I-Polymyositis: Ukuvuvukala kweMyopathy

I-Polymyositis sisifo esibangela ukuba izihlunu zomzimba zicaphuke kwaye zivuthe. Inokuchaphazela izihlunu kuwo wonke umzimba. Izihlunu ngokuthe ngcembe ziqala ukuphuka kwaye zibe buthathaka, zenza ukunyakaza kwansuku zonke kube nzima. Esi sifo siwela kudidi olwaziwa ngokuba ukudumba myopathies.

I-Polymyositis engaziwayo Isizathu

Izizathu zepolymyositis azikaziwa okwangoku. Nangona kunjalo, iingcali zikholelwa ukuba inokunxulunyaniswa okanye ibangelwe yintsholongwane okanye intsholongwane ukusabela kwe-autoimmune. Impendulo ye-autoimmune kuxa umzimba uzihlasela ngokwawo kunye nezicubu zomzimba. Ibonwa kubantu abaneminyaka engama-31 ukuya kwengama-60 kwaye ayifane ibonwe kubantu abangaphantsi kweminyaka eyi-18. Kwezinye iimeko, amayeza angakhokelela ekuphenduleni / impendulo ebangela ukucaphuka kwemisipha kunye nomonakalo. Kodwa kwiimeko ezininzi, iingcali zezempilo azikwazi ukufumana eyona sizathu.

iimpawu

Imeko inokuchaphazela izihlunu kuwo wonke umzimba. Imisebenzi yomzimba efana nokuhamba, ukuphakama esitulweni, okanye ukuphakamisa izinto kunokuba nzima ukwenza. Inokuchaphazela izihlunu ezivumela ukutya kunye nokuphefumla. Izihlunu ezisembindini womzimba zidla ngokuchaphazeleka kakhulu. Iimpawu eziqhelekileyo ziquka:

• Intlungu yezihlunu.
• Ukuqina kwemisipha.
• Ubuthathaka bemisipha, ngokukodwa kwisisu, amahlombe, iingalo ezingaphezulu, kunye nezinqe.
• Intlungu edibeneyo kunye nokuqina.
• Iingxaki zokuphefumla.
• Iingxaki zokuginya.
• Ukwehla kobunzima obungaqhelekanga kunokuba ngumba ukuba kukho iingxaki ngokuginya.
• Izingqi zentliziyo ezingaqhelekanga ukuba isihlunu sentliziyo/i-myocardium iyadumba.
• Abantu ngabanye banokuqaphela ukuba banenkathazo yokukhwela izitebhisi okanye ukuphakamisa iingalo zabo.
• Ukuvuvukala kunokuba yingozi ngakumbi, kubangela intlungu kunye nobuthathaka obuchaphazela izihlahla, iingalo ezisezantsi kunye namaqatha.

Ukuqondwa

Uxilongo luqala ngembali yonyango lomntu, imbali yempilo yosapho ukuba kuyimfuneko, kunye novavanyo lomzimba. Uvavanyo lubandakanya ukubona kunye nokuziva ukomelela kwemisipha. Iimvavanyo ziya kufuneka ezibandakanya:

Uvavanyo lweGazi

• Uvavanyo lwegazi luvumela ugqirha ukuba abone ukuba kukho iimpawu zokuvuvukala kwezihlunu.
• Zikwabonisa nokuba zikhona iiprotheyini ezingaqhelekanga ezenza izifo ezizimelayo.

Electromyogram EMG

• Olu vavanyo lunokusetyenziswa ukufumana umsebenzi ongaqhelekanga wombane kwizihlunu ezichaphazelekayo.

MRI

• Iimagnethi kunye nemifanekiso yegraphic yekhompyuter isetyenziselwa ukunceda ugqirha ahlole ukudumba emzimbeni.

I-Biopsy yemisipha

• Iqhekeza elincinci lezicubu zomzimba liyasuswa ukuze lihlalutywe nge-microscope.

impatho

Unyango luxhomekeke ekubeni imeko imbi kangakanani na, iimpawu zomntu ngamnye, ubudala, kunye nempilo yonke. Okwangoku, akukho unyango lwe-polymyositis, kodwa iimpawu ziyakwazi ukulawulwa. Abantu ngabanye bayacetyiswa ukuba basebenzise ngaphezu kodidi olunye lonyango kuba isicwangciso sonyango sinokufuna ukutshintshwa njengoko unyango luqhubela phambili. Unyango luquka:

Anti-ukudumba Amayeza

Samayeza e-teroid anokunceda ukulawula isifo kunye nokunciphisa iimpawu, kwaye i-corticosteroids inokunceda ukunciphisa ukuvuvukala emzimbeni. Iimpawu ziphucula phakathi kwe-4 ukuya kwiiveki ze-6, kwaye umboneleli wezempilo unokunciphisa umthamo emva kokuba iimpawu ziyancipha ukunciphisa kunye nokunciphisa nayiphi na imiphumo emibi.

