Rheumatic polymialgia: scho tse take, symptoms, lіkuvannya, causes, signs. Polymyalgia is rheumatic: symptoms of ailment and treatment of polymyalgia

One of the most widespread systemic pathologies of the musculoskeletal system, which is hostile to people in the wick, is the rheumatic polymyalgia. For statistics, there are approximately one in a thousand people. It is characterized by the ailment of the diagnoses in the small groups of rheumatic pain in nature, as well as a strong skutism in ruffs. Symptoms of a greater turn of vrance, pass until evening, or may become more illusory when added. For those who still have no clear view of food, for which they also see, there is also no specific diagnostics of illness. Diagnosis is put on the presentation of the patient's scarg and analysis of blood, in which signs appear ignition process... It is characteristic for the disease to be fed with corticosteroid hormones in the main.

To develop rheumatic polymyalgia most often in people over 50 years of age. Sick to ailments in the main woman. Tsikavo, it is more frequent to reestablish illnesses in the lands of Pivnichnoy Europe.

Particularly pathology є those who are more likely to fend off a few groups of languages ​​at once, more symmetrically, but do not appear in the pictures below the little or colony slopes. It is characteristic of her that those who are generally ailing physically people, who do not have serious chronic pathologies, are also characteristic.

Great burden for the life of the sickness is not imagining, but I greatly reduce the patronage and mental state of the patient. An ailing one needs to go to a trivial taste, without a sick one chronic interruption and can be accelerated.

cause

Vyvchennya's ill health will be occupied for about 50 years. It’s not clear whether the symptoms are like this. Most often, early adopters bind the development of polymyalgia rheumatica with bacterial or viral infections, since the first symptoms often appear due to the transferred flu or GDI. In bagatokh patients, they diagnose giant-cell temporal arteries, which can also be affected by the triggering mechanism of pathology. Allegedly, the diagnosis of rheumatic polymіalіі can also provoke the following reasons:

• severe stress;
• hypothermia;
• parts colds;
• important flu abo adenovirus infection;
• decline in pathology immune system;
• rheumatoid arthritis or іnshі ignited sickness of suglobіv.

Rheumatic polymyalgia is the most frequent in patients with kidney disease who have been transferred Infectious diseases abo stress

symptoms

Symptoms of polymyalgia rheumatica can be more severe, but they can often become ill. Aje the main manifestation of ailment is strong m'yazy bill in the region of the ridge, shoulder and tazostegnovy slopes. This is often the case for the patient to get rid of arthritis, arthrosis or osteochondrosis. Ale for the sake of justice, the loafs are not worn out, I will order them to be covered. Only real diagnostics and caution for overcoming the disease allow the doctor to correctly diagnose.

A little sickness beckon to repair with rapt, and against a gostro. A feverish woman develops, on the smallest swelling pains in the muscles of the pelvic area, back, shoulders, shia. Seeing the most often strong, patients characterize them as they relieve or relieve pain. Albeit especially those who have a strong twist of the stench of lies, as well as an hour of physical nurturing. Moreover, it’s not just before the hour of ruin, but it’s trivial. To that, ailments are permanently guilty of reducing the position of the person, who will be unique sickly visions... I know the patient know the pose and stay calm, no more turbulence.

In addition to the large symptoms, with polymyalgia rheumatica, there is a strong wanness and weakness in the meat. For the patients, it is important to visit the family. It is especially easy to go down, get up from the style or from the ski, go down the gatherings, get on, get over it. For such ailments, a specific course with other crocs is characteristic.

The main symptom of an illness is severe beating in the shoulder girdle or in the pelvic area

Approximately in 1-2 months, when a cob of ailment is sick, pain and stiffness in the meats will be felt, often leading to an increasingly sickly sick person. Through the weakness and the sickness of the patient, the patient cannot be oversaturated on his own. In addition, the following signs of pathology are being repaired:

• rigidity and hypotonia of m'yaziv;
• chronic vtoma, strong weakness;
• decreased appetite;
• loss of vagi, anemia;
• tachycardia;
• food, frostyness;
• loss of mood, drive, depression;
• ruined sleep.

diagnostics

We are not often sick with stretching a trivial hour to put correct diagnosis... Also, the main manifestation of ailments is b_l, yaka is characteristic of pathological pathologies. When you look around at a sick person, do not appear any changes in the meat: the stench is not painful on palpation, there is no soreness, or hyperthermia. Allegedly, there may be some specific symptoms of ailments. The symmetry of pain, the reduction of the muscles in the eyes of the colony and lіktyovyh slopes, Strong weakness, visibility of swelling.

