Okudingeka Ukwazi NgePolymyalgia Rheumatica

I-American College of Rheumatology (ACR), ngokubambisana ne-European League Against Rheumatism (EULAR), ekhishwe izigaba zokuhlonza i-polymyalgia rheumatica ngoMashi 2012. Inhloso ukusiza ukukhomba iziguli ezinesimo. Ngaphambi kokukhululwa kwemigomo, kwakungekho imigomo ehlolwe kahle noma ehlolwe kahle ukukhomba iziguli ezine-polymyalgia rheumatica.

Izimpawu

I-polymyalgia rheumatica yisimo se-rheumatic esinokuhlukunyezwa kwesisindo nesisindo entanyeni, emahlombe, nasezinkalweni ezigcina okungenani amasonto amane. Kubantu abaningi, i-polymyalgia rheumatica ikhula kancane kancane, nakuba abanye bangathuthukisa ngokushesha izimpawu. Ngaphandle kokuqina komswakama, izimpawu ze-polymyalgia rheumatica zingabandakanya izimpawu zesimiso, isifo sofuba (njengemfiva, i- malaise , ubuthakathaka, nokulahlekelwa kwesisindo).

Ukuxilongwa nokukhomba

Ukuxilongwa kwe-polymyalgia rheumatica kuye kusekelwe kumlando wezokwelapha wesiguli, izimpawu zomtholampilo nezimpawu, nokuhlolwa kwangokwenyama. Awekho ukuhlola okukodwa kwegazi ukuze kutholakale ngokucacile i-polymyalgia rheumatica. Odokotela ngezinye izikhathi bahlela ukuhlolwa kwegazi ukuthola amazinga aphakeme okuvuvukala (isb., Izinga lokugubula noma i-CRP), noma ukulawula ezinye izinhlobo ze-arthritis .

Ngaphansi kwemigomo yokuhlukaniswa okukhishwe yi-ACR ne-EULAR, isiguli singase sibekwe ngokuthi sinesifo se-polymyalgia rheumatica uma sineminyaka engu-50 noma ngaphezulu, sinamahlombe angamahlombe amabili, futhi i-blood CRP noma izinga lokudlulela ngokwegazi, kanye nokuhlanganisa okunye okulandelayo:

• Ukuqina kokusa kwelanga kuphele imizuzu engu-45 noma ngaphezulu
• Ukuphuluka kokuqala kwe-hip noma uhla olunqunyelwe lokunyakaza
• Akukho ukuvuvukala ezinhlanganisweni ezincane zezandla nezinyawo
• Awekho ukuhlolwa kwegazi okwenziwe nge-arthritis ye-rheumatoid (isb., Isifo se-rheumatoid noma anti-CCP antibodies )

I-classification criteria ayidalwanga ukuthi ibe yinkambiso yokuxilonga, kodwa kunalokho ukusiza ngokukhethwa kweziguli zokuhlolwa kweklinikhi nokuthuthukisa izindlela zokwelashwa ezintsha zokwelapha i-polymyalgia rheumatica.

Ukwelapha

I-polymyalgia rheumatica iphathwa ngemithi ephansi yemithi ye- corticosteroid . Odokotela banquma futhi balungise umthamo we-steroids (ngokuvamile i- prednisone ) ukufeza umthamo ophansi kakhulu. Ngokuvamile, ukuqina komuntu okuhambisana ne-polymyalgia rheumatica kukhululeka ngokushesha. Iziguli eziningi ze-polymyalgia rheumatica ziyakwazi ukuvimbela imithi ye-corticosteroid phakathi kwezinyanga ezingu-6 neminyaka emibili. Uma izimpawu zibuyela emuva, okuvame ukwenzeka, i-corticosteroids ingaqaliswa kabusha. Imithi engaqedi ukuvuvukala (NSAID) ingasetshenziselwa ukuphatha i-polymyalgia rheumatica, kodwa ngokuvamile, lapho ithathwa yedwa, ayanele ngokwanele ukulawula izimpawu.

Ngaphandle kokwelashwa, izimpawu ze-polymyalgia rheumatica cishe ziqhubeka izinyanga noma iminyaka. Njengoba ukwelashwa kwe-corticosteroid, noma kunjalo, izimpawu ngokuvamile zixazulula ngaphakathi kwezinsuku ezimbili noma ezimbili. Uma i-corticosteroids ingaxazululanga izimpawu, udokotela cishe uzocabangela esinye isifo.

Ukuvama

Abesifazane abaseCaucasia futhi abangaphezu kweminyaka engama-50 banengozi enkulu yokuthuthukisa i-polymyalgia rheumatica noma i- giant cell arteritis (isimo esifanele). E-United States, kulinganiselwa ukuthi abangu-700 kubantu abangu-100 000 abangaphezu kuka-50 kubantu abaningi bahlakulela i-polymyalgia. Kuyinto engavamile kakhulu ukuthi umuntu ongaphansi kweminyaka engama-50 ahlakulele i-polymyalgia rheumatica.

I-polymyalgia rheumatica ithinta isifo esifanayo nesiguli esikhulu se-arteritis, kodwa i-polymyalgia rheumatica ivela izikhathi ezimbili kuya kathathu kaningi kune-giant cell arteritis. Kokubili i-polymyalgia rheumatica ne-giant cell arteritis ihlukaniswa njenge- vasculitides (iqembu lezimo ezibonakala ngokuvuvukala kwemithambo yegazi).

_Imithombo:

_{2012 Indlela yokuhlinzekela ngezidingo zepolymyalgia rheumatica: I-Europe League Against Rheumatism / American College of Rheumatology isinyathelo sokubambisana. Dasgupta B. et al. I-arthritis ne-Rheumatism. April 2012.}

_{Imibuzo nezimpendulo mayelana ne-Polymyalgia Rheumatica ne-Giant Cell Arteritis. I-National Institute of Arthritis neMisculoskeletal kanye Nezifo Zesikhumba. April 2010.}

_{I-Polymyalgia Rheumatica. I-American College of Rheumatology. UWilliam P. Docken, MD. Kubuyekezwe ngo-Agasti 2009.}

_{I-Primer kuma-Rheumatic Diseases. I-Polymyalgia Rheumatica. Amakhasi 404-406. Klippel J. et al. Umshicileli weshumi nantathu. Ishicilelwe yi-Arthritis Foundation.}