Ðe wòdze abe agbe mele viwò suea me o enea? Mina míasrɔ̃ nu tso (Congenital Muscular Dystrophy - CMD) sia ŋu!

Ðe viwò si wodzi yeyee la sena le eɖokui me be yeƒe lãme sẽ ŋutɔ, abe ɖe agbe mele eme o enea? Ðewohĩ vidzĩa ƒe avifafa fa miamiamia ŋutɔ, eye eƒe abɔwo meganɔa ʋuʋum boo oa? Ne ède dzesi nane si le abe esia ene la, ele be nàtsi dzi vie. Elabena ate ŋu anye lãmeka me dɔléle si mebɔ o si woyɔna be `(Congenital Muscular Dystrophy)`, alo `(CMD)` kpuie, si nɔa anyi le vidzidzi me ƒe dzesi.

Nukae nye `(Congenital Muscular Dystrophy - CMD)`?

Kpuie ko la, Congenital Muscular Dystrophy nye dɔlélewo ƒe ƒuƒoƒo aɖe si nana lãmekawo gbɔdzɔna si dzea egɔme tso edziɣi alo le vidzidzi megbe kpuie ŋutɔ. Nya ‘dzidzime’ gɔmee nye ‘enɔ anyi tso esime wodzii’. Esia nye dɔléle si nɔa anyi didi si ƒe dome wonyi, si fia be woate ŋu atso dzidzime yi dzidzime. Esia wɔnɛ be lãmekawo gbɔdzɔna vivivi, eye dzesi bubuwo hã ate ŋu adze. Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ sia hã ate ŋu adzi ɖe edzi le ɣeyiɣi aɖe megbe.

Nukae nye `(CMD)` ƒe ƒomevi veviwo?

Azɔ mina míakpɔe ɖa, `(CMD)` sia ƒe ƒomevi vovovowo li. Ðɔktawo daa domenyiŋusẽfianu ƒomevi siawo ɖe hatsotso siwo me wògblẽ nu le nu. Mina míaƒo nu tso ƒomevi vevi ʋɛ aɖewo ŋu:

• Laminin-alpha 2-related muscular dystrophies (LAMA2): Esia ate ŋu adze amesiwo ŋu CMD le ƒe 10% va ɖo 37% dzi. Ðewohĩ ɖevi siwo ŋu nɔnɔme sia le mate ŋu azɔ azɔli kura le woƒe gɔmedzedze o. Nuƒoƒo ate ŋu asesẽ na wo hã le mo ƒe gbɔdzɔgbɔdzɔ kple aɖe si lolo (macroglossia) ta. Ðevi siwo ade akpa etɔ̃lia ate ŋu axɔ alɔ̃dɔdɔ.
• Dystroglycanopathies (DGPs): Esia hã dzɔna le 12% va ɖo 25% me. Tsɔ kpe ɖe lãmekawo ƒe gbɔdzɔgbɔdzɔ ŋu la, esia ƒomevi ate ŋu akpɔ ŋusẽ ɖe viwòa ƒe ahɔhɔ̃ hã dzi. Esia ate ŋu ahe alɔ̃dɔdɔ, susu ƒe dɔmawɔmawɔ nyuie, kple ŋku ƒe kuxiwo vɛ. Ƒomevi bubu siwo le ƒuƒoƒo sia mee nye Walker-Warburg ƒe dɔléle, lãmeka-ŋku-ahɔhɔ̃ ƒe dɔléle, kple Fukuyama CMD (FCMD), si bɔ wu le Japan.
• Collagen VI-related muscular dystrophies (COL6-RDs): Esia hã dzɔna le 12% va ɖo 19% me. Ƒomevi sue aɖewo li siwo tso esiwo mesẽ o dzi va ɖo esiwo nu sẽ, abe Bethlem lãmekawo ƒe dɔmawɔmawɔ nyuie, domedome COL6-RD, kple Ullrich ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie (UCMD) ene.
• Selenoprotein N-related myopathies (SEPN1-RM): Esia dzɔna le dɔléle siwo ade 11% me. Eƒe dzesi enye lãmekawo ƒe gbɔdzɔgbɔdzɔ si dzea egɔme kaba si gblẽa nu le ta kple akɔta ƒe lãmekawo ŋu (si woyɔna be axial muscles). Esia ate ŋu ana gbɔgbɔtsixe natsi ame nu kaba.

