Ðewohĩ wò ɖɔkta gblɔ na wò be ɖewohĩ dɔléle aɖe si woyɔna be myopathy le ŋuwò. Enye nusi sɔ be nyabiase geɖe nava susu me na wò ne èse nya ma. Nuka tututue nye myopathy? Ðe wònye nusi wòle be woavɔ̃ na? Ðe atike aɖe li na esia? Mina míaƒo nu tso eŋu bɔbɔe eye eme nakɔ.
Kpuie ko la, nukae nye myopathy?
Myopathy nye ŋkɔ si wotsɔ na dɔlélewo ƒe ƒuƒoƒo aɖe si gblẽa nu le míaƒe ŋutilã ƒe ƒunukpeƒewo ŋu . Dɔléle siawo gblẽa nu le lãmeka siwo le míaƒe lãmekawo me ŋu eye wogbɔdzɔna. Nɔnɔme sia ate ŋu anɔ ame dzi le edziɣi alo adze egɔme le eƒe tsitsime.
Fifia ɖewohĩ ànɔ nusi ƒunukpeƒeŋusẽwo nye ŋu bum. Ele bɔbɔe ŋutɔ. Woawoe nye lãmeka siwo lé ɖe míaƒe ƒunukpeƒewo ŋu eye míate ŋu aɖu wo dzi ahaʋuʋu alesi míedi. Bu eŋu kpɔ, ne èkɔ alɔ ɖe dzi, bɔbɔ afɔ, zɔ, ƒo nu... ƒunukpeƒeŋusẽ siawo kpena ɖe esiawo katã ŋu. Lãmetsi siwo sɔ gbɔ wu le míaƒe ŋutilã me la nye esia ƒomevi. Eyata ne ŋkudɔ aɖe dzɔ la, gbesiagbedɔ siawo wɔwɔ gɔ̃ hã ate ŋu asesẽ.
Nukawoe nye lãmekawo ƒe dɔléle ƒomevi veviwo?
Woate ŋu ama lãmekawo ƒe dɔlélewo ɖe hatsotso vevi eve me: esiwo ƒe dome wonyi kple esiwo woxɔ. Mina míalé ŋku ɖe ƒomevi siawo ŋu ɖe vovo.
| Lãmetsiŋusẽ ƒe dɔléle ƒomevi | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| 1. Myopathies si ƒe domenyinyi Ƒomevi siwo ƒe dome wonyi tso dzilawo gbɔ to domenyiŋusẽfianu ƒe tɔtrɔ me. | |
| Dɔnɔdzikpɔƒe ƒe Myopathies | Zi geɖe la, esiawo dzena abe dzesiwo ene le vidzĩ alo ɖevi sue aɖe me. Mɔ̃ɖaŋununya abe ʋuʋudedi kple azɔlizɔzɔ ene ate ŋu ahe ɖe megbe. Zi geɖe la, egblẽa nu le ƒunukpeƒeŋusẽ siwo katã le ŋutilãa me ŋu, eye nɔnɔmea megagblẽna ɖe edzi le ɣeyiɣi aɖe megbe o. |
| Mitochondrial Myopathies ƒe Dɔlélewo | Etsoa gbɔdzɔgbɔdzɔ siwo le mitochondria, míaƒe lãmenugbagbeviwo ƒe "ŋusẽkpɔƒe" siwo naa ŋusẽ me gbɔ. Tsɔ kpe ɖe lãmekawo ƒe gbɔdzɔgbɔdzɔ ŋu la, ate ŋu agblẽ nu le dzi, ahɔhɔ̃, kple nuɖuɖumeŋusẽ hã ŋu. Kpɔɖeŋu aɖewoe nye Kearns-Sayre ƒe dɔléle , MELAS , kple MERRF . |
| Lãmetsiwo ƒe Dɔmawɔmawɔ nyuie | Le nɔnɔme siawo me la, lãmekawo ƒe gbɔdzɔgbɔdzɔ dzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe. Nɔnɔme sia tsoa lãmekawo ƒe gbagbã le protein siwo doa alɔ lãmekawo ƒe gbagbã ta. |
