Cabanga ukuthi ubunomkhuhlane noma ubuhlungu besisu ezinsukwini ezimbalwa ezedlule futhi manje uzizwa ungcono kancane. Kodwa ngokuzumayo uzizwa sengathi umbono wakho awucacile, ubona izinto ngezingxenye ezimbili. Uzizwa ungazinzile lapho uhamba, imilenze yakho iyabhidlika. Uma kwenzeka into efana nale, wonke umuntu ubezokwesaba kakhulu, akunjalo? Namuhla sikhuluma ngesimo esibangela izimpawu ezinjengalesi, abantu abaningi abangakaze bezwe ngaso, kodwa kubaluleke kakhulu ukusazi. Leso yi-Miller Fisher Syndrome.
Kalula nje, iyini i-Miller Fisher Syndrome?
I-Miller Fisher syndrome iyisifo sezinzwa esingavamile kakhulu. Kungenzeka ukuthi uke wezwa nge-Guillain-Barré syndrome (GBS). Futhi iyisifo lapho amasosha omzimba ethu ehlasela khona izinzwa zethu. I-Miller Fisher syndrome iyinhlobo ye-GBS. Ayivamile kangangokuthi ithinta phakathi kuka-1% no-5% weziguli ze-GBS emazweni aseNtshonalanga. Kodwa-ke, kwamanye amazwe ase-Asia njengeTaiwan neJapan, inani liphezulu kancane. Ngakho-ke ungaqonda ukuthi lesi akusona isifo sansuku zonke. Kodwa kubaluleke kakhulu ukuqaphela lokhu.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Lokhu kuyinto ebaluleke kakhulu. Kokubili i-Miller Fisher syndrome kanye ne-GBS kukhula ngenxa yokutheleleka okungena emizimbeni yethu.
Kalula nje, uhlelo lwethu lokuzivikela, uhlelo lokuzivikela, luyadideka kancane futhi esikhundleni sokulwa nokutheleleka, luqala ukuhlasela imizwa yethu ngephutha. Odokotela abasazi kahle ukuthi yini ebangela lokhu. Lezi zimpawu zivame ukuvela ezinsukwini ezimbalwa kuya emavikini ama-4 okugula, ikakhulukazi ubuhlungu besisu njengohudo, noma ukutheleleka kokuphefumula (umkhuhlane, umkhuhlane). Amagciwane amakhulu angabangela lesi simo yi-'Campylobacter jejuni'. Yilokhu okuvame ukubangela ukuqaqamba kwesisu kanye nohudo. Ngaphezu kwalokho, kukhona namagciwane angabangela lesi simo:
- Igciwane leZika
- Igciwane Lokungakwazi Ukuzivikela Emzimbeni Komuntu ( i-HIV )
- Igciwane le-Epstein-Barr, elibangela isifo esifana nomkhuhlane i-mononucleosis.
Ziyini izimpawu? Ukubona kanjani lokhu?
Abantu abaningi baya kudokotela
ngoba ukubona kwabo kuncipha ngokushesha ezinsukwini ezimbalwa futhi
baba nobunzima bokuhamba . Kunezimpawu ezintathu eziyinhloko ze-Miller Fisher syndrome. Ake siqonde lezi zimpawu etafuleni.
| Uphawu oluyinhloko | Kalula nje, kwenzekani? |
|---|
| Ubuthakathaka bemisipha yamehlo (i-Ophthalmoplegia) | Ukubona kabili kwenzeka, futhi kuba nzima ukulawula nokuqondisa amehlo ngendlela oyifunayo. |
| Ukulahlekelwa yibhalansi (i-Ataxia) | Ngiyakhubeka lapho ngihamba, ngizizwa sengathi angikwazi ukulinganisela. Nginenkinga yokuxhumanisa izitho zami. |
| I-Areflexia | Izinto ezifana nokuthi lapho udokotela ekushaya idolo lakho ngesando esincane, umlenze wakho awushukumi. Ukusabela komzimba kuyalahleka. |
Ngaphezu kwalezi zimpawu ezintathu eziyinhloko, abanye abantu bangase babonise ezinye izimpawu:
Okubalulekile: Uma lezi zimpawu zihambisana nobuthakathaka ezithweni zakho nasemisipheni yokuphefumula, kungaba yisimo esibizwa ngokuthi i-GBS-MFS overlap syndrome. Uphawu oluyinhloko lwe- GBS ubuthakathaka obuqala emilenzeni busakazeke emzimbeni wonke.
Udokotela uhlonza kanjani lokhu?
