Yala i farikolo fana bɛ ka barika dɔgɔya wa? O bɛ se ka kɛ distrophie myotonique ye!

Yala i delila k’a ye ko i farikolo yɔrɔ minnu tun barika ka bon fɔlɔ, olu bɛ ka sɔgɔsɔgɔ dɔɔni dɔɔni walima ka barika dɔgɔya wa? Walima a ka gɛlɛn i ma tuma dɔw la k’i bolo da wuli ni i ye fɛn dɔ minɛ kosɛbɛ wa? Ninnu ye fɛnw ye an tɛ an janto kosɛbɛ tuma dɔw la, nka u bɛ se ka kɛ bana dɔ taamasiɲɛw ye min bɛ wele ko Myotonic Dystrophie . An ka kuma o kan ka ɲɛ ani ka kuma nɔgɔya la bi.

Distrophie myotonic ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Myotonic Dystrophy (DM) ye bana gɛlɛn ye min bɛ sɔrɔ jamu fɛ. Fɛn min bɛ o la, o ye ko an farikolo farikolo yɔrɔw bɛ sɔgɔsɔgɔ dɔɔni dɔɔni ani u bɛ barika dɔgɔya. Nin bana in bɛ mɔgɔ minnu na, olu fasaw tɛ se ka lafiya joona a tali kɔfɛ, nka a bɛ se ka to ka kirin. An b' o wele ko miyotoni . A bɛ i n’a fɔ ka da dɔ minɛ ka ɲɛ ani k’a ɲini k’a da wuli, o bɛ waati dɔɔnin ta.

Miyotoni distrophie (DM) taamasiɲɛw bɛ se ka caya kosɛbɛ. A bɛ se ka nɔ bila sigida caman na an farikolo la. I n'a fo:

• An kolotugudaw (an bɛ farikolo minnu kɔlɔsi ni laɲini ye) ani dusukun fasaw.
• Ɲɛw.
• Dusukun ni jolisiraw (circulation systeme).
• Endocrine (banakisɛfagalanw) (hormones system).
• Cɛmancɛ-farikolo-yɔrɔ (sɔgɔsɔgɔninjɛ ni kɔkolo).

Yala distrophie myotonic suguya dɔw bɛ yen wa?

Ɔwɔ, DM suguya belebele fila bɛ yen:

1. Distrophie myotonic type 1 (DM1): O fana bɛ wele ko Steinert ka bana . DM1 fana bɛ ni suguya fitinin naani ye:

• Klasik suguya
• Sugu nɔgɔman
• Bange suguya (a bɛ sɔrɔ bange waati) .
• Denmisɛnya suguya

2. Distrophie myotonic type 2 (DM2): O bɛ wele fana ko myopathie myotonic proximle .

A suguya fila bɛɛ taamasiɲɛw bɛ se ka kɛ ɲɔgɔn fɛ tuma dɔw la. Nka, a ka ca a la DM2 ka nɔgɔn dɔɔni ka tɛmɛ DM1 kan, o kɔrɔ ye ko a taamasiɲɛw man jugu o cogo la.

Danfara jumɛn bɛ Muscular Dystrophy ni Myotonic Dystrophy cɛ?

Nin ye fɛn ye min bɛ mɔgɔ caman hakili ɲagami. Farikoloɲɛnajɛ ye banaw kulu ye minnu bɛ sɔrɔ ciyɛn fɛ (jamu fɛ). Nin kulu in kɔnɔ, bana suguya 30 ni kɔ bɛ yen. U bɛɛ bɛ kɛ sababu ye ka farikolo fanga dɔgɔya. Olu bɛ don mikoropati , o min ye an ka kolotugudaw bana ye. Waati tɛmɛnen kɔ, farikolo yɔrɔw bɛ dɔgɔya ani ka barika dɔgɔya. O b’a to taama ni don o don baaraw kɛli ka gɛlɛn. Tuma dɔw la, dusukun ni fogonfogon fana bɛ se ka bana.

Distrophie myotonique (banakisɛfagalan miyotonique).O ye bana suguya dɔ ye min bɛ farikolojidɛsɛ kulu la min kofɔra ka tɛmɛ. Kɛrɛnkɛrɛnnenya la, o ye ko farikolojidɛsɛ minnu bɛ daminɛ balikuya la, o disi min bɛ kɛ ni miyɔtoni ye, o de ka teli ka kɛ. (Nka, DM suguya dɔw fana bɛ se ka daminɛ denmisɛnniw na walima denmisɛnniw na).