Aleke gbegbee `(CMD)` nɔnɔme sia bɔe?

Le nyateƒe me la, esia nye dɔléle si mebɔ kura o. Le numekulawo ƒe nya nu la, edzea ɖevi siwo ade 6 va ɖo 9 dzi le miliɔn ɖeka me le xexeame katã.

Nukae nye `(CMD)` ƒe dzesiwo?

Enyo, eyata nukae nye vidzĩ si ŋu `(CMD)` le ƒe dzesiwo? Vevietɔ enye lãmekawo ƒe gbɔdzɔgbɔdzɔ. Àte ŋu akpɔ nu siawo tɔgbe le vidzidzi alo ŋkeke ʋɛ aɖewo le vidzidzi megbe:

• Hypotonia: Ame aɖewo hã yɔa esia be seselelãme si le abe ‘puppet ene’. Ate ŋu ase le eɖokui me abe abɔ kple afɔawo le xɔxlɔ̃m ɖe anyi ene.
• Ƒã ŋutɔ be nàʋuʋu wò abɔwo le ɖokuiwò si.
• Avifafa ƒe gbeɖiɖia nɔa blewu ŋutɔ eye wògbɔdzɔna.
• Esesẽna be woano notsi le esi notsi nono sesẽna ta.
• Lãmetsi kple ƒunukpeƒewo ƒe sesẽ, ƒunukpeƒewo ƒe ʋuʋu.

Le vidzidzi megbe kpuie la, vidzĩ ƒe lãmekawo ƒe dɔwɔwɔ ƒe ŋutete gã (nu siwo lɔ lãmeka gãwo ɖe eme) ƒe tsitsi hã nyea CMD ƒe dzesi. Le kpɔɖeŋu me, kɔ ƒe tsitsi ƒe megbetsitsi, ʋuʋu ƒe megbetsitsi, kple anyinɔƒe, klo, tsitretsitsi, kple azɔlizɔzɔ ƒe megbetsitsi. Le kpɔɖeŋu me, ne viwòa gakpɔtɔ le agbagba dzem be yeawɔ nu mawo esime vidzĩ bubu siwo xɔ ƒe ma ke le du ƒum, le titim, hele fefem la, esia nye nusi ŋu wòle be nàbu.

Alesi lãmeka ƒe gbɔdzɔgbɔdzɔ sia nu sẽe ate ŋu ato vovo tso vidzĩ ɖeka gbɔ yi bubu gbɔ. Le `(CMD)` ƒe ƒomevi nu la, dzesi bubuwo hã ate ŋu anɔ viwòa ŋu abe:

• Ŋku ƒe kuxiwo: Le kpɔɖeŋu me, ŋku ƒe nukpɔkpɔ kpuie (myopia), ŋku ƒe nyaƒoɖeamenu ƒe dzidziɖedzi (glaucoma).
• Ŋku ƒe akpa si le etame ƒe ɖiɖi (ptosis).
• Ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie: abe lissencephaly (ahɔhɔ̃a ƒe akpa si le blɔ) alo cerebellar malformations (ahɔhɔ̃a ƒe nɔnɔme madeamedzi).
• Alɔ̃madɔmadɔ.
• Susu ƒe nuwɔametɔnyenye.

Nukae nye kuxi siwo ate ŋu ado tso `(CMD)` me?

