Kana uri kuverenga nyaya ino, zvino iwe unenge watoziva kuti Zika chirwere, chinoparadzirwa nemumhutu, chave chichibatanidzwa kune spate yemakumbo madiki muBrazil. Vakadzi vazhinji vane pamuviri vane chirwere cheZika chirwere vanoita vana vane misoro maduku, kana microcephaly, nekukuvara kwehuropi.
Iye zvino tava kuona vanhu vane chirwere cheZika virusi vachienderera mberi kukura Guillain-Barré syndrome (GBS), zvakare.
GBS inowanzotadza uye isingawanzo chirwere chepfungwa chinowanzokonzera kushaya simba kwemaoko nemakumbo. Nemafaro mune dzimwe nguva, GBS haibati kenduru kune microcephaly, iyo yakaoma zvikuru; zvisinei, GBS yakakomba uye inowanzoita kuti munhu afire rufu nekuda kwekufema kupora.
Chii chinonzi GBS?
Guillain-Barré syndrome inopesana nehutachiona hwehutachiona hutsika uye kazhinji hunova mumunhu anenge masvondo matatu kana matatu mushure mehutachiona hwehutachiona; GBS inogonawo kuitika mushure mokurapa (chirwere), kuvhiyiwa, kana kutapukirwa kwebhakitiriya, zvikurukuru Campylobacter jejuni enteritis (AKA food poisoning).
Kunyange zvazvo tisati tava kuziva kuti zvinokonzerwa neBGS, tinofunga kuti chirwere chechirwere ichi chinopesana nemasimba, chinotsanangura kuti nei vanhu vanonyadziswa masimba avo ezvirwere, sematachiona akapfuura, vari pangozi yekuvandudza ichi kurwara.
Zviratidzo
Kunyanya, GBS inotyisa kana subacute progressive polyradiculopathy, iyo inopa zvakasiyana kune vanhu vakasiyana.
Ichi chirwere chinokonzera kushaya simba kunowanzoratidza zvive kure, kana muzvikamu zvemuviri wako zvakasvibiswa kubva mumoyo mako semakumbo ako. Izvi zvinokonzerwa nokukwira zvichibata maoko uye ipapo chiso.
Zviratidzo zviripo zvakasiyana-siyana (funga zvose makumbo kana maoko). Izvi zvinokonzera kuti zvive zvakaoma kufamba nekufamba. Uyezve, GBS inogona kukonzera kukanganiswa kwemanzwiro uye inopesana nemafungiro ako.
Mukuwedzera pakukonzera kusava nesimba uye kukanganisa kunokonzera, GBS inogona kukonzera kukanganiswa kwezvokudzivirira, izvo zvisingawanzoitiki hupenyu hunotyisidzira. Kuvhiringidzika kwezvivimbiso kunogona kukanganisa kutengesa kwemoyo, moyo wepfungwa, kutuka, kufema uye kunyange kutonga kwephincter. Kazhinji, zvinetso zvokufema zvinokonzerwa neBGS zvingaguma nekurasikirwa noupenyu. Pakupedzisira, GBS inogona kupindirana nemisungo yako yekucheka nekumedza.
Pasi pose, GBS isinganzwisisi uye dzimwe nguva chirwere chinokuvadza.
Kuziva
Kazhinji, chiremba achafungidzira GBS apo murwere anopa kushaya simba uye kunetseka kwemanzwiro achitevera utachiona, kuvhiyiwa kana zvimwe. Nokudaro, nhoroondo yezvokurapa inonyanya kukosha paunosangana neGGS. Pakuongorora kwemuviri, kuwedzera kune zvinokanganisa uye zvinokonzera motokari, zvisingatauri uye zvakadzika tendon reflexes hazvina kuchena. Kana kuri kuongororwa kwekuongororwa, zvidzidzo zvehutano hwehutano, uyewo cerebrospinal fluid (CSF), inogona kushandiswa. (Chero kushanduka kweScF protein concentration, kazhinji kunoratidza kurwara kwehutachiwana, kutora mavhiki mashomanana kuti aratidze.)
Kurapa
Vanhu vane GBS vanofanira kutsvaga rubatsiro rwechiremba uye kurapwa. Kakawanda, kugadziriswa chiratidzo chakanaka kusvikira kushungurudzwa kwekufema kunopera.
Zvisarudzo zvakasiyana-siyana zvekurapwa kweBGS zviripo kusanganisira zvinotevera:
- Mvura inosvibisa uye mishonga (mishonga inoshandiswa kusimudza ropa) inoshandiswa kurapa hypotension, kana kuti ine ngozi ine ngozi yeropa
- Heparin , ropa rakapfava, rinogona kupiwa kuderedza mukana wepulmonary embolism;
- Intravenous immunoglobulin
- Plasmapheresis
- Kuporesa remapiritsi
Nyaya, prenisone, kana steroid, inogona kuwedzera nguva yekudzivirira uye kurapa ne prednisone inofanira kudziviswa.
Kune avo vane matambudziko okufema anobva kuBGS, gara paI ICU inofanirwa nemagetsi ekudzivirira kuporesa.
Prognosis
Nenzira yakanaka, vanhu vakawanda vanoburuka neGGS vanoita kuti vadzoke zvakare. Zvisinei, vanenge 20 kubva muzana yevanhu vane GBS vane humwe hutano hwekuremara. Uyezve, vanenge 3 muzana yevanhu vane GBS vanoendazve kune imwe nguva mune ramangwana.
Pamashoko ekupedzisira, Zika chirwere chinogona kuonekwa mu parallax. Kubva pakuona kwevanhu, Zika chirwere chinotyisa icho chave chichibatanidzwa kune zvakanyanya kukonzerwa nematambudziko ekuberekwa uye nemubairo usina kukwana we GBS.
> Sources:
Papadakis MA, McPhee SJ. Guillain-Barré Syndrome. Mu: Papadakis MA, McPhee SJ. eds. Kurapa Nokukurumidza Kurapa Nokurapa 2016 . New York, NY: McGraw-Hill; 2016.