Ingaba nawe uziva uqinile kwaye uqaqanjelwa kusasa? Masifunde nge (Polymyalgia Rheumatica)?

Ngaba ngamanye amaxesha uziva uqinile kwaye uqaqambile xa uvuka kusasa? Ingakumbi entanyeni, emagxeni, nasezinqeni. Ngaba ngamanye amaxesha ufumana kunzima ukutshintsha impahla okanye ukukama iinwele zakho? Ukuba unale mpawu, isenokuba ibangelwa yimeko ebizwa ngokuba yi-'Polymyalgia Rheumatica', esiza kuthetha ngayo namhlanje. Ungakhathazeki, siza kuthetha ngayo ngokweenkcukacha.

Yintoni iPolymyalgia Rheumatica?

Ngamafutshane, iPolymyalgia Rheumatica yimeko exhaphakileyo kubantu abangaphezu kweminyaka engama-50 ubudala, kwaye ibangela iintlungu nokuqina entanyeni, emagxeni, nasezinqeni . Ngamanye amaxesha, le ntlungu inokusasazeka kwiingalo zakho eziphezulu, emathangeni, nasemqolo. Rhoqo, le ntlungu nokuqina kuvakala ngokulinganayo kumacala omabini omzimba wakho.

Eyona nto ibalulekileyo kukuba le ntlungu nokuqina kwayo kuvakala kakhulu xa uvuka kusasa, okanye xa uzama ukushukuma emva kokuhlala okwethutyana . Oku kuqina kwayo okwenzeka kusasa kunokuhlala imizuzu engama-30 nangaphezulu . Kwabanye abantu, le ntlungu isenokunganyamezeleki, kodwa ungaqaphela ukuba intlungu iyancipha kancinci xa ushukuma kancinci, okanye xa wenza into eluncedo.

Ixhaphake kangakanani le meko?

Kwilizwe elifana neMelika, kuthiwa malunga nabantu abangama-50 kwabayi-100,000 banesifo esinjalo minyaka le. Sidla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala . Nangona kunjalo , sixhaphake kakhulu kubantu abaphakathi kweminyaka engama-70 ukuya kwengama-75 ubudala .

Ziziphi iimpawu zePolymyalgia Rheumatica?

Iimpawu eziphambili zale meko kukuqala ngequbuliso kwentlungu nokuqina kwamalungu amakhulu omzimba, ingakumbi amagxa kunye namaqaqa . Ungaziva ungakhululekanga ezingalweni zakho, emqolo, ezinqeni, nasentanyeni. Le ntlungu nokuqina kudla ngokubonakala kwiiveki ezimbini, ngamanye amaxesha ebusuku. Intlungu idla ngokuvakala kumacala omabini omzimba. Usenokuba nobunzima bokwenza imisebenzi elula efana nokunxiba okanye ukukama iinwele zakho.

Khawuthelekelele indlela ebekuya kuba nzima ngayo ukuba amagxa akho ebeqinile kwaye ebuhlungu kangangokuba awukwazi nokuphakamisa iingalo zakho ukuhlamba ubuso bakho xa uvuka kusasa.

Ezinye iimpawu ezinokubonwa ziquka:

• Ukuqina okuhlala ixesha elingaphezu kwemizuzu engama-30 emva kokuvuka kusasa, okanye emva kokuma emva kokuhlala okwethutyana.
• Ukuziva ungenabomi kwaye ubuthathaka .
• Ukudinwa rhoqo.
• Ukuziva ungaphilanga kakuhle ngokubanzi.
• Ukutya akunancasa .
• Ukuhla ukusinda .
• Ukudumba ezandleni okanye ezihlahleni.
• Ukuba nomkhuhlane omncinci.

Malunga ne-10% ukuya kwi-20% yabantu abane-polymyalgia rheumatica banokuba nenye imeko ebizwa ngokuba yi-giant cell arteritis okanye i-temporal arteritis. Olu lukwaluhlobo lwe-vasculitis, olukukudumba kwemithambo yegazi emikhulu, efana ne-aorta, umthambo wegazi oyintloko othwala igazi lisuka entliziyweni yethu ukuya kuwo wonke umzimba wethu. Kwakhona, malunga ne-40% ukuya kwi-60% yabantu abane-giant cell arteritis banokuba ne-polymyalgia rheumatica.

