Kodi nthawi zina zimakuvutani kudzuka pampando? Kodi miyendo yanu imafooka mukakwera masitepe? Kapena mumamva ngati mulibe mphamvu m'dzanja lanu mukanyamula china chake? Ngakhale timaganiza kuti zinthuzi ndi zinthu zachibadwa zomwe zimachitika chifukwa cha kutopa, nthawi zina pangakhale matenda kumbuyo kwa izi omwe sitinamvepo zambiri. Lero tikulankhula za matenda osowa kwambiri, koma ndikofunikira kudziwa. Umenewo ndi Polymyositis.
Mwachidule, kodi Polymyositis ndi chiyani?
Polymyositis ndi matenda osowa kwambiri. Ndi matenda odziteteza okha . Taganizirani izi motere: chitetezo chathu cha mthupi chili ngati gulu lankhondo lomwe limateteza dziko. Ntchito ya gulu lankhondo limenelo ndikuteteza matupi athu polimbana ndi majeremusi ndi mavairasi ochokera kunja. Koma mu Polymyositis, gulu lankhondoli limasokonekera ndipo limayamba kuukira minofu yathu yathanzi m'malo mwa adani akunja.
Mwachidule, chitetezo chathu chikutiukira . Izi zimatchedwa Myositis, zomwe zikutanthauza kutupa kapena kutupa kwa minofu. Mu Polymyositis , mawu oti "Poly" amatanthauza "zambiri." Izi zikutanthauza kuti pankhaniyi, minofu m'magawo angapo a thupi imatha kukhudzidwa nthawi imodzi.
Izi nthawi zambiri zimakhudza minofu yomwe ili pafupi ndi pakati pa thupi lathu. Mwachitsanzo:
- Manja (makamaka mapewa ndi manja)
- Chiuno ndi ntchafu
- Chifuwa ndi msana
- Minofu ya khosi
Choyambitsa chenicheni cha matendawa sichinapezekebe. Ndipo palibe mankhwala ake pakadali pano. Koma musadandaule. Ndi chithandizo choyenera komanso kuyang'aniridwa bwino, anthu ambiri atha kuwongolera zizindikirozi ndikukhala moyo wabwinobwino.
Kodi zizindikiro za matendawa ndi ziti?
Zizindikiro za polymyositis zimatha kusiyana malinga ndi munthu. Komabe, pali zizindikiro zina zomwe zimafala komanso zovuta zomwe zimayambitsa pa moyo watsiku ndi tsiku. Tiyeni tiwone patebulo.
| Chizindikiro | Kufotokoza mwachidule |
|---|---|
| Kufooka kwa minofu | Ichi ndiye chizindikiro chachikulu. Minofu, makamaka m'mapewa, m'chiuno, ndi m'ntchafu, imafooka. Zimakhala zovuta kudzuka pampando, kukwera masitepe, ndikunyamula zolemera. |
| Kupweteka kwa minofu ndi kuuma kwake | Minofu imapweteka, ululu umamveka ngakhale utakhudzidwa. Mutha kumva kuuma, makamaka mukadzuka m'mawa. |
| Kuvuta kumeza (Dysphagia) | Kufooka kwa minofu ya pakhosi kumapangitsa kuti zikhale zovuta kumeza chakudya ndi chakumwa, komanso kumakupangitsani kumva ngati mukusanza. |
| Kuvuta kupuma (Dyspnea) | Ngati minofu ya pachifuwa yafooka, zimakhala zovuta kupuma ndipo zimakhala ngati kupuma movutikira. |
| Kuvuta kulankhula | Ngati minofu ya pakhosi ndi pakhosi yakhudzidwa, mawu anu angasinthe ndipo zingakhale zovuta kulankhula momveka bwino. |
| Zina mwazinthu | Pakhozanso kukhala kutopa kosalekeza, kupweteka kwa mafupa, kufooka, kuchepa thupi, ndi malungo. |
Chofunika kwambiri ndichakuti ngati mukuvutika kupuma kapena kumeza chakudya kapena chakumwa , ndi vuto ladzidzidzi. Zikatero, muyenera kupita ku chipinda chadzidzidzi (ETU) cha chipatala nthawi yomweyo.
Kodi ndi zifukwa ziti zomwe zimayambitsa polymyositis ndi zomwe zimayambitsa matendawa?
Monga tafotokozera kale, palibe chifukwa chenicheni chomwe chapezeka cha izi. Komabe, zinthu zina zitha kuwonjezera mwayi woti vutoli lichitike.
Zifukwa zomwe zingatheke
- Matenda ena a autoimmune: Ngati muli kale ndi matenda ena a autoimmune monga `(Lupus)`, `(Rheumatoid arthritis )`, `(Scleroderma)`, muli pachiwopsezo chachikulu chotenga Polymyositis.
- Matenda opatsirana ndi mavairasi: Nthawi zina matenda opatsirana ndi mavairasi monga `(COVID-19)`, `(Influenza)` (flu), chimfine, `(HIV)` angayambitse vutoli.
Ndani ali pachiwopsezo chachikulu?
- Kwa akazi: Akazi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna.
- Kwa anthu azaka zapakati pa 30-60: Ngakhale kuti matendawa amatha kufalikira pa msinkhu uliwonse, nthawi zambiri amapezeka m'gulu la anthu azaka zimenezi.
