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非洲的吉兰-巴雷综合征:理解、应对与赋能

Guillain-Barré Syndrome in Africa: Understanding, Addressing, and Empowering.

作者信息

Kantawala Burhan, Uwishema Olivier, Minova Anamarija, Babuya Jonathan, Wodajo Essey Ketema, Asri Sucharu, Wojtara Magda

机构信息

Department of Research and Education Oli Health Magazine Organization, Research and Education Kigali Rwanda.

Faculty of General Medicine Yerevan State Medical University Yerevan Armenia.

出版信息

Health Sci Rep. 2024 Dec 4;7(12):e70232. doi: 10.1002/hsr2.70232. eCollection 2024 Dec.

Abstract

INTRODUCTION

Guillain-Barré Syndrome (GBS) is a spectrum of peripheral neuropathies characterized by rapid symmetrical limb weakness and sensory symptoms. GBS can be life-threatening and requires intensive care, particularly for patients with imminent respiratory failure. In Africa, limited research and high therapy costs pose challenges. This literature review aims to comprehensively address GBS in Africa to improve understanding and outcomes.

AIM

This literature review aims to provide an extensive overview of GBS in Africa, encompassing its clinical presentation, impact, management approaches, and challenges faced. It also highlights the need for increased research and awareness to enhance patient care and outcomes.

METHODS

A comprehensive review of existing literature on GBS in Africa was conducted, focusing on clinical presentation, diagnosis, management, and its impact on patients and communities. Data sources included medical databases, research articles, and reports. Data was scoured from databases such as PubMed, Medline and Embase. A total of four hundred and fifty-five articles and case studies were screened, with broader topic margins into GBS and different triggers, demographics, statistics, and variations in treatments across the world. These articles were further screened to match our inclusion criteria which focused on articles published after 2000 and which gave clearer insights into the presentations and situation of GBS in the African continent.

RESULTS

GBS in Africa is characterized by a range of clinical presentations, with limited diagnostic resources and healthcare infrastructure. Patients often face long intervals between symptom onset and hospitalization, impacting outcomes. The syndrome's impact extends beyond physical symptoms, affecting patients' quality of life, employment, and community roles. Management involves immunotherapy, physiotherapy, and psychosocial support, but high therapy costs and incomplete recovery pose challenges. Research in Africa has grown in recent years but remains limited compared to other regions. Efforts are needed to expand research capacity, introduce early screening programs, and improve healthcare infrastructure.

CONCLUSION

GBS presents a significant healthcare challenge in Africa, with the potential for severe clinical outcomes. This literature review underscores the importance of enhancing research, awareness, and healthcare infrastructure. African-led research initiatives offer hope for improved patient outcomes and healthcare system strengthening. By advocating for increased government support and resources, Africa can address the pressing needs of GBS patients and foster a brighter and healthier future for affected individuals on the continent.

摘要

引言

吉兰-巴雷综合征(GBS)是一组以快速对称性肢体无力和感觉症状为特征的周围神经病变。GBS可能危及生命,需要重症监护,尤其是对于即将发生呼吸衰竭的患者。在非洲,研究有限且治疗费用高昂带来了挑战。这篇文献综述旨在全面探讨非洲的GBS,以增进理解并改善治疗结果。

目的

这篇文献综述旨在全面概述非洲的GBS,包括其临床表现、影响、管理方法以及面临的挑战。它还强调了加强研究和提高认识以改善患者护理和治疗结果的必要性。

方法

对非洲现有关于GBS的文献进行了全面综述,重点关注临床表现、诊断、管理及其对患者和社区的影响。数据来源包括医学数据库、研究文章和报告。数据从PubMed、Medline和Embase等数据库中搜索。共筛选了455篇文章和病例研究,涉及GBS及不同触发因素、人口统计学、统计数据以及世界各地治疗差异等更广泛的主题范围。这些文章进一步筛选以符合我们的纳入标准,即重点关注2000年后发表的文章,这些文章能更清晰地洞察非洲大陆GBS的表现和情况。

结果

非洲的GBS具有一系列临床表现,诊断资源和医疗基础设施有限。患者在症状出现到住院之间往往间隔很长时间,这影响了治疗结果。该综合征的影响不仅限于身体症状,还影响患者的生活质量、就业和社区角色。管理包括免疫治疗、物理治疗和心理社会支持,但高昂的治疗费用和不完全康复带来了挑战。近年来非洲地区的研究有所增加,但与其他地区相比仍然有限。需要努力扩大研究能力、引入早期筛查项目并改善医疗基础设施。

结论

GBS在非洲构成了重大的医疗挑战,可能导致严重的临床后果。这篇文献综述强调了加强研究、提高认识和改善医疗基础设施的重要性。由非洲主导的研究倡议为改善患者治疗结果和加强医疗系统带来了希望。通过倡导增加政府支持和资源,非洲能够满足GBS患者的迫切需求,为该大陆受影响的个人创造更光明、更健康的未来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4d/11615645/4d66fa5f962f/HSR2-7-e70232-g001.jpg

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