JHD Inofananidzwa Sei Nezvokurwara Kwevakuru-Onset Huntington?
Kunyange zvazvo chirwere chechiduku chaHuntington chiri chinonetsa kuongororwa kuti chiwane, zvinogona kubatsira kuti tidzidze zvatinotarisira uye kuti tingararama sei nemigumisiro yayo. Chirwere chechiduku cheHuntington chirwere chepfungwa chinokonzera zvinetso zvepfungwa, dambudziko repfungwa, uye kufamba kusingadzorwiki kwomuviri. Izwi rokuti "mwana" rinoreva pauduku kana kuyaruka; Chirwere cheHuntington chinosarudzwa sevechidiki kana chichikura pamberi pemunhu ane makore makumi maviri.
Mamwe mazita echirwere chevana vechiHuntington anosanganisira JHD, vana vechidiki vese HD, hutano-hunotanga zvirwere zveHuntington, chirwere chevana HD, uye chirwere cheHuntington, vana vechidiki vose,
Kuwanda
Ongororo dzekutsvakurudza dzakafungidzira kuti ne5 kubva muzana kusvika kune gumi kubva muzana zvehutano hweHuntington dzinoratidzirwa sevana. Iye zvino, vanenge 30 000 vokuAmerica vari kurarama nechirwere chaHuntington, vane vanenge 1 500 kusvika ku3 000 vavo vari pasi pemakore makumi maviri.
Zviratidzo
Zviratidzo zveJHD zvinowanzosiyana zvakanyanya kubva kune vanhu vakuru-kutanga chirwere cheHuntington. Kuverenga pamusoro pavo kunonzwisisika kukurira. Ziva kuti hazvisi zvose zvinoitika uye kuti kurapa kwakasiyana-siyana kunowanikwa kubatsira kubatsira avo vanoita kuitira kuchengetedza hupenyu hwehupenyu.
Kugadziriswa kwemafungiro kunogona kusanganisira kuora kwekuyeuka , kunonoka kugadzirisa, matambudziko azvino munguva yekuchikoro kushanda, uye zvinetso pakutanga kana kupedzisa basa nekubudirira.
Kuchinja maitiro kunowanzokura uye kunogona kusanganisira kutsamwa, kushungurudzika , kushushikana, kuora mwoyo, kuzvidya mwoyo, kusagadzikana-kusagadzikana kwepfungwa , uye kukanganisa .
Kuchinja kwemuviri kunosanganisira makumbo akaoma, kushungurudza, kumedza matambudziko, kuderera mumutauro, nekufamba pamakumbo. Kunyange zvazvo vanhu vakura-mamiriro ezvinhu aHuntington anowanzoratidza kurwisana, kusingadzorwiki kufamba (kunonzi chorea), avo vane JHD vane mikana yekuratidza zviratidzo zvinofanana nechirwere cheParkinson, zvakadai sokukotama, kuoma, kusagadzikana kwehutano uye kusagadzikana.
Kukanganisika kunogona kuitikawo mune vamwe vanhu vaduku vane JHD. Uyezve, kuchinja mukunyorwa kwezvinyorwa kunogona kuonekwa kare muna JHD.
Vechidiki vs. Vakuru Vokutanga HD
JHD ine zvimwe zvinetso zvakasiyana kubva kuvanhu vakuru-kubuda HD. Dzinosanganisira zvinotevera.
Matambudziko muChikoro
JHD inogona kukonzera kuoma mukudzidza nekuyeuka ruzivo muchikoro chechikoro, kunyange JHD isati yabatwa. Izvi zvinogona kuita kuti zvive zvakaoma kuvadzidzi nevabereki avo vangave vasati vaziva kuti sei chikoro chekuita chichiramba chakanyanya.
Kushamwaridzana, chikoro neJHD chinogonawo kuva chakaoma kana maitiro achiita zvisina kukodzera uye kushamwaridzana kwehutano kunokanganisa.
Kuzvimirira Pane Chorea
Kunyange zvazvo zviitiko zvakawanda zvevanhu vakuru-kubuda HD zvinosanganisira chorea (kusazvipira), JHD inowanzokonzera migumo nekuita kuti ive yakasimba uye isingagadzi. Nokudaro, kurapwa kunowanzosiyana muJHD.
