Chii Chinonzi Congenital Myasthenic Syndrome? Zviratidzo, Zvinokonzera, & Kurapa

Congenital myasthenic syndrome (CMS) chirwere chisingawanzoitika chinobva pazviitiko zvemagene chinoita kuti minyonga yako nemitsipa isashande zvakanaka pamwe chete. Fungidzira sekutadza kwemagetsi pakati pemitsipa yemuviri wako neminyuonga – masaini haapfuuri zvakanaka, zvichiita kuti minyonga ishaye simba, ichiuya nekuenda.

Kusiyana nemamwe marwere eminyonga, CMS inenge iripo kubva pakuberekwa uye inofamba mumhuri. Kunyange zvazvo zvingaita sekutyisa pakutanga, kunzwisisa chirwere ichi kunogona kukubatsira iwe kana waunoda kuti murarambe zvakanaka uye murarame hupenyu hwakanaka.

Chii Chinonzi Congenital Myasthenic Syndrome?

Congenital myasthenic syndrome inoitika kana paine dambudziko panzvimbo inobatanidza mitsipa neminyuonga – nzvimbo iyo mitsipa yako inobatanidza neminyuonga yako. Nzvimbo iyi inoshanda senge nzvimbo yekutumira masaini, ichipfuudza masaini kubva kuuropi kuudza minyuonga yako kuti ishande.

MuCMS, kuchinja kwemagene kunokanganisa sisitimu iyi yekutaurirana. Uropi hwako hunotumira chiratidzo, asi hahusiki kuenda kumanyonga zvakanaka kana kushaya simba munzira. Izvi zvinoita kuti minyonga iremerwe nyore nyore uye ishaye simba, kunyanya kana ichishandiswa kakawanda.

Chirwere ichi chinoita kuti vanhu vave nemigumisiro yakasiyana. Vamwe vane kushaya simba kwakapfava kunosvika zvishoma pahupenyu hwezuva nezuva, nepo vamwe vangave nemiedzo yakakura. Chinhu chikuru chekuyeuka ndechekuti CMS inogona kurapwa nekuchengetedzwa kwakakodzera nekurapa.

Ndeapi Zviratidzo zveCongenital Myasthenic Syndrome?

Chiratidzo chikuru cheCMS ndekushaya simba kweminongo kunowedzera nekuita basa uye kunovandudzika nekuzorora. Ungacherechedza kuti mabasa anonzwa ari nyore pakutanga asi anoita sekunetsa zvakanyanya sezvaunoramba uchiita.

Zviratidzo zvakajairika izvo vanhu vakawanda vane CMS vanonzwa zvinosanganisira:

• Maziso anodonha (ptosis) anogona kuwedzera zuva rese
• Kuona kaviri kana kusapfava kuona, kunyanya kana wakaneta
• Kunetseka kumira kudya, kunyanya zvinwiwa
• Minyonga yakasimba chiso zvichiita kuti chitarisiko chisave chakanaka
• Kutaura kwakashata kana kunonzwika semhino
• Kushaya simba mumaoko nemakumbo kunowedzera nekushandisa
• Kunetseka kukwira matanho kana kukwidza zvinhu
• Kunetseka kufema, kunyanya panguva yekurovedza muviri

Muvana vaduku nevana vaduku, ungacherechedza zviratidzo zvakasiyana. Vacheche vangave nekunetseka kudya, vachiratidzika kuva vasina simba, kana kusvika pakukura kwakasiyana pane zvakaonekwa.

Zviratidzo zvisingawanzoitika asi zvinokosha zvinogona kusanganisira matambudziko akakomba ekufemesa anoda rubatsiro rwekurapa, kunyanya mumhando dzakasiyana dzeCMS. Vamwe vanhu vanonzwawo zviitiko apo kushaya simba kwavo kunowedzera zvakanyanya kamwe kamwe, kazhinji kunokonzerwa nechirwere, kushushikana, kana mishonga yakati.

Ndeapi Marudzi eCongenital Myasthenic Syndrome?

CMS haisi chirwere chimwe chete – chaizvoizvo boka rematambudziko ane hukama anokonzerwa nekuchinja kwemagene akasiyana. Mhando imwe neimwe inokanganisa chikamu chakasiyana chekubatanidza kwemitsipa neminyuonga, zvichiita kuti pave nezviratidzo zvakasiyana uye mhinduro yekurapa.

