Nā koho lapaʻau no Guillain-Barré Syndrome

Anter

• 1. ʻOhana plasmapheresis
• 2. immunoglobulin hoʻōla
• 3. Lapaʻau Physiotherapy
• Nā pilikia kūpilikiʻi
• Nā hōʻailona o ka hoʻomaikaʻi
• Nā hōʻailona o ka hōʻino ʻana

ʻO nā lapaʻau e hoʻohana mau ʻia e mālama iā Guillain-Barré Syndrome me ka hoʻohana ʻana i ka immunoglobulin intravenous a i ʻole ke hoʻopaʻa ʻana i nā kau plasmapheresis therapeutic, ʻoiai, ʻaʻole hiki iā lākou ke hoʻōla i ka maʻi, kōkua i ka hōʻoluʻolu i nā hōʻailona a me ka hōʻeleu i ke ola ʻana.

Hoʻomaka pinepine ʻia kēia mau ʻano hana i loko o nā Unit Intensive Care ke loaʻa ka mea maʻi i ka haukapila a me ka pahuhopu e hōʻemi i ka nui o nā mea ʻino i loko o ke koko, a pēlā e pale ai iā lākou mai ka hōʻino ʻana i nā aʻa a me ka hōʻeha ʻana i ke kiʻekiʻe o ka maʻi.

Loaʻa ka hopena like o nā ʻano ʻelua i ka hoʻomaha ʻana i nā ʻōuli a me ka hoʻōla hou ʻana i ka mea maʻi, akā ʻoi aku ka maʻalahi o ka hoʻohana ʻana i ka immunoglobulin a ʻoi aku ka liʻiliʻi o nā hopena ma mua o ka plasmapheresis therapeutic. Ke kānalua ʻia ka loaʻa ʻana o kēia maʻi maʻi, koi ʻia e nīnau me kahi neurologist e hōʻoia i ke kuhi, a laila aia paha kahi kuhikuhi i nā loea ʻē aʻe.

1. ʻOhana plasmapheresis

ʻO Plasmapheresis kahi ʻano lapaʻau e komo ana i ka kānana ʻana i ke koko i mea e lawe aku ai i nā mea ʻoi aku i hiki ke kumu i ka maʻi. I ka hihia o Guillain-Barré Syndrome, hana ʻia ka plasmapheresis i mea e lawe aku ai i nā mea ʻino i hana ʻia e kūʻē i nā ʻōnaehana nūhou ākea a me nā kumu o nā maʻi.

A laila hoʻihoʻi ʻia ke koko i kānana ʻia i ke kino, hoʻonāukiuki ʻia e hana i nā mea olaola maikaʻi, a pēlā e hoʻomaha ai i nā ʻōuli o ka maʻi. Hoʻomaopopo pehea ka plasmapheresis e hana ai.

2. immunoglobulin hoʻōla

ʻO ka mālama ʻana i ka Immunoglobulin ka hoʻopili ʻana i nā antibodies olakino i pololei i loko o ka aa e hana kūʻē ana i nā mea ʻino e hoʻomaka ana i ka maʻi. No laila, lilo ka lāʻau lapaʻau me immunoglobulin i mea maikaʻi no ka mea hoʻonui ia i ka luku ʻia ʻana o nā mea ʻino e hana kūʻē ana i ka ʻōnaehana, e hoʻomaha ai i nā ʻōuli.

3. Lapaʻau Physiotherapy

He mea nui ka Physiotherapy i ka Guillain-Barré Syndrome no ka mea he paipai ia i ka hoʻōla hou ʻana i nā mākala a me nā hanu hanu, e hoʻomaikaʻi ana i ke ola o ke kanaka He mea nui e mālama ʻia ka physiotherapy no nā wā lōʻihi a hiki i ka manawa e loaʻa ai i ka mea maʻi ka nui o ka hiki.

ʻO ke mele o ka physiotherapist me nā hana o kēlā me kēia lā e hana ʻia me ka mea maʻi e pono ai e hoʻoulu i ka neʻe ʻana o nā hono, hoʻomaikaʻi i ke ʻano o ka neʻe ʻana o nā hono, e mālama i ka ikaika o nā mākala a pale i nā pilikia hanu a me nā kahe. No ka mea, no ka hapa nui o nā mea maʻi, ʻo ka pahuhopu nui ke hoʻi i ka hele wāwae wale.

Ke ʻae ʻia ka mea maʻi i ka ICU, hiki ke hoʻopili ʻia i nā hāmeʻa hanu a i kēia hihia he mea nui ka physiotherapist e hōʻoia i ka oxygenation pono, akā ma hope o ka hoʻokuʻu ʻia ʻana o ka haukapila, hiki ke mālama ʻia ka lāʻau physiotherapeutic no 1 mau makahiki a ʻoi paha, kaukaʻi ʻia ka holomua i hana ʻia e ka mea maʻi.

Nā pilikia kūpilikiʻi

E hoʻomau ʻia ka mālama ʻana a hiki i ka haʻi ʻana a ke kauka i kahi ʻē aʻe, eia nō naʻe aia kekahi mau pilikia e pili ana i ka lāʻau, a pono e hōʻike ʻia i ke kauka.

I ke kumu o ka mālama ʻana me ka immunoglobulin intravenous, ʻo kahi laʻana, ʻo kekahi o nā pilikia maʻamau ka ʻeha ke poʻo, ka ʻeha o ka ʻū, ke anuanu, ke kuni, ka nausea, ka haʻalulu, ka luhi nui a me ka luaʻi. ʻO nā pilikia ʻoi loa, akā paʻakikī e hiki, he ʻole o nā puʻupaʻa, infarction a me ka hoʻokumu ʻōpala, no ka laʻana.

I ke kumu o ka plasmapheresis, aia paha ka emi o ke kahe o ke koko, kahi loli i ka helu o ka puʻuwai, ke kuni, ka pīpī, kahi manawa nui o nā maʻi a me ka hōʻemi o nā pae calcium. Ma waena o nā pilikia koʻikoʻi ka hemorrhage, ka maʻi āpau, ka hoʻokumu ʻana a me ka hōʻiliʻili ʻana o ka ea i nā membrane paru, akā naʻe, ʻoi aku ka paʻakikī o kēia mau pilikia.

ʻO ka maʻamau, mālama ʻia kēia mau pilikia me ka hoʻohana ʻana i nā lāʻau, painkillers a me antiemetics e hoʻopakele ai i ka fiva a me ka makemake e luaʻi, no ka laʻana, he mea nui e hoʻomaopopo i ke kauka i nā ʻōuli i ʻike ʻia.

Nā hōʻailona o ka hoʻomaikaʻi

Hoʻomaka e hōʻike ʻia nā ʻōuli o ka hoʻomaikaʻi ʻana ma Guillain-Barré Syndrome ma kahi o 3 mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana, akā ʻaʻole ka hapa nui o nā mea maʻi e mālama i kā lākou neʻe ʻana a hiki i ka hala ʻana o 6 mau mahina.

Nā hōʻailona o ka hōʻino ʻana

ʻO nā hōʻailona o ka hōʻino ʻana o Guillain-Barré Syndrome e pili ana ma kahi o 2 mau pule ma hope o ka hoʻomaka ʻana o nā ʻōuli mua o ka maʻi a hoʻopili pū me ka paʻakikī i ka hanu ʻana, hoʻololi koke i ke kahe o ke koko a me ka hoʻomau ʻole, no ka laʻana, a hiki ke hana ʻole ʻia ka lapaʻau.