Ingabe nawe uzizwa uqinile futhi ubuhlungu ekuseni? Ake sifunde nge-(Polymyalgia Rheumatica)?

Ingabe ngezinye izikhathi uzizwa uqinile futhi uqaqamba lapho uvuka ekuseni? Ikakhulukazi entanyeni yakho, emahlombe nasezinqeni. Ingabe ngezinye izikhathi ukuthola kunzima ukushintsha izingubo noma ukukama izinwele zakho? Uma unalezi zimpawu, kungenzeka ukuthi kungenxa yesimo esibizwa ngokuthi 'i-Polymyalgia Rheumatica', esizokhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini i-Polymyalgia Rheumatica?

Kalula nje, i-Polymyalgia Rheumatica yisimo esivame kakhulu kubantu abaneminyaka engaphezu kwengu-50, futhi sibangela ubuhlungu nokuqina entanyeni, emahlombe nasezinqeni . Ngezinye izikhathi, lobu buhlungu bungasakazekela ezingalweni zakho ezingaphezulu, emathangeni nasemhlane. Ngokuvamile, lobu buhlungu nokuqina kuzwakala ngokulinganayo kuzo zombili izinhlangothi zomzimba wakho.

Into ebaluleke kakhulu ukuthi lobu buhlungu nokuqina kuzwakala kakhulu uma uvuka ekuseni, noma uma uzama ukunyakaza ngemva kokuhlala isikhashana . Lokhu kuqina okwenzeka ekuseni kuvame ukuhlala imizuzu engama-30 noma ngaphezulu . Kwabanye abantu, lobu buhlungu bungaba nzima ukububekezelela, kodwa ungase uqaphele ukuthi ubuhlungu buyancipha kancane uma uhamba kancane, noma uma wenza okuthile okuwusizo.

Sivame kangakanani lesi simo?

Ezweni elifana neMelika, kuthiwa abantu abangaba ngu-50 kwabangu-100,000 bahlushwa yilesi simo minyaka yonke. Ngokuvamile sithinta abantu abangaphezu kweminyaka engu-50. Kodwa-ke , sivame kakhulu kubantu abaneminyaka ephakathi kuka-70 no-75 .

Ziyini izimpawu ze-Polymyalgia Rheumatica?

Izimpawu eziyinhloko zalesi simo ukuqala ngokuzumayo kobuhlungu nokuqina emalungeni amakhulu omzimba, ikakhulukazi emahlombe nasezinqeni . Ungase uzizwe ungakhululekile ezingalweni zakho, emhlane, ezinqeni nasentanyeni. Lobuhlungu nokuqina kuvame ukuvela zingakapheli amasonto amabili, ngezinye izikhathi ebusuku. Ngokuvamile ubuhlungu buzwakala kuzo zombili izinhlangothi zomzimba. Ungase ube nobunzima bokwenza imisebenzi elula njengokugqoka noma ukukama izinwele zakho.

Cabanga ukuthi bekuyoba nzima kangakanani ukube amahlombe akho abe lukhuni futhi ebuhlungu kangangokuthi awukwazi ngisho nokuphakamisa izingalo zakho ukuze ugeze ubuso bakho lapho uvuka ekuseni.

Ezinye izimpawu ezingase zibonakale zifaka:

• Ukuqina okuhlala imizuzu engaphezu kwengu-30 uma uvuka ekuseni, noma ngemva kokuma ngemva kokuhlala isikhashana.
• Ukuzizwa ungenampilo futhi ubuthakathaka .
• Ukukhathala okuqhubekayo.
• Ukuzizwa ungaphilile kahle ngokuvamile.
• Ukudla akunambitheki .
• Ukwehlisa isisindo .
• Ukuvuvukala ezandleni noma ezihlakaleni.
• Ukuba nomkhuhlane omncane.

Cishe abantu abayi-10% kuya kwabayi-20% abane-polymyalgia rheumatica bangase babe nesinye isimo esibizwa ngokuthi i-giant cell arteritis noma i-temporal arteritis. Lolu futhi uhlobo lwe-vasculitis, okuwukuvuvukala kwemithambo yegazi emikhulu, njenge-aorta, umthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni yethu liye kuwo wonke umzimba wethu. Futhi, cishe abantu abayi-40% kuya kwabayi-60% abane-giant cell arteritis bangase babe ne-polymyalgia rheumatica.

