Zing lamah pawh i rilru a na a, i na bawk em? (Polymyalgia Rheumatica) chungchang hi i zir dawn em ni?

Zingkar i thawh hian a chang chuan i rilru a hah a, i na i ti em? A bik takin i kawr, i kekawrte leh i hip-ah te. A châng chuan thawmhnaw thlak emaw, i sam hrual emaw i harsat em? Heng symptoms te hi i neih chuan ‘Polymyalgia Rheumatica’ tih natna vang pawh a ni thei a, hei hi vawiinah hian kan sawi dawn a ni. Lungngai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.

Polymyalgia Rheumatica hi eng nge ni?

A awlsam zawngin, Polymyalgia Rheumatica hi kum 50 chunglam zingah a tam ber a, i kawr, i kephah leh i hip-ah na leh i rilru a ti na a ni A châng chuan, he natna hi i kut chunglam, i kekawrte leh i hnungzang thlengin a darh thei bawk. Vawi tam tak chu he natna leh rilru hahna hi i taksa sir lehlamah inang tlangin i hre thin.

A pawimawh ber chu he natna leh rilru hahna hi zing i thawh hian a hriat tam ber a, a nih loh leh rei vak lo i thut hnua che i tum hian a ni . Hetianga zing lama lo awm thin hi minute 30 emaw a aia rei emaw a awm thei tlangpui . Mi thenkhat tan chuan he natna hi tuar theih loh khawpin a awm thei a, mahse, i inher kual deuh hian, a nih loh leh thil tangkai tak i tih hian a natna chu a tlahniam deuh tih i hmu mai thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

America ang ramah chuan kum tin mi 100,000 zinga mi 50 velin he natna hi an vei niin an sawi. Kum 50 chunglamte a nghawng tlangpui a, mahse kum 70 leh 75 inkar zingah a tam ber .

Polymyalgia Rheumatica natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuah dan ber chu taksa ruh lian tak tak, a bik takin ke leh ke ruh (hips)-a natna leh natna lo awm nghal mai hi a ni I kut, i hnungzang, i hnute leh i kawngah pawh hrehawm i ti thei bawk. He natna leh natna hi kar hnih chhungin a lang tlangpui a, a chang chuan zan khat chhungin a lang thin. Vawi tam tak chu taksa sir lehlamah natna hi hriat a ni. Thil awlsam tak tak, incheina emaw, i sam hrual emaw tih chu i harsat mai thei.

I kekawrte kha a khauh em em a, a na em em a, zing i thawh chuan i hmai sil turin i kut pawh i chawi thei lo a nih chuan eng ang nge a harsa ang tih han ngaihtuah teh.

Symptom dang hmuh theihte chu:

• Zing thawh veleh minute 30 aia rei , emaw, rei vak lo ṭhut hnua ding chhuak emawa nghet lo.
• Nunna nei lo leh chak lo anga inhriatna .
• Chauhna reng reng .
• A tlangpuiin hrisel lohna neia inhriatna .
• Chaw ei chu a thlum lo .
• A taksa rihna tihtlem .
• Kut emaw kutphahah emaw a hring chhuak .
• Khawsik na lo tak nei .

Polymyalgia rheumatica vei zinga 10% atanga 20% vel chuan natna dang, giant cell arteritis emaw temporal arteritis emaw an nei thei bawk. Hei hi vasculitis chi khat a ni bawk a, chu chu thisen kalna kawng lian tak tak, aorta ang chi, kan thinlung atanga kan taksa peng hrang hranga thisen phurtu thisen kalna bulpui ber a ni. Tin, giant cell arteritis vei zinga 40% atanga 60% vel pawhin polymyalgia rheumatica an nei thei bawk.

Eng thilin nge hei hi a thlen?

Researcher-te chuan polymyalgia rheumatica awm chhan dik tak hi an la hmuchhuak lo a , mahse a thlentu nia ngaih thil engemaw zat a awm a:

• Genetics : Hei hian a awmzia chu gene thenkhat, thlah kal zel atanga lo inthlak danglam thin te hian hei hi a nghawng thei tihna a ni.
• Environmental factors : Infection thenkhat ang chi thil.
• Kum upa lam : Kum upat rualin taksaa inthlak danglamna a awm thin.
• Autoimmune disease: Taksa immune system hian mahni cell te chu a bei sual a.
• Bursitis chu hip emaw shoulder-a bursa an tih bawm te tak te a lo hring chhuak a ni .

Hemi atan hian tute nge hlauhawm ber?

Polymyalgia Rheumatica thlen chhan dik tak hriat ni lo mah se, risk factor engemaw zat hmuhchhuah a ni a:

• Kum : He natna hian kum 50 chunglam a vei tam ber a, kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Kum 70 leh 75 inkar zingah a tam ber.
• Gender : Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk.
• Hnam leh hnam : Hetiang dinhmun hi hnam dang aiin mipa hring, a bik takin Europe hmar lam atanga lo piangte zingah a tam zawk a ni.

Hei hian eng harsatna nge a thlen theih?