Nukae nye kuxi siwo ate ŋu ado tso `(CMD)` me? Esia hã toa vovo le `(CMD)` ƒe ƒomevi nu. Gake le goawo katã me la, nu siawo tɔgbe ate ŋu adzɔ:

• Ʋuʋu ƒe nyawo: Ðewohĩ ɖevi aɖewo mate ŋu azɔ azɔli kura o eye woate ŋu ahiã bunɔkeke. Ame bubuwo ate ŋu ahiã kpekpeɖeŋunu siwo nye ƒumeŋuɖui alo azɔlizɔnu be wòakpe ɖe wo ŋu woazɔ.
• Yagbɔgbɔ ƒe kuxiwo: Kuxi si bɔ ɖe CMD me enye gbɔgbɔtsixe ƒe dɔmawɔmawɔ nyuie atraɖii. Esia tsoa lãmeka siwo kpena ɖe ame ŋu le gbɔgbɔ me ƒe gbɔdzɔgbɔdzɔ gbɔ. Esia ate ŋu abia be woazã mɔ̃ (yagbɔgbɔmɔ̃). Esia ate ŋu ahe nɔnɔmewo abe atelectasis kple aklãdɔ ene vɛ.
• Dzi ƒe kuxiwo: Dzitodzito me dɔléle nye kuxi si bɔ ɖe CMD me. Esia ate ŋu ana dzi nawɔ dɔ atraɖii.
• Lãmetsiŋusẽ ƒe kuxiwo:Ʋuʋudedi ate ŋu ana ame naxɔ ƒunukpeƒetetedɔ, akɔta ƒe akpa si le ƒoƒom, eye ƒu ƒe ʋuʋu kple ƒu ƒe gbagbã ƒe afɔkua nadzi ɖe edzi. Nyaƒoɖeamenu ƒe abi kple ƒunukpeƒetetedɔ (lãmekawo kple lãkusi siwo ƒo xlã ƒunukpeƒe aɖe ƒe sesẽ) hã ate ŋu adzɔ.
• Ahɔhɔ̃mekawo ƒe kuxiwo: Agbenɔnɔ kple dɔléle si nɔa anyi didi ate ŋu ana blanuiléle kple/alo dzimaɖitsitsi nadze viwòa dzi bɔbɔe.

Nukatae `(Congenital Muscular Dystrophy)` sia dzɔna?

Domenyiŋusẽfianu ƒe tɔtrɔ gbɔe esia tsona. Dzɔdzɔmeŋusẽ ƒe tɔtrɔ siawo dzɔna le domenyiŋusẽfianu siwo kpɔa lãmeka siwo le lãmesẽ me le míaƒe ŋutilã me tutuɖo kple wo me léle ɖe te la me. Le domenyiŋusẽfianu ƒe tɔtrɔ siawo ta la, lãmenugbagbevi siwo wosusu be woalé vidzĩa ƒe lãmekawo ɖe te la mete ŋu wɔa woƒe dɔ nyuie o. Esia wɔnɛ be lãmekaawo gbɔdzɔna vivivi le ɣeyiɣi aɖe megbe.

Domenyiŋusẽfianu geɖe li siwo nana lãmekawo wɔa dɔ, eye domenyiŋusẽfianu ƒe tɔtrɔ geɖe li siwo ate ŋu adzɔ. Esia tae lãmekawo ƒe dɔmawɔmawɔ nyuie kple CMD ƒomevi vovovowo li ɖo.

CMD ƒe dɔléle akpa gãtɔ nyea domenyinyi le autosomal recessive pattern me. Kpuie ko la, esia fia be ɖevi nyia domenyiŋusẽfianu ƒe tɔtrɔ si hea dɔlélea vɛ la ƒe dome tso dzila eveawo siaa gbɔ. Esia fia be dzila evea siaa ate ŋu anye amesiwo tsɔ domenyiŋusẽfianu ƒe tɔtrɔa, gake ɖewohĩ womaɖe dzesi aɖeke afia o. Gake ne ɖevia nyi domenyiŋusẽfianu ƒe tɔtrɔ la ƒe dome tso dzila evea siaa gbɔ la, dɔlélea adze egɔme.

