Mmene Mungasamukire Ku Guillain-Barré
Kulimba kwa Guillain-Barré Syndrome kumasiyanasiyana kwambiri kuchokera kumlandu kupita kumbuyo. Nthawi zina zimangokhala zokhumudwitsa, ndi zofooka zazing'ono ndi zofooka zomwe zimafalikira kwambiri kuposa manja. Nthaŵi zina, Guillain-Barré akhoza kukhala wowopsya kapena wopha.
Chifukwa cha kusatsimikizika uku, madokotala nthawi zambiri amapempha munthu yemwe akuganiza kuti ali ndi matenda a Guillain-Barré kuti apitirize kuchipatala kuti athe kuwayang'anitsitsa mpaka zizindikiro zikhale bwino.
Zingakhale zovuta kufotokoza ndendende momwe izi ziti zitenge. Anthu ambiri omwe ali ndi matenda a Guillain-Barré amafika pofooka kwambiri pakatha masabata awiri kapena atatu atangozindikira zizindikiro zawo.
Kuwunika Zachipatala
Pofuna kusamala momwe matendawa amasinthira kuti munthu athe kupuma, miyeso ya kupuma imatengedwa nthawi zambiri. Zomwezo nthawi zambiri zimaphatikizapo mphamvu yolimbikitsidwa kapena mphamvu yosatsitsimula, yomwe imayeza mmene munthu angapume kunja kapena mkati mwake. Kuyezetsa mobwerezabwereza kungapangidwenso kuonetsetsa kuti wodwalayo sakufooka kwambiri.
Ngati zofookazo zikufika panthawi inayake, kufufuza kungafunikire kuchitika mu chipinda cholera kwambiri, komwe mpweya wabwino ungayambe mwamsanga ngati n'kofunikira. Zowonjezerapo zingatengedwe kuti muyang'ane zida zowonongeka, monga kugunda kwa mtima ndi nyimbo.
Pambuyo pofooka atayamba kuwongolera, njira zina zothandizira zikhoza kuchitika akadali m'chipatala momwe makonzedwe apangidwira thandizo lina lililonse lofunikira.
Kuchiza
Palibe mankhwala a matenda a Guillain-Barré, koma vutoli likhoza kuchepetsedwa poyambitsa ma antibodies ovuta kuchokera m'magazi ndi plasmapheresis kapena popereka immunoglobulins (IVIg) kuti athetse mphamvu zamagulu.
Plasmapheresis , yomwe imadziwikanso kuti kusinthana kwa plasma, imaphatikizapo gawo la magazi (m'malo mwa maselo a magazi) kuchotsedwera ndikumalowetsedwa ndi plasma yomwe imakhala yopanda munthu.
Izi zimachitika pakati pa katatu kapena kasanu, kawirikawiri ndi tsiku pakati pa magawo kuti thupi likhazikike ku plasma yatsopano. Ngozi ndizochepa koma zimaphatikizapo mavuto a magazi.
IVIg ndi immunoglobulin yomwe imayikidwa kuti ifupikitse nthawi yomwe imayenera kuti munthu abwerere ku Guillain-Barré, ngakhale kuti palibe amene amadziwa chifukwa chake zimagwirira ntchito. Kuchuluka kwa chiopsezo ndi chofanana ndi plasmapheresis, koma osati mavuto a magazi, IVIg ingayambitse matenda, matenda a chiwindi , kapena impso.
Kafukufuku amasonyeza kuti IVIg ndi plasmapheresis ndizobwino pochiza matenda a Guillain-Barré, ndipo palibe phindu lochita palimodzi. Pazifukwa zoopsa, madokotala ena nthawi zina amatha kusinthanitsa ndi plasma kutsatiridwa ndi IVIg.
Ali kuchipatala, ogwira ntchito zachipatala adzayang'anitsitsa anthu omwe ali ndi matenda a Guillain-Barré kuonetsetsa kuti kulephera sikusokoneza ntchito zofunika monga kumeza ndi kupuma. Ngati Guillain-Barré akufika mpaka pano, ndiye kuti pangakhale kofunikira kuti mum'dziwitse wodwala ndikuyika pa mpweya wabwino.
Kubwezeretsa ndi Kugonjetsa
Anthu ambiri amachira matenda a Guillain-Barré, koma izi zimasiyana pakati pa milandu.
Mitundu ina, monga AMSAN, imafuna nthawi yochuluka kuti ipeze. Chovuta kwambiri ndicho, nthawi yowonjezera imakhala yaitali. Mitsempha imatenga nthawi yaitali kuti ibwerere mmbuyo - milimita imodzi patsiku - ndipo ngati kuwonongeka kwakukulu, kungatenge chaka chimodzi kapena kuposerapo ntchito. Nthawi zina, zopereŵera zina, monga vuto ndi kayendedwe kazing'ono zazing'ono kapena zoperewera , zidzatsala.
Kawirikawiri chithandizo chamthupi ndi cha ntchito chimaperekedwa kuti odwala azichira. Ogwira ntchito zachipatala amathandizira kupeza zipangizo ndi njira zina kuti anthu azidziimira okhaokha, pamene opaleshoni zakuthupi amathandiza kuyenda ndi kuyenda.
Kuyankhula ndi chinenero chithandizo kungafunikire ngati minofu yomwe imayankhula pakamwa ndi mmero imakhudzidwa.
Guillain-Barré akhoza kukhala matenda aakulu, koma kuposa 95 peresenti ya nthawi, anthu amachira mofulumira. Kubwerezabwereza sikukudziwika, ndipo peresenti imatchulidwa kukhala pakati pa 2-6%. Njirayo ikhoza kukhala yaitali komanso yovuta, komatu pamapeto pake, anthu ambiri amatha kuchoka ku Guillain-Barré kumbuyo kwawo.
Zotsatira:
Ropper AH, Samuels MA. Adams ndi Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009. McCabe MP, O'Connor EJ.
Yuen T. Choncho, Continuum: Matenda a Mthupi, Matenda a Mthupi, Volume 18, Number 1, February 2012.