Jɔn bɛ se ka distrophie myotonique sɔrɔ? Yala danfara bɛ u si hakɛ la wa?

DM suguya wɛrɛw bɛ se ka daminɛ si hakɛ danfaralenw na. An k’a lajɛ cogo min na:

• Distrophie myotonic classique type 1 (Classic DM1): A ka ca a la, o bɛ daminɛ san 20, san 30 walima san 40 la.
• Distrophie myotonic mild type 1 (DM1 mild): O bɛ se ka kɛ mɔgɔw la minnu si bɛ san 20 ni san 70 cɛ, nka a ka teli ka kɛ san 40 kɔfɛ.
• Distrophie myotonique congénitale suguya fɔlɔ (DM1 bangenen): I n’a fɔ daɲɛ "congénital" b’a jira cogo min na, nin ye suguya ye min bɛ denmisɛnniw de minɛ. O kɔrɔ ye ko a bɛ yen kabini a bange waati.
• Denmisɛnninw ka distrophie myotonic type 1 (Denmisɛnw ka DM1): A ka ca a la, o bɛ daminɛ san 10 lamini na.
• Distrophie myotonic type 2 (DM2): O fana bɛ daminɛ balikuya la. A ka ca a la, bana taamasiɲɛw bɛ daminɛ san 48 lamini na.

Nin bana in ka ca cogo di?

Distrophie myotonic (DM) bɛ mɔgɔ 8000 o 8000 la, a dɔgɔyalenba la, mɔgɔ 1 bɛ sɔrɔ diɲɛ kɔnɔ. Nka, o hakɛ bɛ Se ka Yɛlɛma ka Kɛɲɛ ni dugukolo-yɔrɔ ni siya ye. DM ye farikolojidɛsɛ suguya ye min ka teli ka kɛ Erɔpu bɔnsɔnw na.

Jamana fanba la, DM suguya fɔlɔ (DM1) ka ca ni DM suguya 2 (DM2) ye.

Myotonic Dystrophie taamasiɲɛw ye jumɛnw ye?

Olu de ye DM taamasiɲɛ kunbabaw ye. U bɛ juguya dɔɔni dɔɔni waati tɛmɛnen kɔfɛ, o kɔrɔ ye ko u bɛ juguya ka taa a fɛ:

• Muscle atrophy: Farikolo tiɲɛni.
• Farikolo fanga dɔgɔyali: Farikolo fanga dɔgɔyali.
• Miyotoni: An ye kuma nin ko in kan ka tɛmɛ. Sebaliya ka farikolo yɔrɔ dɔ lafiya ni hakili ye. Misali la, ni DM bɛ mɔgɔ min na, o ye da sɔgɔli minɛ dɔrɔn, a bɛ se ka gɛlɛya dɔɔni ka a bila.

Nka, ka da a kan DM bɛ farikolo yɔrɔw minɛ, taamasiɲɛ suguya wɛrɛw bɛ se ka kɛ. Nin taamasiɲɛ ninnu juguya ni u sɔrɔli hakɛ bɛ danfara ka kɛɲɛ ni DM suguya ye.

Distrophie myotonic classique suguya 1 taamasiɲɛw

Nin suguya in taamasiɲɛw bɛ daminɛ balikuya la. Miyotɔni ye taamasiɲɛba ye min bɛ ye fɔlɔ. O bɛ ye ka caya lafiɲɛbɔ kɔfɛ, wa a bɛ se ka dɔgɔya dɔɔni farikolo baara kɔfɛ.

A taamasiɲɛ wɛrɛw ye:

• Farikolo yɔrɔjan fanga dɔgɔyali:O kɔrɔ ye ko farikolo yɔrɔ minnu ka jan farikolo cɛmancɛ la (misali la, bolokɔniw ni senkɔniw) bɛ barika dɔgɔya. O b’a to baara nɔgɔlenw kɛli ka gɛlɛn ni bolow ye (misali la, butɔni, sɛbɛnni). A fana bɛ taama gɛlɛya ka da cogoya dɔ kan min bɛ wele ko senna-bɔn (i n’a fɔ sen duguma bɛ sama duguma).
• Ɲɛda fasaw tiɲɛni bɛ kɛ sababu ye ka ɲɛda kɛ cogo finman ye min bɛ kɛ ni nɛrɛmuguma ye (ɲɛda min bɛ kɛ ni ɲɛnamini ye) .
• Dusukun tantanni gɛlɛyaw.

