Tsandanyama dystrophy

Muscular dystrophy iboka rezvinetso zvakagarwa nhaka izvo zvinokonzeresa kushaya simba kwemhasuru nekurasikirwa nemhasuru yemhasuru, iyo inowedzera kuwedzera nekufamba kwenguva.

Tsandanyama dystrophies, kana MD, iboka renzvimbo dzakagarwa nhaka. Izvi zvinoreva kuti vanopfuudzwa pasi kuburikidza nemhuri. Zvinogona kuitika muhudiki kana kukura. Kune akawanda marudzi akasiyana emhasuru dystrophy. Zvinosanganisira:

• Becker tsandanyama dystrophy
• Duchenne muscular dystrophy
• Emery-Dreifuss tsandanyama dystrophy
• Facioscapulohumeral muscular dystrophy
• Limb-bhandi muscular dystrophy
• Oculopharyngeal muscular dystrophy
• Myotonic muscular dystrophy

Muscular dystrophy inogona kukanganisa vanhu vakuru, asi mafomu akaomesesa anowanzoitika mukutanga kwehudiki.

Zviratidzo zvinosiyana pakati pemhando dzakasiyana dze muscular dystrophy. Yese mhasuru inogona kukanganiswa. Kana, chete akasarudzika mapoka emhasuru anogona kukanganiswa, senge iwo akatenderedza chiuno, bendekete, kana kumeso. Iko kushomeka kwemhasuru zvishoma nezvishoma kunowedzera uye zviratidzo zvinogona kusanganisira:

• Kunonoka kukura kwemhasuru mota hunyanzvi
• Zvakaoma kushandisa rimwe kana anopfuura mapoka emhasuru
• Kudonhedza mvura
• Eyelid kudonha (ptosis)
• Kakawanda kuwira
• Kurasikirwa kwesimba mumhasuru kana boka remhasuru semunhu mukuru
• Kurasikirwa mukukura kwemhasuru
• Matambudziko ekufamba (kunonoka kufamba)

Kuremara kwehungwaru kuripo mune mamwe marudzi e muscular dystrophy.

Kuongorora kwepanyama uye nhoroondo yako yekurapa kunobatsira mupi wezvehutano kuona mhando yemuscular dystrophy. Iwo akasarudzika mhasuru mapoka anokanganiswa nemhando dzakasiyana dze muscular dystrophy.

Bvunzo dzinogona kuratidza:

• Asina kujairika yakakomberedzwa musana (scoliosis)
• Joint contractures (kirabhu yemakumbo, claw-ruoko, kana vamwe)
• Yakaderera mhasuru toni (hypotonia)

Dzimwe mhando dze muscular dystrophy dzinosanganisira mhasuru yemoyo, zvichikonzera cardiomyopathy kana isina kujairika moyo rhythm (arrhythmia).

Kazhinji, pane kurasikirwa kwemhasuru (kutambisa). Izvi zvinogona kunetsa kuona nekuti mamwe marudzi emuscular dystrophy anokonzeresa kuwanda kwemafuta uye nyama inobatanidza inoita kuti mhasuru iwedzere kukura. Izvi zvinonzi pseudohypertrophy.

Tsinga yemhasuru inogona kushandiswa kusimbisa kuongororwa. Mune zvimwe zviitiko, kuongororwa kweropa reDNA kunogona kunge kuri izvo zvese zvinodiwa.

Mimwe bvunzo inogona kusanganisira:

• Kuedza kwemoyo - electrocardiography (ECG)
• Tsinga kuyedza - nerve conduction uye electromyography (EMG)
• Urini uye kuongororwa kweropa, kusanganisira CPK mwero
• Kuongorora mageneti kune mamwe marudzi emuscular dystrophy

Iko hakuna kuzivikanwa kurapwa kweakasiyana mamhasuru dystrophies. Chinangwa chekurapa ndechekudzora zviratidzo.

Kurapa kwepanyama kunogona kubatsira kuchengetedza simba remhasuru uye basa. Makumbo ekumisikidza uye wiricheya inogona kusimudzira kufamba uye kuzvitarisira. Mune zvimwe zviitiko, kuvhiyiwa musana kana makumbo kunogona kubatsira kuvandudza mashandiro.

Corticosteroids inotorwa nemuromo dzimwe nguva inonyorerwa vana vane mamwe mamhasuru edziviriro ekuvachengeta vachifamba kwenguva yakareba sezvinobvira.

Munhu wacho anofanira kunge achishingaira sezvinobvira. Hapana chiitiko zvachose (senge bedrest) chinogona kuita kuti chirwere chiwedzere.

Vamwe vanhu vane kufema kushaya simba vanogona kubatsirwa nemidziyo yekubatsira kufema.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira uko nhengo dzinogovana zvakajairika matambudziko nematambudziko.

Kuomarara kwekuremara kunoenderana nerudzi rwe muscular dystrophy. Mhando dzese dzemuscular dystrophy zvishoma nezvishoma dzinowedzera, asi izvi zvinokurumidza sei zvinosiyana zvakasiyana.

Mimwe mhando yemhasuru dystrophy, yakadai seDuchenne muscular dystrophy muvakomana, inouraya. Dzimwe mhando dzinokonzera kuremara kushoma uye vanhu vane hupenyu hwakajairika.

Fonera mupiki wako kana:

• Iwe une zviratidzo zve muscular dystrophy.
• Iwe une yako wega kana yemhuri nhoroondo ye muscular dystrophy uye urikuronga kuita vana.

Genetic counselling inokurudzirwa kana paine nhoroondo yemhuri ye muscular dystrophy. Vakadzi vanogona kunge vasina zviratidzo, asi vachiri vakatakura geni rechirwere. Duchenne muscular dystrophy inogona kuonekwa iine 95% kunyatsoita nezvidzidzo zvemajini zvakaitwa panguva yekuzvitakura.

Kugara nhaka myopathy; MD

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

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.

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