Kodi inunso mukumva kupweteka komanso kuuma m'mawa? Tiyeni tiphunzire za (Polymyalgia Rheumatica)?

Kodi nthawi zina mumamva kuuma komanso kupweteka mukadzuka m'mawa? Makamaka m'khosi mwanu, m'mapewa, ndi m'chiuno. Kodi nthawi zina mumavutika kusintha zovala kapena kupesa tsitsi lanu? Ngati muli ndi zizindikiro izi, zitha kukhala chifukwa cha matenda otchedwa 'Polymyalgia Rheumatica', omwe tikambirana lero. Musadandaule, tikambirana izi mwatsatanetsatane.

Kodi Polymyalgia Rheumatica ndi chiyani?

Mwachidule, Polymyalgia Rheumatica ndi matenda omwe amapezeka kwambiri mwa anthu azaka zopitilira 50, ndipo amayambitsa kupweteka ndi kuuma kwa khosi, mapewa, ndi chiuno . Nthawi zina, ululuwu ukhoza kufalikira mpaka m'manja, m'ntchafu, ndi msana. Nthawi zambiri, ululu ndi kuuma kumeneku kumamveka mofanana mbali zonse ziwiri za thupi lanu.

Chofunika kwambiri ndichakuti ululu ndi kuuma kumeneku kumamveka kwambiri mukadzuka m'mawa, kapena mukayesa kusuntha mutakhala pansi kwakanthawi . Kuuma kumeneku komwe kumachitika m'mawa nthawi zambiri kumatha kupitirira mphindi 30. Kwa anthu ena, ululu uwu ukhoza kukhala wosapiririka, koma mungazindikire kuti ululuwo umachepa pang'ono mukasuntha pang'ono, kapena mukachita chinthu chothandiza.

Kodi vutoli ndi lofala bwanji?

M'dziko ngati America, akuti anthu pafupifupi 50 mwa anthu 100,000 amadwala matendawa chaka chilichonse. Nthawi zambiri amakhudza anthu azaka zopitirira 50. Komabe , matendawa amapezeka kwambiri pakati pa anthu azaka zapakati pa 70 ndi 75 .

Kodi zizindikiro za Polymyalgia Rheumatica ndi ziti?

Zizindikiro zazikulu za vutoli ndi kuyamba mwadzidzidzi kupweteka ndi kuuma m'malo olumikizirana mafupa akuluakulu a thupi, makamaka mapewa ndi chiuno . Muthanso kumva kusasangalala m'manja, msana, matako, ndi khosi. Kupweteka ndi kuuma kumeneku nthawi zambiri kumawonekera mkati mwa milungu iwiri, nthawi zina usiku wonse. Nthawi zambiri ululuwu umamveka mbali zonse ziwiri za thupi. Mutha kukhala ndi vuto lochita ntchito zosavuta monga kuvala kapena kupesa tsitsi lanu.

Tangoganizirani momwe zingakhalire zovuta ngati mapewa anu anali olimba komanso opweteka kwambiri moti simungathe ngakhale kukweza manja anu kuti mutsuke nkhope yanu mukadzuka m'mawa.

Zizindikiro zina zomwe zingawonekere ndi izi:

• Kuuma komwe kumatenga mphindi zoposa 30 mutadzuka m'mawa, kapena mutayimirira mutakhala kwakanthawi.
• Kumva wopanda moyo komanso wofooka .
• Kutopa kosalekeza.
• Kumva kudwala nthawi zambiri.
• Chakudya chilibe kukoma .
• Kuchepetsa thupi .
• Kutupa m'manja kapena m'manja.
• Kukhala ndi malungo pang'ono.

Pafupifupi 10% mpaka 20% ya anthu omwe ali ndi polymyalgia rheumatica amathanso kukhala ndi vuto lina lotchedwa giant cell arteritis kapena temporal arteritis. Uwu ndi mtundu wa vasculitis, womwe ndi kutupa kwa mitsempha yayikulu yamagazi, monga aorta, mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera mumtima mwathu kupita ku thupi lathu lonse. Komanso, pafupifupi 40% mpaka 60% ya anthu omwe ali ndi giant cell arteritis amathanso kukhala ndi polymyalgia rheumatica.

