Ese mu gitondo wumva umeze nabi kandi ubabara? Reka twige kuri (Polymyalgia Rheumatica)?

Ese hari igihe wumva ubabara cyane iyo ukangutse mu gitondo? Cyane cyane mu ijosi, mu bitugu no mu kibuno. Ese hari igihe bikugora guhindura imyenda cyangwa gusokoza umusatsi wawe? Niba ufite ibi bimenyetso, bishobora guterwa n'indwara yitwa 'Polymyalgia Rheumatica', tugiye kuvugaho uyu munsi. Ntugahangayike, tuzabivugaho birambuye.

Polymyalgia Rheumatica ni iki?

Muri make, Polymyalgia Rheumatica ni indwara ikunze kugaragara ku bantu barengeje imyaka 50, kandi itera ububabare no gukomera mu ijosi, ku bitugu no mu kibuno . Hari igihe ubu bubabare bushobora gukwirakwira mu maboko yo hejuru, mu bibero no mu mugongo. Akenshi, ubu bubabare no gukomera bihurira kimwe ku mpande zombi z'umubiri wawe.

Igikuru ni uko ubu bubabare n'ubukomere bwumvikana cyane iyo ubyutse mu gitondo, cyangwa iyo ugerageje kwimuka umaze kwicara akanya gato . Ubu bubabare bubaho mu gitondo bushobora kumara iminota 30 cyangwa irenga . Kuri bamwe, ubu bubabare bushobora kugorana, ariko ushobora kubona ko ububabare bugabanuka gato iyo ugendagenda gato, cyangwa iyo ukoze ikintu cy'ingirakamaro.

Iyi ndwara ikunze kugaragara gute?

Mu gihugu nka Amerika, bivugwa ko abantu bagera kuri 50 kuri 100.000 barwara iyi ndwara buri mwaka. Akenshi yibasira abantu barengeje imyaka 50. Ariko , ikunze kugaragara cyane mu bantu bari hagati y'imyaka 70 na 75 .

Ni ibihe bimenyetso bya Polymyalgia Rheumatica?

Ibimenyetso by'ingenzi by'iyi ndwara ni ugutangira kubabara no kunanuka mu ngingo nini z'umubiri, cyane cyane ku bitugu no ku kibuno . Ushobora kandi kumva utameze neza mu maboko yawe, mu mugongo, ku matako no mu ijosi. Ubu bubabare no kunanuka bikunze kugaragara mu byumweru bibiri, rimwe na rimwe nijoro. Akenshi ububabare bugaragara ku mpande zombi z'umubiri. Ushobora kugorwa no gukora imirimo yoroshye nko kwambara cyangwa gusokoza umusatsi wawe.

Tekereza ukuntu byari kugorana cyane iyo amagufwa yawe akomera kandi ababaza ku buryo udashobora no kuzamura amaboko yawe ngo woge mu maso igihe ukangutse mu gitondo.

Izindi bimenyetso zishobora kugaragara harimo:

• Gukomera bifata iminota irenga 30 iyo ubyutse mu gitondo, cyangwa nyuma yo guhaguruka umaze kwicara akanya gato.
• Kumva nta buzima mfite kandi mfite intege nke .
• Umunaniro uhoraho.
• Kumva utameze neza muri rusange.
• Ibiryo nta buryohe bwabyo .
• Kugabanya ibiro .
• Kubyimba mu biganza cyangwa mu maboko.
• Kugira umuriro muke.

Hafi 10% kugeza 20% by'abantu barwaye polymyalgia rheumatica bashobora no kurwara indi ndwara yitwa giant cell arteritis cyangwa temporal arteritis. Iyi nayo ni ubwoko bwa vasculitis, ari byo kubyimba imitsi minini y'amaraso, nka aorta, umutsi mukuru w'amaraso utwara amaraso ava mu mutima wacu akayajyana mu bice byose by'umubiri wacu. Nanone, hafi 40% kugeza 60% by'abantu barwaye giant cell arteritis nabo bashobora kurwara polymyalgia rheumatica.

Ni iki gitera ibi?