| Lãmetsiŋusẽ ƒe Myopathies | Esia nye nɔnɔme si me lãmekawo gbɔdzɔna zi ɖeka le kamedede alo lãmekawo ƒe tete me. Domenyiŋusẽfianu siwo wɔa enzyme aɖewo ƒe gbegblẽ gbɔe nɔnɔme sia tsona. |
| 2. Myopathies Siwo Woxɔ Ƒomevi siwo dzɔna emegbe le agbe me le gotagome nusiwo gbɔ wòtso ta. | |
| Dɔlélenutsiŋutete/Dɔléle ƒe Myopathy | Mía ŋutɔwo ƒe dɔlélenutsiŋutete si dzea lãmekawo dzi ƒe kuxi aɖe gbɔe wòtso. |
| Aɖi ƒe Myopathy | Ate ŋu atso aɖi aɖewo gbɔ (e.g., ahanono fũu akpa) alo atike aɖewo. |
| Endocrine Myopathy ƒe Dɔléle | Kuxi siwo le lãmenugbagbeviwo ƒe dɔwɔwɔ, si kpɔa lãmetsiŋusẽ siwo le míaƒe ŋutilã me dzi la gbɔe wotsona. Esiawo ate ŋu atso dɔléle siwo le thyroid gland alo adrenal glands me gbɔ. |
| Myopathy si Xɔa Dɔlékuiwo | Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ le dɔlékui, dɔlékui, dɔlékui, alo fungi ƒe dɔléle ta. |
| Dɔléle Veviwo ƒe Myopathy le Dɔnɔdzikpɔƒe si Kpɔa Dɔléle Sesẽwo Gbɔ | Ate ŋu adzɔ le atikewɔwɔ me le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU). Wosusu be nɔnɔme ɖeka me nɔnɔ ɣeyiɣi didi aɖe gbɔe wòtso. Lãmetsi siwo kpena ɖe ame ŋu le gbɔgbɔ me koŋue wògblẽa nu le. |
Nukawoe nye lãmekawo ƒe dɔléle ƒe dzesi siwo bɔ?
Dzesi vevitɔ si bɔ ɖe lãmekawo ƒe dɔléle ƒomevi ɖesiaɖe me enye lãmekawo ƒe gbɔdzɔgbɔdzɔ . Wosea esia zi geɖe le abɔta, abɔta, kple ata. Tsɔ kpe ɖe eŋu la, dzesiwo abe:
- Lãmetsiwo ƒe ʋuʋu kple woƒe sesẽ
- Lãmetsiwo ƒe ʋuʋu
- Ŋusẽ si mebɔ o
- Ðeɖiteameŋu ƒe seselelãme kabakaba le dɔ suewo wɔwɔ vɔ megbe gɔ̃ hã
Le lãmekawo ƒe gbɔdzɔgbɔdzɔ sia ta la, gbesiagbedɔ bɔbɔewo abe awudodo, tsilele, ɖa ƒoƒo, atrakpuiwo lialia, kple tsitretsitsi tso aba dzi gɔ̃ hã ate ŋu anye kuxi.
Dzesi tɔxɛ aɖewo hã le lãmekawo ƒe dɔléle ƒomevi aɖewo ŋu. Le kpɔɖeŋu me, le lãmekawo ƒe dɔmawɔmawɔ nyuie me la, lãmekawo ƒe gbɔdzɔgbɔdzɔ dzina ɖe edzi vivivi. Zi geɖe la, gbɔdzɔgbɔdzɔ sia dzea egɔme tso mo, akɔta, kple abɔta.
Aleke wokpɔa lãmekawo ƒe dɔléle?
Esi wònye be dɔléle geɖe li siwo gblẽa nu le lãmekawo kple lãmekawo ŋu le míaƒe ŋutilã me ta la, ehiã be míawɔ dodokpɔ geɖe hafi woate ŋu anya lãmenugbagbeviwo ƒe dɔmawɔmawɔ nyuie. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema.