Yintoni ebangela oku?

Abaphandi abakafumani imbangela echanekileyo ye-polymyalgia rheumatica, kodwa kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuyo:

• I-Genetics : Oku kuthetha ukuba ezinye ii-genes ezidluliselwe kwizizukulwana zinokuchaphazela oku.
• Izinto ezisingqongileyo : Izinto ezifana nosulelo oluthile.
• Ukwaluphala : Utshintsho emzimbeni lwenzeka ngokuhamba kweminyaka.
• Isifo sokuzikhusela komzimba: Inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo ngempazamo.
• I-Bursitis kukudumba kwezingxobo ezincinci ezibizwa ngokuba yi-bursa ezinqeni okanye emagxeni.

Ngubani osengozini enkulu yoku?

Nangona izizathu ezichanekileyo zePolymyalgia Rheumatica zingaziwa, kukho izinto ezininzi ezinobungozi eziye zachongwa:

• Ubudala : Le meko idla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala. Amathuba okufumana esi sifo ayanda ngokuhamba kweminyaka. Sixhaphake kakhulu kubantu abaphakathi kweminyaka engama-70 ukuya kwengama-75 ubudala.
• Isini : Le meko ixhaphake kakhulu phakathi kwabasetyhini kunamadoda.
• Uhlanga nobuhlanga : Le meko ixhaphake kakhulu kubantu abamhlophe, ingakumbi abo bavela kuMantla Yurophu, kunabanye abantu bezinye iintlanga.

Zeziphi iingxaki ezinokubangela oku?

Ukuba ayinyangwa, i-polymyalgia rheumatica inokuchaphazela amandla akho okushukumisa umzimba wakho . Oku kunokwenza kube nzima ukwenza imisebenzi yemihla ngemihla, njengokuhlamba, ukunxiba, ukukama iinwele zakho, ukuvuka esofeni, nokungena nokuphuma emotweni. Kunokuba nzima ngakumbi ukuphakamisa iingalo zakho ngaphezu kwamagxa.

Kwakhona, iPolymyalgia Rheumatica inokunxulunyaniswa neGiant Cell Arteritis, enokubangela ukuba i-aorta, umthambo wegazi oyintloko othwala igazi ukusuka entliziyweni ukuya kuwo wonke umzimba, idumbe. Oku kunokukhokelela kwimeko enokuba yingozi ebomini ebizwa ngokuba yi-aortic aneurysm.

Uyibona njani le nto?

I-Polymyalgia Rheumatica inokuba nzima ukuba ugqirha ayixilonge kuba iimpawu zayo zifana nezezinye izifo, ezifana ne-rheumatoid arthritis, i-spondyloarthritis, i-pseudogout, i-myositis, kunye nezinye izifo zezicubu ezidityanisiweyo, kunye nesifo samalungu esiwohlokayo. Ke ngoko, ugqirha wakho kuya kufuneka asuse ezi meko ngaphambi kokuba akuxilonge ukuba unale meko.

Ugqirha wakho uza kukubuza ngembali yakho yezonyango aze enze uvavanyo lomzimba . Ngexesha lovavanyo, baza kukhangela iimpawu eziqhelekileyo ze-polymyalgia rheumatica kunye neempawu zezinye iimeko.

Akukho vavanyo lwegazi lukhethekileyo olufunekayo koku. Nangona kunjalo, ugqirha wakho unokuyalela uvavanyo lwegazi oluninzi ukunceda ukuthintela ezinye iimeko. Ezi zinokubandakanya:

• Inani elipheleleyo legazi (i-CBC)
• Iprotheyini esebenzayo ye-C (CRP)
• Isantya sokutyibilika kwe-Erythrocyte (ESR)
• Ihomoni evuselela i-thyroid (TSH)
• I-Creatine Kinase

Ngamanye amaxesha, ugqirha wakho unokuxilonga imeko ngendlela osabela ngayo ngokukhawuleza kuhlobo lweyeza elibizwa ngokuba yi-corticosteroids. Abantu abaninzi abanale meko baziva bebhetele kakhulu kwiintsuku ezimbalwa emva kokuqala idosi ephantsi ye-steroid efana ne-prednisone.

Iphathwa njani?

