Koj puas hnov ​​mob thiab mob thaum sawv ntxov? Cia peb kawm txog (Polymyalgia Rheumatica)?

Koj puas muaj tej lub sij hawm koj hnov ​​mob thiab mob thaum koj sawv thaum sawv ntxov? Tshwj xeeb tshaj yog nyob rau hauv koj lub caj dab, xub pwg nyom, thiab lub duav. Koj puas muaj tej lub sij hawm koj pom tias nws nyuaj rau hloov khaub ncaws lossis txhuam koj cov plaub hau? Yog tias koj muaj cov tsos mob no, nws yuav yog vim muaj ib qho mob hu ua 'Polymyalgia Rheumatica', uas peb yuav tham txog hnub no. Tsis txhob txhawj, peb yuav tham txog qhov no kom meej.

Polymyalgia Rheumatica yog dab tsi?

Hais yooj yim xwb, Polymyalgia Rheumatica yog ib yam mob uas feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 50 xyoo, thiab nws ua rau mob thiab mob nqaij hauv koj lub caj dab, xub pwg nyom, thiab lub duav . Qee zaum, qhov mob no tuaj yeem kis mus rau koj sab caj npab, ncej puab, thiab nraub qaum. Feem ntau, qhov mob thiab mob nqaij no hnov ​​​​​​zoo ib yam ntawm ob sab ntawm koj lub cev.

Qhov tseem ceeb tshaj plaws yog qhov mob thiab qhov nruj no feem ntau hnov ​​​​​​thaum koj sawv thaum sawv ntxov, lossis thaum koj sim txav tom qab zaum ib pliag . Qhov nruj no uas tshwm sim thaum sawv ntxov feem ntau tuaj yeem kav ntev li 30 feeb lossis ntau dua . Rau qee tus neeg, qhov mob no tuaj yeem tsis tuaj yeem ua tau, tab sis koj yuav pom tias qhov mob txo qis me ntsis thaum koj txav mus los me ntsis, lossis thaum koj ua qee yam muaj txiaj ntsig.

Tus mob no feem ntau tshwm sim li cas?

Nyob rau hauv ib lub teb chaws zoo li Asmeskas, lawv hais tias muaj li ntawm 50 tus neeg ntawm 100,000 tus neeg mob no txhua xyoo. Feem ntau nws cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo . Txawm li cas los xij , nws yog feem ntau ntawm cov neeg hnub nyoog ntawm 70 thiab 75 xyoo .

Cov tsos mob ntawm Polymyalgia Rheumatica yog dab tsi?

Cov tsos mob tseem ceeb ntawm tus mob no yog qhov mob thiab mob nqaij tawv sai sai hauv cov pob qij txha loj ntawm lub cev, tshwj xeeb tshaj yog lub xub pwg nyom thiab lub duav . Koj kuj tseem yuav hnov ​​​​​​qhov tsis xis nyob hauv koj txhais tes, nraub qaum, pob tw, thiab caj dab. Qhov mob thiab mob nqaij tawv no feem ntau tshwm sim hauv ob lub lis piam, qee zaum ib hmos. Feem ntau qhov mob hnov ​​​​​​ntawm ob sab ntawm lub cev. Koj yuav muaj teeb meem ua cov haujlwm yooj yim xws li hnav khaub ncaws lossis zuag koj cov plaub hau.

Xav txog seb nws yuav nyuaj npaum li cas yog tias koj lub xub pwg nyom thiab mob heev ua rau koj tsis tuaj yeem tsa koj txhais tes los ntxuav koj lub ntsej muag thaum koj sawv thaum sawv ntxov.

Lwm cov tsos mob uas yuav pom muaj xws li:

• Mob nqaij tawv uas kav ntev tshaj 30 feeb thaum sawv ntxov, lossis tom qab sawv ntsug tom qab zaum ib pliag.
• Xav tias tsis muaj sia nyob thiab tsis muaj zog .
• Kev qaug zog tas li.
• Feem ntau tsis xis nyob .
• Khoom noj tsis qab .
• Kev poob phaus .
• O ntawm tes lossis dab teg.
• Muaj mob kub taub hau me ntsis.

Kwv yees li ntawm 10% txog 20% ​​ntawm cov neeg uas muaj tus kab mob polymyalgia rheumatica kuj tseem yuav muaj lwm yam mob hu ua giant cell arteritis lossis temporal arteritis. Qhov no kuj yog ib hom vasculitis, uas yog o ntawm cov hlab ntsha loj, xws li aorta, cov hlab ntsha tseem ceeb uas nqa cov ntshav los ntawm peb lub plawv mus rau lwm qhov ntawm peb lub cev. Tsis tas li ntawd, kwv yees li ntawm 40% txog 60% ntawm cov neeg uas muaj tus kab mob giant cell arteritis kuj tseem yuav muaj tus kab mob polymyalgia rheumatica.

