Ingabe ukhona emndenini wakho noma othile omaziyo one-SMA, noma i-Spinal Muscular Atrophy ? Ungase uzibuze, futhi mhlawumbe wesabe, ukuthi lokhu kuzoshintsha kanjani ngokuhamba kwesikhathi, nokuthi izimpawu zizoqhubeka kanjani. Eqinisweni, indlela lesi sifo esiqhubeka ngayo iyahlukahluka kakhulu kumuntu nomuntu. Kuya ngokuthi yiluphi uhlobo lwe-SMA onalo, ukuthi izimpawu zaqala nini, nokuthi izinga lokukhula ngokomzimba wawusufinyelele kuphi ngaleso sikhathi. Ake sixoxe ngalokhu kalula nangokucacile namuhla.
Isifo se-SMA sithuthuka kanjani?
Lesi sifo sithinta kakhulu imisipha ephakathi komzimba, njengomhlane kanye nezinqe. Lokhu kugqama kakhulu kunemisipha ekude kakhulu nesikhungo somzimba (njengeminwe nezinzwane).
Cabanga ngale ndlela, imisipha emathangeni akho, ekusiza ukuthi ume, iba buthakathaka kunemisipha emilenzeni yakho. Futhi, ubuthakathaka emilenzeni yakho bubonakala kakhulu ngaphambi kwezingalo zakho.
Abanye abantu bangase balahlekelwe amandla kancane kancane ezandleni zabo. Kodwa-ke, ngokuvamile yizandla ezigcina amandla amaningi ngokuhamba kwesikhathi. Ngisho noma izandla zibuthakathaka, zisengakwazi ukwenza imisebenzi yansuku zonke , njengokusebenzisa ikhompyutha.
Enye inkinga enkulu ehambisana ne-SMA umgogodla ogobile , esiwubiza ngezokwelapha ngokuthi i-scoliosis . Izingane eziningi ezine-SMA ziba nalesi simo zisencane. Lokhu kungenxa yokuthi imisipha esekela umgogodla iba buthaka kancane kancane.
Njengoba i-scoliosis ingabangela ubunzima bokuphefumula, kubaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu njalo bese ulandela imiyalelo edingekayo.
Umuntu one- scoliosis angase abe nezimpawu ezilandelayo:
- Amahlombe nezinqe azikho ezingeni elifanayo.
- Ihlombe elilodwa likhulu noma liphuma phambili kunelinye.
- Isinqe esisodwa siphakeme kunesinye.
Lokhu kugoba komgogodla kungabangela ukungakhululeki nobuhlungu. Uma ukugoba kukhulu, kungacindezela amaphaphu futhi kuthinte ukuphefumula. Odokotela bavame ukuzama ukuphatha lesi simo ngokusebenzisa i-brace ekhethekile ngaphandle kokuhlinzwa kuze kube yilapho ingane isikhule ngokugcwele. Kodwa-ke, ngenxa yokuthi ukugoba komgogodla kungaba kubi ngokuhamba kwesikhathi, udokotela wakho uzobe eqaphela kakhulu noma yiziphi izinkinga zokuphefumula noma zokunyakaza ezenzeka kulokhu.
Okwenzekayo ngokulandelayo kuncike ohlotsheni lwe-SMA onayo.
Izinhlobo ze-SMA kanye nohlobo lwazo
I-SMA ihlukaniswe ngezinhlobo ezine eziyinhloko. Lezi zihlukaniswa ngokususelwa eminyakeni lapho izimpawu ziqala khona kanye nomsebenzi womzimba wesiguli ophakeme. Ake sibheke uhlobo ngalunye ngokwehlukana.
| Uhlobo lwe-SMA | Ubudala bokuqala kwezimpawu | Izici ezibalulekile kanye nokuya phambili |
|---|---|---|
| Uhlobo 1 (Isifo sikaWerdnig-Hoffmann) | Ngesikhathi sokuzalwa noma ngaphambi kwezinyanga ezi-6 | Kunzima kakhulu. Ngaphandle kokwelashwa, kunzima ukuhlala phansi noma ukulawula ikhanda lakho. Kunzima ukuncela ubisi noma ukugwinya ukudla. Kubonakala sengathi umuntu uphefumula esiswini. Izifo zokuphefumula ezinzima zingavela njalo. |
| Uhlobo 2 | Phakathi kwezinyanga ezingu-6 nezingu-18 | Bangakwazi ukuhlala phansi, kodwa abakwazi ukuhamba ngaphandle kosizo. Njengoba bekhula, bangase badinge usizo ngisho nokuhlala phansi. Ukuthuthumela kungase kubonakale. |
| Uhlobo 3 (I-Kugelberg-Welander syndrome) | Ngemva kwezinyanga ezingu-18 noma esemncane | Ngingahamba. Kodwa ngokuhamba kwesikhathi, ngivame ukuwa, kuba nzima ukukhuphuka nokwehla izitebhisi. Kunzima ukuvuka futhi ngemva kokulala phansi. |
| Uhlobo 4 | Eminyakeni yabo yo-20-30 (ubudala) | Akuvamile. Izimpawu zikhula kancane kakhulu. Ungahamba lapho usumdala, kodwa ubuthakathaka bemisipha buyenzeka njengoba ukhula. |
Okuningi mayelana nohlobo 1
Lolu uhlobo olubi kakhulu lwe-SMA. Lubizwa nangokuthi isifo i -Werdnig-Hoffmann . Lutholakala lapho luzalwa noma phakathi nezinyanga eziyisithupha zokuqala. Ubuthakathaka bemisipha bukhula ngokushesha okukhulu. Ngaphandle kokwelashwa, ingane ngeke ikwazi ukuhlala noma ukuma.