Dystrophie myotonique congénitale suguya 1 taamasiɲɛw

Ikomi nin suguya in bɛ den bange waati, a bɛ se ka taamasiɲɛ dɔw jira ka a to kɔnɔbara la:

• Denso lamagacogo dɔgɔyali kɔnɔbara la.
• Polyhydramnios ye densoji hakɛ caya kojugu ye min bɛ den lamini kɔnɔmaya waati.
• Clubfoot ( sen bɛ wuli ka taa kɔnɔna na).
• Ventriculomegaly (sɔgɔsɔgɔninjɛ ɲɛgɛnɛsiraw bonya) (ka a sababu kɛ kunsɛmɛnasumaya ji dalajɛli ye).

Taamasiɲɛ minnu bɛ ye denmisɛnw ni mɔgɔkɔrɔbaw la bange kɔfɛ:

• Sanfɛla dawolo bɛ i n’a fɔ fanibugu ka da ɲɛda farikolo fanga dɔgɔyali kan.
• Kuma min tɛ fɔ ka ɲɛ (Dysarthria) .
• Hakilila-dɛsɛw.
• Sani miotoni ka kɛ, farikolo fanga dɔgɔyali bɛ kɛ (Hypotonia) .

Dystrophie miyotonique nɔgɔman suguya 1 taamasiɲɛw

A ka ca a la nin suguya in taamasiɲɛw bɛ daminɛ san 20 ni san 70 cɛ.U dɔw ye:

• Farikolo fanga dɔgɔyali dɔɔni.
• Miyotoni (Myotonie) (Myotonie).
• Ɲɛkisɛw .

Denmisɛnninw ka distrophie myotonic type 1 taamasiɲɛw

A ka ca a la nin suguya in taamasiɲɛw bɛ daminɛ san 10 ɲɔgɔn na.U dɔw ye:

• Kalan gɛlɛyaw ani hakili ni dusukunnataw gɛlɛyaw (misali la, denbaya ka gɛlɛyaw, degun, jɔrɔnanko).
• Kuma nɔgɔlen.
• Bolo fasaw ka mitoni (miyotonie).
• Dusukun tantanni gɛlɛyaw.

Distrophie myotonic type 2 taamasiɲɛw

A ka ca a la DM suguya 2 taamasiɲɛw bɛ daminɛ balikuya la, wa u bɛ se ka ɲɔgɔn ta.

A taamasiɲɛw bɛ se ka kɛ:

• Farikolo fanga dɔgɔyali walima a gɛlɛyali farikolo cɛmancɛ kɛrɛfɛ (misali la, fasaw minnu bɛ kɔkiliw ni kamankunw lamini).
• Miyofascial dimi (dimi bɛ kɛ farikolo ni farikolo yɔrɔw la) .
• Ɲɛdimi daminɛ joona (sanni a ka san 50 sɔrɔ).
• Miyotoni (miyotonie) hakɛ tɛ kelen ye, o bɛ sɔrɔ ni i ye fɛn dɔ minɛ ni bolo ye.
• Lamɛnni gɛlɛya.

Dimi ye ɲininkaliba ye DM2 bɛ mɔgɔ minnu na. O mɔgɔw bɛ dimi fɔ kɔnɔbara la, kolotugudaw la, ani farikoloɲɛnajɛ waati.

Mun de bɛ kɛ sababu ye ka Myotonic Dystrophie (Dystrophie myotonic) sɔrɔ?

Myotonic dystrophie (DM) ye bana ye min bɛ sɔrɔ jamu fɛ , o kɔrɔ ye ko a bɛ bɔ bangebagaw la ka taa denw na jamu fɛ.

DM suguya fɔlɔ (DM1) bɛ sɔrɔ fɛn falenw fɛ (yɛrɛlabɔli) jamu kɔnɔ min bɛ wele ko DMPK . DM suguya 2 (DM2) bɛ sɔrɔ fɛn caman cili fɛ jamu kɔnɔ min bɛ wele ko CNBP .

Yɛlɛma kelen minnu bɛ kɛ jamu fila bɛɛ labɛncogo la, DMPK ni CNBP, olu de bɛ DM1 ni DM2 sababuya. O kelen-kelen bɛɛ la, ADN yɔrɔ dɔ bɛ segin siɲɛ caman cogo la min tɛ bɛn. O bɛ yɔrɔ sabatibali dɔ Dabɔ jɛnɛya kɔnɔ. Ni ADN yɔrɔ in bɛ segin ka kɛ siɲɛ caman cogo la min tɛ a cogo la, DM taamasiɲɛw bɛ juguya ka taa a fɛ.

