye imigomo (isib. imigomo ye-Johnson & Johnson kanye ne-AstraZeneca COVID-19)

Akuwona wonke umuntu onalesi sifo ozothola i-GBS. Umuntu oyedwa kuphela kwabayisigidi usengozini.

Yiziphi izimpawu okufanele uziqaphele?

Izimpawu ze-GBS zingavela ngokushesha okukhulu, ngezinye izikhathi zibe zimbi kakhulu phakathi namahora noma izinsuku ezimbalwa.

Udokotela usithola kanjani lesi sifo?

Ngenxa yokuthi izimpawu ze-GBS zifana nezinye izifo zezinzwa, udokotela uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi azikho ezinye izifo.

• Ukukubuza imibuzo: Ukubuza izinto ezifana nokuthi izimpawu zakho zaqala nini nokuthi kanjani, nokuthi ngabe uke waba nanoma yiziphi izifo muva nje.
• Ukuhlolwa kwesistimu yezinzwa: Lokhu kuhlola amandla emisipha yakho, ukuhamba, ibhalansi, kanye nokusabela komzimba.
• Ukubhoboza umgogodla/ukuqhuma kwe-Lumbar: Lokhu kuhilela ukufaka inalithi encane kakhulu emhlane wakho ongezansi bese uthatha inani elincane loketshezi oluzungeze umgogodla wakho (uketshezi lwe-cerebrospinal) bese uluthumela elebhu ukuze luhlolwe. Uma amazinga eprotheni kulolu ketshezi ephakeme, kuwuphawu lwe-GBS.
• Ukuhlolwa kokusebenza kwezinzwa:
• I-Electromyography (EMG): Lokhu kuhilela ukufaka ama-electrode amancane afana nenaliti emisipheni ukuze kulinganiswe umsebenzi wezinzwa.
• Ucwaningo lokuqhutshwa kwemizwa: Lokhu kulinganisa isivinini lapho imizwa yemizwa ihamba khona ngokubeka ama-electrode esikhumbeni bese kuthunyelwa ugesi omncane. Lesi sivinini sehliswa ku-GBS.
• I-MRI scan: Ungase futhi uhlolwe ubuchopho noma umgogodla nge-MRI scan.

Yiziphi izindlela zokwelapha?

Uma utholakale une-GBS, udinga ukuqala ukwelashwa ngokushesha. Uzovame ukwelashwa egunjini lokunakekelwa okujulile (ICU) esibhedlela. Kunezindlela ezimbili zokwelapha eziyinhloko: 1. Ukushintshaniswa kwe-plasma / i-Plasmapheresis: Igazi lakho lifakwa emshinini okhethekile, bese ingxenye ewuketshezi yegazi lakho (i-plasma) ihlukaniswa. Le plasma iqukethe ama-antibodies alimaza imizwa. Umshini ususa la ma-antibodies amabi bese ubuyisela amaseli egazi amahle emzimbeni wakho. 2. Ukwelashwa nge-immunoglobulin: Inani elikhulu lama-antibodies amahle athathwe kubantu abaphilile unikezwa lona ngesisombululo se-saline. La ma-antibodies amahle anciphisa ukusebenza kwama-antibodies amabi emzimbeni wakho. Ngaphezu kwalokhu kwelashwa okuyinhloko, uzonikezwa ama-painkiller, ama-blood thinner, futhi uma kudingeka, uzondliwa ngepayipi ngoba awukwazi ukugwinya ukudla. Uma ubunzima bokuphefumula buba bukhulu, kungadingeka ukuthi uxhunywe okwesikhashana kumshini wokuphefumula. Ngesikhathi sokululama kwakho, kuzodingeka wenze ukuqeqeshwa kwamandla ngosizo lokwelashwa ngokomzimba kanye nokwelashwa komsebenzi.

Kuzoba njani ukululama kanye nekusasa?

Lesi sifo sifinyelela esicongweni emavikini ama-2-3 ngemuva kokuqala kwezimpawu. Ngemva kwalokho, ukululama kuqala kancane kancane.

• Cishe ama-80% eziguli ayakwazi ukuhamba ngaphandle kosizo zingakapheli izinyanga eziyisithupha.
• Cishe ama -60% eziguli athola amandla aphelele emisipha phakathi nonyaka.
• Ukululama kungathatha phakathi kwezinyanga eziyi-6-12, kanti kwabanye kungathatha iminyaka emi-3.

Izingane ezine-GBS ziyalulama ngokushesha kunabantu abadala. Uma usululame ngokuphelele kwi-GBS, ungaphila impilo evamile. I-Guillain-Barré Syndrome, i-GBS, i-neuropathy, ukungazweli emilenzeni, ukungazweli, isimiso somzimba sokuzivikela, i-myelin