He aha ka Polymyalgia Rheumatica? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka polymyalgia rheumatica kahi maʻi inflammatory e hoʻoulu ai i ka ʻeha o nā ʻiʻo a me ka paʻakikī, ʻoi aku ma kahi o kou mau poʻohiwi, ʻāʻī, a me nā hū. Inā ʻoe ma luna o 50 a ala mai me ka manaʻo ua hahau ʻia ʻoe e ka kaʻa, me ka paʻakikī nui e hana ai i nā hana maʻalahi e like me ke kūʻana mai i ka moe a i ʻole ke hāpai ʻana i kou mau lima, hiki paha kēia maʻi ke mea āu e ʻike nei.

ʻO ka inoa maoli, ʻo ia hoʻi, “nā ʻeha o nā ʻiʻo he nui,” a ʻoiai ke kani nui nei, he maʻi maopopo loa ia e pane maikaʻi loa ana i ka lapaʻau. ʻOi aku ka maikaʻi o ka manaʻo o ka hapanui o nā kānaka i loko o nā lā o ka hoʻomaka ʻana i ka lāʻau kūpono, ʻoiai ʻo ka huakaʻi i ka hoʻōla piha e pono ai ke ahonui a me ka mālama pono.

He aha ka Polymyalgia Rheumatica?

ʻO ka polymyalgia rheumatica kahi maʻi inflammatory e pili nui ana i nā kānaka ma luna o 50, e hoʻoulu ana i ka ʻeha o nā ʻiʻo a me ka paʻakikī ma nā wahi āpau. Ke hoʻouka hewa nei kou ʻōnaehana pale kino i nā pūnaewele olakino, e alakaʻi ana i ka mumū i loko o ka papa ma waho o kou mau hono, ʻoi aku ma kou mau poʻohiwi, ʻāʻī, a me nā hū.

ʻAʻole kēia he maʻi ʻiʻo maoli, ʻoiai kona inoa. ʻO ka ʻeha a me ka paʻakikī āu e ʻike nei mai ka mumū a puni kou mau hono a me nā pūnaewele e hoʻopuni ana iā lākou. E noʻonoʻo iā ia e like me kou ʻōnaehana pale kino e huikau ana a hana ana i ka mumū ma kahi ʻaʻole pono.

Hoʻopilikia ka maʻi i nā wāhine i ʻelua mau manawa ma mua o nā kāne, a ʻoi aku ka nui o ka maʻi i nā kānaka o ka ʻāina ʻEulopa ʻĀkau. ʻOiai hiki ke manaʻo nui ke ʻike mua ʻia nā hōʻailona, ʻo ka ʻoiaʻiʻo maikaʻi, ʻo ka polymyalgia rheumatica he mea lapaʻau maikaʻi loa, a hiki i ka hapanui o nā kānaka ke hoʻi i kā lākou mau hana maʻamau me ka mālama pono.

He aha nā Hōʻailona o ka Polymyalgia Rheumatica?

ʻO ka hōʻailona nui ka paʻakikī nui o ke kakahiaka e hiki ke lōʻihi no nā hola, e hana ana iā ʻoe e manaʻo ua paʻa kou kino i ka pō. Hoʻopilikia maʻamau kēia paʻakikī i nā ʻaoʻao ʻelua o kou kino, ʻoi aku ma kou mau poʻohiwi, ʻāʻī, a me nā hū.