Mhando dzakajairika dzinosanganisira CMS inokonzerwa nekuchinja kwemagene akadai seCHAT, COLQ, DOK7, uye RAPSN. Imwe neimwe inokanganisa kubatanidza kwemitsipa neminyuonga zvakasiyana. Semuenzaniso, DOK7-yakabatana neCMS kazhinji inokonzera kushaya simba kwakawanda muminyonga iri pedyo nemabvi nemapfudzi, nepo COLQ-yakabatana neCMS inogona kukonzera zviratidzo zvakakomba zvakanyanya.

Mamwe marudzi asingawanzoitika anogona kukonzera matambudziko akawedzerwa. PREPL-yakabatana neCMS inogona kusanganisira matambudziko ekudzidza pamwe chete nekushaya simba kweminongo, nepo GMPPB-yakabatana neCMS inogona dzimwe nguva kukanganisa mamwe masisitimu emuviri kunze kweminongo.

Chiremba wako anogona kuona kuti ndeipi mhando yaunayo kuburikidza nekuongororwa kwemagene. Ruzivo urwu runobatsira kutungamira sarudzo dzekurapa, sezvo marudzi akasiyana anopindura zvakanaka kumishonga yakasiyana.

Chii Chinokonzera Congenital Myasthenic Syndrome?

CMS inokonzerwa nekuchinja (mutations) mumagene anotonga mashandiro enzvimbo inobatanidza mitsipa neminyuonga. Kuchinja uku kwemagene kunogara kuripo, zvinoreva kuti kunopfuudzwa kubva kuvabereki kuenda kuvana kuburikidza nemhuri.

Kazhinji kesi dzinotevera izvo vanachiremba vanoti “autosomal recessive” pattern. Izvi zvinoreva kuti unofanira kugara uine gene yakachinjwa kubva kuvabereki vese kuti uve neCMS. Kana ukawana gene yakachinjwa kubva kumubereki mumwe chete, kazhinji hauzove nezviratidzo asi unogona kupfuudza gene kuvana vako.

Ma gene anobatanidzwa anoita mapuroteni anokosha pakutaurirana kwemitsipa neminyuonga. Kana mapuroteni aya asingashande zvakanaka nekuda kwekuchinja kwemagene, masaini ekemikari pakati pemitsipa neminyuonga anokanganiswa. Izvi zvinoita kuti pave nekushaya simba kweminongo nekuneta.

Mukadiki, CMS inogona kukonzera kuchinja kwemagene matsva aisingapfuudzwe kubva kuvabereki. Aya anonzi “de novo” mutations uye anoitika oga panguva yekukura kwemwana.

Rini Unofanira Kuona Chiremba neCongenital Myasthenic Syndrome?

Unofanira kutsvaga rubatsiro rwekurapa kana iwe kana mwana wako ane kushaya simba kweminongo kunowedzera nekuita basa uye kunovandudzika nekuzorora. Iyi nzira yekuneta chiratidzo chikuru cheyambiro chisingafanirwe kuregererwa.

Rongedza nguva yekuona chiremba wako kana ukaona maziso anodonha, kuona kaviri, kunetseka kumira kudya, kana kutaura kwakashata kunouya nekuenda. Aya zviratidzo zvinokanganisa chiso nehuro kazhinji zviratidzo zvepakutanga zveCMS.

Tsvaga rubatsiro rwekurapa nekukurumidza kana uine matambudziko ekufemesa, matambudziko akakomba ekumira kudya, kana kushaya simba kweminongo kunowedzera kamwe kamwe. Izvi zvinogona kuva zviratidzo zvemyasthenic crisis, inoda kurapwa nekukurumidza.

Kune vacheche nevana, taura nachiremba wako kana ukaona matambudziko ekudya, kukura kwakasiyana, kana mwana wako achiratidzika kuva asina simba. Kuongororwa nekukurumidza nekurapa kunogona kuita musiyano mukuru mukutonga chirwere ichi.

Ndeapi Zvinokonzera Ngozi yeCongenital Myasthenic Syndrome?

Chinhu chikuru chinokonzera ngozi yeCMS ndechekuva nevabereki vane kuchinja kwemagene kunobatanidzwa nechirwere ichi. Sezvo marudzi mazhinji achigara aripo mu“autosomal recessive” pattern, vabereki vese vanofanira kuva vatakuri kuti mwana ave neCMS.

