Matenda a Guillain-Barré

Zamkati

• Nchiyani chimayambitsa matenda a Guillain-Barré?
• Kodi zizindikiro za matenda a Guillain-Barré ndi ziti?
• Kodi matenda a Guillain-Barré amapezeka bwanji?
• Mphepete wamtsempha
• Zojambulajambula
• Kuyesa kwamitsempha kwamitsempha
• Kodi matenda a Guillain-Barré amathandizidwa bwanji?
• Plasmapheresis (kusinthana kwa plasma)
• Kutsegula m'mimba immunoglobulin
• Mankhwala ena
• Kodi zovuta zoyambitsa matenda a Guillain-Barré ndi ziti?
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi Guillain-Barré syndrome ndi chiyani?

Matenda a Guillain-Barré ndimavuto osowa koma owopsa amthupi momwe chitetezo chamthupi chimagwirira maselo amitsempha yathanzi m'dongosolo lanu lamanjenje (PNS).

Izi zimabweretsa kufooka, dzanzi, komanso kumva kulira, ndipo pamapeto pake zimatha kuyambitsa ziwalo.

Zomwe zimayambitsa vutoli sizikudziwika, koma zimayamba chifukwa cha matenda opatsirana, monga gastroenteritis (kukwiya m'mimba kapena m'matumbo) kapena matenda am'mapapo.

Guillain-Barré ndi osowa, okhudza pafupifupi 1 mwa anthu 100,000 aku America, malinga ndi National Institute of Neurological Disorders and Stroke.

Palibe mankhwala a matendawa, koma chithandizo chitha kuchepetsa kuopsa kwa zizindikilo zanu ndikuchepetsa nthawi yakudwalayo.

Pali mitundu ingapo ya Guillain-Barré, koma mawonekedwe ofala kwambiri ndi otupa kwambiri omwe amawononga polyradiculoneuropathy (CIDP). Zimabweretsa kuwonongeka kwa myelin.

Mitundu ina imaphatikizapo matenda a Miller Fisher, omwe amakhudza mitsempha yamagazi.

Nchiyani chimayambitsa matenda a Guillain-Barré?

Chifukwa chenicheni cha Guillain-Barré sichikudziwika. Malinga ndi a, pafupifupi anthu awiri mwa atatu mwa atatu aliwonse omwe ali ndi Guillain-Barré amakula kumene atangodwala matenda otsekula m'mimba kapena matenda opuma.

Izi zikusonyeza kuti kuyankha molakwika kumatenda am'mbuyomu kumayambitsa matendawa.

Campylobacter jejuni Matendawa adalumikizidwa ndi Guillain-Barré. Msika ndi chimodzi mwa zinthu zomwe zimayambitsa matenda otsekula m'mimba ku United States. Ndichonso chiopsezo chofala kwambiri kwa Guillain-Barré.

Msika nthawi zambiri amapezeka mchakudya chosaphika, makamaka nkhuku.

Matenda otsatirawa adalumikizidwanso ndi Guillain-Barré:

• fuluwenza
• cytomegalovirus (CMV), yomwe imayambitsa matenda a herpes
• Matenda a Epstein-Barr (EBV), kapena mononucleosis
• mycoplasma chibayo, chomwe ndi chibayo chodwala chomwe chimayambitsidwa ndi zamoyo zonga mabakiteriya
• HIV kapena Edzi

Aliyense atha kupeza Guillain-Barré, koma ndizofala pakati pa achikulire.

Nthawi zosowa kwambiri, anthu amatha kukhala ndi vuto masiku kapena masabata atalandira.

CDC ndi Food and Drug Administration (FDA) zili ndi machitidwe oyang'anira chitetezo cha katemera, kuzindikira zodandaula zoyambilira, ndikulemba milandu iliyonse ya Guillain-Barré yomwe imayamba kutsatira katemera.

CDC yomwe kafukufukuyu akuwonetsa kuti mumakhala ndi mwayi wopeza Guillain-Barré kuchokera ku chimfine, osati katemera.

Kodi zizindikiro za matenda a Guillain-Barré ndi ziti?

Mu matenda a Guillain-Barre, chitetezo chanu cha mthupi chimayambitsa dongosolo lanu lamanjenje.

Minyewa ya m'dongosolo lanu lamanjenje imalumikiza ubongo wanu ndi thupi lanu lonse ndikupereka zikwangwani ku minofu yanu.

Minofu sidzatha kuyankha kuzizindikiro zomwe amalandira kuchokera muubongo wanu ngati minyewa iyi yawonongeka.