Dab tsi ua rau qhov no?

Cov kws tshawb nrhiav tseem tsis tau pom qhov ua rau mob polymyalgia rheumatica, tab sis muaj ntau yam uas xav tias yuav pab txhawb rau nws:

• Cov noob caj noob ces : Qhov no txhais tau tias qee cov noob caj noob ces uas tau los ntawm ntau tiam neeg yuav cuam tshuam rau qhov no.
• Tej yam ib puag ncig : Tej yam xws li qee yam kev kis kab mob.
• Kev Laus : Kev hloov pauv hauv lub cev tshwm sim nrog hnub nyoog.
• Kab mob autoimmune: Lub cev tiv thaiv kab mob tawm tsam nws cov hlwb tsis raug.
• Bursitis yog o ntawm cov hnab me me hu ua bursa hauv lub duav lossis xub pwg.

Leej twg muaj feem yuav raug qhov no tshaj?

Txawm hais tias qhov tseeb ua rau Polymyalgia Rheumatica tsis paub meej, ntau yam kev pheej hmoo tau txheeb xyuas:

• Hnub nyoog : Tus mob no feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo. Qhov muaj feem yuav mob no nce ntxiv thaum lawv laus zuj zus. Feem ntau cov neeg hnub nyoog ntawm 70 thiab 75 xyoo feem ntau yuav mob no.
• Tub los ntxhais : Tus mob no feem ntau tshwm sim ntawm cov poj niam dua li cov txiv neej.
• Haiv neeg thiab pawg neeg : Tus mob no feem ntau tshwm sim ntawm cov neeg dawb, tshwj xeeb tshaj yog cov neeg European sab qaum teb, dua li lwm haiv neeg.

Qhov no ua rau muaj teeb meem dab tsi?

Yog tias tsis kho, polymyalgia rheumatica tuaj yeem cuam tshuam rau koj lub peev xwm txav koj lub cev . Qhov no tuaj yeem ua rau nws nyuaj rau ua cov haujlwm txhua hnub, xws li da dej, hnav khaub ncaws, zuag koj cov plaub hau, sawv ntawm lub rooj zaum, thiab nkag thiab tawm hauv lub tsheb. Nws tuaj yeem nyuaj tshwj xeeb tshaj yog tsa koj txhais tes siab dua lub xub pwg nyom.

Tsis tas li ntawd xwb, Polymyalgia Rheumatica kuj tseem yuav muaj feem cuam tshuam nrog Giant Cell Arteritis, uas ua rau lub aorta, lub hlab ntsha tseem ceeb uas nqa ntshav los ntawm lub plawv mus rau lwm qhov ntawm lub cev, o. Qhov no tuaj yeem ua rau muaj mob hnyav uas hu ua aortic aneurysm.

Koj paub qhov no li cas?

Kab mob Polymyalgia Rheumatica yuav nyuaj rau tus kws kho mob kuaj mob vim nws cov tsos mob zoo ib yam li lwm yam mob, xws li mob rheumatoid arthritis, spondyloarthritis, pseudogout, myositis, thiab lwm yam kab mob ntawm cov nqaij sib txuas, nrog rau cov kab mob sib koom ua ke. Yog li ntawd, koj tus kws kho mob yuav tsum tshem tawm lwm yam mob no ua ntej kuaj mob rau koj nrog tus mob no.

Koj tus kws kho mob yuav nug txog koj keeb kwm kev mob nkeeg thiab kuaj lub cev . Thaum lub sijhawm kuaj mob, lawv yuav nrhiav cov tsos mob ntawm polymyalgia rheumatica thiab cov cim ntawm lwm yam mob.

Tsis muaj kev kuaj ntshav tshwj xeeb rau qhov no. Txawm li cas los xij, koj tus kws kho mob yuav hais kom kuaj ntau yam ntshav kom pab tshem tawm lwm yam mob. Cov no suav nrog:

• Kev suav ntshav tag nrho (CBC)
• Cov protein C-reactive (CRP)
• Tus Nqi Erythrocyte Sedimentation (ESR)
• Cov tshuaj hormones uas ua rau cov thyroid ua haujlwm (TSH)
• Creatine Kinase

Qee zaum, koj tus kws kho mob kuj tuaj yeem kuaj mob los ntawm seb koj teb sai npaum li cas rau ib hom tshuaj hu ua corticosteroids. Ntau tus neeg uas muaj tus mob no yuav zoo dua hauv ob peb hnub tom qab pib noj tshuaj steroid tsawg xws li prednisone.

