Matšoao a Letlalo a Ts'ebelisoang ke Boloetse
Dermatomyositis ke lefu la ho ruruha ( myopathy ) le amang haholo letlalo le mesifa empa le ka ama likarolo tse ling tsa 'mele tsa' mele. Lipatlisiso li bontša hore ke boloetse bo ikemetseng , boo 'mele o hlaselang lisele tsa oona tse phelang hantle.
Dermatomyositis e ka etsahala ho batho ba lilemo tsohle. Ho batho ba baholo, tlhōrō ea pele e ka ba lilemo tse ka bang 50. Tsejoa e le bana ba dermatomyositis ho bana, nako e kholo ea ho qala ho ba lilemo li 5-10.
E ama basali ka makhetlo a mabeli ka makhetlo a mararo mme e etsahala ho batho ba merabe eohle.
Dermatomyositis Matšoao
Dermatomyositis e hlahisa matšoao letlalong le mesifa e kang:
- Pherese e bofubelu bofubelu bo bofubelu bo bofubelu bo pharaletseng ho pota-pota mahlo (lehare la heliotrope)
- Maqhubu a bofubelu bo bofubelu (li-pampiri tsa Gottron) kapa li-plaque tse hlahisitsoeng holim'a likoti, monoana kapa menoana ea menoana, likhama, maqaqaea kapa mangole
- Bana, ho na le li-nodule tse nang le 'mala o mosehla kapa o nang le' mele (calcinosis) tse ka hlahang holim'a bony tse hlaheletseng
- Batho ba bang le bona ba na le letlalo la scaly kapa lahleheloa ke moriri
- Matšoao a mesifa a kenyelletsa mokhathala kapa bofokoli ha u nyoloha litepisi, u tloha setulong, kapa u phahamisa matsoho.
Le hoja ho sa tloaelehe hakaalo, batho ba nang le dermatomyositis ba ka 'na ba e-ba le matšoao a tsamaiso a kang ramatiki , phefumoloho e khutšoanyane, kapa bothata ba ho emisa kapa ho bua. Batho ba baholo ba lilemo li fetang 60 le dermatomyositis ba bonahala ba na le kotsing e kholo ea ho ba le kankere.
Ho lemoha Dermatomyositis
Batho ba nang le dermatomyositis hangata ba na le lefu la letlalo e le matšoao a bona a pele. Ho phatloha ha li-papali le li-papules, hammoho le li-nodcinosis ho bana, li tla fana ka tlhahiso ea hore motho a hlahlojoe. Ka linako tse ling letlalo la letlalo le ka 'na la e-ba le phoso ka lebaka la lupus erythematosus, psoriasis, kapa planus lichen.
Bana ba nang le dermatomyositis ba ka 'na ba thatafalloa ho e fumana ho fihlela matšoao a letlalo a bona a bonahala.
Ntle le matšoao a letlalo, liteko tsa mali li ka etsoa ho bona li-enzyme tsa mesifa le maraka a ho ruruha. Batho ba bang ba nang le dermatomyositis ba na le tlhahlobo ea mali ea ANAN ) e nang le tšusumetso e ntle ea mali. Setšoantšo sa Magnetic resonance ( MRI ), electromyography (EMG), le mesifa ea mesifa e ka hlahloba lefu la mesifa le tšenyo.
Ho Phekola Dermatomyositis
Kalafo bakeng sa dermatomyositis e lebisa tlhokomelo ho laola mafu a mesifa le matšoao a letlalo. Ka kakaretso, corticosteroid e kang prednisone e fanoa ho fokotsa mesifa ea ho ruruha. Haeba litla-morao tsa steroid li ba boima, meriana ea immunosuppressant kapa cytotoxic, e kang methotrexate (Rheumatrex) kapa azathioprine (Imuran), e ka sebelisoa. Methotrexate e ka boela ea thusa ho fokotsa matšoao a letlalo. Batho ba nang le dermatomyositis ba na le litšoantšo ebile ba lokela ho sireletsa letlalo la bona ho tloha letsatsing.
Haeba bofokoli ba mesifa bo teng, phekolo ea 'meleng le ea mosebetsi e ka thusa ho ntlafatsa mesifa le ho thibela mathata a kang likonteraka. Batho ba bang ba ka 'na ba hloka phekolo bakeng sa matšoao a tsamaiso kapa mathata.
Outlook
Batho ba bangata ba nang le dermatomyositis ba tla hloka phekolo ea nako e telele.
Matšoao a ka ba thata ho phekola lefu lena ho bana le ho bacha. Batho ba bang ba ka hlaseloa ke kankere kapa litho tsa 'mele, tse lebisang bophelong bo khutsoanyane. Leha ho le joalo, batho ba bangata ba arabela kalafo kalafo 'me ba imoloha ke tse ling kapa matšoao a bona kaofela.
Lisebelisoa:
Callen, JP (2002). Dermatomyositis. eMedicine. http://www.emedicine.com/med/topic2608.htm.
Mokhatlo oa Myositis. Myositis ke Eng?