Unyango lwe-polymyalgia rheumatica luqala ngee-corticosteroids eziphantsi . Ugqirha wakho unokukunika ii-milligram ezili-10 ukuya kwezili-15 ze-prednisone ngosuku. Oku kungayinciphisa ngokukhawuleza intlungu nokuqina kwakho. Emva kokuba iimpawu zakho ziphelile, idosi ye-steroid iyancipha kancinci kancinci kunyaka omnye okanye emibini. Kwezinye iimeko, isifo sinokuphinda sibuye. Emva koko unokufuna ukuthatha ii-steroids eziphantsi ixesha elide ukuthintela ukudumba. Ngamanye amaxesha amanye amayeza anokufuneka ukulawula ukudumba nokunciphisa idosi ye-steroids.

Eyona nto ibalulekileyo kukuba ugqirha wakho akujonge rhoqo, kuba ukusebenzisa ii-steroids ixesha elide kunokubangela iziphumo ebezingalindelekanga.

Ezi zilandelayo ziziphumo ebezingalindelekanga ezinokubakho zokusetyenziswa ixesha elide kwee-steroid:

• Ukutyeba kwakho.
• I-Osteoporosis (ukuncitshiswa kwamathambo).
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Isifo sentliziyo .
• Isifo seswekile .
• Ukuncitshiswa kolusu (Ukuwohloka kolusu).
• IiCataracts .

Abaphandi bafunde nezinye iziyobisi ezicinezela inkqubo yomzimba yokuzikhusela, ezifana ne-methotrexate, yokunyanga i-polymyalgia rheumatica, kodwa iziphumo azicacanga kangako. I-U.S. Food and Drug Administration (FDA) ivumile iyeza le-biologic i-tocilizumab lokunyanga i-giant cell arteritis kunye ne-rheumatoid arthritis. Nangona kunjalo, kufuneka ulwazi oluthe kratya ukuze kuqinisekiswe ukuba eli yeza likhuselekile kwaye liyasebenza na kwi-polymyalgia rheumatica.

Ukuphumla kunye nokuzilolonga zizinto ezimbini ezibalulekileyo kunyango lwePolymyalgia Rheumatica. Ukuzilolonga rhoqo kunceda ukugcina amandla emisipha yakho kunye nokuguquguquka kwamalungu akho. Iintlobo ezilungileyo zokuzilolonga ziquka:

• Ukukhwela ibhayisekile engashukumiyo.
• Ukuqubha.
• Ukuhamba ngeenyawo.

Ugqirha wakho unokucebisa unyango lomzimba ukunciphisa ukungonwabi nokugcina ukusebenza kakuhle.

Yintoni enokulindelwa ngale meko?

Xa unyango luqhubeka, iimpawu ze-polymyalgia rheumatica zihlala ziphucuka kwiintsuku ezimbalwa, okanye ziphele ngokupheleleyo . Okukhona ufunyaniswa unesifo kwaye unyangwa ngokukhawuleza, kokukhona amathuba akho okuchacha kwimeko angcono. Uninzi lwabantu luphila ubomi obuqhelekileyo nobunemveliso . Ukukhubazeka okukhulu kunqabile.

Abaphandi bafumanise kutshanje ukuba abantu abane-polymyalgia rheumatica basengozini enkulu yokuba ne-atherosclerosis, imeko apho amanqatha aqokelelana kwimithambo yegazi aze ayenze iqine. Kodwa oku akubonakali kuyichaphazela indlela ephila ngayo.

Ngaba iPolymyalgia Rheumatica inganyangeka ngokupheleleyo?

Xa unyango lusenziwa, iimpawu ze-polymyalgia rheumatica zihlala ziphucuka kwiintsuku ezimbalwa. Unyango luhlala malunga nonyaka okanye emibini, kodwa kwezinye iimeko, unyango lunokuthatha ixesha elide kwaye isifo sinokuphinda sibuye. Abanye abantu banokufuna ukuthatha i-prednisone encinci (ii-milligrams ezi-2 ukuya kwezi-5 ngosuku) ubomi babo bonke ukuthintela ukuba isifo singabuyeli.