Abashakashatsi ntibaramenya impamvu nyayo ya polymyalgia rheumatica, ariko hari ibintu byinshi bivugwa ko bishobora kuyitera:

• Genetike : Ibi bivuze ko zimwe mu ngirabuzimafatizo zagiye zihererekanywa mu bisekuru bishobora kugira ingaruka kuri ibi.
• Ibintu bifitanye isano n'ibidukikije : Ibintu nk'ubwandu bumwe na bumwe.
• Gusaza : Impinduka mu mubiri zibaho uko umuntu akura.
• Indwara zo kwirwanaho mu mubiri: Ubudahangarwa bw'umubiri bwibasira uturemangingo twabwo mu buryo butari bwo.
• Bursitis ni ukubyimba udusaho duto twitwa bursa mu kibuno cyangwa mu bitugu.

Ni nde uri mu kaga gakomeye kuri ibi?

Nubwo impamvu nyazo zitera Polymyalgia Rheumatica zitaramenyekana, hari ibintu byinshi bishobora gutera indwara:

• Imyaka : Iyi ndwara ikunze kwibasira abantu barengeje imyaka 50. Amahirwe yo kurwara iyi ndwara yiyongera uko imyaka igenda ishira. Ikunze kugaragara cyane mu bantu bari hagati y'imyaka 70 na 75.
• Igitsina : Iyi ndwara ikunze kugaragara cyane ku bagore kurusha abagabo.
• Ubwoko n'ubwoko : Iyi ndwara ikunze kugaragara cyane mu bazungu, cyane cyane abakomoka mu Burayi bw'Amajyaruguru, kurusha andi moko.

Ni izihe ngorane ibi bishobora gutera?

Iyo itavuwe, polymyalgia rheumatica ishobora kugira ingaruka ku bushobozi bwawe bwo kwimuka . Ibi bishobora gutuma bigorana gukora imirimo ya buri munsi, nko kwiyuhagira, kwambara, gusokoza umusatsi, kubyuka mu ntebe, no kwinjira no kuva mu modoka. Bishobora kugorana cyane kuzamura amaboko yawe hejuru y’urutugu.

Nanone, Polymyalgia Rheumatica ishobora kujyana na Giant Cell Arteritis, ishobora gutuma aorta, umuyoboro w'amaraso utwara amaraso ava mu mutima ajya mu gice cyose cy'umubiri, ibyimba. Ibi bishobora gutera indwara ishobora gushyira ubuzima mu kaga yitwa aortic aneurysm.

Ubimenya ute?

Polymyalgia Rheumatica ishobora kugorana kwa muganga kuyisuzuma kuko ibimenyetso byayo bisa n'iby'izindi ndwara, nka rubagimpande, spondyloarthritis, pseudogout, myositis, n'izindi ndwara zifata ingirangingo, ndetse n'indwara yo kwangirika kw'ingingo. Kubwibyo, muganga wawe azakenera kumenya izi ndwara mbere yo kugusuzuma.

Mu gihe cyo gusuzuma, muganga wawe azabaza amateka yawe y'ubuzima kandi akore isuzuma ry'umubiri . Mu gihe cyo gusuzuma, azareba ibimenyetso bisanzwe bya polymyalgia rheumatica n'ibindi bimenyetso by'izindi ndwara.

Nta gipimo cy’amaraso cyihariye gitangwa kuri ibi. Ariko, muganga wawe ashobora gutegeka ko hapimwa amaraso menshi kugira ngo hamenyekane izindi ndwara. Ibi bishobora kuba birimo:

• Umubare w'amaraso yuzuye (CBC)
• Poroteyine ikora C (CRP)
• Igipimo cyo gutwika imirasire y'amaraso (ESR)
• Imisemburo itera imbaraga za tiroyide (TSH)
• Creatine Kinase

Hari igihe muganga wawe ashobora no kumenya iyo ndwara bitewe n'uburyo wihutiye guhita ufata umuti witwa corticosteroids. Abantu benshi bafite iyi ndwara bumva bameze neza mu minsi mike nyuma yo gutangira gufata imiti mike nka prednisone.

Ivurwa ite?