Kugumburwa
Kukundikana hakuwanzoitiki kune munhu mukuru-kunotanga HD asi vanokura mune anenge 25 kusvika ku30 muzana emhosva dzeJHD. Izvi zvinogona kuisa vanhu pangozi yakawanda yekuwira nekukuvadzwa.
Cause uye Genetics
Ziva kuti hapana chakaitwa nomunhu kana asina kuita chakaita kuti mwana akure JHD. Inonyanya kukonzerwa nejen mutation pane chromosome mana yakagara nhaka kubva kuvabereki.
Chimwe chikamu chejeni, inonzi CAG (cytosine-adenine-guanine) inodzokorora, inoisa munhu pangozi yeHD. Kana nhamba yeCAG ichidzoka inopfuura makumi mana, munhu wacho achaedza zvakanaka kune HD. Vanhu vanokura JHD vanove nevekare vanopfuura 50 CAG kudzokorora pamusoro pechromosome yavo.
Inenge 90 muzana yemhosva dzeJHD dzinotora nhaka kubva kuna baba, kunyange zvazvo geni rinogona kupfuudzwa kubva kuvabereki vose.
Kurapa
Sezvo zvimwe zviratidzo izvi zvakasiyana nevakuru-kutanga HD, JHD inowanzobatwa zvakasiyana neHD. Kurapa kunowanzoenderana nezviratidzo zviripo uye zvinotungamirirwa kubatsira kuchengetedza hupenyu hwakanaka hwehupenyu.
Kana kukanganisa kuripo, mishonga inorasipira inogona kuudzwa kuti iitungamirire. Nepo vamwe vana vanoita zvakanaka pamishonga iyi, vamwe vanowanikwa zvinokonzerwa nemigumisiro yekurara, kusava nekubatana, uye kuvhiringidzika. Vabereki vanofanira kukurukura nezvengozi dzemigumisiro yemishonga yakadai nechiremba wemwana.
Psychotherapy inokurudzirwa kune avo vanorarama neJHD, vakapa ruzivo rwakakosha iyo JHD inokumbira. Kutaura pamusoro peJHD nemigumisiro yaro kunogona kubatsira vose nevana vemhuri kuti vashandise, vadzidze kuzvitsanangurira kune vamwe, vagoona zvido zvei, uye vaudzana nekutsigira mabasa munharaunda.
Chirwere chepanyama uye chebasa chinokurudzirwa uye chinogona kushandiswa kubatsira kutambanudza uye kupora zvakasimba maoko nemakumbo, uyewo kugadzirisa midziyo yekugadzirisa zvinodiwa.
Munhu anodya zvekudya anogona kubatsira nekugadzira kudya kwe-calorie kuderedza kuora kwekurema uko vanhu vane JHD vanowanzosangana nazvo.
Pakupedzisira, mutauro nemutauro wevanhu vanogona kubatsira kuburikidza nekuziva nzira dzokuramba dzichikurukurirana zvinodiwa nevaya vanenge varipo kana kutaura kwakaoma.
Prognosis
Mushure mekunge vaongororwa neJHD, kutarisira upenyu kune makore gumi nemashanu. JHD iri kufambira mberi, zvinoreva kuti nekufamba kwenguva, zviratidzo zvinowedzera nekushanda zvinoramba zvichiderera.
Zvisinei, yeuka kuti pane rubatsiro rwevana nevemhuri dzavo sezvavanoona JHD. Kana iwe usingazivi kuti unotangira kupi, taura neHuntington's Disease Society of America kuti uwane ruzivo uye rutsigiro pedyo newe.
> Sources:
> Huntington's Disease Society of America. Juvenile Onset HD. http://hdsa.org/living-with-hd/juvenile-onset-hd/
> Dambudziko reHuntington Youth Organization. The Basics of JHD. https://en.hdyo.org/jhd/articles/52
> Liou, S. (2010) Chirongwa cheHuntington Chokudzidzira Dzidzo kuStanford. Zvirwere zveVaduku veHuntington.
> National Institutes of Health. Genetic uye Rare Diseases Information Center. Juvenile Huntington Disease. https://rarediseases.info.nih.gov/diseases/10510/juvenile-huntington-disease