Polymyositis: chii, zviratidzo zvikuru uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Ndeupi musiyano uripo pakati pe polymyositis uye dermatomyositis?
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei

Polymyositis chirwere chisingawanzo, chisingaperi uye chinopera simba chinoratidzirwa nekuputika kunofambira mberi kwemhasuru, zvichikonzera kurwadziwa, kushaya simba uye kunetsekana kwekufamba. Kuzvimba kunowanzoitika mumhasuru dzakabatana nehunde, ndiko kuti, panogona kuve nekubatanidzwa kwemutsipa, chiuno, musana, zvidya nemapfudzi, semuenzaniso.

Chikonzero chikuru che polymyositis ndezve autoimmune hosha, umo immune system inotanga kurwisa muviri iwo wega, senge rheumatoid arthritis, lupus, scleroderma uye Sjögren's syndrome, semuenzaniso. Ichi chirwere chinowanzoitika kune vakadzi uye kazhinji kuongororwa kunoitika pakati pemakore makumi matatu nemakumi matanhatu, uye polymyositis isingawanzo muvana.

Iyo yekutanga kuongororwa kunoitwa zvichibva pakuongororwa kwezviratidzo zvemunhu uye nhoroondo yemhuri, uye kurapwa kazhinji kunosanganisira kushandiswa kwemishonga yekuzvidzivirira uye kurapa kwemuviri.

Zviratidzo zvikuru

Zviratidzo zvikuru zve polymyositis zvine chekuita nekuzvimba kwemhasuru uye ndeizvi:

• Joint kurwadziwa;
• Kurwadziwa kwetsandanyama;
• Tsvina kushaya simba;
• Kuneta;
• Zvakaoma kuita zvakapusa kufamba, sekumuka kubva pachigaro kana kuisa ruoko rwako pamusoro wako;
• Kuonda;
• Kupindwa nechando;
• Ruvara shanduko yemunwe, inozivikanwa seRaynaud's phenomenon kana chirwere.

Vamwe vanhu vane polymyositis vanogona kuve nekubatanidzwa kwesophagus kana mapapu, zvichitungamira mukuomerwa mukumedza nekufema, zvichiteerana.

Kuzvimba kunowanzoitika pamativi ese emuviri uye, kana ikasarapwa, inogona kukonzera mhasuru atrophy. Naizvozvo, kana uchitsvaga chero chipi chezviratidzo, zvakakosha kuenda kuna chiremba kuitira kuti kuongororwa kuitwe uye kurapwa kungatange.

Ndeupi musiyano uripo pakati pe polymyositis uye dermatomyositis?

Kufanana ne polymyositis, dermatomyositis zvakare iri yekuzvimba myopathy, ndokuti, chirwere chisingaperi chinopera chinoratidzirwa nekuzvimba kwetsandanyama. Nekudaro, pamusoro pekubatanidzwa kwemhasuru, mu dermatomyositis kune kutaridzika kwemaronda eganda, senge mavara matsvuku paganda, kunyanya mumajoini eminwe nemabvi, kuwedzera kuzvimba uye kutsvuka kwakatenderedza maziso. Dzidza zvakawanda nezve dermatomyositis.

Maitiro ekusimbisa kuongororwa

Iko kuongororwa kunoitwa maererano nenhoroondo yemhuri uye zviratidzo zvinoratidzwa nemunhu. Kuti asimbise kuongororwa, chiremba anogona kukumbira bhaopsy yemhasuru kana bvunzo inokwanisa kuyedza chiitiko chetsandanyama kubva mukushandiswa kwemagetsi magetsi, electromyography. Dzidza zvakawanda nezve electromyography uye pazvinenge zvichidikanwa.

Uye zvakare, bioochemical bvunzo dzinogona zvakare kuongorora mhasuru mashandiro, senge myoglobin uye creatinophosphokinase kana CPK, semuenzaniso, inogona kurairwa. Nzwisisa kuti bvunzo yeCPK inoitwa sei.

Kurapwa kunoitwa sei

Kurapa kwepolymyositis kunovavarira kubvisa zviratidzo, sezvo ichi chirwere chisingaperi chisingarapike chisina mushonga.Naizvozvo, kushandiswa kwemishonga yecorticosteroid, yakadai saPrednisone, inogona kukurudzirwa nachiremba kubvisa marwadzo uye kudzikisa kutsamwa kwemhasuru, kuwedzera kuma immunosuppressants, akadai seMethotrexate uye Cyclophosphamide, semuenzaniso, nechinangwa chekuderedza mhinduro yemumuviri. muviri pachawo.

Uye zvakare, zvinokurudzirwa kuita kurapa kwepanyama kuti uwanezve mafambiro uye kudzivisa atrophy yemhasuru, nekuti mu polymyositis tsandanyama dzakashomeka, zvichiita kuti zviome kufamba zvakapusa, sekuisa ruoko rwako pamusoro wako, semuenzaniso.

Kana paine zvakare kubatanidzwa kwemasophageal mhasuru, zvichikonzera kuoma kumedza, zvinogona zvakare kuratidzwa kuenda kune wekutaura murapi.