Eia nā hōʻailona maʻamau āu e ʻike ai:

• Paʻakikī kakahiaka nui e lōʻihi ana i 45 mau minuke a ʻoi aku paha
• ʻEha ʻeha ma nā poʻohiwi, ʻāʻī, a me kahi hū
• Paʻakikī ke hāpai i kou mau lima ma luna o kou poʻo
• Paʻakikī ke kūʻana mai i ka moe a i ʻole nā ​​noho
• ʻEha e hoʻopilikia ana i nā ʻaoʻao ʻelua o kou kino
• Luhi e ʻoi aku ka ikaika ma mua o ka luhi maʻamau
• Fever haʻahaʻa (ma lalo o 101°F)
• Kaumaha nalowale wehe ʻole ʻia
• Manaʻo maʻamau o ka maʻi

ʻO ka paʻakikī pinepine ka ʻāpana pīhoihoi loa no ka mea hiki ke hana i nā hana maʻalahi e like me ka kāhili ʻana i kou lauoho, ka hōʻea ʻana i kahi mea ma ka papa, a i ʻole ke komo ʻana i ka pālule e manaʻo kokoke ʻole.

I kekahi mau hihia, hiki iā ʻoe ke ʻike pū i nā hōʻailona maʻamau ʻole e like me ka pehu ʻana i kou mau lima a me nā wāwae, a i ʻole ka ʻeha i kou mau lima a me nā kuli. Hiki i kēia mau hōʻailona ke hana i ka ʻike ʻana i ka maʻi, akā ʻo ia nō kekahi ʻāpana o ka hana inflammatory like.

He aha nā Kumu o ka Polymyalgia Rheumatica?

ʻAʻole ʻike ʻia ke kumu pololei o ka polymyalgia rheumatica, akā manaʻo nā mea noiʻi ua loaʻa ia mai ka hui pū ʻana o ka hoʻonāukiuki genetic a me nā mea hoʻouluulu kaiapuni. Ke huikau nei kou ʻōnaehana pale kino a hoʻomaka e hoʻouka i nā pūnaewele olakino, e hana ana i ka mumū e hoʻoulu ai i kou mau hōʻailona.

Hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana i kēia maʻi:

• Nā mea genetic - hana kekahi mau gene iā ʻoe i mea maʻalahi
• Nā maʻi viral a i ʻole bacterial e hiki ke hoʻoulu i ka pane pale kino
• Nā mea kaiapuni ʻaʻole i maopopo loa
• Nā loli pili i ka makahiki i kou ʻōnaehana pale kino

Manaʻo kekahi mau mea noiʻi e hana nā maʻi e like me ka mea hoʻoulu i nā kānaka i hoʻonāukiuki mua ʻia i ka maʻi. Pane kou ʻōnaehana pale kino e hakakā i ka maʻi, akā hoʻomau i ka hana nui ʻana ma hope o ka pau ʻana o ka maʻi.

He mea nui ia e hoʻomaopopo ʻaʻole kēia kahi mea āu i hana ai a i ʻole hiki iā ʻoe ke pale aku. ʻO ka hui ʻana o nā mea e alakaʻi ai i ka polymyalgia rheumatica he mea ma waho o kou mana, a ʻaʻohe hōʻike e kōkua nā koho nohona i kona hoʻomohala ʻana.

I ka Wā e ʻIke ai i ke Kauka no ka Polymyalgia Rheumatica?

Pono ʻoe e ʻike koke i kāu kauka inā ʻike ʻoe i ka paʻakikī kakahiaka nui e lōʻihi ana ma mua o 45 mau minuke, ʻoi aku inā hui pū ʻia me ka ʻeha o nā ʻiʻo ma kou mau poʻohiwi, ʻāʻī, a i ʻole nā ​​hū. Mai kali e ʻike inā e maikaʻi ma luna o ia iho, ʻoiai hiki i ka lapaʻau mua ke pale aku i nā pilikia a kōkua iā ʻoe e ʻike maikaʻi koke.

E ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe kēia mau hōʻailona hōʻailona:

• Hoʻomaka koke ʻana o ka paʻakikī nui a me ka ʻeha
• Paʻakikī e hana ana i nā hana o kēlā me kēia lā ma muli o ka paʻakikī
• Nā hōʻailona ʻaʻole e maikaʻi me nā mea hoʻoemi ʻeha ma luna o ka counter
• Luhi e hoʻopilikia ana i kāu papa hana maʻamau
• Kaumaha nalowale wehe ʻole ʻia a i ʻole ka mahana haʻahaʻa

Pono ʻoe e ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe nā poʻo ʻeha koke, nā pilikia ʻike, a i ʻole ka ʻeha i ka ihu i ka nahu ʻana. Hiki i kēia ke hōʻailona o kahi maʻi pili e kapa ʻia ʻo ka arteritis giant cell, kahi e pono ai ka mālama koke e pale aku i nā pilikia nui e like me ka nalowale o ka ʻike.

E hoʻomanaʻo, hoʻomohala maʻamau ka polymyalgia rheumatica i ka wikiwiki, pinepine ma loko o kekahi mau lā a i ʻole nā ​​pule. Inā ʻoe e ʻike ana i kēia mau hōʻailona, ​​e hilinaʻi i kou mau manaʻo a mai kānalua e hoʻokaʻaʻike i kāu mea hoʻolako mālama ola.

He aha nā Mea Hōʻeha no ka Polymyalgia Rheumatica?

ʻO ka makahiki ka mea hōʻeha nui loa, ʻoiai ʻo kēia maʻi e pili nui ana i nā kānaka ma luna o 50, me ka awelika makahiki o ka ʻike ma kahi o 70. Inā ʻoe i loko o kēia hui makahiki a ʻike ana i nā hōʻailona, ​​he mea kūpono ke kūkākūkā me kāu kauka.

Hiki i kekahi mau mea ke hoʻonui i kou manawa e hoʻomohala ai i ka polymyalgia rheumatica:

• Ma luna o 50 mau makahiki (mea nui)
• Wahine (ʻelua mau manawa ma mua o nā kāne)
• Loaʻa ka ʻohana ʻEulopa ʻĀkau
• Loaʻa kekahi mau māka genetic (HLA-DRB1 a me HLA-DQB1)
• Loaʻa ka mōʻaukala ʻohana o ka maʻi
• Nā maʻi viral a i ʻole bacterial hou

ʻOiai ʻaʻole hiki iā ʻoe ke hoʻololi i kēia mau mea hōʻeha, hiki i ka hoʻomaopopo ʻana iā lākou ke kōkua iā ʻoe a me kāu kauka e ʻike koke i ka maʻi inā hoʻomohala ʻia nā hōʻailona. Ke hōʻike nei ka ʻāpana genetic inā loaʻa iā ʻoe nā lālā ʻohana me ka polymyalgia rheumatica, hiki iā ʻoe ke loaʻa kahi pilikia kiʻekiʻe iki.

He mea kūpono ke hoʻomaopopo ʻaʻole ʻo ka loaʻa ʻana o kēia mau mea hōʻeha ʻaʻole ia e manaʻo e hoʻomohala ʻoe i ka maʻi. ʻAʻole ʻike ka nui o nā kānaka me nā mea hōʻeha he nui i ka polymyalgia rheumatica, ʻoiai kekahi poʻe me nā mea hōʻeha liʻiliʻi e hoʻomohala ana iā ia.

He aha nā Pilikia Hiki o ka Polymyalgia Rheumatica?

Hoʻōla piha ka hapanui o nā kānaka me ka polymyalgia rheumatica me ka lapaʻau kūpono, akā aia kekahi mau pilikia hiki ke ʻike ʻia. ʻO ka mea hopohopo nui loa ka hoʻomohala ʻana o ka arteritis giant cell, kahi maʻi pili e hiki ke hoʻoulu i ka nalowale o ka ʻike inā ʻaʻole mālama koke ʻia.

