Kodi mudamvapo za matenda a MELAS Syndrome? Mwina ayi. Chifukwa ndi vuto losowa, zomwe zikutanthauza kuti silimaonekera kawirikawiri. Koma ndikofunikira kwambiri kudziwa za matendawa. Chifukwa amatha kukhudza mitsempha yathu, minofu, ndi ziwalo zina zofunika m'thupi. Lero, tikambirana za matendawa mwatsatanetsatane, mwachidule, m'njira yomwe mungamvetse.
Kodi matenda a MELAS ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, MELAS Syndrome ndi vuto lomwe limachitika pamene tinthu tating'onoting'ono mkati mwa maselo athu otchedwa
mitochondria sitigwira ntchito bwino. Taganizirani izi ngati tinthu tating'onoting'ono tomwe timapanga mphamvu ya maselo athu. Tinthu tating'onoting'ono tomwe timagwira ntchito bwino, thupi lonse limamva. Mawu akuti MELAS amapangidwa pophatikiza zizindikiro zingapo zofunika za matendawa:
- Mitochondrial encephalomyopathy: Izi zikutanthauza matenda omwe amakhudza ubongo ndi minofu yokhudzana ndi mitochondria .
- Lactic acidosis: Izi zimachitika pamene mankhwala otchedwa lactic acid amaunjikana m'thupi lathu. Kawirikawiri, lactic acid imapangidwa ngati chinthu china tikamagwiritsa ntchito chakudya chomwe timadya kuti tipange mphamvu, koma pa matendawa, imaunjikana mopitirira muyeso.
- Zochitika zofanana ndi sitiroko : Izi ndizofala kwambiri. Zikuoneka kuti zili ndi zizindikiro zofanana ndi sitiroko , koma kwenikweni si sitiroko. Izi zitha kuchitika mobwerezabwereza.
Imeneyi ndi
matenda a majini , kutanthauza kuti ndi chinthu chomwe timabadwa nacho. Koma nthawi zambiri zizindikiro zimayamba pang'ono pang'ono. Anthu ambiri amayamba kusonyeza zizindikiro ali ndi zaka 20 kapena kupitirira apo. Koma kwa anthu ena, zizindikirozi zimatha kuwonekera kale, monga zaka ziwiri pambuyo pake, ndipo kwa ena, ngakhale atakwanitsa zaka 40.
Kodi vutoli ndi lofala bwanji?
Matenda a MELAS si matenda ofala kwambiri. Akuti pafupifupi
munthu m'modzi pa anthu 4,000 ali ndi vutoli. Ngakhale kuti lingakhudze aliyense, chinthu chapadera ndichakuti
matendawa amangochokera kwa mayi. Sapatsiridwa kuchokera kwa bambo kupita kwa mwana.
Kodi zizindikiro za MELAS Syndrome ndi ziti?
Monga tanenera kale, popeza mitochondria imapezeka pafupifupi mu selo iliyonse m'thupi lathu, MELAS Syndrome imatha kukhudza chiwalo chilichonse kapena minofu. Chifukwa chake, zizindikiro zimatha kusiyana kwambiri kuchokera kwa munthu ndi munthu. Komabe, kwa anthu ambiri, zizindikirozo sizokwanira kuyambitsa zizindikiro za mitsempha.
Matenda a shuga ndi kulephera kumva bwino zitha kuoneka. Ichi ndi chitsanzo chaching'ono choganizira za matendawa. Mavuto ndi zizindikiro zokhudzana ndi ubongo (mitsempha)
Izi zimachitika makamaka chifukwa cha zochitika zofanana ndi sitiroko. Nazi zina zomwe zingachitike:- Pali kusintha kwadzidzidzi kwa khalidwe .
- Maganizo amasokonezeka , osatha kumvetsa zomwe zikuchitika.
- Kumva chizungulire kapena kutaya mphamvu .
- Chiwalo chimodzi cha thupi, mwachitsanzo mkono kapena mwendo, chimafooka (kupuwala) .
- Zimakhala ngati dzanzi kapena kunjenjemera mbali imodzi ya thupi.
- Mutu umabwera ndi kutuluka, ndipo nthawi zina pangakhale kusintha kwa masomphenya kapena kulankhula .
- Kukomoka kukubwera ( kugwidwa ndi khunyu ) .
- Mawu osavuta , zovuta kulankhula.
- Mavuto a masomphenya amapezeka - masomphenya awiri kapena kutayika kwathunthu kwa masomphenya.
