Izinketho zokwelashwa zeGuillain-Barré Syndrome

-Delile

• 1. I-plasmapheresis yokwelapha
• 2. I-immunoglobulin yokwelapha
• 3. Ukwelashwa kwe-Physiotherapy
• Izinkinga zokwelashwa eziyinhloko
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Izindlela zokwelapha ezisetshenziswa kakhulu ukwelapha iGuillain-Barré Syndrome zifaka phakathi ukusetshenziswa kwe-immunoglobulin efakwa emithanjeni noma ukubamba izikhathi zokwelapha ze-plasmapheresis, okuthi, yize zingenakukwazi ukwelapha lesi sifo, zisize ukuqeda izimpawu futhi zisheshise ukululama.

Lezi zindlela zokwelapha zivame ukuqalwa Emayunithi Okunakekelwa Okukhulu lapho isiguli silele esibhedlela futhi sihlose ukwehlisa inani lama-antibody egazini, ngaleyo ndlela sizivimbele ekwenzeni ukulimala kwemizwa nokwandisa izinga lokuthuthuka kwezifo.

Zombili lezi zinhlobo zokwelashwa zisebenza ngendlela efanayo ekwehliseni izimpawu nasekululameni kwesiguli, noma kunjalo, ukusetshenziswa kwe-immunoglobulin kulula ukukwenza futhi kunemiphumela emibi embalwa kune-thermal plasmapheresis. Noma nini lapho kuba nokusola ngokuba nalesi sifo, kunconywa ukuthi uthintane nodokotela wezinzwa ukuze aqinisekise ukuxilongwa, bese kungahle kudluliselwe kwezinye izinto ezikhethekile.

1. I-plasmapheresis yokwelapha

I-Plasmapheresis wuhlobo lwezokwelapha oluqukethe ukuhlunga igazi ukuze kususwe izinto ezeqile ezingadala lesi sifo. Endabeni kaGuillain-Barré Syndrome, i-plasmapheresis yenziwa ukuze kususwe amasosha omzimba amaningi asebenza ngokumelene nohlelo lwezinzwa lwangaphakathi futhi abangele izimpawu zesifo.

Igazi elihlungiwe liyabuyiselwa emzimbeni, elikhuthazwayo ukuthi likhiqize amasosha omzimba aphilile, ngaleyo ndlela kutholakale izimpawu zesifo. Qonda ukuthi i-plasmapheresis yenziwa kanjani.

2. I-immunoglobulin yokwelapha

Ukwelashwa kwe-Immunoglobulin kuqukethe ukujova amasosha omzimba aphilile ngqo emthanjeni osebenza ngokulwa nama-antibodies abangela lesi sifo. Ngakho-ke, ukwelashwa nge-immunoglobulin kuyasebenza ngoba kukhuthaza ukubhujiswa kwama-antibody asebenza ngokumelene nohlelo lwezinzwa, aqede izimpawu.

3. Ukwelashwa kwe-Physiotherapy

I-Physiotherapy ibalulekile kuGuillain-Barré Syndrome ngoba ithuthukisa ukuvuselelwa kwemisipha nemisebenzi yokuphefumula, kuthuthukise ikhwalithi yempilo yomuntu. Kubalulekile ukuthi i-physiotherapy igcinwe isikhathi eside kuze kube yilapho isiguli sithola amandla amakhulu.

Ukuhambisana kwe-physiotherapist nokuzivocavoca nsuku zonke okwenziwa nesiguli kuyadingeka ukukhuthaza ukunyakaza kwamalunga, ukuthuthukisa ukunyakaza kwamalungu, ukugcina amandla emisipha nokuvikela izinkinga zokuphefumula nezokujikeleza kwegazi. Njengoba, ezigulini eziningi, inhloso enkulu ukubuyela ekuhambeni wedwa.

Lapho isiguli singeniswa e-ICU, ingaxhunyaniswa nezinto zokuphefumula futhi kulokhu i-physiotherapist nayo ibalulekile ukuqinisekisa ukuphefumula okwanele, kepha ngemuva kokukhishwa esibhedlela, ukwelashwa kwe-physiotherapeutic kungagcinwa unyaka owodwa noma ngaphezulu, kuya ngokuthi inqubekela phambili eyenziwe isiguli.

Izinkinga zokwelashwa eziyinhloko

Ukwelashwa kufanele kuqhutshwe kuze kube yilapho udokotela esho okuhlukile, noma kunjalo kungaba nezinkinga ezithile ezihlobene nokwelashwa, okufanele kubikwe kudokotela.

Endabeni yokwelashwa nge-immunoglobulin efakwa emthanjeni, ngokwesibonelo, ezinye zezinkinga ezijwayelekile ikhanda, ubuhlungu bemisipha, ukugodola, umkhuhlane, isicanucanu, ukundindizela, ukukhathala ngokweqile nokuhlanza. Izinkinga ezinzima kakhulu, noma kunzima kangakanani ukwenzeka, ukwehluleka kwezinso, i-infarction nokwakheka kwamagciwane, isibonelo.

Endabeni ye-plasmapheresis, kungahle kube nokwehla komfutho wegazi, ukushintsha kwesilinganiso senhliziyo, umkhuhlane, isiyezi, amathuba amakhulu okutheleleka nokuncipha kwamazinga e-calcium. Phakathi kwezinkinga ezibucayi kakhulu ukopha, ukutheleleka okujwayelekile, ukwakheka kwamahlule nokuqongelelwa komoya ezingxenyeni zamaphaphu, noma kunjalo, lezi zinkinga zinzima kakhulu ukwenzeka.

Imvamisa, lezi zinkinga ziphathwa ngokusetshenziswa kwemithi, amaphilisi ezinhlungu kanye nama-antiemetics ukuqeda umkhuhlane kanye nesifiso sokuhlanza, ngokwesibonelo, kubalulekile ukwazisa udokotela ngezimpawu ezikhona.

Izimpawu zokuthuthuka

Izimpawu zokuthuthuka ku-Guillain-Barré Syndrome ziqala ukuvela cishe amasonto ama-3 ngemuva kokuqala kokwelashwa, kepha iziguli eziningi azikutholi ukulawula ukunyakaza kwazo kuze kube ngemuva kwezinyanga eziyisithupha.

Izimpawu zokuwohloka

Izimpawu zokuwohloka kwe-Guillain-Barré Syndrome zenzeka cishe emavikini amabili ngemuva kokuqala kwezimpawu zokuqala zalesi sifo futhi zifaka ubunzima ekuphefumuleni, ukushintsha okungazelelwe kwengcindezi yegazi nokungazibambi, ngokwesibonelo, futhi kwenzeka lapho ukwelashwa kungenziwanga kahle.