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Che cosa è sindrome della guerra del Golfo?

Ciò è un termine comunemente usato che si riferisce alla presenza di parecchie malattie undiagnosed in veterani della guerra del Golfo di 1991. Comprende una costellazione dei sintomi ampiamente divergenti come la stanchezza, le emicranie, il dolore unito, l'indigestione, i problemi di sonno e le difficoltà di memoria. Pregiudica da un quarto ad un terzo di questi soldati.

Credito di immagine: //Shutterstock di Photographee.eu
Credito di immagine: Photographee.eu/Shutterstock

Molti di questi sono senza causa ovvia. Di conseguenza questa circostanza egualmente è chiamata “malattia cronica di multi-sintomo„ nei veterani di guerra del Golfo. La diagnosi è fatta quando i sintomi esistono per 6 mesi o più e causa 10% o più inabilità.

Il pozzo di petrolio inforna la collera fuori di Madinat al-Kuwait in seguito alla prima guerra del Golfo. Truppe irachene di ritirata date fuoco a giacimenti di petrolio del Kuwait. 21 marzo 1991. - Credito di immagine di immagine: Everett storico/Shutterstock
Il pozzo di petrolio inforna la collera fuori di Madinat al-Kuwait in seguito alla prima guerra del Golfo. Truppe irachene di ritirata date fuoco a giacimenti di petrolio del Kuwait. 21 marzo 1991. - Credito di immagine di immagine: Everett storico/Shutterstock

Eziologie possibili

  • Esposizione a gas nervino
  • Pre-farmaco con il bromuro di pyridostigmine come misura preventiva contro gli effetti di gas nervino
  • Disordine post - traumatico di sforzo
  • Altri disordini psichiatrici
  • Esposizione ai prodotti chimici tossici all'infuori di quelli direttamente impiegati nella guerra. Questi comprendono i vapori brucianti, gli antiparassitari, l'uranio che è stato utilizzato in centrali nucleari o in bombe (chiamate “uranio impoverito "), o i prodotti chimici del petrolio utilizzati nella riparazione e nel servizio del macchinario di guerra.

Un'ipotesi comune è che i sintomi delle malattie della guerra del Golfo sono dovuto l'esposizione chimica, piuttosto che lo sforzo o il trauma cranico. Il contributo a questa teoria viene dai test clinici che indicano che il miglioramento nei sintomi multipli è stato riferito da un 80% sbalordente degli oggetti, quando hanno catturato le dosi elevate del coenzima la Q (CoQ). Questo prodotto chimico è un antiossidante che supporta la funzione mitocondriale. Il miglioramento nei sintomi correlati con la dose di CoQ ed è stato veduto con entrambi i sintomi fisici quali i dolori del muscolo, la stanchezza ed i sintomi conoscitivi o psicologici quali perdita di memoria ed irritabilità. Inoltre, la funzione mitocondriale è stata trovata per essere alterata in questi oggetti, indicanti un collegamento causativo possibile.

Egualmente è stato suggerito che gli oggetti di malattia della guerra del Golfo avessero un trucco genetico che ha rallentato o diminuito i trattamenti di disintossicazione nella cella, permettendo gli antiparassitari, o altri prodotti chimici tossici, da accumularsi col passare del tempo nell'organismo.

A Casaulty of War: Gulf War Illness | Jennifer Jackson Gkourlias | TEDxSUNYGeneseo

Alcune manifestazioni importanti includono:

  • Stanchezza severa continua e non spiegata di sindrome cronica di fatica - che persiste dopo resto.
  • Malessere Post--exertional - stanchezza insolita dopo qualsiasi sforzo fisico o mentale.
  • Fibromialgia - dolore di muscolo diffuso, con o senza rigidezza muscolare sui deficit di risveglio, di emicrania, di insonnia e di memoria.
  • Disordini gastrointestinali funzionali - questo gruppo di malattie è tracciato dai periodi cronici o ripetuti dei sintomi gastrointestinali senza alcuna causa fisica dimostrabile, quali la sindrome di viscere irritabili, la diarrea o i sintomi di indigestione senza causa spiegabile.
  • Sintomi relativi all'interfaccia quali le eruzioni come pure i sintomi mestruali o psicologici.