Nhoroondo yemhuri ine basa rakakosha mukuongorora ngozi. Kana uine munun'una kana mumwe hama yepedyo ane CMS, ngozi yako inogona kunge yakakwira. Zvisinei, mhuri dzakawanda hadzina nhoroondo inozivikanwa yechirwere ichi nekuti vatakuri kazhinji havaoneki nezviratidzo.

Mamwe mapopurayi anogona kuva nehuwandu hukuru hwemhando dzakasiyana dzeCMS nekuda kwemagene founder effects, asi zvakanyanya, chirwere ichi chinogona kukanganisa vanhu vechero rudzi rwevanhu. Consanguinity (kuroorana pakati pehama) inogona kuwedzera ngozi yematambudziko e“autosomal recessive” akadai seCMS.

Kusiyana nemyasthenia gravis yakawanikwa, ngozi yeCMS haina kukanganiswa nezera, pabonde, zvirwere, kana mamwe mamiriro ezvekurapa. Kuchinja kwemagene kuripo kubva pakuberekwa, kunyange zvazvo zviratidzo zvingasaratidzike kusvika gare gare muhupenyu mune dzimwe nguva.

Ndeapi Matambudziko Anogona Kuitika eCongenital Myasthenic Syndrome?

Kunyangwe vanhu vakawanda vane CMS vachirarama hupenyu hunowanzoitika, chirwere ichi chinogona dzimwe nguva kukonzera matambudziko anoda kutarisirwa nekuchengetedzwa. Kunzwisisa izvi zvinogona kukubatsira kugadzirira uye kutsvaga rubatsiro kana zvichidiwa.

Matambudziko ekufemesa ari pakati pezvinhu zvinotyisa zvikuru. Vamwe vanhu vanogona kuve nekushaya simba kweminongo yekufemesa kunoita kuti zviome kufema zvakanaka, kunyanya panguva yechirwere kana kushushikana. Izvi dzimwe nguva zvinoda rubatsiro rwekufemesa kana kufema kwemagetsi.

Kunetseka kumira kudya kunogona kukonzera matambudziko ekudya kana aspiration pneumonia kana chikafu kana zvinwiwa zvikaenda kumapfupa. Kushanda nespeech therapist uye nutritionist kunogona kubatsira kuderedza njodzi idzi.

Matambudziko ekufamba anogona kuitika nekufamba kwenguva mune vamwe vanhu, kunyanya avo vane mamwe marudzi eCMS. Izvi zvinogona kusanganisira kunetseka kufamba kwenguva refu, kukwira matanho, kana kuita mabasa anoda kushandiswa kweminongo kwenguva refu.

Myasthenic crisis inoratidza dambudziko risingawanzoitika asi rakakomba apo kushaya simba kweminongo kunowedzera kamwe kamwe. Izvi zvinogona kukanganisa minyonga yekufemesa nekudya uye zvinoda rubatsiro rwekurapa nekukurumidza. Zvinokonzera zvinogona kusanganisira zvirwere, mishonga yakati, kana kushushikana kukuru.

Migumisiro yemagariro nepfungwa haifanire kuregererwa. Kurarama nechirwere chisingaperi chinogona dzimwe nguva kukonzera manzwiro ekusurukirwa kana kuora mwoyo, zvichiita kuti rubatsiro rwemanzwiro nekurairwa zvive zvikamu zvinokosha zvekuchengetedzwa kwakakwana.

Congenital Myasthenic Syndrome Inogona Kudzivirirwa Sei?

Sezvo CMS iri chirwere chemagene, haigone kudzivirirwa munzira yakajairika. Zvisinei, genetic counseling inogona kubatsira mhuri kunzwisisa njodzi dzadzo uye kuita sarudzo dzakanaka pamusoro pekurima mhuri.

Kana uine nhoroondo yemhuri yeCMS kana uchizivikanwa kuva mutariri, genetic counseling inogona kupa ruzivo rwakakosha pamusoro pengozi yekupfuudza chirwere ichi kuvana vako. Maitiro aya haana kutongwa – kungori pamusoro pekupa iwe chokwadi kuti uite sarudzo dzakanaka kwemhuri yako.

Preconception genetic testing inogona kuona vatakuri usati wava nepamuviri. Mamwe mapeya anosarudza in vitro fertilization nekuongororwa kwemagene eembryo kuti aderedze ngozi yekuve nemwana ane CMS, kunyange zvazvo iyi iri sarudzo yemunhu inosiyana nemhuri.

