Dzimwe nguva unonzwa sekuti ruoko rwako, gumbo, kana chero tsandanyama mumuviri wako dzakaoma uye hadzigone kuzorora nekukurumidza sezvaunofunga? Sekunge paunobata ruoko nemumwe munhu wobva waomerwa nekudhonza ruoko rwako, kana kuti paunoedza kusimuka pachigaro, zvinotora nguva. Ichi chingori chimwe chezviratidzo zvechirwere chinonzi myotonia. Usanetseke, tichataura nezvazvo zvakadzama.

Chii chinonzi Myotonia?

Zvichitaurwa zviri nyore, myotonia imhaka yekuti tsandanyama dzako hadzina kugadzikana nekukurumidza mushure mekunge dzaita manyawi. Fungidzira uchikwazisana neruoko nemumwe munhu, asi zvakaoma kubvisa ruoko rwako, kana kuti paunenge wakagara pasi uchiedza kusimuka, makumbo ako anonzwa akaomarara kwenguva yakati. Ndizvo zvinoitika.

Kune mhando dzakasiyana dze myotonia. Rudzi rumwe nerumwe runokonzerwa nekuchinja kwemajini . Izvi zvinoreva kuti runokonzerwa nemhedzisiro yemajini ari mumuviri wedu. Murudzi rumwe nerumwe, jini rakasiyana rinokanganiswa.

Nekuda kwekuchinja kwemajini uku, myotonia inogona kukanganisa dzimwe nhengo dzemuviri wako. Zvichienderana nerudzi rwemyotonia yaunayo, izvi zvinogona kukanganisa:

• Kumwoyo
• Kumapapu
• Kugadziriro yekugaya chikafu
• Kuuropi
• Kune maziso

Zvinogona kuitika kunhengo dzakadai sedzimwe nhengo.

Zvakajairika kuti unzwe kutya kana ukasangana nechiratidzo chausina kumbobvira wava nacho, sekuoma kwetsandanyama. Ungave uchishamisika kuti, "Izvi zvichawedzera kuipa here?" kana kuti "Izvi zvichakanganisa sei hupenyu hwangu?" Chinhu chakanakisa chaunogona kuita kuona chiremba . Myotonia chirwere chisingawanzoitiki, saka zvinogona kutora nguva kuti uwane chirwere chakarurama. Asi panguva ino, chiremba wako anogona kukubatsira kuderedza kutya kwako uye kupindura mibvunzo yako.

Ndedzipi mhando huru dze myotonia?

Vanachiremba vanoisa myotonia mumapoka maviri makuru: dystrophic nenon -dystrophic . Mhando dzose dziri mbiri dzinokanganisa masaini emagetsi anodzora kudhonzwa kwetsandanyama. Zvisinei, mu dystrophic myotonia, tsandanyama pachayo inokuvadzwa. Izwi rekuti 'dystrophy' rinoreva 'kupera simba kana kuparara kwenyama zvishoma nezvishoma.'

Dystrophic Myotonia (DM)

Dystrophic Myotonia (DM) chirwere chinoita kuti tsandanyama dzishaye simba uye dziderere (atrophy) nekufamba kwenguva, chiri muboka rezvirwere zvinonzi muscular dystrophy. Kune mhando mbiri huru:

• Myotonic Dystrophy type 1 (DM1) - Iyi ndiyo mhando inonyanya kuwanikwa.
• Myotonic Dystrophy rudzi rwechipiri (DM2)

Myotonia isiri-dystrophic

Mumyotonia isiri dystrophic, chimiro chetsandanyama hachikuvadzwi. Mamwe marudzi ari muchikamu ichi ndeaya:

• Chirwere cheAndersen-Tawil
• Kuoma mitezo kwenguva nenguva kwe hyperkalemic
• Hypokalemic periodic paralysis mhando 1 uye mhando 2
• Myotonia congenita - Iyi ndiyo mhando inonyanya kuwanikwa yeboka iri.
• Paramyotonia congenita
• Myotonia yeSodium channel

Ndezvipi zviratidzo zveMyotonia?

