成人线粒体肌病护理1例

成人线粒体肌病护理1例

Abstract:

Mitochondrialmyopathyisararediseasewithawiderangeofsymptomsandaffectspeopleofallages;however,adult-onsetmitochondrialmyopathyismorecommon.Thediseaseischaracterizedbyrespiratorychaindysfunctionandcanleadtomuscleweakness,fatigue,andexerciseintolerance.Inthispaper,wedescribethecaseofa36-year-oldfemalewithadult-onsetmitochondrialmyopathyanddiscussthenursingcareprovidedtoherduringherhospitalization.

Introduction:

MitochondrialmyopathyisararediseasethatresultsfromgeneticdisordersaffectingthemitochondrialDNA.Itcanpresentatanyage,andthesymptomsarevariableinnature,makingdiagnosisandtreatmentacomplexprocessforhealthprofessionals.Theillnessischaracterizedbyrespiratorychaindysfunction,leadingtocompromisedenergyproduction,resultinginmuscleweakness,exerciseintolerance,andfatigue,leadingtoseverdisabilityinsomecases.

Nursingcareplaysanessentialroleinthetreatmentofpatientswithmitochondrialmyopathyastheyrequireintensivecare,regularmonitoringofvitalsigns,anddietaryregulation.Thispaperaimstodescribeourexperienceincaringforapatientwithmitochondrialmyopathyduringherhospitalizationatourfacility.

CasePresentation:

Thepatientisa36-year-oldfemalewhopresentedtoourfacilitywithcomplaintsofweakness,fatigue,andexercisetoleranceforthepastyear.Onexamination,shehadsignificantmuscleweaknessandneededassistancetoclimbstairs.Theresultsofnerveconductionstudiesshowedlowamplitudeactionpotentials,indicativeofperipheralneuropathy.

Sheunderwentaseriesoftests,includingserumlacticacidlevel,whichwaselevated,andmusclebiopsythatshowedraggedredfibers,mitoticabnormalities,andamoderatedegreeofCOX-negativefibers-characteristicfindingsofmitochondrialmyopathy.

Thepatientreceivedtreatmentinvolvingacombinationofnutritionalandpharmacologicalinterventionsaimedatimprovingherenergymetabolismandreducingoxidativestress.

Nursingcare:

1.Assessmentandregularmonitoringofvitalsigns:Thepatient'svitalsignsweremonitoredfrequently,andanychangesweredocumentedpromptly.Thisisdonetodetectanychangesinthepatient'sconditionearly.

2.Patienteducation:Thepatientandherfamilywereeducatedonthedisease,itsprogression,andthemanagementoptionsavailable.Theywereeducatedontheimportanceofdietaryregulationandsupplementations.

3.Nutritionalmanagement:Thepatientwasplacedonahighprotein,lowcarbohydratediettoreducetheproductionoflactate.SupplementationssuchasCoenzymeQ10andL-carnitinewerealsoprescribedtosupportenergyproduction.

4.Paincontrol:Musclepainisacommonsymptomexperiencedbypatientswithmitochondrialmyopathy.Inthiscase,thepatientwasprescribedanalgesicsandnon-pharmacologicalpainmanagementinterventionslikeheatapplication,andmassagetherapy.

5.Assistedmobilityandexercise:Patientswithmitochondrialmyopathyrequireassistancewithmobilityduetotheirmuscleweakness.Ournursingteamprovidedassistedmobilization,andgentleexerciseswereintroducedwiththeaimofmaintainingmusclestrengthintheunaffectedregions.

6.Psychologicalsupport:Patientswithmitochondrialmyopathiescanexperienceanxietyanddepressionduetotheprogressivenatureofthedisease.Ournursingteamprovidedpsychologicalsupporttothepatientinconjunctionwithourmulti-disciplinaryteam,includingapsychologist,occupationaltherapist,andphysiotherapist.

Conclusion:

Mitochondrialmyopathyisararediseasethataffectspeopleofallages,andthesymptomsarehighlyvariable,makingdiagnoses,andtreatmentacomplexprocess.Nursingcareofpatientswithmitochondrialmyopathyisessentialformanagingtheirsymptoms,preventingcomplications,andimprovingthepatient'squalityoflife.Throughregularmonitoring,