He aha te Polymyalgia Rheumatica? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te polymyalgia rheumatica he mate pāwera e pā ana ki te mamae o ngā uaua me te ngohe, ina koa i te taha o ō pakihiwi, o ō kaki, me ō huha. Ki te mea kei runga ake i te 50 ō tau, ā, ka oho koe i te ata me te whakaaro kua whiua koe e tētahi waka, me te ngohe nui e tino uaua ai ngā mahi ngāwari penei i te whakatikatika mai i te moenga, te whakaara i ō ringa, pea ko tēnei te mate e pā ana ki a koe.

Ko te ingoa i te tikanga ‘ngā mamae o ngā uaua maha’, ā, ahakoa e rangona ana he wehi, he mate pai te mohiotia e whakautu pai ana ki te maimoatanga. Ko te nuinga o te iwi ka pai ake te ahua i roto i ngā rā i muri i te tīmatanga o te rongoā tika, ahakoa ko te haerenga ki te ora katoa ka hiahia ki te manawanui me te whakahaere tika.

He aha te Polymyalgia Rheumatica?

Ko te polymyalgia rheumatica he mate pāwera e pā ana ki te nuinga o te iwi neke atu i te 50, e pā ana ki te mamae o ngā uaua me te ngohe. Ka whakaeke he te pūnaha ārai mate o tō tinana i ngā kiko ora, ā, ka arahi i te pāwera i te papanga i te taha o ō hononga, ina koa i ō pakihiwi, ō kaki, me ō huha.

Ehara tēnei i te mate uaua, ahakoa tōna ingoa. Ko te mamae me te ngohe e pā ana ki a koe mai i te pāwera i te taha o ō hononga me ngā kiko e karapoti ana i a rātou. Whakaarohia ko te pūnaha tiaki o tō tinana e pohehe ana, ā, e hanga ana i te pāwera kei hea e kore ai e tika.

E rua te maha o ngā wāhine e pā ana ki tēnei mate i te hunga tāne, ā, he tino noa i te hunga o te iwi o te Raki o Ūropi. Ahakoa ka kitea he nui te pānga o ngā tōmhanga i te tīmatanga, ko te rongo pai ko te polymyalgia rheumatica he tino maimoatanga, ā, ko te nuinga o te iwi ka hoki ki ō rātou mahi noa me te tiaki tika.

He aha ngā Tōmhanga o te Polymyalgia Rheumatica?

Ko te tohu tino nui ko te ngohe nui o te ata e taea ana te roa mo ngā haora, e whakaaro ana koe kua mau tō tinana i te po. Ko tēnei ngohe e pā ana ki ngā taha e rua o tō tinana, ina koa i te taha o ō pakihiwi, ō kaki, me ō huha.

Ko ēnei ngā tōmhanga tino noa e pā ana ki a koe:

• Te ngohe nui o te ata e roa ana i te 45 meneti neke atu rānei
• Te mamae mamae i ngā pakihiwi, ngā kaki, me te rohe o ngā huha
• Te uaua ki te whakaara i ō ringa ki runga ake i tō upoko
• Te raruraru ki te whakatikatika mai i te moenga, i ngā tūru rānei
• Te mamae e pā ana ki ngā taha e rua o tō tinana
• Te ngenge e tino kaha ake ana i te ngenge noa
• Te kirika iti (he iti iho i te 101°F)
• Te ngaro o te taumaha kaore i te whakamārama
• Te ahua whānui o te kore pai

Ko te ngohe te mea tino whakahawea, na te mea ka taea e ia te mahi i ngā mahi ngāwari penei i te kakau i ō makawe, te hopu i tētahi mea i runga i te papa, te kakahu rānei i te koti, kia tata kore e taea.

I ētahi wā, ka kitea e koe ngā tōmhanga iti penei i te pupuhi i ō ringa me ō waewae, i te mamae rānei i ō ringa me ō turi. Ka taea e ēnei tōmhanga te whakawhāiti i te whakatau, engari he wāhanga tonu rātou o te tukanga pāwera kotahi.

He aha ngā Take o te Polymyalgia Rheumatica?

Ko te take tika o te polymyalgia rheumatica kaore ano kia mohiotia, engari e whakapono ana ngā kairangahau he hua mai i te whakakotahitanga o te whakawhāiti i te ira me ngā whakaohooho taiao. Ka pohehe te pūnaha ārai mate o tō tinana, ā, ka tīmata ki te whakaeke i ngā kiko ora, e hanga ana i te pāwera e pā ana ki ō tōmhanga.