Ngaphandle konyango, i-polymyalgia rheumatica ayisoloko ingcono. Nangona kunjalo, kwiimeko ezingaqhelekanga, imeko inokuphela ngokwayo emva konyaka. Kungathatha ukuya kwiminyaka emihlanu ukuba imeko iphele ngokupheleleyo.

Ngaba oku kungathintelwa?

Ngenxa yokuba abaphandi abazi unobangela ochanekileyo wePolymyalgia Rheumatica, le meko ayinakuthintelwa .

Ndingazinyamekela njani?

Kukho izinto onokuzenza ukulawula iimpawu zakho kunye nemiphumo emibi yamayeza akho.Kubalulekile ukugcina ukutya okunempilo kunye nokusela amayeza akho njengoko kuyalelwe . Ukongeza, qiniseka ukuba umzimba wakho uyawuphumza ngokwenza umthambo imihla ngemihla. Xa umzimba wakho uqala ukuziva ubuhlungu obuncinci, ungaqhubeka nemisebenzi yakho yemihla ngemihla.

Ufanele uye nini kugqirha?

Nokuba iidosi eziphantsi ze-corticosteroids zinokubangela iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, bona ugqirha wakho:

• Ukutyeba kwakho.
• Igazi elonyukayo.
• Ukungalali.
• Ukukrwela okanye ukuncitshiswa kwesikhumba.
• IiCataracts.
• I-Osteoporosis .

I-Polymyalgia Rheumatica inokwenzeka kunye ne-Giant Cell Arteritis, ngoko ke xelela ugqirha wakho ukuba ufumana naziphi na iimpawu zaloo meko. Ezi mpawu ziquka:

• Intloko ebuhlungu.
• Utshintsho kwimbono.
• Ifiva.
• Ndidiniwe.
• Ukutya akunancasa.
• Intlungu yomhlathi.
• Intlungu xa uchukumisa indawo ejikeleze intloko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungabuza le mibuzo:

• Kutheni oku kwenzeke kum?
• Loluphi unyango olundicebisayo?
• Zeziphi iziphumo ebezingalindelekanga ekufuneka ndiziqaphele?
• Ngaba nam ndineGiant Cell Arteritis?
• Ziziphi iingxaki ezinokubakho zePolymyalgia Rheumatica?
• Ndingenza ntoni ukuthintela le meko ukuba ingaphindi yenzeke?

Iimpawu zePolymyalgia Rheumatica zinokuba nzima kakhulu, zenze kube nzima ukwenza imisebenzi yemihla ngemihla. Ukuba ufumana iintlungu ezinkulu zemisipha kunye nokuqina, bona ugqirha. Nangona iPolymyalgia Rheumatica inokuba nzima ukuyifumanisa, ugqirha wakho unokukunceda ufumane ukuba kwenzeka ntoni kwaye loluphi unyango olulungele wena. Ukuphila neGiant Cell Arteritis kunokuba nzima kwabanye abantu. Ngoko ke qiniseka ukuba uthetha nogqirha wakho ngazo zonke iimpawu zakho.

Umyalezo Wokuya Ekhaya

I-Polymyalgia Rheumatica yimeko ecaphukisayo kancinci, ingakumbi xa kukho iintlungu nokuqina kusasa. Kodwa khumbula:

• Oku kuqhelekile kubantu abaneminyaka engaphezu kwama-50 ubudala , ingakumbi abafazi.
• Iimpawu eziphambili ziintlungu nokuqina kwamagxa, entanyeni, nasezinqeni , ingakumbi kusasa.
• Nangona unobangela ochanekileyo ungaziwa, kukho iindlela zonyango . Ii-Corticosteroids zihlala zibonelela ngoncedo olukhawulezileyo.
• Kubaluleke kakhulu ukufumanisa isifo nokuqala unyango kwangethuba .
• Abanye abantu banokuba nesifo esibizwa ngokuba yi-'Giant Cell Arteritis' kunye noku, ngoko ke qaphela loo nto.
• Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngononophelo uze ulandele icebiso lakhe .

Ungakhathazeki, ngonyango olufanelekileyo nolawulo olufanelekileyo, ungayilawula le meko kwaye uphile ubomi obuhle.

I- Polymyalgia rheumatica, iintlungu zamalungu, ukuqina kwasekuseni, ii-corticosteroids, i-giant cell arteritis, impilo yabantu abadala, iintlungu zemisipha