Kulliyadda Maraykanka ee Rheumatology (ACR), oo kaashaneysa Ururka Midowga Yurub ee Ka hortagga Jirrada (EULAR), ayaa sii daayay shuruudaha kala-saarista ee rheumatica polymyalgia March 2012-kii. Ujeedadu waxay tahay in lagu ogaado bukaanka xaaladdan. Ka hor intaan la sii daayay shuruudaha, ma jirin shuruudo si fiican loo hago ama si fiican loo hubiyo si loo aqoonsado bukaanka qaba polymyalgia rheumatica.
Astaamaha
Polymyalgia rheumatica waa xaalad rheumatic ah oo leh xanuunka muruqyada muruqyada iyo qulqulka qoorta, garbaha, iyo miskaha oo soconaya ugu yaraan 4 asbuuc. Dadka intooda ugu badan, rheumatica polymyalgia ayaa si tartiib tartiib ah u kobcaya, inkasta oo qaar ay si dhakhso ah u kicin karaan astaamaha. Ka sokow xajmiga muruqyada, calaamadaha polymyalgia rheumatica waxaa ku jiri kara calaamadaha, calaamadaha ifilada (sida qandho, xajmiga , daciifnimo, iyo miisaan lumis).
Aqoonsiga iyo Aqoonsiga
Cilmi-baarista polymyalgia rheumatica wuxuu ku saleysnaa taariikhda caafimaadka bukaanka, astaamaha calaamadaha iyo astaamaha, iyo baaritaan jireed. Ma jiro baaritaan dhiig oo kaliya si loo ogaado cudurka rheumatica polymyalgia. Dhakhaatiirtu waxay marmarka qaarkood ku amraan in ay baaritaan dhiig sameeyaan si loo ogaado heerarka sare ee caabuqa (tusaale ahaan, sicir bararka ama CRP), ama ka talaabsan noocyada kale ee arthritis .
Marka la eego shuruudaha kala-saarista ee ay bixiso ACR iyo EULAR, bukaanku waxaa loo kala saari karaa rheumatica polymyalgia haddii ay jiraan 50 sano ama ka weyn, qabaan garabka laba-geesoodka ah, iyo dhiigga aan caadiga ahayn ee CRP ama sicir-dhiska, oo lagu daray qaar ka mid ah isu-geynta shuruudaha soo socda:
- Adkeysiga subaxnimada oo socota 45 daqiiqo ama kabadan
- Xanuun cusub oo sambabada ah ama dhaqdhaqaaq xadidan
- Bararna laguma kala bixin gacmaha iyo lugaha
- Ma jiro baadhitaano dhiig oo raajo oo wanaagsan oo ku saabsan rheumatoid arthritis (sida, rheumatoid factor ama antibodies anti-CCP )
Qawaaniinta kala-soocidda xaqiiqdii lama abuurin inay noqoto nidaam lagu ogaanayo, laakiin halkii ay ka caawin lahayd xulashada bukaannada loogu talagalay tijaabooyinka bukaan socodka iyo in la sameeyo daweyn cusub oo lagu daaweeyo rheumatica polymyalgia.
Daaweynta
Rheumatica Polymyalgia waxaa lagu daaweeyaa qiyaas yar oo ah daawada corticosteroid . Dhakhaatiirtu waxay soo qoraan oo ay hagaajiyaan qiyaasta steroids (badanaa prednisone ) si loo gaaro qiyaasta ugu hooseysa. Caadi ahaan, qallafsanaanta la xidhiidha rheumatica polymyalgia ayaa si dhakhso ah loo naaqusey. Inta badan dadka qaba polymyalgia rheumatica waxay awoodaan inay joojiyaan daawooyinka corticosteroid inta u dhaxeysa 6 bilood iyo 2 sano. Haddii ay calaamadaha soo noqdaan, oo inta badan dhaca, corticosteroids ayaa dib loo bilaabi karaa. Daawooyinka aan dawooyinka ahayn ee ka hortagga uurka (NSAIDs) ayaa sidoo kale loo isticmaali karaa si loo daaweeyo rheumatica polymyalgia, laakiin badanaa, marka keligood la qaato, kuma filna inay xakameeyaan astaamaha.
Daaweyn la'aan, calaamadaha rheumatica polymyalgia waxay u badan tahay inay sii socoto bilo ama sannado. Iyadoo daaweynta corticosteroid, si kastaba ha ahaatee, calaamadaha sida caadiga ah waxay xaliyaan hal ama laba maalmood gudahood. Haddii corticosteroids aadan xalin calaamadaha, dhakhtarku wuxuu u badan yahay inuu tixgeliyo cudur kale.
Maqnaanshaha
Dumarka Cafiska ah ama ka weyn 50 jir waxay leeyihiin khatarta ugu weyn ee lagu soo saaro rheumatica polymyalgia ama xididka weyn ee unugyada gacanta (xaalad la xiriirta). Dalka Mareykanka, waxaa lagu qiyaasay in 700 qof 100,000 oo qof oo ka weyn 50 ka mid ah dadweynaha guud ay horumariyaan polymyalgia. Aad ayey u yartahay qof da'diisu ka yar tahay 50 jir si uu u horumariyo rheumatica polymyalgia.
Rheumatica Polymyalgia wuxuu ku dhacaa dadka bukaanka ah sida arteritis-ka weyn, laakiin rheumatica polymyalgia wuxuu dhacaa laba illaa seddex jeer marar badan oo ka yimaada arthritis-ka weyn. Rheumatica polymyalgia iyo arthritis-ka weyn ee labadaba waxaa lagu tilmaamay inay yihiin vasculitid (koox xaalad ah oo lagu garto caabuqa xididdada dhiigga).
Ilaha:
2012 Shuruudaha kala-saaridda ku-meel-gaadhka ah ee loogu talagalay polymyalgia rheumatica: Laba yurub oo ka soo horjeeda laabotooyinka / jaamacadda American College of Rheumatology oo ah iskaashi iskaashi. Dasgupta B. et al. Arthritis & Rheumatism. Abriil 2012.
Su'aalaha iyo Jawaabaha ee ku saabsan Polymyalgia Rheumatica iyo Cudurka 'Cell' Arthritis. Machadka Qaranka ee Arthritis iyo Muscleskeletal iyo Cudurada Maqaarka. Abriil 2010.
Polymyalgia Rheumatica. Kulliyadda Maraykanka ee Rheumatology. William P. Docken, MD. La soo saarey Agoosto 2009.
Astaamo ku saabsan Cudurada Rheumatic. Polymyalgia Rheumatica. Bogagga 404-406. Klippel J. et al. Saddex iyo tobnaad. Waxaa daabacay Arthritis Foundation.