Zviratidzo zveganda Rubatsiro muKutsvaga
Dermatomyositis chirwere chinoputira ( myopathy ) icho chinonyanya kukanganisa ganda nemisungo asi zvinogona kukanganisa dzimwe nhengo dzomuviri dzomuviri. Kutsvakurudza kunoratidza kuti ihwo hutachiona hwemotokari , umo muviri unorwisa masero awo ane utano.
Dermatomyositis inogona kuitika kuvanhu vemazera ose. Muvanhu vakuru, nhamba yepamusoro inenge inenge makore makumi mashanu. Anozivikanwa sevana vechidiki dermatomyositis muvana, nguva yepamusoro yekutanga kune makore 5-10.
Inobata vakadzi kaviri kakawanda sevarume uye inowanikwa kune vanhu vemarudzi ose.
Dermatomyositis Zviratidzo
Dermatomyositis inobereka zviratidzo muganda nemisungo yakadai seyi:
- Tsvuku ine ruvara rwebhuruu kusvika kumahombekombe eguruvho rakasvibirira mumusanganisi wekuenzanisa maziso (heliotrope rash)
- Makomba matsvuku matsvuku (Gottron papules) kana kuti kukwidziridza matanda (plaques) pamusoro pemakumbo, zvigunwe kana zvigunwe zvezvigunwe, zvidzitiro, zvigunwe, kana mabvi
- Muvana, masikati machena kana nyama-mavara-mavara (calcinosis) anogona kuonekwa pamusoro pechimwechete chekukudzwa
- Vamwe vanhu vanewo ganda re scaly kana kurasikirwa kwevhudzi
- Zviratidzo zvemuviri zvinosanganisira kuneta kana kushaya simba paunokwira matanho, uchikwira kubva panzvimbo yakagara, kana kusimudza maoko.
Kunyange zvazvo zvisinganyanyozivikanwi, vanhu vane dermatomyositis vanogona kunge vane zviratidzo zvehurumende zvakadai seArthritis , kupererwa kwemhepo, kana kuoma kukumedza kana kutaura. Vakuru vakuru vanopfuura makore makumi matanhatu nemasere nevechirmasisitis vanoita kunge vane ngozi yakawanda yekuve nekenza.
Kuongorora Dermatomyositis
Vanhu vane dermatomyositis vanowanzova nechirwere chepachivara sezvavanoita zviratidzo zvekutanga. Chirwere chinokonzera uye mapepa, uyewo calcinosis mitsvuku mumwana, icharatidza kuonekwa. Dzimwe nguva zvipembenene zveganda zvingave zvisina kukanganisa nekuda kwea lupus erythematosus, psoriasis, kana lichen planus.
Vana vane dermatomyositis zvingava zvakaoma kufungidzira kusvikira zviratidzo zveganda zvinoratidza pachena.
Kuwedzera kune zviratidzo zveganda, kuongororwa kweropa kunogona kuitwa kuti uone masvikiro emuviri uye zviratidzo zvekuputika. Vamwe vanhu vane dermatomyositis vane antinuclear antibody (ANA) inonzi test blood test. Magnetic resonance imaging ( MRI ), electromyography (EMG), uye tsvina yemasumbu inogona kuongorora zvirwere zvemasisita uye kukuvara.
Kurapa Dermatomyositis
Chirwere chedermatomyositis chinonyanya kuronga kutarisa chirwere chemusimba uye zviratidzo zveganda. Kazhinji, corticosteroid yakadai sa prednisone inoshandiswa kuderedza musimba kuvhunika. Kana steroid yemigumisiro ikava yakaoma, mishonga yemuviri kana kuti cytotoxic, zvakadai se methotrexate (Rheumatrex) kana azatioprin (Imuran), inogona kushandiswa. Methotrexate inogonawo kubatsira kuderedza zviratidzo zveganda. Vanhu vane dermatomyositis vane photosensitive uye vanofanira kuchengetedza ganda ravo kubva pakubuda kwezuva.
Kana urombo husina simba huripo, chirwere chemuviri uye chebasa chinogona kubatsira kuvandudza mishonga inoshanda uye kudzivirira zvinetso zvakadai sezvibvumirano. Vamwe vanhu vangave vachida kurapwa kwezviratidzo zvehurongwa kana zvinetso.
Outlook
Vanhu vazhinji vane dermatomyositis vachada kurapwa kwenguva refu.
Calcinosis inogona kukanganisa kurapwa kwechirwere muvana nevechiri kuyaruka. Vamwe vanhu vanogona kuva nekenza kana nhengo yekukundikana, zvichiita kuti upenyu huve hupfupiswa hupfupi. Zvisinei, vanhu vazhinji vanopindura zvakanaka mukurapa uye vanozorodza zvimwe kana zviratidzo zvavo zvose.
Sources:
Callen, JP (2002). Dermatomyositis. eMedicine. http://www.emedicine.com/med/topic2608.htm.
The Myositis Association. Chii Chinonzi Myositis?