Yini ebangela lokhu?

Abacwaningi abakayitholi imbangela eqondile ye-polymyalgia rheumatica, kodwa kunezici eziningana okucatshangwa ukuthi zinegalelo kuyo:

• Izakhi zofuzo : Lokhu kusho ukuthi ezinye izakhi zofuzo ezidluliselwe ezizukulwaneni zingase zibe nomthelela kulokhu.
• Izici zemvelo : Izinto ezifana nokutheleleka okuthile.
• Ukuguga : Izinguquko emzimbeni zenzeka ngokuguga.
• Isifo Sokuzivikela Emzimbeni: Amasosha omzimba ahlasela ngephutha amangqamuzana awo.
• I-Bursitis ukuvuvukala kwamasakhi amancane abizwa ngokuthi i-bursa ezinqeni noma emahlombe.

Ubani osengozini enkulu yalokhu?

Nakuba izimbangela eziqondile ze-Polymyalgia Rheumatica zingaziwa, izici eziningana eziyingozi ziye zatholakala:

• Ubudala : Lesi simo sivame ukuthinta abantu abangaphezu kweminyaka engu-50. Amathuba okuthola lesi sifo ayanda njengoba iminyaka ikhula. Sivame kakhulu kubantu abaneminyaka ephakathi kuka-70 no-75.
• Ubulili : Lesi simo sivame kakhulu kwabesifazane kunabesilisa.
• Uhlanga nobuzwe : Lesi simo sivame kakhulu kubantu abamhlophe, ikakhulukazi labo abadabuka eNyakatho Yurophu, kunabanye abantu bohlanga.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma ingelashwa, i-polymyalgia rheumatica ingathinta ikhono lakho lokunyakaza umzimba wakho . Lokhu kungenza kube nzima ukwenza imisebenzi yansuku zonke, njengokugeza, ukugqoka, ukukama izinwele zakho, ukuvuka kusofa, nokungena nokuphuma emotweni. Kungaba nzima kakhulu ukuphakamisa izingalo zakho ngaphezu kwezinga lamahlombe.

Futhi, i-Polymyalgia Rheumatica ingahlotshaniswa ne-Giant Cell Arteritis, engabangela ukuthi i-aorta, umthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni liye kuwo wonke umzimba, ivuvuke. Lokhu kungaholela esimweni esingaba yingozi empilweni esibizwa ngokuthi i-aortic aneurysm.

Ukubona kanjani lokhu?

I-Polymyalgia Rheumatica ingaba nzima ngodokotela ukuyixilonga ngoba izimpawu zayo zifana nezezinye izimo, njenge-rheumatoid arthritis, i-spondyloarthritis, i-pseudogout, i-myositis, nezinye izifo zezicubu ezixhumeneyo, kanye nesifo samalunga esiwohlokayo. Ngakho-ke, udokotela wakho kuzodingeka akhiphe lezi ezinye izimo ngaphambi kokuxilonga ukuthi unalesi simo.

Udokotela wakho uzobuza ngomlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba . Ngesikhathi sokuhlolwa, bazobheka izimpawu ezivamile ze-polymyalgia rheumatica kanye nezimpawu zezinye izimo.

Akukho ukuhlolwa kwegazi okuqondile kwalokhu. Kodwa-ke, udokotela wakho angase acele ukuhlolwa kwegazi okuningana ukusiza ekususeni ezinye izimo. Lokhu kungafaka:

• Inani Eliphelele Legazi (i-CBC)
• Iphrotheni e-C-reactive (CRP)
• Izinga Lokuthuthwa Kwegazi Eliphuma Egazini (ESR)
• I-hormone evuselela i-thyroid (TSH)
• I-Creatine Kinase

Ngezinye izikhathi, udokotela wakho angasithola lesi simo ngokuthi usabela ngokushesha kangakanani ohlotsheni lomuthi olubizwa ngokuthi ama-corticosteroids. Abantu abaningi abanalesi simo bazizwa bengcono kakhulu ezinsukwini ezimbalwa ngemva kokuqala umthamo ophansi we-steroid njenge-prednisone.

Iphathwa kanjani?

