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17:00-17:30 - ??????? ?

17:30 - ????? - ?? ???????

17:40 - ?????? ?? ???? ???????, ???? CIDP, ??? ?????, ??? ????? ??????? ?? ????? ?????.

18:30 - ????? ???? ????

19:30 - ????

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Guillain-Barre syndrome

????? :

?????? ?"? ?????? ??? (Guillain-Barre syndrome) ?? ??? ?????? ????? ???? GBS, ???? ????? ?????? ????-??????? ??? ????? ????? ?????? ????? ?????? ?????? ?????? ????? ?? ??????? ??????? ?????? ???????? ?????????. ???? ?????? ????? ?? ????? ????? ??? ??, ??????? ??, ??????? ????? ????????? ????????.

???????? :

????? ?????? ???? ?????? ??????? ???? 1828 ?? ??? ?????? ???? (Chomel) ?????? ???? ?????? ??????, ???? ????? ???? 1859 ???? ??????? ?????? ????? ????? ????? ?"? ????? (Landry paralysis). ????? ????? ????? ??????? ???? 1916 ????? ?????? ??? ??????,??? ??????? ????? ?? ????? ????? ???? ?????? ???????. ????? ????? ????? ???? ??????? ???? ????? ???? ?????? (Strohl) ??? ?? ???? ?? ???? ??? ?????? ?? ?????? ???? ?? ???????? ??????? ??. ????? ?????? ???? ????? ????? ??? ?? ????? ????? ???? ??????? ???? ??????? ???????? ??? ?????? ?? ????? ??????? ???? ??-????? ?? ????.

?????? :

????"? ??????? ???? ????????? ??? ???? 1-3 ????? ?-100000. ??????? ????? ??? ???? ?????? ???? ?? 1.5 :1 ??? ????? ?????. ?????? ??? ????? ??????? ??? ????? 15-35 ???? ????? 50-75, ?? ??????? ????? ??? ?????? ???? ???? ?????? ??? ??????.

???? ????? :

????? ???????? ?????? ?????? ??? ?????? ??????? ?????? ???? ????. ????? ?????? ?????? ??????? ?????? ?? ?????? ????? (???????) ??? ?????? ?????? (???? ????? ?? ????? ??????, ?????, ??????? ?????? ????????, ????? ?????? ??????????????? ????? ???? ,????? ?? ???) ???????? ?????? ?? "????? ???????" ????? ?????? ???? ?????? ???????? ??????? ???????? ?????. ?????? ?????? ???? ??????? ???? ????? ?????? ???? ?????? ?? ?????. ???? ??????? ????? ?? ???? ?????? ???????? ??????? ????? ?????? ??????????. ???? ????? ???? ?????? ?????? ??????? ??? ???????? ??????? ????? ?? ??????? ????.

????? ????? ????? ???????? ?????? ????? ?????? ??????? ???? ??????? ????? ????? ????. ??????? ?????? ????? ?????? ?????? (??? ??????? ?????) ????? ??????? (?-15 ????) ?? ??????? ?? ????? ?????? ?????? ??? ????? ??????? ??????? ????? ????????. ???? ??? ?? ??? ???????? ???? ????? ??????? ?? ????? ???? ????? ?? ?? ???? ??????? ????? ????? ?????? ?? ?? ????? ???? ????? ?????? ?? ????????. ??????? ???? ????? ??????? ?????? ????? ???? ??????? ???? ????? ????? ???? ??? ????? ?????? ????? ?? ?????? ???? ????? ????? ????????. ??? ?????? ?? ??? ??????? ?? ????.

?????????????:

????? ????? ???? ?-GBS ???? ???? ?????? ??? ?????? ????-??????? ????? ????? ????? ?????? ???? ??? ????? ????? ?????? ????. ??? ????????? ???????? ????? ????? ?????? ???????? ??? ????? ??? ???????? ??????? ?? ???????? ????? ????? ????? ?????? ???????? ??????? ?????? ??????. ?????? ???????? ???? ????? ????? ?????? ??????? ?????? ???? ???????? ????? ?? ???? ??????? ??????? ???? ?????? ?????? ?????. ???????? ???? ??? ???????? ???????? ????? ???? CMV , EBV ?????? ??????????? ?????? ??????? (????? ??????? ??? ????? ???? ????? ???? ????? ?????? ??? ?????? ???? ????? ????? ). ????? ????????? ?????? ????? ??? ?????? ? GBS ????? ?????? ????? ?????? ?????? ????? ?? ????? ???? ?? ???? ?????.