CMD ƒe dɔléle aɖewo dzɔna le wo ɖokui si, si fia be domenyiŋusẽfianu ƒe tɔtrɔ dzɔna le vome eye womenyie tso dzila gbɔ o. Woyɔa esia be de novo ƒe tɔtrɔ.

Aleke wowɔa dea dzesi CMD?

Ne Congenital Muscular Dystrophy ƒe dzesiwo le viwòa ŋu (dzesi vevitɔe nye hypotonia) la, wò ɖɔkta awɔ ŋutilãmedɔ, ahɔhɔ̃mekawo ƒe dodokpɔ, kple lãmekawo dodokpɔ gbã. Woate ŋu aɖo viwòa ɖe ɖeviwo ƒe ahɔhɔ̃ŋutinunyala hã be wòadoe kpɔ wòade to wu.

Ne ɖikeke aɖe le nɔnɔme aɖe si woyɔna be ``Congenital Muscular Dystrophy'' ŋu la, wò ɖɔkta ateŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔwo abe:

• Creatine kinase ʋudodokpɔ: Enzyme aɖe si woyɔna be creatine kinase dona ɖe ʋua me ne lãmekawo gblẽ. Eyata ne eƒe agbɔsɔsɔ sɔ gbɔ ɖe ʋua me la, ate ŋu anye lãmekawo ƒe gbɔdzɔgbɔdzɔ ƒe dzesi.
• Electromyography (EMG): Dodokpɔ sia dzidzea elektrikŋusẽ si le viwòa ƒe lãmekawo kple lãmekawo me.
• Domenyiŋusẽfianu dodokpɔwo: Domenyiŋusẽfianu dodokpɔ aɖewo li siwo ate ŋu ade dzesi domenyiŋusẽfianu ƒe tɔtrɔ siwo do ƒome kple lãmekawo ƒe dɔmawɔmawɔ nyuie. Domenyiŋusẽfianu ƒe ƒuƒoƒo siwo me kɔ ate ŋu aɖo kpe CMD ƒomevi tɔxɛa dzi le dɔléle siwo ade 60% me.
• Lãmetsiwo ƒe dɔwɔwɔ:Ðɔktaa ate ŋu axɔ viwòa ƒe lãmeka sue aɖe. Emegbe eŋutinunyala bibi aɖe alé ŋku ɖe eŋu le nusuekpɔmɔ̃ me akpɔe ɖa be lãmekawo ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo le eŋu hã.
• Echocardiogram kple Electrocardiogram (EKG): Dodokpɔ siawo léa ŋku ɖe eŋu be nɔnɔmea (CMD) gblẽ nu le viwòa ƒe dzi ƒe lãmeka ŋu hã.
• Ahɔhɔ̃ ƒe MRI-dɔdamɔnu: Ne anya wɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ ahɔhɔ̃mekawo ƒe MRI. CMD ƒomevi geɖe do ƒome kple nusiwo mesɔ o koŋ le ahɔhɔ̃a ƒe akpa vovovowo.

Dodokpɔ siawo adze nu geɖe na wò. Viwò suea kpɔkpɔ wòanɔ dodokpɔ siawo me tom ate ŋu anye nuteƒekpɔkpɔ si me vevesese le ŋutɔ. Gake nusi wòle be nànyae nye be ɖɔktawo di be yewoana viwòa nakpɔ dɔlélea nyuie ahawɔ atike nyuitɔ kekeake. CMD ƒe dzesiwo ate ŋu asɔ kple dɔléle bubuwo tɔ, abe lãmekawo ƒe dɔléle aɖewo (lãmekawo ƒe dɔmawɔmawɔ nyuie), kple lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe nɔnɔme bubuwo, abe glycogen dzraɖoƒe ƒe dɔlélewo kple mitochondrial dɔlélewo ene. Eyata ele vevie ŋutɔ be woakpɔ dɔlélea nyuie.

