After lying in the hospital for a week due to typhoid, Raihan Naufaldi (12) experienced tingling followed by numbness in the legs that spreads to the upper body. Within days, the body of the sixth grade elementary school student was paralyzed.
“Aldi can not sit, the difficulties raised his hand, even for the tilting of the body Aldi need help,” said Dwinanda (45), Raihan Naufaldi mother who was called Aldi. Aldi care Dwinanda then move to another hospital.
At the second hospital, Aldi undergo a series of tests, ranging from the computed tomography scan (CT scan), magnetic resonance imaging (MRI) and electromyography (EMG) to know the description of the brain and nerves. “From the EMG test results are known Aldi had Guillain-Barre Syndrome,” Dwinanda speak. Previously, he had never heard of the disease Guillain-Barre Syndrome.
Aldi was treated in intensive care for two weeks. After that, Aldi still have to be hospitalized. Then move to Dr Cipto Mangunkusumo (RSCM). Two weeks later, Aldi undergoing treatment at home.
“Recovery takes a long time. When I got home from the hospital, an ambulance because Aldi has not been able to move. After undergoing physical therapy, his condition slowly improved, “said Dwinanda.
Rare, but severe
Sudden paralysis due to Guillain-Barre syndrome is relatively rare. The incidence of 100,000 people reach 1-1.5. “However, once attacked, the burden of disease is very severe for patients and their families,” said Chairman of the Association of Physician Specialists Nerve Indonesia (Perdossi) Jakarta Branch Darma Imran told a news conference about the disease Guillain-Barre Syndrome, Friday (04/13/2012) , in Jakarta.
Paralysis can occur in a matter of weeks, even days. Paralysis is not only the organ motion, such as hands and feet, but also other organs, such as face, eyes, and respiratory muscles. “The disease is a major cause of paralysis after successfully eradicated polio,” said Darma.
Guillain-Barre syndrome generally begins with tingling in the fingertips. Tingling is symmetrical on either side of the body. In addition, there numbness in the feet or hands. In the early symptoms, patients usually do not realize. “As more and more difficult to run and flip off rather abruptly, the patient began to feel something is wrong and the doctor,” said Darma.
Symptoms similar to stroke, he continued, sometimes can be “misleading” the doctor. As a result, patients are treated too late and the chances of complete recovery decreases.
Disturbance in the legs and arms spread to the upper body to paralyze the body. In the severe cases, patients have difficulty swallowing saliva and breathe so need treatment in hospital and use the respirator (ventilator).
Misdirected
Head of the Division of Clinical Neurophysiology and Neuromuscular Disease, Department of Neurology, Faculty of Medicine, University of Indonesia, Manfaluthy judge said, Guillain-Barre syndrome associated immune response misdirected. “The antibodies attack the body, in this case the peripheral nervous system, resulting in acute inflammation,” he said.
Not known exactly what causes Guillain-Barre Syndrome. Bacterial or viral infection suspected to be triggered. Therefore, doctors usually ask for a history of fever, diarrhea, or sore throat 4 weeks-6 weeks before symptoms of the syndrome. One of the bacteria that cause diarrhea are shown associated Guillain-Barre Syndrome is the bacterium Campylobacter jejuni. “While recovering from an infection, bacteria in the body trigger the immune system and disrupt the peripheral nervous system,” said Manfaluthy.
Damage to peripheral nerves that acts as a conductor of signals between the brain and limbs cause signal delivery. As a result, the muscles weaken. In making the diagnosis, a doctor will check the tendon reflexes, nerve conductivity test speed, EMG tests, and cerebrospinal fluid analyzes.
EMG can be determined through the kind of Guillain-Barre syndrome is experienced. The main types of motors is acute axonal neuropathy (AMAN) which attack the system and acute motor sensory axonal neuropathy motors (AMSAN) that attacks the motor and sensory systems. There is also a Guillain-Barre paralysis moving from top to bottom and the variant with mild impairment.
If treated early on, Guillain-Barre syndrome can be cured with only minor sequelae. Head of the Department of Neurology RSCM Diatri Lastri Nari said, one of the treatment of Guillain-Barre Syndrome is plasmapharesis, which is making antibodies that damage by replacing the blood plasma.
Therapy with Intravenous Immunoglobulin other (IVIG), insert of a human immunoglobulin that help improve the body’s defense system. “The use of IVIG is usually for five days. After that, the body slowly improved. This therapy is expensive, about USD 20 million per day, so the burden of Guillain-Barre Syndrome to families is enormous, “he said.
In this case, the use of medicines to be careful. Errors such as incorrect dosage can lead to cholinergic crisis characterized spending excessive mucus in the respiratory tract and throat so that breathing clog. In life-threatening crisis, the patient should be immediately rushed to the hospital.
“The faster the Guillain-Barre syndrome are treated, the better the results,” said Diatri. After treatment for two weeks, usually beginning to look like the improved ability to move a finger.
Treatment to reduce mortality and suffering of those affected by the syndrome. Of the 48 cases handled last year RSCM, no patients died. About 30 percent of people with varying disability or complete recovery.
