Nzira Yokufambira Mberi NaGuillain-Barré
Kuoma kwaGuillain-Barré Syndrome kunowanzosiyana kubva kune imwe nyaya kune imwe nyaya. Dzimwe nguva zvinogona kunge zvichingovhiringidza, nekushaya zvishoma zvishoma uye kushaya simba kuparadzira kwete zvakanyanya kupfuura maoko. Dzimwe nguva, Guillain-Barré anogona kuparadza kana kuuraya.
Nemhaka yekusava nechokwadi, vanachiremba vanowanzobvunza mumwe munhu waanofungidzira kuti Guillain-Barré syndrome kuti arambe ari muchipatara kuitira kuti atariswe zvakatarisa kusvikira zviratidzo zviwedzere.
Zvinogona kuva zvakaoma kufanotaura kunyatsotora nguva ino. Vanhu vakawanda vane Guillain-Barré syndrome vanosvika pakushata kwavo mukati mavhiki maviri kana matatu mushure mekunge vaona zviratidzo zvavo.
Kuchengetedza Chipatara
Kuti uone kuti chirwere ichi chiri kuchinja sei kukwanisa kwemwe munhu kufema, zviyero zvekupema zvinotorwa nguva nenguva. Izvo zviyero zvinowanzobatanidza kumanikidzirwa kunokosha kana simba risina simba rokufuridzira, rinoyera kuti munhu anogona sei kufema kana kuti, maererano. Ongororo dzakawanda dzinogonawo kuitika kuitira kuti murwere asawana zvakanyanya kusimba.
Kana utera uhu hunoenderera kune imwe nzvimbo, kuongorora kunogona kudiwa kuitika mune imwe nhengo yezvokuchengetedza, uko magetsi yemhepo anogona kutanga nokukurumidza kana zvichidikanwa. Zvimwe zviyero zvinogona kutorwa kuti urambe uine ziso pamagadzirirwo ezvimirira , zvakadai sekuda kwemoyo uye rhythm.
Mushure mokunge utera hwave huchatanga kuvandudza, zvimwe huwandu hwekugadzirisa hunoitika huchiri kuitika muchipatara sezvo urongwa hunoitwa kune chero humwe hutsigiro hunodiwa.
Mishonga
Hapana mishonga yaGuillain-Barré syndrome, asi kurwisa kunogona kucheneswa nekusasa zvirwere zvinokonzera dambudziko kubva muropa ne plasmapheresis kana nekupa zvirwere zvisingagoni kuvhara muviri (IVIg) kuitira kuti isapedze zvirwere.
Plasmapheresis , inozivikanwawo sekushandurwa kweplasma, inosanganisira mvura inokonzerwa neropa (kwete pane masero eropa) inobviswa uye inotsiviwa ne plasma iyo isingazivikanwi.
Izvi zvinowanzoitwa pakati pezvikamu zvitatu kusvika kuishanu, kazhinji nezuva pakati pezvirongwa kuitira kuti muviri udzokere kune iyo plasma itsva. Ngozi dzakawanda asi dzinosanganisira zvinetso zveropa.
IVIg inonzi immunoglobulin yakakonzerwa kuti yakaderedzwa nguva inotora kuti mumwe munhu adzoke kubva kuGuillain-Barré, kunyange zvazvo pasina munhu anoziva kuti nei iri kushanda. Kuwanda kwengozi kwakafanana ne plasmapheresis, asi panzvimbo yezvinetso zveropa, IVIg inogona kutungamirira kumagadzirirwo emagetsi, hepatitis , kana zvinetso zvepvo.
Kutsvakurudza kunoratidza kuti IVIg uye plasmapheresis zvakanyatsonaka mukurapa Guillain-Barré syndrome, uye hapana zvakanakira kuita zvose pamwe chete. Mumatambudziko akaoma, vamwe vanachiremba vacharamba vachiita plasma shanduko inoteverwa ne IVIg.
Pavanenge vari muchipatara, vashandi vezvechiremba vacharamba vachingwarira vanhu vane Guillain-Barré syndrome kuti vaone kuti kushaya simba hakuiti kukanganisa mabasa akadai sekumedza kuchengeteka nekufema. Kana Guillain-Barré achienderera mberi kusvika pano, zvino zvingave zvakakodzera kuisa murwere murwere uye kuisa pamhepo inoputika.
Kudzorera uye Kurapa
Vanhu vakawanda vanorarama zvakanaka kubva kuGuillain-Barré syndrome, asi izvi zvinosiyana pakati pematambudziko.
Mamwe mafomu, akadai sa AMSAN, anoda nguva yakareba kuti awanezve. Izvo zvakanyanya zvakanyanya nyaya yacho, nguva yakareba nguva yekudzikinura. Mitsipa inotora nguva yakareba kuti ibude zvakare - mamita mamita maviri pazuva - uye kana kukanganisa kwakakura, zvinogona kutora kusvika gore kana kupfuura kuti vadzorezve basa. Mune zvimwe zviitiko, zvimwe zvinokanganisa, zvakadai sekutambudzika nekutakura zviduku zviduku kana kusara zvishoma, zvichagara.
Chirwere chepanyama uye chebasa chinowanzodiwa kuti varwere vadzoke zvizere. Occupational therapists vanobatsira kuwana midziyo nemamwe nzira kuchengetedza vanhu sekuzvimiririra sezvinobvira, asi varapi vemaviri vanobatsira nekufamba nekufamba.
Kutaura uye mutauro unorapwa zvinogona kudiwa kana mishonga yakapoteredza muromo uye nehuro inobatanidzwa.
Guillain-Barré anogona kuva chirwere chakakomba, asi kupfuura 95% yenguva, vanhu vanodzoka pane imwe nguva. Kudzoka kunowanzojairika, uye zvikamu zvinotaridzwa sekuve pakati pe2-6%. Nzira inogona kuva yakareba uye yakaoma, asi pakuguma, vanhu vakawanda vanobva Guillain-Barré mushure mavo.
Sources:
Ropper AH, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009. McCabe MP, O'Connor EJ.
Yuen T. Saka, Continuum: Peripheral Neuropathies, Immune-Mediated Neuropathies, Bhuku 18, Nhamba 1, February 2012.