Chiratidzo chikuru chemyotonia kusakwanisa kusunungura tsandanyama kana yangozvimba. Zviratidzo izvi zvinogona kuonekwa muhucheche, muhudiki, kana kuti muhukuru, zvichienderana nerudzi rwemyotonia.

Zvimwe zviratidzo zvinowanzoonekwa zvinosanganisira:

• Kuchinja kwechitarisiko chetsandanyama dzako - semuenzaniso, kukura kwetsandanyama (hypertrophy) kana kushaya simba kwetsandanyama (hypotonia) .
• Kuneta .
• Kurwadziwa kwetsandanyama .
• Kushaya simba kwetsandanyama .
• Kunzwa tsandanyama dzakasimba, asi kusimba kwacho kunoderera nekufamba kana kurovedza muviri (chiitiko chekudziya muviri) .

Zviratidzo chaizvo zve dystrophic myotonia

Mhando imwe neimwe ye dystrophic myotonia ine zviratidzo zvayo. Mimwe mienzaniso ndeiyi:

• Kurwadziwa kwemudumbu, kuvimbiwa, manyoka, acid reflux, kuzvimba.
• Kusarongeka kwechitarisiko chechiso (kusagadzikana kwechiso) .
• Maziso anovharika (kuvharika kwekuona kwemaziso) .
• Hyperglycemia chirwere chinokonzerwa nekusakwanisa insulin mumuviri, izvo zvinokonzera kuwanda kweshuga muropa.
• Kuremara kwepfungwa .
• Kusarongeka kwemoyo (arrhythmia) kana matambudziko nemagetsi emoyo.
• Kurasikirwa nebvudzi kubva pamberi pemusoro kuvarume (androgenic alopecia) .
• Kumbomira kufema nehope (sleep apnea) .

Ndezvipi zviratidzo zvevanhu vane Periodic Paralysis?

Une chirwere che hyperkalemic periodic paralysis.Kana uinayo, unogona kunzwa kuoma kwemuviri uko tsandanyama dzako dzinorasikirwa nesimba kweinenge awa imwe kusvika ina.

Kana uine chirwere che hypokalemic periodic paralysis , unogona kunzwa kusasimba kwetsandanyama husiku kana mangwanani-ngwanani. Izvi zvinogona kutora maawa mashoma kusvika mazuva mashoma.

Chii chinokonzera myotonia?

Myotonia inokonzerwa nekuchinja kwakananga mune rimwe remajini ako. Kuti zvive pachena, kuchinja kwemajini uku kunokanganisa nzira dzeion dzinodzora mashandiro emhasuru dzako.

Rudzi rumwe nerumwe rwemyotonia runokonzerwa nekuchinja kwemajini akasiyana. Semuenzaniso, myotonic dystrophy type 1 inokonzerwa nedambudziko reDMPK gene . Myotonia congenita inokonzerwa nedambudziko reCLCN1 gene . Unogona kugara nhaka iyi genetic mutation kubva kune mumwe wevabereki vako kana vese. Kana kuti, inogona kukura zvisina tsarukano.

Ungaziva sei kana uine myotonia?

Paunenge uchitanga kuongororwa, chiremba wako achakubvunza nezvezviratidzo zvako uye nhoroondo yehutano hwemhuri yako . Zvadaro, vasati vakupa bvunzo dzekuongorora myotonia, vachabvisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvako, zvakaita sehypothyroidism .

Aya ndiwo maedzo anoshandiswa kuongorora myotonia:

• Kuongororwa kweRopa reCreatine Kinase (CK): Creatine kinase ienzyme inowanikwa zvakanyanya mutsandanyama. Mazinga eCK anowanzo wedzera mumyotonia.
• Electromyography (EMG): Bvunzo iyi inoongorora hutano nekushanda kwetsandanyama dzemapfupa ako netsinga dzinodzidzora.
• Kuongororwa kwemajini: Kuongororwa uku kunogona kuona shanduko dzemajini dzinokonzera mhando dzakasiyana dze myotonia.
• Kuongororwa kweropa rePotassium: Chiremba wako anogona kushandisa bvunzo iyi kuti aongorore kana paine hyperkalemic periodic paralysis (potassium yakakwira muropa) kana hypokalemic periodic paralysis (potassium yakaderera muropa).
• Bvunzo pfupi yekurovedza muviri: Mubvunzo uyu, unofanirwa kukwenya tsandanyama dzako panguva dzakatarwa uku chiremba achitarisa mashandiro anoita tsinga dzako netsandanyama.

