Myotonic chirwere: zvinokonzera, zviratidzo, kurapwa

Myotonic chirwere - a neuromuscular chirwere dzinoratidzwa nekusagona kuzorora tsandanyama pashure marwadzo. Kakawanda chirwere ichi chinoitika muvana. Mupfungwa yakakura, zvakadai chirwere zvinosanganisira chero matambudziko vane tsandanyama kutandara (kunyange avo vane pfupi zvakasikwa), haana chokuita pyramidal kana extrapyramidal zvirwere matauriro.

zvinogoneka zvikonzero

Myotonic urwere, chero kuti vachiberekwa, ndiyo nhaka chirwere. To musi, mushonga ichiri asingakwanisi zvakarurama kuona zvinokonzera inotisvitsa kukura myotonia, asi sezvo precipitating zvinhu vanachiremba vakawanda rinonzi subcortical nuclei maronda, pathological pezvakaitwa ari cerebellum uye zvinetso chokuita autonomic tsinga nzvimbo. Panyaya, kana asina myotonic chirwere chinhu nemagene, sezvo zvinokonzera akadaro vangazivikanwa vana zvokurwara sezvo asina kusimba, zvemamiriro muviri, zvirwere uye siyana fetus nokuberekwa kukuvara. Zvinofanira kucherechedzwa kuti kazhinji pane zviitiko apo nechirwere haina yasimbiswa: mamiriro ari tsandanyama mataurire mwana anogona kufungidzirwa.

zvekuchipatara mufananidzo

Myotonic chirwere muvana kunoratidzwa pachangu kuoma injini chiito. Kana pashure pakarepo zvakajairika tsandanyama marwadzo kuzorora pane izvi, nekusiyana, pane tonic makakatanwa. Kamwe wandei cheka mumutsetse aita, kuti tsandanyama kunokudziridzwa zvishoma nezvishoma. Uyezve basa iri nyore zvikuru. Kazhinji, zviratidzo vana anotanga kubuda apasi kuviri, saka vanachiremba angarayira vabereki kuteerera sei mwana uye pasi masitepisi kana aigona kufamba nokukurumidza sezvo achiita zviito kuti zvinoda Kufambisa uye kutarisirwa. Kana munhu achitambura myotonia, zvose pamusoro zviito achapiwa kwaari tanetseka chaizvo, murwere dzose kurasikirwa kwavo takadzikama, uye ipapo kuwa pamberi dzakatevedzana kufamba kwenguva refu mira. Chimwe maitiro aizoonekawo kunokwanisa kuonekwa myotonic urwere - change zvokuimba excitability tsandanyama. Chiremba kuisa zvishomanana dhumhira kune imwe boka tsandanyama, uye, sezvo mutemo, mhinduro ndeyokuti nezve spasm, uye iye ari pamwe paumbwe tsandanyama anooneka zvikuru nemichinjiziri, izvo ndokudzora zvishoma nezvishoma. Ndezvomuzvarirwo kuti yakadaro tonic maitiro kunowanzoguma rwevanhu tsandanyama simba, izvo zvinozoita kunotungamirira hachifadzi chaizvo nemigumisiro: asi undeveloped musana tsandanyama vanoumba kururama mamiriro, simba abdominal tsandanyama vaizongoguma kutungamirira kupatira nemamwe bowel matambudziko, neutera ziso tsandanyama iguru pakanyorwa kuti kukura myopia. Uyezve, tsandanyama hypotonia inowanzopiwa achiperekedzwa vakawanda simba, kurukutika uye chisingaperi nomusoro. Vakadzi vanotambura nezvirwere izvi kazhinji asingakwanisi kusvika panhongonya panguva pabonde: ivo vanonzi "myotonic zvepabonde", iro rakagadzirirwa nokuda kwakanyanya marwadzo ose pelvic tsandanyama.

mabatiro

Zvinosuruvarisa inoshanda kurapwa nokuti kuvabereki akagarisa myotonia hakuwaniki nhasi. Kana myotonic chirwere kwakakonzerwa chaizvo chikonzero, tinofanira kuita zvose zvavanogona kuti vave nechokwadi kuti kugadziriswa. Pakati dzinobudirira nyanzvi vanodana masaja uye electrophoresis.