Yuav kho li cas?

Kev kho mob rau polymyalgia rheumatica pib nrog cov tshuaj corticosteroids tsawg . Koj tus kws kho mob yuav sau ntawv kom noj 10 txog 15 milligrams ntawm prednisone ib hnub. Qhov no tuaj yeem txo koj qhov mob thiab mob nqaij sai sai. Tom qab koj cov tsos mob ploj mus, cov tshuaj steroid yuav maj mam txo qis dua ib xyoos lossis ob xyoos. Qee zaum, tus kab mob yuav rov tshwm sim dua. Tom qab ntawd koj yuav tsum noj cov tshuaj steroids tsawg mus sij hawm ntev kom tiv thaiv kev mob hnyav. Qee zaum lwm yam tshuaj yuav tsum tau siv los tswj qhov o thiab txo cov tshuaj steroids.

Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav tsum saib xyuas koj tsis tu ncua, vim tias kev siv tshuaj steroids ntev ntev tuaj yeem ua rau muaj kev phiv.

Cov kev mob tshwm sim ntawm kev siv tshuaj steroid ntev ntev yog cov hauv qab no:

• Qhov hnyav nce.
• Osteoporosis (kev ua kom cov pob txha nyias).
• Ntshav siab (Hypertension).
• Kab mob plawv .
• Kab mob ntshav qab zib .
• Tawv nqaij nyias nyias (Tawv nqaij atrophy).
• Kab mob qhov muag .

Cov kws tshawb fawb kuj tau kawm txog lwm yam tshuaj uas ua rau lub cev tiv thaiv kab mob tsis muaj zog, xws li methotrexate, rau kev kho mob polymyalgia rheumatica, tab sis cov txiaj ntsig tsis meej. Lub Koom Haum Saib Xyuas Khoom Noj thiab Tshuaj hauv Tebchaws Meskas (FDA) tau pom zoo rau cov tshuaj biologic tocilizumab rau kev kho mob giant cell arteritis thiab rheumatoid arthritis. Txawm li cas los xij, xav tau ntau cov ntaub ntawv ntxiv los txiav txim siab seb cov tshuaj no puas muaj kev nyab xeeb thiab siv tau rau polymyalgia rheumatica.

Kev so thiab kev tawm dag zog yog ob yam tseem ceeb hauv kev kho mob Polymyalgia Rheumatica. Kev tawm dag zog tsis tu ncua pab tswj kom koj cov leeg muaj zog thiab kev ywj pheej ntawm koj cov pob qij txha. Cov hom kev tawm dag zog zoo suav nrog:

• Caij tsheb kauj vab uas nres tsis txav.
• Ua luam dej.
• Kev taug kev.

Koj tus kws kho mob kuj tseem yuav pom zoo kom siv kev kho lub cev kom txo qhov tsis xis nyob thiab ua kom lub cev ua haujlwm tau zoo.

Yuav muaj dab tsi tshwm sim rau qhov xwm txheej no?

Yog kho mob, cov tsos mob ntawm polymyalgia rheumatica feem ntau yuav zoo dua hauv ob peb hnub, lossis txawm tias ploj mus tag . Thaum koj kuaj pom thiab kho sai dua, koj yuav muaj feem rov zoo los ntawm tus mob no. Cov neeg feem coob nyob lub neej zoo li qub thiab muaj txiaj ntsig . Kev tsis taus hnyav tsis tshua muaj.

Cov kws tshawb nrhiav tau pom tias cov neeg uas muaj tus kab mob polymyalgia rheumatica muaj feem yuav mob atherosclerosis ntau dua, uas yog ib qho mob uas cov rog sib sau ua ke hauv cov hlab ntsha thiab ua rau lawv tawv. Tab sis qhov no zoo li tsis cuam tshuam rau lub neej.

Puas kho tau Polymyalgia Rheumatica kom zoo tag nrho?

Yog kho mob, cov tsos mob ntawm polymyalgia rheumatica feem ntau yuav zoo dua hauv ob peb hnub. Kev kho mob feem ntau kav ntev li ib xyoos lossis ob xyoos, tab sis qee zaum, kev kho mob yuav siv sijhawm ntev dua thiab tus kab mob yuav rov qab los. Ib txhia neeg yuav tsum tau noj tshuaj prednisone tsawg (2 txog 5 milligrams ib hnub) rau tas lawv lub neej kom tiv thaiv tus kab mob kom tsis txhob rov qab los.

