Dermatomyositis Chii? Zviratidzo, Zvinokonzera, & Kurapwa

Dermatomyositis chirwere chinopisa chisina kujairika chinotambudza tsandanyama ne ganda. Chinoita kuti tsandanyama dzishome simba uye ganda riite ganda rakashata, zvichiita kuti mabasa ezuva nezuva akadai sekukwira matanho kana kukwidza zvinhu zvive zvakaoma kupfuura zvakajairwa.

Iyi chirwere che autoimmune chinoitika kana sisitimu yako yekudzivirira muviri ichirwisa zvisizvo tishu dzetサンドanyama neganda dzakakwana. Kunyange zvazvo zvinonzwa zvakanyanya, kunzwisisa zviri kuitika mumuviri mako kunogona kukubatsira kushanda nesangano rako rezvekurapa kuti utungamirire zviratidzo zvakanaka.

Dermatomyositis chii?

Dermatomyositis iri muchikwata chezvirwere zve tsandanyama zvinonzi inflammatory myopathies. Sisitimu yako yekudzivirira muviri inogadzira kupisa mune mafayibha etsandanyama nemidziyo midiki yeropa muganda rako, zvichiita kuti pave nekusanganiswa kwekushomeka kwesimba retsandanyama nekushanduka kwe ganda.

Ichi chirwere chinogona kutambudza vanhu vemazera ese, kunyange zvazvo kazhinji chinoonekwa muvakuru vane makore 40-60 uye vana vane makore 5-15. Kana chikaitika kuvana, vanachiremba vanochidaidza kuti juvenile dermatomyositis, iyo kazhinji ine muenzaniso wakasiyana wezviratidzo.

Kusiyana nemamwe mamiriro etsandanyama, dermatomyositis inosanganisira nguva dzose kushanduka kwe ganda pamwe nekukura kwesimba retsandanyama. Izvi zvinoita kuti zvive nyore kuvanachiremba kuziva, kunyange zvazvo kukomba kunogona kusiyana zvikuru kubva kumunhu mumwe chete.

Zviratidzo zve dermatomyositis ndizvipi?

Zviratidzo zve dermatomyositis zvinobudirira zvishoma nezvishoma uye zvinotambudza tsandanyama neganda rako. Ndinoda kukuratidza zvaunogona kuona, uchifunga kuti munhu wese anonzwa ichi chirwere zvakasiyana.

Zviratidzo zvine chekuita netsandanyama zvaunogona kuona zvinosanganisira:

• Kushaya simba kwemhasuru zvishoma nezvishoma, kunyanya mumafudzi ako, maoko epamusoro, chiuno, nemakumbo
• Kuomerwa kumuka pachigaro, kukwira matanho, kana kusvika kumusoro
• Kuomerwa kukwenya kana kuchinja kuri inzwi rako
• Kurwadziwa kwemhasuru nekukwenya, kunyange hazvo izvi zvisiri nguva dzose zvinoonekwa
• Kuneta kunonzwa kwakasimba kupfuura kuneta kwenguva dzose

Kuchinja kwe ganda kazhinji ndicho chinhu chekutanga vanhu vanozviona uye kunogona kuoneka usati washaya simba remhasuru:

• Mvere dzakasiyana siyana dzine ruvara rwepurple kana tsvuku dzakapoteredza maziso ako, kazhinji dzine kuzvimba
• Mvere dzvuku kana dzine ruvara rwepurple pamusoro pemafudzi ako, magaro, kana mazamu (inodaidzwa kuti Gottron's papules)
• Mvere pamusoro pechifuva chako, kumashure, kana mapendekete anogona kuipa nekuonekwa kwezuva
• Ganda rakapfava, rakasviba pamunwe wako nemarimo
• Kuchinja kwakapoteredza misumari yako ine midzi midiki yeropa inoonekwa

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika zvinogona kukanganisa zvimwe zvikamu zvemuviri. Izvi zvinogona kusanganisira kushomeka kwekufema kana mamiriro acho akakanganisa mhasuru dzako dzemapapu, kurwadziwa kwejoini pasina kuzvimba kwakanyanya, kana calcium deposits pasi peganda rinonzwa sekunge mahombekombe maduku, akaoma.