He maha ngā take e āhei ana ki te whanake i tēnei mate:

• Ngā take ira – ētahi ira e tino pāngia ana koe
• Ngā mate huaketo, mate huakore rānei e āhei ana te whakaohooho i te whakautu ārai mate
• Ngā take taiao kaore ano kia tino mohiotia
• Ngā huringa e pā ana ki te pakeke i roto i tō pūnaha ārai mate

E whakaaro ana ētahi kairangahau ko ngā mate pea he whakaohooho ki te hunga kua tino pāngia ki te mate. Ka whakautu tō pūnaha ārai mate ki te whawhai i te mate, engari ka mau tonu te mahi nui ahakoa kua ngaro te mate.

He mea nui kia mārama kōu kaore i hanga e koe tēnei, kāore rānei e taea te aukati. Ko te whakakotahitanga o ngā take e arahi ana ki te polymyalgia rheumatica he nui atu i tō mana whakahaere, ā, kaore he mōhiohio e āhei ana ngā whiringa noho ki tōna whanaketanga.

Nōhea te Tiro ki te Taakuta mō te Polymyalgia Rheumatica?

Me titiro wawe koe ki tō taakuta ki te pāngia koe e te ngohe nui o te ata e roa atu ana i te 45 meneti, ina koa ki te haere tahi me te mamae o ngā uaua i ō pakihiwi, ō kaki, i ō huha rānei. Kaua e tatari kia pai ake i a ia ano, na te mea ka taea e te maimoatanga wawe te aukati i ngā raruraru me te awhina i a koe kia pai ake te ahua.

Rapua te tiaki hauora ki te pāngia koe e ēnei tohu whakatūpato:

• Te tīmatanga ohorere o te ngohe nui me te mamae
• Te uaua ki te mahi i ngā mahi o ia rā na te ngohe
• Ngā tōmhanga kaore e pai ake me ngā kai whakaora mamae
• Te ngenge e āhei ana ki tō mahi noa
• Te ngaro o te taumaha kaore i te whakamārama, te kirika iti rānei

Me rapu wawe koe i te tiaki hauora ki te whanake koe i ngā mamae ohorere, nui, ngā raruraru tirohanga, i te mamae o te kauae i te ngau. Ko ēnei pea ngā tohu o te mate e hono ana e kiia nei ko te arteritis nui o te pūtau, e hiahia ana ki te maimoatanga wawe hei aukati i ngā raruraru nui penei i te ngaro o te tirohanga.

Kia mahara, ko te polymyalgia rheumatica e whanake ana i te tere, i roto i ngā rā, i ngā wiki rānei. Ki te pāngia koe e ēnei tōmhanga, whakawhirinaki ki ō whakaaro, ā, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora.

He aha ngā Take Pāngia mō te Polymyalgia Rheumatica?

Ko te pakeke te take pāngia nui rawa atu, na te mea ko tēnei mate e pā ana ki te hunga neke atu i te 50, ko te tau toharite o te whakatau ko te 70. Ki te mea kei roto koe i tēnei roopu tau, ā, e pāngia ana koe e ngā tōmhanga, he mea tika te kōrero ki tō taakuta.

He maha ngā take e taea ai te whakanui ake i tō tūmanako ki te whanake i te polymyalgia rheumatica:

• Ko te neke atu i te 50 ō tau (he mea nui)
• Ko te wahine (e rua te maha atu i te hunga tāne)
• Te whai i te tīpuna o te Raki o Ūropi
• Te whai i ētahi tohu ira (HLA-DRB1 me HLA-DQB1)
• Te whai i te hītori whānau o te mate
• Ngā mate huaketo, mate huakore rānei hou

Ahakoa kaore e taea e koe te whakarereke i ēnei take pāngia, ka taea e te mārama ki a rātou te awhina i a koe me tō taakuta ki te mohio tere ake ki te mate ki te whanake ngā tōmhanga. Ko te wāhanga ira e whakaatu ana ki te mea kei a koe ngā mema whānau e pā ana ki te polymyalgia rheumatica, pea he iti ake te pāngia koe.

He mea tika te kōrero kaore te whai i ēnei take pāngia e te tikanga ka whanake koe i te mate. Ko te nuinga o te iwi e whai ana i ngā take pāngia maha kaore e pāngia e te polymyalgia rheumatica, ā, ko ētahi atu e whai ana i ngā take pāngia iti ka whanake i a ia.

He aha ngā Raruraru pea o te Polymyalgia Rheumatica?