Kuvura polymyalgia rheumatica bitangirana n'imiti ya corticosteroids isanzwe ikoreshwa ku rugero ruto . Muganga wawe ashobora kuguha miligarama 10 kugeza kuri 15 za prednisone ku munsi. Ibi bishobora kugabanya ububabare n'ubukomere bwawe vuba. Iyo ibimenyetso byawe bimaze kugabanuka, urugero rwa steroid rugabanuka buhoro buhoro mu mwaka umwe cyangwa ibiri. Mu bihe bimwe na bimwe, indwara ishobora kugaruka. Hanyuma ushobora gukenera gufata imiti ya steroid isanzwe ikoreshwa ku rugero ruto igihe kirekire kugira ngo wirinde ko habaho gushya. Hari igihe indi miti ishobora gukenerwa kugira ngo ugabanye kubyimba no kugabanya urugero rwa steroid.

Igikuru ni uko muganga wawe agukurikirana buri gihe, kuko gukoresha imiti ya steroid igihe kirekire bishobora gutera ingaruka mbi.

Ingaruka mbi zishobora guterwa no gukoresha steroid igihe kirekire ni izi zikurikira:

• Kongera ibiro.
• Osteoporosis (kugabanuka kw'amagufwa).
• Umuvuduko ukabije w'amaraso (Hypertension).
• Indwara z'umutima n'imitsi .
• Diyabete .
• Kugabanya uruhu (Skin atrophy).
• Indwara zo mu kanwa .

Abashakashatsi kandi bakoze ubushakashatsi ku yindi miti igabanya ubudahangarwa bw'umubiri, nka methotrexate, yo kuvura polymyalgia rheumatica, ariko ibisubizo ntibyagaragaye neza. Ikigo gishinzwe ibiribwa n'imiti muri Amerika (FDA) cyemeje umuti wa tocilizumab wo kuvura indwara ya giant cell arteritis na rheumatoid arthritis. Ariko, hakenewe amakuru menshi kugira ngo hamenyekane niba uyu muti ufite umutekano kandi ufite akamaro kuri polymyalgia rheumatica.

Kuruhuka no gukora imyitozo ngororamubiri ni ibintu bibiri by'ingenzi mu kuvura indwara ya Polymyalgia Rheumatica. Imyitozo ngororamubiri ihoraho ifasha mu kubungabunga imbaraga z'imitsi yawe no koroherwa n'ingingo zawe. Ubwoko bwiza bw'imyitozo ngororamubiri burimo:

• Gutwara igare rihagaze.
• Koga.
• Kugenda n'amaguru.

Muganga wawe ashobora kandi kukugira inama yo gukoresha physiotherapy kugira ngo ugabanye ububabare no gukomeza gukora neza.

Ni iki cyakwitegwa muri iki kibazo?

Iyo uvuwe, ibimenyetso bya polymyalgia rheumatica bikunze kumera neza mu minsi mike, cyangwa bikagenda burundu . Uko uvurwa vuba, niko amahirwe yo gukira iyi ndwara aba menshi. Abantu benshi babaho ubuzima busanzwe kandi butanga umusaruro . Ubumuga bukomeye ni gake cyane.

Abashakashatsi baherutse kuvumbura ko abantu barwaye polymyalgia rheumatica bafite ibyago byinshi byo kurwara atherosclerosis, indwara ituma ibinure byiyongera mu mitsi y'amaraso bigatuma ikomera. Ariko ibi bisa nkaho ntacyo bigira ku buzima bwabo.

Ese indwara ya Polymyalgia Rheumatica ishobora gukira burundu?

Iyo umuntu avuwe, ibimenyetso bya polymyalgia rheumatica bikunze kumera neza mu minsi mike. Ubusanzwe ubuvuzi bumara umwaka umwe cyangwa ibiri, ariko hari ubwo ubuvuzi bushobora kumara igihe kirekire kandi indwara ishobora kongera kugaruka. Hari abantu bashobora gukenera gufata prednisone nke (miligarama 2 kugeza kuri 5 ku munsi) ubuzima bwabo bwose kugira ngo hirindwe ko indwara igaruka.

Iyo hatabayeho kuvurwa, polymyalgia rheumatica ntabwo ikira. Ariko, mu bihe bidasanzwe, iyo ndwara ishobora kwiyakira ubwayo nyuma y'umwaka. Bishobora gufata imyaka itanu kugira ngo iyo ndwara ishire burundu.

