Ese myotonia ituma umubiri wawe ukomera? Reka tubiganireho!

Ese hari igihe wumva ukuboko kwawe, ukuguru kwawe, cyangwa imitsi iyo ari yo yose mu mubiri wawe ikomeye kandi ikaba idashobora kuruhuka vuba nk'uko ubyibwira? Nk'iyo uhana ikiganza n'umuntu bikakugora gukuraho ikiganza cyawe, cyangwa iyo ugerageje guhaguruka mu ntebe, bifata igihe. Iki ni kimwe mu bimenyetso by'indwara yitwa myotonia. Ntugahangayike, tuzabiganiraho birambuye.

Myotonia ni iki?

Mu magambo make, myotonia ni igihe imitsi yawe idakira vuba nyuma yo kwifata. Tekereza urimo guhana ikiganza n'umuntu, ariko biragoye gukuramo ukuboko kwawe, cyangwa iyo wicaye ugerageza guhaguruka, amaguru yawe yumva akomeye igihe gito. Niko bimeze.

Hari ubwoko butandukanye bwa myotonia. Buri bwoko buterwa n'impinduka mu miterere y'uturemangingo . Ibi bivuze ko biterwa n'ingaruka runaka ku miterere y'uturemangingo mu mubiri wacu. Muri buri bwoko, imiterere itandukanye iragirwaho ingaruka.

Kubera izi mpinduka mu ngirabuzimafatizo, myotonia ishobora kugira ingaruka ku bindi bice by'umubiri wawe. Bitewe n'ubwoko bwa myotonia ufite, ibi bishobora kugira ingaruka kuri:

• Ku mutima
• Kugeza mu bihaha
• Ku bijyanye n'igogora
• Ku bwonko
• Ku bw'amaso

Bishobora kubaho ku ngingo nk'izi.

Ni ibisanzwe kumva ufite ubwoba iyo ugize ikimenyetso utari ufite mbere, nko kunanuka kw'imitsi. Ushobora kuba wibaza uti "Ese ibi bizarushaho kuba bibi?" cyangwa "Ni gute ibi bigira ingaruka ku buzima bwanjye?" Ikintu cyiza wakora ni ukujya kwa muganga . Myotonia ni indwara idakunze kugaragara, bityo bishobora gufata igihe kugira ngo ubone igisubizo nyacyo. Ariko hagati aho, muganga wawe ashobora kugufasha kugabanya ubwoba bwawe no gusubiza ibibazo byawe.

Ni ubuhe bwoko bw'ingenzi bwa myotonia?

Abaganga bashyira myotoniya mu byiciro bibiri by'ingenzi: dystrophic na non-dystrophic . Ubwo bwoko bwombi bugira ingaruka ku bimenyetso by'amashanyarazi bigenzura imitsi. Ariko, muri dystrophic myotonia, imitsi ubwayo irangirika. Ijambo 'dystrophy' risobanura 'gucika intege cyangwa kwangirika buhoro buhoro kw'ingingo.'

Myotoniya ya Dystrophic (DM)

Dystrophic Myotonia (DM) ni indwara aho imitsi icika intege kandi igacika intege uko igihe kigenda gihita, ikaba iri mu itsinda ry'indwara zitwa muscular dystrophy. Hari ubwoko bubiri bw'ingenzi:

• Ubwoko bwa Myotonic Dystrophy type 1 (DM1) – Ubu ni bwo bwoko bukunze kugaragara cyane.
• Myotonic Dystrophy ubwoko bwa 2 (DM2)

Myotoniya idatera indwara ya dystrophic

Mu ndwara ya myotoniya idatera indwara, imiterere y'imitsi ntigira ingaruka mbi. Hari ubundi bwoko bw'imitsi bugwa muri iki cyiciro ni ubu:

• Indwara ya Andersen-Tawil
• Gucika intege mu gihe runaka (hyperkalemic)
• Hypokalemic periodic paralysis type 1 na type 2
• Myotonia congenita – Ubu ni bwo bwoko bukunze kugaragara cyane muri iri tsinda.
• Paramyotonia congenita
• Myotoniya y'umuyoboro wa sodium

Ni ibihe bimenyetso bya Myotonia?