In addition to the appearance of symptoms characteristic of an illness, the diagnosis of polymyalgia rheumatica includes blood analysis. They have specific markers fired up, adjusted SHOE and anemia. Looking at such signs in a complex allows the doctor to correctly diagnose.

It is also necessary to add additional methods of improvement, to prevent disease, and to suffer the same symptomatology. A lot of malignant puffs in the equine system of the lungs, malignant ailments, rheumatoid arthritis, dermatomyositis, periarthritis.

Getting sick is easy to get sick, so how can you get symptoms of a lot of ailments

accelerating

As soon as you do not put the correct diagnosis, rheumatic polymyalgia is progressing and can be accelerated. More often than not, the heat is fired up by the slopes. Synovitis, bursitis and arthritis develop. The most sickly up to the burning of the shoulders, colony and change of the palatine slopes, with deformation knitted fabric during the day, and when the main ailment is overtaken, it passes. In some cases, carpal tunnel syndrome also develops, and it rotates in weakness and oniminnya of the muscles of the hand.

The most frequent accelerated illnesses are the giant-cell skronevial ​​artery - the destruction of the early artery, which can lead to severe headaches and collapse of the eye. Qiu pathology is still called Horton's ailment after the name of the doctor, having described it for the first time. So, as two ailments occur at once, even more often, they often cause Horton's ailments to be the cause of polymyalgia rheumatica, if they want to develop in a ten hour after the pains appear in the meats. But in any case, you need to fix it earlier. Adzhe skroneviy artery can lead to the loss of the development of myocardial infarction.

Well, you can immediately treat ailments with steroid hormones, you can unknow them faster. In tsyom vipadku after 2-3 rocky insisted on the patient's wear. With adequate therapy for ailments, do not overdo it and do not overdo it.

lykuvannya

Elimination of polymyalgia rheumatica can be done with the help of glucocorticoids. The attribution of non-steroidal anti-inflammatory drugs in a large number of cases is ineffective, which is not known to be hot. Only with moderately severe symptoms and an ear of treatment at the early stages can be justified. Naykrashche diyut "Indometacin", "Ortofen", "Ketanov". Їx can also be used before hormonal therapy for severely severe pain syndrome.

ale the most effective drug is glucocorticosteroids... Low doses of "Prednizolone" - up to 30 mg per dose are most common. The qiu dose is required to be distributed by 2-4 times in the number of beds due to the severity of the break. It is necessary to accept it regularly for at least 8 months. Inodi hormonal therapy is trivial 1-2 rocks. Unimportant to those who have lodged a patient seeing even through a few days, drinking is necessary until that moment, when it’s not only more likely to change, but to turn the analysis. When taking the dose, step by step decrease to 5-10 mg for additional monitoring of blood indicators.

The main drug for the treatment of rheumatic polymyalgia is "Prednizolone"

This kind of therapy will need to continue to grow as many months as I’m going to polish up. You can pinch it earlier, you can go to chronic form... It is even more important to do it individually, under the control of the doctor, in order to reduce the dosage of "Prednizolon", take this trivially trivial hour.

Glucocorticosteroids often suffer from side effects, so it is important to keep the drug constantly cautious and the prescription of supplemental drugs for fasting. Most often, drugs or additives are used to replace calcium and vitamin D3. Also required for the prevention of hypoglycemia, corkscrewing, cataract. In addition, it is sometimes recognized as immunostimulants and vitamins in the form of adaptive therapy. An effective stop for an hour is the use of the drug "Metipred", which is a supplementary aid to uniqueness.

Good results were shown by a combination of Prednizolone and Methotrexat. It allows a decrease in the dosage of hormones without a change in efficiency. Such therapy is less of a side effect. Dodatkovo for the nobility of pain and self-esteem can be found in the same way. But be it, you can be victorious only after consulting with a doctor.