Nukae nye atikewɔwɔ na `(CMD)`?

Fifia la, womekpɔ atike aɖeke na dɔléle sia (Congenital Muscular Dystrophy) o. Ke hã, numekulawo yi edzi le agbagba dzem be yewoakpɔ atike aɖe.

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòaɖu dzesiawo dzi eye wòana viwòa ƒe agbenɔnɔ nanyo ɖe edzi. Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le CMD ƒe ƒomevi nu. Esiawo ate ŋu anye:

• Lãmesẽfefewɔwɔ kple dɔdamɔnu: Taɖodzinu vevitɔ si le atikewɔmɔnu siawo ŋue nye be woado ŋusẽ viwòa ƒe lãmekawo ahakeke wo ɖe enu, si kpena ɖe eŋu wòte ŋu nɔa ʋuʋum.
• Corticosteroids: Corticosteroids, abe prednisolone kple deflazacort ene, ate ŋu akpe ɖe ame ŋu wòahe lãmekawo ƒe gbɔdzɔgbɔdzɔ ɖe megbe, ana lãkusi nawɔ dɔ nyuie wu, ana scoliosis nagbɔdzɔ, ana dzitodzito me dɔléle ƒe ŋgɔyiyi nagbɔdzɔ, eye wòana ame ƒe agbenɔƒe nadidi ɖe edzi.
• Kpekpeɖeŋunanuwo le ʋuʋu me: Mɔ̃wo abe atikplɔwo, akɔtaɖonuwo, afɔzɔlawo, kple bunɔkekewo ene ate ŋu akpe ɖe viwòa ŋu wòate ŋu azɔ mɔ eye wòakpe ɖe eŋu wòakpɔ eta tso anyidzedze me.
• Amekoko: Ðewohĩ ahiã be woawɔ dɔ na viwòa be wòaɖe lãmeka siwo le sesẽm la ƒe nyaƒoɖeamenu dzi akpɔtɔ eye wòaɖɔ akɔta ƒe ƒoƒo (scoliosis) ɖo.
• Dzidzikpɔkpɔ: Atikewo abe ACE inhibitors kple/alo beta-blockers ene zazã kaba ate ŋu ana dzitodzito me dɔléle ƒe ŋgɔyiyi nagbɔdzɔ eye wòaxe mɔ ɖe dzi ƒe dɔmawɔmawɔ nyuie nu. Mɔ̃ siwo woyɔna be dzitodzito ƒe dɔwɔwɔ ƒe mɔ̃wo hã ate ŋu akpe ɖe ame ŋu woada dzi ƒe tsotso ƒe kuxiwo kple dzi ƒe dɔmawɔmawɔ nyuie.
• Nuƒoƒo ƒe atikewɔwɔ: Esia ate ŋu akpe ɖe ɖevi siwo nuƒoƒo kple/alo nu mimi sesẽna na ŋu.
• Yagbɔgbɔ ƒe beléle: Mɔ̃ siwo kpena ɖe kɔdzi ŋu kple yagbɔgbɔmɔ̃wo ate ŋu akpe ɖe ame ŋu le gbɔgbɔ me. Ne gbɔgbɔtsixe tsia ame ƒo la, ate ŋu ahiã be woaɖe ya si woyɔna be tracheostomy (wodea mɔ̃ aɖe me to do aɖe si le kɔ me me be wòakpe ɖe ame ŋu wòagbɔ ya) kple ya si woatsɔ akpe ɖe eŋu.

Ðewohĩ viwòa ate ŋu akpɔ gome le CMD ƒe dɔdamɔnu dodokpɔ aɖe hã me. Ƒo nu kple viwòa ƒe atikewɔlawo ƒe ƒuƒoƒo be nàkpɔe ɖa be esia nye tiatia na wò hã.

