I fa hian ruh na a nei fo em? Hei hi CRMO a ni thei ang em? (Chronic Recurrent Multifocal Osteomyelitis natna lo awm thei) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

I fa chuan a ke, a kut, a nih loh leh a hnungzang a na tih a phunnawi fo em? A châng chuan tlan kual emaw, "growing pains" emaw mai mai mai niin kan ngai ṭhin. Mahse he natna hi ni engemaw zat emaw, kar tam tak emaw a awm a, ni engemaw zat hnuah a reh a, a lo let leh a nih chuan tlem kan ngaihtuah tur a ni. Vawiin hian ruh natna lo awm leh thei, thil awm lo, mahse pawimawh tak kan sawi dawn a ni.

A awlsam zawngin CRMO chu eng nge ni?

Chronic Recurrent Multifocal Osteomyelitis, CRMO tia hriat bawk hi autoimmune natna a ni . Tunah chuan eng nge ni tih i ngaihtuah mai thei. Kan taksa invenna (immune system) hi ram venghimtu sipai angin han ngaihtuah teh. He sipai hna chu hnam dang hmelma, virus leh bacteria te do a, natna laka min humhim hi a ni.

Mahse autoimmune disease-ah chuan keimahni immune system hian tihsual a nei a, ramdang invader ai chuan kan taksa peng hrisel tak takte chu a bei ta zawk a ni. CRMO-ah chuan he "mistaken attack" hi kan ruh ngeiah a ni . Immune system hian chhan hriat lohvin taksaa ruh pakhat emaw a aia tam emaw a bei a, inflammation a siam a, chu chu a hring leh a na a ni.

CRMO din chhan bik a awm em?

Dik tak chuan doctor-te chuan CRMO thlentu hi eng nge ni tih chiang takin an la hre lo . Bacteria emaw virus emaw avanga lo awm a ni lo. A chhan hriat loha immune system act up mai mai a ni.

Mahse, hei hi genetic link a awm thei tih rinhlelhna engemaw zat a awm. A châng chuan chhungkaw khata mi eng emaw zatin he natna hi an vei tih an sawi bawk. Mahse, hemi chungchangah hian zirchian belh a ngai a ni.

He natna hi tuin nge vei tam ber?

CRMO hi naupang leh tleirawl puitlingah hmuh tam ber a ni.He natna hi kum 9-10 inkar velah hmuhchhuah a ni tlangpui. He natna hi mipa aiin hmeichhiaah a tam zawk deuh.

Hei hi natna tlanglawn tak a ni lova, mahse doctor leh mipui nawlpuiin he natna hi an hriat chian chhoh zel avangin he natna vei hmuhchhuah zat hi a pung ve deuh a ni.

CRMO natna lan chhuahna berte chu engte nge ni?

CRMO hian taksa ruh eng pawh a nghawng thei. Mahse naupang ke, hip, leh ruhro ruh sei tak takte chu a nghawng tam ber . Symptoms chu a lo lang nghal thei a, ni engemaw zat hnuah a reh thei a, a lo lang leh thei bawk. Hei hi flare-up leh remission an ti a.

Hetiang symptoms lian ber berte hi han thlir ila.

CRMO natna hi engtin nge dik taka kan hriat theih ang?

Hei hi natna hmuh tur awm lo tak a nih avangin, a hriatchhuah chu a chang chuan a harsa thei hle. Doctor chuan i fa chu uluk takin a enfiah ang a, i symptoms te a zawt ang che. A tlangpuiin natna hriat theih nan thla engemaw zat emaw, kum khat aia rei emaw pawh a ngai thei.

Test eng emaw zat neih a ni a, a natna hi a dik tih finfiah a ni.

• Imaging test: X-ray leh MRI scan ang chi test-ah hian ruh chhunga inflammation leh thil dang danglamna chiang takin a lang thei.
• Thisen test: Hengte hian taksaa inflammation level (ESR, CRP ang chi) enfiahna atan a pui a, natna dang emaw natna dang emaw a awm loh nan a pui bawk.
• Genetic test: A then phei chuan heng test te hi genetic natna dang awm lo turin a tul thei bawk.

CRMO enkawl dan tur chu engte nge ni?

Hetih lai hian CRMO damdawi a la awm lo . Mahse, lungngai suh. Enkawlna awmsa chuan natna lan chhuah dan a thunun thei a, inflammation a tihziaawm thei a, i fa chu nun pangngai tak nei turin a pui thei bawk .

Doctor chuan a hnuaia enkawlnate hi a rawt thei ang:

• Nonsteroidal anti-inflammatory drugs (NSAIDs): Hengte hi natna tidamtu leh anti-inflammatory drugs kan hriat vek, Ibuprofen ang chi te an ni. Hei hi enkawlna enchhin hmasak ber a ni. Naupang 50% velin hengte hi an chhang tha hle. Mahse, heng damdawi te hi rei tak i ei chuan i doctor chuan i kal leh thin hnathawh dan a enfiah fo ang.
• Disease-modifying antirheumatic drugs (DMARDs): NSAIDs chauh hian natna a control loh chuan he class of drugs hi damdawi group dang hman tur a ni. Heng damdawi te hian immune system chu eng emaw chen a titawp a, natna thlentu attack dik lo tihtawp nan a pui thin. Heng damdawi te hi i tan hmain i doctor chuan a thatna leh that lohna zawng zawng a hrilhfiah ang che.
• Nunphung inthlak danglamna:Natna hun lai hian i fa chuan a tlan leh zuang a tihkhawtlai a ngai mai thei. Physics therapist emaw occupational therapist emaw chuan nitin hnathawh dan tur, exercise te pawh tiamin, natna neia tih dan tur a zir theih nan a pui thei che a ni.

CRMO nen hian natna dang a awm dun thei em?

Ni e, CRMO vei naupangte hi autoimmune natna dang engemaw zat vei theihna chance engemaw chen an nei a ni.

• Inflammatory Bowel Disease (IBD): Hei hi immune system-in chaw ei leh in a beih avanga lo awm a ni bawk.
• Psoriasis: Hei hi autoimmune natna a ni a, vun a nghawng a ni.
• Amplified musculoskeletal pain: Hei hi a buaithlak deuh a ni. CRMO hi remission-a a awm lai pawhin a chhan sawifiah loh avangin taksa ruh natna a awm chhunzawm zel thei. He natna hi natna tidamtu pangngaiin a reh lo.

He natna hi eng prognosis nge ni?

Thu lawmawm tak chu damlo 40% vel chuan enkawl an nih atanga kum 1-5 chhungin remission kimchang an nei thei a ni. Hei hian a natna leh a lan chhuah dan dangte chu a bo vek tihna a ni a, inflammation emaw immune system dysfunction emaw a awm lo tihna a ni. Chumi hnuah chuan naupang chu nun pangngai, active takin a nung thei ta a ni.

Amaherawhchu, natna hi a dam kim vek a nih pawhin, damdawi lam enkawl reng reng hi a pawimawh hle. Rheumatologist enkawlna hnuaiah clinic-ah i kal chhunzawm zel a ngai dawn a ni. Natna hi a lo lang leh tawh em tih hriat nan MRI scan ang chi test i tih a ngai thei bawk. Hei hi a chhan chu mi 50% velin enkawlna an chawlhsan hnu kum hnih chhungin an natna lo lang leh thin a ni. Chutiang a nih chuan enkawlna i tan leh a ngai dawn a ni.