Ko te nuinga o te iwi e whai ana i te polymyalgia rheumatica ka ora katoa me te maimoatanga tika, engari he raruraru pea e hiahia ana ki te matapaki. Ko te āhuatanga tino nui ko te whanaketanga o te arteritis nui o te pūtau, he mate e hono ana e taea ana te ngaro o te tirohanga ki te kore e maimoatia wawe.

Ko ēnei ngā raruraru matua e taea ana te puta:

• Te arteritis nui o te pūtau (e pā ana ki te 15-20% o te iwi e whai ana i te polymyalgia rheumatica)
• Ngā pānga mai i te whakamahinga roa o te steroid
• Te ngāwari o te wheua (osteoporosis) mai i te prednisone
• Te whakanui ake i te tūpono o ngā mate
• Te whakanui o te taumaha me ngā huringa ngākau
• Te toto teitei me ngā raruraru huka toto
• Te ngoikore o ngā uaua mai i te kore mahi roa

Ko te arteritis nui o te pūtau te raruraru tino awangawanga na te mea ka taea e ia te pā ki ngā oko toto e whakarato ana i ō kanohi me tō roro. Ki te whanake koe i ngā mamae ohorere, nui, ngā huringa tirohanga, i te mamae o te kauae i te ngau, whakapiri atu wawe ki tō taakuta.

Ko te rongo pai ko te nuinga o ngā raruraru mai i te maimoatanga ka taea te whakahaere me te tirotiro tika me ngā whakarereketanga ki tō rongoā. Ka mahi tahi tō taakuta me koe ki te kimi i te horopeta iti rawa o te rongoā, ā, pea ka tohu i ngā maimoatanga atu hei tiaki i ō wheua me tō hauora whānui.

Me pēhea te Whakatau o te Polymyalgia Rheumatica?

Kaore he whakamātautau kotahi e taea ana te whakatau tika i te polymyalgia rheumatica, na reira ka whakamahi tō taakuta i te whakakotahitanga o ō tōmhanga, te tirotiro tinana, me ngā whakamātautau toto hei mahi i te whakatau. Ko te tukanga e whakauru ana i te whakakore i ētahi atu mate e taea ana te hanga i ngā tōmhanga rite.

Ka tīmata tō taakuta ma te ui i ngā pātai taipitopito mō ō tōmhanga, ina koa te aro ki te tauira o te ngohe me te mamae. Ka hiahia rātou ki te mohio ki te tīmatanga o ngā tōmhanga, te roa o te ngohe o te ata, me ngā wāhanga o tō tinana e pāngia ana.

Ko te tukanga whakatau e whakauru ana i ēnei kaupae:

• Te tirotiro tinana hei aromatawai i te whānuitanga o te nekehanga me te mamae
• Ngā whakamātautau toto hei tirotiro i te pāwera (ngā taumata ESR me CRP)
• Ngā whakamātautau toto hei whakakore i ētahi atu mate (rheumatoid factor, anti-CCP antibodies)
• I ētahi wā ngā rangahau whakaahua penei i te ultrasound, MRI rānei
• Te whakautu ki te maimoatanga steroid (e āhei ana te whakau i te whakatau)

Ko ngā whakamātautau toto he mea nui rawa atu na te mea e whakaatu ana i ngā tohu pāwera teitei. Ko ō taumata erythrocyte sedimentation rate (ESR) me te C-reactive protein (CRP) he nui ake i te noa, e whakaatu ana i te pāwera i roto i tō tinana.

I ētahi wā, pea ka tohu tō taakuta i te whakamātautau o te prednisone iti (he rongoā steroid). Ki te whai koe i te polymyalgia rheumatica, ka pai ake te ahua i roto i ngā rā i muri i te tīmatanga o te maimoatanga, e āhei ana te whakau i te whakatau.

He aha te Maimoatanga mō te Polymyalgia Rheumatica?

Ko te maimoatanga matua mō te polymyalgia rheumatica ko ngā corticosteroids, ko te prednisone te nuinga, e taea ana te whakarato i te whakaora whakamiharo mai i ngā tōmhanga. Ko te nuinga o te iwi ka pai ake te ahua i roto i ngā haora 24 ki te 72 i muri i te tīmatanga o te maimoatanga, me te maha e whakaahua ana i te hokinga mai o ō rātou oranga.

Ko tō mahere maimoatanga e whai ana i tēnei huarahi:

• Te horopeta tīmatanga o te prednisone (te nuinga 15-20 mg ia rā)
• Te whakaiti haere o te horopeta i roto i ngā marama 12-24
• Te tirotiro tonu i ngā tōmhanga me ngā whakamātautau toto
• Ngā rongoā tiaki wheua (calcium, vitamin D, pea ngā bisphosphonates)
• Ngā hui whai muri tonu hei whakarite i te maimoatanga

Ko te ki ki te maimoatanga angitu ko te kimi i te taurite tika i waenganui i te whakahaere i ō tōmhanga me te whakaiti i ngā pānga mai i te rongoā. Ka mahi tahi tō taakuta me koe ki te whakaiti haere i te horopeta prednisone i te wa e tirotiro ana i ō tōmhanga me ngā tohu pāwera.

