Kodi JHD imasiyana bwanji ndi matenda a Adult-Onset Huntington?
Ngakhale matenda a achinyamata a Huntington ndi ovuta kulandira, angakhale othandiza kuphunzira zomwe angayembekezere komanso momwe angagwirire ndi zotsatira zake. Matenda a achinyamata a Huntington ndi chikhalidwe cha ubongo chomwe chimayambitsa mavuto amalingaliro, mavuto a maganizo, ndi kusayenda kosasinthasintha kwa thupi. Mawu akuti "mwana" amatanthauza ubwana kapena unyamata; Matenda a Huntington amadziwika kuti ndi achinyamata ngati amakula asanafike zaka 20.
Maina ena a matenda a achinyamata a Huntington ndi awa: JHD, ana onse a HD, matenda a Huntington, ana a HD, ndi matenda a Huntington,
Kukula
Kafukufuku wafukufuku akuti pafupifupi 5 peresenti mpaka 10 peresenti ya milandu ya Huntington imayikidwa ngati ana. Pakali pano, anthu pafupifupi 30,000 a ku America akukhala ndi matenda a Huntington, omwe ali ndi zaka pafupifupi 1,500 mpaka 3,000 omwe ali ndi zaka zoposa 20.
Zizindikiro
Zizindikiro za JHD nthawi zambiri zimasiyana kwambiri ndi matenda akuluakulu a Huntington. Kuwerenga za iwo n'zosadabwitsa. Dziwani kuti sikuti zonse zikuchitika komanso kuti njira zosiyanasiyana zothandizira zothandizira kusamalira zomwe zimachita kuti akhalebe ndi moyo.
Kusintha kwa chidziwitso kungaphatikizepo kuchepa kwa kukumbukira , kuchepetsa kupititsa patsogolo, mavuto aposachedwapa kuntchito, ndi mavuto poyambira kapena kumaliza ntchito bwinobwino.
Kusintha kwa makhalidwe kumawoneka ndipo kumaphatikizapo kupsa mtima, kukhumudwa , kukhumudwa, kukhumudwa, nkhawa, kusokonezeka maganizo , ndi kukhumudwa .
Kusintha kwa thupi kumaphatikizapo miyendo yolimba, kusokonezeka, kumeza mavuto, kuchepa kwa kulankhula, ndi kuyenda pamaptoes. Nthawi zambiri akuluakulu a Huntington amasonyezeratu kuti pali zovuta zowonongeka (zotchedwa chorea), omwe ali ndi JHD amatha kusonyeza zizindikiro zomwe zimafanana ndi matenda a Parkinson, monga kuchepa, kuuma, kusasamala bwino komanso kusokonezeka.
Kugonjetsedwa kungathenso kupezeka mwa ena mwa achinyamata omwe ali ndi JHD. Kuwonjezera apo, kusintha kwa kulembedwa kwa manja kungaoneke kumayambiriro kwa JHD.
Achinyamata vs. Vuto lachikulire la HD
JHD imakhala ndi mavuto osiyanasiyana kuchokera kwa akulu akuluakulu a HD. Amaphatikizapo zotsatirazi.
Mavuto Kusukulu
JHD ingachititse kuvutika pakuphunzira ndi kukumbukira chidziwitso ku sukulu, ngakhale JHD isanafike. Izi zingakhale zovuta kwa ophunzira ndi makolo omwe sangadziwe chifukwa chake ntchito ya kusukulu yatha kwambiri.
Pachikhalidwe, sukulu ndi JHD ingakhalenso yovuta ngati makhalidwe sakuyenera ndipo kugwirizana kwa anthu kumakhudzidwa.
Kukhala Wolimba M'malo mwa Chorea
Ngakhale nthawi zambiri zowonjezera anthu akuluakulu za HD zimakhudzana ndi chorea (kusuntha kwadzidzidzi), JHD nthawi zambiri imakhudza mapeto mwa kuwachititsa kukhala okhwima ndi osagwedera. Choncho, mankhwala amasiyana kwambiri ndi JHD.
