What are the early signs of muscular dystrophy?

Manifested as slow walking, tiptoe landing, and easy falling; difficulty climbing stairs and standing in a squatting position; When walking on the back, the pelvis swings up and down to the sides, showing a typical "duck step"; There is a Gowers sign, that is, due to the weakness of the abdominal muscles and iliopsoas muscles, when the child rises from the supine position, he must first turn over to the prone position, bend the knee joint and hip joints in turn, and support the trunk with his hands into a prone position, then support the trunk with both hands and legs, and then press the knee with his hands to assist the muscle strength of the quadriceps muscles, the body is in a deep bow position, and finally the hands climb the lower limbs and stand slowly, and the facial redness occurs due to great force. As symptoms worsen, Achilles tendon contractures, foot drop, and difficulty walking on flat ground may occur; When the arms are pushed forward, there is a distinct pterygoid scapula; Most children have muscle pseudohypertrophy that is tough to the touch. As a teenager, the child is unable to walk and needs to be confined to a wheelchair.

Most patients have myocardial damage, such as arrhythmias; Enlargement of the heart, valvular insufficiency; About 30% of children have some degree of intellectual disability; Smooth muscle damage may include gastrointestinal dysfunction such as vomiting, abdominal pain, diarrhea, malabsorption, and megacolon.

Muscular dystrophy is a chronic disease that occurs more often in children than in women, mainly due to genetic factors. Delayed walking, clumsy movements, shaky gait, and difficulty squatting and going up and down stairs are often used to attract parents' attention. Normal children do not walk independently until one year of age, but they may not walk until the age of age, or they may remain unsteady in walking, and symptoms may become more pronounced as the patient ages.

After entering the kindergarten, the exercise ability is worse than that of children of the same age, and there is abnormal gait walking and swaying, commonly known as duck step, it is difficult to go up and down the stairs, and it is also difficult to squat up. Muscular dystrophy occurs gradually in children between the ages of 3 and 5 years, and is mostly asymptomatic in infancy and early childhood, and as the disease progresses, patients can lose the ability to walk independently around the age of 12 years.

Muscular dystrophy is an umbrella term for a group of inherited skeletal muscle disorders that result in protein defects or dysfunction due to genetic variations in the genes encoding muscle cell-associated proteins, resulting in disruption of muscle cell integrity. The early symptoms are mostly different from person to person, the common manifestations are abnormal walking posture, slow running, easy fatigue, a little effort to go upstairs, frequent falling, etc., and even some patients do not have any symptoms in the early stage, only the liver enzymes are found to be elevated during the physical examination, and the creatine kinase is elevated on further examination, and muscle diseases are considered only when the disease is diagnosed, which is mainly diagnosed by muscle pathology and genetic examination.

Dry lean malnutrition.

The patient loses weight, his subcutaneous fat is reduced, and he is markedly emaciated. Children present with growth retardation, significantly lower body weight than normal children, and short stature.

Subcutaneous fat is reduced, the patient's cheeks are sunken, ** saggy, wrinkled, and the hair is fine and yellowish.

The child has a weak, weak cry, unresponsiveness, listlessness, a slight drop in body temperature and blood pressure, and a sunken abdomen.

Patients may present with starvation diarrhea, which is characterized by frequent excretion of small amounts of dark green mucus. Recurrent vomiting and diarrhea can lead to acidosis.

Patients have reduced immunity and are prone to various infections, most commonly respiratory tract infections.

The brain is not easy to use, dizzy, and the physical strength can't keep up, no energy, **dark yellow, no blood.

Thin and yellow-faced, unsteady and weak in walking.

Muscular dystrophy is a common chronic disease, mostly occurs around children, and the incidence rate of men is higher than that of women, most children will have clumsy movements, delayed walking, shaky steps and other symptoms, which has attracted the attention of parents and friends, the emergence of the disease hinders the growth of children in Chengdu, bringing serious injuries, for which muscular dystrophy needs to appear as soon as possible.

1. Under normal circumstances, normal children will be able to walk independently when they are one year old, and children with muscular dystrophy can only walk independently between one and a half years old to two years old, and will have unstable walking, which is often mistaken by parents for calcium deficiency or weak constitution, etc., so as to be ignored, delaying the best time for the disease, and bringing harm to the health of children.

