Dermatomyositis: chii, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekuongororwa kunoitwa
• Kurapa sei

Dermatomyositis chirwere chisingawanzo kupisa chinokanganisa zvakanyanya mhasuru uye ganda, zvichikonzera kushaya simba kwemhasuru uye maronda edermatological. Izvo zvinoitika kazhinji muvakadzi uye zvakajairika muvakuru, asi zvinogona kuoneka kune vanhu vari pasi pezera regumi nematanhatu, kunzi hudiki dermatomyositis.

Dzimwe nguva, dermatomyositis inosanganisirwa negomarara, inova chiratidzo chekusimudzirwa kwemamwe marudzi ekenza senge mapapu, zamu, ovari, prostate uye gomarara rekoloni. Inogona zvakare kuverengerwa nezvimwe hosha dzekuzvidzivirira, senge scleroderma uye yakasanganiswa inobatanidza matishu echirwere, semuenzaniso. Uyezve nzwisisa chinonzi scleroderma.

Zvinokonzera chirwere ichi ndezve autoimmune mavambo, mune ayo emuviri maseru ekudzivirira anorwisa mhasuru uye anokonzeresa kuzvimba kweganda, uye, kunyangwe chikonzero chekuita uku chisati chanyatsonzwisiswa, zvinozivikanwa kuti zvine hukama nemagene shanduko, kana kufurirwa nekushandiswa kwemimwe mishonga kana nehutachiona hutachiona. Dermatomyositis haina mushonga, uye saka chirwere chisingaperi, zvisinei, kurapwa necorticosteroids kana immunosuppressive zvinodhaka zvinogona kubatsira kudzora zviratidzo.

Zviratidzo zvikuru

Zviratidzo zve dermatomyositis zvinogona kusanganisira:

• Tsandanyama kushaya simba, kunyanya munzvimbo dzinopenga, dzechiuno uye dzechibereko, zvakaenzana uye nekudzikira zvishoma nezvishoma;
• Kuonekwa kwemavara kana tumapundu tutsvuku paganda, kunyanya mumajoini ezvigunwe, magokora nemabvi, anonzi chiratidzo chaGottron kana mapapu;
• Violet mavara pamaziso epamusoro, anonzi heliotrope;
• Joint kurwadziwa uye kuzvimba;
• Kupindwa nechando;
• Kuneta;
• Dambudziko kumedza;
• Kurwadziwa mudumbu;
• Kusvipa;
• Kuonda.

Kazhinji, vanhu vane chirwere ichi vanogona kuzviwana zvakaoma kuita zviitiko zvezuva nezuva sekukamura vhudzi ravo, kufamba, kukwira masitepisi kana kusimuka pachigaro. Uye zvakare, zviratidzo zveganda zvinogona kuwedzera nekuratidzwa kuzuva.

Muzviitiko zvakakurisa, kana dermatomyositis ikaonekwa yakabatana nezvimwe zvirwere zvekuzvimiririra, dzimwe nhengo dzakadai semwoyo, mapapu kana itsvo dzinogona kukanganisika, zvichikanganisa mashandiro azvo uye zvichikonzera matambudziko makukutu.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwedermatomyositis kunoitwa kuburikidza nekuongororwa kwezviratidzo zvechirwere, kuongororwa kwemuviri uye kuyedzwa senge mhasuru biopsy, electromyography kana kuongororwa kweropa kuona hupo hwezvinhu zvinoratidza kuparadzwa kwemhasuru, seCPK, DHL kana AST bvunzo, semuenzaniso. semuenzaniso.

Panogona kuve nekugadzirwa kwe autoantibodies, senge myositis-yakatarisana nemaantibodies (MSAs), anti-RNP kana anti MJ, semuenzaniso. iyo inogona kuwanikwa muhuwandu hwakawanda mukuongororwa kweropa.

Kuti usimbise kuongororwa, zvinodawo kuti chiremba asiyanise zviratidzo zve dermatomyositis kubva kune zvimwe zvirwere zvinokonzeresa zviratidzo zvakafanana, senge polymyositis kana myositis ine miviri yekubatanidza, inovawo zvakare hutachiona hwehutachiona hwemhasuru. Zvimwe zvirwere zvinofanirwa kutariswa ndeyangu myofascitis, necrotizing myositis, polymyalgia rheumatica kana kuzvimba kunokonzerwa nemishonga, senge clofibrate, simvastatin kana amphotericin, semuenzaniso.

Kurapa sei

Kurapa kwe dermatomyositis kunoitwa zvinoenderana nezviratidzo zvinoratidzwa nevarwere, asi kazhinji kazhinji zvinosanganisira kushandiswa kwe:

• Corticosteroids saPrednisone, sezvo ivo vachideredza kuzvimba mumuviri;
• Immunosuppressants seMethotrexate, Azathioprine, Mycophenolate kana Cyclophosphamide, kudzikisira kupindurwa kwema immune system;
• Mimwe mishonga, senge Hydroxychloroquine, sezvo ivo vachibatsira kudzikamisa dermatological zviratidzo, senge kunzwisiswa nechiedza, semuenzaniso.

Iyi mishonga inowanzo kutorwa mune yakakwira doses uye kwenguva yakareba, uye ine mhedzisiro yekudzora yekuzvimba maitiro uye kudzikisa zviratidzo zvechirwere. Kana iyi mishonga isingashande, imwe sarudzo ndeyekupa hutachiona hwehunhu hwevanhu.

Izvo zvakare zvinokwanisika kuita physiotherapy zvikamu, pamwe nekuvandudza maitiro anobatsira kubvisa zviratidzo uye kudzivirira zvibvumirano uye kudzoreredza. Photoprotection inoratidzwa zvakare, ine sunscreens, kudzivirira kuwedzera kwekukuvara kweganda.

Kana dermatomyositis ichibatana nekenza, kurapwa kwakanyanyisa kurapa gomarara, kazhinji kuchikonzera kuti zviratidzo nezviratidzo zvechirwere zvibviswe.