Enkawl loh chuan polymyalgia rheumatica hian i taksa tihchet theihna a nghawng thei a ni . Hei hian nitin hna thawh a ti harsa thei a, chu chu inbual te, inchei te, sam hrual te, sofa atanga tho te, leh car chhunga luh leh chhuah te hi a ni. A bik takin i kut chu shoulder level aia sang zawka chawi sang chu a harsa thei hle.

Tin, Polymyalgia Rheumatica hi Giant Cell Arteritis nen a inzawm thei bawk a, hei hian thinlung atanga taksa peng dang panna thisen kalna kawng lian ber aorta chu a ti hring thei bawk. Hei hian nunna atana hlauhawm thei dinhmun a thlen thei a, chu chu aortic aneurysm an ti a ni.

Engtin nge hei hi i hriat chian?

Polymyalgia Rheumatica hi doctor tan chuan hriat harsa tak a ni thei a, a chhan chu a natna lan chhuah dan chu natna dang, rheumatoid arthritis, spondyloarthritis, pseudogout, myositis, leh connective tissue natna dangte bakah degenerative joint disease te nen a inang a ni. Chuvangin, i doctor chuan he natna hi a hriatchhuah hmain heng natna dangte hi a paih chhuah a ngai dawn a ni.

I doctor chuan i medical history a zawt ang a , physical exam a ti ang . Exam chhung hian polymyalgia rheumatica natna lan chhuah dan tlangpui leh natna dang chhinchhiahna te an zawng ang.

Hei hi thisen test bik a awm lo. Mahse, i doctor chuan thisen test eng emaw zat a ti thei a, chu chuan natna dang a neih loh nan a pui thei a ni. Chûng zîngah chuan:

• Thisen chhiar kim (CBC) 1.1.
• C-reactive protein (CRP) hmanga siam a ni.
• Erythrocyte Sedimentation Rate (ESR) atanga a lan dan chuan a chhuak leh ta a ni.
• Thyroid tichaktu hormone (TSH) .
• Creatine Kinase hmanga siam a ni

A châng chuan, i doctor chuan damdawi chi khat, corticosteroids an tih i ei rang dan aṭangin i natna hi a hre thei bawk. Hetiang natna vei tam tak chuan prednisone ang chi steroid dose tlem an ei tan hnuah ni engemaw zat chhungin an dam tha hle.

Engtin nge enkawl a nih?

Polymyalgia rheumatica enkawlna hi corticosteroids dose tlemte hmanga tan a ni . I doctor chuan ni khatah prednisone milligram 10 atanga 15 vel a pe thei ang. Hei hian i natna leh i rilru hahna chu rang takin a tiziaawm thei a ni. I natna lan chhuah dan a reh hnuah kum khat emaw kum hnih emaw chhungin steroid dose chu tihhniam zauh zauh a ni. A then phei chuan natna hi a lo awm leh thei bawk. Tichuan flare-ups ven nan steroid low-dose rei tak i ei a ngai mai thei. A châng chuan swelling control nan leh steroid dose tihtlem nan damdawi dang a ngai thei bawk.

A pawimawh ber chu i doctor-in a enkawl reng che a ni, a chhan chu hun rei tak chhunga steroid hman hian side effect a thlen thei a ni.

A hnuaia mi hi hun rei tak chhunga steroid hman avanga side effect awm thei te chu a ni:

• Rihna a sang chho zel.
• Osteoporosis (ruh hring hring).
• Thisen sang (Hypertension).
• Lung leh thisen zam natna .
• Zunthlum .
• Vun a hring (Skin atrophy).
• Mitdel (cataract) a awm .

Researcher-te chuan polymyalgia rheumatica enkawlna atana immune system titawp thei damdawi dang, methotrexate te pawh an zirchiang tawh a, mahse a result erawh a chiang lo hle. U.S. Food and Drug Administration (FDA) chuan biologic drug tocilizumab hi giant cell arteritis leh rheumatoid arthritis enkawlna atan a pawm a ni. Mahse, he damdawi hi polymyalgia rheumatica tan a him leh him loh hriat nan data tam zawk a ngai a ni.

Polymyalgia Rheumatica enkawlna atan hian chawlh hahdam leh exercise hi thil pawimawh pahnih a ni. Exercise neih fo hian i taksa ruh chakna leh i ruhkawrte a inthlak danglam theih nan a pui thin. Exercise chi tha tak takte chu:

• Bike ding reng chunga khalh.
• Tui hleuh.
• Kal.

I doctor pawhin i rilru hahna tihziaawmna tur leh hnathawhna hmuna awm reng turin physical therapy a rawt thei bawk.

Hetiang dinhmun nen hian eng nge beisei theih ang?

Enkawlna a awm chuan polymyalgia rheumatica natna lan chhuah dan chu ni engemaw zat chhungin a tha tlangpui a, a bo vek pawh a ni thei . I natna hmuhchhuah leh enkawl hma chuan i natna atanga i dam leh theihna chance a sang zawk. Mi tam zawk chu nun pangngai, rah chhuah nei takin an nung a ni . Rualbanlo na tak hi a tlem hle.

