Matenda a Huntington: Zizindikiro, Zomwe Zimayambitsa, Kuthamanga Kwambiri ndi Chithandizo

by Esther Heerema, MSW; Yofotokozedwa ndi Claudia Chaves, MD

Kodi Huntington Amasiyana Bwanji ndi Alzheimer's?

Matenda a Huntington (HD) ndi matenda osokoneza bongo omwe amaperekedwa kwa makolo ndi ana. Mu HD, maselo a ubongo amayamba kufooka, amachititsa mavuto, zakuthupi ndi zamaganizo. Zizindikiro zapamwamba zimaphatikizapo kugwidwa kwa malungo , kusagwedezeka kosasinthasintha komanso nthawi zambiri kusadziwa khalidwe.

Matenda a Matenda a Huntington

Anthu pafupifupi 250,000 ku United States ali ndi kapena adzakhala ndi HD.

Zizindikiro zimayambira pakati pa zaka 30 ndi 50, ngakhale ana aamuna a HD amawunikira ana ali aang'ono ngati 2. Iwo awonetsanso anthu omwe ali ndi zaka 80, koma ndizosowa. Kawirikawiri, munthu wamng'ono ndi pamene zizindikiro zimayambira, mofulumira matendawa amayamba. Amuna ndi akazi amatha kukhala ndi vutoli.

Zizindikiro za Matenda a Huntington

Gawo Loyamba la HD: Zizindikiro zoyambirira za HD zimakhala zovuta kuphunzira zinthu zatsopano kapena kupanga zosankha, mavuto oyendetsa galimoto, kukhumudwa, kusinthasintha maganizo, kusuntha kapena kusokoneza, kugwirizanitsa ndi kukumbukira nthawi yochepa .
Middle Stage HD: Pamene HD ikupita mkatikatikatikati, munthu amavutika ndi kumeza, kulankhula, kuyenda, kukumbukira ndi kuganizira ntchito. Kusinthasintha kwapadera (kutchedwa chorea ) ya HD kungakhale kotchuka kwambiri ndipo kumasokoneza kwambiri ndi kugwira ntchito tsiku ndi tsiku. Munthuyo akhoza kukhalanso ndi makhalidwe okhwima.

Gawo lachidule la HD: Zochitika zapitazo za HD zimakhala zolephera kuyenda kapena kulankhula, ndipo zimafuna chisamaliro chochokera kwa wosamalira. Anthu omwe ali ndi nthawi yotsiriza ya HD ali pangozi yaikulu yokakamiza.

N'chiyani Chimachititsa Matenda a Huntington?

Pafupifupi matenda onse a HD ali ndi cholowa, kutanthauza kuti matendawa amachokera kwa makolo.

Ngati bambo kapena mayi anu ali ndi HD, muli ndi mwayi wokhala ndi kachilombo ka HD. Ngati mwatengera kachilombo ka HD, nthawi zina mumakhala ndi HD. Ngati simunalandire jeni la HD, simudzakhala ndi HD komanso simudzadutsa ana anu.

Pafupifupi 1% mpaka 3% mwa omwe ali ndi HD alibe kholo ali ndi HD. Zikatero, matendawa sangathe kuwonekera kwa wina aliyense m'banja.

Asayansi amadziwika kuti HD jeni mu 1993. Anthu ena omwe ali pangozi ya HD amayeza magazi awo kuti adziwe ngati ali ndi chithandizo cha jini, pamene ena amalephera kuyezetsa chifukwa palibe mankhwala ochiritsira matendawa panopa.

Kuchiza kwa Matenda a Huntington

Palibe chithandizo cha matenda a Huntington, koma zizindikiro za kayendetsedwe kadzidzidzi zimatha kuchiritsidwa ndi tetrabenazine, yemwenso amavomerezedwa mankhwala (mu 2008) ndi US Food and Drug Administration chifukwa cha vutoli. Mankhwala ena ofanana ndi omwe amagwiritsidwa ntchito mu Alzheimer akhoza kugwiritsidwa ntchito pochiza matenda a HD, makhalidwe ndi maonekedwe. Komanso, mankhwala monga haloperidol (Haldol) ndi olanzapine (Zyprexa) amagwiritsidwa ntchito nthawi zambiri.