Kunzima kancane ukuxilonga lesi sifo ngokunembile. Ngoba kunezinye izifo eziningi zezinzwa ezinezimpawu ezifanayo. Isibonelo, izifo ezifana ne-'Basal meningitis', 'Botulism', 'Brainstem stroke', 'Myasthenia Gravis'. Ngakho-ke, udokotela uzokuxilonga ngokucophelela, akubuze ngezimpawu zakho kanye nezifo zakho zakamuva. Ngemuva kwalokho, uzokwenza izivivinyo eziningana ukuqinisekisa lesi sifo.
| Ukuhlolwa | Kalula nje, wenzani/ubonani ngayo? |
|---|
| Ukubhoboza kwe-Lumbar | Inani elincane loketshezi oluzungeze umgogodla wakho (uketshezi lwe-cerebrospinal) liyathathwa bese kuhlolwa amazinga aphezulu eprotheni. Lokhu kuvame ukuphakama ezigulini zeMiller Fisher. |
| Ukuhlolwa Kwegazi | Igazi lihlolwa ukuthi likhona yini i-antibody ebizwa ngokuthi `anti-GQ1b`, eqondene ngqo nalesi sifo. Le antibody ingabonakala ku-95% weziguli. |
| Ucwaningo Lokuqhutshwa Kwezinzwa / EMG | Kusetshenziswa ugesi omncane kakhulu, ongenabuhlungu ukukala ukuthi izinzwa nemisipha yakho isebenza kahle kangakanani. Lesi sifo sibonisa ukungasebenzi kahle kwezinzwa. |
| Iskeni se-MRI | Lokhu kuhlolwa kwenziwa ukuze kukhishwe ezinye izimo, njengesifo sohlangothi. KuMiller Fisher, i-MRI ivame ukukhombisa imiphumela evamile. |
Yiziphi izindlela zokwelapha lokhu? Kuthatha isikhathi esingakanani ukululama?
Okokuqala, akukho 'ukwelashwa' okuqondile okungakwelapha ngokuphelele lesi sifo.
Kodwa-ke, kunezindlela zokwelapha ezisebenza kahle kakhulu ezingasiza ukulawula izimpawu futhi zikusize ululame ngokushesha. Umuntu onalezi zimpawu uvame ukulaliswa esibhedlela. Lokhu kuwukuqapha ngokucophelela amacala abucayi esifo se-GBS. Ngoba i-GBS ngezinye izikhathi ingaba yingozi empilweni. Izindlela ezimbili eziyinhloko zisetshenziswa njengokwelashwa: 1.
I-Intravenous Immunoglobulin (IVIg): Lona umuthi owuketshezi ofana nosawoti onikezwa emthanjeni. Uqukethe ama-antibodies ahlanziwe ahlukaniswe ne-plasma yegazi yezinkulungwane zabantu abaphilile. Lokhu kunikezwa njalo cishe izinsuku ezi-5. 2.
Ukushintshaniswa Kwe-Plasma (Plasmapheresis): Lena inqubo eyinkimbinkimbi. Kalula nje, inani elincane legazi lithathwa emzimbeni wakho, umshini okhethekile ususa i-plasma eyinkinga (ingxenye equkethe ama-antibodies ahlasela imizwa) bese uyishintsha ngamaseli akho egazi kanye ne-plasma yokufaka esikhundleni. Lokhu kwenziwa cishe izikhathi ezi-5 esikhathini samasonto amabili. Uma imisipha yakho ibuthakathaka kakhulu ngemva kwalokhu kwelashwa, ungadinga
i-physiotherapy ukuze uyiqinise futhi.Kuyadingeka. Ngokuphathelene nokululama, kuvame ukuthatha amasonto angu-8 kuya kwangu-12 ukuze kululame kahle.
Iningi labantu lilulama ngokuphelele zingakapheli izinyanga ezingu-6. Izinga lokuphinda libuye lingaphansi kuka-3%. Ngakho-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa yizinto ezibaluleke kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Miller Fisher syndrome yisifo esingavamile esenzeka lapho amasosha omzimba ethu ehlasela imizwa ngenxa yokutheleleka okusha.
- Izimpawu eziyinhloko ubuthakathaka bemisipha yamehlo ( ukubona kabili), ukulahlekelwa ibhalansi (ubunzima bokuhamba), kanye nokulahlekelwa yi-reflexes.
- Uma wena noma othile omaziyo eba nalezi zimpawu ngokuzumayo, bona udokotela ngokushesha. Ungesabi, kodwa ungalibali futhi.
- Lesi yisimo esingelashwa ngokulaliswa esibhedlela kanye nokwelashwa ngokomzimba , futhi abantu abaningi balulama ngokuphelele.
I-Miller Fisher Syndrome, i-Guillain-Barré syndrome, Izifo ze-neurological, Ukulahlekelwa umbono, Ubunzima bokuhamba, i-GBS, Izifo ze-Autoimmune
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