Njira zochiritsira Guillain-Barré Syndrome

Zamkati

• 1. Chithandizo cha plasmapheresis
• 2. Thandizo la immunoglobulin
• 3. Chithandizo cha physiotherapy
• Zovuta zazikulu zamankhwala
• Zizindikiro zakusintha
• Zizindikiro zakukula

Mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza Guillain-Barré Syndrome akuphatikizapo kugwiritsa ntchito ma immunoglobulin kapena kugwira magawo a plasmapheresis, omwe, ngakhale sangathe kuchiza matendawa, amathandiza kuthetsa zizolowezi ndikufulumizitsa kuchira.

Mankhwalawa nthawi zambiri amayambitsidwa mu Zida Zazikulu Zodwala wodwalayo akagonekedwa kuchipatala ndipo cholinga chake ndi kuchepetsa kuchuluka kwa ma antibodies m'magazi, motero zimawalepheretsa kuwononga mitsempha ndikuwonjeza kukula kwa matenda.

Mitundu yonse yamankhwala imagwira ntchito mofananamo pothana ndi zizolowezi ndikuchira wodwalayo, komabe, kugwiritsa ntchito immunoglobulin ndikosavuta kuchita ndipo kumakhala ndi zovuta zochepa kuposa plasmapheresis yothandizira. Nthawi zonse pakakhala kukayikira kuti ali ndi vutoli, tikulimbikitsidwa kuti mukaonane ndi wazachipatala kuti atsimikizire kuti ali ndi vutoli, kenako atha kutumizidwa kuzinthu zina zapadera.

1. Chithandizo cha plasmapheresis

Plasmapheresis ndi mtundu wa chithandizo chomwe chimakhala ndi kusefa magazi kuti muchotse zina zomwe zitha kuyambitsa matendawa. Pankhani ya Guillain-Barré Syndrome, plasmapheresis imachitidwa kuti ichotse ma antibodies ochulukirapo omwe akuchita motsutsana ndi zotumphukira zamanjenje ndikupangitsa zizindikilo za matendawa.

Magazi osefedwawo kenako amawabwezeretsa m'thupi, omwe amalimbikitsidwa kuti apange ma antibodies athanzi, potero amathandizira kuziziritsa matenda. Mvetsetsani momwe plasmapheresis imachitikira.

2. Thandizo la immunoglobulin

Chithandizo cha Immunoglobulin chimakhala ndikubaya ma antibodies athanzi mwachindunji mumtsinje womwe umalimbana ndi ma antibodies omwe akuyambitsa matendawa. Chifukwa chake, mankhwala a immunoglobulin amakhala othandiza chifukwa amalimbikitsa kuwonongeka kwa ma antibodies omwe akuchita motsutsana ndi dongosolo lamanjenje, kuthana ndi zizindikilo.

3. Chithandizo cha physiotherapy

Physiotherapy ndiyofunikira ku Guillain-Barré Syndrome chifukwa imalimbikitsa kupezanso mphamvu kwa minofu ndi kupuma, kukonza moyo wamunthuyo. Ndikofunikira kuti physiotherapy isungidwe kwakanthawi mpaka wodwalayo atapezanso mphamvu.

Chotsatira cha physiotherapist chazolimbitsa thupi zatsiku ndi tsiku zochitidwa ndi wodwalayo ndizofunikira kuti pakhale kuyendetsa kwamalumikizidwe, kukonza magwiridwe antchito amiyendo, kukhalabe ndi mphamvu yaminyewa ndikupewa zovuta za kupuma komanso kuzungulira kwa magazi. Popeza, kwa odwala ambiri, cholinga chachikulu ndikubwerera kuti ayende okha.

Wodwalayo akalandiridwa ku ICU, imatha kulumikizidwa ndi zida zopumira ndipo pamenepa physiotherapist ndiyofunikanso kuwonetsetsa kuti oxygenation ndiyofunika, koma atatuluka kuchipatala, chithandizo cha physiotherapeutic chitha kusungidwa kwa chaka chimodzi kapena kupitilira apo, kutengera kupita patsogolo kopangidwa ndi wodwalayo.

Zovuta zazikulu zamankhwala

Chithandizo chikuyenera kupitilirabe mpaka pomwe dokotala anena mosiyana, komabe pakhoza kukhala zovuta zina zokhudzana ndi chithandizocho, zomwe ziyenera kudziwitsidwa kwa adotolo.

Pankhani yothandizidwa ndi ma immunoglobulin, mwachitsanzo, zina mwazovuta zomwe zimakhala ndizopweteka mutu, kupweteka kwa minofu, kuzizira, malungo, nseru, kunjenjemera, kutopa kwambiri komanso kusanza. Zovuta kwambiri, ngakhale ndizovuta kuchitika, ndi kulephera kwa impso, infarction ndi mapangidwe a clot, mwachitsanzo.

Pankhani ya plasmapheresis, kuchepa kwa magazi kumatha kuchepa, kusintha kwa kugunda kwa mtima, malungo, chizungulire, mwayi wambiri wopatsirana komanso kuchepa kwama calcium. Zina mwazovuta kwambiri ndi kukha mwazi, matenda opatsirana, kupangika kwa magazi ndi kudzikundikira kwa mpweya m'mapapu, komabe, zovuta izi ndizovuta kuti zichitike.

Nthawi zambiri, zovuta izi zimathandizidwa pogwiritsa ntchito mankhwala, mankhwala opha ululu komanso antiemetics kuti athetse malungo komanso chidwi chokusanza, mwachitsanzo, ndikofunikira kudziwitsa dokotala za zomwe akumana nazo.

Zizindikiro zakusintha

Zizindikiro zakusintha kwa Guillain-Barré Syndrome zimayamba kuonekera patatha milungu itatu kuchokera pomwe mankhwala adayamba, komabe odwala ambiri samayendanso mpaka miyezi 6 ikatha.

Zizindikiro zakukula

Zizindikiro zakukula kwa Guillain-Barré Syndrome zimachitika pafupifupi masabata awiri chiyambireni pomwe zizindikiro zoyambirira za matendawa zimaphatikizaponso kupuma movutikira, kusintha mwadzidzidzi kwa kuthamanga kwa magazi ndi kusadziletsa, mwachitsanzo, ndipo zimachitika ngati mankhwala sanachitike molondola.