Zvakakosha kurangarira kuti dermatomyositis inogona kutaridzika zvakasiyana kubva kune munhu kune mumwe munhu. Vamwe vanhu vane kuchinja kwakajeka kwepande nekushaya simba kwemhasuru, nepo vamwe vachinzwa zvakapesana.

Marudzi eDermatomyositis ndeapi?

Vanachiremba vanokamura dermatomyositis mumapoka akati wandei zvichienderana nezera rekutanga uye hunhu hwakakosha. Kunzwisisa kusiyana uku kunogona kukubatsira kutaurirana nenzira iri nani nechikwata chako chehutano nezve mamiriro ako chaiwo.

Dermatomyositis yevanhu vakuru kazhinji inoonekwa pakati pemakore 40-60 uye inotevera muenzaniso wakajairika wekushaya simba kwemhasuru pamwe nekuchinja kwe ganda. Iyi fomu dzimwe nguva inoitika pamwe chete nemamwe mamiriro e autoimmune kana, mumamiriro ezvinhu asingawanzoitika, inogona kusanganiswa nekenza iri pasi.

Dermatomyositis inouraya inotapura vana nechirove, kazhinji ichioneka pakati pemakore mashanu kusvika gumi nemashanu. Kunyange zvazvo ine zviratidzo zvakawanda zvakafanana neyevakuru, vana vanowanzowana calcium deposits pasi peganda ravo zvakanyanya uye vangave nekuonekwa kwakanyanya kwezvipembenene zveropa.

Dermatomyositis inoratidza amyopathic clinically chimiro chakasiyana apo unowana kuchinja kwe ganda kunoratidza pasina kuoma kwakanyanya kwemhasuru. Izvi hazvirevi kuti mhasuru dzako hadzina kukanganiswa zvachose, asi kushaya simba kungave kushoma zvekuti hauzvioni mumabasa ezuva nezuva.

Dermatomyositis inobatanidzwa nekenza inoitika kana mamiriro acho aoneka pamwe chete nemhando dzakati dzekenza. Ukama uhu hunowanzoitika muvakuru, kunyanya avo vane makore anopfuura makumi mana nemashanu, uye chiremba wako anowanzoongorora mukana uyu panguva yekuongororwa kwako.

Chii chinokonzera dermatomyositis?

Dermatomyositis inoitika kana sisitimu yako yekudzivirira muviri ichipikisana uye ichitanga kurwisa tishu dzako dzakafanira. Chikonzero chaicho chekusashanda kwesisitimu iyi yekudzivirira muviri hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti zvinogona kusanganisira zvinhu zvakawanda.

Zvakagadzirwa nemagwenga ako zvinogona kunge zvine basa mukukugadzirira kuti uve ne dermatomyositis. Zvimwe zvakasiyana-siyana zvemagwenga zvinoita sekukwidziridza njodzi, kunyange kuva nemagene aya hazvirevi kuti uchave nechirwere ichi.

Zvinokonzera zvakatipoteredza zvinogona zvakare kuita kuti dermatomyositis ioneke. Izvi zvinokonzera zvinogona kusanganisira hutachiona hwehutachiona, kuiswa kune mimwe mishonga, kana kunyange kuiswa kwezuva kwakasimba. Zvisinei, zvakakosha kunzwisisa kuti zvinhu izvi hazvikonzeri chirwere chaicho asi zvinogona kuzviita muvanhu vane magwenga akatovepo.

Muenzaniso, kunyanya muvakuru, dermatomyositis inogona kuitika sechibvumirano chekuita kwemuviri wose kwakasimba kunokonzerwa nekuvapo kwekenza kune imwe nzvimbo mumuviri. Kuita kwesisitimu yekudzivirira muviri kumasero ekenza kungave kwakakanganisa tishu dzemhasuru neganda.

Zvinokosha kunzwisisa kuti dermatomyositis haina kuzara, uye hauna kuita chero chinhu chakaikonzeresa. Haisi mugumisiro wekurovedza muviri zvakanyanya, kudya kusina kunaka, kana kusarudza mararamiro.

Rini unofanira kuona chiremba nezve dermatomyositis?

Unofanira kutsvaka rubatsiro rwechiremba kana ukaona kusanganiswa kwekupera simba kwemhasuru uye kuchinja kwe ganda, kunyanya kuzvimba kwakajairika kumeso kana pamusoro pemafemo ako. Kuongororwa nekukurumidza kurapwa kunogona kuita musiyano mukuru mukugadzirisa mamiriro ezvinhu aya.

