Kurapa sarudzo dzeGuillain-Barré Syndrome

Zvemukati

• 1. Kurapa plasmapheresis
• 2. Therapeutic immunoglobulin
• 3. Physiotherapy kurapwa
• Matambudziko makuru ekurapa
• Zviratidzo zvekuvandudza
• Zviratidzo zvekuwedzera

Mishonga inowanzo shandiswa kurapa Guillain-Barré Syndrome inosanganisira kushandiswa kweiyo intravenous immunoglobulin kana kubata marapirwo eplasmapheresis, ayo, kunyangwe iwo asingakwanise kurapa chirwere ichi, anobatsira kubvisa zviratidzo nekukurumidza kupora.

Aya marapirwo anowanzo kutangwa muIntensive Care Units kana murwere akaradzikwa muchipatara uye achivavarira kudzikisa huwandu hwema antibodies muropa, nokudaro achivatadzisa kukonzera kukuvara kwetsinga uye kuwedzera kukura kwehosha kukura.

Ose maviri marudzi ekurapa ane zvakafanana kushanda mukuderedza zviratidzo uye kupora murwere, zvisinei, kushandiswa kweiyo immunoglobulin kuri nyore kuita uye kune mashoma mashoma mhedzisiro pane ekurapa plasmapheresis. Chero pese panenge paine fungidziro yekuve neichi chirwere, zvinokurudzirwa kuti ubvunze kuna chiremba wezveuropi kuti asimbise kuongororwa, uyezve panogona kuve nekutumirwa kune mamwe mabasa.

1. Kurapa plasmapheresis

Plasmapheresis imhando yekurapa inosanganisira kusefa ropa kuitira kuti ubvise zvinhu zvakawandisa izvo zvinogona kunge zvichikonzera chirwere. Panyaya yaGuillain-Barré Syndrome, plasmapheresis inoitwa kuitira kuti ibvise ma antibodies akawandisa ari kuita achipikisana nehurongwa hwekutyaira uye achikonzera zviratidzo zvechirwere.

Ropa rakapepetwa rinobva radzoserwa mumuviri, iro rinosimudzirwa kuti riunze ma antibodies ane hutano, nekudaro kubvisa zviratidzo zvechirwere. Nzwisisa kuti plasmapheresis inoitwa sei.

2. Therapeutic immunoglobulin

Immunoglobulin kurapwa inosanganisira kubaya majekiseni ane hutano akananga mutsinga iyo inopesana nema antibodies ari kukonzera chirwere. Nekudaro, kurapwa ne immunoglobulin kunova kunoshanda nekuti kunosimudzira kuparadzwa kwema antibodies ari kuita achipesana nehurongwa hwekutya, kubvisa zviratidzo.

3. Physiotherapy kurapwa

Physiotherapy yakakosha muGuillain-Barré Syndrome nekuti inokurudzira kupora kwemhasuru nemabasa ekufema, kusimudzira hupenyu hwemunhu. Izvo zvakakosha kuti physiotherapy inochengetwa kwenguva yakareba kudzamara murwere adzokororazve kugona kwakanyanya.

Iko kuperekedzana kwefizotherapist nezviitwa zvezuva nezuva zvakaitwa nemurwere zvinodikanwa kukurudzira kufamba kwemajoini, kugadzirisa huwandu hwekufamba kwemajoini, kuchengetedza simba remhasuru uye kudzivirira kutadza kufema uye kutenderera kweropa. Sezvo, kune vazhinji varwere, chinangwa chikuru ndechekudzokera pakufamba wega.

Kana murwere akagamuchirwa kuICU, inogona kusunganidzwa nemidziyo yekufema uye mune ino kesi iyo physiotherapist yakakosha zvakare kuona kuti inodiwa oxygenation, asi mushure mekubuda muchipatara, iyo physiotherapeutic kurapwa inogona kuchengetwa kwegore rimwe kana kupfuura, zvichienderana kufambira mberi kunoitwa nemurwere.

Matambudziko makuru ekurapa

Kurapa kunofanirwa kuenderera mberi kusvikira chiremba ataura neimwe nzira, zvisinei panogona kunge paine mamwe matambudziko ane chekuita nekurapwa, ayo anofanirwa kuudzwa kuna chiremba.

Muchiitiko chekurapwa ne intravenous immunoglobulin, semuenzaniso, mamwe ematambudziko akajairika ndeyemusoro, kurwadziwa kwemhasuru, kutonhora, fivha, kusvotwa, kudedera, kuneta zvakanyanya uye kurutsa. Zvinetso zvakakomba, kunyangwe zvakaoma kuti zviitike, itsvo kutadza, infarction uye kugadzikana kwekuumbika, semuenzaniso.

Panyaya yeplasmapheresis, panogona kuve nekuderera kweropa, shanduko mukurova kwemoyo, fivhiri, dzungu, mukana wakakura weutachiona uye kuderera kwemazinga ecalcium. Pakati pezvinetso zvakakomba ndezvekubuda ropa, hutachiona hwakazara, kugadzirwa kweganda uye kuunganidzwa kwemhepo mumapapu emapapu, zvisinei, matambudziko aya ari kunetsa kuitika.

Kazhinji, matambudziko aya anorapwa nekushandiswa kwemishonga, marwadzo uye ma antiemetics kubvisa fivhiri uye kuda kurutsa, semuenzaniso, zvakakosha kuzivisa chiremba nezvezviratidzo zvakasangana.

Zviratidzo zvekuvandudza

Zviratidzo zvekusimudzirwa kweGuillain-Barré Syndrome zvinotanga kuoneka anenge mavhiki matatu mushure mekutanga kwekurapwa, zvisinei varwere vazhinji havadzokerezve kufamba kwavo kusvika mushure memwedzi mitanhatu.

Zviratidzo zvekuwedzera

Zviratidzo zvekuwedzera kweGuillain-Barré Syndrome zvinoitika anenge masvondo maviri mushure mekutanga kwezviratidzo zvekutanga zvechirwere uye zvinosanganisira kunetseka mukufema, shanduko kamwe-kamwe mukumanikidza kweropa uye kusagadzikana, semuenzaniso, uye zvinoitika kana kurapwa kusingaitwe nemazvo.