Atikewɔlawo ƒe ƒuƒoƒo si le dɔ dam na `(CMD)`

Ðewohĩ eŋutinunyalawo kple lãmesẽdɔwɔlawo ƒe ƒuƒoƒo aɖe anɔ dɔ wɔm be woakpɔ viwòa ƒe nɔnɔmea (CMD) gbɔ. Esiawo ate ŋu anye eŋutinunyala bibiwo abe:

• Ðeviwo ƒe dɔdalawo
• Ðeviwo ƒe ahɔhɔ̃ŋutinunyalawo
• Ðeviwo ƒe lãmesẽŋutinunyalawo (Lãmesẽŋutinunya kple Gbugbɔgaɖɔɖo Ŋuti Nunyalawo) .
• Domenyiŋusẽfianuŋutinunyalawo
• Ðeviwo ƒe ƒumeŋutinunyalawo
• Ðeviwo ƒe kamededeŋutinunyalawo
• Ðeviwo ƒe dɔdamɔnufialawo
• Ðeviwo ƒe nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyalawo
• Ðeviwo ƒe dzidɔŋutinunyalawo
• Ðeviwo ƒe aklãŋutinunyalawo
• Ðeviwo ƒe susuŋutinunyalawo
• Hadomegbenɔnɔ ŋuti dɔwɔlawo

Nukae anye vidzĩ si ŋu `(CMD)` le ƒe etsɔme?

Esesẽna na numekulawo kple ɖɔktawo be woagblɔ etsɔme (nusi míeyɔna be nyagblɔɖi) na vidzĩ si ŋu Congenital Muscular Dystrophy le. Viwòa ƒe atikewɔlawo ƒe ƒuƒoƒo ana nyatakaka geɖe wò alesi nàte ŋui ku ɖe nusiwo nàkpɔ mɔ na esime viwòa le woƒe dzikpɔkpɔ te ŋu.

Le goawo katã me la, lãmekawo ƒe dɔmawɔmawɔ nyuie si wodzina la nu sẽna wu eye wòdzɔna kabakaba wu lãmekawo ƒe dɔmawɔmawɔ nyuie si dzea egɔme le ɖevimenɔɣi alo ƒewuiwo ƒe nuwuwu.

Ðevi siwo dzi lãmekawo ƒe dɔmawɔmawɔ nyuie le ƒe agbenɔƒe nɔ te ɖe alesi nɔnɔmea gblẽna kabakabae kple lãmeka siwo ŋu wògblẽa nu le dzi. Nusiwo koŋ nana ame kuna le nɔnɔme siawo tae nye gbɔgbɔtsixe alo dzitodzito me kuxi siwo lãmekawo ƒe gbɔdzɔgbɔdzɔ hena vɛ.

Ðe woate ŋu aƒo asa na `(CMD)`a?

Esi wònye be Congenital Muscular Dystrophy nye domenyiŋusẽfianu ƒe dɔléle ta la, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe enu abe alesi wòle fifia ene o.

Hafi nàdze agbagba be yeadzi vi la, ne ètsi dzi ɖe lãmekawo ƒe dɔmawɔmawɔ nyuie alo domenyiŋusẽfianu ƒe dɔléle bubuwo tsɔtsɔ na ame ŋu la, .Ðo dze kple wò ɖɔkta tso domenyiŋusẽfianu ŋuti aɖaŋuɖoɖo ŋu. Le go aɖewo me la, dodokpɔ wɔwɔ do ŋgɔ na vidzidzi le fufɔfɔ ƒe gɔmedzedze ate ŋu akpe ɖe ame ŋu wòade dzesi nɔnɔmea.

Aleke mate ŋu akpe ɖe vinye ŋu le `(CMD)` me?

