Naawe owulira ng’okalubye n’okulumwa ku makya? Ka tuyige ku (Polymyalgia Rheumatica)?

Oluusi ng’ozuukuse ku makya owulira ng’okalubye n’okulumwa? Naddala mu bulago, ebibegabega ne mu bisambi. Oluusi kikuzibuwalira okukyusa engoye oba okusenya enviiri? Bw’oba ​​olina obubonero buno, kiyinza okuba nga kiva ku mbeera eyitibwa ‘Polymyalgia Rheumatica’, gye tugenda okwogerako leero. Teweeraliikiriranga, kino tugenda kukyogerako mu bujjuvu.

Obulwadde bwa Polymyalgia Rheumatica kye ki?

Mu ngeri ennyangu, Polymyalgia Rheumatica mbeera esinga kubeera mu bantu abasukka mu myaka 50, era ereeta obulumi n’okukaluba mu bulago, ebibegabega, n’ebisambi . Oluusi, obulumi buno busobola okusaasaana mu mikono gyo egya waggulu, ebisambi n’omugongo. Ebiseera ebisinga, obulumi buno n’okukaluba biwulirwa kyenkanyi ku njuyi zombi ez’omubiri gwo.

Ekisinga obukulu nti obulumi buno n’okukaluba bisinga kuwulira ng’ozuukuse ku makya, oba ng’ogezaako okutambula ng’omaze okutuula akaseera . Obukaluba buno obubaawo ku makya ebiseera ebisinga busobola okumala eddakiika 30 oba okusingawo . Abantu abamu, obulumi buno buyinza obutagumiikiriza, naye oyinza okulaba ng’obulumi bukendeera katono ng’otambulako katono, oba ng’okola ekintu eky’omugaso.

Embeera eno ya bulijjo etya?

Mu nsi nga Amerika, kigambibwa nti abantu nga 50 ku bantu 100,000 bafuna embeera eno buli mwaka. Butera okukwata abantu abasukka mu myaka 50. Wabula businga kukwata mu bantu abali wakati w’emyaka 70 ne 75 .

Bubonero ki obulaga obulwadde bwa Polymyalgia Rheumatica?

Obubonero obukulu obw’embeera eno kwe kutandika amangu obulumi n’okukaluba mu binywa ebinene eby’omubiri naddala ebibegabega n’ebisambi . Oyinza n’okuwulira obutabeera bulungi mu mikono gyo, mu mugongo, mu bisambi n’ensingo. Obulumi buno n’okukaluba bitera okulabika mu wiiki bbiri, oluusi okumala ekiro. Ebiseera ebisinga obulumi buwulirwa ku njuyi zombi ez’omubiri. Oyinza okufuna obuzibu okukola emirimu egyangu ng’okwambala oba okusika enviiri.

Teebereza engeri gye kyandibadde ekizibu singa ebibegabega byo biba bikalubye nnyo era nga biruma nnyo nga tosobola na kusitula mikono gyo okunaaba mu maaso ng’ozuukuse ku makya.

Obubonero obulala obuyinza okulabibwa mulimu:

• Okukaluba okumala eddakiika ezisukka mu 30 ng’ozuukuse ku makya, oba ng’omaze okuyimirira ng’omaze okutuula akaseera.
• Okuwulira nga tolina bulamu era nga munafu .
• Okukoowa buli kiseera .
• Okutwalira awamu okuwulira nga tolina bulungi .
• Emmere tewooma .
• Okugejja .
• Okuzimba mu ngalo oba mu bisambi.
• Okubeera n'omusujja omutono .

Abantu nga 10% ku 20% abalina obulwadde bwa polymyalgia rheumatica nabo bayinza okufuna embeera endala eyitibwa giant cell arteritis oba temporal arteritis. Kino nakyo kika kya vasculitis, nga kino kwe kuzimba emisuwa eminene, gamba nga aorta, omusuwa omukulu ogutwala omusaayi okuva ku mutima gwaffe okutuuka mu mubiri gwaffe gwonna. Era, abantu nga 40% ku 60% abalina obulwadde bw’emisuwa gy’obutoffaali obunene nabo bayinza okuba n’obulwadde bwa polymyalgia rheumatica.

Kiki ekivaako kino?

