Dzimwe nguva unomboomerwa nekumuka pachigaro, kukwira masitepisi, kana kutoita mabasa akareruka akadai sekukama bvudzi rako here? Tsandanyama dzako dzinongonzwa dzisina simba uye dzisina hupenyu here? Chikonzero chechirwere ichi chingave chirwere chinonzi myopathy. Zita iri ringave idzva kwauri. Asi usazvidya mwoyo, tichataura nezvese nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Myopathy?
Zvichitaurwa zviri nyore, myopathy izwi rinowanzoreva kusasimba kwetsandanyama dzedu dzemapfupa , tsandanyama dzinobatana nemapfupa edu uye dzinotifambisa. Funga nezvemuviri wedu semota. Mota iyi inofambiswa neinjini inonzi muscle. Myopathy chirwere apo tambo dzetsandanyama dziri mutsandanyama idzi dzinokuvadzwa, zvichideredza simba reinjini iyoyo. Ichi hachisi chirwere chimwe chete, asi boka rezvirwere.
Pane mhando huru dzemyopathy here?
Ehe, myopathy inogona kukamurwa kuita mhando mbiri huru. Yakafanana nemamwe matambudziko atinogarwa nhaka kubva pakuzvarwa uye mamwe matambudziko anokura sezvatinorarama.
| Rudzi rweMyopathy | Zvichitaurwa zviri nyore... |
|---|---|
| Myopathies Yakagarwa Nhaka | Izvi zvirwere zvinokonzerwa nekusakwana kwemajini. Kureva kuti, zvirwere zvinokonzerwa nemajini asina kunaka anobva kuna amai kana baba. |
| Myopathies Yakawanikwa | Izvi zvinokonzerwa nechimwe chirwere, hutachiona, mishonga inotorwa, kana chimwe chikonzero chekunze muhupenyu. |
Zvino ngatitarisei mhando idzi zvakadzama.
Myopathies Yakagarwa Nhaka
Izvi zvinokonzerwa nezvinhu zvemajini, saka zvinowanzo gara nhaka.
- Myopathies dzekuzvarwa nadzo:Aya ndiwo mamiriro ezvinhu anowanikwa pakuzvarwa. Vamwe vana vanogona kuratidza zviratidzo ipapo ipapo. Asi kune vamwe, zviratidzo zvinogona kukura gare gare muhupenyu kana kutozokura. Chinhu chinoshamisa panyaya iyi ndechekuti kushaya simba kunokanganisa tsandanyama dzese mumuviri, uye kazhinji kunowedzera nekufamba kwenguva.
- Mitochondrial Myopathies: Zvichitaurwa zviri nyore, mitochondria ndiwo mabhatiri anopa simba kumasero edu. Kana mabhatiri aya asingashande zvakanaka, tsandanyama hadziwani simba radzinoda, uye dzinopera simba. Dambudziko iri rinogona kukanganisa kwete tsandanyama chete, asiwo dzimwe nhengo dzinoda simba rakawanda, dzakadai semwoyo, uropi, uye kugaya chikafu.
- Metabolic Myopathies: Tsandanyama dzedu dzinoda makemikari akakosha anonzi maenzymes kuti dzishande zvakanaka. Dambudziko iri rinokonzerwa nekusashanda zvakanaka kwemajini anogadzira maenzyme aya. Muchiitiko ichi, panogona kuva nekurwadziwa kwakanyanya uye kugwinha kwetsandanyama, kunyanya munzvimbo dzakadai semafudzi nezvidya, panguva yekurovedza muviri. Dzimwe nguva, chirwere chakakomba chinonzi ``Rhabdomyolysis``, umo tsandanyama dzinoputsika, chinogona kuitika.
- Kusasimba Kwetsandanyama: Ungave wakambonzwa zita iri kare. Iri idambudziko apo tsandanyama dzinopera simba zvishoma nezvishoma nekuda kwekushaikwa kwemapuroteni anodiwa kuti tsandanyama dzirambe dzakasimba. Izvi zvinogona kukanganisa tsandanyama dzemaoko, makumbo, uye dzimwe nguva kumeso nemaziso.