- Kumva kufooka mbali imodzi ya thupi.
Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikirozi nthawi imodzi, musanyalanyaze. Ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo.
Zizindikiro zomwe zimakhudza ziwalo zina za thupi
Kuwonjezera pa zizindikiro zokhudzana ndi ubongo, matendawa amathanso kukhudza ziwalo zina za thupi.- Kutalika kwa thupi - Anthu ena akhoza kukhala afupikitsa kuposa anthu wamba.
- Kusanza mobwerezabwereza .
- Kupweteka m'mimba .
- Ndikumva kutopa kwambiri, ngati kuti ndilibe mphamvu zochitira chilichonse.
- Kupweteka kwa minofu , komwe kumatanthauza kuti minofu ikugwedezeka.
Nchifukwa chiyani matenda a MELAS amachitika? Kodi chifukwa chake ndi chiyani?
Chifukwa chachikulu cha izi ndi kusintha kwina kwa majini athu (kusiyana kwa majini) . Mukudziwa, malangizo omwe maselo athu onse amafunika kuti agwire ntchito ali mu DNA yathu. Ngati pali kusintha kulikonse, kapena kusintha kulikonse, mu sitolo iyi yosungiramo chidziwitso yotchedwa DNA, maselo sangathe kugwira ntchito bwino. Zomwezo zimachitikanso mu MELAS Syndrome. Chofunika ndichakuti, ngati muli ndi MELAS Syndrome, mumalandira kusintha kwa majini kuchokera kwa amayi anu.Izi zimachitika chifukwa cha kusintha kwa DNA mu mitochondria. Ndani amene ali pachiwopsezo chachikulu cha izi?
Choopsa chachikulu cha matendawa ndi mbiri ya banja . Izi zikutanthauza kuti ngati mayi kapena wachibale wa mayi ali ndi matendawa, pali chiopsezo chakuti ana nawonso adzadwala matendawa. Kodi mavuto omwe angakhalepo chifukwa cha matenda a MELAS ndi ati?
Matenda a MELAS si chinthu chomwe chimangokhala ndi zizindikiro zochepa chabe kenako n’kutha. Chingayambitse mavuto ena, kutanthauza mavuto ena azaumoyo.- Zingayambitse chilema cha nzeru komanso mwina matenda a dementia .
- Matenda a shuga (Diabetes Mellitus) .
- Mavuto akumva , mwina ngakhale kutaya kumva konse.
- Mavuto a minofu - zinthu monga kupweteka kwa minofu, kulephera kulamulira minofu.
- Mavuto a kuyenda ndi kulinganiza zinthu .
- Kutaya masomphenya .
- Mavuto a chiwindi .
Mavuto ngati amenewa amapangitsa kuti kukhala ndi matendawa kukhale kovuta. Kodi madokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, dokotala adzakufunsani kaye za zizindikiro zanu komanso ngati pali aliyense m'banja mwanu amene wakhalapo ndi matendawa (mbiri ya matenda). Kenako adzalamula mayeso osiyanasiyana. Mayeso ozindikira matenda:
- Mayeso a majini: Izi ndi zomwe zimatsimikizira ngati kusintha kwa majini kulipo.
- Mayeso ojambulira: Mwachitsanzo , MRI (Magnetic Resonance Imaging) scan ingachitike kuti ione momwe ubongo ulili. Izi zingathandizenso kuwona kuwonongeka kwa ubongo komwe kumachitika chifukwa cha matenda ofanana ndi sitiroko.
- Kuyezetsa madzi a m'mitsempha, mkodzo, ndi magazi: Izi zitha kuwona zinthu monga kuchuluka kwa lactic acid.
- Kufufuza minofu: Nthawi zina, ngati pakufunika, kachidutswa kakang'ono ka minofu kamatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti awone ngati pali kusintha kulikonse mu mitochondria.
Kodi mankhwala a MELAS Syndrome ndi ati?
Mwatsoka, pakadali pano palibe mankhwala a MELAS Syndrome. Izi zikutanthauza kuti palibe mankhwala okhazikika. Komabe, pali mankhwala omwe angathandize kuwongolera zizindikiro ndikukweza moyo wabwino . Madokotala amayesetsa kuchepetsa mphamvu ya zizindikirozi. Mankhwala a zizindikiro:
Dokotala wanu angakulangizeni mankhwala monga awa:- Mankhwala oletsa khunyu: Komabe, mankhwala a khunyu otchedwa valproate si oyenera odwalawa, choncho madokotala adzalemba mankhwala ena oyenera.
