Kenneth Kee

Guillain Barre Syndrome A Simple Guide To The Condition, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

Guillain-Barre syndrome (GBS) is a disorder in which the body's immune system attacks part of the peripheral nervous system
Guillain-Barre Syndrome is a rare autoimmune progressive disease with relatively symmetrical weakness of 2 or more limbs due to neuropathy, areflexia and mild sensory symptoms of not more than 4 weeks duration.
Causes are:
1. A nonspecific respiratory or gastrointestinal viral illness
2. Vaccination (rarely)
3. Extreme exposure to cold
The result of the antibodies attack on the peripheral nerves is inflammation of myelin and blockage of nerve conduction resulting in muscle paralysis with sensory or autonomic deficits.
The first symptoms of this disorder are varying degrees of weakness or tingling sensations in the legs.
In many cases the symmetrical weakness and abnormal sensations spread to the arms and upper body.
These symptoms can increase in intensity until certain muscles cannot be used at all and when severe the person is almost totally paralyzed.
Such an individual is often put on a ventilator to assist with breathing and is watched closely for problems such as an abnormal heart beat, infections, blood clots, and high or low blood pressure.
Absence of fever is one of the sign of Guillain Barre Syndrome.
Recovery usually begins 2-4 weeks after progression of disease stops
The diagnosis of Guillain-Barre Syndrome involve
1. History of a rapid onset and progression of ascending motor weakness, areflexia and the absence of fever.
2. Physical and neurological examinations for peripheral neurological deficit.
3. Cerebrospinal fluid examination-
a. An elevated protein level (100 - 1000 mg/dL)
b. Absent pleocytosis (increased cell count)
4. Electromyography studies and nerve conduction studies may show prolonged distal latencies, conduction slowing, nerve conduction blockage suggestive of demyelization.
5. Computed tomography or MRI may show actual demyelization of the nerve.
There is no known cure for Guillain-Barre syndrome.
The most critical part of the treatment for this syndrome consists of keeping the patient's body functioning during recovery of the nervous system.
This can sometimes require placing the patient on mechanical ventilatory assistance, a heart monitor, or other machines that assist body function.
1. Hospitalization and early intubation with a respirator on standby in case of difficulty in respiration
2. Treatment of the underlying cause is started as soon as possible:
Currently, plasma exchange (also called plasmapheresis) and high-dose immunoglobulin therapy are used.
Both of them are equally effective but immunoglobulin is easier to administer.
a. High dose intravenous immune globulin, which temporarily modifies the immune system and provides the body with normal antibodies from donated blood
In high-dose immunoglobulin therapy, doctors give intravenous injections of the proteins that, in small quantities, the immune system uses naturally to attack invading organisms.
Giving high doses of these immunoglobulins, derived from a pool of thousands of normal donors, to Guillain-Barre patients can lessen the immune attack on the nervous system.
b. Plasmapheresis in which abnormal antibodies are removed from the blood.
Plasmapheresis seems to reduce the severity and duration of the Guillain-Barre episode
3. Rehabilitation is started after the patient is stable and will focus on improving activities of daily living functions such as brushing teeth, washing and getting dressed.
4. Physiotherapy to strengthen muscles
5. Speech therapy for speech and swallowing
Patients sometimes need psychological counseling to help them adapt.
The recovery period may be as little as a few weeks or as long as a few years.
TABLE OF CONTENT
Introduction
Chapter 1 Guillain Barre Syndrome
Chapter 2 Interesting Facts about Guillain Barre Syndro...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 17. Dezember 2016
• Englisch
• ISBN-13: 9781370755639
• Artikelnr.: 75905520

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...