“About 20 years ago, disability due to Guillain-Barre Syndrome 70 percent. Disability was determined also by the speed of treatment and severity of Guillain-Barre Syndrome, “said Manfaluthy. Mild residual symptoms experienced by sufferers are the most fatigue and numbness in the feet and hands. Recovery of body movement is further assisted physiotherapy.
“Now, Aldi’s walking, but there is still a residual effect on the sight and smell. He could not see clearly, the new shadow. Being sought treatment, “said Dwinanda. Aldi is preparing a national exam that helps Dwinanda assisted learning by reading the course material. Guillain-Barre syndrome, although severe, slowly through Aldi and his family.
Yes, Wine Life That …
“Music is food and wine for me. And, the guitar is the goblet, the glass, “said Steve Howe, guitarist Yes. And, Yes, British band, presenting “wine” in a concert in Jakarta, Tuesday (24/04/2012) night.
Steve Howe (65) to answer questions as he walked to Compass menginapnya place at the Ritz-Carlton after a press conference at Pacific Place, Jakarta, on Monday afternoon.
That music has become part of the lives of the crew Yes the average age has headed six. Chris Squire (64), bassist and co-founder of Isaiah, say, music has become the totality of his life. “Music is my life. Because musiklah I do for a living. I had no idea what I would do if I do not make music, “Squire said in Jakarta.
They are artists with the elan vital, the extraordinary life through music. There was a spirit, a zest for life, and energy in the music and lyrics of their songs. Yes treat is therefore not a mere amusement. They celebrate life through the concert. “We want to give you the thrill of good taste and expectations. And, good taste as well, “Squire said in a press conference in Jakarta.
And, Squire fulfill that promise in a concert that was held in the ballroom of the Ritz-Carlton, Pacific Place, Jakarta. Concerts are held Variant Entertainment, Mainstay Production, and Melon Indonesia is part of a world tour to celebrate 44 years Yes progressive rock band formed in England in 1968.
Remnants of the old soldiers still entrenched Yes, that guitarist Steve Howe, Chris Squire (bass), and Alan White (drums). Plus the crew of supporters, namely Geoffrey Downes (keyboards) and vocalist Jon Davison (41), occupies the position formerly held by David Benoit, Trevor Horn, and of course Jon Anderson (67), one of the founders of Yes who is no longer joined.
Rick Wakeman, keyboard player and frontman Yes others, have also been separated.
“Owner of a Lonely Heart”
Yes open the concert with the song “Yours Is No Disgrace”. They showed the charisma of a prog-rock band that qualified.
Howe, Squire, and the vocalists sing in harmony Davison three sweet voice. Howe showed virtuositasnya as progressive rock guitarist. Of the game with a Gibson ES 175 guitar, was once a touch of jazz and classical in a single herb.
Yes brought the songs are well known to fans as “Tempus Fugit” (meaning “time flies”) and “I’ve Seen All Good People” from The Yes Album (1971). Then the “Roundabout” and “Owner of a Lonely Heart”.
In the song “I’ve Seen All Good People”, most of the audience echoed in unison.
At this concert, Yes featuring songs from their new album, Fly From Here (2011). Also the song “Into the Storm” and “wonderous Stories”.
Yes energy music still feels young, overflowed. In a press conference the question was which connotes telontar Yes crews positioned as a parent.
In fact, the boundaries of age Yes music. Yes energize the audience and energize the audience response to the crew behind Yes.
“We got behind the energy of the music we play. There is a trade-off energy, “said Alan White (62).
“Progressive rock”
Yes take the music known as progressive rock or prog-rock. What is a prog-rock, let Howe spoke. Is not she one of “Mbah” his prog-rock, as well as artists such as Emerson Lake & Palmer (ELP), Genesis, and Jethro Tull.
“Prog-rock means we not only come from the rock. No longer a rock is based on the 12 bar blues that were beat. We incorporate jazz, flamenco, classical, and folk. We use the concept of it, “Howe said in Jakarta.
After the era of the 1970s, said Howe, among musicians who no longer ego boast a certain type of music better than other music.
“We just got a new inspiration more different musical cultures. That way, we make rock music wider and more beautiful for you all, “Howe said, pointing to a media crew.
In the span of 44 years, Yes music is changing and it is recognized crew Yes. As Squire, Yes has a lot of musical experience during the past four decades.
They try to combine the various elements. Until the era of the early 1980s, producing Yes song “Owner of a Lonely Heart” (1983) which is different from the character of the songs Yes ever. “It (the song) we become more simple. More straight forward (plate) and it was a success, “said Squire Alan White is justified.
Dare to live
The era 1990 to 2000-an Isa said Squire has moved to a different creative areas as well. The change was described as part of the experience of Isaiah.
“Basically, the music became a driving force Yes. Our music goes with the times and continue to grow. We have created a sense of music in the past. Later, we find a way to design a wider Yes music and bring it to the future …. ”
Yes is an independent artist, free men, and to encourage myself and others to dare to live as they called for the song “Owner of a Lonely Heart”.
“You are the move you make, / Take your chances, win or loser … / / Give your free will a chance”.
You are your actions. Take a chance, win or lose. And, give you a chance at free will …. Yess …!
