Matenda a Guillain-Barré, zizindikiro zazikulu ndi zomwe zimayambitsa

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa matenda a Guillain-Barré
• Momwe matendawa amapangidwira
• Kodi chithandizo

Matenda a Guillain-Barré ndimatenda amthupi okhaokha omwe chitetezo cha mthupi chimayamba kuwononga maselo amitsempha, zomwe zimayambitsa kutupa kwa mitsempha ndipo, chifukwa chake, kufooka kwa minofu ndi ziwalo, zomwe zitha kupha.

Matendawa amapita patsogolo kwambiri ndipo odwala ambiri amatulutsidwa pambuyo pa milungu inayi, komabe nthawi yonse yochira imatha kutenga miyezi kapena zaka. Odwala ambiri amachira ndikuyendanso pambuyo pa miyezi 6 mpaka chaka chimodzi chothandizidwa, koma pali ena omwe ali ndi vuto lalikulu ndipo amafunikira zaka zitatu kuti achire.

Zizindikiro zazikulu

Zizindikiro za matenda a Guillain-Barré zimatha kukula msanga ndikuchulukirachulukira pakapita nthawi, ndipo zimatha kumulowetsa munthu m'masiku ochepera atatu, nthawi zina. Komabe, sikuti anthu onse amakhala ndi zizindikilo zoopsa ndipo amatha kufooka m'manja ndi m'miyendo. Mwambiri, zizindikiro za matenda a Guillain-Barré ndi:

• Minofu kufooka, komwe kumayambira m'miyendo, koma kenako kumafikira mikono, diaphragm komanso minofu ya nkhope ndi pakamwa, kufooketsa mawu ndikudya;
• Kupweteka ndi kutayika kwa miyendo ndi mikono;
• Kupweteka kwa miyendo, chiuno ndi kumbuyo;
• Palpitations mu chifuwa, kugunda kwa mtima;
• Kusintha kwapanikizidwe, ndi kuthamanga kwakukulu kapena kotsika;
• Kuvuta kupuma ndi kumeza, chifukwa cha ziwalo za kupuma ndi kugaya kwaminyewa;
• Zovuta pakuwongolera mkodzo ndi ndowe;
• Mantha, nkhawa, kukomoka ndi chizungulire.

Chofufumiracho chikafika, munthuyo amatha kuyamba kupuma movutikira, pomwepo ndikulimbikitsidwa kuti munthuyo alumikizidwe ndi zida zomwe zimathandiza kupuma, chifukwa minofu yopuma siyigwira bwino ntchito, zomwe zimatha kubanika.

Zomwe zimayambitsa matenda a Guillain-Barré

Matenda a Guillain-Barré ndimatenda omwe amangobwera chifukwa cha matenda, omwe nthawi zambiri amayamba chifukwa cha kachilombo ka Zika. Vutoli limatha kusokoneza magwiridwe antchito amthupi komanso dongosolo lamanjenje, zomwe zimayambitsa mawonekedwe azizindikiro za matendawa.

Chifukwa cha kusintha kwa chitetezo cha mthupi, chamoyo chimayamba kulimbana ndi zotumphukira zokha, kuwononga chikhomo cha myelin, chomwe ndi nembanemba yomwe imaphimba mitsempha ndikufulumizitsa kukopa kwamanjenje, kuchititsa zizindikilo.

Chotupa cha myelin chikatayika, misempha imayamba kutentha ndipo izi zimalepheretsa kuti maina amanjenje apatsidwe minofu, zomwe zimapangitsa kufooka kwa minofu ndikumverera kwamiyendo ndi mikono, mwachitsanzo.

Momwe matendawa amapangidwira

Kuzindikira matenda a Guillain-Barré koyambirira kumakhala kovuta, chifukwa zizindikilozo ndizofanana ndi matenda ena angapo omwe ali ndi vuto la mitsempha.

Chifukwa chake, kufufuzaku kuyenera kutsimikiziridwa pofufuza zizindikiro, kuyezetsa thupi kwathunthu ndi kuyesa monga kupindika kwa lumbar, kujambula kwa maginito ndi ma elektroniuromyography, komwe ndikuwunika komwe kumachitika ndikuwunika momwe zimakhalira ndi mantha. Pezani momwe mayeso a electroneuromyography amachitikira.

Odwala onse omwe amapezeka kuti ali ndi matenda a Guillain-Barré ayenera kukhala mchipatala kuti aziyang'aniridwa bwino ndikuchiritsidwa, chifukwa matendawa akapanda kuchiritsidwa, amatha kufa chifukwa chofa ziwalo za minofu.

Kodi chithandizo

Chithandizo cha Guillain-Barré Syndrome cholinga chake ndi kuchepetsa zizolowezi ndikufulumizitsa kuchira, ndipo chithandizo choyambirira chiyenera kuchitidwa mchipatala ndikupitiliza kutuluka, ndipo kulimbikitsidwa ndi physiotherapy.

Chithandizo chomwe chimachitika kuchipatala ndi plasmapheresis, momwe magazi amachotsedwa mthupi, kusefedwa kuti achotse zomwe zikuyambitsa matendawa, kenako nkubwerera mthupi. Chifukwa chake, plasmapheresis imatha kusunga ma antibodies omwe amachititsa kuti chitetezo chamthupi chitetezeke. Pezani momwe plasmapheresis yachitidwira.

Gawo lina la mankhwalawa ndi jakisoni wa mankhwala okwera kwambiri a ma immunoglobulins motsutsana ndi ma antibodies omwe akulimbana ndi mitsempha, amachepetsa kutupa ndi kuwonongeka kwa chikhomo cha myelin.

Komabe, pakabuka zovuta zazikulu, monga kupuma movutikira, mavuto amtima kapena impso, ndikofunikira kuti wodwalayo agonekedwe mchipatala kuti aziwunikidwa, kuthandizidwa komanso mavuto ena kuti atetezedwe. Onani zambiri zamankhwala amtundu wa Guillain-Barré.