Il trattamento della malattia della guerra del Golfo è principalmente sintomatico.  Dopo a parte una causa organica per i sintomi, la terapia conoscitivo-comportamentistica (CBT) è stata trovata per essere uno strumento molto utile nel contribuire a riparare la normalità e l'utilizzabilità alle durate di quelle influenzate. Altri ricercatori si sono concentrati sull'uso di insulina intranasale diminuire l'infiammazione di un neurone. Questa infiammazione è postulata per essere il risultato dell'esposizione ai prodotti chimici tossici misti e può causare l'attivazione continua del sistema immunitario, piombo ai sintomi multipli.

Gulf War Illness 20 Years Later

Riferimenti

Further Reading

Last Updated: Jun 28, 2019

Dr. Liji Thomas

Written by

Dr. Liji Thomas

Dr. Liji Thomas is an OB-GYN, who graduated from the Government Medical College, University of Calicut, Kerala, in 2001. Liji practiced as a full-time consultant in obstetrics/gynecology in a private hospital for a few years following her graduation. She has counseled hundreds of patients facing issues from pregnancy-related problems and infertility, and has been in charge of over 2,000 deliveries, striving always to achieve a normal delivery rather than operative.

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Comments

  1. david Hill david Hill United Kingdom says:

    Simon Wessely of Kings collage London has done a lot to help governments not to pay out compensation to veterans calling gulf war syndrome  rumor he has also worked on ground zero  and lung problems in firefighters caused by the collapse of the twin towers and calls it hysteria for his work he was awarded a knighthood by the British government .

    Rumors shaped veterans' view of Gulf War ills: syndrome was defined by informal communication.   thefreelibrary.com
    After the bullets stopped flying the rumors took off among British veterans of the 1991 Gulf War. Early accounts of physical and emotional reactions to wartime experiences spread from one person to another through networks of veterans. Within a few years, these former soldiers had decided among themselves that the symptoms they were suffering from collectively amounted to the controversial illness known as Gulf War Syndrome, a new study concludes. Simon Wessely of King's College London and his colleagues analyzed extensive written accounts provided in 1996 by 1,100 British Gulf War vets. The research team doesn't regard the rumors as necessarily untrue or misleading, Rumor proved to be critical among the British Gulf War vets because it counteracted a lack of communication from military and government authorities, Wessely says. Vets turned to their own social grapevine for answers, Wessely's group reports in a paper to appear in Social Science & Medicine.

    From
    What's Causing 'Mass Faintings' at Cambodian Factories?
    TIME WORLD
    By Andrew Marshall Tuesday, Sept. 20, 2011
    Sufferers of World Trade Center syndrome, meanwhile, blamed proximity to Ground Zero for coughs and other respiratory problems long after airborne contaminants posed any health threat.
    All these are examples of mass hysteria, a bizarre yet surprisingly common phenomenon that is increasingly recognized as a significant health and social problem. For centuries it has crossed cultures and religions, taking on different forms to keep pace with popular obsessions and fears. In our post-9/11 world,
    Simon Wessely King's College London

    • Dawn Thomas Dawn Thomas United States says:

      I can say with all clarity of mind that the symptoms the veterans are experiencing are real. What is not clear is the methods used to study the veterans. An error has been made in trying to find a single common cause of the illnesses presented. Any one with a medical background should now understand that genetic makeup of the personnell is a definitive factor as to how a causitive agent may present as an illness. It is not apparent that this has been included in the studies.
      If we continue to try to use studies that do not clarify this factor it will obviously be flawed in the outcome or results. Any quality study is only as good as the data used hence the old expression "garbage in garbage out."