Myotonia chirwere chisingawanzoitiki,Zvinogona kutora nguva kuti uzive chirwere chacho nemazvo. Usazvidya mwoyo nazvo.

Ndeipi mishonga yekurapa myotonia?

Kurapwa kwemyotonia kunoenderana nerudzi rwechirwere chako uye zviratidzo zvako. Iwe nachiremba wako muchashanda pamwe chete kugadzira hurongwa hwekurapa hwakagadzirirwa zvaunoda. Usazeza kubvunza chero mibvunzo yaungave nayo.

Kurapa nemuviri kunowanzo kuve chikamu chechirongwa chako chekurapa. Nyanzvi yekurovedza muviri inogona kukubatsira kudzivirira zvinozivikanwa kana zvinogona kukonzera matambudziko uye kugadzira chirongwa chekurovedza muviri chinokubatsira kuti urambe wakasimba sezvinobvira. Nyanzvi dzezvekurapa dzinogonawo kukubatsira kuwana nzira itsva dzekuita mabasa ezuva nezuva. Vanogonawo kukurudzira rubatsiro rwekugadzirisa kana kufamba.

Kurapa kweDystrophic Myotonia

Dystrophic Myotonia inorapwa nezviratidzo. Uchafanirwa kuongororwa nguva nenguva kuti utarise hutano hwenhengo dzakakanganiswa nerudzi rweDystrophic Myotonia yako.

Mushonga unonyanya kunyorerwa navanachiremba iMexiletine . Mushonga uyu unorwisa arrhythmia , asi unobatsirawo nekukwenya kwetsandanyama nekuomarara. Mexiletine inogonawo kubatsira nemarudzi e non-dystrophic myotonia.

Kurapa kweMyotonia Isina Dystrophic

Kuwedzera pamishonga, kurapwa kwe non-dystrophic myotonia kunogona kusanganisira kudzivirira zvimwe zvinhu zvinokonzera chirwere. Izvi zvinosanganisira:

• Kudzivirira kubatwa nechando.
• Kuderedza maekisesaizi anorema uye anorema.

Kurapa Kwekuoma Kwemitezo Nguva Nenguva

Kurapa kwechirwere chepfungwa chinogara chichioma kunowanzosanganisira kudzora huwandu hwepotassium mumuviri uye kudzivirira zvinhu zvinokonzera chirwere ichi. Chiremba wako anogona kukukurudzira kuti usaite zvinhu izvi:

• Kuzorora kwenguva yakareba mushure mekurovedza muviri.
• Kudya zvekudya zvine makabhohaidhiretsi akawanda.
• Kudya panguva dzisina kurongeka.
• Kurara zvisina kurongeka.
• Kushanda husiku.

Kana uine chirwere che hypokalemic periodic paralysis , chiremba wako anogona kukukurudzira kuti udye chikafu chine potassium yakawanda, senge mabhanana, bhinzi, michero yakaomeswa, mango, uye papaya.

Kana uine chirwere che hyperkalemic periodic paralysis , ungangoda kudzivisa kudya zvine potassium yakawanda .

Kana matanho aya asina kukwana kudzora zviratidzo zvako, chiremba wako anogona kukupa imwe yemishonga inonzi dichlorphenamide kana acetazolamide .

Kukura kwe myotonia kunogona kudzivirirwa here?

