Matenda a minofu
Duchenne muscular dystrophy (DMD) ndi imodzi mwa mitundu isanu ndi iwiri ya mitsempha yotupa, yomwe imakhudza kugwiritsira ntchito minofu mwaufulu m'thupi. Duchenne MD imatengedwa ngati matenda okhudzana ndi X. Chifukwa cha njira yomwe adalandira, Duchenne MD imakhudza kwambiri anyamata. Atsikana akhoza kulandira jini la DMD koma alibe zizindikiro za matendawa.
Duchenne MD imakhudza pafupifupi 1 mwa ana 3,500 onse obereka ana (pafupifupi 20,000 atsopano chaka chilichonse). Zimakhudza ana amitundu yonse. Gulu la DMD limayambitsa kusapezeka kwa dystrophin, mapuloteni omwe amathandiza kuti maselo a minofu asamangidwe. Izi zikutanthauza kuti maselo a minofu amawonongeke mosavuta ndipo amakhala ofooka pakapita nthawi.
Zizindikiro
Mnyamata yemwe ali ndi MD Duchenne nthawi zambiri amakula bwino ngati khanda. Zizindikiro za DMD zimayambira pakati pa zaka ziwiri ndi 6. Mwana wokhudzidwa angathe:
- zimakhala zovuta kuyenda, kuthamanga, kapena kukwera masitepe chifukwa chofooka m'milingo ndi m'mimba
- kuyesetsa kukweza mutu, kapena kukhala ndi khosi lofooka
- amafunikira kuthandizidwa kuchokera pansi
- kuyenda ndi miyendo yake
- kuima ndi kuyenda ndi chifuwa chake ndi m'mimba mwake (kapena akubwerera)
- Gwiritsani ntchito Gower kuyenda kuti atuluke pansi (akuyendetsa manja ake mmwamba m'malo mwake, chifukwa cha kufooka kwa mimba)
Duchenne MD potsiriza imakhudza minofu yonse mu thupi, kuphatikizapo mtima ndi kupuma kwa minofu, kotero kuti mwana akakula zizindikilo zingaphatikizepo:
- kutopa
- kupuma kupuma
- Matenda a mtima chifukwa cha mtima wochuluka
- Kutaya mphamvu yakuyenda ndi zaka 12
- kufooka m'manja ndi manja
Kudziwa
Kuzindikira kwa Duchenne MD nthawi zambiri kumayambira pa chitukuko cha zizindikiro za zaka za msinkhu wa mwana. Makolo kapena aphunzitsi amayamba kuona mnyamata akuvutika kukwera masitepe kapena kukhala ndi ana ena.
Kumayambiriro kwa DMD, kuyezetsa magazi kwa creatine kinase (CK kapena CPK) kungasonyeze kuchuluka kwa msinkhu womwe nthawi zambiri zimakhala zoyenera. Kuyezetsa uku kumasonyeza kuti kuwonongeka kwa minofu kukuchitika koma sikutsimikizira kuti matendawa ndi otani. Kuyezetsa magazi - kuyang'ana kukhalapo kwa DMD gene - ndiyo njira yabwino yotsimikizirira kuti matendawa ndi otani. Kamwana akadziwika kuti ali ndi DMD, mamembala ena amatha kuyesedwa kuti awone omwe angakhale ndi jini.
Chithandizo
Ngakhale kuti kafukufuku wochuluka wokhudza Duchenne MD akuchitika, palibe mankhwala kapena njira yothetsera matendawa kuti asawonjezeke panthawi yake. Mankhwala a prednisone akhoza kuchepetsa kuperewera kwa minofu, kulimbitsa mphamvu, ndi kuthandizira kubwezeretsa mphamvu, koma zimakhala ndi zotsatira zoyipa ngati zitengedwa nthawi yaitali. Mankhwala angafunike kutengedwa ngati mavuto a mtima alipo. Thandizo la thupi ndi la ntchito limathandiza kuti mukhale osasinthasintha komanso kupewa minofu yofooketsa. Ntchito yochita masewera olimbitsa thupi monga kusambira ndi abwino kwa anyamata ndi DMD. Mankhwala angayambe ngati mwanayo akuvutika kulankhula kapena kulankhulana.
Pamene matendawa akufalikira, mnyamatayo adzafunikira zipangizo zowonongeka monga braces ndi olumala. Chifukwa cha kupuma, anyamata ena amafunika kukhala ndi tracheostomy tube opaleshoni yomwe imaikidwa mu trachea (windpipe), ndipo ena amafunikira kupuma.
Ngakhale ndi chithandizo chamankhwala chabwino, anyamata omwe ali ndi MD Duchenne nthawi zambiri sakhala ndi moyo kupitirira zaka zitatu zapitazo chifukwa cha moyo wowopsya komanso kupuma komwe kumachitika chifukwa cha matendawa.
> Zotsatira:
> "Duchenne Muscular Dystrophy (DMD)." Matenda. July 2007. Msonkhano wa Muscular Dystrophy.
> "NINDS Information Muscular Dystrophy Page." Kusokonezeka. 15 Sep 2008. Institute of National > for > Neurological Disorders ndi Stroke.
> "Za Duchenne." Kumvetsetsa Duchenne. Parent Project Muscular Dystrophy. 1 Oktoba 2008