Guillain-Barré syndrome: understand disease in Rochelle “Second Sun” | welfare

Síndrome de Guillain Barré: entenda a doença de Rochelle em
Síndrome de Guillain Barré: entenda a doença de Rochelle em

Rochelle se revolta com a notícia de que tem a Síndrome de Guillain Barré — Foto: Globo/Paulo BeloteRochelle se revolta com a notícia de que tem a Síndrome de Guillain Barré — Foto: Globo/Paulo Belote

Rochelle if you revolt the news that you have Guillain-Barré syndrome — Photo: World/Paul Belote

The villain, Rochelle, the character of Giovanna lancelot was the “Second Sun”, which are facing in the coming days, a disease little known to the general public, but serious: Guillain-Barré syndrome.

His Instagram, he commented on the experience of the character: “This week the beginning of a new phase in the life of Rochelle. I believe that Giovanna also. This process was very intense and great for me. Always good to make it clear that I do not believe that disease is a “punishment” to anyone. In fact, I know very GOOD people who have gone through trauma and crossing the beautiful, even “without deserve them.” I believe that any obstacle, disappointment or even a disease, it must be taught. The Quest is to change, overcome and thrive with it. Had to strengthen the old ties.. And create new ones! This is what I’m trying to forward the final straight: CREATIVITY!”, wrote.

The actress further said that she received several letters from people who have been around the syndrome: “You have no IDEA how much helped me and encouraged it. Thanks and the utmost respect for you and the gripper this challenge”.

The disease is not the only reason established, but it is known that, under certain conditions, can trigger the immune system reaction and this reaction “attacked” nervous system.

“Especially the cover of the nerve, called myelin. This myelin stick out of the axon. It is as if it was bare wire and causes the patient to display changes you want to the sensitive and/or motor disabled,” explains neurologist Osvaldo Nascimento, Universidade Federal Fluminense.

What are the symptoms?

The symptoms tend to be motors. In most cases, is a sign up, that is, it begins to feet, the “rise” of the legs, and then reaches your hands. There is difficulty walking and handling objects.

“It is possible to reach paralysis of the face, in which people are without facial expression,” explains Nascimento.

The symptoms of sensitive may also be related to the syndrome and may be numbness in the legs or feet and hands, even the pain distributed to these regions.

What is the reason?

Some conditions may precipitate the immune reaction and this reaction to the “attack” of the nervous system, but there is not specific reason.

What is the relationship zika?

Brazil is stored, in certain cases, Guillain-Barré syndrome, which is associated with infection with the virus zika. When zika changes in the immune system and in some cases, this change is detrimental to the nervous system, resulting in the Syndrome of Guillain-Barré syndrome.

But Osvaldo Nascismento warning: “many people have had the infection by the virus zika and not all of them but a very small percentage, but to develop Guillain-barré syndrome and other neurologic complications are related.

How is the diagnosis made?

There is no specific test to diagnose. The birth of the explanation that a syndrome is a set of signs and symptoms. Case, Guillain-Barré syndrome, these symptoms are clinical in the first few days, that is, it does not appear in the exams. Therefore, it is difficult to diagnose the syndrome.

“The doctor should be aware of this, and the recognition of clinical. A neurologist is a greater proximity to diagnosis, but it is important to consider that this patient seeking emergency, then it is important that the health professional has the knowledge to help you recognize and to direct appropriate medical treatment,” said Nascimento.

The tests, which will help

The investigation, spinal cord fluid (cerebrospinal fluid) may help, but only after a few days: “the changes coming in 10 days, a week later, if the increase of proteins in the liquid. Proteins is very high, if the normal cells. This dissociation: a lot of protein, little cell, aid in diagnosis,” he explains.

Postariormente changes driving the nerve can also be assessed. The investigation eletroneuromiografia, known as the small punches in the arms and legs, the ends of the to show changes indicative of damage to the myelin.

How to treat it?

Treatment depends on the clinical situation of the patient. In some cases, the patient may have paralysis of the respiratory muscles, and changes in heart rate and should be in the hospital intensive care Unit.

Usually, if treatment is made with immunoglobulin or plasmapheresis.

“Immunoglobulin is administered 5 days and expect a clinical response. If this does not solve, you can try, as is done in some places in Brazil, plasmapheresis, that is, it is almost to exchange the plasma for the antibodies, which are not related to the disease,” said Nascimento.

How is the recovery?

The second Birth, the majority of patients have complete recovery after treatment.

“About 15% of the cases may leave some sequel and 5% can be get death, because of the severity, there are a lot of changes, that the level of respiratory -, cardio -, stay in the ICU. Dies-up to more complications and inflammation, fungus,” explains Birth.

Physical therapy

Physiotherapy has an important role to play in the serious cases of the disease, especially for those, who need hospitalization in the ICU.

“Physical therapy is to prevent, that there is no muscle atrophy, keeps the kinetics of the feet and hands, but only physiotherapy does not resolve the problem,” said Nascimento.

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