Eia nā pilikia nui e hiki ke loaʻa:

• Arteritis giant cell (hoʻopilikia i 15-20% o nā kānaka me ka polymyalgia rheumatica)
• Nā hopena mai ka hoʻohana lōʻihi o ka steroid
• ʻO ka lahilahi o ka iwi (osteoporosis) mai ka prednisone
• Hoʻonui ʻia ka pilikia o nā maʻi
• Hoʻonui ʻia ke kaumaha a me nā loli mood
• Ke koko kiʻekiʻe a me nā pilikia kō koko
• Nāwaliwali o nā ʻiʻo mai ka hana ʻole lōʻihi

ʻO ka arteritis giant cell ka pilikia hopohopo loa no ka mea hiki ke hoʻopilikia i nā kīʻaha koko e hoʻolako ana i kou mau maka a me kou lolo. Inā loaʻa iā ʻoe nā poʻo ʻeha nui, nā loli ʻike, a i ʻole ka ʻeha ihu i ka nahu ʻana, e hoʻokaʻaʻike koke i kāu kauka.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapanui o nā pilikia mai ka lapaʻau he mea hiki ke mālama ʻia me ka nānā pono a me nā hoʻoponopono i kāu lāʻau lapaʻau. E hana pū kāu kauka me ʻoe e ʻimi i ka nui liʻiliʻi o ka lāʻau lapaʻau a hiki ke kuhikuhi i nā lapaʻau hou aku e pale i kou mau iwi a me kou olakino holoʻokoʻa.

Pehea ka ʻIke ʻana o ka Polymyalgia Rheumatica?

ʻAʻohe hoʻokolohua hoʻokahi e hiki ke ʻike maopopo i ka polymyalgia rheumatica, no laila e hoʻohana kāu kauka i ka hui pū ʻana o kou mau hōʻailona, ​​ka nānā kino, a me nā hoʻokolohua koko e hana i ka ʻike. Hoʻopili pinepine ke kaʻina hana i ka hoʻoholo ʻana i nā maʻi ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like.

E hoʻomaka maʻamau kāu kauka ma ka nīnau ʻana i nā nīnau kikoʻī e pili ana i kou mau hōʻailona, ​​ʻoi aku ka nānā ʻana i ke ʻano o ka paʻakikī a me ka ʻeha. Makemake lākou e ʻike i ka wā i hoʻomaka ai nā hōʻailona, ​​pehea ka lōʻihi o ka paʻakikī kakahiaka, a me nā wahi o kou kino i hoʻopilikia ʻia.

Hoʻopili pinepine ke kaʻina hana diagnostic i kēia mau ʻanuʻu:

• Nānā kino e loiloi i ka laulā o ka neʻe a me ka ʻeha
• Nā hoʻokolohua koko e nānā i ka mumū (ESR a me nā pae CRP)
• Nā hoʻokolohua koko e hoʻoholo i nā maʻi ʻē aʻe (rheumatoid factor, anti-CCP antibodies)
• I kekahi manawa nā haʻawina kiʻi e like me ka ultrasound a i ʻole MRI
• Pane i ka lapaʻau steroid (kōkua pinepine e hōʻoia i ka ʻike)

He mea nui loa nā hoʻokolohua koko no ka mea hōʻike maʻamau lākou i nā māka inflammatory kiʻekiʻe. ʻOi aku ka kiʻekiʻe o kou erythrocyte sedimentation rate (ESR) a me nā pae C-reactive protein (CRP) ma mua o ka maʻamau, e hōʻike ana i ka mumū i loko o kou kino.

I kekahi manawa, hiki i kāu kauka ke manaʻo i ka ho'āʻo ʻana o ka prednisone haʻahaʻa (kahi lāʻau steroid). Inā loaʻa iā ʻoe ka polymyalgia rheumatica, e ʻike maikaʻi koke ʻoe i loko o kekahi mau lā o ka hoʻomaka ʻana i ka lapaʻau, kahi e kōkua ai e hōʻoia i ka ʻike.

He aha ka Lapaʻau no ka Polymyalgia Rheumatica?

