Yini Ongayilindela Phakathi Nokuhlolwa Kwakho
U-Guillain-Barré uyisifo esingavamile lapho isimiso somzimba sokuzivikela somzimba siphutha khona izingxenye zezinzwa zomzimba zokutheleleka futhi sithumela ama-antibodies ahlasela lezo zinzwa. Umphumela ovame kakhulu ubuthakathaka nobunzima obuqala ezintweni zeminwe nezinzwane bese usakazeka ngaphakathi emzimbeni.
Cishe amaphesenti angu-30 yesikhathi, lobu buthakathaka buba nzima kangangokuthi isiguli asikwazi ukuphefumula sodwa.
Kanti abakwazi ukugwinya ukudla noma amathe ngaphandle kokuya "phansi ithubhu engalungile" nasemaphakeni abo. Ngenxa yalesi sizathu, u-Guillain-Barré angasongela impilo futhi udinga ukunakekelwa okujulile ngabachwepheshe bezokwelapha, ngokuvamile endaweni yesibhedlela. Lapha uzothola ukuthi odokotela banquma kanjani ukuthi isiguli sibe ne-Guillain-Barré syndrome.
Ukuhlolwa Kwemvelo
Ngaphandle kokuthatha umlando oqaphele ukunquma ukuthi ngabe uGuillain-Barré kungenzeka yini, udokotela uzobheka okutholakala okuthile ekuhlolweni ngokomzimba. Ngenxa yokuthi izinzwa zomzimba zonakaliswe kuGuillain-Barré, izimo ezinengqondo ezifana ne-common reflective knee, ngokuvamile azikho. Udokotela uzohlola futhi izingalo nemilenze ukuze abone ukuthi bayabuthakathaka futhi benze izivivinyo ezizwakalayo ukuze babone ukuthi kukhona noma yiluhlobo luni lwe-numbness. Odokotela abathintekayo ngoGuillain-Barré bazobe banakekele izinzwa zomzimba ngoba uma zilimazekile, zingadala isidingo sokungenwa noma ukuphuma umoya ukuze kuqinisekiswe ukuthi isiguli sigcina ukuphefumula.
I-Electromyography ne-Nerve Conduction Studies (EMG / NCS)
Lapho isimiso sezinzwa se-peripheral sibhekene nesifo, sishintsha isimo sezimpawu zombane ezithunyelwe futhi zamukelwe kuleso simiso. Ngokulinganisa lezi zinguquko ngemishini ekhethekile, odokotela bangakwazi ukutshela ukuthi kukhona okungalungile, kodwa nokuthi yiziphi izingxenye zezinzwa ezithintekile kakhulu.
Lolu lwazi lungasiza ukuqondisa izinqumo mayelana nezinketho zokwelashwa, kanye nokunikeza udokotela umbono wokuthi ukugula okunzima kangakanani nokuthi kuzothatha isikhathi esingakanani ukuthi umuntu alulame.
Isibonelo, uma umuntu enobuthakathaka obusasa phezulu njengoGuillain-Barré, lezi zifundo zogesi zingasiza ekunqumeni ukuthi i-axon noma i-myelin sheath of the nerve iyahlaselwa. I-Myelin izungeze i-axon futhi isisiza izimpawu kagesi zihambe ngokushesha kunokuba zingenjalo. Uma ugesi lugeleza ngokungajwayelekile nge-nerve, odokotela bangase basolwa ukuthi i-myelin ihlaselwa, lapho isimo esivame kakhulu sikaGuillain-Barré cishe imbangela.
Ngakolunye uhlangothi, uma i-axon ihlaselwa, isignali encane kagesi izoyidlulisa. Uma lokhu kulinganiswa ngezifundo zokuqhutshwa kwezinzwa, enye yezinhlobo ezingavamile ze-axonal kaGuillain-Barré ingaba nomthwalo wemfanelo. Uma lokhu kuthinta kokubili izinzwa nezinzwa ze-motor, isiguli singaba ne-acute motor kanye ne-sensonal neuropathy (AMSAN), okuhlukile okuhlukumezayo okudinga ukwelashwa okunamandla nokwelashwa okuningi okwenziwe ukuze kutholakale.
I-Lumbar Ukuvala
Ngokuphazamiseka okuzenzakalelayo okuphazamisa isimiso sezinzwa, inani lamaprotheni emzimbeni womzimba we- cerebrospinal fluid (CSF) lingaphezulu .
Ngenxa yalesi sizathu, kungenziwa ukukhishwa kwe-lumbar. Ukwenza i-lumbar puncture kungasiza ekulawuleni abanye ababenokulingana bakaGuillain-Barré, njengezifo.
Izivivinyo zegazi
Kuvamile ukuba odokotela bahlele ukuhlolwa kwegazi ukusiza ukuxilonga i-Guillain-Barré syndrome. Kwezinye izimo, lokhu kungasiza ukuthola i-antibody enesibopho. Isibonelo, ukuhlukahluka kwe-Miller-Fisher kaGuillain-Barré kuvame ukuhlotshaniswa ne-antibody okuthiwa i-GQ1b. Ukuthola le-antibody kuqinisekisa ukuxilongwa kwe-Miller-Fisher, futhi kungenza udokotela aqaphe ngokukhethekile ngesidingo esizayo sokungena.
Ukuhlolwa kwegazi kubuye kusize ekulawuleni ezinye izimo ezingabonakala zifana noGuillain-Barré syndrome.
Kuye ngomlando nokuhlolwa ngokomzimba, udokotela angase avivinye izibonakaliso zomdlavuza , ukutheleleka, noma amakhemikhali, njenge-mercury.
Kubalulekile ukwazi kahle ukuthi yini ebangela inkinga ukuze ugweme ukunikeza imithi engafanele. Ukwelapha ukuxilongwa kukaGuillain-Barré kuvumela ochwepheshe bezokwelapha ukuba bagxile ekwelapheni okufanele, futhi bangakunikeza ulwazi oluthe xaxa ngalokho okumele ulindele njengoba lesi sifo sithuthuka, ukuthi uzothola kanjani ngokushesha, nokuthi luhlobo luni lusizo ozodinga ukubuyela kulo izinyawo futhi.
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.