Kodi n’chiyani chimayambitsa izi?

Ofufuza sanapezebe chifukwa chenicheni cha polymyalgia rheumatica, koma pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa izi:

• Majini : Izi zikutanthauza kuti majini ena omwe amaperekedwa m'mibadwo ingakhudze izi.
• Zinthu zachilengedwe : Zinthu monga matenda enaake.
• Kukalamba : Kusintha kwa thupi kumachitika ndi ukalamba.
• Matenda a Autoimmune: Chitetezo cha mthupi chimaukira maselo ake molakwika.
• Bursitis ndi kutupa kwa matumba ang'onoang'ono otchedwa bursa m'chiuno kapena m'mapewa.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Ngakhale kuti zifukwa zenizeni za Polymyalgia Rheumatica sizikudziwika, zifukwa zingapo zoopsa zapezeka:

• Zaka : Matendawa nthawi zambiri amakhudza anthu azaka zopitirira 50. Mwayi woti matendawa adwale umawonjezeka ndi ukalamba. Amafala kwambiri pakati pa anthu azaka zapakati pa 70 ndi 75.
• Jenda : Matendawa amapezeka kwambiri pakati pa akazi kuposa amuna.
• Fuko ndi fuko : Vutoli ndi lofala kwambiri pakati pa anthu oyera, makamaka omwe amachokera ku Northern Europe, kuposa mafuko ena.

Kodi izi zingayambitse mavuto otani?

Ngati sichikuthandizidwa, polymyalgia rheumatica ingakhudze luso lanu loyendetsa thupi lanu . Izi zingapangitse kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku, monga kusamba, kuvala, kupesa tsitsi lanu, kudzuka pa sofa, ndi kulowa ndi kutuluka mgalimoto. Zingakhale zovuta kwambiri kukweza manja anu pamwamba pa mapewa.

Komanso, Polymyalgia Rheumatica ikhoza kugwirizanitsidwa ndi Giant Cell Arteritis, yomwe ingayambitse kutupa kwa mtsempha wamagazi, womwe ndi mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera mumtima kupita ku thupi lonse. Izi zingayambitse matenda omwe angawopseze moyo otchedwa aortic aneurysm.

Kodi mumazindikira bwanji izi?

Matenda a Polymyalgia Rheumatica angakhale ovuta kwa dokotala kuzindikira chifukwa zizindikiro zake zimafanana ndi za matenda ena, monga nyamakazi, spondyloarthritis, pseudogout, myositis, ndi matenda ena olumikizana ndi minofu, komanso matenda otupa mafupa. Chifukwa chake, dokotala wanu adzafunika kuchotsa matenda ena awa asanakuzindikireni kuti muli ndi vutoli.

Dokotala wanu adzakufunsani za mbiri yanu yachipatala ndikukupimirani thupi . Pa nthawi yoyezetsa, adzafufuza zizindikiro zodziwika bwino za polymyalgia rheumatica ndi zizindikiro za matenda ena.

Palibe mayeso enieni a magazi pa izi. Komabe, dokotala wanu angakupatseni mayeso angapo a magazi kuti athetse matenda ena. Izi zingaphatikizepo:

• Kuchuluka kwa Magazi Onse (CBC)
• Puloteni yogwira ntchito ya C (CRP)
• Mlingo wa Kutuluka kwa Magazi a Erythrocyte (ESR)
• Homoni yolimbikitsa chithokomiro (TSH)
• Creatine Kinase

Nthawi zina, dokotala wanu amathanso kuzindikira vutoli poona momwe mumayankhira mwachangu mankhwala otchedwa corticosteroids. Anthu ambiri omwe ali ndi vutoli amamva bwino pakatha masiku ochepa atayamba kumwa mankhwala ochepa a steroid monga prednisone.

Kodi imachiritsidwa bwanji?