?????? ???????? ???? ?????? ?? ??????? ?? ????? ???????? ?????? ??????? ???? ?????? (spinal root) ?? ?????? ?????? ?? ????? ????????. ?????? ?????? ?????? ??? ???? ????? ?????? ??-???????? (demyelination) ??? ???? ????? ??????? ?? ???????? ?? ??? ???? ????????? ??????? ???? ??????. ???? ?-GBS ??? ????? ????????????? ??-?????????? ??? ?? ??? ??????????. ???? ?????? ????? ?????? ?????? ?????? ?? ??????? ????????? ?"? ????? ???? ??????? ???????? ??????? ?????. ????? ???? ????? ?? ?????? ?? ????? ????? ??? ????? ?????? ??????????.

?????? ????? ?????? ?? ??? ???? ????? ???? ?? ???????? ?????? ??????? ????? ??????? ?????? ??? ?? ????? ?? ????? ?"? ??? ????? ?????? ???? ?????????? ???????????.

?????? ???? ??-????? ?????????? ?"? ?????? ???????? ????? :

AIDP: acute inflammatory demyelinating polyneuropathy ???? ????? ????? ????? ?? ?-90 ???? ???????. ???? ???? ????? ???? ?????? ?? ??????? ??? ??????. 30-40 ???? ??????? ?????? ????? ??????? ???? ????? ??????????? (Campylobacter jejuni). ???? ????? ????? ?????????? ???????? ?? ???????? ????? ????????? ??????. ????? ????? ????? ????.

AMAN: Acute motor axonal neuropathy ????? ???? ??? ?????? ??????? ??????? ???? ??????? ????? ?? ????? ??????. ???? ????? ??????. 70-75 ???? ??????? ?? ???? ?????? ???? ????? ??????????? (Campylobacter jejuni). ?? ???? ??????? ?? ???? ????-??????? (???????? ??? ?????? ??????? ??????) ????? ?????? ?? ???? ????? ???? ????? ??? ????? ????? ??? ???? ????? ?????. ???? ?? ??????? ?????? ??????? ????? ???? ?????? ?????? ???? ?????. ????? ???? ??? ??????? ????? ????.

AMSAN: Acute motor-sensory axonal neuropathy ???? ?-AMAN ?? ???-??? ?? ????? ?? ????? ?????? ????????. ?? ??? ???? ????? ????-???????. ??? ?????? ??????? ??????? ??? ??????.

Miller-Fisher syndrome ??-??? ???? ?? GBS ???????? ?????? ????? ???????? (????? ????????) .?????? ???? ????? ????? ?? ????? (ATAXIA) ,????? ????????? ????? ??????? ?????? ????????. ?????? ?????? ?????? ???? ?? ???? ????? ?????? ??????, ????? ???????, ????? ?? ????? ?????, ???? ?????? ?????, ???? ????? ????? ??????? ???????? ?????? ??????. ???? ??????? ???? ????? ??????? ???? GQ-1B . ?????? ????? ???? ?? 3 ??????.

APN - Acute panautonomic neuropathy - ????? ???? ?? ????? ????? ?????? ?? ?????? ?????? ????????? ??? ?????? ?????? ?????-????????. ????? ???? ???????? ?"? ??????? ?? ?????? ???? ???, ????????? ???? ?????? ??? ??????? ?? ????? ?????. ???? ??????? ?????? ????? ??? (?????? ?????????? ?????? ?? ????? ????????),??????, ??????? ????????? ????? ??????, ???? ???, ????? ????, ????? ?? ????? (flushing) ?????? ?? ????? ?????? ??? ?????? ????? ?? ????? ????? ??? ???. ?? ??? ?? ????? ?????? ??????? ???????? ??????? ???? ????? ??????? ?? ????.