Tun hnaiah zirchiangtute chuan polymyalgia rheumatica vei te chu atherosclerosis an vei theihna a sang hle tih an hmuchhuak a, hei hi thisen kalna kawngah thau a awm khawm a, a khauh phah a ni. Mahse hei hian dam chhung a nghawng lo niin a lang.

Polymyalgia Rheumatica hi a dam kim thei em?

Enkawlna a awm chuan polymyalgia rheumatica symptoms hi ni engemaw zat chhungin a reh tlangpui. Enkawlna hi kum khat emaw kum hnih emaw vel a ni tlangpui a, mahse a then phei chuan enkawlna a rei zawk thei a, natna hi a lo lang leh thei bawk. Mi thenkhat chuan an dam chhung zawngin prednisone dose tlem (ni khatah milligram 2 atanga 5) an ei a ngai mai thei a, chu chu natna a lo let leh tawh loh nan a ni.

Enkawlna tel lo chuan polymyalgia rheumatica hi a dam lo tlangpui. Mahse, a tlem berah chuan kum khat hnuah chuan a dinhmun chu a mah chauhin a reh thei a ni. He natna hi a bo vek theih nan kum nga vel a ngai thei.

Hei hi ven theih a ni em?

Researcher-te chuan Polymyalgia Rheumatica awm chhan dik tak an hriat loh avangin he natna hi ven theih a ni lo .

Engtin nge ka in enkawl ang?

I natna lan chhuah dan leh i damdawi ei avanga a side effects te enkawl nan thil i tih theih a awm.Ei leh in tha tak neih a pawimawh a , damdawi ei tur pawh a tih angin ei a pawimawh . Chu bâkah, nitin taksa tihchakna engemaw zât neiin i taksa chu chawlh hahdamna pe rawh. I taksain a na leh a na lo deuh tan chuan nitin i hnathawh pangngai zawng zawng chu i thawk leh thei tawh ang.

Engtikah nge Doctor i hmuh ang?

Corticosteroids dose tlem pawhin side effect a nei thei. A hnuaia symptoms te hi i neih chuan doctor pan rawh:

• A taksa rihna a tipung.
• Thisen sang a sang.
• Mu thei lo.
• Vun a hliam emaw, vun a hring emaw.
• Mit (cataract) a awm.
• Osteoporosis natna a awm .

Polymyalgia Rheumatica hi Giant Cell Arteritis nen hian a awm dun thei a, chuvangin chutiang natna lan chhuah dan i neih chuan doctor hnenah hrilh rawh. Heng symptoms te hi:

• Lu na.
• Mit hmuhna lama inthlak danglamna.
• Khawsik.
• Chau.
• Chaw chu a thlum lo.
• Jaw na a na.
• Lu vun chhehvel khawih hian natna.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian heng zawhnate hi i zawt thei ang:

• Engvangin nge hetiang hian ka chungah a lo thlen?
• Eng treatment nge ka tan i recommend?
• Eng side effect nge ka fimkhur tur?
• Giant Cell Arteritis pawh ka nei ve em?
• Polymyalgia Rheumatica natna avanga harsatna awm thei te chu engte nge ni?
• Hetiang dinhmun hi a lo thlen leh tawh loh nan eng nge ka tih theih ang?

Polymyalgia Rheumatica symptoms hian a tibuai hle thei a, nitin hnathawh a ti harsa thei hle. Muscle na nasa tak leh stiffness i neih chuan doctor pan tur a ni. Polymyalgia Rheumatica hi hriat harsa tak ni mah se, i doctor chuan eng nge thleng tih leh eng enkawlna nge i tana tha ber tih a hriat theih nan a pui thei che a ni. Giant Cell Arteritis natna vei hi mi thenkhat tan chuan thil harsa tak a ni thei. Chuvangin i natna lan chhuah dan zawng zawng chu i doctor hnenah sawipui ngei ang che.

Take-Home Thuchah a ni

Polymyalgia Rheumatica hi natna engemaw chen tibuaitu a ni a, a bik takin zingkar a natna leh a khauh chuan a tibuaitu a ni. Mahse hei hi hre reng ang che:

• Hei hi kum 50 chunglam ah a awm fo thin , a bik takin hmeichhiaah a awm fo thin.
• A lan chhuah dan ber chu ke ruh, kawr, leh hip na leh a khauh , a bik takin zing lamah a na .
• A chhan dik tak hriat ni lo mah se, enkawlna a awm . A tam zawkah chuan corticosteroid hian hahdamna a pe nghal vat thin.
• Natna hi hriatchhuah hmasak a pawimawh hle a .
• Mi thenkhat chuan hei bakah hian ‘Giant Cell Arteritis’ tih natna an nei thei bawk a, chuvangin chu pawh chu hre reng ang che.
• A pawimawh ber chu i doctor nen uluk taka inbiakna neih a , a thurawn zawm hi a ni .

Lungngai suh, enkawl dan dik leh enkawl dan dik tak chuan he natna hi i thunun thei a, nun tha tak i hmang thei bawk.

` Polymyalgia rheumatica, ruh natna, zing khawvar na, corticosteroids, giant cell arteritis, geriatric hriselna, taksa ruh natna