Indlela Yokufuduka Kuvela Guillain-Barré
Ubukhulu bukaGuillain-Barré Syndrome buhluka kakhulu kusuka ecaleni kuya kwimeko. Ngezinye izikhathi kungase kube ukucasula nje, nge-numb numbness kanye nobuthakathaka obusakazeka kakhulu kunezandla. Ngezinye izikhathi, u-Guillain-Barré angaba yingozi noma ebulalayo.
Ngenxa yalokhu okungaqiniseki, odokotela bavame ukubuza othile osolwa ukuthi uneGuillain-Barré syndrome ukuze ahlale esibhedlela ukuze ahlolwe ngokucophelela kuze kube ngcono izimpawu.
Kungaba nzima ukubikezela ukuthi kuzothatha isikhathi eside kangakanani lokhu. Iningi labantu abane-Guillain-Barré syndrome lifinyelela endaweni yabo ebuthakathaka phakathi kwamasonto amabili noma amathathu emva kokubona kuqala izimpawu zabo.
Ukuqapha Isibhedlela
Ukuze ubone ukuthi lesi sifo sishintsha kanjani ikhono lomuntu lokuphefumula, izilinganiso zokuphefumula zithathwa njalo. Lezo zindlela ngokuvamile zihlanganisa amandla okuphoqeleka okuphoqelekile noma amandla angenamandla okuphefumulela, okukala ukuthi umuntu angaphefumula kanjani noma ngoku, ngokulandelana. Ukuhlolwa okuvamile kungenziwa futhi ukuqinisekisa ukuthi isiguli asitholi buthaka kakhulu.
Uma ubu buthakathaka buya phambili, ukuqapha kungadingeka ukuthi kwenzeke enyunithi yokunakekelwa okujulile, lapho umoya ongenawo umoya ungaqala ngokushesha uma kunesidingo. Izinyathelo ezingeziwe zingathathwa ukuze unake izici ezizimele , ezifana nesilinganiso senhliziyo nesigqi.
Ngemuva kokuba ubuthakathaka sebeqale ukuthuthukiswa, ezinye izinto zokuvuselela zingenzeka ngesikhathi zisesezibhedlela njengoba kwenziwa amalungiselelo okuthola usizo olwengeziwe oludingekayo.
Ukwelapha
Akukho ukwelashwa kwe-Guillain-Barré syndrome, kodwa ukuhlaselwa kunganciphisa ngokuhlunga ama-antibodies ezinkingeni egazini nge-plasmapheresis noma ngokunikeza ama-immunoglobulin (i-IVIg) engenalutho ukuze kutholakale ama-antibodies.
I-Plasmapheresis , eyaziwa nangokuthi ukushintshaniswa kwe-plasma, ihilela ingxenye yetshezi yegazi (kunezingqamuzana zegazi) isuswe futhi ishintshwe nge-plasma engenawo umuntu.
Le nqubo ivame ukusebenza phakathi kwezikhathi ezintathu kuya kwezinguhlanu, ngokuvamile ngelanga phakathi kweeseshini ukuze umzimba ulungiselele ku-plasma entsha. Izingozi zimbalwa kodwa zifaka izinkinga zegazi.
I-IVIg i-immunoglobulin ejojisiwe eye yaboniswa ukunciphisa isikhathi esithatha ukuba umuntu abuyele eGuillain-Barré, nakuba kungekho muntu owazi kahle ukuthi kungani isebenza. Inani leengozi lifana ne-plasmapheresis, kodwa esikhundleni sezinkinga zegazi, i-IVIg ingabangela ukubhekana nokugula, isifo sofuba , noma izinkinga zezinso.
Ucwaningo lubonisa ukuthi i-IVIg ne-plasmapheresis zinempilo efanayo ekuphatheni i-Guillain-Barré syndrome, futhi akukho nzuzo ecacile yokwenza kokubili ndawonye. Ezimweni ezinzima, odokotela abathile bayokwenza njalo nge-plasma exchange elandelwa yi-IVIg.
Ngesikhathi esesibhedlela, abasebenzi bezokwelapha bazobheka amehlo abantu abano-Guillain-Barré syndrome ukuqinisekisa ukuthi ubuthakathaka abuphazamisi imisebenzi ebalulekile njengokugwinya ngokuphepha nangokuphefumula. Uma i-Guillain-Barré iqhubekela phambili kuleli phuzu, kungase kudingekile ukufaka isiguli ngesiguli bese sibeka umoya wokuphuza umoya.
Ukubuyiswa nokubikezela
Iningi labantu lisinda kahle kusukela eGuillain-Barré syndrome, kodwa lokhu kuhluka phakathi kwamacala.
Amanye amafomu, afana ne-AMSAN, adinga isikhathi eside ukuze alulame. Uma kunjalo kunjalo, isikhathi eside sokuphumula. Amagundane athatha isikhathi eside ukukhula emuva - amamitha ayizigidi ngosuku - kanti uma umonakalo ugcwele, kungathatha isikhathi esingaphezulu konyaka noma ngaphezulu ukuze uphinde uthole umsebenzi. Kwezinye izimo, ukulahlekelwa okuthile, okufana nobunzima bokunyakaza okuncane komunwe noma ukuguqulwa kwamanxeba , kuzohlala.
Kudingeka ukuthi ukwelashwa ngokomzimba nangokwenyama kudingeke ukuba iziguli zilulame ngokugcwele. Abahlinzeki basezikhundleni basiza ukuthola imishini nezinye izindlela ukugcina abantu bazimele njengoba kungenzeka, kanti abahlinzeka ngemithi bayasiza ngokuhamba nokuhamba.
Kungenzeka ukuthi inkulumo kanye nokwelapha ulimi kungadingeka uma kuhilelekile imisipha emlonyeni nasemphinjeni.
U-Guillain-Barré kungaba yisifo esibucayi, kodwa ngaphezu kuka-95% wesikhathi, abantu baphulukisa ngezinga elithile. Ukuphindaphinda akuvamile, ngamaphesenti acashunwe njengabaphakathi kuka-2-6%. Indlela ingaba yinde futhi inselele, kodwa ekugcineni, abantu abaningi bayakwazi ukuhamba eGuillain-Barré ngemuva kwabo.
Imithombo:
I-Ropper AH, ama-Samuels MA. Adams kanye Nemigomo kaVictor ye-Neurology, 9th ed: I-McGraw-Hill Companies, Inc., 2009. iPhalamende likaMcCabe, u-O'Connor EJ.
I-Yuen T. Ngakho, i-Continuum: I-Neuropathies ye-Peripheral, i-Immune-Mediated Neuropathies, Umqulu 18, Inombolo 1, February 2012.