He aha ka maʻi ʻo Guillain-Barré, nā ʻōuli nui a me nā kumu

Anter

• Nā hōʻailona nui
• He aha ke kumu o ka maʻi ʻo Guillain-Barré
• Pehea e hana ʻia ai ke kuhi
• Pehea ka lāʻau

ʻO Guillain-Barré Syndrome kahi maʻi maʻi autoimmune koʻikoʻi kahi i hoʻomaka ai ka ʻōnaehana pale pilikino e hoʻouka i nā hunaola nerve, e alakaʻi ai i ka mumū i nā aʻa, a no laila, nāwaliwali nā mākala a me ka palalysis, a he mea make ia.

Holomua wikiwiki ka maʻi maʻi a hoʻokuʻu ʻia ka hapa nui o nā mea maʻi ma hope o 4 mau wiki, akā naʻe hiki i ka manawa o ke ola piha ke hala i mau mahina a mau makahiki paha. Hoʻomaha hou ka hapa nui o nā mea maʻi a hele wāwae hou ma hope o 6 mau mahina a 1 makahiki o ka mālama ʻana, akā aia kekahi e ʻoi aku ka paʻakikī a ʻoi aku ka pono ma kahi o 3 mau makahiki e ola ai.

Nā hōʻailona nui

Hiki i nā hōʻailona a me nā ʻōuli o Guillain-Barré maʻi ke hoʻomohala koke a hōʻino i ka holo ʻana o ka manawa, a hiki ke haʻalele i ke kanaka i palule ma lalo o 3 mau lā, i kekahi mau hihia. Eia naʻe, ʻaʻole hoʻomohala nā kānaka āpau i nā ʻōuli koʻikoʻi a ʻike paha i ka nāwaliwali i ko lākou mau lima a me nā wāwae. Ma ka laulaha, ʻo nā ʻōuli o Guillain-Barré Syndrome ʻo:

• ʻO ka nāwaliwali o ka mākala, hoʻomaka pinepine i nā wāwae, akā hiki i nā lima, diaphragm a me nā mākala o ka maka a me ka waha, hōʻino i ka ʻōlelo a me ka ʻai ʻana.
• Tingling a me ka nalo o ka sensation i nā wāwae a me nā lima;
• ʻEha ma nā wāwae, pūhaka a me hope;
• Palpitations i ka umauma, heihei puʻuwai;
• Hoʻololi nā kaomi, me ke kiʻekiʻe kiʻekiʻe a haʻahaʻa paha;
• Ka hanu paʻakikī ʻana a me ka ale ʻana, ma muli o ka lōlō o ka hanu a me nā mākala digestive;
• Ka paʻakikī i ka kaohi ʻana i ka mimi a me nā feces;
• Ka makaʻu, hopohopo, maʻule a me ka vertigo.

Ke hiki i ka diaphragm, hoʻomaka paha ke kanaka e ʻike i ka paʻakikī i ka hanu ʻana, a laila koi ʻia e hoʻopili ʻia kēlā kanaka i nā hāmeʻa e kōkua ai i ka hanu ʻana, no ka hana pono ʻole o nā mākala hanu, a ʻo ia ka hopena.

He aha ke kumu o ka maʻi ʻo Guillain-Barré

ʻO Guillain-Barré Syndrome kahi maʻi maʻi autoimmune e kū nui ma muli o ka maʻi, i hopena pinepine ʻia mai ka maʻi e ka maʻi Zika. Hiki i kēia virus ke hoʻopilikia i ka hana o ka ʻōnaehana paleʻea a me ka ʻōnaehana ʻōnaehana, e hopena ana i nā hiʻohiʻona a me nā hōʻailona o ka maʻi.

Ma muli o nā loli i ka ʻōnaehana pale, hoʻomaka ka meaola e hoʻouka i ka ʻōnaehana ʻōnaehana ponoʻī ponoʻī, e luku ana i ka uhi myelin, ʻo ia ka membrane e uhi ana i nā aʻalolo a hoʻonui i ka lawe ʻana o ka impulse nūhou, e hoʻomaka ana i nā ʻōuli.

Ke nalowale ka pahu myelin, lilo nā aʻalolo i wela a pale kēia i ka neʻe ʻana o ka neʻe i nā mākala, e alakaʻi ana i ka nāwaliwali o nā mākala a me ke kani ʻana o ke kani i nā wāwae a me nā lima, no ka laʻana.

Pehea e hana ʻia ai ke kuhi

ʻO ka hōʻailona o Guillain-Barré Syndrome i nā wā mua he paʻakikī, no ka mea, like nā hōʻailona me kekahi mau maʻi ʻē aʻe kahi i loaʻa ai ka maʻi neurological.

No laila, pono e hōʻoia ʻia ke kuhi ma o ke kālailai ʻana i nā ʻōuli, ke nānā kino piha a me nā hoʻāʻo e like me ka lumbar puncture, ke kiʻi ʻana i ka resonance a me ka electroneuromyography, kahi hōʻike i hana ʻia me ka pahuhopu e loiloi i ka conduction o ka impulse nerve. E ʻike pehea e pau ai ka hōʻike electroneuromyography.

ʻO nā mea maʻi āpau i ʻike ʻia me ka maʻi Guillain-Barré pono e noho i ka haukapila e nānā pono ʻia a mālama ʻia, no ka mea inā ʻaʻole mālama ʻia kēia maʻi, hiki iā ia ke alakaʻi i ka make ma muli o ka lōlō o nā mākala.

Pehea ka lāʻau

Hoʻolālā ka mālama ʻana no Guillain-Barré Syndrome i ka hōʻemi ʻana i nā hōʻailona a me ka hōʻeleu ʻana i ke ola ʻana, a pono e mālama ʻia ka hana mua ma ka haukapila a hoʻomau ʻia ma hope o ka hoʻokuʻu ʻana, a e ʻōlelo ʻia paha ka physiotherapy.

ʻO ka hana i hana ʻia ma ka haukapila he plasmapheresis, kahi e lawe ʻia ai ke koko mai ke kino, kānana ʻia i mea e lawe aku ai i nā mea i loaʻa i ka maʻi, a laila hoʻi i ke kino. No laila, hiki i ka plasmapheresis ke hoʻopaʻa i nā mea ʻino i kuleana no ka hoʻouka ʻana i ka ʻōnaehana pale. E ʻike pehea e hana ai i ka plasmapheresis.

ʻO kekahi ʻāpana o ka mālama ʻana ʻo ke kuikui ʻana o nā lāʻau kiʻekiʻe o immunoglobulins e kūʻē i nā mea ʻino e hoʻouka nei i nā aʻalolo, e hoʻēmi ana i ka lū a me ka luku ʻia ʻana o ka uhi myelin.

Eia nō naʻe, ke kū aʻe nā pilikia koʻikoʻi, e like me ka paʻakikī i ka hanu ʻana, nā pilikia o ka puʻuwai a i ʻole nā ​​puʻupaʻa, pono ia e hoʻokipa ʻia ka mea maʻi i mea e nānā ʻia ai, mālama ʻia ai a no nā pilikia ʻē aʻe e pale ʻia. E ʻike i nā kikoʻī hou aʻe no ka mālama ʻana no ka maʻi ʻo Guillain-Barré.