Kugonjetsa
Zokhumudwitsa sizimapezeka nthawi zambiri akuluakulu a HD koma zimakula pafupifupi 25 mpaka 30 peresenti ya milandu ya JHD. Kugonjetsedwa kumeneku kungapangitse munthu kukhala pachiopsezo chachikulu cha kugwa ndi kuvulala.
Chifukwa ndi Genetics
Dziwani kuti palibe chimene munthu anachita kapena sanachite kuti mwanayo apange JHD. Nthawi zambiri zimayambitsa matenda a jenasi kumtundu wa chromosome anayi omwe adzalandidwa ndi makolo awo.
Mbali imodzi ya jini, yotchedwa CAG (cytosine-adenine-guanine) kubwereza, imamuika munthu pangozi ya HD. Ngati chiwerengero cha CAG chibwereza ndiposa 40, munthuyo ayesa zowonjezereka kwa HD. Anthu omwe amapanga JHD amakonda kukhala ndi zifukwa zopitirira 50 CAG pa chromosome yawo.
Pafupifupi 90 peresenti ya milandu ya JHD imachokera kwa bambo, ngakhale kuti jini lingaperekedwe kuchokera kwa makolo onse awiri.
Chithandizo
Popeza zizindikiro zina zimasiyana ndi anthu akuluakulu, HD imakhala yosiyana kwambiri ndi HD. Njira zamachiritso nthawi zambiri zimadalira zizindikiro zomwe zilipo ndipo zimayesetsa kuthandiza kukhala ndi moyo wabwino.
Ngati mliri ulipo, mankhwala opangidwa ndi anticonvulsant akhoza kulamulidwa kuti awathetse. Ngakhale ana ena amamvetsera bwino mankhwalawa, ena amakhala ndi zotsatira zoopsa za kugona, kusagwirizana bwino, ndi kusokonezeka. Makolo ayenera kukambirana za ubwino wa mankhwala omwe ali ndi dokotala wa mwanayo.
Psychotherapy ikulimbikitsidwa kwa omwe amakhala ndi JHD, chifukwa cha kusintha kwakukulu komwe JHD amafuna. Kulankhula za JHD ndi zotsatira zake zingathandize ana ndi achibale awo kuthana nawo, kuphunzira kufotokozera ena, kudziwa zomwe akufuna, ndi kugwirizana ndi zothandizira mderalo.
Thandizo lachilengedwe ndi la ntchito limalimbikitsidwanso ndipo lingagwiritsidwe ntchito kuthandiza kutambasula ndi kupumula manja ndi miyendo yolimba, komanso kugwirizanitsa zipangizo kuti zikwaniritse zosowa.
Munthu wodya zakudya akhoza kuthandiza pakukhazikitsa zakudya zamakono kuti athetse kulemera kumene anthu omwe ali ndi JHD amakumana nawo nthaŵi zambiri.
Pomalizira, odwala ndi olankhula chinenero angathandize mwa kupeza njira zopitirizira kulankhulana ndi anthu ozungulira ngati kulankhula n'kovuta.
Kuthamangitsani
Pambuyo pa matendawa ndi JHD, chiyembekezo cha moyo ndi zaka pafupifupi 15. JHD ikupita patsogolo, kutanthauza kuti pakapita nthawi, zizindikiro zikuwonjezeka ndi kugwira ntchito zikupitirirabe.
Komabe, kumbukirani kuti pali thandizo kwa ana ndi mabanja awo pamene akukumana ndi JHD. Ngati simukudziwa kumene mungayambire, funsani a Huntington's Disease Society of America kuti mudziwe zambiri ndi kuthandizira pafupi ndi inu.
> Zotsatira:
> Matenda a Huntington Society of America. Mafilimu Osewera a HD. http://hdsa.org/living-with-hd/juvenile-onset-hd/
> Huntington's Disease Youth Organization. Zowona za JHD. https://en.hdyo.org/jhd/articles/52
> Liou, S. (2010) Project Outreach Project yophunzitsa ku Stanford. Matenda a achinyamata a Huntington.
> Ma Institutes of Health. Malo Odziwitsa Zachibadwa ndi Odwala. Matenda a achinyamata a Huntington. Chigwiritsiro