  2. Phil Gardner Phil Gardner United Kingdom says:

    I served in thr RN during the Gulf war and had the vaccines and naps tablets.I developed sleep apnoe and have a heart nerve block plus other health issues.I was super fit whilst serving in the Gulf and came back with all these health problems.Now don't tell me that these things are a figment of my imagination.

    • Sherry Chestnut Sherry Chestnut United States says:

      my husband juts had to have a pacemaker installed due to a nerve block issue and he has sleep apnea now where he was ok while in service. Its been a while sicne but he also has had a tia stroke and suffers from unaccounted headaches that last just a few minutes and then leaves him tired for a while after it. He was told he has to prove these are from the gulf war. How does he do that?

  3. Dawn Thomas Dawn Thomas United States says:

    I developed the first symptoms of Fibromyalgia in 1995. I was a nurse corp Officer in the Navy. I was healthy as could be prior to my service. While in the service in 1995,  I developed pain in my right shoulder. At first I thought it was related to packing too much weight on my shoulder but I had been weight lifting and was quite strong able to bench press my own weight. So it was curious to me. I didnt think anything was wrong and waited several months to even visit my PCP. Unfortunately the pain began to progressively get stronger and began to radiated down my arm to my hand. I the sought help from my PCP. It continued to progress the pain now presenting in both arms to hands and my neck. I was continuously having to draw on diagrams of the human body where and how my symptoms presented themselves. After two years the pain traveled to become bodywide. I had no hx of depression for the record.
    One day after describing my symptoms for the nth time now to numerous PCP'S, unbeknownst to me a Rheumatologist was sitting on the sidelines and heard me talking to the PCP. He saw me and in 1997 I wad given a diagnosis of "Fibromyalgia." I didn't believe it. I hadn't even heard of this disorder never mind understanding what it meant.
    My pain progressively worsened. I had a high pain toleranced as evidenced by having both of my children by natural childbirth methods not having any form of pain control. My first child was 8pds 12oz.  Now though my pain on a 0 to 10 scale was an 7. I later developed sleep disorders and cognitive memory problems. I had graduated from my BS degree in Science with a major in Nursing with a 3.86 g.p.a. But by 2000 I had to utilize flash cards to remember many of my patients info.
    By 2003 I was deployed to Iraq. I had been given a smallpox vaccine and my 6th? Anthrax vaccine on the same day. I became so ill I couldn't make it to sick bay which was four decks above my quarters. My commander found me  24 hrs later after not reporting to work for my shift. I was escorted to sick bay, an I.V. was placed and I was given something via the line. It did nothing to relieve the excruitating migraine, photophobia or nausea  I was experiecing. I was medivaced off the ship to Rota Spain. I remember the helo that removed me from the ship but I can't recall how I got from there to the C130? that transported myself and other patients to Spain. I dont remember much but I remember being in Rota Spain and waking up in a bed in a tent. I recovered from the migraine attack within a few days.
    As a side note, I did develope PTSD in 2003 but only after being locked in a room with enemy prisoners of war known as  EPW's for 12 hour shifts. But that is another story.
    In 2005 I was given a medical discharge from the military but denied my military retirement. I developed Reflexive Sympathetic Distrophy or RSD in 2000 after having both of my first ribs surgically removed. This progressed........or was my Fibro dx wrong.....not sure but to end the story the NOW BODYWIDE RSD was dx'd in 2013 by an internationally known neurologist. On the McDill  pain scale RSD or CRPS is rated as the most excrutiating pain a human being can experience. This has left me with Chronic fatique, sleep disorders, and never ending torturous pain. I am bedridden often times more than not.
    I am attempting Ketamine I.V. F. for the neurological disorder labeled CRPS. It is helping me to stop my Opioid patch but I still need oxycodone each day. Today I am bedridden for the third day in a row this week this is Thursday.
    My exhusband was deployed in the Airforce in 1990 to Iraq. He was very healthy when he left but developed MCS after that war. It was the first time I had ever really seen him sick and we had been married since 1978. I wish there were research truly done well for both the veterans and their family members. There are many crosses to bear in our lives but none heavier than being denied recognition that the one you carry is not visible to others eyes and understanding......