Taura nachiremba wako nekukurumidza kana uri kunetseka kumeza, sezvo izvi zvingakanganisa kugona kwako kudya zvakachengeteka uye zvingada kutarisirwa nekukurumidza. Zvakafanana, kana ukawana kufema kwakaoma kana kurwadziwa paburiro, zviratidzo izvi zvinogona kuratidza kunetseka kwemapapu uye zvinoda kuongororwa nekukurumidza.

Usamirira kana ukaona kuipisisa kukurumidza kwekupera simba kwemhasuru, kunyanya kana kuri kukanganisa kugona kwako kuita mabasa ezuva nezuva senge kupfeka, kufamba, kana kukwira matanho. Kuita nekukurumidza kunogona kubatsira kudzivirira kukuvara kwemhasuru.

Kana watoongororwa kuti une dermatomyositis, tarisa zviratidzo zvinoratidza kuti mamiriro ako angave ari kuipa pasinei nekurapwa. Izvi zvinosanganisira kuzvimba kwepanyama, kupera simba kwemhasuru, kana kuoneka kwezvimwe zviratidzo senge kukosora kwenguva refu kana fivha.

Ndedzipi njodzi dze dermatomyositis?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana dermatomyositis, kunyangwe kuva nezvinhu izvi zvenjodzi hazvirevi kuti uchawana mamiriro acho. Kunzwisisa izvi kunogona kukubatsira kuramba uchiri pakati pezviratidzo zvepakutanga.

Zera rinotamba basa rakakura, nemakore maviri akakosha apo dermatomyositis inowanzoonekwa. Yekutanga iri muhudiki, kazhinji pakati pemakore 5-15, uye yechipiri iri pakati pehudiki, kazhinji pakati pemakore 40-60.

Kuva mukadzi kunowedzera njodzi yako, sezvo vakadzi vane mukana wekupfuura kaviri wekuwana dermatomyositis pane varume. Kusiyana uku kwepabonde kunoratidza kuti zvinhu zvine chekuita nemahomoni zvingave zvine basa, kunyange zvazvo nzira chaiyo isiri pachena.

Kuve nemamwe mamiriro ezvirwere zve autoimmune mumhuri yako kunogona kuwedzera njodzi yako zvishoma. Mamiriro ezvinhu akadai serheumatoid arthritis, lupus, kana scleroderma muhama dzapedyo anoratidza kuti pane chirwere che autoimmune munzvimbo yose.

Zviratidzo zvemagene zvakati, kunyanya shanduko dzakakosha mumagene ane chekuita nekuita kwema immune, zvinoonekwa kazhinji muvanhu vane dermatomyositis. Zvisinei, bvunzo yemagene yezviratidzo izvi haisi kuitwa nguva dzose sezvo kuva nazvo hazvirevi kuti uchawana chirwere ichi.

Kune vakuru, kunyanya avo vane makore anopfuura 45, kuva nemarudzi akati ekenza kunogona kuwedzera njodzi yekuwana dermatomyositis. Ukama uhu hunoshanda munzira mbiri - dzimwe nguva dermatomyositis inoonekwa kutanga, ichitungamira pakuwana kenza iri pasi.

Zvii zvinogona kuitika zvinetso zve dermatomyositis?

Kunyangwe dermatomyositis ichikanganisa kunyanya tsandanyama neganda, dzimwe nguva inogona kusanganisira zvimwe zvikamu zvemuviri wako. Kunzwisisa zvinogona kuitika zvinetso kunokubatsira kuziva zviratidzo zvekuchengetedza uye nguva yekutsvaga kurapwa kwakawanda.

Zvinetso zvemapapu zvinogona kuitika kune vamwe vanhu vane dermatomyositis, uye izvi zvinoda kutarisirwa kwakanyanya. Ungave une kufema kwakaoma, chikosoro chakaoma chinogara, kana kuneta kunoratidzika kunge kwakawanda pane kushaya simba kwetsandanyama. Zviratidzo izvi zvinogona kuratidza kuzvimba mumapapu ako kana kuita mavara etishu remapapu.