- Coenzyme Q10 kapena L-carnitine: Izi ndi zinthu zofanana ndi mavitamini zomwe amakhulupirira kuti zimawonjezera kupanga mphamvu mu mitochondria ndikuchepetsa kupita patsogolo kwa matendawa.
- L-arginine ndi L-citrulline: Awa ndi ma amino acid. Kafukufuku wasonyeza kuti angathandize kuchepetsa kuchuluka kwa zochitika zofanana ndi sitiroko komanso kuchepetsa kuwonongeka komwe kumayambitsa ku ubongo.
- Insulini kapena Metformin: Ngati muli ndi matenda a shuga, mankhwala awa angaperekedwe kuti achepetse shuga.
- Katemera: Anthu omwe ali ndi matenda a MELAS ayenera kulandira katemera wawo waubwana mwachangu. Ndikofunikanso kulandira katemera wa COVID-19, katemera wa chimfine, ndi katemera wa chibayo chaka chilichonse, chifukwa matenda amatha kukulitsa vuto lawo.
Mankhwala osagwiritsa ntchito mankhwala:
Kuwonjezera pa mankhwala, dokotala angakupatseni malangizo ena monga:- Kuchita masewera olimbitsa thupi kuti kulimbitsa minofu ndikupitiriza kugwira ntchito bwino.
- Ngati muli ndi vuto la kumva, mutha kupeza thandizo kuchokera ku zipangizo monga cochlear implants .
Ngati ndili ndi matenda a MELAS, ndiyenera kuyembekezera chiyani?
Popeza uwu ndi matenda osachiritsika, muyenera kulimbana ndi vutoli moyo wanu wonse . Sizophweka, koma zitha kuchitika ndi upangiri woyenera wachipatala komanso chithandizo. Popeza matendawa amatha kukhudza chiwalo chilichonse kapena minofu m'thupi, mungafunike thandizo la gulu la opereka chithandizo chamankhwala . Mwachitsanzo:- Akatswiri a za ubongo
- Akatswiri a majini
- Akatswiri a mtima
- Akatswiri a zamaganizo - othandizira kugwira ntchito kwa minofu ndi mafupa
- Akatswiri a zamaganizo pantchito - anthu omwe amathandiza anthu kuchita ntchito za tsiku ndi tsiku mosavuta
- Akatswiri olankhula - ochiza mavuto olankhula
- Ogwira ntchito zachitukuko - othandizira zamaganizo ndi zachikhalidwe
Kuphatikiza apo, kulowa m'gulu lothandizirana kungakuthandizeni kwambiri inu ndi banja lanu. M'magulu otere, mutha kugawana zomwe mwakumana nazo, kupeza chidziwitso, komanso kupeza mphamvu kuchokera kwa ena omwe akukumana ndi mavuto ofanana. Kodi mungakhale ndi moyo wautali bwanji ndi matenda a MELAS?
Funso limene anthu ambiri amafunsa ndi ili. N'zovuta kupereka yankho lolondola la funso lakuti "Kodi munthu amene ali ndi matenda a MELAS Syndrome angakhale ndi moyo kwa nthawi yayitali bwanji?". Izi zili choncho chifukwa zimasiyana kwambiri malinga ndi munthu ndi munthu. Anthu ena ali ndi zizindikiro zochepa, ena amakhala ndi zizindikiro zambiri. Mayankho a chithandizo amasiyananso. Ngakhale m'banja lomwelo, mtundu wa zizindikiro ndi kuchuluka kwa matendawa zimatha kusiyana. Komabe, tiyenera kumvetsetsa zoona zake. Matenda a MELAS ndi matenda omwe nthawi zina amatha kupha. Izi zikutanthauza kuti amatha kupha anthu. Ndicho chifukwa chake ndikofunikira kudziwa bwino za matendawa ndikuwasamalira bwino momwe angathere. Kodi izi zingapewedwe?
Mwatsoka, pakadali pano palibe njira yopewera matenda a MELAS Syndrome chifukwa ndi matenda a majini. Komabe, ngati wina m'banjamo ali ndi vuto lobadwa nalo ngati ili, ndikofunikira kwambiri kuti m'banjamo akakumane ndi mlangizi wa majini ndikupempha upangiri. Akhoza kupereka chidziwitso chokhudza chiopsezo cha ana amtsogolo kutenga matendawa komanso njira zomwe angatenge kuti apewe matendawa. Kodi ndimadzisamalira bwanji ngati munthu amene ali ndi matenda a MELAS?