Chithandizo cha polymyalgia rheumatica chimayamba ndi corticosteroids yochepa . Dokotala wanu angakupatseni mamiligalamu 10 mpaka 15 a prednisone patsiku. Izi zitha kuchepetsa ululu wanu ndi kuuma kwanu mwachangu. Zizindikiro zanu zikatha, mlingo wa steroid umachepetsedwa pang'onopang'ono pakatha chaka chimodzi kapena ziwiri. Nthawi zina, matendawa amatha kubwereranso. Kenako mungafunike kumwa mankhwala ochepa a steroid kwa nthawi yayitali kuti mupewe kuphulika. Nthawi zina mankhwala ena angafunike kuti muchepetse kutupa ndikuchepetsa mlingo wa steroid.

Chofunika kwambiri ndichakuti dokotala wanu azikuyang'anirani nthawi zonse, chifukwa kugwiritsa ntchito mankhwala a steroid kwa nthawi yayitali kungayambitse zotsatirapo zoyipa.

Zotsatirazi ndi zotsatirapo zomwe zingakhalepo chifukwa chogwiritsa ntchito ma steroid kwa nthawi yayitali:

• Kulemera.
• Kuchepa kwa mafupa ( osteoporosis ).
• Kuthamanga kwa magazi (BP).
• Matenda a mtima .
• Matenda a shuga .
• Kuchepa kwa khungu (Skin atrophy).
• Matenda a maso .

Ofufuza aphunziranso mankhwala ena omwe amaletsa chitetezo chamthupi, monga methotrexate, pochiza polymyalgia rheumatica, koma zotsatira zake sizinadziwike bwino. Bungwe la U.S. Food and Drug Administration (FDA) lavomereza mankhwala a tocilizumab a biologic pochiza giant cell arteritis ndi rheumatoid arthritis. Komabe, pakufunika zambiri kuti adziwe ngati mankhwalawa ndi otetezeka komanso ogwira ntchito pa polymyalgia rheumatica.

Kupuma ndi kuchita masewera olimbitsa thupi ndi zinthu ziwiri zofunika kwambiri pa chithandizo cha Polymyalgia Rheumatica. Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kuti minofu yanu ikhale yolimba komanso kuti mafupa anu azisinthasintha. Mitundu yabwino ya masewera olimbitsa thupi ndi monga:

• Kukwera njinga yosasuntha.
• Kusambira.
• Kuyenda.

Dokotala wanu angakulangizeninso chithandizo chamankhwala kuti muchepetse kusasangalala ndikugwira ntchito bwino.

Kodi n’chiyani chingayembekezeredwe ndi vutoli?

Mukalandira chithandizo, zizindikiro za polymyalgia rheumatica nthawi zambiri zimachepa pakatha masiku ochepa, kapena zimatha kwathunthu . Mukapezeka ndi kulandira chithandizo msanga, mwayi wanu wochira matendawa umakhala wabwino. Anthu ambiri amakhala ndi moyo wabwinobwino komanso wopindulitsa . Kulemala kwakukulu sikuchitika kawirikawiri.

Ofufuza posachedwapa apeza kuti anthu omwe ali ndi polymyalgia rheumatica ali pachiwopsezo chachikulu chotenga atherosclerosis, vuto lomwe mafuta amasonkhana m'mitsempha yamagazi ndikupangitsa kuti ikhale yolimba. Koma izi sizikuwoneka kuti zimakhudza moyo wawo.

Kodi Polymyalgia Rheumatica ingachiritsidwe kwathunthu?

Ndi chithandizo, zizindikiro za polymyalgia rheumatica nthawi zambiri zimachepa mkati mwa masiku ochepa. Chithandizo nthawi zambiri chimatenga chaka chimodzi kapena ziwiri, koma nthawi zina, chithandizo chingatenge nthawi yayitali ndipo matendawa angabwererenso. Anthu ena angafunike kumwa prednisone yochepa (mamiligalamu 2 mpaka 5 patsiku) kwa moyo wawo wonse kuti matendawa asabwererenso.

Popanda chithandizo, polymyalgia rheumatica nthawi zambiri siichira. Komabe, nthawi zina, vutoli limatha lokha patatha chaka chimodzi. Zingatenge zaka zisanu kuti vutoli lithe kwathunthu.

Kodi izi zingapewedwe?

Popeza ofufuza sakudziwa chomwe chimayambitsa matenda a Polymyalgia Rheumatica, vutoli silingathe kupewedwa .

Kodi ndimadzisamalira bwanji?