Zvinetso zvekumeza zvinogona kuitika kana tsandanyama mudumbu rako neesophagus zvikaoma. Izvi zvinogona kutanga sekuchema kamwe kamwe kana kunzwa sekunge chikafu chakatambanudzwa, asi zvinogona kuenda kune zvinetso zvakakomba zvine chekuita nezvokudya uye kuwedzera njodzi yako yekuwana pneumonia kubva pakumeza chikafu kana zvinwiwa zvisina kunaka.

Kunetsekana kwemoyo hakwanzoitika asi kunogona kuva kwakakomba kana kwakaitika. Tsandanyama yemoyo yenyu ingangoerekana yavavuka, zvichiita kuti muve nekupuruzira kwemoyo, kurwadziwa pabvudzi, kana kufema kushoma panguva yekuita mabasa ayo kare aisakunetsa.

Kuunganidzwa kwe calcium pasi peganda renyu, kunonzi calcinosis, kunowanzoitika kuvana vane dermatomyositis asi kunogonawo kuitikawo kune vakuru. Izvi zvinonzwa sekungave nehuni pasi peganda renyu uye dzimwe nguva zvinogona kuputsa pamusoro, zvichiita kuti pave nemaronda anorwadza.

Kune vakuru, kunyanya avo vane makore anopfuura 45, pane njodzi yakawedzera yekuwana maronda emhando dzakasiyana kana usati, panguva, kana mushure mekuziva dermatomyositis. Maronda anowanzoenderana anosanganisira ovarian, mapapu, mazamu, uye maronda egastrointestinal.

Zvakakosha kuyeuka kuti vanhu vazhinji vane dermatomyositis havawani zvinetso izvi, kunyanya nekurapwa kwakakodzera uye kutarisirwa. Timu yako yekuchengetedza utano icharinda zviratidzo zvepakutanga uye ichichinja chirongwa chako chekurapa nenzira yakakodzera.

Dermatomyositis inogona kudzivirirwa sei?

Zvinosuruvarisa, hapana nzira inozivikanwa yekudzivirira dermatomyositis sezvo iri chirwere che autoimmune chine zvinokonzera zvisingazivikanwe. Zvisinei, kune matanho aunogona kutora kuti uzvidzivirire kubva kune zvinhu zvingaita kuti mamiriro ezvinhu aipisise kana kuti zvinokonzera kuwedzera kwezviratidzo.

Kudzivirirwa kwezuva kunokosha zvikuru kune vanhu vane dermatomyositis, sezvo kusimbiswa kweUV kunogona kuwedzera zviratidzo zve ganda uye zvinogona kukonzera kuwedzera kwezviratidzo zverwere. Shandisa sunscreen yakafara-spectrum ine angangoita SPF 30, pfeka nguo dzinodzivirira, uye tsvaga mumumvuri panguva dzezuva rakasimba.

Kudzivisa zvinokonzera zvinozivikanwa, kana zvichibvira, zvinogona kubatsira kuderedza njodzi yekuwedzera kwezviratidzo kana iwe uchitova nerwere. Vamwe vanhu vanonzwa kuti mishonga yakati, hutachiona, kana kuwedzera kwepfungwa zvinoita sekunyanya kuwedzera zviratidzo zvavo.

K kuchengetedza hutano hwakanaka hwakazara kuburikidza nekurapwa kwakajairwa kwemishonga, kuramba uine majekiseni ekudzivirira, uye kutarisira zvimwe zvirwere zvehutsanana zvinogona kubatsira muviri wako kuti ubudirire zvirinani nezvinetso zve autoimmune.

Kana uine nhoroondo yemhuri yezvirwere zve autoimmune, kuramba uine hanya nezviratidzo zvepakutanga uye kutsvaga rubatsiro rwekurapa nekukurumidza pazviratidzo zvinotyisa zvinogona kutungamira pakuzivo nekurapwa kwekukurumidza, izvo kazhinji zvinotungamira kumigumisiro iri nani.

Dermatomyositis inozwiwa sei?

Kuziva dermatomyositis kunosanganisira kusanganiswa kwekuongororwa kwemuviri, bvunzo yeropa, uye dzimwe nguva maitiro ekuwedzera. Chiremba wako acharamba achitarisa kusanganiswa kwekuora simba kwemhasuru uye kuchinja kwe ganda kunotsanangura mamiriro ezvinhu aya.