Abanoonyereza tebannaba kuzuula kituufu kivaako bulwadde bwa polymyalgia rheumatica, naye waliwo ebintu ebiwerako ebilowoozebwa nti bye bivaako:

• Ensengekera y’obuzaale : Kino kitegeeza nti obuzaale obumu obuyisibwa mu milembe buyinza okukwata ku kino.
• Ensonga z’obutonde : Ebintu nga yinfekisoni ezimu.
• Okukaddiwa : Enkyukakyuka mu mubiri zibaawo n’emyaka.
• Obulwadde bw’abaserikale b’omubiri: Abaserikale b’omubiri balumba obutoffaali bwagwo mu nsobi.
• Bursitis kwe kuzimba obusawo obutono obuyitibwa bursa mu bisambi oba mu bibegabega.

Ani asinga okubeera mu bulabe olw’ensonga eno?

Wadde ng’ebituufu ebivaako obulwadde bwa Polymyalgia Rheumatica tebimanyiddwa, ebintu ebiwerako ebiyinza okuleeta akabi bizuuliddwa:

• Emyaka : Embeera eno esinga kukwata bantu abasukka emyaka 50. Emikisa gy’okukwatibwa obulwadde buno gyeyongera n’emyaka. Businga kubeera mu bantu abali wakati w’emyaka 70 ne 75.
• Ekikula ky’omuntu : Embeera eno esinga mu bakyala okusinga abasajja.
• Amawanga n’amawanga : Embeera eno esinga kubeera mu bazungu naddala abava mu Bulaaya ow’omu Bukiikakkono okusinga amawanga amalala.

Kino kiyinza okuleeta bizibu ki?

Singa tojjanjabwa, obulwadde bw’endwadde z’enkizi (polymyalgia rheumatica) buyinza okukosa obusobozi bwo okutambuza omubiri gwo . Kino kiyinza okukaluubiriza okukola emirimu egya bulijjo, gamba ng’okunaaba, okwambala, okusenya enviiri, okusituka ku kasolya, n’okuyingira n’okufuluma mmotoka. Kiyinza okukuzibuwalira naddala okusitula emikono gyo waggulu w’ekibegabega.

Ekirala, Polymyalgia Rheumatica eyinza okukwatagana n’obulwadde bwa Giant Cell Arteritis, obuyinza okuvaako omusuwa omukulu ogw’omusaayi ogutambuza omusaayi okuva ku mutima okutuuka mu mubiri gwonna, aorta okuzimba. Kino kiyinza okuvaako embeera eyinza okutta omuntu eyitibwa aortic aneurysm.

Kino okitegeera otya?

Polymyalgia Rheumatica eyinza okuba enzibu omusawo okuzuula kubanga obubonero bwayo bufaananako n’obw’embeera endala, gamba ng’endwadde z’enkizi, spondyloarthritis, pseudogout, myositis, n’endwadde endala ez’ebitundu ebiyunga, awamu n’obulwadde bw’ennyondo obuvunda. N’olwekyo, omusawo wo ajja kwetaaga okugoba embeera zino endala nga tannakuzuula nti olina embeera eno.

Omusawo ajja kukubuuza ku byafaayo byo eby'obujjanjabi era akukebere omubiri . Mu kiseera ky’okukebera, bajja kunoonya obubonero obutera okulabika obw’obulwadde bwa polymyalgia rheumatica n’obubonero bw’embeera endala.

Tewali kukebera musaayi kwonna ku kino. Kyokka omusawo ayinza okulagira okukeberebwa omusaayi emirundi egiwerako okuyamba okugaana embeera endala. Mu bino biyinza okuli:

• Okubala Omusaayi mu bujjuvu (CBC) .
• Puloteeni ekola ku C (CRP) .
• Omuwendo gw’okutonnya kw’obutoffaali bw’omusaayi (ESR) .
• Obusimu obuyamba okuzimba omubiri (TSH) .
• Ekirungo kya Creatine Kinase

Oluusi, omusawo wo asobola n’okuzuula embeera eno ng’asinziira ku ngeri gy’oddamu amangu ekika ky’eddagala eriyitibwa corticosteroids. Abantu bangi abalina embeera eno bawulira bulungi nnyo mu nnaku ntono oluvannyuma lw’okutandika okukozesa ddoozi entono ey’eddagala eriyitibwa steroid nga prednisone.

Kijjanjabwa kitya?

