Zviratidzo uye Kurapa kweSBMA
Kennedy chirwere, chinonziwo spinal bulbar muscular atrophy kana SBMA, inokonzerwa neurological disorder. Chirwere cheKennedy chinokanganisa masero ehutano chaihwo anodzora misuli kufamba (kunyanya, motokari yemaputi neuroni), iyo inokonzerwa nekufamba kwemasimba akawanda emaoko nemakumbo. Icho chinokanganisawo mitsipa inodzora misoro yebhuru, iyo inodzora kufema, kumedza, uye kutaura.
Chirwere cheKennedy chinogonawo kutungamirira kune androgen (mashomoni evanhu) kusava nehanya kunokonzera mazamu akawedzerwa mumarume, kuderedza kubereka, uye testicular atrophy.
Kennedy chirwere chinokonzerwa nehutachiona hunokonzerwa ne X (vakadzi) chromosome. Sezvo varume vari chete vane X chromosome, ivo vanonyanya kunetseka nedambudziko. Madzimai, ane maviri e-chromosomes, anogona kutakura chirwere chisina kukwana pane imwe X chromosome, asi imwe chinyorwa chechi X chromosome inoderedza kana kuvanza zviratidzo zvechirwere. Kennedy chirwere inofungidzirwa kuitika kune 1 mu 40,000 vanhu pasi rose.
Zviratidzo zveKennedy Disease
Pavhareji, zviratidzo zvinotanga kune vanhu vane makore 40-60. Zviratidzo zvinouya zvishoma nezvishoma, uye zvinogona kusanganisira:
- Kushayiwa simba uye musumbu makumbo mumakumbo nemakumbo
- Kushaya simba kwechiso, muromo, uye rurimi mutsvuku. Chino chinogona kuchenesa kana kudonha, uye izwi rinogona kuva rakawanda.
- Kubvisa zviduku zviduku zvinogona kuonekwa pasi peganda.
- Kuvhunduka kana kudedera nedzimwe nzvimbo. Maoko anogona kudedera paanoedza kutora kana kubata chimwe chinhu.
- Unhu kana kurasikirwa kwekunzwa kune dzimwe nzvimbo dzomuviri.
Kennedy chirwere chinogona kuva nemimwe migumisiro mumuviri, kusanganisira:
- Gynecomastia , kureva kuwedzerwa kwezvifuva zvezamu muvarume
- Testicular Atrophy, apo nhengo dzevarume dzekuberekwa dzinopera muhukuru uye dzinorasikirwa nebasa.
Kuongororwa kweChiitiko
Kune hutano hwakawanda hweeuromuscular ine zviratidzo zvakafanana neKennedy chirwere, saka kushaya mishonga kana kusazviongorora kungave kwakakurumbira.
Kakawanda, vanhu vane chirwere cheKennedy vanofungidzirwa nenzira isina kururama kuti vane amyotrophic lateral sclerosis (ALS, kana chirwere chaLou Gehrig). Zvisinei, ALS, pamwe nezvimwe zvinetso zvakafanana, hazvisanganisi matambudziko endocrine kana kurasikirwa kwekunzwa.
A genetic test inogona kusimbisa kana chirwere cheKennedy chiripo pane X chromosome. Kana kuenzaniswa kwemafuroki kwakanaka, hapana humwe huedzo hunofanira kuitika sekuongororwa hunoitwa kubva kumuviri wechipfuwo chete.
Kurapa kweSBMA
Chirwere cheKennedy kana kuti SBMA hachina kukanganisa kurarama kwehupenyu, saka kurapwa kunowedzera mukuchengetedza hutano hwemunhu hwakanaka muupenyu hwake hwose kuburikidza nedzimwe nzira dzinotevera dzehutano:
- Physical therapy
- Occupational therapy
- Kutaura kwekutaura
Aya maitiro ekurapa anokosha pakuchengetedza unyanzvi hwemunhu uye kugadzirisa kuenderera mberi kwechirwere chacho. Zvigadzirwa zvekugadzirisa zvakadai sekushandiswa kwezvikwata kana zvikwata zvemagetsi zvinogona kubatsira kuchengetedza kufamba uye kuzvimirira.
Genetic Counseling
Kennedy chirwere chinobatanidza neC (chikadzi) chromosome, saka kana mukadzi ari mutakuri wejini isina kukwana, vanakomana vake vane mukana we50% ane chirwere uye vanasikana vake vane mukana we50% wekutakura.
Vanababa havagoni kupfuura chirwere cheKennedy kuvana vavo. Asi vanasikana vavo, zvisinei, vachave vatakuri vejecha risina kukwana.
Sources:
Barkhaus, PE (2003). Kennedy chirwere.
Kennedy's Disease Association. "Chii Chinonzi Kennedy Disease?"