Myotonia inokonzerwa nekuchinja kwemajini, saka hapana chaungaita kudzivirira. Kana mumwe munhu mumhuri yako aine myotonia, kana kuti iwe pachako uine chirwere ichi, uye uri kuronga kuva nevana, funga nezvekuona mupi wezano wezvemajini . Vanogona kutsanangura njodzi yako yekugara nhaka chirwere ichi wochipfuudza kuchizvarwa chinotevera.

Chii chingave chiri fungidziro yemunhu ane myotonia? (Fanoziva)

Kana uine myotonia, maonero ako anoenderana nezvinhu zvakati wandei. Izvi zvinosanganisira:

• Rudzi rwemyotonia yaunayo.
• Kuoma kwezviratidzo zvako.
• Maitirwo emuviri wako kana warapwa.
• Hutano hwako hwese nezera rako.

Chiremba wako achakwanisa kukupa pfungwa yakanaka yekuti ramangwana rako richange rakaita sei, asi kazhinji kacho zvinhu zvakaita seizvi:

• Marwadzo asina dystrophic myotonia anowanzo kuve nefungidziro yakanaka, asi izvi zvinogona kusiyana zvichienderana nekuoma kwezviratidzo zvako.
• Kufanotaura kwechirwere chemyotonia chinonzi dystrophic kunoenderana nekuti mamwe masisitimu emuviri akanganiswa zvakanyanya sei. Myotonic dystrophy mhando 1 ne2 inogonawo kupfupisa makore ekurarama.
• Kuoma mitezo nguva nenguva kunogona kuwedzera nekukura, uye kunogonawo kukonzera matambudziko emhasuru asingaperi (myopathy) .

Ndinofanira kuona chiremba rini?

Myotonia chirwere chisingaperi kana kuti chinogara kwenguva refu. Saka, unofanira kuona chiremba muhupenyu hwako hwese kuti aongorore zviratidzo zvako uye kuti aone kuti kurapwa kwako kuri kushanda zvakanaka sei.

Zvakakosha kuti, zvirwere zvine chekuita ne myotonia zvinogona kukanganisa maitiro ako kana wavhiyiwa . Kana wakarongerwa kuvhiyiwa, unofanira kuudza chiremba wako nezvazvo. Unofanirawo kuudza chiremba we anesthesiologist achakutarisira panguva yekuvhiyiwa.

Zvakajairika kunzwa kushamisika uye kusurukirwa kana waonekwa uine chirwere chisingawanzoitiki. Myotonia inokanganisa munhu wese zvakasiyana, saka ungave nemibvunzo yakawanda. Chikwata chako chekurapa chichava newe munguva yese yekuongorora kwako chirwere uye kurapwa. Wana rutsigiro kubva kwavari, pamwe nekubva kune vadikanwi vako.

Zvinhu zvakakosha zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Myotonia chirwere chinoita kuti tsandanyama dzisasununguke nekukurumidza mushure mekunge dzabatwa. Izvi zvinokonzerwa nemajini.

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- Kune mhando mbiri huru dzeizvi: dystrophic (kukuvara kwechimiro chemhasuru) uye non-dystrophic (hapana kukuvara kwechimiro).

- Zviratidzo zvinogona kusanganisira kuomarara kwetsandanyama, kushaya simba, kurwadziwa, uye kuneta. Mamwe marudzi anewo zviratidzo chaizvo.

- Kuongororwa kweropa, EMG, uye kuongororwa kwemajini zvinoshandiswa kuongorora chirwere.

- Kurapwa kunosiyana zvichienderana nerudzi rwechirwere nezviratidzo. Izvi zvinosanganisira kurovedza muviri, mishonga, uye kudzivirira zvimwe zvinhu (zvinokonzeresa).

- Izvi hazvigone kudzivirirwa, asi unogona kuwana rubatsiro kubva kunyanzvi dzemajini.

- Kana uine zviratidzo izvi, enda kuna chiremba. Kuongororwa kwakakodzera uye kurapwa kwakakosha zvikuru kwauri.

Myotonia , Myotonia, Kuomarara kwetsandanyama, Zvirwere zvemajini, Dystrophic Myotonia, Dystrophic Myotonia, Non-dystrophic Myotonia, Zvirwere zvetsandanyama