Pea ka hiahia ētahi iwi ki ētahi atu rongoā penei i te methotrexate, tocilizumab rānei ki te uaua ki te whakaiti i te prednisone, ki te pāngia rānei e ngā pupuhi auau. Ka taea e ēnei rongoā te whakaiti i te nui o te prednisone e hiahiatia ana, ā, pea ka āhei te aukati i ngā whakahokinga.

Ko te roa o te maimoatanga katoa ka rerekē, engari ko te nuinga o te iwi e hiahia ana ki te tango i tētahi momo rongoā mo te 1-2 tau. Ko te hawhe o te iwi ka taea te mutu i te maimoatanga katoa i muri i tēnei wā, ā, ko ētahi atu pea ka hiahia ki te tiaki iti mo ngā wā roa.

Me pēhea te Tiaki i a koe i te wā o te Maimoatanga?

Ahakoa ko te rongoā te pūtake o te maimoatanga, he maha ngā mea e taea ana e koe te mahi i te kāinga hei tautoko i tō ora me te whakaiti i ngā pānga. Ko te noho mahi i roto i ō rohe me te pupuri i ngā tikanga hauora pai ka taea te whakarereke nui i tō ahua.

Ko ēnei ngā rautaki tiaki whaiaro nui hei whakaaro:

• Te whakakori ngawari penei i te hikoi, te kauhoe rānei hei pupuri i te kaha
• Ngā whakakorikori whakawhāiti hei whakapai ake i te ngawari me te whakaiti i te ngohe
• Te kai i te kai nui o te calcium hei tiaki i ō wheua
• Te whiwhi i te moe tika me te whakahaere i te ahotea
• Te tango i ngā rongoā tika i te mea i tohua
• Te tirotiro i ō tōmhanga me te ripoata i ngā huringa ki tō taakuta
• Te tiaki i a koe mai i ngā mate i te wā e tango ana koe i ngā steroid

Ko te mahi tinana he mea nui rawa atu na te mea e āhei ana te pupuri i tō kaha uaua me te nui o te wheua i te wā e tango ana koe i te prednisone. Tīmata haere haere, ā, whakanuia haere haere tō taumata mahi i te wa e pai ake ana ō tōmhanga, ā, e whakaae ana tō taakuta.

Tātai ki ngā tohu a tō tinana, ā, kaua e pehi i te mamae nui, engari kaua hoki e tuku i te wehi ki te kore e pai te noho kore mahi. Ko te nuinga o te iwi e kite ana ko te nekehanga ngawari e āhei ana te whakaiti i te ngohe me te mamae i te wā.

Me pēhea te Whakamahere mō tō Hui Taakuta?

Ko te whakamahere mō tō hui taakuta ka taea te awhina i te whakarite kia whiwhi koe i te whakatau tika rawa atu me te mahere maimoatanga whai hua. Ko te kawe mai i ngā mōhiohio taipitopito mō ō tōmhanga me tō hītori hauora ka āhei te awhina i tō taakuta ki te mārama pai ake ki tō āhuatanga.

I mua i tō hui, kohikohia ēnei mōhiohio nui:

• Te whakaahuatanga taipitopito o ō tōmhanga, tae atu ki te tīmatanga o rātou
• Rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Mōhiohio mō ngā mate, mate huakore rānei hou
• Hītori whānau o ngā mate ārai mate, mate pāwera rānei
• Ngā pātai mō ngā whiringa maimoatanga me te mea e tatari ana
• Ngā hua whakamātautau toto o mua, ngā rēkōta hauora rānei

Ka taea te awhina ki te pupuri i te tātai tōmhanga mo ngā rā i mua i tō hui, te tohu i te wā e tino kino ana te ngohe, ngā mahi e uaua ana, me te huringa o ngā tōmhanga i te rā. Ka taea e ēnei mōhiohio te whakarato i ngā tohu nui mō tō taakuta.

Kaua e whakaroa ki te kawe mai i tētahi mema whānau, hoa rānei ki te hui, ina koa ki te pāngia koe e ngā tōmhanga. Ka taea e rātou te awhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko i te wā pea he wā ahotea.

He aha te Tātaitanga Matua mō te Polymyalgia Rheumatica?

