Maitiro ekuziva uye kubata myotonic dystrophy
Zvemukati
Myotonic dystrophy chirwere chemajini chinozivikanwawo sechirwere chaSteinert, chinozivikanwa nedambudziko rekuzorodza mhasuru mushure mekuzvimba. Vamwe vanhu vane chirwere ichi vanoomerwa nekusunungura chigubhu chegedhi kana kukanganisa ruoko, semuenzaniso.
Myotonic dystrophy inogona kuzviratidza kune vese murume nemukadzi, ichigara ichiita vechidiki. Tsandanyama dzakanyanya kubatwa dzinosanganisira dziya dzechiso, mutsipa, maoko, tsoka netsoka.
Mune vamwe vanhu inogona kuratidza nenzira yakaoma, kukanganisa mashandiro emhasuru, uye kuratidza hupenyu hunotarisirwa hwemakore makumi mashanu chete, nepo kune vamwe inogona kuratidza nenzira yakapfava, iyo inongoratidzira kushaya simba kwemhasuru.
Mhando dze myotonic dystrophy
Myotonic dystrophy yakakamurwa kuita mhando ina:
- Kuberekwa: Zviratidzo zvinoonekwa panguva yekuzvitakura, uko mwana ane kushomeka kwekufenda. Achangoberekwa mwana anoratidza matambudziko ekufema uye mhasuru kushaya simba.
- Mucheche: Mune iri rudzi rwemyotonic dystrophy, mwana anokura zvakajairika mumakore ekutanga ehupenyu, achiratidza zviratidzo zvechirwere chiri pakati pemakore mashanu kusvika gumi ezera.
- Classical: Iyi mhando ye myotonic dystrophy inozviratidza chete mukukura.
- Chiedza: Vanhu vane hunyoro myotonic dystrophy havaunze chero hurema hwemhasuru, asi hushoma hushoma hunogona kudzorwa.
Izvo zvinokonzeresa myotonic dystrophy zvine hukama nekuchinja kwemajini kuripo pane chromosome 19. Izvi shanduko dzinogona kuwedzera kubva kuchizvarwa kuenda kuchizvarwa, zvichikonzera kuratidzwa kwakanyanya kwechirwere.
Zviratidzo zvemyotonic dystrophy
Zviratidzo zvikuru zvemyotonic dystrophy ndezvi:
- Tsandanyama atrophy;
- Mhanza yekumberi;
- Kushaya simba;
- Kuderera kwepfungwa;
- Dambudziko rekupa chikafu;
- Kunetseka kufema;
- Mapopoma;
- Zvakaoma kuzorodza mhasuru mushure mekudzvinyirira;
- Zvakaoma kutaura;
- Somnolence;
- Chirwere cheshuga;
- Kushaya mbereko;
- Matambudziko ekuenda kumwedzi.
Zvichienderana nekukura kwechirwere, kuomarara kunokonzerwa nekuchinja kwechromosomal kunogona kukanganisa mhasuru dzinoverengeka, zvichitungamira munhu kurufu asati asvika makore makumi mashanu. Vanhu vane chimiro chakapfava chechirwere ichi vane hutera hwesimba chete.
Iko kuongororwa kunoitwa kuburikidza nekucherechedzwa kwezviratidzo uye kuongororwa kwemajini, ayo anoona shanduko mumakromosomes.
Kurapa kwe myotonic dystrophy
Zviratidzo zvinogona kurerutswa nekushandiswa kwemishonga yakaita se phenytoin, quinine uye nifedipine iyo inoderedza kuomarara kwemhasuru uye kurwadziwa kunokonzerwa ne myotonic dystrophy.
Imwe nzira yekusimudzira mhando yehupenyu hwevanhu ava ndeyokushandisa kurapwa kwepanyama, uko kunopa iri nani nhanho yekufamba, simba remhasuru uye kutonga muviri.
Kurapa kwe myotonic dystrophy ndeye multimodal, kusanganisira mishonga uye kurapwa kwepanyama. Mishonga inosanganisira Phenytoin, Quinine, Procainamide kana Nifedipine iyo inoderedza kuomarara kwemhasuru uye kurwadziwa kunokonzerwa nechirwere ichi.
Physiotherapy inotarisira kusimudzira hupenyu hwevarwere vane myotonic dystrophy, ichipa simba rakawedzera remhasuru, mafambiro ekufambisa pamwe nekubatana.