Ngati muli ndi matenda a MELAS, ndikofunikira kwambiri kuti muzisamalira bwino.- Tsatirani malangizo a dokotala wanu molondola. Pitani kuchipatala pa nthawi yake, imwani mankhwala omwe mwapatsidwa molondola. Dokotala angakuuzeni kuti mukamuone kamodzi pachaka.
- Mayeso ena ayenera kuchitidwa chaka chilichonse . Mwachitsanzo:
- Matenda a mtima
- Kuchuluka kwa shuga m'magazi
- Kumva
- Maso
- Muyenera kusiya kumwa mowa ndi kusuta fodya, chifukwa zinthuzi zimatha kuwononga kwambiri mitochondria.
- Pezani jakisoni wa chimfine chaka chilichonse, jakisoni wa chibayo, ndi jakisoni wina woperekedwa ndi dokotala wanu pa nthawi yake.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Ndizachibadwa kumva chisoni kwambiri mukamva kuti inu kapena mwana wanu ali ndi matenda a mitochondria. Mwina simunamvepo za mitochondria kale. Ndicho chifukwa chake ndikofunikira kupeza chidziwitso chomveka bwino chokhudza MELAS Syndrome ndi tanthauzo la kukhala nayo. Funsani gulu lanu lachipatala za zonsezi. Musamaope kufunsa mafunso. Nazi mafunso ena omwe mungafunse:- "Kodi zizindikiro kapena zizindikiro ziti zomwe zikusonyeza kuti pakubwera ngozi yachipatala?"
- "Ngati chinachake chonga ichi chichitika, kodi ndiyimbire dokotala kapena ndipite molunjika ku chipinda chadzidzidzi?"
- "Kodi pali njira zina zapadera zopezera chakudya zomwe zingathandize pa vutoli?"
- "Ndi mankhwala kapena mankhwala ati omwe mukundipangira? Kodi zotsatirapo zake zingakhale zotani?"
- "Kodi banja langa liyenera kupatsidwa uphungu wa majini?"
- "Kodi ndine woyenera kutenga nawo mbali mu mayeso azachipatala?"
- "Kodi mungandipatse lingaliro la gulu lothandizira lomwe ine ndi banja langa tingapiteko?"
Funsani mafunso onse omwe mukufuna ndipo pezani mayankho omwe mukufuna. Pezani chithandizo chokwanira kuchokera kwa madokotala anu, abale anu, ndi anzanu. Kumva kuti mukuthandizidwa, komanso kulandira chithandizo, kungapangitse kusiyana kwakukulu paulendowu. Zinthu zomwe tiyenera kukumbukira kuchokera apa (Uthenga Wopita Nawo Kunyumba)
Chabwino, tiyeni tikambirane mfundo zofunika kwambiri zomwe takambirana lero:- Matenda a MELAS ndi matenda osowa koma oopsa omwe amayamba chifukwa cha kulephera kugwira ntchito bwino kwa mitochondria, maselo opanga mphamvu m'maselo athu.
- Zimakhudza kwambiri mitsempha ndi minofu. Zizindikiro zazikulu ndi matenda ofanana ndi sitiroko komanso kuchuluka kwa lactic acid m'thupi.
- Matendawa amatha kutengera kwa mayi kupita kwa mwana.
- Ngakhale pakadali pano palibe mankhwala athunthu, pali mankhwala ochiritsira zizindikiro ndikuwongolera moyo wabwino.
- Chithandizo cha akatswiri azachipatala, chithandizo cha mabanja, ndi magulu othandizira ndizofunikira kwambiri mukakhala ndi matendawa.
- Musazengereze kufunsa mafunso, kufunafuna chidziwitso, ndikupeza thandizo lomwe mukufuna.
Matenda a MELAS akhoza kukhala oopsa mukamva dzinalo. Komabe, chofunika kwambiri ndikukhala ndi chidziwitso chokwanira, kutsatira malangizo a dokotala, ndikukumana ndi vutoli ndi maganizo abwino. Nthawi zonse kumbukirani kuti simuli nokha. Matenda a MELAS, mitochondria, matenda a majini, lactic acidosis, zizindikiro zofanana ndi sitiroko, dongosolo lamanjenje, matenda a minofu.
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