Becker minofu yaminyewa

Becker muscular dystrophy ndi vuto lobadwa nalo lomwe limakulitsa kufooka kwaminyewa kwamiyendo ndi mafupa a chiuno.

Becker muscular dystrophy ndiyofanana kwambiri ndi Duchenne muscular dystrophy. Kusiyanitsa kwakukulu ndikuti kumangokulira pang'onopang'ono ndipo sikuchuluka. Matendawa amayamba chifukwa cha kusintha kwa jini komwe kumayika puloteni yotchedwa dystrophin.

Vutoli limafalikira kudzera m'mabanja (obadwa nawo). Kukhala ndi mbiri yabanja ya vutoli kumadzetsa chiopsezo.

Becker muscular dystrophy imachitika pafupifupi 3 mpaka 6 mwa ana 100,000 aliwonse obadwa. Matendawa amapezeka makamaka mwa anyamata.

Akazi nthawi zambiri samakhala ndi zizindikilo. Amuna amakhala ndi zizindikilo ngati atalandira jini losalongosoka. Zizindikiro nthawi zambiri zimawoneka mwa anyamata azaka zapakati pa 5 ndi 15, koma zimatha kuyamba pambuyo pake.

Kufooka kwa minofu yam'munsi, kuphatikizapo miyendo ndi malo am'chiuno, kumawonjezeka pang'onopang'ono, ndikupangitsa:

• Kuvuta kuyenda komwe kumawonjezeka pakapita nthawi; pofika zaka 25 mpaka 30, munthuyo samatha kuyenda nthawi zonse
• Kugwa pafupipafupi
• Zovuta zakudzuka pansi ndikukwera masitepe
• Zovuta ndi kuthamanga, kudumpha, ndi kudumpha
• Kutayika kwa minofu
• Kuyenda chala
• Kufooka kwa minofu mmanja, khosi, ndi madera ena sikowopsa ngati thupi lakumunsi

Zizindikiro zina zitha kuphatikiza:

• Mavuto opumira
• Mavuto amalingaliro (izi sizikuipiraipira pakapita nthawi)
• Kutopa
• Kutaya bwino ndi kulumikizana

Wopereka chithandizo chamankhwala azichita kafukufuku wamanjenje (minyewa) ndi mayeso a minofu. Mbiri yosamalitsa yazachipatala ndiyofunikanso, chifukwa zizindikiro ndizofanana ndi za Duchenne muscular dystrophy. Komabe, Becker muscular dystrophy imakulirakulira pang'onopang'ono.

Mayeso atha kupeza:

• Mafupa opangidwa modabwitsa, zomwe zimabweretsa kufooka kwa chifuwa ndi kumbuyo (scoliosis)
• Ntchito yosalimba yaminyewa yamtima (cardiomyopathy)
• Congestive mtima kulephera kapena kusakhazikika kwa mtima (arrhythmia) - kosowa
• Zofooka zam'mimba, kuphatikiza ma contract a zidendene ndi miyendo, mafuta achilendo komanso minofu yolumikizana mu minofu ya ng'ombe
• Kutayika kwa minofu komwe kumayambira m'miyendo ndi m'chiuno, kenako kumasunthira minofu ya mapewa, khosi, mikono, ndi kupuma

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi kwa CPK
• Kuyesa kwa mitsempha ya Electromyography (EMG)
• Minofu biopsy kapena mayeso amwazi wamagazi

Palibe mankhwala odziwika a Becker muscular dystrophy. Komabe pali mankhwala ambiri atsopano omwe akuyesedwa pakadali pano omwe akuwonetsa lonjezo lofunikira pochiza matendawa.Cholinga chamakono chamankhwala ndikuwongolera zizindikilo zokulitsa moyo wamunthuyo. Omwe amapereka amapereka ma steroids kuti athandize wodwala kuyenda kwautali momwe angathere.

Ntchito imalimbikitsidwa. Kusagwira ntchito (monga kupumula pabedi) kumatha kukulitsa matenda am'mimbawo. Thandizo lakuthupi lingakhale lothandiza kuti minofu ikhale yolimba. Zipangizo zamagetsi monga ma brace ndi ma wheelchair zitha kupititsa patsogolo kuyenda ndi kudzisamalira.

Ntchito yosagwira mtima imatha kugwiritsa ntchito pacemaker.

Upangiri wa chibadwa ungalimbikitsidwe. Ana aakazi a munthu yemwe ali ndi Becker muscular dystrophy atha kunyamula jini lopunduka ndipo akhoza kulipereka kwa ana awo.

Mutha kuchepetsa kupsinjika kwa matendawo polowa nawo gulu lothandizirana ndi ma muscular dystrophy pomwe mamembala amagawana zomwe akumana nazo pamavuto.

Becker muscular dystrophy imabweretsa kulemala koipiraipira. Komabe, kuchuluka kwa olumala kumasiyana. Anthu ena angafunike njinga ya olumala. Ena angafunike kugwiritsa ntchito zothandizira kuyenda monga ndodo kapena zolumikizira.

Nthawi yamoyo nthawi zambiri imafupikitsidwa ngati pali mavuto amtima ndi kupuma.

Zovuta zingaphatikizepo:

• Mavuto okhudzana ndi mtima monga mtima
• Kulephera kwa mapapo
• Chibayo kapena matenda ena opuma
• Kulemala kowonjezereka ndi kosatha komwe kumabweretsa kuchepa kwa luso lodzisamalira, kuchepa kwa kuyenda

Itanani omwe akukuthandizani ngati:

• Zizindikiro za Becker muscular dystrophy zimawoneka
• Munthu yemwe ali ndi Becker muscular dystrophy amakhala ndi zizindikilo zatsopano (makamaka malungo ndi chifuwa kapena kupuma movutikira)
• Mukukonzekera kuyambitsa banja ndipo inu kapena abale ena mwapezeka kuti muli ndi Becker muscular dystrophy

Upangiri wa chibadwa ungalangizidwe ngati pali mbiri yabanja ya Becker muscular dystrophy.

Benign pseudohypertrophic muscular dystrophy; Matenda a Becker

• Minofu yakunja yakunja
• Minofu yakuya yakunja
• Tendon ndi minofu
• Minofu ya m'munsi

Amato AA. Kusokonezeka kwa mafupa am'mafupa. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 110.

Bharucha-Goebel DX. Matenda am'mimba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 627.

Gloss D, Moxley RT III, Ashwal S, Oskoui M. Practice malangizo omasulira mwachidule: corticosteroid treatment of Duchenne muscular dystrophy: lipoti la Guideline Development Subcommittee ya American Academy of Neurology. Neurology. 2016; 86 (5): 465-472. PMID: 26833937 pubed.ncbi.nlm.nih.gov/26833937/.

Selcen D. Matenda a minofu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 393.