Obujjanjabi bw’obulwadde bwa polymyalgia rheumatica butandika n’eddagala eriyitibwa corticosteroids erya dose entono . Omusawo ayinza okukuwa miligiraamu 10 ku 15 eza prednisone buli lunaku. Kino kiyinza okukendeeza amangu ku bulumi n’okukaluba. Obubonero bwo bwe bumala okukka, ddoozi ya steroid ekendeezebwa mpolampola mu mwaka gumu oba ebiri. Mu mbeera ezimu, obulwadde buno buyinza okuddamu. Olwo oyinza okwetaaga okumira eddagala lya steroids erya dose entono okumala ebbanga eddene okuziyiza okuzimba. Oluusi eddagala eddala liyinza okwetaagisa okufuga okuzimba n’okukendeeza ku ddoozi y’eddagala eriyitibwa steroids.

Ekisinga obukulu omusawo akulondoola buli kiseera, kubanga okukozesa eddagala lya steroids okumala ebbanga eddene kiyinza okuvaako ebizibu.

Bino wammanga bye bizibu ebiyinza okuva mu kukozesa eddagala lya steroid okumala ebbanga eddene:

• Okweyongera kw’omugejjo.
• Osteoporosis (okugonza amagumba).
• Puleesa (Peesa).
• Obulwadde bw'emisuwa n'emisuwa .
• Ekirwadde ekya sukaali .
• Okugonza olususu (Skin atrophy).
• Okuzimba amaaso .

Abanoonyereza era banoonyereza ku ddagala eddala eriziyiza abaserikale b’omubiri, gamba nga methotrexate, okujjanjaba obulwadde bwa polymyalgia rheumatica, kyokka ebyavuddemu tebibadde bitegeerekeka bulungi. Ekitongole kya U.S. Food and Drug Administration (FDA) kikkirizza eddagala eriyitibwa biologic drug tocilizumab okujjanjaba obulwadde bw’emisuwa gy’obutoffaali obunene n’endwadde z’enkizi. Wabula, data endala yeetaagibwa okuzuula oba eddagala lino teririna bulabe era likola ku polymyalgia rheumatica.

Okuwummula n’okukola dduyiro bintu bikulu bibiri mu kujjanjaba obulwadde bwa Polymyalgia Rheumatica. Dduyiro buli kiseera ayamba okukuuma amaanyi g’ebinywa byo n’okukyukakyuka kw’ennyondo zo. Ebika bya dduyiro ebirungi mulimu:

• Okuvuga ddigi eyimiridde.
• Okuwuga.
• Okutambula.

Omusawo ayinza n’okukuwa amagezi ku bujjanjabi bw’omubiri okukendeeza ku buzibu n’okukuuma omulimu.

Kiki ekiyinza okusuubirwa mu mbeera eno?

Bw’ofuna obujjanjabi, obubonero bw’obulwadde bwa polymyalgia rheumatica butera okutereera mu nnaku ntono, oba n’okuggwaawo ddala . Gy’okoma okuzuulibwa amangu n’okujjanjabibwa, emikisa gyo egy’okuwona embeera eno gye gikoma okubeera emirungi. Abantu abasinga obungi babeera mu bulamu obwa bulijjo, obuvaamu ebibala . Obulemu obw’amaanyi tebutera kubaawo.

Gye buvuddeko abanoonyereza baakizudde nti abantu abalina obulwadde bwa polymyalgia rheumatica bali mu bulabe obw’okulwala obulwadde bw’emisuwa, embeera ng’amasavu gakuŋŋaana mu misuwa ne gikaluba. Naye kino kirabika tekikosa bulamu.

Obulwadde bwa Polymyalgia Rheumatica busobola okuwona ddala?

Bw’ofuna obujjanjabi, obubonero bw’obulwadde bwa polymyalgia rheumatica butera okutereera mu nnaku ntono. Obujjanjabi butera okumala omwaka nga gumu oba ebiri, naye mu mbeera ezimu, obujjanjabi buyinza okutwala ekiseera ekiwanvu era obulwadde buno buyinza okuddamu. Abantu abamu bayinza okwetaaga okumira eddagala lya prednisone erya dose entono (milligrams 2 ku 5 buli lunaku) obulamu bwabwe bwonna okutangira obulwadde buno okuddamu.

Awatali bujjanjabi, obulwadde bwa polymyalgia rheumatica ebiseera ebisinga tebuwona. Kyokka, mu mbeera ezitatera kubaawo, embeera eyinza okuggwaawo ku bwayo oluvannyuma lw’omwaka mulamba. Kiyinza okutwala emyaka etaano embeera eno okuggwaawo ddala.