Bvunzo yeropa ine basa rinokosha mukuziva uye kutarisira. Chiremba wako acharamba achitarisa ma enzymes emhasuru akakwira senge creatine kinase, iyo inoyerera muropa rako kana ma fiber emhasuru akakuvadzwa. Vachaedzawo kutarisa ma antibodies chaiwo anowanzovapo muvanhu vane dermatomyositis.

Electromyogram (EMG) inogona kuitwa kuti iyerese basa remagetsi mumasuru ako. Bvunzo iyi inogona kuratidza maitiro ekukuvara kwemhasuru ayo ari echirwere chekuzvimba kwemhasuru senge dermatomyositis.

Dzimwe nguva biopsy yemhasuru inodiwa, uko sampuli diki yetsinga yemhasuru inobviswa uye inotarwa pasi pemikroskopu. Izvi zvinogona kuratidza maitiro ekukonzera kuzvimba uye kubatsira kubvisa mamwe mamiriro emhasuru.

Chiremba wako anogonawo kukurudzira kudzidza kwemafuta senge MRI scans kutarisa kuzvimba kwemhasuru uye kuongorora huwandu hwekubatanidzwa. X-rays yechipfuva kana CT scans inogona kurairwa kutarisa matambudziko emumapfupa.

Kana uri mukuru, kunyanya kupfuura 45, chiremba wako achaongorora zvirwere zvine chekuita kuburikidza nebvunzo dzakasiyana. Kuongororwa uku chikamu chakakosha chekuongorora uye kutarisirwa kuri kuenderera mberi.

Kurapwa kwe dermatomyositis chii?

Kurapa dermatomyositis kunonyanya kukoshesa kudzikisa kuzvimba, kuchengetedza simba remhasuru, uye kutarisira zviratidzo zve ganda. Chirongwa chako chekurapa chichagadzirirwa zviratidzo zvako chaiwo nezvaunoda, uye chinogona kuchinja nguva nenguva.

Corticosteroids, senge prednisone, kazhinji ndiwo kurapa kwekutanga kwe dermatomyositis. Mishonga iyi ine simba inorwisa kuzvimba inogona nekukurumidza kudzikisa kuzvimba kwemhasuru uye kuvandudza simba. Chiremba wako anowanzo tanga nehuwandu hukuru uye anozvidzikisa zvishoma nezvishoma sezvo zviratidzo zvako zvichivandudza.

Mishonga inodzora sisitimu yekudzivirira muviri inowanzowedzerwa kubatsira kudzora chirwere ichi ichibvumira chiremba wako kudzikisa huwandu hwe steroid. Sarudzo dzinowanzoita dzinosanganisira methotrexate, azathioprine, kana mycophenolate mofetil. Mishonga iyi inoshanda zvishoma nezvishoma kupfuura steroids asi inopa kutonga kwenguva refu kwechirwere.

Kune zviitiko zvakakomba kana mishonga yakawanda isingashande, chiremba wako angakurudzira intravenous immunoglobulin (IVIG) kurapa. Kurapa uku kunosanganisira kugamuchira maantibodies kubva kune vanopa vane hutano, izvo zvinogona kubatsira kudzikamisa sisitimu yako yekudzivirira muviri inoshanda zvakanyanya.

Mishonga mitsva yemabiolojiki, senge rituximab, inogona kufungwa kune zviitiko zvakaoma kurapa. Aya ma kurapa anoratidza zvikamu zvakati wandei zve sisitimu yekudzivirira muviri uye anogona kuva anoshanda kwazvo kune vamwe vanhu.

Kurapa kwemuviri kunotamba basa rinokosha mukugadzirisa nekugadzirisa simba remhasuru nekugwinya. Chiremba wako wekurapa kwemuviri achaita maekisesaizi anoenderana nehuremu hwako hwezvino hwemhasuru uye kubatsira kudzivirira kuoma kwemhasuru.

Kune zviratidzo zve ganda, chiremba wako anganyora mishonga inoshandiswa paganda kana kukurudzira maitiro chaiwo ekutarisira ganda. Mishonga inorwisa malaria senge hydroxychloroquine inogona dzimwe nguva kubatsira nezviratidzo zve ganda.

Maitiro ekutarisira dermatomyositis pamba?

Kutarisira dermatomyositis pamba kunosanganisira kutarisira magaro ako ne ganda uchitsigirawo utano hwako hwese. Nzira idzi dzinogona kuwedzera kurapwa kwako kwemishonga uye kukubatsira kunzwa uchikwanisa kudzora mamiriro ako.

