Polymyositis: chimene chiri, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Kodi pali kusiyana kotani pakati pa polymyositis ndi dermatomyositis?
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Polymyositis ndi matenda osowa, osachiritsika komanso osachiritsika omwe amadziwika ndi kutukuka kwaminyewa, ndikupweteka, kufooka komanso kuvuta kuyenda. Kutupa kumachitika nthawi zambiri m'minyewa yokhudzana ndi thunthu, ndiye kuti pakhoza kukhala kukhudzidwa kwa khosi, chiuno, kumbuyo, ntchafu ndi mapewa, mwachitsanzo.

Choyambitsa chachikulu cha polymyositis ndimatenda amthupi okhaokha, momwe chitetezo chamthupi chimayamba kuwukira thupi lokha, monga nyamakazi, lupus, scleroderma ndi Sjögren's syndrome, mwachitsanzo. Matendawa amapezeka kwambiri mwa amayi ndipo nthawi zambiri matendawa amapezeka azaka zapakati pa 30 ndi 60, ndipo polymyositis imapezeka kawirikawiri mwa ana.

Matendawa amayamba chifukwa cha kuwunika kwa zomwe munthu ali nazo komanso mbiri ya banja, ndipo nthawi zambiri chithandizo chamankhwala chimaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo.

Zizindikiro zazikulu

Zizindikiro zazikulu za polymyositis zimakhudzana ndi kutupa kwa minofu ndipo ndi:

• Ululu wophatikizana;
• Kupweteka kwa minofu;
• Minofu kufooka;
• Kutopa;
• Zovuta kuchita mayendedwe osavuta, monga kudzuka pampando kapena kuyika dzanja lako pamutu pako;
• Kuwonda;
• Malungo;
• Kusintha kwamitundu m'manja, kotchedwa Raynaud's phenomenon kapena matenda.

Anthu ena omwe ali ndi polymyositis amatha kutenga nawo mbali m'mimba kapena m'mapapo, zomwe zimabweretsa zovuta kumeza ndi kupuma, motsatana.

Nthawi zambiri kutupa kumachitika mbali zonse ziwiri za thupi ndipo, ngati sichikuthandizidwa, kumatha kupangitsa kuti minofu iwonongeke. Chifukwa chake, mukazindikira zizindikiritso zilizonse, ndikofunikira kupita kwa dokotala kuti akapezeke ndikuwunika chithandizo.

Kodi pali kusiyana kotani pakati pa polymyositis ndi dermatomyositis?

Monga polymyositis, dermatomyositis imakhalanso yotupa myopathy, ndiye kuti, matenda osachiritsika omwe amadziwika ndi kutupa kwa minofu. Komabe, kuwonjezera pakuphatikizika kwa minofu, mu dermatomyositis pali mawonekedwe a zotupa pakhungu, monga mawanga ofiira pakhungu, makamaka pamalumikizidwe a zala ndi mawondo, kuphatikiza pa kutupa ndi kufiira kuzungulira maso. Dziwani zambiri za dermatomyositis.

Momwe mungatsimikizire matendawa

Matendawa amapangidwa molingana ndi mbiri ya banja komanso zisonyezo zomwe munthuyo wapereka. Pofuna kutsimikizira kuti ali ndi vutoli, adokotala atha kupempha kuti awonongeko minofu kapena mayeso omwe amatha kuwunika momwe minofu imagwiritsidwira ntchito pamagetsi amagetsi, electromyography. Phunzirani zambiri za electromyography komanso pakafunika kutero.

Kuphatikiza apo, kuyesa kwa biochemical komwe kumatha kuwunikanso momwe minofu imagwirira ntchito, monga myoglobin ndi creatinophosphokinase kapena CPK, mwachitsanzo, itha kulamulidwa. Mvetsetsani momwe mayeso a CPK amachitikira.

Momwe mankhwalawa amachitikira

Chithandizo cha polymyositis chimafuna kuthetsa zizindikilo, chifukwa matenda osachiritsikawa alibe mankhwala.Chifukwa chake, kugwiritsa ntchito mankhwala a corticosteroid, monga Prednisone, atha kulimbikitsidwa ndi dokotala kuti athetse ululu ndikuchepetsa kutupa kwa minofu, kuphatikiza ma immunosuppressants, monga Methotrexate ndi Cyclophosphamide, mwachitsanzo, pofuna kuchepetsa chitetezo chamthupi. thupi lokha.

Kuphatikizanso apo, tikulimbikitsidwa kuti tichiritse thupi kuti tithandizenso kuyenda komanso kupewa kupindika kwa minofu, chifukwa mu polymyositis minofu imafooka, zomwe zimapangitsa kuti zikhale zovuta kuyenda kosavuta, monga kuyika dzanja lanu pamutu, mwachitsanzo.

Ngati palinso kutengapo gawo kwa minofu yam'mimba, yomwe imayambitsa kuvuta kumeza, itha kusonyezedwanso kuti mupite kwa othandizira kulankhula.