Ikimenyetso cy'ingenzi cya myotonie ni ukunanirwa kuruhuka imitsi iyo imaze gucika. Ibi bimenyetso bishobora kugaragara mu bwana, mu bwana, cyangwa mu bantu bakuru, bitewe n'ubwoko bwa myotonie.

Izindi bimenyetso bikunze kugaragara ni izi:

• Impinduka mu miterere y'imitsi yawe - urugero, kwaguka kw'imitsi (hypertrophy) cyangwa intege nke z'imitsi (hypotonia) .
• Umunaniro .
• Kubabara imitsi .
• Intege nke z'imitsi .
• Kumva imitsi ifunganye, ariko gufungana kugabanuka bitewe no gukora imyitozo ngororamubiri cyangwa gukora imyitozo ngororamubiri (ibintu bishyushya) .

Ibimenyetso byihariye bya dystrophic myotonia

Buri bwoko bwa dystrophic myotonia bufite ibimenyetso byihariye. Ingero zimwe ni izi:

• Kubabara mu gifu, kuribwa mu nda, impiswi, gusubira inyuma kw'aside, kubyimba inda.
• Utumenyero duto mu isura (dysmorphisms mu maso) .
• Indwara zo mu maso (cataracts) (gupfuka kw'amaso) .
• Hyperglycemia ni indwara iterwa no kudakora insuline, bigatuma isukari nyinshi mu maraso.
• Ubumuga bwo mu mutwe .
• Umutima utari mwiza (arrhythmia) cyangwa ibibazo by'amashanyarazi y'umutima.
• Gutakaza umusatsi uturutse imbere ku mutwe ku bagabo (androgenic alopecia) .
• Uruhu rwo mu mutwe ruterwa no kubura umwuka wo mu mutwe (apnea yo mu mutwe) .

Ni ibihe bimenyetso by'abantu bafite ubumuga bw'igihe runaka (periodic paralysis)?

Ufite ikibazo cyo gucika intege mu gihe runaka (hyperkalemic periodic paralysis).Iyo uyifite, ushobora kugira ubumuga nk'ubwo mu gihe cy'isaha imwe cyangwa enye, aho imitsi yawe itakaza imbaraga.

Niba ufite ikibazo cyo kubura amaraso mu mubiri (hypokalemic periodic paralysis ), ushobora kugira intege nke z'imitsi nijoro cyangwa mu gitondo cya kare. Ibi bishobora kumara amasaha make kugeza ku minsi mike.

Ni iki gitera indwara ya myotoniya?

Myotoniya iterwa n'impinduka runaka muri imwe muri jeni zawe. Mu buryo burambuye, izi mpinduka mu jeni zigira ingaruka ku miyoboro ya ion ishinzwe kugenzura imikorere y'imitsi yawe.

Buri bwoko bwa myotonia buterwa n'impinduka mu jini itandukanye. Urugero, myotonia dystrophy type 1 iterwa n'ikibazo cya jini ya DMPK . Myotonia congenita iterwa n'ikibazo cya jini ya CLCN1 . Ushobora kuragwa iyi mpinduka mu jini iva ku mubyeyi wawe umwe cyangwa bombi. Cyangwa, ishobora kubaho ku buryo butunguranye.

Wamenya ute ko ufite indwara ya myotonia?

Mu gutangira igikorwa cyo gusuzuma indwara, muganga wawe azakubaza ibimenyetso byawe n'amateka y'ubuzima bw'umuryango wawe . Hanyuma, mbere yo gutanga inama yo gupima indwara ya myotonia, bazakuraho izindi ndwara zisanzwe zishobora gutera ibimenyetso byawe, nka hypothyroidism .