Ese ibi bishobora kwirindwa?

Kubera ko abashakashatsi batazi impamvu nyayo ya Polymyalgia Rheumatica, iyo ndwara ntishobora kwirindwa .

Nitwara nte?

Hari ibintu ushobora gukora kugira ngo ucunge ibimenyetso byawe n'ingaruka mbi z'imiti yawe.Ni ngombwa kugira imirire ikwiye no gufata imiti yawe uko byategetswe . Byongeye kandi, menya neza ko uha umubiri wawe ikiruhuko ukora imyitozo ngororamubiri buri munsi. Iyo umubiri wawe utangiye kubabara no kubabara buhoro buhoro, ushobora kongera gukora imirimo yawe ya buri munsi.

Ni ryari ukwiye kujya kwa muganga?

Ndetse no gukoresha imiti ya corticosteroids nkeya bishobora gutera ingaruka mbi. Niba ubonye kimwe muri ibi bimenyetso bikurikira, reba muganga wawe:

• Kongera ibiro.
• Umuvuduko w'amaraso ukabije.
• Kubura ibitotsi.
• Gukomeretsa cyangwa kugabanya uruhu.
• Indwara zo mu kanwa.
• Indwara yo kwangirika kw'amagufwa (Osteoporosis ).

Polymyalgia Rheumatica ishobora kugaragara hamwe na Giant Cell Arteritis, bityo rero bwira muganga wawe niba ubonye kimwe mu bimenyetso by'iyo ndwara. Ibi bimenyetso birimo:

• Umutwe.
• Impinduka mu iyerekwa.
• Umuriro.
• Ndananiwe.
• Ibiryo nta buryohe bwabyo.
• Kubabara mu munwa.
• Kubabara iyo ukoze ku gasongero k'umutwe.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibi bibazo:

• Kuki ibi byambayeho?
• Ni ubuhe buryo bwo kuvura wangiriye inama?
• Ni izihe ngaruka mbi nkwiye kwitondera?
• Ese nanjye mfite indwara ya Giant Cell Arteritis?
• Ni izihe ngorane zishobora guterwa na Polymyalgia Rheumatica?
• Nakora iki kugira ngo ngire icyo kibazo nticyongere kubaho?

Ibimenyetso bya Polymyalgia Rheumatica bishobora kubangamira cyane, bigatuma bigorana gukora imirimo ya buri munsi. Niba ubabara cyane imitsi no kugorana, gana muganga. Nubwo Polymyalgia Rheumatica ishobora kugorana kuyisuzuma, muganga wawe ashobora kugufasha kumenya ibirimo no guhitamo uburyo bwiza bwo kuvura. Kubana na Giant Cell Arteritis bishobora kugorana kuri bamwe. Rero menya neza ko uganira na muganga wawe ku bimenyetso byose by'indwara zawe.

Ubutumwa bwo kujyana mu rugo

Polymyalgia Rheumatica ni indwara ibabaza cyane, cyane cyane iyo umuntu ababara kandi agakomera mu gitondo. Ariko ibuka:

• Ibi bikunze kugaragara ku bantu barengeje imyaka 50 , cyane cyane abagore.
• Ibimenyetso by'ingenzi ni ububabare no kunanuka mu bitugu, mu ijosi no mu kibuno , cyane cyane mu gitondo.
• Nubwo impamvu nyayo itazwi, hari uburyo bwo kuvura . Corticosteroids ikunze gutanga ubutabazi bwihuse.
• Ni ingenzi cyane gusuzuma indwara no gutangira kuyivura hakiri kare .
• Hari abantu bashobora no kurwara indwara yitwa 'Giant Cell Arteritis' hamwe n'ibi, bityo rero menya ibyo.
• Igikuru ni ukuganira na muganga wawe witonze no gukurikiza inama ze .

Ntugahangayike, iyo uvuwe neza kandi ugafatwa neza, ushobora kugenzura iyi ndwara no kubaho ubuzima bwiza.

` Polymyalgia rheumatica, ububabare bw'ingingo, gukomera kwa mu gitondo, corticosteroids, arteritis y'uturemangingo twinshi, ubuzima bw'abageze mu zabukuru, ububabare bw'imitsi