Umbhali: Tamara Smith
Umhla Wokudalwa: 20 Eyomqungu 2021
Hlaziya Umhla: 23 Eyenkanga 2024
Anonim
Izinketho zonyango lwe-Guillain-Barré Syndrome - Zempilo
Izinketho zonyango lwe-Guillain-Barré Syndrome - Zempilo

Umxholo

Olona nyango lusetyenziswayo ukunyanga uGuillain-Barré Syndrome lubandakanya ukusetyenziswa kwe-immunoglobulin efakwa ngaphakathi okanye ukubamba iiseshoni zonyango zeplasmapheresis, ethi, nangona zingenako ukunyanga esi sifo, zincede ekuthomalaliseni iimpawu kwaye zikhawulezise ukubuyela kwimeko yesiqhelo.

Olu nyango luhlala luqaliswa kwiiYunithi zoKhathalelo oluKhulu xa isigulana sisesibhedlele kwaye sijolise ekunciphiseni inani lezifo ezisegazini, ngaloo ndlela zithintele ekubangeleni ukonakala kwemithambo-luvo kunye nokwenza mandundu kwenqanaba lesifo.

Zombini ezi ntlobo zonyango zisebenza ngokufanayo ekunciphiseni iimpawu nasekufumaneni isigulana, nangona kunjalo, ukusetyenziswa kwe-immunoglobulin kulula ukuyenza kwaye kuneziphumo ebezingalindelekanga ezimbalwa kunonyango lweplasmapheresis. Nanini na xa kukho urhano lokuba unale syndrome, kuyacetyiswa ukuba uqhagamshelane nogqirha wemithambo ukuze uqinisekise isifo, emva koko kunokubakho ukuthunyelwa kwezinye izinto ezikhethekileyo.

1. Unyango lweplasmapheresis

I-Plasmapheresis luhlobo lonyango oluqukethe ukucoca igazi ukuze kususwe izinto ezingaphezulu kunokubangela isifo. Kwimeko ye-Guillain-Barré Syndrome, iplasmapheresis yenziwa ukuze kususwe ii-antibodies ezigqithisileyo ezisebenza ngokuchasene nenkqubo yemithambo-luvo kunye nokubangela iimpawu zesi sifo.


Igazi elihluziweyo emva koko libuyiselwa emzimbeni, livuselelwe ukuba livelise izilwa-buhlungu ezisempilweni, ngaloo ndlela kususwe iimpawu zesifo. Qonda ukuba iplasmapheresis yenziwa njani.

2. Unyango lwe-immunoglobulin

Unyango lwe-Immunoglobulin lubandakanya ukutofa ii-antibodies ezisempilweni ngqo emthanjeni osebenza ngokuchasene neentsholongwane ezibangela esi sifo. Ke, unyango lwe-immunoglobulin luyasebenza kuba lukhuthaza ukutshatyalaliswa kwee-antibodies ezisebenza ngokuchasene nenkqubo ye-nervous, ekhulula iimpawu.

3. Unyango lwePhysotherapy

I-Physiotherapy ibalulekile kwi-Guillain-Barré Syndrome kuba ikhuthaza ukubuyiswa kwemisipha kunye nemisebenzi yokuphefumla, ukuphucula umgangatho wobomi bomntu. Kubalulekile ukuba i-physiotherapy igcinwe ixesha elide de isiguli sifumane amandla aphezulu.

Ukuhambelana nomzimba we-physiotherapist kunye nokuzivocavoca kwimihla ngemihla okwenziwa nesigulane kuyimfuneko ukukhuthaza ukunyakaza kwamalungu, ukuphucula uluhlu lwentshukumo yamalungu, ukugcina amandla omzimba kunye nokukhusela iingxaki zokuphefumula nokujikeleza. Kuba, uninzi lwezigulana, eyona njongo iphambili kukubuyela ekuhambeni wedwa.


Xa isigulana samkelwe e-ICU, sinokudityaniswa nezixhobo zokuphefumla kwaye kule meko ugqirha we-physiotherapist ukwakunyanzelekile ukuba aqinisekise ioksijini eyimfuneko, kodwa emva kokukhutshwa esibhedlele, unyango lwe-physiotherapeutic lungagcinwa unyaka omnye okanye nangaphezulu, kuxhomekeke inkqubela phambili eyenziwe sisigulana.

Iingxaki zonyango eziphambili

Unyango kufuneka luqhubeke de ugqirha atsho ngenye indlela, nangona kunjalo kunokubakho iingxaki ezithile ezinxulumene nonyango, ekufuneka zixelwe kugqirha.

Kwimeko yonyango nge-immunoglobulin efakwa ngaphakathi, umzekelo, ezinye zeengxaki eziqhelekileyo yintloko, iintlungu zemisipha, ukugodola, umkhuhlane, isicaphucaphu, ukungcangcazela, ukudinwa kakhulu kunye nokugabha. Ezona ngxaki zinzima, nangona kunzima ukwenzeka, kukusilela kwezintso, infarction kunye nokwakheka kwehlwili, umzekelo.

Kwimeko yeplasmapheresis, kunokubakho ukwehla koxinzelelo lwegazi, utshintsho kumgangatho wentliziyo, umkhuhlane, isiyezi, ithuba elikhulu losulelo kunye nokuhla kwamanqanaba e-calcium. Phakathi kwezona ngxaki zinzima kukuphuma kwegazi, usulelo ngokubanzi, ukwakheka kwehlwili kunye nokuqokelelana komoya kwiimbumba zomphunga, nangona kunjalo, ezi ngxaki zinzima ukwenzeka.


Ngokwesiqhelo, ezi ngxaki ziyanyangwa ngokusetyenziswa kwamayeza, iipilisi zentlungu kunye ne-antiemetics ukunciphisa umkhuhlane kunye nomnqweno wokugabha, umzekelo, kubalulekile ukwazisa ugqirha ngeempawu ezinamava.

Iimpawu zokuphucula

Iimpawu zokuphuculwa kwe-Guillain-Barré Syndrome ziqala ukubonakala malunga neeveki ezi-3 emva kokuqala konyango, nangona kunjalo uninzi lwezigulana alubuyiseli ulawulo lweentshukumo zazo kude kube emva kweenyanga ezi-6.

Iimpawu zokuba mandundu

Iimpawu zokonyuka kwe-Guillain-Barré Syndrome zenzeka malunga neeveki ezi-2 emva kokuqala kweempawu zokuqala zesifo kwaye zibandakanya ubunzima ekuphefumlweni, utshintsho olukhawulezileyo kuxinzelelo lwegazi kunye nokungahambi kakuhle, umzekelo, kwaye kwenzeka xa unyango lungenziwa ngokuchanekileyo.

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