Ibi ni ibizamini bikoreshwa mu gusuzuma indwara ya myotonia:

• Isuzuma ry'amaraso rya Creatine Kinase (CK): Creatine kinase ni enzyme iboneka cyane cyane mu mitsi. Urugero rwa CK rukunze kwiyongera muri myotonia.
• Electromyography (EMG): Iki kizamini gisuzuma ubuzima n'imikorere y'imitsi yawe n'imitsi iyiyobora.
• Ibizamini bya Genetike: Ibi bizamini bishobora kugaragaza impinduka za Genetike zitera ubwoko butandukanye bwa myotonie.
• Gupima amaraso ya Potasiyumu: Muganga wawe ashobora gukoresha iki kizamini kugira ngo arebe niba afite paralysis ikabije ya hyperkalemic (potassium nyinshi mu maraso) cyangwa paralysis ikabije ya hypokalemic (potassium nke mu maraso).
• Ikizamini gito cy’imyitozo ngororamubiri: Muri iki kizamini, ugomba gufunga imitsi yawe mu gihe runaka mu gihe muganga areba uko imitsi n’imitsi yawe byitwara.

Myotonia ni indwara idakunze kugaragara,Bishobora gufata igihe kugira ngo umenye neza indwara. Ntugahangayike.

Ni ubuhe buryo bwo kuvura indwara ya myotonia?

Uburyo bwo kuvura indwara ya myotonia bujyanye n'ubwoko n'ibimenyetso byawe. Wowe na muganga wawe muzafatanya gutegura gahunda y'ubuvuzi ijyanye n'ibyo ukeneye. Ntutindiganye kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.

Ubuvuzi bw'umubiri ubusanzwe ni kimwe mu bigize gahunda yawe yo kuvura. Umuvuzi w'umubiri ashobora kugufasha kwirinda ibintu bizwi cyangwa bishobora gutera indwara no gutegura gahunda yo gukora imyitozo ngororamubiri igufasha gukomeza gukora cyane uko bishoboka kose. Abavuzi b'akazi bashobora kandi kugufasha kubona uburyo bushya bwo gukora imirimo ya buri munsi. Bashobora kandi kukugira inama yo gukoresha uburyo bwo kwihuza n'umubiri cyangwa uburyo bwo kugenda.

Uburyo bwo kuvura indwara ya Dystrophic Myotonia

Myotonia ya Dystrophic ivurwa hakurikijwe ibimenyetso. Uzakenera kwisuzumisha buri gihe kugira ngo ukurikirane ubuzima bw'ingingo zagizweho ingaruka n'ubwoko bwa Myotonia ya Dystrophic.

Umuti abaganga batanga ahanini ni mexiletine . Mu by'ukuri ni umuti ugabanya ubukana bw'imitsi , ariko unafasha mu kudida no gukomera kw'imitsi. Mexiletine ishobora kandi gufasha mu bwoko bumwe na bumwe bwa myotonia idatera indwara.

Uburyo bwo kuvura indwara ya myotoniya idateye ubwoba

Uretse imiti, kuvura indwara ya myotonia idatera indwara ishobora kuba irimo kwirinda ibintu bimwe na bimwe bishobora gutera indwara. Muri byo harimo:

• Kwirinda guhura n'ibicurane.
• Kugabanya imyitozo ngororamubiri igoye kandi isaba imbaraga nyinshi.

Ubuvuzi bw'ubumuga bw'igihe runaka

Kuvura indwara yo gucika intege buri gihe bikubiyemo kugenzura urugero rwa potasiyumu no kwirinda ibintu byagutera indwara. Muganga wawe ashobora kukugira inama yo kwirinda ibi bintu:

• Kuruhuka igihe kirekire nyuma yo gukora imyitozo ngororamubiri.
• Kurya amafunguro arimo karubohidrati nyinshi.
• Kurya mu bihe bidasanzwe.
• Gusinzira nabi.
• Gukora nijoro.

Niba ufite ikibazo cyo kubura amaraso mu mubiri (hypokalemic periodic paralysis ), muganga wawe ashobora kukugira inama yo kurya ibiryo birimo potasiyumu nyinshi, nk'imineke, ibishyimbo, imbuto zumye, imyembe na papayi.

Niba ufite ikibazo cyo gucika intege mu gihe runaka (hyperkalemic periodic paralysis ), ushobora kwirinda ibiryo birimo potasiyumu nyinshi .

Niba izi ngamba zidahagije kugira ngo ugenzure ibimenyetso byawe, muganga wawe ashobora kukwandikira umwe mu miti witwa dichlorphenamide cyangwa acetazolamide .

Ese indwara ya myotonia ishobora kwirindwa?