Panguva yepamuviri, genetic testing inogona dzimwe nguva kuona CMS mumwana ari kukura. Kunyange zvazvo izvi zvisingadziviriri chirwere ichi, zvinoita kuti mhuri dzigadzirire uye zvinoita kuti kuchengetedzwa kwakakosha kwekurapa kuvepo kubva pakuberekwa.

Congenital Myasthenic Syndrome Inooongororwa Sei?

Kuongorora CMS kunoda kusanganiswa kwekuongororwa kwezviratidzo, kuongororwa kwakakosha, uye kuongororwa kwemagene. Chiremba wako anotanga nekuongorora zviratidzo zvako nenhoroondo yemhuri kuti aone maitiro ekushaya simba kweminongo.

Maitiro ekuongorora kazhinji anotanga nekuongororwa kweropa kuti abvise mamwe marwere akadai se myasthenia gravis, anogona kutaridzika akafanana asi ane zvinokonzera zvakasiyana. Chiremba wako anogona kutarisa maantibody chaiwo aripo mu myasthenia gravis asi asina muCMS.

Electromyography (EMG) uye nerve conduction studies zvinobatsira kuongorora kuti mitsipa yako neminyuonga zviri kutaurirana zvakanaka sei. Aya maitiro anosanganisira masaini madiki emagetsi uye anogona kuratidza maitiro anoonekwa muCMS. Kunyange zvazvo zvisingafadzi zvishoma, kazhinji zvinogamuchirwa zvakanaka.

Genetic testing inopa kuongororwa kwakakwana nekutsvaga kuchinja kwemagene kunokonzera CMS yako. Kuongororwa uku kazhinji kunosanganisira sampuli yeropa iri nyore uye kunogona kutora mavhiki mashoma kuti ipe mhinduro. Mhinduro dzinopa ruzivo rwemhando yeCMS yaunayo uye dzinopa ruzivo rwekurapa.

Mune dzimwe nguva, mamwe maitiro akadai se muscle biopsy kana kuongororwa kwakakosha kweropa kunogona kudiwa. Chiremba wako achakuudza kuti ndeapi maitiro anodiwa kune mamiriro ako chaiwo uye zvaunofanira kutarisira panguva yega yega maitiro.

Kurapa kweCongenital Myasthenic Syndrome Ndeapi?

Kurapa kweCMS kunogadzirirwa zvichienderana nemhando yako chaiyo yemagene nezviratidzo. Mashoko akanaka ndeawo kuti vanhu vakawanda vanopindura zvakanaka pakurapa uye vanowana kuvandudzika kukuru mukusimba kweminongo uye kushanda kwezuva nezuva.

Mishonga ndiyo inotanga pakurapa CMS. Cholinesterase inhibitors akadai se pyridostigmine kazhinji ndiwo kurapa kwekutanga. Mishonga iyi inobatsira kuvandudza kutaurirana pakati pemitsipa neminyuonga nekudzikisa kuwanda kwemasaini ekemikari panzvimbo inobatanidza mitsipa neminyuonga.

Mamwe marudzi eCMS anopindura zvakanaka kune mamwe mishonga. Semuenzaniso, vanhu vane DOK7-yakabatana neCMS kazhinji vanobatsirwa zvakanyanya ne salbutamol (albuterol), mushonga unoshandiswa kazhinji kune asthma. 3,4-diaminopyridine imwe sarudzo inogona kubatsira kusimbisa masaini emitsipa kumanyonga.

Physical therapy ine basa rakakosha mukuchengetedza simba nekunyanya kweminongo. Therapist yako ichagadzira maekisesaizi anoshanda mukati memigumisiro yako uchikubatsira kuchengetedza basa rakanaka. Chinhu chikuru ndechekuwana chiyero chakanaka pakati pekuita basa nekuzorora.

Occupational therapy inogona kukubatsira kugadzirisa mabasa ezuva nezuva uye kukurudzira zvinhu zvinobatsira kana zvichidiwa. Izvi zvinogona kusanganisira zvinhu zvinobatsira pakudya, kupfeka, kana zvinhu zvinobatsira kufamba kuti uchengetedze simba remabasa anokosha kwauri.

Kune matambudziko ekufemesa, respiratory therapy uye dzimwe nguva zvinhu zvinobatsira kufema zvinogona kudiwa. Speech therapy inogona kubatsira nekunetseka kumira kudya nekukurukurirana, kuve nechokwadi chekuti unogona kudya zvakanaka uye kutaura zvakanaka.