Ko te polymyalgia rheumatica he mate tino maimoatanga e, ahakoa he wehi me te ngoikore i te tīmatanga, e whakautu pai ana ki te maimoatanga tika. Ko te mea nui rawa atu hei mahara ko te whakatau me te maimoatanga wawe ka taea te awhina i a koe ki te hoki ki ō mahi noa i te tere.

Me te tiaki hauora tika, ko te nuinga o te iwi ka pai ake te ahua o ō rātou tōmhanga i roto i ngā rā i muri i te tīmatanga o te maimoatanga. Ahakoa ko te kaupapa maimoatanga katoa pea ka roa te 1-2 tau, ko te nuinga o te iwi ka taea te pupuri i ngā oranga mahi, whai hua i roto i tēnei wā.

Ko te ki ki te angitu ko te mahi tata me tō rōpū hauora, te tango i ngā rongoā i te mea i tohua, me te manawanui ki te tukanga whakaiti haere. Kia mahara he pai te tohu o tēnei mate, ā, ko te nuinga o te iwi ka ora katoa kaore he pānga roa.

Ngā Pātai Auau e Pā ana ki te Polymyalgia Rheumatica

Ka hoki mai te polymyalgia rheumatica i muri i te maimoatanga?

Ae, ka taea te hoki mai te polymyalgia rheumatica ki ētahi iwi, ina koa ki te mutu tere te rongoā. Ko te 25% o te iwi e pāngia ana e te whakahokinga i tētahi wā, engari ehara tēnei i te tikanga e kino haere ana te mate. Ki te hoki mai ngā tōmhanga, ka taea e tō taakuta te whakarite i tō mahere maimoatanga, ā, pea ka pai ake te ahua i te tere me te rongoā i whakahokia mai, i whakanuia rānei.

Ka noho tonu ahau ki ngā steroid?

Ko te nuinga o te iwi kaore e hiahia ki ngā steroid mō ake tonu atu, ahakoa ko te tukanga whakaiti ka hiahia ki te wā me te manawanui. Ko te roa o te maimoatanga noa ko te 1-2 tau, me ngā whakaiti horopeta haere haere. Ko te hawhe o te iwi ka taea te mutu i te maimoatanga katoa, ā, ko ētahi atu pea ka hiahia ki ngā horopeta tiaki iti mo ngā wā roa. Ka mahi tahi tō taakuta me koe ki te kimi i te horopeta iti rawa e whai hua ana, ā, ka mutu rawa atu ki te taea.

E hono ana te polymyalgia rheumatica ki te mate rheumatoid?

Ahakoa ko ngā mate pāwera e rua, ko te polymyalgia rheumatica me te mate rheumatoid he mate rerekē me ngā take me ngā maimoatanga rerekē. Ko te polymyalgia rheumatica e pā ana ki te hunga neke atu i te 50, ā, e whakautu pai ana ki ngā steroid, ā, ko te mate rheumatoid ka puta i tetahi tau, ā, e hiahia ana ki ngā rongoā rerekē. Heoi, ko te wehewehe i waenganui i a rātou i ētahi wā ka hiahia ki te aromatawai tika e tō taakuta.

Ka taea e te whakakori te whaka kino i te polymyalgia rheumatica?

Ko te whakakori ngawari e āhei ana te awhina i te kino, engari he mea nui te tīmatanga haere haere me te whakarongo ki tō tinana. Kia whakahaeretia ō tōmhanga me te rongoā, ka taea e ngā mahi iti penei i te hikoi, te kauhoe, i te whakawhāiti ngawari te awhina i te pupuri i tō kaha me tō ngawari. Kaua e mahi i ngā mahi nui, i ngā mahi kaha rānei kia hoatu e tō taakuta te go-ahead, ā, mutu tonu ki te pāngia koe e te mamae nui atu, te ngenge rānei.

Me aha ahau ki te whakaaro ahau kei te pāngia ahau e ngā pānga mai i te prednisone?

Whakapiri atu ki tō taakuta ki te pāngia koe e ngā pānga e awangawanga ana mai i te prednisone, engari kaua e mutu te tango i te rongoā kaore he aratohu hauora. Ko ngā pānga noa e whakauru ana i te whakanui ake i te hiahia kai, ngā huringa ngākau, te uaua ki te moe, me te whakanui ake i te tūpono ki ngā mate. Ka taea e tō taakuta te awhina i te whakahaere i ēnei pānga, ā, pea ka whakarite i tō horopeta, i te tāpiri rānei i ngā rongoā tiaki penei i te calcium me te vitamin D mō te hauora wheua.