Indlela yokuchonga nokunyanga i-polymyalgia rheumatica

Umxholo

• Iimpawu eziphambili
• Uxilongo lwenziwa njani
• Unyango njani
• Unyango lwePhysotherapy

I-Polymyalgia rheumatica sisifo esinganyangekiyo esidumbisayo esidala iintlungu kwimisipha ekufuphi negxalaba kunye nokuqina kwamalungu, kuhamba kunye nokuqina kunye nobunzima ekuhambiseni amalungu, ahlala malunga neyure e-1 emva kokuvuka.

Nangona unobangela wayo ungaziwa, le ngxaki ixhaphake kakhulu kubantu abadala ngaphezulu kwe-65 kwaye kunqabile ukuba yenzeke kubantu abangaphantsi kwe-50.

I-Polymyalgia rheumatica ayinyangeki, kodwa unyango nge-corticosteroids luyanceda ekunciphiseni iimpawu kwaye lunokubathintela ekubuyeleni kwakhona emva kweminyaka emi-2 okanye emi-3.

Iimpawu eziphambili

Iimpawu kunye neempawu ze-polymyalgia rheumatica zihlala zivela kumacala omabini omzimba kwaye zibandakanya:

• Intlungu ebukhali emagxeni anokuthi aphume entanyeni nasezingalweni;
• Intlungu ye-Hip ekwazi ukuphuma kwi-butt;
• Ukuqina kunye nobunzima ekuhambiseni iingalo okanye imilenze, ngakumbi emva kokuvuka;
• Kunzima ukuphuma ebhedini;
• Ukuziva udinwe kakhulu;
• Umkhuhlane ongaphantsi kwama-38ºC.

Ixesha elingaphezulu kunye nokubonakala kweengxaki ezininzi, ezinye iimpawu zinokubonakala, ezinje ngemvakalelo yokuqaqamba, ukungabinamdla wokutya, ukwehla kobunzima kunye noxinzelelo.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-polymyalgia rheumatica kunokuba nzima ukukuqinisekisa, kuba iimpawu ziyafana nezinye izifo ezidibeneyo, ezinje ngesifo samathambo okanye isifo samathambo. Ke, kunokuba yimfuneko ukwenza iimvavanyo ezininzi, ezinje ngovavanyo lwegazi okanye iMRI yokugweba ezinye ii-hypotheses.

Ngamanye amaxesha, ukusetyenziswa kwamayeza kwezinye izifo kunokuqalwa ngaphambi kokufikelela kwisifo esichanekileyo kwaye, ukuba iimpawu aziphucuki, unyango luyatshintshwa ukuzama ukusombulula ingxaki yokuqonda isifo.

Unyango njani

Olona hlobo lonyango lonyango sesi sifo kukusetyenziswa kweziyobisi ze-corticosteroid, ezinje ngePrednisolone, ukunceda ukunciphisa ukudumba ngokudibeneyo kunye nokunciphisa iimpawu zentlungu kunye nokuqina.

Ngokwesiqhelo, idosi yokuqala yonyango lwe-corticosteroid yi-12 ukuya kwi-25 mg ngosuku, iyancitshiswa ngokuhamba kwexesha kude kufike idosi ephantsi ngaphandle kweempawu ezibonakalayo kwakhona. Oku kwenziwa kuba amayeza e-corticosteroid, xa esetyenziswa rhoqo, anokubangela isifo seswekile, ukuzuza ubunzima kunye nosulelo rhoqo.

Funda ngakumbi malunga nefuthe lala machiza emzimbeni.

Ukongeza, i-rheumatologist inokucebisa ngokuthathwa kwe-calcium kunye nevithamin D, ngokusebenzisa izongezo okanye ukutya okufana neyogathi, ubisi okanye iqanda, ukomeleza amathambo kunye nokuthintela ezinye zeziphumo ebezingalunganga ze-corticosteroids.

Unyango lwePhysotherapy

Iiseshoni ze-Physiotherapy ziyacetyiswa kubantu abangakhange bakwazi ukuhamba kakuhle ixesha elide ngenxa yeentlungu kunye nokuqina okubangelwa yi-polymyalgia rheumatica. Kwezi meko, i-physiotherapist yenza imithambo ukuze yolule kwaye yomeleze izihlunu.