Maitiro Ekurapa Kumba Panguva yeCongenital Myasthenic Syndrome?

Kutonga CMS kumba kunosanganisira kugadzira nzira dzinokubatsira kuchengetedza simba uchichengeta hupenyu hunowanzoitika sezvinobvira. Chinhu chikuru ndechekudzidza kushanda nemitumbi yako panzvimbo pekurwisana nayo.

Kuita mabasa zuva rese kunogona kubatsira kudzivirira kuneta kwakanyanya. Rongedza mabasa anoda simba panguva yaunonzwa wakasimba, kazhinji pakutanga kwezuva kune vanhu vakawanda. Dzora mabasa makuru kuva maduku, anogona kuitwa zvidimbu nekuzorora pakati.

Tora mishonga yako sezvakarayirwa uye panguva dzakafanana. Chengeta bhuku rezviratidzo kuti uone kuti unopindura sei kumishonga nemabasa akasiyana. Ruzivo urwu runobatsira timu yako yekuchengetedzwa kuti iite zvirongwa zvako zvekurapa.

Gadzira nzvimbo inotsigira zvaunoda. Izvi zvinogona kusanganisira kuisa grab bars mumabhafu, kushandisa zvinhu zvinobatsira pakudya, kana kuronga zvinhu zvinoshandiswa kazhinji zviri nyore kusvika kuti udzivise kushandisa simba.

Rambai makabatana nechikwata chenyu chekuchengetedzwa uye musazengurira kubata kana zviratidzo zvichichinja. Kuva nechirongwa chakajeka chekutonga zviratidzo kana kuziva kuti rini unofanira kutsvaga rubatsiro rwekukurumidza kunoita kuti iwe nemhuri yako muve nerugare rwepfungwa.

Chengetedza hukama hwemagariro nemabasa anokufadza. Kunyange zvazvo ungada kuchinja maitiro aunoita mune dzimwe nzira, kuramba wakabatana neshamwari, mhuri, nemabasa zvinopa zvakawanda pahutano hwako hwese.

Unofanira Kugadzirira Sei Kune Nguva Yako Yekuona Chiremba?

Kugadzirira zvakanaka kune nguva yako yekuona chiremba kunobatsira kuve nechokwadi chekuti unowana zvakawanda panguva yako nemutapi wenyu wekuchengetedzwa. Tanga nekuchengeta bhuku rezviratidzo zvakadzama kwevhiki rimwe chete usati waenda, uchicherechedza kuti zviratidzo zviri nani kana zvakanyanya uye zvinogona kukonzera kuchinja.

Uyai nehuremu hwemishonga yese, zvinowedzerwa, nemavhitamini auri kutora, kusanganisira huwandu ne nguva. Gadzirirawo nhoroondo yemhuri yekurapa, kunyanya uchicherechedza hama dzine kushaya simba kweminongo, matambudziko eminyuonga, kana zviratidzo zvakafanana.

Nyora mibvunzo yako usati watanga kuti usakanganwa zvinhu zvikuru panguva yekuona chiremba. Funga kuuya neshamwari kana mumwe wemhuri anogona kukubatsira kuyeuka ruzivo rwakataurwa panguva yekushanya.

Unganidza chero rekodhi dzekurapa dzapfuura, mhinduro dzekuongorora, kana mishumo kubva kune vamwe vanachiremba. Kana wakamboona nyanzvi kare, kuva nemakodhi aya kunogona kudzivirira kuongororwa zvakare uye kupa ruzivo rwakakosha.

Gadzirira kurondedzera zviratidzo zvako zvakadzama, kusanganisira kuti zvakatanga rini, zvinhu zvinoita kuti zvive nani kana zvakanyanya, uye zvinoita sei pahupenyu hwako hwezuva nezuva. Mienzaniso chaiyo inobatsira kupfuura kutaura kwakajairika pamusoro pekunzwa kusina simba kana kuneta.

Chii Chinonyanya Kukosha Nezve Congenital Myasthenic Syndrome?

Chinhu chinonyanya kukosha chekunzwisisa nezve CMS ndechekuti kunyange zvazvo iri chirwere chehupenyu hwese, chinogona kutongwa zvakanaka nekurapwa kwakakodzera nekutsigirwa. Vanhu vakawanda vane CMS vanorarama hupenyu hwazvo, hwakakwana nekuchengetedzwa kwakakodzera kwekurapa nekuchinja mararamiro.