  4. Michael Bailey Michael Bailey United States says:

    Sergio, my company was one of the first in and one of the longest serving at the time. We set up all of those Convoy Support Centers. Remember the CSC camps? Each had a name, CSC Vulture, CSC Wombat etc. I drove through Hafr al Batn every day or two. I spent a lot of time between Dharan, KKMC, Riyadh and west towards Jordan where the French were at. I also was there for the "Death Valley" destruction and drove through the oil fires frequently. Some of us saw nearly everything that happened, others were left to sit for month after month without ever leaving their camp. Yet very high proportions of personnel grouped around KKMC, Hafr al Batn and CSC Vulture, and most of those that went in with them on the feint to the west, the actual thrust to the north and the sweep to the east exhibit confirmed symptoms at a rate of 42 percent. The rest of the deployed report and confirm at a rate of about 16 percent.

    Deployed personnel that were not vaccinated with experimental vaccines (our AZ Guard unit received as many as 70 different vaccines, for some people) only report at about 3 percent, less than the general population. Those that received vaccines- but did not deploy -report and confirm at about 12 percent.

    It's not commonly known, but the Dept of Defense was ordered by a Federal judge to cease use of the experimental Anthrax vaccine after failing to report to Congress that over 20,000 hospitalizations resulted from complications attributed to the experimental Anthrax vaccine. The Army was banned from using that vaccine, and was forced to develop another and to obtain FDA approval. That new vaccine, being used on today's troops, is not the same Anthrax vaccine we were given in the Gulf War.

    In addition, my best friend, even though he is 16 years younger than I am, was in that unit with me. He suffers from the same symptoms, for the same length of time, and we both share the same rare vitamin D deficiency, developed since our return. He was in charge of the M9 chemical alarms. They went off over 25 times a day, over 18,000 times for the American military and over 9,000 times for the British. The official response when an alarm was reported was that it was a false alarm caused by "diesel fuel and exhaust".

  5. YVON CAUCHOIS YVON CAUCHOIS France says:

    je suis atteint du syndrome de la guerre du golf dans sa forme la plus sévère.l'origine de cette maladie est connue depuis 2001 . un chercheur de Tuslanes , PhD Pam Asa avait démontré que seul les soldats malades avaient des auto anticorps contre le squalène humain de formule C30H50. les 6 doses de vaccins contre l antrax contenaient  un nouvel adjuvant jamais utilisé sur l homme, le SQUALENE , cette molécule peut sur des sujets ayant une forte immunité ou renforcé par des vaccins antérieurs récents provoquer cette maladie connu aussi sous le nom de syndrome ASIA de SHOENFELD. j'ai comme beaucoup de civils en 2009 reçu un vaccin contre la grippe H1N1 contenant du squalene comme celui des soldats (plus concentré) ,10 jours après l injection, la maladie est apparu , je suis depuis comme les soldats avec un handicap sup à 80%, perdu mon travail , toute vie sociale , gravement handicapé en invalidité 2 définitive. je ne suis pas le seul, le service de pharmaco de ce vaccin ,m'a confirmé que ce vaccin H1N1 adjuvanté au squalene avait provoqué a travers le monde des milliers de cas analogues .cette maladie est terrible , mal connu en europe car avait touché avant que les soldats du golf , secondairement les vaccinés H1N1 de 2009 , j ai du payer de mes économies(25 000 euros)  pour me rendre aux USA afin d obtenir un traitement , cette maladie est incurable. j'ai besoin d être interviewer par des journalistes afin que ce génocide ne se reproduise plus sur les générations futures

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.