Polymyositis: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• He aha ka ʻokoʻa ma waena o polymyositis a me dermatomyositis?
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO Polymyositis kahi maʻi laha ʻole, mau a me ka maʻi hoʻohaʻahaʻa e hōʻike ʻia e ka ulu mua o nā mākala, e ʻeha ai, nāwaliwali a paʻakikī hoʻi i ka neʻe ʻana. Kū pinepine ka hoʻohaunaele i nā mākala e pili ana i ka pahu, ʻo ia hoʻi, ke komo pū paha o ka ʻāʻī, nā pūhaka, kua, nā ʻūhā a me nā poʻohiwi, no ka laʻana.

ʻO ke kumu nui o polymyositis ka maʻi autoimmune, kahi e hoʻomaka ai ka pale ʻōnaehana e hoʻouka i ke kino ponoʻī, e like me ka rheumatoid arthritis, lupus, scleroderma a me Sjögren's Syndrome, no ka laʻana. ʻOi aku ka maʻamau o kēia maʻi i nā wahine a maʻa mau ka hōʻoia ma waena o nā makahiki o 30 a me 60, a kakaʻikahi ka polymyositis i nā keiki.

Hoʻokumu ʻia ka hōʻike mua e pili ana i ka loiloi o nā ʻōuli o ke kanaka a me ka mōʻaukala o ka ʻohana, a ʻo ka hana maʻamau me ka hoʻohana ʻana i nā lāʻau immunosuppressive a me ka lāʻau hoʻoikaika kino.

Nā hōʻailona nui

ʻO nā ʻōuli nui o polymyositis e pili ana i ka mumū o nā mākala a:

• ʻEha hui;
• ʻEha ʻeha;
• Nāwaliwali o ka ʻiʻo;
• Māluhiluhi;
• Ka paʻakikī e hana nei i nā neʻe maʻalahi, e like me ke ala ʻana mai kahi noho a kau i kou lima ma luna o kou poʻo;
• Kaumaha emi;
• Fiva;
• Hoʻololi ke kala o nā manamana lima, i ʻike ʻia ʻo ko Raynaud hanana a maʻi paha.

Loaʻa paha i kekahi poʻe me ka polymyositis ke komo i ka esophagus a i ʻole nā ​​mumū, e alakaʻi ana i ka paʻakikī i ka ale ʻana a me ka hanu ʻana.

Kū pinepine ka līlū ma nā ʻaoʻao ʻelua o ke kino a, inā haʻalele ʻole ʻia, hiki ke hoʻowalewale i nā mākala. No laila, i ka hoʻomaopopo ʻana i kekahi o nā ʻōuli, he mea nui e hele i ke kauka i hiki ke hana ʻia ke kuhi a hoʻomaka ʻia ka lapaʻau.

He aha ka ʻokoʻa ma waena o polymyositis a me dermatomyositis?

E like me polymyositis, ʻo dermatomyositis kekahi myopathy hōʻeha, ʻo ia hoʻi, kahi maʻi degenerative mau e hōʻike ʻia e ka mumū o nā mākala. Eia nō naʻe, i ka hoʻohui ʻana i ke komo ʻana o nā mākala, i ka dermatomyositis aia ke ʻano o nā ʻili leona, e like me nā ʻulaʻula ma ka ʻili, keu hoʻi i nā hono o nā manamana lima a me nā kuli, a me ka pehu a me ka ʻula a puni nā maka. E aʻo hou aʻe e pili ana i ka dermatomyositis.

Pehea e hōʻoia ai i ke kuhi

Hana ʻia ka hōʻailona e like me ka mōʻaukala ʻohana a me nā ʻōuli i hōʻike ʻia e ke kanaka. No ka hōʻoia ʻana i ke kuhi, hiki i ke kauka ke noi i kahi biopsy muso a i ʻole kahi hoʻokolohua e hiki ai ke loiloi i ka hana o ka mākala mai ka noi ʻana o nā kahe uila, electromyography. E aʻo hou e pili ana i ka electromyography a i ka wā e pono ai.

Eia kekahi, ʻo nā hoʻokolohua biochemical i hiki ke loiloi i ka hana o nā mākala, e like me myoglobin a me creatinophosphokinase a i ʻole CPK, no ka laʻana, hiki ke kauoha ʻia. E hoʻomaopopo pehea e pau ai ka hōʻike CPK.

Pehea e hana ai i ka lāʻau

Hoʻolālā ka mālama ʻana i ka polymyositis e hōʻoluʻolu i nā ʻōuli, no ka mea ʻaʻohe lāʻau o kēia maʻi degenerative mau.No laila, ʻo ka hoʻohana ʻana i nā lāʻau Corticosteroid, e like me Prednisone, hiki ke koi ʻia e ke kauka e hōʻoluʻolu i ka ʻeha a hoʻemi i ka mumū o nā mākala, ma kahi o nā immunosuppressants, e like me Methotrexate a me Cyclophosphamide, no ka laʻana, me ka pahuhopu e hōʻemi i ka pale immune. ka meaola ponoʻī.

Hoʻohui ʻia, koi ʻia e hana i ka hoʻōla kino e hoʻihoʻi i nā neʻe a pale i ka atrophy muscle, ʻoiai i ka polymyositis nāwaliwali nā mākala, paʻakikī i ka hana ʻana i nā neʻe maʻalahi, e like me ke kau ʻana i kou lima i kou poʻo, no ka laʻana.

Inā pili pū kekahi i nā mākala esophageal, e hana ana i ka paʻakikī i ka ale ʻana, e hōʻike ʻia paha ia e hele i kahi haʻi ʻōlelo.