Pali zinthu zomwe mungachite kuti muchepetse zizindikiro zanu komanso zotsatirapo zake.Ndikofunikira kudya zakudya zoyenera komanso kumwa mankhwala anu monga momwe mwalangizidwira . Kuphatikiza apo, onetsetsani kuti mwapumitsa thupi lanu mwa kuchita masewera olimbitsa thupi tsiku lililonse. Thupi lanu likayamba kumva kupweteka pang'ono, mutha kuyambiranso ntchito zanu zonse za tsiku ndi tsiku.

Kodi muyenera kupita kwa dokotala liti?

Ngakhale mlingo wochepa wa corticosteroids ungayambitse zotsatirapo zoyipa. Ngati mukukumana ndi zizindikiro zotsatirazi, onani dokotala wanu:

• Kulemera.
• Kuthamanga kwa magazi.
• Kusowa tulo.
• Kutupa kapena kuonda kwa khungu.
• Ma cataract.
• Matenda a mafupa .

Matenda a Polymyalgia Rheumatica amatha kuchitika limodzi ndi Giant Cell Arteritis, choncho uzani dokotala wanu ngati mukukumana ndi zizindikiro zilizonse za matendawa. Zizindikiro izi ndi izi:

• Mutu.
• Kusintha kwa masomphenya.
• Malungo.
• Wotopa.
• Chakudyacho sichikoma.
• Kupweteka kwa nsagwada.
• Ululu ukakhudza malo ozungulira mutu.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, mukhoza kufunsa mafunso awa:

• N’chifukwa chiyani izi zinandichitikira ine?
• Ndi mankhwala ati omwe mukundipangira?
• Ndi zotsatirapo ziti zomwe ndiyenera kusamala nazo?
• Kodi inenso ndili ndi Giant Cell Arteritis?
• Kodi ndi mavuto otani omwe angakhalepo chifukwa cha Polymyalgia Rheumatica?
• Kodi ndingatani kuti vutoli lisabwerezenso?

Zizindikiro za Polymyalgia Rheumatica zimatha kukhala zovuta kwambiri, zomwe zimapangitsa kuti zikhale zovuta kuchita zinthu za tsiku ndi tsiku. Ngati mukumva kupweteka kwambiri kwa minofu ndi kuuma, pitani kwa dokotala. Ngakhale kuti Polymyalgia Rheumatica ikhoza kukhala yovuta kuzindikira, dokotala wanu angakuthandizeni kudziwa zomwe zikuchitika komanso chithandizo chomwe chili chabwino kwa inu. Kukhala ndi Giant Cell Arteritis kungakhale kovuta kwa anthu ena. Chifukwa chake onetsetsani kuti mwalankhula ndi dokotala wanu za zizindikiro zanu zonse.

Uthenga Wopita Nawo Kunyumba

Matenda a Rheumatica (Polymyalgia Rheumatica) ndi vuto losasangalatsa, makamaka ndi ululu ndi kuuma m'mawa. Koma kumbukirani:

• Izi zimachitika kawirikawiri kwa anthu azaka zopitilira 50 , makamaka akazi.
• Zizindikiro zazikulu ndi kupweteka ndi kuuma kwa mapewa, khosi, ndi chiuno , makamaka m'mawa.
• Ngakhale kuti chifukwa chenicheni sichikudziwika, pali mankhwala . Nthawi zambiri, mankhwala a corticosteroid amapereka mpumulo mwachangu.
• Ndikofunikira kwambiri kuzindikira matendawa ndikuyamba kulandira chithandizo msanga .
• Anthu ena akhozanso kukhala ndi vuto lotchedwa 'Giant Cell Arteritis' pamodzi ndi izi, choncho dziwani zimenezo.
• Chofunika kwambiri ndikulankhula ndi dokotala wanu mosamala ndikutsatira malangizo ake .

Musadandaule, ndi chithandizo choyenera komanso kuyang'aniridwa bwino, mutha kuwongolera vutoli ndikukhala ndi moyo wabwino.

` Polymyalgia rheumatica, kupweteka kwa mafupa, kuuma kwa m'mawa, corticosteroids, giant cell arteritis, thanzi la okalamba, kupweteka kwa minofu