Guillain Barre sendromu rehabilitasyonu
Yükleniyor...
Tarih
2001
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Guillain Barre Sendromu (GBS) periferik sinir sisteminin akut otoimmün bir hastalığıdır. Çoğu hastada duyu kaybı ile birlikte hızla gelişen kuvvetsizlik başlıca özelliğidir. Plato faz sonrasında başlayan spontan iyileşme her zaman tam değildir. Hastaların yaklaşık olarak %40'ı rehabilitasyon gerektirir.Uzun dönem özürlülüğün en yaygın sebebi distal kuvvetsizliktir. Ventilatör desteği rehabilitasyon süresinde uzama ve maliyetinde artma ile koreledir. Rehabilitasyonu etkileyen diğer faktörler disotonomi, kraniyal sinir tutulumu ve komplikasyonlardır. Deafferantasyon ağrısı iyilleşmenin erken döneminde yaygındır. Derin ven trombozu, eklem kontraktürleri, immobilizasyon hiperkalsemisi, anemi ve bası yarası gibi komplikasyonlar gelişebilir. Motor üniti etkileyen aşırı yüklenme klinik olarak paradoksal güçsüzlükle birliktedir ve iyileşmeyi engelleyebilir. Guillain Barre Sendromunun neden olduğu özürlülüğün uzun dönem sonuçları çok az bilinmektedir. Rehabilitasyonda postpolio ve spinal kord yaralanması için yapılan benzer çalışmalara başlanmalıdır.
Guillain Barre Syndrome is an acute autoimmune disease of peripheral nervous system. The main feature is rapidly evolving motor weakness combined in many patients with sensory loss. After a plateau phase, spontaneus recovery starts, but it is not always complete. Approximately %40 of patients who are hospitalized with GBS will require admission to inpatient rehabilitation. Ventilatory support has been correlated with longer length of stay and increased cost for inpatient rehabilitation. Other factors that affect rehabilitation are dysautonomia, cranial nerve involvement and various medical complications. Deafferent pain syndrome is common in early stage of recovery. Multipl medical complications, including deep venous trombosis, joint contractures, hypercalcemia due to immobilization and pressure sores may develop. Overfatiguing the affected motor unit has been clinically associated with paradoxical weakness and may impede recovery. Little is known known about the long term outcomes of disability caused by GBS. Rehabilitation programme is similar to that performed in postpolio syndrome and spinal cord injury.
Guillain Barre Syndrome is an acute autoimmune disease of peripheral nervous system. The main feature is rapidly evolving motor weakness combined in many patients with sensory loss. After a plateau phase, spontaneus recovery starts, but it is not always complete. Approximately %40 of patients who are hospitalized with GBS will require admission to inpatient rehabilitation. Ventilatory support has been correlated with longer length of stay and increased cost for inpatient rehabilitation. Other factors that affect rehabilitation are dysautonomia, cranial nerve involvement and various medical complications. Deafferent pain syndrome is common in early stage of recovery. Multipl medical complications, including deep venous trombosis, joint contractures, hypercalcemia due to immobilization and pressure sores may develop. Overfatiguing the affected motor unit has been clinically associated with paradoxical weakness and may impede recovery. Little is known known about the long term outcomes of disability caused by GBS. Rehabilitation programme is similar to that performed in postpolio syndrome and spinal cord injury.
Açıklama
Anahtar Kelimeler
Romatoloji
Kaynak
Romatizma Dergisi (. Turkish Journal of Rheumatology)
WoS Q Değeri
Scopus Q Değeri
Cilt
16
Sayı
2
Künye
Demir, S. Ö., Aydın, G. (2001). Guillain Barre sendromu rehabilitasyonu. Romatizma Dergisi , 16(2), 107 - 113.