Ukwelashwa kwe-polymyalgia rheumatica kuqala ngama-corticosteroids aphansi . Udokotela wakho angakunikeza ama-milligram ayi-10 kuya kwangu-15 e-prednisone ngosuku. Lokhu kunganciphisa ngokushesha ubuhlungu nokuqina kwakho. Ngemva kokuba izimpawu zakho seziphelile, umthamo we-steroid uncishiswa kancane kancane ngaphezu konyaka noma emibili. Kwezinye izimo, lesi sifo singase sibuye. Ngemuva kwalokho kungadingeka ukuthi uthathe ama-steroid aphansi isikhathi eside ukuze uvimbele ukuqubuka. Ngezinye izikhathi eminye imithi ingadingeka ukulawula ukuvuvukala nokunciphisa umthamo we-steroids.

Into ebaluleke kakhulu ukuthi udokotela wakho akuqaphe njalo, ngoba ukusebenzisa ama-steroid isikhathi eside kungabangela imiphumela emibi.

Okulandelayo yimiphumela emibi engaba khona yokusetshenziswa isikhathi eside kwama-steroid:

• Ukwanda kwesisindo.
• I-Osteoporosis (ukuncipha kwamathambo).
• Umfutho wegazi ophezulu (i-Hypertension).
• Isifo senhliziyo .
• Isifo sikashukela .
• Ukuncipha kwesikhumba (i-Skin atrophy).
• Ama-cataract .

Abacwaningi bafunde neminye imithi ecindezela amasosha omzimba, njenge-methotrexate, yokwelapha i-polymyalgia rheumatica, kodwa imiphumela ayicacanga kangako. I-U.S. Food and Drug Administration (FDA) ivumile umuthi we-biologic i-tocilizumab wokwelapha i-giant cell arteritis kanye ne-rheumatoid arthritis. Kodwa-ke, kudingeka idatha eyengeziwe ukuze kutholakale ukuthi lo muthi uphephile futhi usebenza kahle yini kwi-polymyalgia rheumatica.

Ukuphumula nokuzivocavoca kuyizici ezimbili ezibalulekile ekwelapheni i-Polymyalgia Rheumatica. Ukuzivocavoca njalo kusiza ekugcineni amandla emisipha yakho kanye nokuguquguquka kwamalunga akho. Izinhlobo ezinhle zokuzivocavoca zifaka:

• Ukugibela ibhayisikili elingashintshi.
• Ukubhukuda.
• Ukuhamba.

Udokotela wakho angase futhi ancome ukwelashwa ngokomzimba ukuze anciphise ukungakhululeki futhi alondoloze ukusebenza kahle.

Yini engalindelwa ngalesi simo?

Ngokwelashwa, izimpawu ze-polymyalgia rheumatica zivame ukuthuthuka zingakapheli izinsuku ezimbalwa, noma ziphele ngokuphelele . Uma usheshe uxilongwe futhi welashwa, kulapho amathuba akho okululama kulesi simo eba ngcono khona. Iningi labantu liphila impilo evamile nephumelelayo . Ukukhubazeka okukhulu akuvamile.

Muva nje abacwaningi bathole ukuthi abantu abane-polymyalgia rheumatica basengozini enkulu yokuthola i-atherosclerosis, isimo lapho ama-fat deposits eqoqana khona emithanjeni yegazi futhi abangele ukuba iqine. Kodwa lokhu akubonakali kuthinta isikhathi sokuphila.

Ingabe i-Polymyalgia Rheumatica ingelapheka ngokuphelele?

Ngokwelashwa, izimpawu ze-polymyalgia rheumatica zivame ukuthuthuka zingakapheli izinsuku ezimbalwa. Ukwelashwa kuvame ukuthatha cishe unyaka noma emibili, kodwa kwezinye izimo, ukwelashwa kungathatha isikhathi eside futhi lesi sifo singase sibuye. Abanye abantu kungadingeka bathathe i-prednisone ephansi (ama-milligram angu-2 kuya kwangu-5 ngosuku) impilo yabo yonke ukuze bavimbele lesi sifo ukuthi singabuyeli.

Ngaphandle kokwelashwa, i-polymyalgia rheumatica ngokuvamile ayibi ngcono. Kodwa-ke, ezimweni ezingavamile, lesi simo singazixazulula sodwa ngemva konyaka. Kungathatha iminyaka emihlanu ukuthi lesi simo siphele ngokuphelele.

