IAmerican College of Rheumatology (ACR), inobatanidzwa neEuropean Against Against Rheumatism (EULAR), yakabudiswa zviyero zvepolymyalgia rheumatica muna March 2012. Chinangwa ndechekubatsira kuziva varwere vane chirwere. Kusati kusunungurwa kwezvinotarisirwa, pakange kusina zvirongwa zvakanyatsogadziriswa kana zvakaongororwa zvakajeka zvekuziva varwere vane polymyalgia rheumatica.
Zviratidzo
Polymyalgia rheumatica inoratidzirwa nemamiriro ezvinhu ane hutano hunosuruvara uye kuoma mumutsipa, mapepa, uye mahudyu zvinotora vhiki dzinenge 4. Kune vanhu vazhinji, polymyalgia rheumatica inokura zvishoma nezvishoma, kunyange zvazvo vamwe vanogona kukura zviratidzo zvakakurumidza. Kunze kwekusimudzira musumuloskeletal, zviratidzo zvepolymyalgia rheumatica zvinogona kusanganisira systemic, zvirwere zvakadai semapiranga (zvakadai sefivha, malaise , kushaya simba, uye kuora muviri).
Kuziva uye Kuziva
Kuongororwa kwepolymyalgia rheumatica kwave kwakavakirwa pamashoko ekurapa kwechiremba, zviratidzo zvechirwere uye zviratidzo, uye kuongorora kwepanyama. Hakuna kuongorora ropa rimwe chete kunotsanangurira kuongorora polymyalgia rheumatica. Vanachiremba dzimwe nguva vanoronga kuongorora ropa kuti vaone kukwirira kwakakura kwechirwere (semuenzaniso, sedimentation rate kana CRP), kana kuti kutonga kunze kwemamwe marudzi eArthritis .
Pasi pemitemo yekugadziriswa yakabudiswa ne ACR uye EULAR, murwere angarondedzerwa seine polymyalgia rheumatica kana ava nemakore makumi mashanu kana apfuura, vane rutivi rwemapfudzi achinyunyuta, uye vasina ropa ropa reRP kana kuti sedimentation rate, pamwe nekubatanidzwa kumwe kwezvinotevera:
- Kushungurudza kweMangwanani kunogara kwemaminitsi 45 kana kupfuura
- Hutsva hutsva huno hutambudzika kana kuti zvishoma zvishoma
- Kwete kuzvimba muzvikamu zviduku zvemaoko nemakumbo
- Hapana kuongororwa kweropa kwerhematoid arthritis (semuenzaniso, rheumatoid factor kana anti-CCP antibodies )
Nzira dzekutsanangurira zvinyorwa zvisiri izvo zvakasikwa kuti zvive chirwere chekuongorora, asi kunobatsira nekusarudzwa kwevatano kune mishonga yekliniki uye kukura mishonga mitsva yekurapa polymyalgia rheumatica.
Kurapa
Polymyalgia rheumatica inobatwa nechirwere chepasi cherapiticosteroid . Vanachiremba vanoronga uye vanogadzirisa chirwere che steroid (kazhinji prednisone ) kuti chiwane chirwere chakanyanya kuderera. Kazhinji, kuoma kwakabatana nepolymyalgia rheumatica kunonunurwa nokukurumidza. Vakawanda vepolymyalgia rheumatica varwere vanogona kumira mishonga yegricticosteroid pakati pemwedzi mitanhatu nemakore maviri. Kana zviratidzo zvidzoka, zvinowanzoitika, corticosteroids inogona kutanga zvakare. Mishonga isingashandisi-kuporesa (NSAIDs) inogona kushandiswawo kubata chirwere chepolymyalgia rheumatica, asi kazhinji, kana inotorwa yoga, haikwani kudzora zviratidzo.
Pasina kurapa, zviratidzo zvepolymyalgia rheumatica zvinogona kuramba zvichienderera kwemwedzi kana makore. Nekarticosteroid mishonga, zvisinei, zviratidzo zvinowanzogadzirisa mukati memazuva maviri kana maviri. Kana corticosteroids isingagadziri zviratidzo, chiremba angangodaro afunga nezvechimwe chirwere.
Kuwanda
Vakadzi vane Caucasian uye vanopfuura makore makumi mashanu vane dambudziko rakakura rekudzidzira polymyalgia rheumatica kana giant cell arteritis (mamiriro akafanana). MuUnited States, inofungidzirwa kuti 700 pa100 000 vanhu vanopfuura makumi mashanu muhuwandu hwevanhu vanoita mapolymyalgia. Hazviwanzoitiki kuti mumwe munhu pasi pemakore makumi mashanu ave nekuvandudza polymyalgia rheumatica.
Polymyalgia rheumatica inobata huwandu hwevarwere pamwe chete se giant cell arteritis, asi polymyalgia rheumatica inoitika kaviri kusvika katatu kakawanda kupfuura giant cell arteritis. Zvose mapolymyalgia rheumatica uye giant cell cell arteritis zvinoratidzika sevasculitides (boka rezviitiko zvinoratidzwa nekuputira kwemidziyo yeropa).
Sources:
2012 Zvigadziriswa zvinotarisirwa zvepolymyalgia rheumatica: A European League Against Rheumatism / American College yeRheumatology. Dasgupta B. et al. Arthritis & Rheumatism. April 2012.
Mibvunzo neMhinduro pamusoro pePolymyalgia Rheumatica uye Giant Cell Arteritis. National Institute of Arthritis uye Musculoskeletal uye Skin Diseases. April 2010.
Polymyalgia Rheumatica. American College of Rheumatology. William P. Docken, MD. Yakarongwa muna August 2009.
Primer paRheumatic Diseases. Polymyalgia Rheumatica. Mapeji 404-406. Klippel J. et al. Chinyorwa chegumi nemitatu. Yakabudiswa neArthritis Foundation.