sindrom giyena-barre

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prezentatsiya powerpoint sindrom giyena-barre podgotovil:muximov.b. sindrom giyena-barre osnovnie fakti sindrom giyena-barre (sgb) — eto redkoe sostoyanie, pri kotorom immunnaya sistema cheloveka porajaet sobstvennie perifericheskie nervi. sindrom mojet porajat lyudey v lyubom vozraste, no chashe vsego on vstrechaetsya u vzroslix lyudey i u mujchin. bolshinstvo lyudey polnostyu vizdoravlivayut daje v samix tyajelix sluchayax sindroma giyena-barre. tyajelie sluchai sindroma giyena-barre nablyudayutsya redko, no oni mogut privodit prakticheski k polnomu paralichu. sindrom giyena-barre neset v sebe potentsialnuyu ugrozu dlya jizni. lyudi s sindromom giyena-barre doljni poluchat lechenie i naxoditsya pod nablyudeniem; nekotorim mojet potrebovatsya intensivnaya terapiya. faktori riska bolezni dixatelnoy sistemi, kogda zadetimi okazivayutsya verxnie dixatelnie puti. uvelichenie i vospalenie limfaticheskix uzlov (zabolevanie nazivaetsya mononukleozom). gerpes. gripp shtamma «a». mikoplazmoz. vich-infektsiya. «svinka» (ili parotit). sklonnost k allergii. reaktsiya na vaktsinu difterii i poliomielita (tak nazivaemaya «sivorotochnaya bolezn»). perenesennaya operatsiya. geneticheskaya predraspolojennost. potogenez pri sindrome giyena-barre immunnaya sistema cheloveka porajaet chast perifericheskoy nervnoy sistemi. …

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o. u nekotorix lyudey eti simptomi mogut privodit k paralichu nog, ruk ili litsevix mishts. u 20%-30% lyudey porajaetsya grudnaya muskulatura, chto zatrudnyaet dixanie. sredi glavnix priznakov sindroma giyena-barre videlyayut sleduyushie: rezko brosaet v jar, temperatura tela rastet. nachinaetsya nasmork, kashel. sustavi lomit. chuvstvuetsya poterya sil i dikaya slabost. mojet nachatsya diareya i nemnogo toshnit. sindrom giyena barre imeet simptomi, kotorie zavisyat ot stadii zabolevaniya. bivaet, chto bolezn mojet nastupit stremitelno bukvalno cherez neskolko dney. est drugaya stadiya, kogda patologiya mojet «raskachivatsya» pochti tseliy mesyats (ot dvux nedel do 20 dney). i nakonets, zafiksirovani sluchai, kogda ona protekaet v xronicheskoy forme, razvivayas krayne medlenno. takuyu stadiyu vrachi schitayut naibolee opasnoy, ved ee slojnee raspoznat i okazat cheloveku svoevremennuyu pomosh. v tyajelix sluchayax sindrom giyena-barre mojet privesti k narusheniyu sposobnosti govorit i glotat. eti sluchai schitayutsya predstavlyayushimi ugrozu dlya jizni, i takix patsientov sleduet lechit v otdeleniyax intensivnoy terapii. bolshinstvo lyudey …

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ivaet absolyutnoy, no obichno esli odna konechnost porajaetsya, to protivopolojnaya takje vovlekaetsya v protsess. 3. chuvstvitelnie narusheniya. 4 cherepnie nervi: xarakterno porajenie litsevogo nerva. 5. vosstanovlenie: obichno nachinaetsya cherez 2-4 nedeli posle prekrasheniya narastaniya zabolevaniya, no inogda mojet zaderjivatsya na neskolko mesyatsev. bolshinstvo bolnix xorosho vosstanavlivayutsya. 6. vegetativnie narusheniya: taxikardiya, aritmii, posturalnaya gipotenziya, gipertenziya, vazomotornie simptomi. 7. otsutstvie lixoradki v nachale zabolevaniya (nebolshoe chislo bolnix imeyut lixoradku v nachale zabolevaniya iz-za interkurrentnix infektsiy ili drugix prichin). lixoradka ne isklyuchaet sgb, no sta vit vopros o vozmojnosti drugogo zabolevaniya. b. varianti 1. tyajelie chuvstvitelnie narusheniya s bolevim komponentom. 2. progressirovanie bolee 4 nedel. inogda zabolevanie progressiruet mnogie nedeli ili nablyudayutsya nebolshie retsidivi. 3. prekrashenie narastaniya simptomov bez posleduyushego vosstanovleniya ili nebolshoe vosstanovlenie s tyajelimi ostatochnimi yavleniyami. 4. funktsii sfinkterov: inogda nablyudayutsya vremennie narusheniya mocheispuskaniya. 5. vovlechenie tsns: dokazatelstva vovlecheniya v protsess tsns - protivorechivi. u otdelnix bolnix otmechayutsya tyajelaya mozjechkovaya ataksiya, …