Kuita zvemitambo zvinyoro nyoro, nguva dzose, zvakakosha pakuchengetedza simba remagaro uye kunyanya, asi zvakakosha kuwana nhamburiko chaiyo. Shanda nemunyanzvi wako wekurapa kuti ugamuchire purogiramu yekurovedza muviri inokurudzira magaro ako pasina kukonzera kuneta kwakanyanya kana kuzvimba.

Kuvhara ganda rako kubva pakufuridzirwa nezuva kwakakosha, sezvo mwaranzi yeUV inogona kuipa zviratidzo zve ganda uye zvinogona kutanga chirwere. Shandisa sunscreen yakafara-spectrum zuva nezuva, pfeka zvipfeko zvinodzivirira, uye funga nezvemafirimu emahwindo anodzivirira UV kune mota yako nemba.

Kudya chikafu chine utano, chakaenzana kunogona kubatsira kutsigira sisitimu yako yekudzivirira uye kupa simba muviri wako unoda kurapa. Kana uri kutora corticosteroids, tarisa zvekudya zvine calcium yakawanda uye vitamin D kuchengetedza hutano hwako hwemashizha.

Kutarisira kuneta kazhinji dambudziko guru rine dermatomyositis. Rongedza mabasa ako panguva yaunowanzova nesimba rakawanda, waparadzanisa mabasa makuru kuva zvidiki, uye usambofa wakashamisika kukumbira rubatsiro kana uchida.

Nzira dzekudzora kushushikana senge kufungisisa, yoga nyoro, kana kufema kwakadzika kunogona kubatsira kuderedza kuwedzera kwechirwere. Vanhu vazhinji vanoona kuti matambudziko akakwirira anogona kuipa zviratidzo zvavo.

Chengeta zviratidzo zvako, kusanganisira zvinowedzera kana zvinoderedza. Ruzivo urwu runogona kukosha kune timu yako yekuchengetedza hutano pakugadzirisa chirongwa chako chekurapa.

Ungagadzirira sei kuenda kuna chiremba wako?

Kuagadzirira kuenda kuna chiremba wako kunogona kukubatsira kuti uwane zvakanyanya panguva yenyu pamwe chete uye kuve nechokwadi chekuti unowana ruzivo nekurapa kwaunoda. Kugadzirira kwakanaka kunobatsirawo chiremba wako kunzwisisa mamiriro ako zvakanaka uye kugadzirisa kurapwa kwako nenzira yakakodzera.

Chengeta dhairesi yezviratidzo usati wasvika pakuzviwonera nachiremba, uchinyora shanduko simba remhasuru, zviratidzo zvitsva zveganda, matanho ekuneta, uye chero migumisiro yemishonga. Taura nezvezviitiko chaizvo zvekuti zviratidzo zvinokanganisa sei mabasa ako ezuva nezuva.

Uye uunze rondedzero yakazara yemishonga yose yaunotora, kusanganisira mishonga inorayirwa nachiremba, mishonga inowanikwa pasina kurairwa nachiremba, uye zvinowedzerwa. Nyorawo huwandu hwemushonga unotora uye nguva yaunotora nayo, sezvo mimwe mishonga inogona kusangana nemishonga yekurapa dermatomyositis.

Gadzira rondedzero yemibvunzo yaunoda kubvunza chiremba wako. Funga kubvunza nezve mamiriro ezvirwere zvako zvino, chero shanduko dzinodiwa pamishonga, nguva yekuronga bvunzo dzekutevera, uye zviratidzo zvipi zvinofanira kukukurudzira kuti ufona ku hofisi.

Kana iri shanyo yako yekutanga nekuda kwezvinetso zve dermatomyositis,unganidza nhoroondo yezvehutano hwemhuri, kunyanya chero zvirwere zve autoimmune kana kenza muhama dzako dzepamhuri. Fungawo nezve chero shanduko dzichangobva kuitika muhupenyu hwako dzingave dzakakosha, senge mishonga mitsva, hutachiona, kana kusimba kwakashata kwezuva.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri pakuenda kwako kuchiremba. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa, kunyanya pakurukura zvisarudzo zvekurapa dzakaoma.

Chii chinonyanya kukosha nezve dermatomyositis?

