Indlela yokuchonga nokunyanga i-myotonic dystrophy

Umxholo

• Iindidi ze-myotonic dystrophy
• Iimpawu ze-myotonic dystrophy
• Unyango lwe-myotonic dystrophy

I-Myotonic dystrophy sisifo semfuza esikwabizwa ngokuba sisifo sikaSteinert, esibonakaliswa bubunzima bokuhlaziya izihlunu emva kokuncipha. Abanye abantu abanalesi sifo bakufumanisa kunzima ukuyikhulula idyokhwe okanye ukuphazamisa ukubamba isandla, umzekelo.

I-Myotonic dystrophy inokuzibonakalisa kuzo zombini isini, ukuba rhoqo rhoqo kubantu abadala abancinci. Izihlunu ezichaphazelekayo zibandakanya ezobuso, intamo, izandla, iinyawo kunye neengalo zangaphambili.

Abanye abantu banokubonakalisa ngendlela enzima, bebeka esichengeni imisebenzi yemisipha, kwaye babonakalise ubomi obulindelweyo kwiminyaka engama-50 kuphela, ngelixa kwabanye inokubonakalisa ngendlela ethambileyo, ebonisa kuphela ubuthathaka bemisipha.

Iindidi ze-myotonic dystrophy

I-Myotonic dystrophy yahlulwe yaziintlobo ezi-4:

•  UkuzalwaIimpawu zivela ngexesha lokukhulelwa, apho usana lunentshukumo encinci yomntwana. Kungekudala emva kokuzalwa umntwana ubonakalisa iingxaki zokuphefumla kunye nobuthathaka bemisipha.
• Iintsana: Kolu hlobo lwe-myotonic dystrophy, umntwana ukhula ngesiqhelo kwiminyaka yokuqala yobomi, ebonakalisa iimpawu zesi sifo phakathi kweminyaka emi-5 ukuya kweli-10 ubudala.
•  Yodidi: Olu hlobo lwe-myotonic dystrophy lubonakala kuphela ebudaleni.
•  UkuKhanya: Abantu abane-myotonic dystrophy ethambileyo abayivezi nakuphi na ukukhubazeka kwezihlunu, bubuthathaka nje obuncinci obunokulawulwa.

Oonobangela be-myotonic dystrophy banxulumene notshintsho kwimfuza olukhoyo kwi-chromosome 19. Olu tshintsho lunokunyuka ukusuka kwisizukulwana ukuya kwisizukulwana, kukhokelela kwisibonakaliso esibi sesi sifo.

Iimpawu ze-myotonic dystrophy

Iimpawu eziphambili ze-myotonic dystrophy zi:

• Ukubetha kwezihlunu;
• Iinkqayi ezingaphambili;
• Ubuthathaka;
• Ukudodobala kwengqondo;
• Ubunzima bokutya;
• Ubunzima bokuphefumla;
• Iingxangxasi;
• Ubunzima bokuphumla kwimisipha emva kokuncipha;
• Ubunzima bokuthetha;
• Ubuthathaka;
• Isifo seswekile;
• Ukungachumi;
• Ukuphazamiseka exesheni.

Kuxhomekeka kubukhali besifo, ukuqina okubangelwa lutshintsho lwechromosomal kunokubeka emngciphekweni izihlunu ezininzi, kukhokelele ekubhubheni komntu ngaphambi kweminyaka engama-50. Abantu abanesimo esipholileyo sesi sifo banobuthathaka bemisipha kuphela.

Ukuxilongwa kwenziwa ngokujonga iimpawu kunye neemvavanyo zofuzo, ezifumanisa utshintsho kwii-chromosomes.

Unyango lwe-myotonic dystrophy

Iimpawu zinokuncitshiswa ngokusetyenziswa kwamayeza afana ne-phenytoin, i-quinine kunye ne-nifedipine eyehlisa ukuqina kwemisipha kunye nentlungu ebangelwa yi-myotonic dystrophy.

Enye indlela yokukhuthaza umgangatho wobomi baba bantu kukunyanga ngokwasemzimbeni, okunika uluhlu olungcono lokuhamba, ukomelela kwezihlunu kunye nolawulo lomzimba.

Unyango lwe-myotonic dystrophy yi-multimodal, kubandakanya amayeza kunye nonyango lomzimba. Amayeza afaka iPhenytoin, Quinine, Procainamide okanye iNifedipine ethomalalisa ukuqina kwemisipha kunye nentlungu ebangelwa sesi sifo.

I-Physiotherapy ijolise ekuphuculeni umgangatho wobomi bezigulana ezine-myotonic dystrophy, ukubonelela ngokwanda kwamandla emisipha, uluhlu lokuhamba kunye nokulungelelanisa.