Myopathies Yakawanikwa
Izvi hazvisi zvinhu zvaunozvarwa nazvo. Izvi zvinhu zvinoitika nekuda kwezvikonzero zvakasiyana-siyana muhupenyu hwako.
| Chikonzero | Mienzaniso & Tsananguro |
|---|---|
| Matambudziko emuviri wemuviri (Autoimmune/Inflammatory) | Mamiriro ezvinhu anoitika kana dziviriro yemuviri wedu (immune system) ikarwisa nhengo dzayo zvisirizvo. |
| Chepfu kana zvinodhaka (Toxic Myopathy) | Zvimwe zvinhu zvinogona kukuvadza tsandanyama. Mienzaniso inosanganisira kunwa doro zvakanyanya, kufema utsi hunobva mumhando dzakasiyana dzependi, uye mimwe mishonga (semuenzaniso, mimwe mishonga inoderedza cholesterol (statins), steroid (corticosteroids), uye mimwe mishonga inoshandiswa kurapa HIV). |
| Dambudziko reHormonal (Endocrine Myopathies) | Kushaya simba kwetsandanyama kunogona kukonzerwa nekusagadzikana kwemahormone mumuviri. Mienzaniso inosanganisira thyroid isingashande zvakanaka (hypothyroidism) kana thyroid isingashande zvakanyanya (hyperthyroidism), matambudziko emahormone eparathyroid, uye zvirwere zveadrenal gland. |
| Zvirwere (Infectious Myopathies) | Zvirwere zvakasiyana-siyana zvinogona kukanganisa tsandanyama. Mienzaniso inosanganisira: HIV, mavhairasi akadai sefuruwenza, hutachiona hwebhakitiriya, uye hutachiona hwezvipembenene. |
| Kusawirirana kweElectrolyte | Kudzikira kana kuwedzera kwehuwandu hwema electrolyte akakosha mumuviri akadai se potassium ne magnesium kunokanganisa mashandiro emhasuru. |
| Kurwara Kwakakomba Myopathy | Kushaya simba kwetsandanyama nekuda kwekurwara zvakanyanya munzvimbo yakaita seyuniti inochengeterwa varwere vakawanda (ICU), kuva pamubhedha kwenguva yakareba, uye mimwe yemishonga ine simba yaipiwa panguva iyoyo. |
Ndezvipi zviratidzo zvechirwere chemyopathy?
Kunyange zvazvo kune mhando dzakawanda dzemyopathy, kune zviratidzo zvakawanda zvinowanzoonekwa mune dzinenge dzose.
- Kushaya simba kwetsandanyama: Kushaya simba, kunyanya mutsandanyama dziri pedyo nepakati pemuviri (mapendekete, maoko ekumusoro, mahudyu, nezvidya).
- Kugwinha kwetsandanyama, kuomarara, uye kurwadziwa.
- Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita basa diki.
- Kushaya simba.
Kushaya simba uku kunowanzo kanganisa mativi ese emuviri zvakaenzana, zvichireva kuti ruoko rweruboshwe runonzwa rusina simba seruoko rwerudyi.
Unonzwa sei nezvekushaya simba uku?
Kushaya simba kwetsandanyama uku kunogona kuita kuti zviomere kuita mabasa ezuva nezuva. Ingofunga...
- Kunyangwe mabasa ari nyore akadai sekukama bvudzi rako, kupfeka mbatya, uye kugeza anonzwa akaoma.
- Zvakaoma kumuka pachigaro chakagara.
- Kukwira masitepisi kunova kunonetesa zvikuru.
- Zvakaoma kusimudza ruoko rwako kuti uwane chimwe chinhu kubva pasherufu iri pamusoro pemusoro wako.
- Pandinenge ndaneta zvishoma, ndinonzwa sekunge ndiri kutadza kufema.
Kunze kweizvi, zvimwe zviratidzo zvinogona kuonekwa zvichienderana nerudzi rwemyopathy. Semuenzaniso, vamwe vana vanogona kunonoka kutanga kufamba nekusvetuka. Vangasakwanisa kumhanya kana kusvetuka pavanenge vachitamba nevezera ravo. Vamwe vanogonawo kunetseka nekumedza uye kudhonza mazwi avo pavanenge vachitaura.
Ndingaziva sei kana ndine chirwere ichi?
Kana uine zviratidzo izvi, chinhu chakakosha kuita ndechekuona chiremba wemhuri yako. Iye achanyora nhoroondo yakazara yezviratidzo zvako, nhoroondo yezveutano hwemhuri yako, uye chero mishonga yauri kutora. Vachabva vaita bvunzo yemuviri uye, kana zvichidikanwa, vachakutumira kuna nyanzvi, senge chiremba wetsinga kana rheumatologist.