Dɔnniya daliluw b’a jira ko ciden ARN tɛmɛnen min bɛ sɔrɔ o ADN segin-ka-bɔnyew fɛ minnu tɛ cogo la, o ye baga ye. O bɛ farikolojɔli dumuni suguya caman dilanni tiɲɛ farikolokisɛw la, o de bɛ kɛ sababu ye ka miyɔton distrophie taamasiɲɛw bila farikolo yɔrɔ suguya caman na.

Nin bana in bɛ tɛmɛn cogo min na ka bɔ mɔgɔw la ka taa mɔgɔw la (Myotonic Dystrophy Inheritance) .

DM suguya fila bɛɛ bɛ sɔrɔ ciyɛn na cogo la min bɛ wele ko autosomal dominant . O cogo la, bangebaga kelen dɔrɔn de ka kan ka kɛ ni jamu ye min bananen don walasa bana ka se ka lase den ma. Bangebaga min ka jogo bɛ a yɛrɛ la, o denw tilancɛ bɛna o jogo in ciyɛn ta.

Ni distrophie myotonic type 1 (DM1) bɛ bɔ mɔgɔw la ka taa bɔnsɔn wɛrɛ la, a ka ca a la a daminɛ san bɛ dɔgɔya ani a taamasiɲɛw bɛ juguya. o ko in bɛ wele ko kɔnɔnafili . A bɛ i n'a fɔ bana in bɛ "teliya" ka bɔ bɔnsɔn kelen na ka taa bɔnsɔn wɛrɛ la.

Distrophie myotonic bɛ sɔrɔ cogo di? (Sɛgɛsɛgɛli) .

Ni DM taamasiɲɛw bɛ aw la, dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ fɔlɔ ka aw ɲininka ninnu ko la:

• Aw yɛrɛ ka furakɛli tariku.
• Denbaya ka furakɛli tariku, kɛrɛnkɛrɛnnenya la ni DM bɛ denbaya kɔnɔ mɔgɔ o mɔgɔ la.
• Aw ka bana taamasiɲɛw.

O kɔfɛ, furakɛli sɛgɛsɛgɛli dɔw bɛ se ka kɛ walasa ka DM sɛgɛsɛgɛli dafa.

Sɛgɛsɛgɛli sugu jumɛnw bɛ kɛ?

Jɛnkulu sɛgɛsɛgɛli bɛ se ka DM sɛgɛsɛgɛli dafa. Nin sɛgɛsɛgɛliw bɛ fɛn caman sɛgɛsɛgɛ DMPK jamu la (DM1 ta la) walima CNBP jamu la (DM2 ta la).

Ni dɔgɔtɔrɔ bɛ sigasiga ko DM walima bana wɛrɛ bɛ aw la, u bɛ se ka nin sɛgɛsɛgɛli kelen walima caman kɛ sani u ka aw bila ka taa aw ka jamu sɛgɛsɛgɛli kɛ:

• Kɛrɛyatini kinase joli sɛgɛsɛgɛli : Kɛrɛyatini kinase ye anzimu ye min bɛ sɔrɔ dusukun ni kolotugudaw la kosɛbɛ. Ni o farikolokisɛw tiɲɛna, o anzimu bɛ dalajɛ joli la. DM nɔgɔman bɛ mɔgɔ minnu na, o hakɛ bɛ se ka wuli dɔɔni dɔrɔn, walima a bɛ se ka kɛ ko a tɛ kojugu ye.
• Elektɔromiyɔgramu (EMG): 1.1.Nin sɛgɛsɛgɛli in na, elekitorode finman dɔ bɛ don farikolo la min bɛ i n’a fɔ pikirijikɛlan, ka farikolo yɔrɔw kuran baara suman. A ka ca a la DM bɛ mɔgɔ minnu na, kuran baara ka ca ani ka dɔgɔya u farikolo la, hali ni u bɛ lafiɲɛbɔ la.
• Farikolola biyopisi : O la, dɔgɔtɔrɔ bɛ farikolo yɔrɔ fitinin dɔ ta ka bɔ aw farikolo la ka a sɛgɛsɛgɛ ni mikroskɔpu ye walasa ka a dɔn ni DM taamasiɲɛw bɛ yen.

Yala sɛgɛsɛgɛli wɛrɛw bɛna kɛ bana in dafalen kɔfɛ wa?