Kuongororwa nekukurumidza nekurapa kunoita musiyano mukuru mumigumisiro. Kana uchifunga kuti iwe kana waunoda ungave une CMS, kutsvaga kuongororwa kwekurapa nekukurumidza kunogona kubatsira kudzivirira matambudziko uye kuvandudza hupenyu.

Yeuka kuti CMS inokanganisa munhu wese zvakasiyana. Zvaunonzwa nezvechirwere ichi zvinogona kusiyana zvakanyanya nevamwe, kunyange kana uine mhando imwe chete yemagene. Kushanda pedyo nechikwata chako chekuchengetedzwa kuti uite chirongwa chekurapa chakagadzirirwa iwe chinokosha.

Kutsigirwa nemhuri, shamwari, nevanachiremba kunoita basa rakakosha mukutonga CMS zvakanaka. Musazengurira kukumbira rubatsiro kana uchida, uye funga kubatana nemapoka ekutsigira kana masangano anoshanda nematambudziko eminyuonga.

Mibvunzo InowanzoBvunzwa Nezve Congenital Myasthenic Syndrome

Congenital myasthenic syndrome yakafanana here nemyasthenia gravis?

Kwete, kunyange zvazvo zvirwere zviviri zvinokonzera zviratidzo zvakafanana zvekushandisa minyonga, zvine zvinokonzera zvakasiyana. CMS inokonzerwa nekuchinja kwemagene kuripo kubva pakuberekwa, nepo myasthenia gravis iri chirwere che autoimmune chinowanzoitika gare gare muhupenyu. CMS haina immune system inorwisa muviri, uye inoda kurapwa kwakasiyana nemyasthenia gravis.

Vanhu vane CMS vanogona kuva nevana zvakanaka here?

Hongu, vanhu vakawanda vane CMS vanogona kuva nevana zvakanaka, kunyange zvazvo pamuviri ungada kutarisirwa nekuwirirana kwakawanda. Kushaya simba kweminongo kunobatanidzwa neCMS kunogona dzimwe nguva kukanganisa kufema nemamwe mabasa panguva yepamuviri, saka kushanda nevanachiremba vane ruzivo mune pamuviri ine njodzi zvinokosha. Genetic counseling inogona kukubatsira kunzwisisa njodzi dzekupfuudza CMS kuvana vako.

CMS ichawedzera here nekufamba kwenguva?

Kuwedzera kweCMS kunosiyana zvakanyanya zvichienderana nemhando chaiyo yemagene nezvinhu zvemunhu. Vamwe vanhu vanoramba vakadzikama kwemakore ne kurapwa kwakakodzera, nepo vamwe vangave nekuchinja kwenguva refu. Marudzi mazhinji eCMS haawedzeri zvakanyanya nekufamba kwenguva, kunyanya nekuchengetedzwa kwakakodzera kwekurapa. Kuongororwa nguva dzose nechikwata chako chekuchengetedzwa kunobatsira kutarisa chero kuchinja uye kugadzirisa kurapwa sezvinodiwa.

Kurovedza muviri kunogona kubatsira kana kukuvadza munhu ane CMS here?

Kurovedza muviri kwakapfava, kwakarongwa zvakanaka kunogona kubatsira vanhu vane CMS, kuchibatsira kuchengetedza simba reminyuonga nehutano hwese. Zvisinei, kuita zvakanyanya kunogona kuwedzera zviratidzo, saka kuwana chiyero chakanaka chinokosha. Kushanda nephysical therapist anoziva nezvematambudziko eminyuonga kunobatsira kuve nechokwadi chekuti uri kurovedza muviri zvakanaka uye zvakanaka. Teerera kumuviri wako uye zorora kana zvichidiwa.

Kune mishonga ipi zvayo iyo vanhu vane CMS vanofanira kudzivisa here?

Hongu, mishonga yakati inogona kuwedzera zviratidzo zveCMS uye inofanira kudziviswa. Izvi zvinosanganisira mamwe maantibiotic (akadai seaminoglycosides), mamwe maanesthetics, mamwe mishonga yemoyo, uye muscle relaxants. Nguva dzose udza vanachiremba nezveCMS yako usati watanga mishonga itsva, uye ubate kadhi rechirwere rinotaura mishonga yekudzivisa mune dzimwe nguva dzenjodzi.