ʻO ka lapaʻau nui no ka polymyalgia rheumatica ʻo ia nā corticosteroids, maʻamau ka prednisone, kahi e hiki ai ke hāʻawi i ka hoʻomaha kupaianaha mai nā hōʻailona. ʻOi aku ka maikaʻi o ka manaʻo o ka hapanui o nā kānaka i loko o 24 a 72 mau hola o ka hoʻomaka ʻana i ka lapaʻau, me ka nui o ka wehewehe ʻana e like me ka loaʻa ʻana o ko lākou ola.

E hahai maʻamau kāu papahana lapaʻau i kēia ala:

• Hoʻomaka ʻana o ka prednisone (maʻamau 15-20 mg i kēlā me kēia lā)
• Ho'ēmi mālie ʻana i ka nui ma luna o 12-24 mau mahina
• Nānā mau ʻana i nā hōʻailona a me nā hoʻokolohua koko
• Nā lāʻau pale iwi (calcium, vitamin D, bisphosphonates paha)
• Nā hālāwai hoʻomau mau e hoʻoponopono i ka lapaʻau

ʻO ke kī i ka lapaʻau holomua ka ʻimi ʻana i ke kaulike kūpono ma waena o ka kaohi ʻana i kou mau hōʻailona a me ka hoʻemi ʻana i nā hopena mai ka lāʻau lapaʻau. E hana pū kāu kauka me ʻoe e hoʻemi mālie i ka nui o ka prednisone ʻoiai e nānā ana i kou mau hōʻailona a me nā māka inflammatory.

Pono paha kekahi poʻe i nā lāʻau hou aku e like me ka methotrexate a i ʻole tocilizumab inā pilikia lākou i ka hoʻemi ʻana i ka prednisone a i ʻole ʻike pinepine i nā flares. Hiki i kēia mau lāʻau ke kōkua i ka hoʻemi ʻana i ka nui o ka prednisone e pono ai a hiki ke kōkua i ka pale ʻana i nā relapses.

ʻOkoʻa ka manawa lapaʻau holoʻokoʻa, akā pono ka hapanui o nā kānaka e lawe i kekahi ʻano o ka lāʻau lapaʻau no 1-2 mau makahiki. Hiki i ka hapalua o nā kānaka ke hoʻōki i ka lapaʻau ma hope o kēia manawa, ʻoiai pono kekahi poʻe i ka mālama haʻahaʻa no nā manawa lōʻihi.

Pehea e Mālama ai iā ʻOe Iho i ka Wā Lapaʻau?

ʻOiai ʻo ka lāʻau lapaʻau ke kumu o ka lapaʻau, aia kekahi mau mea āu e hiki ke hana ma ka home e kākoʻo i kou hoʻōla a hoʻemi i nā hopena. ʻO ka noho ʻana i ka hana i loko o kou mau palena a me ka mālama ʻana i nā maʻamau olakino maikaʻi e hiki ke hana i kahi ʻokoʻa nui i kou manaʻo.

Eia nā hana mālama pono'ī nui e noʻonoʻo ai:

• Hoʻomaʻamaʻa mālie e like me ka hele wāwae a i ʻole ka ʻauʻau e mālama i ka ikaika
• Nā hana hoʻolōʻihi e hoʻomaikaʻi i ka palupalu a hoʻemi i ka paʻakikī
• ʻAi i ka ʻai momona calcium e pale i kou mau iwi
• Loaʻa ka hiamoe lawa a me ka hoʻokele ʻana i ke kaumaha
• Lawe i nā lāʻau lapaʻau e like me ka kuhikuhi ʻia
• Nānā i kou mau hōʻailona a hōʻike i nā loli i kāu kauka
• Pale iā ʻoe iho mai nā maʻi ʻoiai ma luna o nā steroids

He mea nui loa ka hana kino no ka mea kōkua ia e mālama i kou ikaika o nā ʻiʻo a me ka mānoanoa o ka iwi ʻoiai ʻoe e lawe ana i ka prednisone. E hoʻomaka mālie a hoʻonui mālie i kou pae hana i ka wā e maikaʻi ai kou mau hōʻailona a ʻae kāu kauka.