Amayeza e-Immunosuppressive

• ezi amayeza thintela okanye ucothise iimpendulo zamajoni omzimba.
• Thetha nogqirha malunga neengozi, iinzuzo, kunye nemiphumo emibi yawo onke amayeza.

Unyango lweChiropractic kunye noPhysical

• Unyango lweChiropractic kunye nonyango lomzimba lunokunceda:
• Ukulungelelanisa umqolo ukuze unike amandla emithambo-luvo kunye nokujikeleza kwegazi.
• I-massage yonyango ukuvuselela nokugcina izihlunu zikhululekile.
• Ukuzivocavoca okuthe ngqo ukunceda ukolula kunye nokomeleza imisipha.
• Ezi zinokunceda ukugcina izihlunu zingacudi.

Unyango lobushushu kunye nokuphumla

• Unyango lobushushu kunye nokuvumela umzimba ukuba uphumle ngokucokisekileyo kunokunceda ukunciphisa intlungu iimpawu.

Iibrayisi ezikhethekileyo

• Umzimba, i-hip, kunye neentambo zomlenze zinokunceda ukuxhasa imisipha kunye nokunceda ukuhamba.

Iingxaki

I-Polymyositis eshiywe ingaphathwanga inokukhokelela kwiingxaki ezinzima. Izihlunu ziba buthathaka, zinyusa umngcipheko wokuwa kunye nokunciphisa imisebenzi yemihla ngemihla.

• Ukuba imisipha yesifuba iyachaphazeleka, kunokubakho iingxaki zokuphefumla ezinokukhokelela ekungaphumeleli kokuphefumla.
• Ukuba umgudu wokugaya ukutya uchaphazeleka, ukungondleki kunye nokuncipha kobunzima obungeyonjongo kunokubangela.
• I-Polymyositis elawulwa kakuhle inokubangela ukukhubazeka okukhulu.

UkuBumbiswa kweBhunga

Isondlo kunye nokuKhula kwezihlunu

protein

• Iprotheyini isisiseko sokufumana izihlunu.
• Eli candelo liyimfuneko kuyo yonke imisebenzi yemihla ngemihla yomzimba.
• Kubalulekile ukulungelelanisa ukunyuka kweeprotheni kunye nokutya ngokubanzi.

IiCarbs eziyinkimbinkimbi

• Iicarbohydrate ngumthombo wamafutha omzimba.
• Iicarbohydrate kufuneka zibe yinto yemihla ngemihla yokutya okunesondlo kuba yinxalenye ephambili.
• Ukufumana amandla
• Ukuthintela ubuthathaka bemisipha kunye nokuthotywa

Ukutya iiCarbs

• Ukuqonda ukuba iziphumo ezichanekileyo zenzeka njani kuphela xa omabini amacala esebenza kunye.
• Ukusetyenziswa ngokusempilweni kweprotheyini kunye neecarbohydrates kunokunceda ukukhula kwezihlunu kunye nokugcina impilo efanelekileyo kuzo zonke iindidi zomzimba.

Ucaphulo

Corrado, Bruno et al. "Unyango lwePhysical Therapy kunye nePolymyositis / Dermatomyositis-Uphononongo olucwangcisiweyo loNcwadi." I-Neurology international vol. 12,3 77-88. 24 Nov. 2020, doi:10.3390/neurolint12030015

Findlay, Andrew R et al. "Umbono jikelele wepolymyositis kunye nedermatomyositis." Izihlunu kunye nemithambo-luvo vol. 51,5 (2015): 638-56. doi:10.1002/mus.24566

Sasaki, Hirokazu, kunye noHitoshi Kohsaka. "Ukuxilongwa ngoku kunye nokunyangwa kwepolymyositis kunye nedermatomyositis." I-rheumatology yanamhlanje vol. 28,6 (2018): 913-921. doi:10.1080/14397595.2018.1467257

Van Thillo, Anna et al. "Unyango lonyango kwizigulana ze-myopathy yabantu abadala: uphononongo olucwangcisiweyo." I-rheumatology yezonyango vol. 38,8 (2019): 2039-2051. doi:10.1007/s10067-019-04571-9