Chizindikiro choyamba nthawi zambiri chimakhala chowawa chakumapazi, mapazi, ndi miyendo. Kumangako kumafalikira mmwamba ku mikono ndi zala zanu.

Zizindikiro zimatha kupita patsogolo kwambiri. Kwa anthu ena, matendawa amatha kukhala owopsa m'maola ochepa chabe.

Zizindikiro za Guillain-Barré ndi monga:

• kumva kulasalasa kapena kumenyedwa ndi zala zanu ndi zala
• kufooka kwa minofu m'miyendo yanu yomwe imapita kumtunda kwanu ndikuwonjezeka pakapita nthawi
• zovuta kuyenda pang'onopang'ono
• zovuta kusuntha maso kapena nkhope, kuyankhula, kutafuna, kapena kumeza
• kupweteka kwakumbuyo kwenikweni
• kutaya chikhodzodzo
• kuthamanga kwa mtima
• kuvuta kupuma
• ziwalo

Kodi matenda a Guillain-Barré amapezeka bwanji?

Guillain-Barré ndi kovuta kupeza matenda poyamba. Izi ndichifukwa choti zizindikirazo ndizofanana kwambiri ndi matenda ena amitsempha kapena zinthu zomwe zimakhudza dongosolo lamanjenje, monga botulism, meningitis, kapena heavy metal poyizoni.

Poizoni wa heavy metal amayamba chifukwa cha zinthu monga lead, mercury, ndi arsenic.

Dokotala wanu adzafunsa mafunso okhudzana ndi zizindikilo zina ndi mbiri yanu yamankhwala. Onetsetsani kuti muuze dokotala za zachilendo zilizonse komanso ngati mwakhala mukudwala kapena matenda aposachedwa kapena apitawa.

Mayesero otsatirawa amagwiritsidwa ntchito kuthandizira kutsimikizira matenda:

Mphepete wamtsempha

Mpopi wamtsempha (kupindika kwa lumbar) umaphatikizapo kutenga madzi pang'ono kuchokera kumsana wanu kumbuyo kwanu. Amadzimadzi amatchedwa cerebrospinal fluid. Madzi anu a cerebrospinal amayesedwa kuti azindikire kuchuluka kwa mapuloteni.

Anthu omwe ali ndi Guillain-Barré amakhala ndi mapuloteni opitilira muyeso m'madzimadzi awo a cerebrospinal.

Zojambulajambula

Electromyography ndi kuyesa kwa mitsempha. Imawerenga zamagetsi kuchokera minofu kuti imuthandize dokotala kudziwa ngati kufooka kwanu kwa minofu kumayambitsidwa ndi kuwonongeka kwa mitsempha kapena kuwonongeka kwa minofu.

Kuyesa kwamitsempha kwamitsempha

Kafukufuku wamagetsi amatha kugwiritsidwa ntchito kuyesa momwe minyewa yanu ndi minofu yanu imayankhira pamagetsi ang'onoang'ono amagetsi.

Kodi matenda a Guillain-Barré amathandizidwa bwanji?

Guillain-Barré ndi njira yodziyimira yokha yotupa yomwe imadzidalira, kutanthauza kuti idzathetsa yokha. Komabe, aliyense amene ali ndi vutoli ayenera kuloledwa kupita naye kuchipatala kuti akamuyang'ane. Zizindikiro zimatha kukulira ndipo zimatha kupha ngati sizichiritsidwa.

Pazovuta kwambiri, anthu omwe ali ndi Guillain-Barré amatha kukhala ndi ziwalo zathupi lathunthu. Guillain-Barré atha kukhala wowopsa ngati ziwalo zingakhudze chotupa kapena chifuwa, kuteteza kupuma koyenera.

Cholinga cha chithandizo ndikuchepetsa kuopsa kwa chitetezo cha mthupi ndikuthandizira thupi lanu, monga mapapu, pomwe dongosolo lanu lamanjenje limachira.

Chithandizo chitha kukhala:

Plasmapheresis (kusinthana kwa plasma)

Chitetezo cha mthupi chimapanga mapuloteni otchedwa ma antibodies omwe nthawi zambiri amawononga zinthu zowopsa zakunja, monga mabakiteriya ndi ma virus. Guillain-Barré amapezeka pamene chitetezo chanu chamthupi chimapanga molakwika ma antibodies omwe amalimbana ndi mitsempha yathanzi lamanjenje anu.

Plasmapheresis cholinga chake ndi kuchotsa ma antibodies omwe akuukira misempha m'magazi anu.