E makaʻala i nā hōʻailona o kou kino a mai hoʻoikaika i ka ʻeha nui, akā mai hoʻokuʻu i ka makaʻu i ka ʻoluʻolu e mālama iā ʻoe i ka hana ʻole. ʻIke ka nui o nā kānaka ua kōkua maoli ka neʻe mālie i ka hoʻemi ʻana i ka paʻakikī a me ka ʻeha ma hope o ka manawa.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka papahana lapaʻau maikaʻi. ʻO ka lawe ʻana mai i ka ʻike kikoʻī e pili ana i kou mau hōʻailona a me ka mōʻaukala lapaʻau e kōkua i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.

Ma mua o kāu hālāwai, e hōʻiliʻili i kēia ʻike nui:

• Wehewehe kikoʻī o kou mau hōʻailona, ​​me ka wā i hoʻomaka ai lākou
• Papa inoa o nā lāʻau lapaʻau a pau a me nā mea hoʻohui āu e lawe nei
• ʻIke e pili ana i nā maʻi a i ʻole nā ​​maʻi hou
• Mōʻaukala ʻohana o nā maʻi autoimmune a i ʻole inflammatory
• Nā nīnau e pili ana i nā koho lapaʻau a me ka mea e manaʻo ai
• Kekahi mau hopena hoʻokolohua koko a i ʻole nā ​​moʻolelo lapaʻau

Hiki ke kōkua ke mālama i kahi diary hōʻailona no kekahi mau lā ma mua o kāu hālāwai, e hoʻomaopopo ana i ka wā e ʻoi aku ka ʻino o ka paʻakikī, he aha nā hana paʻakikī, a pehea ka loli o nā hōʻailona i ka lā holoʻokoʻa. Hiki i kēia ʻike ke hāʻawi i nā ʻōlelo aʻoaʻo waiwai no kāu kauka.

Mai kānalua e lawe mai i kahi lālā ʻohana a hoaaloha paha i ka hālāwai, ʻoi aku inā ʻoe e manaʻo nui ana i nā hōʻailona. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo i ka wā e hiki ai ke manawa pilikia.

He aha ka Mea Nui e pili ana i ka Polymyalgia Rheumatica?

ʻO ka polymyalgia rheumatica kahi maʻi lapaʻau maikaʻi loa e, ʻoiai ke hopohopo a hoʻonāukiuki mua, pane maikaʻi loa i ka lapaʻau kūpono. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua a me ka lapaʻau e hiki ke kōkua iā ʻoe e hoʻi i kāu mau hana maʻamau i ka wikiwiki.

Me ka mālama lapaʻau kūpono, ʻike ka hapanui o nā kānaka i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona i loko o nā lā o ka hoʻomaka ʻana i ka lapaʻau. ʻOiai ʻo ka papahana lapaʻau piha e pono ai 1-2 mau makahiki, hiki i ka nui o nā kānaka ke mālama i nā ola hana, piha i kēia wā.

ʻO ke kī i ka holomua ka hana pili me kāu hui mālama ola, ka lawe ʻana i nā lāʻau lapaʻau e like me ka kuhikuhi ʻia, a me ke ahonui me ke kaʻina hana hoʻemi mālie. E hoʻomanaʻo he prognosis maikaʻi loa kēia maʻi, a hoʻōla piha ka hapanui o nā kānaka me ka ʻole o nā hopena lōʻihi.

Nā Nīnau Pinepine e pili ana i ka Polymyalgia Rheumatica

Hiki i ka polymyalgia rheumatica ke hoʻi mai ma hope o ka lapaʻau?