Ingane ingase ingondlekile ngenxa yobunzima bokuncela nokugwinya. Ezinye izingane zingase zibonakale ziphefumula ngezisu zazo . Lokhu kungenxa yokuthi imisipha yokuphefumula esifubeni ayisebenzi kahle, ngakho-ke ziphefumula kusetshenziswa i-diaphragm kuphela. Lokhu kungaholela ezinkingeni zokuphefumula ezivame ukwenzeka, ngezinye izikhathi ezisongela ukuphila, kanye nokutheleleka okukhulu.
Okuningi mayelana nohlobo lwesibili
Lolu hlobo lutholakala luphakathi kwezinyanga eziyi-6 neziyi-18. Izinga lokuqhubeka kwalesi sifo liyahlukahluka kakhulu kusuka komunye umntwana kuya komunye. Izingane ezinesifo sohlobo lwesibili zingahlala phansi zingasizwa ezigabeni zokuqala. Kodwa-ke, lapho zifika eminyakeni yobusha bazo, kungase kube nzima ukuhlala phansi zingasizwa.
Futhi, laba bantwana abakwazi ukuhamba izinyathelo ezingaphezu kwezimbalwa ngaphandle kosizo. Ngokuvamile, iminwe yabo iqala ukuthuthumela (ukuthuthumela). Ngisho ne-tendon reflex ingase ilahleke lapho udokotela eshaya idolo ngesando esincane.
Okuningi mayelana nohlobo lwesithathu
Lokhu kubizwa nangokuthi i-Kugelberg-Welander syndrome . Ngokuvamile kutholakala ukuthi umuntu uneminyaka engaba ngu-18 ubudala, kodwa ngezinye izikhathi izimpawu zingaqala ebuntwaneni.
Ukuqhubeka kwalolu hlobo lwe-SMA kuncike ekutheni ingane ifunda ukunyakaza okungakanani. Lezi zingane zingafunda ukuhamba. Kodwa ngokuhamba kwesikhathi, ziqala ukuwa njalo, zibe nobunzima bokukhuphuka izitebhisi, futhi zibe nobunzima bokuvuka zilele. Njengakwezinye izinhlobo ze-SMA, zisengozini enkulu yokutheleleka ngokuphefumula njengoba imisipha yazo ibuthakathaka.
Okuningi mayelana nohlobo lwesine
Lolu uhlobo olungavamile lwe-SMA. Lutholakala kubantu abaneminyaka engama-20 noma engama-30. Lesi sifo siqhubeka kancane kakhulu. Abantu abanalolu hlobo bangahamba njengoba sebekhulile, kodwa ubuthakathaka bemisipha bungakhula kancane kancane njengoba bekhula.
Umlayezo Wokuya Nawe Ekhaya
- I-Spinal Muscular Atrophy (SMA) yisifo esenza imisipha ibe buthaka ngokuhamba kwesikhathi. Kodwa-ke, ayithinti ubuchopho. Ukuhlakanipha nezinzwa zesiguli zihlala zijwayelekile.
- Uhlobo lwe-SMA wena noma ingane yakho enalo lunquma ukuthi lesi sifo sizoba sibi kangakanani futhi ngokushesha kangakanani.
- Ubunzima bokuphefumula kanye ne-scoliosis yizimo ezivamile ezihlotshaniswa ne-SMA. Lokhu kudinga ukunakekelwa okukhethekile kanye nokubhekwa kwezokwelapha.
- Kubaluleke kakhulu ukusebenzisana eduze nodokotela wakho ukuze uphathe lesi sifo, uye emitholampilo ngesikhathi, futhi ulandele imiyalelo enikeziwe.
- Ukwelashwa kwesimanje kuye kwathuthukisa kakhulu ikhwalithi yokuphila kanye nempilo yeziguli ze-SMA, ngakho-ke ungalokothi ulahle ithemba.
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