Nurse care of children with myotonic dystrophy syndrome
Children's myotonic dystrophy syndrome belongs to malnutrition, so how to care for children's myotonic dystrophy syndrome?
Children's myotonic dystrophy syndrome is mainly caused by the obvious delay of muscle relaxation after contraction, which leads to muscle stiffness. The main clinical manifestations are myasthenia, muscular atrophy and myotonia. Electromyography showed a characteristic and continuous high-frequency potential discharge. There is no effective treatment for this disease, mainly symptomatic support treatment. Phenytoin sodium can be selected for myotonia, and the treatment for myasthenia can be defined. Rehabilitation therapy is beneficial to maintain muscle function.
Children with myotonic dystrophy syndrome should be treated as soon as possible. Choosing appropriate methods for scientific and effective treatment and strengthening the nursing care of children with myotonic dystrophy syndrome can control the disease and achieve good treatment results. It is suggested that comprehensive treatment in regular professional hospitals should be selected, the distribution of inflammation should be accurately located, and targeted treatment combined with drugs should go deep into the focus, which has a good therapeutic effect on patients with early, middle and late ankylosis, relieving joint restrictions, blocking the development of the disease and protecting the spine.
Treatment of myotonic dystrophy syndrome in children
Children's myotonic dystrophy syndrome needs to be treated in time, otherwise it will easily affect muscle development, so how to treat children's myotonic dystrophy syndrome?
For the treatment of myotonic dystrophy syndrome in children, it is suggested to go to the rheumatology immunology department or a professional hospital for a special comprehensive examination. Through treatment, the symptoms such as long-term pain, morning stiffness and insomnia at night caused by inflammatory invasion will disappear, joint adhesion/mild fusion and mobility restriction will be lifted, and the spine, hip, sacrum and other joint parts will move freely, and the slight deformity of the spine will be corrected and recovered.
The commonly used drug treatments for myotonic dystrophy syndrome in children are: phenytoin sodium; Carbamazepine; Procaine amide. Acetamide, the prognosis of this disease is good, and most of the symptoms are alleviated with age, which has no effect on life expectancy. Usually, the commonly used drug treatments in western medicine are: phenytoin sodium, carbamazepine, procainamide and acetanilide. Traditional Chinese medicine can promote blood circulation and remove blood stasis as the principle of treatment, and Buyanghuanwu decoction is used as the basic prescription for effective treatment.
What are the symptoms of myotonic dystrophy syndrome in children?
Children with myotonic dystrophy syndrome can be treated as soon as possible if it is found in time. What are the symptoms of children with myotonic dystrophy syndrome?
The onset of myotonic dystrophy syndrome in children is insidious. The most common symptom is low back pain, and atypical patients can start with peripheral arthritis. Patients gradually develop pain and/or stiffness in the lower back or sacroiliac region, wake up in the middle of the night with pain, and have difficulty turning over. The waist stiffness is obvious immediately after getting up in the morning or sitting for a long time, but it is relieved after the activity. Some patients feel dull pain in the buttocks or severe pain in the sacroiliac region, which occasionally radiates to the periphery. Cough, sneezing and sudden twisting can aggravate the pain in the waist. In the early stage of the disease, the pain is intermittent on one side, and it is persistent on both sides after several months. With the development of the lesion from the lumbar spine to the thoracic and cervical spine, there will be pain, limited movement or spinal deformity in the corresponding parts.
Severe myotonic dystrophy syndrome in children can involve masticatory muscles, throat muscles and eye muscles. Symptoms can be aggravated by mood changes, cold, fatigue and fever, and warmth can alleviate symptoms. If you do the same action repeatedly, the rigidity time of the affected muscles can be shortened or even disappeared. Most of the children's muscles are well developed, muscle strength, muscle tension and reflex are normal, and there is no muscular atrophy.
What is the cause of myotonic dystrophy syndrome in children?
Children's myotonic dystrophy syndrome is usually due to heredity. What is the specific cause of children's myotonic dystrophy syndrome?
Children's myotonic dystrophy syndrome is an autosomal dominant genetic disease with multiple activities. The gene defect is located in the trinucleotide repeat (CTG) amplification of chromosome19q13.2-19q13.3. This amplified trinucleotide repeat forms the basis of diagnostic tests. The protein encoded by this gene is called myotonic protein kinase. The gene penetrance rate was100%. The global prevalence rate is 3-5/100000, and the incidence rate is about 1/8000 live infants. It is the most common muscular dystrophy in adults, and there is no obvious geographical or ethnic difference.
In some cases, the abnormality of muscle fiber membrane seems to be related to the decrease of chloride ion conductivity across muscle fiber membrane. In addition to showing muscular atrophy and myotonia of multiple groups of muscles, there are many activities such as lens, skin, heart, endocrine and reproductive activities. The inheritance of myotonic dystrophy type 2 is different. A group of related ankylosing myopathy is usually dominant and sporadic, and it has nothing to do with dystrophic myotonic protein kinase (DMPK) gene, which is located on chromosome 3q2 1.3.