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a funktsiy sfinkterov. 3. narusheniya funktsiy sfinkterov v nachale zabolevaniya. 4. bolee chem 50 mononuklearnix leykotsitov v likvore. 5. nalichie polimorfnoyadernix leykotsitov v likvore. 6. chetkiy uroven chuvstvitelnix narusheniy. diagnostika vklyuchaet v sebya takie obsledovaniya: standartnie zabori krovi i mochi, viyavlenie antitel campylobacter jejuni. issleduyutsya kletochnie protsessi. issleduetsya krov na bioximiyu, likvor – kontsentratsiya belka v spinnomozgovoy jidkosti. obyazatelno provodyatsya serologicheskie issledovaniya, chtobi isklyuchit bolezni, imeyushie sxojie simptomi – ix ne tak malo: miastenii, ostriy i poperechniy mielit, entsefaliti razlichnix etiologiy, neyroborrelioz, tsitomegalovirus i nekotorie podobnie po simptomam zabolevaniya. sdaetsya analiz mochi, chtobi isklyuchit otravlenie lekarstvennimi preparatami, solyami tyajelix metallov. provoditsya emg – elektoromiografiya – registriruyutsya proizvolnie sokrasheniya skeletnix mishts v sostoyanii pokoya. pri etom issledovanii v mishtsu vvodyat elektrod v vide igli i opredelyayut vremya provedeniya elektricheskogo razryada po nervu. lechenie bolnie s diagnozom sindrom giyena-barre podlejat gospitalizatsii, tak kak inache podderjivat jiznennie funktsii prosto nevozmojno. v terapevticheskie meropriyatiya …

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i plazmafereza ili ispolzovaniya immunoglobulinov klassa g. eto pomogaet ostanovit autoimmunniy protsess. sposobi lecheniya vibirayutsya s uchetom klinicheskoy kartini i nalichiya protivopokazaniy. mojet potrebovatsya operativnoe vmeshatelstvo dlya vosstanovleniya dixatelnogo protsessa – nalojenie traxeostomi – ili pri dlitelnix bulbarnix narusheniyax ustanavlivayut gastrostomu. v zavisimosti ot klinicheskoy kartini ispolzuetsya simptomaticheskoe lechenie: pri narushenii vodno-elektrolitnogo balansa – infuzionnaya terapiya; pri serdechno-sosudistix narusheniyax – adrenoblokatori razlichnix vidov; taxikardiyu snimayut primeneniem atropina; vtorichnoe infitsirovanie ostanavlivaetsya ispolzovaniem antibiotikov; pri virajennix bolevix simptomax razresheno primenyat obezbolivayushie preparati iz ryada nesteroidnix sredstv ili paratsetamol. image1.jpeg image2.jpeg image3.jpeg image4.jpeg image5.jpeg image6.jpeg image7.jpeg image8.png image9.jpeg image10.png image11.jpeg image12.png image13.png /docprops/thumbnail.jpeg

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prezentatsiya powerpoint sindrom giyena-barre podgotovil:muximov.b. sindrom giyena-barre osnovnie fakti sindrom giyena-barre (sgb) — eto redkoe sostoyanie, pri kotorom immunnaya sistema cheloveka porajaet sobstvennie perifericheskie nervi. sindrom mojet porajat lyudey v lyubom vozraste, no chashe vsego on vstrechaetsya u vzroslix lyudey i u mujchin. bolshinstvo lyudey polnostyu vizdoravlivayut daje v samix tyajelix sluchayax sindroma giyena-barre. tyajelie sluchai sindroma giyena-barre nablyudayutsya redko, no oni mogut privodit prakticheski k polnomu paralichu. sindrom giyena-barre neset v sebe potentsialnuyu ugrozu dlya jizni. lyudi s sindromom giyena-barre doljni poluchat lechenie i naxoditsya pod nablyudeniem; nekotorim mojet potrebovatsya intensivnaya terapiya. faktori riska bolezni d...

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