Dermatomyositis chirwere chinogona kudzorwa, kunyangwe chinganzwikwa chakaoma kana uchangoongororwa. Nekurapa kwakakodzera nekutarisirwa, vanhu vazhinji vane chirwere ichi vanogona kuchengetedza hupenyu hwakanaka uye kuramba vachibatanidzwa mumabasa avanofarira.

Kuongororwa nekurapwa kwakakurumidza zvakakosha kuti uwane mhinduro dzakanakisa. Kusanganiswa kwekukura kwemahasuru uye shanduko dze ganda zvinoita kuti dermatomyositis ioneke zviri nyore, zvinoreva kuti unogona kuwana kurapwa kwakakodzera nekukurumidza kana zviratidzo zvaonekwa.

Chirongwa chekurapa kwako chichava chinoshinga kuchinja nekufamba kwenguva sezvo vanachiremba vako vakadzidza kuti muviri wako unopindura sei mishonga yakasiyana uye sezvo kurapwa kwakasiyana kuchiri kuwanikwa. Izvi zvakajairika uye hazvirevi kuti mamiriro ako ari kuipa.

Yeuka kuti uri chikamu chakakosha chechikwata chehutano hwako. Kucherechedza kwako nezviratidzo, migumisiro yemishonga, uye zvinobatsira kana zvinokuvadza mamiriro ako zvinopa ruzivo rwakakosha runotungamira kurapwa kwako.

Kunyangwe dermatomyositis ichida kutarisirwa kwakagara kwenguva refu, vanhu vazhinji vanoona kuti nekufamba kwenguva, vanogadzira nzira dzinoshanda dzekutonga zviratidzo zvavo uye vanogona kudzoka kune zviitiko zvavo zvakawanda zvakajairika.

Mibvunzo inobvunzwa kazhinji nezve dermatomyositis

Dermatomyositis inotapuriranwa here?

Kwete, dermatomyositis haisi kutapuriranwa. Iyo mamiriro ezvinhu e autoimmune uko sisitimu yako yekudzivirira inorwisa tishu dzakakodzera. Haugoni kuibata kubva kune mumwe munhu, kana kuti unogona kuipasa kuhama kana shamwari kuburikidza nekubata.

Dermatomyositis inogona kupora here?

Parizvino, hapana mushonga we dermatomyositis, asi mamiriro ezvinhu anorapika zvikuru. Vanhu vazhinji vanosvika pakuporesa, zvinoreva kuti zviratidzo zvavo zvinova zvishoma kana kupera zvachose nekurapwa kwakakodzera. Chinangwa chekurapa ndechekudzora kuzvimba, kuchengetedza basa remhasuru, uye kukubatsira kuchengetedza hupenyu hwakanaka.

Ndichada here kutora mishonga kweupenyu hwangu hwese?

Izvi zvinosiyana zvakanyanya kubva kune munhu mumwe chete. Vamwe vanhu vanogona pakupedzisira kuderedza kana kumisa mishonga yavo kana vakasvika pakuporesa kwenguva refu, nepo vamwe vachida kurapwa kwenguva refu kuchengetedza zviratidzo zvavo zvakadzorwa. Chiremba wako acashanda newe kuwana kurapwa kwakakodzera kwakanyanya kunodzivirira mamiriro ako akagadzikana.

Ndingaita here kurovedza muviri ne dermatomyositis?

Hungu, kurovedza muviri kwakakodzera kunobatsira chaizvo vanhu vane dermatomyositis. Zvisinei, zvakakosha kushanda nechikwata chehutano hwako, kunyanya chiremba wekurapa muviri anoziva nezvirwere zvemajoini zvinopisa, kuti vagadzire purogiramu yekurovedza muviri yakachengeteka. Chinhu chikuru ndechekuwana nhamburiko yakakodzera pakati pekuchengetedza simba remazamu uye kusashanda zvakanyanya majoini anopisa.

Dermatomyositis inogara ichisanganisira kenza here?

Kwete, dermatomyositis haigari ichisanganisira kenza. Kunyange zvazvo paine njodzi yakawedzera yekenza dzakati, kunyanya muvakuru vane makore anopfuura 45, vanhu vakawanda vane dermatomyositis havazomboiti kenza. Chiremba wako achaongorora kenza dzinosanganiswa sechikamu chekurapa kwako, asi iyi ndiyo nzira yekuchengetedza, kwete chiratidzo chekuti kenza haina kudzivisika.