Kuchita- kudzera njira zenizeni monga mankhwala okhudza thupi ndi ntchito, ndi njira zosayenera monga kuyenda ndi kugwira ntchito-zatsimikiziranso zothandiza kuchepetsa kuchepa kwa HD.

Kupewa Matenda a Huntington

Panopa palibe njira yothetsera HD. Komabe, kukhala ndi thupi lokhala ndi thupi komanso maganizo abwino kumathandiza kuchepetsa zizindikiro kapena kuchepetsa kupititsa patsogolo.

Matenda a matenda a Huntington

Maganizo a HD ndi osauka panthawiyi. Kawirikawiri kuyembekezera kwa moyo pambuyo pa matendawa kumakhala zaka 10 mpaka 20. Nthawi zambiri imfa imachokera ku zovuta za HD, monga kukakamiza kapena kusakhoza kulimbana ndi matenda monga chibayo. Komabe, popeza kuti jini yomwe imadutsa HD yakhala ikudziwika, ofufuza akutsata matendawa powerenga zotsatira za ubongo, ndi cholinga chobwezeretsa chiwonongekocho.

Palinso mayesero omwe amapita kuchipatala kukayezetsa mankhwala ndi njira zina zamankhwala.

Kodi matenda a Huntington amasiyana bwanji ndi matenda a Alzheimer's ?

Zizindikiro za HD ndi Alzheimer poyamba zimakhala zofanana, ngakhale kuti zaka za pakati pa 30 ndi 50 za HD zimakhala zochepa kwambiri kusiyana ndi matenda a Alzheimer, komwe amapezeka ambiri mwa anthu oposa zaka 65. Matenda onsewa amachititsa kuti munthu azivutika maganizo , maluso opanga zisankho komanso luso lophunzira zinthu zatsopano.

Monga kupita patsogolo kwa HD, anthu amaonetsa kayendedwe ka matendawa; mu Alzheimer's, momwe munthu amatha kusuntha kawirikawiri zimakhala zovuta pang'onopang'ono, koma nthawi zambiri sakhala ndi kayendetsedwe kambiri kosasunthika. Kumapeto kwa HD, anthu amatha kumvetsa zomwe ena akunena kwa iwo, ndipo abwenzi ndi abwenzi akhoza kukhala odziwa kwa iwo. Pamapeto pake, Alzheimer's , anthu ambiri samatha kumvetsa ena ndipo sawoneka ngati akudziwa za ena ozungulira.

Kuonjezerapo, pafupifupi ma CD onse amaulandira, pomwe ambiri a Alzheimer saloledwa mwachindunji.

Mawu ochokera

Ndi zachilendo kukhala ndi nkhawa zambiri ngati inu kapena wokondedwa wanu mwapezeka kuti muli ndi matenda a Huntington, pozindikira kuti pali zinthu zambiri komanso zothandizira zomwe zilipo zingakhale zothandiza pamene mukuphunzira zomwe muyenera kuyembekezera ndi momwe mungagwirire. Mwina mungafune kuyamba ndi kulankhulana ndi Huntington's Disease Society of America, chifukwa ndi imodzi mwa mabungwe angapo omwe angapereke zambiri zowonjezera ndipo zingakhale magulu othandizira aderalo.

_Zotsatira:

_{Alzheimer's Society.} _{Zowonjezera Zowonjezera za Dementia.}

_{Matenda a Huntington Society of America.} _{Miyeso ya Matenda a Huntington.}

_{Matenda a Huntington Society of America.} _{Matenda a Huntington ndi otani.}

_{National Institute of Neurological Disorders ndi Stroke.} _{National Institute of Health.} _{Matenda a NINDS a Huntington Page.}