Ɔwɔ, ni nin sɛgɛsɛgɛliw ye DM jira, dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛli wɛrɛw kɛ walasa ka farikolo yɔrɔ dɔw baaracogo lajɛ minnu bɛ se ka kɛ DM fɛ. I n'a fo:

• Elektrokardiogramme (ECG) sɛgɛsɛgɛli min bɛ kɛ walasa ka dusukun baarakɛcogo lajɛ.
• Fogonfogon baarakɛcogo sɛgɛsɛgɛli walasa ka ninakilidegun gɛlɛyaw lajɛ.
• sunɔgɔ kalan dɔ walasa ka sunɔgɔbaliya bali ani tile sunɔgɔ kojugu .

Yala furakɛli bɛ yen min bɛ wele ko Myotonic Dystrophie wa?

A ka c’a la, fura tɛ yen hali bi min bɛ se ka distrophie myotonic (DM) furakɛ. O la, furakɛli kuntilenna fɔlɔw ye :

• Taamaʃyɛnw ɲɛnabɔli.
• Ka ɲɛnamaya kɛcogo ɲuman ni yɛrɛmahɔrɔnya hakɛ min ka bon kosɛbɛ, o mara.

Ikomi DM bɛ farikolo yɔrɔw de minɛ, a furakɛcogo bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni aw ka bana taamasiɲɛw ye. Olu bɛ se ka kɛ ninnu ye:

• Fura minnu bɛ kɛ walasa ka dɔ bɔ mikoroni basigilen na. Misali la, natirili sira balilanw i n’a fɔ Mɛkisilitini , degun furaw Tricycliques , Benzodiazepines , walima Calcium antagonistes .
• CPAP masin min bɛ kɛ ka sunɔgɔbaliya bali.
• Fura minnu bɛ mɔgɔ bila ka miiri i n’a fɔ metilfenidati walasa ka sunɔgɔ kojugu tile fɛ.
• Ɲɛkisɛ opereli ye opereli ye min bɛ kɛ ka ɲɛkisɛ dɔ bɔ min bɛ yeli bali.
• Sukarodunbana furakɛli. O bɛ se ka kɛ furakisɛw ni/walima inisɔndiya ye . DM bɛ mɔgɔ minnu na , olu ka sukarodunbana farati ka bon ka a sababu kɛ inisɔndiya ye .
• tetarasikilini furakɛli cɛw ka jolidɛsɛ furakɛli la . DM1 bɛ cɛ minnu na , olu ka teli ka tetarasikilini hakɛ dɔgɔya ani ka cɛya gɛlɛya .

Farikoloɲɛnajɛ ni baarakɛcogo furakɛli ye furakɛli nafamaw ye walasa ka yɛrɛmahɔrɔnya caya DM bɛ mɔgɔ minnu na. U bɛ se k’aw dɛmɛ ka aw farikolo fanga bonya ani ka don o don baara kɛcogo kuraw dege. Aw bɛ se fana ka yɛrɛmahɔrɔnya mara ni aw bɛ baara kɛ ni dɛmɛnanw ye (misali la, bololanɛgɛw, berew, wotoroninw).

Kuma ni kanko bana (SLP) bɛ se ka dɛmɛ don munumunu gɛlɛyaw la (Dysphagia) ani kumakan jugumanba (Dysarthria) .

Yala distrophie myotonic (distrophie myotonic) sɔrɔli bɛ se ka bali wa?

Ikomi DM ye bana ye min bɛ sɔrɔ cɛya la, foyi tɛ yen aw bɛ se ka min kɛ walasa ka a kunbɛn.

Sani aw ka den sɔrɔ, ni aw bɛ hami farati la ka DM walima bana wɛrɛw lase aw denw ma, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ jamu ladilikanw kan .

Nin bana in ɲɛfɔcogo ye mun ye?

Miyotoni distrophi (DM) sɔrɔli cogoya bɛ bɔ bana suguya la ani a taamasiɲɛw bɛ daminɛ si hakɛ la. A ka ca a la, ni bana taamasiɲɛw daminɛna u si hakɛ la, a kɔlɔlɔ bɛ se ka dɔgɔya ani a si hakɛ bɛ se ka dɔgɔya.

DM1 bɛ mɔgɔ minnu na, olu 50% ɲɔgɔn mago bɛna kɛ wotoronin na walasa ka yaala-yaala sani u ka sa. A ka ca a la DM2 bɛ mɔgɔ minnu na, olu mago tɛ dɛmɛnanw na walasa ka yaala-yaala barisa u ka bana taamasiɲɛw man jugu.

