Qhov Tseem Ceeb Qhov txawv - Polio vs Guillain Barre Syndrome
Polio yog ib yam kab mob kis los ntawm tus kab mob Polio. Nws cuam tshuam rau anterior horn hlwb ntawm tus txha caj qaum thiab ua rau tuag tes tuag taw mus tas li. Guillain Barre Syndrome (GBS) yog ib hom kab mob tiv thaiv kab mob uas tsis muaj zog tiv thaiv kab mob demyelinating uas ua rau cov neeg tuag tes tuag taw ua ke nrog qee qhov kev hnov mob thiab tsis muaj zog. Qhov sib txawv tseem ceeb ntawm Polio thiab Guillain Barre Syndrome yog tias Polio tsis muaj kev kho mob tshwj xeeb thaum Guillain Barre Syndrome tuaj yeem kho nrog cov tshuaj intravenous human immunoglobulins lossis plasmapheresis.
Polio yog dab tsi?
Polio yog tus kab mob kis los ntawm tus kab mob Polio. Nws kis tau los ntawm txoj kev feco-qhov ncauj. Tus kab mob no nthuav dav hauv GI ib puag ncig thiab nkag mus rau hauv lub cev. Nws feem ntau ua rau mob febrile. Tus kab mob no yog los ntawm ib tug neeg uas muaj kab mob fecal. Yog li nws yog dej thiab zaub mov kis kab mob. Hauv qee tus neeg mob, tus kab mob no tuaj yeem ua rau lub cev ua rau lub cev sab hauv ntawm tus txha caj qaum ua rau tuag tes tuag taw mus tas li. Polio tam sim no ploj mus vim kev qhia txog tshuaj tiv thaiv kab mob Polio. Nws yog muab rau cov me nyuam tom qab yug me nyuam. Muaj ob hom tshuaj tiv thaiv: Sabin thiab Salk tshuaj tiv thaiv. Qee lub tebchaws tau tshem tawm Polio nrog lub npog ntawm cov tshuaj tiv thaiv. Txawm li cas los xij, tsis muaj kev kho mob los kho tus mob Polio kom thim rov qab tuag tes tuag taw. Kev tiv thaiv kab mob polio yog ua raws li WHO cov kev pab tiv thaiv kab mob sib kis hauv cov tebchaws tsim kho.
Guillain Barre Syndrome yog dab tsi?
GBS yog ib qho mob demyelinating mob tshwm sim los ntawm cov tshuaj tiv thaiv kab mob. Cov tshuaj tiv thaiv no tau paub tias raug ntxias los ntawm qee yam kab mob thiab kab mob. Nws tshwm sim li 3-4 lub lis piam tom qab kis kab mob (zaum raws plab lossis kab mob ua pa sab sauv) thiab nws yog ib qho kev tiv thaiv kab mob. Nws ua rau tus yam ntxwv ascending tuag tes tuag taw pib los ntawm qis qis mus rau sab saud. Nws tuaj yeem cuam tshuam rau cov leeg nqaij mus txog rau ntawm lub ntsej muag cov leeg. GBS tuaj yeem cuam tshuam nrog kev hnov mob me me thiab. Txawm li cas los xij, nws tuaj yeem cuam tshuam nrog kev ua haujlwm tsis zoo xws li arrhythmias. Kev kuaj mob feem ntau yog soj ntsuam thiab tuaj yeem paub tseeb los ntawm kev tshawb fawb txog paj hlwb. Qee lub sij hawm GBS tuaj yeem ua rau muaj teeb meem loj xws li cov leeg ua pa ua pa thiab tuag. Yog li ntawd, cov neeg mob no xav tau kev tswj xyuas kom zoo los ntawm tus kws kho mob hlwb hauv ib lub chaw nrog cov chaw saib xyuas mob hnyav. Kev kho mob yog los ntawm cov tshuaj txhaj tshuaj immunoglobulins los yog los ntawm plasmapheresis qhov twg cov kab mob ua rau cov tshuaj tiv thaiv kab mob neutralized los yog tshem tawm ntawm lub cev. Cov neeg mob GBS tuaj yeem rov zoo tag nrog remyelination ntawm neurons. Tsis tshua muaj, qee qhov seem tsis muaj zog tuaj yeem tshwm sim txawm tias tus kab mob rov qab los.
Microscopic duab ntawm Campylobacter jejuni, uas ua rau kwv yees li 30% ntawm cov neeg mob Guillain-Barré syndrome.
Qhov txawv ntawm Polio thiab Guillain Barre Syndrome yog dab tsi?
Cause, Pathology, Clinical Features, Treatment and Prevention of Polio thiab Guillain-Barre Syndrome:
Cause:
Polio: Polio yog tshwm sim los ntawm tus kab mob Polio.
Guillain Barre Syndrome: GBS yog tshwm sim los ntawm cov tshuaj tiv thaiv kab mob tawm tsam myelin sheaths ntawm neurons.
Kev sib txuas lus:
Polio: Tus kab mob polio kis los ntawm cov khoom noj thiab dej tsis huv.
Guillain Barre Syndrome: GBS tsis kis ntawm ib tus neeg mus rau lwm tus.
Pathology:
Polio: Hauv Polio, muaj kev puas tsuaj rau lub hlwb anterior horn.
Guillain Barre Syndrome: Hauv GBS, muaj demyelination ntawm ntev axons ntawm neurons.
Sensory Abnormalities:
Polio: Polio tsis ua rau muaj qhov txawv txav.
Guillain Barre Syndrome: GBS tuaj yeem ua rau muaj qhov txawv txav me me.
Autonomic System Dysfunction:
Polio: Polio tsis ua rau lub cev tsis muaj zog.
Guillain Barre Syndrome: GBS tuaj yeem ua rau lub cev tsis muaj zog.
Pattern of Weakness:
Polio: Polio ua rau qeeb qeeb, asymmetrical mus tas li tuag tes tuag taw.
Guillain Barre Syndrome: GBS ua rau muaj kev nce zuj zus sai sai thiab rov qab tuag tes tuag taw.
Complication:
Polio: Polio tsis muaj kev hem thawj rau lub neej.
Guillain Barre Syndrome: GBS tuaj yeem ua rau tuag vim yog ua pa ua pa.
Kev kho mob:
Polio: Polio tsis muaj kev kho tshwj xeeb.
Guillain Barre Syndrome: GBS yog kho nrog cov tshuaj txhaj rau tib neeg cov tshuaj immunoglobulins lossis plasmapheresis.
Kev Tiv Thaiv:
Polio: Polio yog ib qho tshuaj tiv thaiv kab mob.
Guillain Barre Syndrome: GBS tsis yog ib qho kab mob tiv thaiv kab mob.
Image Courtesy: "Polio sequelle" los ntawm Diam duab credit: Cov ntsiab lus: CDC - Cov xov xwm no yog los ntawm Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv Lub Tsev Saib Xyuas Kev Noj Qab Haus Huv Pej Xeem (PHIL), nrog tus lej cim5578. (Public Domain) ntawm Commons "ARS Campylobacter jejuni" los ntawm De Wood, Pooley, USDA, ARS, EMU. - Agricultural Research Service (ARS) yog US Department of Agriculture lub koom haum tshawb fawb txog kev tshawb fawb.(Public Domain) via Commons
