Zizindikiro za Khungu Pothandizira Kufufuza
Dermatomyositis ndi matenda opweteka ( myopathy ) omwe amakhudza kwambiri khungu ndi minofu koma ingakhudze ziwalo zina za thupi. Kafukufuku amasonyeza kuti ndi matenda osungunuka , omwe thupi limasokoneza maselo ake abwino.
Dermatomyositis ikhoza kuchitika kwa anthu a msinkhu uliwonse. Kwa anthu akuluakulu, chiwerengerochi chimakhala pafupifupi zaka 50. Amadziwika kuti ana a dermatomyositis kwa ana, msinkhu wa zaka zapakati pa 5-10.
Zimakhudza akazi kaŵirikaŵiri monga amuna ndipo amapezeka m'mitundu yonse.
Dermatomyositis Zizindikiro
Dermatomyositis imatulutsa zizindikiro pakhungu ndi minofu monga:
- Tsitsi lofiira kwambiri kuphulika kofiira la dusky pamtundu wozungulira (maso a heliotrope)
- Mphuno zofiira zakuda (mapepala a Gottron) kapena kuyika mapulogalamu (pamwamba) pamakona, chala kapena chala chala, zitsulo, mabondo, kapena mawondo
- Kwa ana, minofu yofiira kapena yofiira (calcinosis) ingawonekere pa bony yomwe imatchuka
- Anthu ena ali ndi khungu lakuda kapena kutaya tsitsi
- Zizindikiro za minofu zimaphatikizapo kutopa kapena kufooka pamene kukwera masitepe, kuchoka pa malo okhala, kapena kukweza manja.
Ngakhale kuti sichidziwikiratu, anthu omwe ali ndi dermatomyositis angakhalenso ndi zizindikiro monga matenda a nyamakazi , mpweya wochepa, kapena kuvutika kukumeza kapena kulankhula. Akuluakulu oposa zaka 60 ndi dermatomyositis akuwoneka kuti ali ndi chiopsezo chachikulu chokhala ndi khansa.
Kuzindikira Dermatomyositis
Anthu omwe ali ndi dermatomyositis amakhala ndi matenda a khungu monga chizindikiro chawo choyamba. Mphuno ndi mapulesulo, komanso calcinosis m'mimba mwa ana, zimasonyeza kuti akudwala matendawa. Nthawi zina zilonda za khungu zimalakwika chifukwa cha lupus erythematosus, psoriasis, kapena planchen.
Ana omwe ali ndi dermatomyositis angakhale ovuta kuti azindikire mpaka zizindikilo za khungu zimaonekera.
Kuphatikiza pa zizindikiro za khungu, mayesero a magazi angapangidwe kuti azindikire mavitamini a minofu ndi zizindikiro za kutupa. Anthu ena okhala ndi dermatomyositis ali ndi mayeso abwino a antitinuclear antibody (ANA). Maganizo opanga maginito ( MRI ), makina opanga mafilimu (EMG), ndi mitsempha ya mitsempha imatha kuyesa matenda a minofu ndi kuwonongeka.
Kuchiza Dermatomyositis
Chithandizo cha dermatomyositis chimayang'ana kulamulira matenda a minofu ndi zizindikiro za khungu. Kawirikawiri, corticosteroid monga prednisone imaperekedwa kuti ichepetse minofu kutupa. Ngati zotsatira za steroid zimakhala zovuta, mankhwala osokoneza bongo kapena cytotoxic, monga methotrexate (Rheumatrex) kapena azathioprine (Imuran), akhoza kugwiritsidwa ntchito. Methotrexate ingathandizenso kuchepetsa zizindikiro za khungu. Anthu omwe ali ndi dermatomyositis ali ojambula zithunzi ndipo ayenera kuteteza khungu lawo ku dzuwa.
Ngati kufooka kwa minofu kulipo, chithandizo cha thupi ndi ntchito chingathandize kusintha minofu ndikupewa mavuto monga mgwirizano. Anthu ena angafunikire chithandizo cha zizindikiro zovuta kapena zovuta.
Chiwonetsero
Anthu ambiri omwe ali ndi dermatomyositis adzafuna chithandizo cha nthawi yaitali.
Matendawa amatha kupangitsa kuti ana komanso achinyamata asamalandire matendawa. Anthu ena akhoza kukhala ndi khansa kapena chiwalo cholephera, zomwe zimawathandiza kukhala ndi moyo wafupika. Komabe, anthu ambiri amayankha bwino kuchipatala ndipo amatsitsimutsa ena kapena zizindikiro zawo zonse.
Zotsatira:
Callen, JP (2002). Dermatomyositis. eMedicine. http://www.emedicine.com/med/topic2608.htm.
Association of Myositis. Kodi Myositis Ndi Chiyani?