Distrophie myotonic bɛ mɔgɔ min na, o tigi ka ɲɛnamaya bɛ kɛ cogo di?

DM bɛ mɔgɔ min na, o si hakɛ bɛ danfara ka kɛɲɛ ni bana suguya ye.

• Denmisɛn minnu bɛ ni DM1 bangenen ye, den bangenenw ka saya hakɛ bɛ se 18% ɲɔgɔn ma. DM1 bangenen bɛ mɔgɔ minnu na, olu 25% ɲɔgɔn bɛ sa sani u ka se kalo 18 ma, ani 50% ɲɔgɔn bɛ sa sani u ka se san 30 ma.
• DM1 nɔgɔman bɛ mɔgɔ minnu na, olu ka teli ka ɲɛnamaya kɛ cogo la min bɛ bɛn.
• Classic DM1 bɛ mɔgɔ minnu na, olu si ka surun ka tɛmɛ jamanaden bɛɛ kan.

Yala Myotonic Dystrophie bɛ se ka mɔgɔ faga wa?

Ɔwɔ, distrophie myotonic (DM) bɛ se ka mɔgɔ faga. Nka, saya bɛ kɛ si hakɛ min na, o tɛ kelen ye ka kɛɲɛ ni bana suguya ye. DM ka saya sababuba ye ninakilidegun ye min bɛ sɔrɔ farikolojidɛsɛ fɛ . Dusukun ni jolisiraw gɛlɛyaw fana bɛ se ka kɛ saya sababu ye.

Tuma jumɛn na aw ka kan ka taa dɔgɔtɔrɔso la distrophie myotonique kan?

Ni DM taamasiɲɛw bɛ aw la, i n’a fɔ farikolo fanga dɔgɔyali ani farikolojidɛsɛ, aw bɛ aw jija ka taa dɔgɔtɔrɔso la.

Ni DM bɛ aw la, aw ka kan ka to ka ɲɔgɔn sɔrɔ ni aw ka dɔgɔtɔrɔso jɛkulu ye walasa ka a dɔn ko aw ka furakɛli bolodalen sisan bɛ baara kɛ ka ɲɛ.

Ni aw walima aw den ye bana kura sɔrɔ, a bɛ se ka gɛlɛya ka o kunbɛn. Nka aw hakili to a la ko distrophie myotonic (DM) bɛ mɔgɔ o mɔgɔ la, o bɛɛ tɛ bana sɔrɔ cogo kelen na. Aw bɛ se ka min kɛ ka ɲɛ, o ye ka kuma dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ min bɛ DM sɛgɛsɛgɛ ani ka a furakɛ. U bɛ se ka furakɛli suguyaw fɔ aw ye ani ka ɲininkali o ɲininkali kɛ aw la, u bɛ se ka o jaabi.

An ye kuma min kan, an k’an hakili to o la k’a kɛ kumasen kuncɛlen ye (Take-Home Message) .

• Distrophie myotonic (DM) ye bana ye min bɛ sɔrɔ jamu fɛ , min bɛ kɛ sababu ye ka farikolo fanga dɔgɔya ani ka u tiɲɛ kosɛbɛ.
• Miyotoni ye bana ye min na farikolo yɔrɔw bɛ gɛlɛya ka lafiya baara kɛlen kɔfɛ.
• DM suguya belebele fila bɛ yen: DM1 ani DM2 . DM1 bɛ ni suguya fitinin wɛrɛw ye.
• A taamasiɲɛw bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni DM suguya ye ani mɔgɔ ni mɔgɔ wɛrɛ.
• O bɛ sɔrɔ fɛn caman cili fɛ jamu kɔnɔ.
• Bana in bɛ sɔrɔ jamu sɛgɛsɛgɛli fɛ ani sɛgɛsɛgɛli wɛrɛw fɛ.
• Hali ni fura dafalen tɛ yen, furakɛli dɔw bɛ yen minnu bɛ se ka bana taamasiɲɛw kunbɛn ani ka ɲɛnamaya kɛcogo ɲɛ.
• Ni siga bɛ aw la o ko la, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona. A dɔnni joona nafa ka bon kosɛbɛ.

N jigi b’a kan ko nin kunnafoni in nafa ka bon aw bolo. Aw ka to kɛnɛya la!

` Miyotoni ka banaw, Farikolo fanga dɔgɔyali, Jamu banaw, Miyotoni banaw, Farikolo banaw, DM, Farikolo banaw