Ingabe lokhu kungavinjelwa?

Ngenxa yokuthi abacwaningi abazi imbangela eqondile ye-Polymyalgia Rheumatica, lesi simo asinakuvinjelwa .

Ngizinakekela kanjani?

Kunezinto ongazenza ukuze uphathe izimpawu zakho kanye nemiphumela emibi yemithi yakho.Kubalulekile ukugcina ukudla okunempilo nokuphuza imithi yakho njengoba uyalelwe . Ngaphezu kwalokho, qiniseka ukuthi uphumuza umzimba wakho ngokwenza umsebenzi othile womzimba nsuku zonke. Uma umzimba wakho uqala ukuzizwa ubuhlungu futhi ungabi buhlungu kakhulu, ungaqhubeka nayo yonke imisebenzi yakho yansuku zonke evamile.

Kufanele ubonane nini nodokotela?

Ngisho nemithamo ephansi ye-corticosteroids ingabangela imiphumela emibi. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, bheka udokotela wakho:

• Ukwanda kwesisindo.
• Umfutho wegazi ophezulu.
• Ukungalali.
• Ukuphuka kwesikhumba noma ukuncipha kwesikhumba.
• Ama-cataract.
• I-Osteoporosis .

I-Polymyalgia Rheumatica ingenzeka kanye ne-Giant Cell Arteritis, ngakho-ke tshela udokotela wakho uma uhlangabezana nanoma yiziphi izimpawu zaleso simo. Lezi zimpawu zifaka:

• Ikhanda elibuhlungu.
• Izinguquko embonweni.
• Imfiva.
• Ngikhathele.
• Ukudla akunambitheki.
• Ubuhlungu bomhlathi.
• Ubuhlungu lapho uthinta indawo ezungeze isikhumba sekhanda.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza le mibuzo:

• Kungani lokhu kwenzeke kimi?
• Yikuphi ukwelashwa ongincomayo?
• Yimiphi imiphumela emibi okufanele ngiyiqaphele?
• Ingabe nami ngine-Giant Cell Arteritis?
• Yiziphi izinkinga ezingaba khona ze-Polymyalgia Rheumatica?
• Yini engingayenza ukuze ngivimbele lesi simo ukuthi singaphinde senzeke?

Izimpawu ze-Polymyalgia Rheumatica zingaba nzima kakhulu, zenze kube nzima ukwenza imisebenzi yansuku zonke. Uma uzwa ubuhlungu obukhulu bemisipha nokuqina, bona udokotela. Nakuba i-Polymyalgia Rheumatica ingaba nzima ukuyixilonga, udokotela wakho angakusiza ukuthi uthole ukuthi kwenzekani nokuthi yikuphi ukwelashwa okungcono kakhulu kuwe. Ukuphila ne-Giant Cell Arteritis kungaba yinselele kwabanye abantu. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela wakho ngazo zonke izimpawu zakho.

Umlayezo Wokuya Nawe Ekhaya

I-Polymyalgia Rheumatica iyisimo esicasulayo kancane, ikakhulukazi lapho ubuhlungu nokuqina ekuseni. Kodwa khumbula:

• Lokhu kuvamile kubantu abaneminyaka engaphezu kwengu-50 , ikakhulukazi abesifazane.
• Izimpawu eziyinhloko ubuhlungu nokuqina kwamahlombe, intamo, kanye nezinqe , ikakhulukazi ekuseni.
• Nakuba imbangela eqondile ingaziwa, kunezindlela zokwelapha . Ezimweni eziningi, ama-corticosteroids anikeza impumuzo esheshayo.
• Kubaluleke kakhulu ukuxilonga lesi sifo bese uqala ukwelashwa kusenesikhathi .
• Abanye abantu bangase babe nesifo esibizwa ngokuthi 'i-Giant Cell Arteritis' kanye nalokhu, ngakho-ke qaphela nalokho.
• Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokucophelela bese ulandela iseluleko sakhe .

Ungakhathazeki, ngokwelashwa nokuphathwa okufanele, ungasilawula lesi simo futhi uphile impilo enhle.

I- Polymyalgia rheumatica, ubuhlungu bamalunga, ukuqina kwasekuseni, ama-corticosteroids, i-giant cell arteritis, impilo yabantu asebekhulile, ubuhlungu bemisipha