Dzidza Zvakawanda Pamusoro peAmC, A Congenital Defect yeZvibatanidza
Arthrogryposis kana arthrogryposis multiplex congenita (AMC) ndiro zita rakapiwa boka rematambudziko rinoratidzwa nekuvandudzika kwezvibvumirano zvakawanda zvakabatana mumuviri wose. Chibvumirano ndechimwe mamiriro ekubatanidza akaoma uye anogadziriswa muchero wakananga kana wakananga, zvichiita kuti zvibvumirano mukutenderera kwechibatanidzwa ichocho.
Mamiriro acho anotanga asati aberekwa (ihwo hutachiona hwekuzvarwa ) uye muUnited States, inoitika kamwe chete pamarudzi ose 3 000 kuberekwa kurarama, zvichibata vose varume nevakadzi vemarudzi ose.
Zvinopfuura muviri umwe chikamu chinofanira kukanganiswa nekuda kwechirwere chinotumidzwa seArthrogryposis. Kana chibvumirano chekuberekwa chinowanzoitika mune imwe nzvimbo yemuviri (zvakadai semakumbo, chiitiko chinonzi clubfoot ) zvino ndiyo yakasara kubatana chibvumirano uye kwete arthrogryposis.
Apo zvikamu zviviri kana kupfuura zvakasiyana zvemuviri zvinokanganiswa ne arthrogryposis, mamiriro acho anganzi anonzi arthrogryposis multiplex congenita (AMC) uye dzimwe nguva mazita ose anoshandiswa zvakasiyana. Iko kune marudzi anopfuura 150 e AMC, uye amyoplasia ndiyo yakawanda uye inotarisirwa kune inopfuura 40% yezvose AMC matambudziko.
Zvinowanzokonzera Arthrogryposis Multiplex Congenita (AMC)
Arthrogryposis inowanzokonzerwa nekuderera kwemucheche kufamba mumimba. Izvo fetus inoda kufamba mumakumbo kuti iite musuru uye manhengo. Kana majoi asingatauri, mamwe maitiro anobatana anowedzera kumativi ose uye anogadzirisa panzvimbo.
Zvimwe zvezvikonzero zvinokonzera kuderedza fetal kufamba ndezvekuti:
- Kusagadzikana kana kusagadzikana kwepakati penheyo system (chinowanzokonzera), zvakadai sepina bifida , kuora kwehupfungwa, kana muspini muscular atrophy
- Nhaka yakagadzirirwa neuromuscular disorder yakadai sa myotonic dystrophy, myasthenia gravis, kana multiple sclerosis
- Kutapurika kwemadzimai panguva yekuzvitakura kwakafanana neGermany masero (rubella) kana rubeola
- Maternal fever inopfuura 39C (102.2F) kwenguva yakareba, kana kutengesa kwemaviri emudzimai kwakakonzerwa nekuwedzera kwenguva refu mumoto
- Kusununguka kwemadzimai kune zvinhu zvinogona kukuvadza fetus, zvakadai semishonga, doro, kana mushonga unorwisa-seizure unonzi phenytoin (Dilantin)
- Zvishoma zvishoma amniotic fluid, kana kusingagumi kusingaperi kweamniotic fluid, kunogona kukonzera nzvimbo yakaderera kuti fetus iende
Zviratidzo zve AMC
Izvo zvibvumirano zvakabatana zvinowanikwa mucheche ne arthrogryposis zvinosiyana kubva kumucheche kusvika kumwana, asi pane zvakawanda zvinowanzozivikanwa:
- Makumbo nemaoko zvinoshandiswa, nemakumbo nemakumbo marefu ari akaremara kwazvo (funga nezvemucheche yakaputirwa mukati mechiberekero, ndokuvharwa munzvimbo iyoyo)
- Majoka mumakumbo nemaoko angasakwanise kufamba zvachose
- Tsvina mumakumbo uye maoko zvishoma uye zvakashata kana kunyange zvisiripo
- Zviruno zvingasunungurwa
Vamwe vana vane arthrogryposis vane uori hwemasana, kupera kwemutsana, kuora kwebonde, matambudziko emwoyo uye kuporesa, uye kusvibiswa kweganda.
Kurapa kweArthrogryposis Multiplex Congenita
Hakuchina mushonga we arthrogryposis, uye kurapa kunotungamirirwa kune zviratidzo zvakananga munhu angave ari kutarisana nazvo.
Semuenzaniso, kutanga kwemasimba makuru ekurapa kunogona kubatsira kutambanudza mapepa akabatana uye kukudzikisa masimba asina simba. Tsvina inogona kubatsirawo kutambanudza manotsi, kunyanya usiku. Kuvhiyiwa kweOrthopedic kunogonawo kukwanisa kugadzirisa kana kururamisa matambudziko pamwe chete.
Ultrasound kana kuti computed tomography (CT) scan inogona kuona chero hutachiona hwehutano husina kunaka. Izvi zvinogona kana kuti hazvingadi kuti kuvhiyiwa kurapwe. Congenital mwoyo kasina kusimba inogona kugadziriswa.
Zviratidzo zve AMC
Hupenyu hwomumwe munhu ane arthrogryposis kazhinji hunowanzoitika asi hunogona kuchinjwa nekusaremara kwemwoyo kana pakati pehutano hwematambudziko.
Nenzira yakawanda, kufungidzira kwevana vane amyoplasia zvakanaka, kunyange zvazvo vazhinji vana vanoda kurapa kwakasimba kwemakore. Inenge zvikamu zviviri kubva muzvitatu pakupedzisira vanogona kufamba (pamwe kana vasina bhururu) uye kuenda kuchikoro.
Sources:
National Organ for Rare Diseases. Arthrogryposis Multiplex Congenita. Yakasvika Feb 13, 2016.