Kino kisobola okuziyizibwa?

Olw’okuba abanoonyereza tebamanyi kituufu ekivaako obulwadde bwa Polymyalgia Rheumatica, embeera eno tesobola kuziyizibwa .

Nze nneerabirira ntya?

Waliwo ebintu by’osobola okukola okuddukanya obubonero bwo n’ebizibu ebiva mu ddagala lyo.Kikulu okukuuma endya entuufu n'okumira eddagala lyo nga bwe likulagiddwa . Okugatta ku ekyo, kakasa nti owa omubiri gwo ekiwummulo ng’okola emirimu egimu egy’omubiri buli lunaku. Omubiri gwo bwe gumala okutandika obutalumwa nnyo n’okulumwa, osobola okuddamu okukola emirimu gyo gyonna egya bulijjo egya bulijjo.

Ddi lw’osaanidde okulaba omusawo?

Ne bwe kiba nti eddagala lya corticosteroids liri wansi liyinza okuvaako ebizibu ebivaamu. Bw’ofuna obubonero bwonna ku buno wammanga, laba omusawo wo:

• Okweyongera kw’omugejjo.
• Puleesa eri waggulu.
• Ebbula ly'otulo.
• Okunyiga olususu oba okugonza olususu.
• Okuzimba amaaso.
• Obulwadde bw'amagumba .

Obulwadde bwa Polymyalgia Rheumatica busobola okubeerawo awamu ne Giant Cell Arteritis, kale tegeeza omusawo wo bw’oba ​​ofunye obubonero bwonna obw’embeera eyo. Obubonero buno mulimu:

• Okulumizibwa omutwe.
• Enkyukakyuka mu kulaba.
• Omusujja.
• Nkooye.
• Emmere tewooma.
• Obulumi bw’akawanga.
• Obulumi ng’okwata ku kitundu ekyetoolodde olususu lw’oku mutwe.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’ogenda okulaba omusawo osobola okubuuza ebibuuzo bino:

• Lwaki kino kyantuukako?
• Bujjanjabi ki bw’onteesa?
• Biki ebivaamu bye nsaanidde okwegendereza?
• Nnina n’obulwadde bwa Giant Cell Arteritis?
• Bizibu ki ebiyinza okuva mu Polymyalgia Rheumatica?
• Kiki kye nnyinza okukola okutangira embeera eno obutaddamu kubaawo?

Obubonero bwa Polymyalgia Rheumatica buyinza okukutawaanya ennyo, ekizibuwalira okukola emirimu gya buli lunaku. Bw’ofuna obulumi obw’amaanyi mu binywa n’okukaluba, laba omusawo. Wadde ng’obulwadde bwa Polymyalgia Rheumatica buyinza okuba obuzibu okuzuula, omusawo asobola okukuyamba okuzuula ekigenda mu maaso n’obujjanjabi obusinga okukuyamba. Okubeera n’obulwadde bwa Giant Cell Arteritis kiyinza okuba ekizibu eri abantu abamu. N’olwekyo kakasa nti oyogera n’omusawo wo ku bubonero bwo bwonna.

Obubaka Obutwala Awaka

Polymyalgia Rheumatica embeera enyiiza naddala ng’olina obulumi n’okukaluba ku makya. Naye jjukira nti:

• Kino kitera mu bantu abasukka emyaka 50 , naddala abakyala.
• Obubonero obukulu bwe bulumwa n’okukaluba mu bibegabega, ensingo, n’ebisambi , naddala ku makya.
• Wadde ng’ekivuddeko ekituufu tekimanyiddwa, waliwo obujjanjabi . Ebirungo ebiyitibwa corticosteroids bitera okuwa obuweerero obw’amangu.
• Kikulu nnyo okuzuula obulwadde buno n'otandika okujjanjabibwa nga bukyali .
• Abantu abamu bayinza n’okufuna embeera eyitibwa ‘Giant Cell Arteritis’ wamu ne kino, kale ekyo nakyo kimanye.
• Ekisinga obukulu kwe kwogera n'omusawo wo n'obwegendereza era ogoberere amagezi ge .

Teweeraliikiriranga, bw’ofuna obujjanjabi n’enzirukanya entuufu, osobola okufuga embeera eno n’obeera n’obulamu obulungi.

` Polymyalgia rheumatica, obulumi mu binywa, okukaluba ku makya, corticosteroids, giant cell arteritis, obulamu bw’abakadde, obulumi mu binywa