Miedzo yakati wandei inogona kuitwa kuti isimbise chirwere chacho.
| Bvunzo | Izvi zvinoongorora chii? (Zvinoongorora chii?) |
|---|---|
| Kuongororwa kweRopa | Ma enzyme anoburitswa muropa kana tsandanyama dzakuvara (semuenzaniso, Creatine Kinase (CK)), mazinga emate, mazinga emahormone, uye zviratidzo zvematambudziko emuviri zvinoongororwa. |
| Kuongororwa kweEMG (Electromyography) | Kuedzwa kwakakosha kunotumira zviratidzo zvemagetsi zvisinganzwisisike kutsandanyama netsinga kuti zvione mashandiro azvo uye kuti kukuvara kwacho kwakakura sei. |
| Kuongororwa kweMRI (Magnetic Resonance Imaging) | Maumbirwo emhasuru uye shanduko dzakaitika madziri zvinogona kuonekwa zvakajeka. |
| Kuedzwa kwemajini | Kana paine fungidziro yekuti chirwere chekuberekwa nacho chinonzi myopathy, bvunzo iyi inoitwa kuti ione kana paine zvikanganiso zvemajini zvine chekuita nacho. |
| Kuongororwa kwetsandanyama | Kachikamu kadiki kebundu kanofungidzirwa kanobviswa nekuvhiyiwa koongororwa nemaikorosikopu kuti chirwere chacho chionekwe nemazvo. |
Ndeipi mishonga yekurapa myopathy?
Kurapwa kunoenderana nerudzi rwemyopathy yaunayo. Hapana mushonga mumwe chete unokodzera zvese.
- Kurapa Kwakajairika: Kurapa kwemuviri nekurapa kwebasa zvakakosha kune akawanda matambudziko e myopathic. Izvi zvinogona kubatsira kuchengetedza simba remhasuru uye kuchinjika uye kukubatsira kuita mabasa ezuva nezuva zviri nyore.
- Kune matambudziko ekudzivirira muviri: Mishonga inodzvinyirira masoja emuviri, yakadai semishonga inodzvinyirira masoja emuviri uye corticosteroids, inopiwa.
- Kune vanhu vanozvarwa vaine myopathies: Hapasati pave nemushonga chaiwo wezvirwere izvi zvakawanda. Zvisinei, zviratidzo zvinogona kudzorwa uye hupenyu hwemunhu hunogona kuvandudzwa. Mishonga mitsva yava kuwanikwa yemamwe mamiriro ezvinhu (semuenzaniso, Duchenne muscular dystrophy, chirwere chePompe).
- Kune dzimwe myopathies dzechipiri: Kurapa kunonangidzirwa kune chikonzero chikuru che myopathy. Semuenzaniso, kana iri dambudziko remahormone, rinogadziriswa, kana riri hutachiona, mishonga inorwisa mabhakitiriya inopihwa, kana kana ikakonzerwa nemushonga, mushonga unomiswa.
Ndinofanira kuzvitarisira sei?
Kunyange zvazvo myopathy iri chirwere chinotora nguva refu, unogona kudzora chirwere ichi uye kurarama hupenyu hune hutano nekuchinja mararamiro ako uye kuagadzirisa nemazvo.
- Idya chikafu chakanaka uye chine hutano. Kudya kwakaringana nemiriwo nemichero yakawanda kwakakosha zvikuru.
- Ramba uchishingaira. Ita maekisesaizi akareruka. Asi yeuka, usati watanga chero chirongwa cheekisesaizi, unofanira kutaura nachiremba wako wobvunza kuti ndeapi maekisesaizi akakodzera chirwere chako.
- Ramba uine huremu hwakakodzera hwemuviri.
- Kana uchinetseka nekumedza, idya chikafu chakapfava, chine mvura. Pwanya chikafu zvakanaka wodya.
- Tora mushonga wakanyorerwa nachiremba panguva chaiyo.
- Nyatsoteerera shanduko dziri kuitika mumuviri wako. Kana ukaona shanduko kana kuwedzera kwezviratidzo, zivisa chiremba wako nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Myopathy izita rinowanzo shandiswa pakurapa zvirwere zvakawanda zvinoderedza tsandanyama.
- Izvi zvinogona kuva zvekuzvarwa nazvo (genetic) kana kuti zvinogona kukura muhupenyu nekuda kwezvimwe zvikonzero.
- Kushaya simba kwetsandanyama, kuomarara, uye kuneta kwakanyanya pamwe nemabasa madiki ndizvo zviratidzo zvikuru.
- Kana uine zviratidzo izvi, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukurumidza.
- Nzira dzekurapa dzinosiyana zvichienderana nechikonzero chechirwere ichi. Kana chirwere ichi chikabatwa zvakanaka, zvirwere zvakawanda zvinogona kudzorwa zvakanaka uye kurarama hupenyu hwakanaka.
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