Ne Congenital Muscular Dystrophy le viwòa ŋu la, ele vevie be nàʋli wo ta be woakpɔ egbɔ be woxɔ atikewɔwɔ nyuitɔ kekeake kple atikewɔwɔ geɖe alesi woate ŋui. Ne èʋli beléle ma tɔgbe ta la, àte ŋu akpe ɖe wo ŋu be woanɔ agbe nyuitɔ kekeake.

Mia kple wò ƒomea miate ŋu abu eŋu hã be yewoage ɖe kpekpeɖeŋunaha aɖe si me miate ŋu ado go ame siwo to nuteƒekpɔkpɔ mawo tɔgbe me le. Teƒe siawo tɔgbe ate ŋu ana ŋusẽ nanɔ ŋuwò le susu me, nyatakaka yeyewo, kple nu geɖe si nàte ŋu asrɔ̃ tso ame bubuwo ƒe nuteƒekpɔkpɔwo me.

Ɣekaɣie wòle be vinye si ŋu `(CMD)` le nayi ɖɔkta gbɔ?

Ne CMD le viwòa ŋu la, ele be woado go kple woƒe atikewɔlawo ƒe ƒuƒoƒoa edziedzi be woawɔ atike nɛ ahalé ŋku ɖe woƒe dzesiwo ŋu. Mègato ɣeyiɣi siwo woawɔ be nàkplɔe ɖo abe alesi wò ɖɔkta kafui ene o.

Nya kawoe wòle be mabia vinye ƒe ɖɔkta?

Ne wokpɔe be CMD le viwòa ŋu la, anyo be nàbia nya siawo:

• `(CMD)` ka ƒomevie le vinyea si?
• Atikewɔwɔ kae nèkafu?
• Nukae nye eŋutinunyala bibi siwo wòle be vinyea nakpɔ la ƒe ŋkɔ bliboa?
• Ðe nèléa kadodo me ɖe asi kple eŋutinunyala bibi bubuwoa?
• Nukae mate ŋu awɔ le aƒeme be vinyea ƒe agbenɔnɔ nanyo ɖe edzi? (e.g. kamedede, nuɖuɖu) .
• Ðe numekuku yeye aɖe li le `(CMD)` ŋua?
• Ðe CMD ƒe dɔdamɔnu dodokpɔ yeye aɖewo li siwo vinye ate ŋu adze naa?
• Àte ŋu akafu kpekpeɖeŋunaha aɖea?

Nu vevitɔ kekeake siwo míedi be míatsɔ ayi aƒemee tso ŋutinya sia mee nye

Enye nusi sɔ be nàse le ɖokuiwò me be yegbɔdzɔ eye yetsi dzimaɖi ne wokpɔ dɔléle si nye Congenital Muscular Dystrophy (CMD) le viwò ŋu. Gake ɖo ŋku edzi be viwòa ƒe atikewɔlawo ƒe ƒuƒoƒoa ana viwòa ƒe dɔdzikpɔkpɔ ƒe ɖoɖo sesẽ aɖe si sɔ na wò ŋutɔ. Ele vevie be nàkpɔ egbɔ be wò, viwò, kple wò ƒomea xɔ kpekpeɖeŋu si wohiã, eye wò susu nanɔ viwòa ƒe lãmesẽ ŋu. Viwò ƒe atikewɔlawo ƒe ƒuƒoƒo le afisia be yewoakpe ɖe ŋuwò, viwòa, kple wò ƒomea ŋu le mɔa ƒe afɔɖeɖe ɖesiaɖe me. Mègatsi dzi o, menye wò ɖeka koe o.

` Congenital Muscular Dystrophy, CMD, lãmekawo ƒe gbɔdzɔgbɔdzɔ, domenyiŋusẽfianu ƒe dɔléle, ɖevimedɔlélewo, hypotonia, lãmekawo ƒe gbegblẽ, ɖeviwo ƒe lãmesẽ