Kwalejin Kwalejin Rheumatology na Amirka (ACR), tare da haɗin gwiwar Turai da Rheumatism (EULAR), aka fitar da ka'idodin tsari na polymyalgia rheumatica a cikin watan Maris 2012. Abinda ke nufi shi ne taimakawa wajen gane marasa lafiya da yanayin. Kafin a saki ka'idodin, babu tsari da aka gwada da kyau don gano marasa lafiya tare da polymyalgia rheumatica.
Cutar cututtuka
Polymyalgia rheumatica shine yanayin rheumatic tare da halayyar ciwon zuciya da ƙananan wuya a cikin wuyansa, kafadu, da kuma kwatangwalo wanda yana akalla makonni 4. Ga mafi yawancin mutane, polymyalgia rheumatica tayi hankali, kodayake wasu zasu iya ci gaba da bayyanar cututtuka da sauri. Bayan cike da ƙwayoyin cuta, alamun bayyanar cututtuka na polymyalgia rheumatica na iya haɗa da tsarin jiki, kamuwa da kamuwa da cututtuka (kamar zazzabi, malaise , rauni, da asarar nauyi).
Sanin asali da kuma Bayanan
Sakamakon ganewar asalin polymyalgia rheumatica ya samo asali ne akan tarihin likitancin likita, alamomi da alamomi, da jarrabawar jiki. Babu gwaje-gwajen gwaje-gwaje guda don tabbatar da asalin polymyalgia rheumatica. Doctors a wasu lokutan yin umurni da gwaje-gwaje na jini don gano ƙananan matakan ƙonawa (misali, sedimentation rate or CRP), ko kuma ya yi sarauta daga wasu nau'in maganin ƙwaro .
A karkashin ka'idodin ka'idojin da ACR da EULAR suka fitar, mai yiwuwa a ƙayyade wani mai haɗari da ciwon polymyalgia rheumatica idan sun kasance shekaru 50 ko tsufa, suna da mummunan rauni da kuma jini maras kyau ko CRP ko ƙaddarawa, da wasu haɗuwa da waɗannan ka'idoji:
- Tsarewar matsala na tsawon minti 45 ko fiye
- Sabon fara zafi ko ciwon iyaka
- Babu kumburi a kananan ɗakunan hannu da ƙafa
- Babu gwaje-gwaje mai kyau na jini don cututtuka na rheumatoid (misali, factor rheumatoid ko anti-CCP antibodies )
Ba a halicci ka'idojin ƙayyadewa ba don zama wata hanyar bincike, amma don taimakawa wajen zaɓar marasa lafiya don gwajin gwagwarmaya da kuma samar da sababbin hanyoyin magance polymyalgia rheumatica.
Jiyya
An yi amfani da rheumatica na Polymyalgia tare da wani kashi mai mahimmanci na magani na corticosteroid . Doctors sun rubuta kuma daidaita yawan kwayoyin cututtukan situttukan (mafi yawancin lokaci) don cimma daidaito mafi kyau. Yawancin lokaci, haɗin da aka hade da polymyalgia rheumatica an sauya shi da sauri. Yawancin marasa lafiya na rheumatica polymyalgia sun iya dakatar da magungunan corticosteroid tsakanin watanni 6 da 2. Idan bayyanar cututtuka na sake dawowa, wanda sau da yawa yakan faru, ana iya sake farawa da corticosteroids. Za a iya amfani da magungunan ƙwayoyin anti-inflammatory marasa amfani (NSAIDs) don magance polymyalgia rheumatica, amma yawanci, lokacin da aka dauka kawai, basu isa su kula da bayyanar cututtuka ba.
Ba tare da magani ba, halayyar polymyalgia rheumatica na iya kasancewa har tsawon watanni ko shekaru. Tare da kulawar corticosteroid, duk da haka, alamun cututtuka sunyi sauƙi a cikin kwanaki ɗaya ko biyu. Idan corticosteroids ba su warware maganin cututtuka ba, likita zai iya la'akari da wani asali.
Tsarin jima'i
Mata waɗanda ke Caucasian da fiye da shekaru 50 suna da mummunan haɗarin bunkasa rheumatica polymyalgia ko kwayar halitta ta jiki (yanayin da ya dace). A Amurka, an kiyasta cewa 700 da 100,000 mutane fiye da 50 a cikin yawan jama'a ci gaba da polymyalgia. Yana da matukar wuya ga wani wanda ya kai shekaru 50 da haihuwa don bunkasa polymyalgia rheumatica.
Polymyalgia rheumatica yana rinjayar yawan mutanen da ke fama da rashin lafiya a matsayin ƙwayar halitta, amma polymyalgia rheumatica yana faruwa sau biyu zuwa uku sau da yawa fiye da labarun kwayar halitta. Dukkanin rheumatica da polymyalgia da jinsin halitta sune sunadaran su ( vascularitides) (ƙungiyar yanayi da ke dauke da kumburi na jini).
Sources:
2012 Tsarin ka'idoji na zamani don polymyalgia rheumatica: Ƙungiyar Turai ta Rheumatism / Kwalejin Kwalejin Rheumatology ta Amirka. Dasgupta B. et al. Arthritis & Rheumatism. Afrilu 2012.
Tambayoyi da Amsoshin game da Rhythgia Rheumatica da Giant Cell Arteritis. Cibiyar Nazarin Arthritis da Kwayoyin Kwayoyin cuta da Bidiyo. Afrilu 2010.
Polymyalgia Rheumatica. Kwalejin Amirka na Rheumatology. William P. Docken, MD. Updated Agusta 2009.
Mahimmanci a kan cututtuka na Rheumatic. Polymyalgia Rheumatica. Pages 404-406. Klippel J. et al. Sha Uku na Uku Edition. An wallafa ta asalin Arthritis.