Becker tsandanyama dystrophy

Becker muscular dystrophy chirwere chakagarwa nhaka icho chinosanganisira kuwedzera kushomeka kwemhasuru kushaya simba kwemakumbo nemachende.

Becker muscular dystrophy yakafanana chaizvo neDuchenne muscular dystrophy. Musiyano mukuru ndewekuti unowedzera kuipa pamwero unononoka uye hauna kujairika. Chirwere ichi chinokonzereswa nekuchinja kwemajini kunovhara protein inonzi dystrophin.

Iyo kusagadzikana inopfuudzwa kuburikidza nemhuri (nhaka). Kuva nenhoroondo yemhuri yemamiriro acho kunosimudza njodzi yako.

Becker muscular dystrophy inoitika mune angangoita matatu kusvika matanhatu pavane zana evana 100 000 vanozvarwa. Chirwere ichi chinowanikwa kunyanya muvakomana.

Vakadzi havawanzo kukura zviratidzo. Vanhurume vanozokudziridza zviratidzo kana vakagara nhaka isina kukwana jini. Zviratidzo zvinowanzoonekwa muvakomana vari pakati pemakore mashanu ne15, asi zvinogona kutanga gare gare.

Kupera kwemhasuru yemuviri wezasi, kusanganisira makumbo nenzvimbo yepelvis, zvishoma nezvishoma zvinowedzera, zvichikonzera:

• Kuoma kufamba kunowedzera kuwedzera nekufamba kwenguva; nezera makumi maviri neshanu kusvika makumi matatu, munhu wacho kazhinji haakwanise kufamba
• Kakawanda kuwira
• Zvakaoma kusimuka kubva pasi uye kukwira masitepisi
• Zvakaoma nekumhanya, kusvetuka, uye kusvetuka
• Kurasikirwa kwemhasuru
• Toe kufamba
• Tsvina kushaya simba mumaoko, mutsipa, uye dzimwe nzvimbo haina kunyanya kukuomera sezvakaita mumuviri wezasi

Zvimwe zviratidzo zvinogona kusanganisira:

• Matambudziko ekufema
• Matambudziko ekuziva (aya haawedzere kupfuura nguva)
• Kuneta
• Kurasikirwa kwekuyera pamwe nekubatana

Anopa hutano anozoita huta (neurological) uye bvunzo yemhasuru. Nhoroondo yekurapa yakangwarira inokoshawo, nekuti zviratidzo zvakafanana neyaDuchenne muscular dystrophy. Nekudaro, Becker tsandanyama dystrophy inowedzera zvakanyanya zvishoma nezvishoma.

Bvunzo dzinogona kuwana:

• Mapfupa asina kujairika, zvichitungamira mukukuvara kwechipfuva uye kumashure (scoliosis)
• Asina kujairika moyo mhasuru basa (cardiomyopathy)
• Kuunganidzwa kwemoyo kukundikana kana kusagadzikana kwemoyo (arrhythmia) - kushoma
• Kuremara kwetsandanyama, kusanganisira zvibvumirano zvezvitsitsinho nemakumbo, mafuta asina kujairika uye mitezo inobatanidza mumhasuru dzemhuru
• Tsandanyama kurasikirwa kunotanga mumakumbo uye muchiuno, ndokuzoenda kune mhasuru dzemapfudzi, mutsipa, maoko, uye mweya wekufema.

Miedzo inogona kuitwa inosanganisira:

• CPK kuongororwa kweropa
• Electromyography (EMG) kuyedzwa kwetsinga
• Tsandanyama biopsy kana magene eropa bvunzo

Iko hakuna kurapa kunozivikanwa kwe Becker muscular dystrophy. Zvisinei pane mishonga mitsva mitsva irikuitwa kuongororwa kwekiriniki iyo inoratidza chivimbiso chakakosha pakurapa chirwere ichi.Izvino chinangwa chekurapa kudzora zviratidzo zvekusimudzira hupenyu hwemunhu. Vamwe vatapi vanopa steroids kubatsira kuchengetedza murwere achifamba kwenguva yakareba sezvinobvira.

Chiitiko chinokurudzirwa. Kusashanda (sekuzorora kwemubhedha) kunogona kuita kuti chirwere chetsandanyama chiwedzere. Kurapa kwepanyama kunogona kubatsira kuchengetedza simba remhasuru. Orthopedic zvishandiso senge brace uye mawiricheya zvinogona kusimudzira kufamba uye kuzvitarisira.

Basa risina kujairika remoyo rinogona kuda kushandisa pacemaker.

Genetic counselling inogona kukurudzirwa. Vanasikana vemurume ane Becker muscular dystrophy vangangotakura iyo isina kukwana geni uye vanogona kuipfuudza kuvana vavo.

Iwe unogona kurerutsa kushushikana kwechirwere nekubatana neye muscular dystrophy rutsigiro boka uko nhengo dzinogovana zvakajairika zviitiko nematambudziko.

Becker muscular dystrophy inotungamira mukukura zvishoma zvishoma hurema. Zvisinei, huwandu hwehurema hunosiyana. Vamwe vanhu vangangoda wiricheya. Vamwe vangangoda kushandisa zvinobatsira zvekufamba senge tsvimbo kana brace.

Hupenyu hwakawanda hunopfupikiswa kana paine matambudziko emoyo nekufema.

Zvinetso zvinogona kusanganisira:

• Zvinetso zvine chekuita nemoyo senge cardiomyopathy
• Kukundikana kwemapapu
• Pneumonia kana zvimwe zvirwere zvekufema
• Kuwedzera uye kuremara kusingaperi kunotungamira mukudzikira kugona kwekuzvitarisira, kudzikira kwekufamba

Fonera mupiki wako kana:

• Zviratidzo zveBacker muscular dystrophy inoonekwa
• Munhu ane Becker muscular dystrophy anovandudza zviratidzo zvitsva (kunyanya fivha nechikosoro kana kunetseka kufema)
• Iwe uri kuronga kutanga mhuri uye iwe kana dzimwe nhengo dzemhuri dzakaonekwa uine Becker muscular dystrophy

Genetic counselling inogona kurairwa kana paine nhoroondo yemhuri yeBecker muscular dystrophy.

Benign pseudohypertrophic muscular dystrophy; Becker's dystrophy

• Mashura epamberi epamusoro
• Yakadzika anterior mhasuru
• Tendon uye mhasuru
• Makumbo emakumbo epasi

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Bharucha-Goebel DX. Tsandanyama dystrophies. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsamba 627.

Gloss D, Moxley RT III, Ashwal S, Oskoui M. Dzidzira gwara rekuvandudza chidimbu: corticosteroid kurapwa kweDuchenne muscular dystrophy: mushumo weGuideline Development Subcommittee yeAmerican Academy yeNeurology. Neurology. 2016; 86 (5): 465-472. PMID: 26833937 pubmed.ncbi.nlm.nih.gov/26833937/.

Selcen D. Zvirwere zvetsandanyama. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 393.