| Dodokpɔa ƒe ŋkɔ | Kpuie ko la,... |
|---|---|
| Domenyiŋusẽfianu Dodokpɔ | Wozãa ʋu alo aɖuɖɔ tsɔ léa ŋku ɖe eŋu nenye be nu gblẽ le wò domenyiŋusẽfianu ŋu. |
| Nu Gbagbewo ƒe Domenyiŋusẽfianu Dodokpɔ | Wodoa ʋu, aɖuɖɔ, alo aklã me tsi kpɔna be woakpɔ enzyme ƒe dɔmawɔmawɔ nyuie hã. |
| CT Scan (Kɔmpiuta dzi Tomenukuku) . | Woɖea X-ray siwo kplɔ wo nɔewo ɖo tsɔ wɔa ƒuwo, ʋukawo, kple lãkusi falɛfalɛwo ƒe nɔnɔmetata blibo si le 3D me. |
| Akɔta ƒe ʋuʋu | Wotsɔa aŋe sue aɖe dea akɔtaƒu eve siwo le akɔta ƒe akpa si le anyime dome eye woxɔa ahɔhɔ̃mekawo me tsi (CSF) hedonɛ kpɔna. |
| MRI-dɔdamɔnu (Magnetic Resonance Imaging) . | Wozãa magnet-ŋusẽ sesẽ aɖe kple radio-ƒutsotsoewo tsɔ xɔa ŋutinuwo, lãkusiwo, kple ƒunukpeƒewo ƒe nɔnɔmetata tsitotsito. |
| Lãmetsiŋusẽ Kple Lãmetsiwo Ŋuti Numekuku | Be woadoe kpɔ la, wowɔa dɔ na lãmenugbagbevi sue aɖe le lãmeka alo lãmeka si ŋu nya ku ɖo me heɖonɛ ɖe nudokpɔƒe. |
| Lãmetsiŋusẽ ƒe Ʋuʋu Ŋuti Nusɔsrɔ̃wo | Elektrodwo blana ɖe ŋutigbalẽa ŋu, si doa ŋusẽ lãmekawo eye wodzidzea alesi elektrikŋusẽ ƒe dzesiwo toa wo me kabakabae. Esia kpena ɖe ame ŋu wònya ne kuxi aɖe le lãmekawo ŋu. |
| Elektrikŋusẽŋutinunya (EMG) . | Wotsɔa elektrikŋusẽnamɔ̃ suewo dea lãmekaawo me eye wodzidzea elektrikŋusẽ ƒe dɔwɔwɔ ne lãmekaa le ʋuʋum hele ʋuʋum. Esia ate ŋu akpe ɖe ame ŋu hã be míanya ne lãmekawo ŋutɔ mee kuxia le. |
Nukawoe nye lãmekawo ƒe dɔléle ƒe atikewo?
Lãmetsiŋusẽ ƒe dɔdamɔnu nɔ te ɖe lãmekawo ƒe dɔléle ƒomevi si le ŋuwò dzi bliboe.
Atike aɖeke meli na lãmekawo ƒe dɔléle akpa gãtɔ siwo ƒe dome wonyi o . Gake woate ŋu akpɔ dzesiawo gbɔ eye woate ŋu ana agbea nanɔ bɔbɔe to atikewɔwɔwo abe kamedede ene dzi . Woate ŋu atsɔ atikewo hã ada ƒomevi aɖewo abe Duchenne lãmekawo ƒe dɔmawɔmawɔ nyuie kple Pompe dɔléle ene.
Zi geɖe la, wodaa lãmekawo ƒe dɔléle siwo woxɔ to nusi gbɔ wòtso la dada me . Le kpɔɖeŋu me, wodaa lãmenugbagbeviwo ƒe lãmenugbagbeviwo ƒe dɔléle to lãmetsiŋusẽ ƒe agbɔsɔsɔ si li ke me. Le nɔnɔmea ƒe sesẽ nu la, kamedede hã ate ŋu ahiã le nɔnɔme siawo me.
Vevietɔ wu la, wò ɖɔktae atso nya me le atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake si woawɔ na wò nɔnɔmea ŋu, eyata gblɔ nusianu nɛ faa eye nàɖi anukware nɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Myopathy menye ahɔhɔ̃mekawo ƒe dɔléle o, ke boŋ enye dɔléle si gblẽa nu le lãmekawo ŋu .
- Esia ƒomevi geɖewo li; ɖewo nɔa anyi le wo dzidzi me, evɔ bubuwo ya tsina le woƒe tsitsime.
- Dzesi vevitɔe nye lãmekawo ƒe gbɔdzɔgbɔdzɔ, si ate ŋu ana nuwo abe azɔlizɔzɔ kple nu kɔkɔ ene nasesẽ.
- Ðewohĩ ahiã be woawɔ dodokpɔ vovovowo, abe ʋudodokpɔ, scan, kple biopsies ene, be woate ŋu anya dɔlélea nyuie.
- Atikewɔwɔa nɔ te ɖe lãmekawo ƒe dɔléle ƒomevi si le ŋuwò dzi, eyata yi wò ɖɔkta gbɔ ɣesiaɣi hena aɖaŋuɖoɖo nyuitɔ.
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