Pochita izi, magazi amachotsedwa mthupi lanu ndimakina. Makinawa amachotsa ma antibodies m'magazi anu ndikubwezeretsanso magazi mthupi lanu.

Kutsegula m'mimba immunoglobulin

Mlingo waukulu wa immunoglobulin amathanso kuthandizira kuletsa ma antibodies omwe amayambitsa Guillain-Barré. Immunoglobulin imakhala ndi ma antibodies abwinobwino, athanzi ochokera kwa omwe amapereka.

Plasmapheresis ndi intravenous immunoglobulin ndizofanana. Zili ndi inu ndi dokotala wanu kuti musankhe mankhwala abwino.

Mankhwala ena

Mutha kupatsidwa mankhwala kuti muchepetse ululu ndikupewa magazi kuundana mukakhala osayenda.

Mwinanso mudzalandira chithandizo chakuthupi komanso pantchito. Munthawi yamatenda, oyang'anira amasuntha manja ndi miyendo yanu kuti izitha kusintha.

Mukayamba kuchira, othandizira adzagwira nanu ntchito yolimbitsa minofu ndi zochitika zosiyanasiyana zatsiku ndi tsiku (ADLs). Izi zitha kuphatikizira ntchito zosamalira anthu, monga kuvala.

Kodi zovuta zoyambitsa matenda a Guillain-Barré ndi ziti?

Guillain-Barré amakhudza mitsempha yanu. Kufooka ndi ziwalo zomwe zimachitika zimatha kukhudza magawo angapo amthupi lanu.

Zovuta zimaphatikizaponso kupuma movutikira kufooka kapena kufooka kumafalikira ku minofu yolamulira kupuma. Mungafune makina otchedwa makina opumira kuti akuthandizeni kupuma ngati izi zichitika.

Zovuta zitha kuphatikizaponso:

• kufooka kwakanthawi, kufooka, kapena zovuta zina ngakhale atachira
• mavuto a mtima kapena kuthamanga kwa magazi
• ululu
• ntchito yochedwa matumbo kapena chikhodzodzo
• kuundana kwa magazi ndi mabedi chifukwa chakufa ziwalo

Kodi chiyembekezo chanthawi yayitali ndichotani?

Nthawi yobwezeretsa Guillain-Barré itha kukhala yayitali, koma anthu ambiri amachira.

Kawirikawiri, zizindikiro zimakula kwambiri kwa milungu iwiri kapena inayi asanakhazikike. Kubwezeretsanso kumatha kutenga milungu ingapo mpaka zaka zochepa, koma ambiri amachira miyezi 6 mpaka 12.

Pafupifupi 80 peresenti ya anthu omwe akhudzidwa ndi Guillain-Barré amatha kuyenda pawokha pakatha miyezi isanu ndi umodzi, ndipo 60% amapeza mphamvu zamankhwala mchaka chimodzi.

Kwa ena, kuchira kumatenga nthawi yayitali. Pafupifupi 30 peresenti amakhalabe ndi zofooka patatha zaka zitatu.

Pafupifupi 3 peresenti ya anthu omwe akhudzidwa ndi Guillain-Barré adzayambiranso zizindikiro zawo, monga kufooka ndi kumva kulira, ngakhale patadutsa zaka zambiri zitachitika.

Nthawi zambiri, vutoli limatha kukhala pachiswe, makamaka ngati simulandila chithandizo. Zinthu zomwe zingayambitse mavuto ena ndizo:

• ukalamba
• matenda oopsa kapena opita patsogolo mofulumira
• kuchedwa kwa mankhwala, zomwe zingayambitse mitsempha yambiri
• kugwiritsa ntchito nthawi yayitali makina opumira, omwe amatha kukupangitsani kuyamba chibayo

Kuundana kwa magazi ndi mabedi obwera chifukwa chokhala wopanda mphamvu amatha kuchepetsedwa. Ochepetsa magazi komanso kuponderezana kwamagazi kumatha kuchepetsa kugwirana.

Kukhazikitsanso thupi lanu pafupipafupi kumathandizira kuthamanga kwakanthawi kwakanthawi komwe kumayambitsa kuwonongeka kwa minofu, kapena kupweteka kwa bed.

Kuphatikiza pa zizindikiritso zanu zakuthupi, mutha kukhala ndi mavuto am'maganizo. Kungakhale kovuta kusintha kuyenda kocheperako komanso kudalira kwambiri ena. Mungapeze zothandiza kulankhula ndi wothandizira.