Zimene Mukuyenera Kudziwa Ponena za Polymyalgia Rheumatica

The American College of Rheumatology (ACR), mothandizana ndi European League Against Rheumatism (EULAR), inamasulidwa njira zoyenera za polymyalgia rheumatica mu March 2012. Cholinga chake ndi kuthandiza odwala omwe ali ndi vutoli. Asanayambe kumasulidwa, panalibe njira zoyesedwa bwino kapena zoyesedwa bwino kuti adziŵe odwala okhala ndi polymyalgia rheumatica.

Zizindikiro

Polymyalgia rheumatica ndi chifuwa chachikulu cha mitsempha yomwe imakhala ndi kupweteka kwa minofu ndi kuuma kwa khosi, mapewa, ndi chiuno zomwe zimatenga masabata angapo. Kwa anthu ambiri, ma poymygia rheumatica amayamba pang'onopang'ono, ngakhale kuti ena akhoza kuyamba zizindikiro mofulumira. Kuwonjezera pa kuuma kwachisokonezo, zizindikiro za polymyalgia rheumatica zingaphatikizepo zizindikiro, zizindikiro za chimfine (monga malungo, malaise , kufooka, ndi kuwonongeka kwa thupi).

Kuzindikira ndi Kudziwika

Matenda a polymyalgia rheumatica akhala akugwiritsidwa ntchito pa mbiri yachipatala, matenda, ndi kuunika kwa thupi. Palibe kuyezetsa magazi kumodzi komwe kumatsimikiziridwa mosatsimikizika kuti polymyalgia rheumatica. Nthawi zina madokotala amapanga mayeso a magazi kuti azindikire kuchuluka kwa kutupa (mwachitsanzo, kuchepa kwa dothi kapena CRP), kapena kutulutsa mitundu ina ya nyamakazi .

Potsata ndondomeko yoyenera yotulutsidwa ndi ACR ndi EULAR, wodwalayo angapangidwe kuti ali ndi polymyalgia rheumatica ngati ali ndi zaka 50 kapena kuposerapo, ali ndi mapewa amodzimodzi, komanso amagazi ambiri a CRP kapena a sedimentation rate, kuphatikizapo zinthu zina zotsatirazi:

• Kuuma kwa m'mawa kumakhala mphindi 45 kapena kuposerapo
• Kupweteka kwatsopano kumayambiriro koyambirira kapena kuyenda kochepa
• Palibe kutupa m'magulu ang'onoang'ono a manja ndi mapazi
• Palibe mayeso oyenera a magazi chifukwa cha matenda a nyamakazi (mwachitsanzo, chifuwa chachikulu kapena anti-CCP )

Makhalidwe a chikhalidwe sanakhazikitsidwe kuti akhale chithandizo cha matenda, koma kuthandiza kuthandizira odwala pa mayesero a zachipatala ndikupanga njira zothandizira zatsopano pofuna kuchiza polymyalgia rheumatica.

Chithandizo

Polymyalgia rheumatica imachizidwa ndi mankhwala ochepa a mankhwala a corticosteroid . Madokotala amalongosola ndikusintha mlingo wa steroid (makamaka prednisone ) kuti upeze mlingo wotsika kwambiri. Kawirikawiri, kuuma koyenderana ndi polymyalgia rheumatica kumasulidwa msanga. Ambiri a polymyalgia rheumatica odwala amatha kuletsa mankhwala a corticosteroid pakati pa miyezi 6 ndi zaka ziwiri. Ngati zizindikiro zimabwereranso, zomwe zimachitika nthawi zambiri, corticosteroids ikhoza kuyambiranso. Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory (NSAIDs) angathenso kugwiritsidwa ntchito pochiza polymyalgia rheumatica, koma nthawi zambiri, atatengedwa okha, sali okwanira kuti athetse zizindikiro.

Popanda chithandizo, ma polymyalgia rheumatica zizindikiro zimatha kupitirira kwa miyezi kapena zaka. Koma ndi mankhwala a corticosteroid, komabe zizindikiro zimathetsa masiku amodzi kapena awiri. Ngati corticosteroids sichidzathetsere zizindikiro, adokotala angakambirane za matenda ena.

Kukula

Akazi omwe ali a ku Caucasus ndi a zaka zoposa 50 ali ndi chiopsezo chachikulu chokhala ndi polymyalgia rheumatica kapena chimphona chachikulu chotchedwa arteritis (chikhalidwe chofanana). Ku United States, akuti pafupifupi 700 pa 100,000 anthu opitirira 50 mwa anthu ambiri amakhala ndi polymyalgia. Ndizovuta kwambiri kuti munthu wosapitirira zaka 50 apange polymyalgia rheumatica.

Polymyalgia rheumatica imakhudza odwala omwewo ngati chimphona chachikulu chotchedwa arteritis, koma polymyalgia rheumatica imapezeka kawiri kapena katatu mobwerezabwereza kuposa giant cell arteritis. Zonsezi zimapangidwa monga vasculitides (gulu la mikhalidwe yomwe imadziwika ndi kutupa mitsempha).

_Zotsatira:

_{2012 Pulogalamu yowonjezereka ya polymyalgia rheumatica: A European League Against Rheumatism / American College ya Rheumatology. Dasgupta B. et al. Arthritis & Rheumatism. April 2012.}

_{Mafunso ndi Mayankho pa Polymyalgia Rheumatica ndi Giant Cell Arteritis. National Institute of Arthritis ndi Musculoskeletal ndi Matenda a Khungu. April 2010.}

_{Polymyalgia Rheumatica. American College of Rheumatology. William P. Docken, MD. Kusinthidwa kwa August 2009.}

_{Choyamba pa Rheumatic Diseases. Polymyalgia Rheumatica. Masamba 404-406. Klippel J. et al. Gulu lachitatu. Lofalitsidwa ndi Arthritis Foundation.}