- Kwa iwo omwe ali ndi matenda ena a autoimmune.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala yemwe ali ndi zizindikiro zomwe mwatchula pamwambapa, choyamba adzakufunsani za zizindikiro zanu mwatsatanetsatane. Kenako adzafufuza minofu yanu. Kuphatikiza apo, adzayitanitsa mayeso angapo kuti adziwe matendawa molondola.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Mayeso a Magazi | Mayesowa amayang'ana ma enzyme enaake omwe amatulutsidwa m'magazi minofu ikawonongeka komanso mitundu ya ma antibodies omwe amapangidwa motsutsana ndi matupi athu. |
| Kujambula kwa MRI | Izi zimakupatsani mwayi wowona bwino zinthu monga kutupa ndi kutupa m'minofu. |
| Mayeso a EMG (Electromyography) | Izi zimayang'ana momwe minofu imagwirira ntchito. Izi zimatha kuzindikira zolakwika zilizonse pakugwira ntchito kwa minofu. |
| Kufufuza Minofu | Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha minofu yomwe yakhudzidwa ndikuyang'ana pansi pa maikulosikopu. Izi zimathandiza kudziwa bwino lomwe kuwonongeka kwa minofuyo. |
Kodi imachiritsidwa bwanji?
Monga tanenera kale, palibe mankhwala a matendawa. Komabe, chithandizocho cholinga chake ndi kuchepetsa kutupa kwa minofu, kuchepetsa zizindikiro, komanso kukuthandizani kuti mugwire ntchito bwino momwe mungathere. Anthu ambiri amachira akalandira chithandizo.
Pali njira zingapo zazikulu zochizira:
- Corticosteroids: Awa ndi gulu la mankhwala amphamvu omwe amachepetsa kutupa. Nthawi zambiri iyi ndi njira yoyamba yochizira.
- Mankhwala Oletsa Kutupa kwa Thupi: Mankhwalawa amagwira ntchito pochepetsa pang'ono ntchito ya chitetezo cha mthupi lathu, zomwe zimachepetsa kuwonongeka kwa minofu yathu.
- Intravenous immunoglobulin (IVIG): Iyi ndi njira yosiyana pang'ono ndi iyi. Imaphatikizapo kupatsa thupi lanu ma antibodies ochokera kwa anthu athanzi kudzera mu saline solution. Mwachidule, zili ngati kupatsa chitetezo chanu cha mthupi chinthu china choti chiziyang'ana kwambiri. Imachepetsa kuchuluka kwa nthawi zomwe imaukira minofu yanu.
- Kuchiza ndi Thupi: Izi ndizofunikira kwambiri. Katswiri wa physiotherapy adzakuphunzitsani maseŵera olimbitsa thupi omwe angakuthandizeni kulimbitsa minofu yanu ndikuisunga yosinthasintha. Izi zingathandize kupewa minofu yanu kufooka.
Kodi ndiyenera kupita kwa dokotala liti?
Ndikofunikira kwambiri kufunafuna upangiri wa dokotala mwachangu mukakhala ndi vuto lachipatala chotere.
- Ngati minofu yanu yayamba kufooka kapena kupweteka, makamaka ngati sikutha patatha masiku ochepa, pitani kwa dokotala nthawi yomweyo .
- Ngati mukulandira kale chithandizo ndipo mukuona kuti zizindikiro zanu zikukulirakulira, kapena ngati mukuona kuti mankhwalawo sakugwira ntchito, uzani dokotala wanu .
| Pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo! | |
|---|---|
| Ngati mukuvutika kupuma kapena mukumva ngati mukupuma movutikira. | |
| Ngati mukuvutika kumeza chakudya kapena chakumwa kapena ngati nthawi zonse mumakhala mukutsamwa. | |
| Ngati chiwalo cha thupi chomwe nthawi zambiri chimasunthika mwadzidzidzi chikalephera kusuntha . | |
Kodi iyi ndi matenda obadwa nawo?
Kafukufuku wina wasonyeza kuti pakhoza kukhala kulumikizana kwa majini ndi matendawa. Izi zikutanthauza kuti ngati wina m'banjamo ali nawo, ena akhoza kukhala ndi mwayi wochepa woti adwale matendawa. Koma sizinatsimikizidwe kuti ndi zoona 100%. Chifukwa chake, chifukwa chakuti muli ndi matendawa, simuyenera kuda nkhawa kuti ana anu adzadwala matendawa.
Polymyositis ndi matenda omwe amakhudza moyo wonse omwe amafunika kuthandizidwa. Koma sikuyenera kukulepheretsani kukhala ndi moyo. Ndi chithandizo choyenera chamankhwala, chithandizo chamankhwala, komanso kusintha kwa moyo, anthu ambiri amatha kuwongolera zizindikiro zawo ndikukhala ndi moyo wosangalala. Chofunika kwambiri ndikusamala kusintha kwa thupi lanu ndikupempha upangiri wa dokotala nthawi yake.
Uthenga Wopita Nawo Kunyumba
- Polymyositis ndi vuto losowa kwambiri pomwe chitetezo cha mthupi chathu chimaukira minofu yathu.
- Kufooka kwa minofu, kupweteka, kuvutika kumeza ndi kupuma ndi zizindikiro zazikulu.
- Ngakhale kuti palibe mankhwala athunthu a izi, zizindikiro zimatha kuchepetsedwa bwino ndi mankhwala ndi physiotherapy.
- Ngati mukuvutika kupuma kapena kumeza, ganizirani ngati vuto ladzidzidzi ndipo pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Ngati muli ndi nkhawa iliyonse yokhudza zizindikiro zanu kapena chithandizo chanu, lankhulani momasuka ndi dokotala wanu.
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