?????? ?????? :

???? ?????? ??? ???? ?????? ?????? ????? ???? ??????? ?????? ?? ??????? ?????? ????? ?????? ??? ????? ???? ????? ???? ?????? (CSF) ??? ???? ?? ??? ???? ?? ???? ?????? ??????? ???? ???? ??????. ???? ?????? ??? ?????? ????? ?-40 ?? ????????. ?????? ???? ??????? ???? ?????? ????? ?????? ?????? ?????? ????? ????? ??????? ?????? ????? ?????? ?????? ?? 1-2 ?????? ???? ????? ????? .????? HIV (?????) ??????? GBS ???? ????? ???? ????? ????? ?????? ?? ????? ?? ???? ????? ????? ???? ??????? ????? ??? ???? ?????? ????? ?? ????? ???.

?????? ????? ?????? ???? ???? ???? ????? ???? ?????? ???? ???? ???? ????? ?? : ?????? ????? (CK) , ?????? ???, ???? ??????????? ??? ????? ???? ??? ????? ?-SIADH, ????? ?? ??????? ????, ????????? ??????? ????? ????? ??????????, ??????? ???? ????? ??? ???? GM1 ?- GQ1B. ????? ???? ?????? ??????????.

????? ????? ??? :

?????? ??????? ?????? ???? ???????? ?? ????? ???? ??? ???? ??? ????? ????? ???????. ???? ????? ?? ????? ???? ???? ????? ????? ?? ???? ?????.

?????? ????? :

?????? MRI ???? ?????? ??????? ?????? ???? ??????. ???? ????? ????? ?? ???? ??????? ???????? ?? ???? ??? ??????. ?????? ???? ????? ????? ?????? ?? ???? ???? ???????? ?????.

????? :

?????? ????? GBS ????? ?????. ????? ???? ?????? ????? ?? ???? ?? ????? ??? ???? ????? ???????? ???? ??????? ?? ????? ?????? ?????? ????? ?????? ?? ??? ???? ?? ??? ????? ??? ?????? ???? ????? ????? ?? ????? ??????.

????????? ????????? ?????? ?????? ??? ??????????. ?????? ???? ?????? ????? ?? ?????? ?????? ???? ??? ?? ????? ??????? ???? ?????? ?????? ?? ???? ????? ????.

????? ???? ?????? ?????????? - ????? ??? ??????? ???????? ?? ????? ?????? (????????? ????????) ???? ?????? ??????? ???? ??????. ?????? ???? ?????? ?? ??? ????? ????? ?????? ????? ?? ??? ???? ?? ???? ???. ??????? ?? ????? ?? ?????? ???? ????? ???? ??????? ??????? ?????? ????????. ????? ?????? ?????? ???? ??? ???? ???? ?????? ????? ????? ?????? ???? ???? ????? ????? ??? ???? ????? ???????. ???? ?????? ?????????? ?? ?????????? ??????? ?????? ???????? ???? ?????? ?????? ?????? ?-GBS ?"? ????? ??? ?????? ?? ??????? ?????? ???? (IVIG) ?????? ?????? ?????? ?? ????? ????? ?????? ??? ??? ????-??????.

????? ?? ???? ????? ????? ??????? ?????? ??? ?????? ???? ??? ???? ?? ?? ?? ??????????, ????? ??? ????? ????? ??????? ?????? ??? ???? ????? ?? ??????????. ?????? ???? ???? ?????? ?????? ?????? ?????? ??? ????? ??.

 

?????? ?????

????? ????  ????? ?? ????? ?????? ?????? ????? GBS ? CIDP. ???? ????? ???? ???? ??????? ??????? ??????? ?????, ?????? ????? ?????? ??????? ??????.

???? ?????: ????? ???? ?/?? ????? ??? ?????? ???? ????? ????? ?????? ?????? ????? ????? "????? ??????" ??? ????? ???? ?????????, ????? ????, ????? ????? ????? ???? ????? ??????? ???? ????? ??? ????? ?????????.

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