ʻAe, hiki i ka polymyalgia rheumatica ke hoʻi hou i kekahi poʻe, ʻoi aku inā hoʻōki koke ʻia ka lāʻau lapaʻau. Ma kahi o 25% o nā kānaka e ʻike i ka relapse i kekahi manawa, akā ʻaʻole kēia e manaʻo e ʻino ana ka maʻi. Inā hoʻi hou nā hōʻailona, ​​hiki i kāu kauka ke hoʻoponopono i kāu papahana lapaʻau, a e ʻike maikaʻi hou ʻoe me ka hoʻomaka hou ʻana a i ʻole ka hoʻonui ʻana i ka lāʻau lapaʻau.

E noho mau anei au ma nā steroids?

ʻAʻole pono ka hapanui o nā kānaka i nā steroids mau loa, ʻoiai ke lawe nei ke kaʻina hana hoʻemi i ka manawa a me ke ahonui. ʻO ka lōʻihi lapaʻau maʻamau he 1-2 mau makahiki, me ka hoʻemi mālie ʻana i ka nui. Hiki i ka hapalua o nā kānaka ke hoʻōki i ka lapaʻau, ʻoiai pono kekahi poʻe i nā nui mālama haʻahaʻa no nā manawa lōʻihi. E hana pū kāu kauka me ʻoe e ʻimi i ka nui liʻiliʻi e pono ai a hoʻōki hope loa iā ʻoe inā hiki.

Ua pili anei ka polymyalgia rheumatica i ka rheumatoid arthritis?

ʻOiai ʻelua mau maʻi inflammatory, ʻo ka polymyalgia rheumatica a me ka rheumatoid arthritis he mau maʻi ʻokoʻa me nā kumu a me nā lapaʻau ʻokoʻa. Hoʻopilikia maʻamau ka polymyalgia rheumatica i nā kānaka ma luna o 50 a pane maikaʻi loa i nā steroids, ʻoiai hiki i ka rheumatoid arthritis ke loaʻa i kēlā me kēia makahiki a pono maʻamau i nā lāʻau ʻē aʻe. Eia naʻe, ʻo ka hoʻokaʻawale ʻana ma waena o lākou i kekahi manawa e pono ai ka loiloi pono e kāu kauka.

Hiki i ka hoʻomaʻamaʻa ke hana i ka polymyalgia rheumatica i ʻino aku?

Hoʻomaʻamaʻa mālie ka hoʻomaʻamaʻa mālie ma mua o ka hōʻeha, akā he mea nui ia e hoʻomaka mālie a hoʻolohe i kou kino. Ke kaohi ʻia kou mau hōʻailona me ka lāʻau lapaʻau, hiki i nā hana haʻahaʻa maʻamau e like me ka hele wāwae, ka ʻauʻau, a i ʻole ka hoʻolōʻihi mālie ke kōkua i ka mālama ʻana i kou ikaika a me kou palupalu. E pale i nā hana kiʻekiʻe a i ʻole nā ​​hana ikaika a hiki i kāu kauka ke hāʻawi iā ʻoe i ka hele, a e hoʻōki mau inā ʻike ʻoe i ka ʻeha a i ʻole ka luhi.

He aha kaʻu e hana ai inā manaʻo wau e loaʻa ana iaʻu nā hopena mai ka prednisone?

E hoʻokaʻaʻike i kāu kauka inā ʻoe e ʻike ana i nā hopena hopohopo mai ka prednisone, akā mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke alakaʻi lapaʻau. ʻO nā hopena maʻamau e komo pū ana me ka hoʻonui ʻia o ka makemake, nā loli mood, ka pilikia hiamoe, a me ka hoʻonui ʻia o ka maʻi. Hiki i kāu kauka ke kōkua i ka hoʻokele ʻana i kēia mau hopena a hiki ke hoʻoponopono i kāu nui a hoʻohui i nā lāʻau pale e like me ka calcium a me ka vitamin D no ke olakino iwi.