Myotonia iterwa n'impinduka mu ngirabuzimafatizo, bityo nta kintu na kimwe wakora kugira ngo uyirinde. Niba hari umuntu wo mu muryango wawe ufite myotonia, cyangwa niba nawe ubwawe ufite iyo ndwara, kandi ukaba uteganya kubyara, tekereza kureba umujyanama mu by'imiterere y'umubiri . Bashobora gusobanura ibyago byawe byo kurwara iyi ndwara no kuyisiga ku babyeyi bawe bazakurikiraho.

Ni iki giteganyijwe ku muntu urwaye myotonia? (Ibisobanuro)

Niba ufite indwara ya myotonia, uko ubona ibintu biterwa n'ibintu byinshi. Muri byo harimo:

• Ubwoko bwa myotonia ufite.
• Uburemere bw'ibimenyetso byawe.
• Uko umubiri wawe witabira kuvurwa.
• Ubuzima bwawe muri rusange n'imyaka yawe.

Muganga wawe azashobora kuguha igitekerezo cyiza cy'uko ejo hazaza hazaba hari ikibazo cyawe, ariko muri rusange ni nk'ibi:

• Indwara ya myotonia idatera indwara muri rusange ifite imiterere myiza, ariko ibi bishobora gutandukana bitewe n'uburemere bw'ibimenyetso byawe.
• Uko indwara ya myotonia itera indwara ya dystrophic biterwa n'uburyo izindi ngingo z'umubiri zigira ingaruka zikomeye. Ubwoko bwa 1 na 2 bwa Myotonia nabwo bushobora kugabanya igihe cyo kubaho.
• Kurwara ubumuga buri gihe bishobora kwiyongera uko umuntu akura, ndetse bishobora no gutera ibibazo bikomeye by'imitsi (myopathy) .

Ni ryari ngomba kujya kwa muganga?

Myotoniya ni indwara idakira cyangwa irambye. Bityo rero, uzakenera kujya kwa muganga mu buzima bwawe bwose kugira ngo akurikirane ibimenyetso byawe kandi arebe uburyo ubuvuzi bwawe bukora neza.

Icy'ingenzi ni uko indwara ziterwa na myotoniya zishobora kugira ingaruka ku buryo ubyitwaramo iyo ugiye kubagwa. Niba ugiye kubagwa, ugomba kubimenyesha muganga wawe. Ugomba kandi kubimenyesha umuganga w’inzobere mu by ...

Ni ibisanzwe kumva utangaye kandi wigunze iyo ufashwe indwara idakunze kugaragara. Myotonia igira ingaruka ku bantu bose mu buryo butandukanye, bityo ushobora kuba ufite ibibazo byinshi. Itsinda ry'abaganga rizaba riri kumwe nawe mu rugendo rwawe rwo gusuzuma no kuvurwa. Shaka ubufasha kuri bo, ndetse no ku bakunzi bawe.

Ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Myotoniya ni indwara aho imitsi idakira vuba nyuma yo gucika intege. Ibi biterwa n'ibintu bigize imiterere y'umubiri.

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- Hari ubwoko bubiri bw'ingenzi bw'ibi: kwangirika kw'imitsi (kwangirika kw'imitsi) n'ibitari kwangirika (nta kwangirika kw'imitsi).

- Ibimenyetso bishobora kuba birimo gukomera kw'imitsi, intege nke, ububabare, n'umunaniro. Hari ubwoko bumwe na bumwe bufite ibimenyetso byihariye.

- Ibipimo by'amaraso, EMG, n'ibipimo by'uturemangingo ni byo bikoreshwa mu gusuzuma indwara.

- Uburyo bwo kuvura buratandukanye bitewe n'ubwoko bw'indwara n'ibimenyetso byayo. Ibi birimo ubuvuzi bw'umubiri, imiti, no kwirinda ibintu bimwe na bimwe (ibintu bishobora gutera indwara).

- Ibi ntibishobora kwirindwa, ariko ushobora kubona ubufasha mu bujyanama mu by'uturemangingo.

- Niba ufite ibi bimenyetso, jya kwa muganga. Gusuzuma indwara neza no kuvura ni ingenzi cyane kuri wewe.

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