Yog tsis kho mob, polymyalgia rheumatica feem ntau yuav tsis zoo dua. Txawm li cas los xij, qee zaum, tus mob yuav ploj mus tom qab ib xyoos. Nws yuav siv sijhawm txog tsib xyoos rau tus mob kom ploj mus tag.

Qhov no puas tiv thaiv tau?

Vim tias cov kws tshawb nrhiav tsis paub qhov ua rau muaj Polymyalgia Rheumatica, qhov mob no tsis tuaj yeem tiv thaiv tau .

Kuv yuav saib xyuas kuv tus kheej li cas?

Muaj tej yam koj ua tau los tswj koj cov tsos mob thiab cov kev phiv los ntawm koj cov tshuaj.Nws yog ib qho tseem ceeb kom noj zaub mov kom zoo thiab noj koj cov tshuaj raws li tau qhia . Tsis tas li ntawd, nco ntsoov kom koj lub cev so los ntawm kev ua ub ua no txhua hnub. Thaum koj lub cev pib mob thiab tsis mob lawm, koj tuaj yeem rov ua koj cov dej num niaj hnub.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Txawm tias cov tshuaj corticosteroids tsawg tsawg kuj tuaj yeem ua rau muaj kev phiv. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus ntsib koj tus kws kho mob:

• Qhov hnyav nce.
• Ntshav siab.
• Tsis tsaug zog.
• Tawv nqaij raug mob los yog nyias nyias.
• Kab mob qhov muag.
• Kab mob pob txha .

Kab mob Polymyalgia Rheumatica tuaj yeem tshwm sim ua ke nrog Giant Cell Arteritis, yog li qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob ntawd. Cov tsos mob no suav nrog:

• Mob taub hau.
• Kev hloov pauv ntawm kev pom kev.
• Ua npaws.
• Nkees lawm.
• Cov zaub mov tsis qab.
• Mob puab tsaig.
• Mob thaum kov thaj chaw ib puag ncig lub taub hau.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug no:

• Vim li cas qhov no thiaj tshwm sim rau kuv?
• Koj pom zoo kom kuv kho cov kev kho mob twg?
• Kuv yuav tsum ceev faj txog cov kev mob tshwm sim twg?
• Kuv puas muaj mob Giant Cell Arteritis thiab?
• Cov teeb meem uas yuav tshwm sim ntawm Polymyalgia Rheumatica yog dab tsi?
• Kuv ua tau dab tsi los tiv thaiv qhov teeb meem no kom tsis txhob tshwm sim dua?

Cov tsos mob ntawm Polymyalgia Rheumatica tuaj yeem ua rau koj ntxhov siab heev, ua rau koj ua tsis tau tej yam koj ua txhua hnub. Yog tias koj mob nqaij thiab mob nqaij tawv heev, mus ntsib kws kho mob. Txawm hais tias Polymyalgia Rheumatica tuaj yeem nyuaj rau kuaj mob, koj tus kws kho mob tuaj yeem pab koj xam seb muaj dab tsi tshwm sim thiab kev kho mob twg zoo tshaj plaws rau koj. Kev nyob nrog Giant Cell Arteritis tuaj yeem nyuaj rau qee tus neeg. Yog li nco ntsoov nrog koj tus kws kho mob tham txog tag nrho koj cov tsos mob.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob Polymyalgia Rheumatica yog ib qho mob uas ua rau neeg ntxhov siab me ntsis, tshwj xeeb tshaj yog thaum sawv ntxov uas mob thiab nruj. Tiam sis nco ntsoov:

• Qhov no feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 50 xyoo , tshwj xeeb yog cov poj niam.
• Cov tsos mob tseem ceeb yog mob thiab mob nqaij ntawm lub xub pwg nyom, caj dab, thiab lub duav , tshwj xeeb tshaj yog thaum sawv ntxov.
• Txawm hais tias qhov ua rau mob tsis paub meej los xij, muaj kev kho mob . Feem ntau, cov tshuaj corticosteroids pab kom zoo sai.
• Nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob thiab pib kho thaum ntxov .
• Ib txhia neeg kuj tseem yuav muaj tus mob hu ua 'Giant Cell Arteritis' nrog rau qhov no, yog li ntawd yuav tsum paub txog qhov ntawd thiab.
• Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob kom zoo thiab ua raws li nws cov lus qhia .

Tsis txhob txhawj, nrog kev kho mob thiab kev tswj hwm kom zoo, koj tuaj yeem tswj tau qhov mob no thiab ua neej zoo.

Polymyalgia rheumatica, mob pob qij txha, mob nqaij tawv thaum sawv ntxov, corticosteroids, mob giant cell arteritis, kev noj qab haus huv rau cov neeg laus, mob nqaij