Polymyalgia rheumatica

Polymyalgia rheumatica (PMR) chirwere chekuputira. Inosanganisira kurwadziwa uye kuomarara mumapfudzi uye kazhinji muchiuno.

Polymyalgia rheumatica inowanzoitika muvanhu vanopfuura makore makumi mashanu ekuberekwa. Chikonzero hachizivikanwe.

PMR inogona kuitika isati yasvika kana nehofori cell arteritis (GCA; inonziwo temporal arteritis). Aya mamiriro ezvinhu umo tsinga dzeropa dzinopa ropa kumusoro uye ziso dzinopisa.

PMR inogona dzimwe nguva kuve yakaoma kutaura kunze kwerheumatoid arthritis (RA) mumunhu akura. Izvi zvinoitika kana kuongororwa kwerheumatoid factor uye anti-CCP antibody zvisina kunaka.

Chiratidzo chakajairika kurwadziwa uye kuomarara mumapendekete maviri nemutsipa. Iwo marwadzo uye kuomarara zvakanyanyisa mangwanani. Uku kurwadziwa kunowanzo kufambira mberi kusvika muchiuno.

Kuneta kuripowo. Vanhu vane chirwere ichi vanoona zvichiwedzera kuoma kubuda pamubhedha uye kufamba-famba.

Zvimwe zviratidzo zvinosanganisira:

• Nzara kurasikirwa, iyo inotungamira kuonda
• Kushungurudzika
• Kupindwa nechando

Lab miedzo yega haigone kuongorora PMR. Vazhinji vanhu vane mamiriro aya vane akakwira mamaki ekuzvimba, senge sedimentation mwero (ESR) uye C-inoshanda mapuroteni.

Mimwe mhedzisiro mhedzisiro yemamiriro aya inosanganisira:

• Asina kujairika mazinga emapuroteni muropa
• Chikamu chisina kujairika chemasero machena eropa
• Anemia (yakaderera ropa kuverenga)

Iyi bvunzo inogona zvakare kushandiswa kuongorora mamiriro ako.

Nekudaro, kuyedza kwekufungidzira senge x-rays yepafudzi kana chiuno hakuwanzo kubatsira. Iyi bvunzo inogona kuburitsa kubatana kwekukuvara iyo isina hukama nezviratidzo zvazvino. Mumamiriro akaoma, ultrasound kana MRI yepafudzi inogona kuitwa. Aya miedzo yekufungidzira inowanzo kuratidza bursitis kana yakaderera masosi ejoka kuzvimba.

Pasina kurapwa, PMR haina kuve nani. Nekudaro, yakaderera madosi ecorticosteroids (senge prednisone, 10 kusvika 20 mg pazuva) anogona kudzikamisa zviratidzo, kazhinji mukati mezuva kana maviri.

• Iyo dosi inofanira kubva yaderedzwa zvishoma nezvishoma kusvika padanho rakadzika kwazvo.
• Kurapa kunoda kuenderera kwe1 kusvika 2 makore. Mune vamwe vanhu, kunyangwe kurapwa kwakareba nedosi yakaderera ye prednisone inodiwa.

Corticosteroids inogona kukonzera akawanda mhedzisiro senge kuwedzera huremu, kukura kweshuga kana osteoporosis. Unofanirwa kutariswa zvakanyanya kana uri kutora iyi mishonga. Kana iwe uri panjodzi ye osteoporosis, wako wekuchengeta hutano anogona kukurudzira kuti utore mishonga kudzivirira iyi mamiriro.

Kune vanhu vazhinji, PMR inoenda nekurapwa mushure memakore maviri kusvika maviri. Iwe unogona kukwanisa kurega kutora mishonga mushure meiyi poindi, asi tarisa nemupi wako wekutanga.

Kune vamwe vanhu, zviratidzo zvinodzoka mushure mekumira kwavo kutora corticosteroids. Mune zviitiko izvi, mumwe mushonga senge methotrexate kana tocilizumab ungangodiwa.

Giant cell arteritis inogona zvakare kunge iripo kana inogona kukura gare gare. Kana zvirizvo, iyo yetsika yetsinga ingangoda kuongororwa.

Zvimwe zviratidzo zvakakomba zvinogona kukuomesera iwe kuti ushande kana kuzvitarisira wega kumba.

Fonera waunopa kana iwe uine utera kana kuomarara mubendekete nemutsipa usingapere. Zvekare taura nemupi wako kana iwe uine zviratidzo zvitsva zvakaita sefivha, kutemwa nemusoro, uye kurwadziwa nekutsenga kana kurasikirwa kwemaonero. Zviratidzo izvi zvinogona kunge zvichibva kune hofori cell arteritis.

Iko hakuna kunozivikanwa kudzivirira.

PMR

Dejaco C, Singh YP, Perel P, et al. 2015 kurudziro yekutungamira kwe polymyalgia rheumatica: European League Against Rheumatism / American College yeRheumatology yekubatana chirongwa. Arthritis Rheumatol. 2015; 67 (10): 2569-2580. PMID: 2635874 www.ncbi.nlm.nih.gov/pubmed/26352874.

Hellmann DB. Giant cell arteritis, polymyalgia rheumatica, uye Takayasu's arteritis. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley uye Firestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: chits. 88.

Kermani TA, Warrington KJ. Kufambira mberi nematambudziko mukuongororwa uye kurapwa kwe polymyalgia rheumatica. Ther Adv Musculoskelet Dis. 2014; 6 (1): 8-19. PMID: 24489611 www.ncbi.nlm.nih.gov/pubmed/24489611.

Salvarani C, Ciccia F, Pipitone N. Polymyalgia rheumatica uye hofori cell arteritis. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chap 166.