2. As the child grows older, the symptoms will become more and more obvious, especially after entering the nursery, the child's motor ability is worse than that of children of the same age, the movement is uncoordinated, and it appears clumsy, the running ability is extremely poor, and the symptoms such as abnormal gait and walking swaying will gradually appear.

5-year-old children, gradually showing obvious symptoms, the symptoms of infancy and early childhood are not obvious, individual careful parents will find that the child has motor development retardation since childhood, and the development has been affected, the age continues to increase, resulting in the child's muscular dystrophy symptoms are more and more serious, generally at the age of 12 or so, the child loses the ability to walk independently, because of long-term bed rest, it is easy to produce more complications, such as bedsores and pneumonia, etc., and in severe cases, it will also lead to death. Parents must pay attention to their child's development and have a proper understanding of muscular dystrophy.

Muscular dystrophy usually begins insidiously at the age of 3 to 5 years, and the most prominent early symptoms are weakness of the pelvic girdle muscles, manifested by slow walking, tiptoe landing, and easy falling. Difficulty in ascending stairs and squatting due to weakness of the iliopsoas and quadriceps muscles, and weakness of the back extensor muscles makes the lumbar spine excessive lordosis when standing. Weakness of the gluteus medius causes the pelvis to swing up and down to the sides when walking, in a typical duck step.

Due to weakness of the abdominal muscles and iliopsoas muscles, the child must first turn over and turn to the prone position when standing up from the supine position, then bend the knee and hip joints, and support the torso with the hands into a kneeling position, and then support the torso with both hands and legs.

Characteristics of early symptoms: first.

1. Symmetry weakness of the proximal limb with slow progression, such as difficulty in climbing stairs, and difficulty in standing up from a squatting or lying position, usually requiring the assistance of both hands. Clause.

Second, there is muscle atrophy, including limb muscles, trunk muscles, facial muscles, etc., but some patients can have pseudohypertrophy of the gastrocnemius muscle in both calves. Clause.

Third, the fatigue resistance of the muscles is poor, and the patient can show a decrease in endurance and fatigue. Clause.

4. It is not accompanied by symptoms of sensory impairment such as numbness of limbs.

Weakness of the iliopsoas muscles and quadriceps muscles makes it difficult to walk upstairs and stand in a squatting position, and Zhaohui's back extensor weakness makes the lumbar spine excessive lordosis when standing. Weakness of the gluteus medius causes the pelvis to swing up and down on both sides of the tongue during walking, in a typical duck step.

Walking is delayed, walking is slow, easy to fall, and it is not easy to get up after falling. Most of them are accompanied by hypertrophy of the calf muscles, and the initial hypertrophic muscles are relatively strong. Empty gluteus medius muscle involvement causes the pelvis to shake up and down from side to side; Achilles tendon contracture and heel cannot touch the ground; Involvement of the psoas major muscle causes the abdomen to lordosis, the head tilts backwards, and the duck gait appears.

In the early stage of muscular dystrophy, the main cause is pelvic girdle muscle weakness, and atrophy is the first draft cavity Xiang Xiang symptoms, manifested as slow gait, walking duck steps, difficulty in going up and down stairs, difficulty in squatting and getting up, etc., and muscle weakness and muscle key atrophy can be accompanied by muscle soreness and tenderness.

Early muscular dystrophy:

In general, children have less systolic heart function than children of the same age. Some children can see cardiovascular diseases such as increased heart rate, arrhythmias, myocardial hypertrophy, and palpitations. At the same time, they will have varying degrees of mental retardation.

Some children also develop malformations of brain development or leukodystrophy.

Late muscular dystrophy:

Due to respiratory muscle weakness or cardiac involvement, patients will have limb contractures and basic loss of motor ability. They usually die of lung infections and pressure ulcers before the age of 20.

The occurrence of the disease is often due to a combination of causes, or in the case of a combination of causes a prominent factor plays a role. In general, muscular dystrophy is associated with the following factors, such as hereditary diseases, autoimmune diseases, and acute infectious diseases. After the occurrence of the disease, it is recommended that the patient go to the hospital in time to clarify the severity of the disease, and prevent and slow down the aggravating factors that can be controlled.

What are the initial symptoms of muscular dystrophy.

