Polymyositis: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Dab tsi yog qhov txawv ntawm polymyositis thiab dermatomyositis?
• Yuav ua li cas kom paub meej tias kuaj mob
• Yuav kho tus mob li cas

Polymyositis yog ib qho mob tsis tshua muaj tshwm sim, muaj mob thiab ua rau mob o ua rau cov leeg mob, ua rau mob, tsis muaj zog thiab ua tsis tau zoo. Xws li mob feem ntau tshwm sim hauv cov leeg uas cuam tshuam txog pob tw, uas yog, tej zaum yuav muaj kev koom tes ntawm caj dab, lub duav, nraub qaum, ncej puab thiab lub xub pwg, piv txwv li.

Cov laj thawj tseem ceeb ntawm tus mob polymyositis yog kab mob autoimmune, uas lub nruab zog tiv thaiv kab mob pib tua lub cev nws tus kheej, xws li mob caj dab mob rwj, mob lupus, scleroderma thiab Sjögren's syndrome, piv txwv. Tus kab mob no muaj ntau rau cov poj niam thiab feem ntau tus mob tshwm sim ntawm cov hnub nyoog 30 thiab 60, thiab mob polymyositis yog muaj tsawg rau cov menyuam yaus.

Kev kuaj mob thawj zaug yog tsim los ntawm kev ntsuas tus neeg lub cim thiab tsev neeg keeb kwm, thiab kev kho mob feem ntau suav nrog kev siv tshuaj tiv thaiv kab mob thiab kev kho lub cev.

Cov tsos mob tseem ceeb

Cov tsos mob tseem ceeb ntawm polymyositis muaj feem xyuam rau kev mob ntawm cov leeg thiab yog:

• Mob tej pob txha;
• Mob leeg mob;
• Mob leeg tsis muaj zog;
• Qaug Zog;
• Nyuaj ua qhov yooj yim txav, xws li sawv ntawm ib lub rooj zaum lossis tso koj sab caj npab hla koj lub taub hau;
• Poob phaus;
• Ua npaws;
• Kev hloov xim ntawm cov ntiv tes, hu ua Raynaud's tshwm sim lossis kab mob.

Qee tus neeg mob polymyositis yuav muaj kev koom tes ntawm txoj hlab pas lossis lub ntsws, ua rau muaj teeb meem nqos thiab ua pa, feem.

Qhov mob feem ntau yog tshwm sim rau ob sab ntawm lub cev thiab, yog tias tsis kho, nws tuaj yeem ua rau cov leeg. Yog li, thaum txheeb xyuas ib qho ntawm cov tsos mob, nws yog ib qho tseem ceeb uas yuav tsum mus cuag kws kho mob kom kev kuaj mob tuaj yeem ua thiab kev kho mob tuaj yeem pib.

Dab tsi yog qhov txawv ntawm polymyositis thiab dermatomyositis?

Zoo li polymyositis, dermatomyositis tseem yog ib qho mob myopathy, uas yog, muaj kev puas tsuaj rau tus mob ua rau mob nqaij ntshiv. Txawm li cas los xij, ntxiv rau kev koom nrog cov leeg, hauv kab mob dermatomyositis muaj qhov pom ntawm cov tawv nqaij mob, xws li ua pob liab liab rau ntawm daim tawv nqaij, tshwj xeeb tshaj yog cov pob qij txha ntawm cov ntiv tes thiab lub hauv caug, ntxiv rau qhov o thiab liab liab ncig lub qhov muag. Kawm ntxiv txog dermatomyositis.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob yog tsim raws li tsev neeg keeb kwm thiab mob tshwm sim los ntawm tus neeg. Txhawm rau kom paub tseeb tias kev kuaj mob, tus kws kho mob tuaj yeem thov kuaj cov nqaij pob txha los yog kuaj mob uas muaj peev xwm los ntsuas qhov kev ua si ntawm cov leeg nqaij los ntawm kev siv hluav taws xob tam sim no, electromyography. Kawm ntxiv txog electromyography thiab thaum nws xav tau.

Ntxiv rau, cov kev ntsuam xyuas biochemical uas tseem tuaj yeem ntsuas cov leeg kev ua haujlwm, xws li myoglobin thiab creatinophosphokinase lossis CPK, piv txwv li tuaj yeem txiav txim. Nkag siab txog qhov kuaj mob ntawm CPK

Yuav kho tus mob li cas

Kev kho mob ntawm polymyositis tsom rau daws cov tsos mob, vim tias tus mob ntsws ntev ntev uas tsis tau kho.Yog li, kev siv tshuaj corticosteroid, xws li Prednisone, tej zaum yuav pom zoo los ntawm tus kws kho mob kom pab txo qhov mob thiab txo cov leeg mob, ntxiv rau cov tshuaj tiv thaiv kab mob, xws li Methotrexate thiab Cyclophosphamide, piv txwv li, nrog lub hom phiaj txo qis kev tiv thaiv kab mob. tus kab mob nws tus kheej.

Tsis tas li ntawd, nws raug nquahu kom ua kev kho mob lub cev kom rov zoo dua thiab tshem tawm cov leeg mob, vim tias hauv polymyositis cov leeg tsis muaj zog, ua rau nws nyuaj rau kev ua tej yam yooj yim, xws li tso koj txhais tes rau saum koj lub taub hau, piv txwv.

Yog tias tseem muaj kev koom tes ntawm cov leeg txoj hlab pas, ua rau muaj teeb meem nqos, nws kuj tseem yuav raug xa mus rau tus kws kho mob hais lus.