1. Normal children can walk independently after 1 year old, while children with muscular dystrophy may start to walk independently at the age of 1 and a half or 2 years, or they have been walking unsteadily, which is often mistaken for calcium deficiency or weak constitution and is ignored.

2. As the child grows older, the symptoms become gradually obvious. It is often found that the child's athletic ability is worse than that of his peers, his movements are uncoordinated, his movements are clumsy, and his running cannot keep up with his peers. At the same time, muscular dystrophy children gradually develop abnormal gait, walking and swaying, commonly known as duck walking, difficulty going upstairs, and difficulty squatting.

3. Most children with muscular dystrophy gradually develop symptoms at the age of 35, while most of them are asymptomatic in infancy. Some careful parents may find that their children's motor development is slightly behind that of children of the same age.

4. As the disease progresses, the symptoms of muscular dystrophy become more and more severe, and the child generally loses the ability to walk independently at the age of 12.

Symptoms of muscular dystrophy: infantile patients walk with a slow gait, easy to fall, delayed walking age, swaying pelvis from side to side when walking, heel can not touch the ground, Achilles tendon contracture, lordosis, back of the head, shoulder muscle atrophy, weakness, ** wrinkles, shoulder muscle atrophy, pterygoid shoulder deformity, pediatric patients have spine and limb joint deformities, later limb contractures, and complete loss of motor function. It is usually accompanied by lung infection, heart damage accompanied by symptoms such as palpitation, ulcers and bedsores, and a significant decrease in IQ in children.

It is still unclear that there are no specific medications.

Muscular dystrophy is a hereditary muscle degenerative disease, and there is no specific way, only symptomatic and supportive. It can increase the patient's nutrition, normal activities, physical ** and orthopedics, and can prevent and improve the deformation of the spine and the contracture of the joints. Because it is a lesion of the patient's muscles itself, strenuous exercise is not encouraged, and appropriate activities can be carried out to avoid long-term bed rest.

ATP, inosine, and vitamin E can be given orally or intravenously to provide energy support.

Muscular dystrophy is a genetic disorder characterized by progressive worsening of muscle strength and degeneration of the muscles that govern movement. Its early clinical manifestations are related to its classification. For pseudohypertrophy, it occurs relatively early, in early childhood.

Its main manifestation is the delayed age of walking, others can walk at the age of 1, and even at the age of 2. It is also slower to fall when walking, and it is difficult to get up after falling, which is a type. The second is the scapulohumeral type.

This symptom is mild and does not have any symptoms, and it is only discovered by chance. The main manifestation is the involvement of facial muscles, such as not closing the eyes tightly during sleep, and not having strength when blowing. The third case is the limb girdle type.

The onset of this type of disease is relatively slow, and the main manifestations are the upper limbs, difficulty in lifting. The fourth type is ocular deformity. The main manifestations are ptosis of the eyelids and progressive paralysis of the extraocular muscles.

The muscular dystrophy specialty of Hebei Yiling Hospital is good, and it has used traditional Chinese medicine to carry out various muscular dystrophy diseases for more than 20 years, and has achieved good results, and is a well-known specialty in China.

1. Early body weakness.

Weakness is not evident in the early stages of muscular dystrophy and is only apparent upon closer inspection. Patients usually present with symptoms such as malaise and tiredness in the absence of other factors of nutrition. In addition, the symptoms of body weakness tend to appear at a specific point in time, and have a certain periodicity.

2. Muscle or joint atrophy.

Muscular dystrophy disease in the early stage of the patient will appear emaciation symptoms, and from this time, the patient's muscles and bones and joints gradually atrophy, and will continue to aggravate with the increasingly serious disease, the main manifestations of the patient's joint swelling and stiffness, poor mobility, ** elasticity decline, etc. As symptoms worsen, patients may even have serious problems with not being able to eat.

3. Difficulty in mobility.

Because muscular dystrophy causes poor nutrition to the muscles of various parts of the patient, it can reduce the patient's muscle mobility and lead to impaired mobility. In addition, this symptom will be reflected in the early stage of the disease, mainly manifested as walking shaky, difficulty climbing stairs, easy falling, etc. And with the aggravation of the disease, the patient will also lose the ability to take care of himself due to inconvenience.