In addition, the success of the treatment is strongly accumulated in the way of life of the sick. You need to see shkіdlivyh ringtone, Obov'yazkovo visonuvati is a special complex of educational physical culture and dotrimuvatisya children. Harchuvannya can be balanced, ensuring the organism with all the necessary vitamins and minerals. It is recommended to choose fatty and canned food, and surround the implantation of salt.

For the improvement of the decay and the tone of the mouth in the sick, it is shown the occupation of the physical culture

folk

Recently, the official medical treatment has been contracted. Ale in folk medicine Chimals have been accumulated to the extent of the igneous illnesses of suglobids and m'yaziv. Zastosovuchi such recipes can be used to reduce pain and reduce the camp of the sick. Recommended for an additional period of time before prescribed therapy folk zasob... There are simple, unreliable recipes, in which vicorist herbs and words are available, available to the skin.

• Effectively recognizes more compressions from a young birch leaf. It is necessary to sprinkle it with sprinkles, and the stench has grown up, and before the ailing m'yazam. Close the top with a ply and heat insulation. Such a compress is necessary to robit before going to bed by stretching out the tension.
• Independently, from inexpensive available drugs, you can vigotoviti tincture for roasting ailments. For the whole it is necessary to read 10 tablets "Analginu". Fill in 300 ml of alcohol. Add to it 10 ml of camphor alcohol and iodine. Tincture of vitrimati 3 vivid in a dark place.
• In the middle, you can take the infusion from the fruits of the yalivts. To roast from the flasks of the burner and a tablespoon of fruits. Drink the infusion in a tea tray 2 times a day for at least 2 months.
• This is the same triviality of love for the received variety of maize Rilets. To prepare it, pour a teaspoon of syruvini with a bottle of water and boil 10-15 khilin. Vipivati ​​requires one third of a bottle a day.
• Effectively add to the relief of pain in case of polymyalgia rheumatica, a bath with blue rubbing. Take 800 g of herb, put it in a bowl, and boil it in 2 liters of water. Vidvar wagging at the bath. The procedure is carried out with hot water Besides, it is necessary to cover the bathtub with a thick cloth, so that the efiri roslin are not washed. This is not shown to everyone.

Rheumatic polymіalgia - the disease is not safe, it is more painful for the patient. It is even more important to make a diagnosis and regularly accept the signs of drugs. And even without the correct treatment of the ailment, you will go into a chronic form, then you will fit in with it.

It’s about getting sick of the support-roche apparatus, in case of any order of pain along the course of the joints, there is a fight against the slopes and navkoloslobovy structures. The peculiarity of the community of rheumatological pathology of polyagus is that it is dumb specific signs for the clear symptoms that only rule. Diagnosis The diagnosis is based on the criteria, for the sukupn_stu of clinical, laboratory and instrumental signs more as a diagnosis of a diagnosis.

show pathology

Rheumatic polymialgia - the share of patients in the senior group. Some people are younger than 50 years old and have rheumatological illnesses. Name it zrozumilo, which is the main symptom of polymyalgia - pain in different groups of muscularis.

The reading of the symmetry of the manifestation is indicated. To practice the pelvic and shoulder girdle. Often in the pathological process of obtaining mucous membrane. On palpation, the soreness is considered to be less. Ale vona is not responsible for that ryvnyu pain, about what a patient is talking about, what is a dissonance. Ale Bolovy Syndrome does not reduce the symptoms. Active people are surrounded, and a lot of passive people are taken into a large community.

Visually, there is no evidence of hypo abo atrophy of myaziv. Tobto change the amount of money myazovoi masi obviously to see people without medical education... Inflamed infiltration, swelling also does not appear in case of local contamination. Reflexes can be saved with a lot of money.

Pain in rheumatic polymyalgia

Bolovy syndrome itself can reach the bends. Vin is permanent. Strengthen the pain of the patient to tie it up with rukhs. Because of a lot of sightseeing, it’s possible to navigate at night, to relieve the occasional repair.

In addition, the pain is meant to be seen as scooter in the exercises. The stench can be trivial over 45 hilines. Tse one of the diagnostic criteria for rheumatic polymyalgia. Slid of the type of "rank scuttle" in rheumatoid arthritis. In the case of polymyalgia, the symptom does not appear only in the early years, but during the period of hypodynamia, non-dexterity. The most ailments describe the process of seeing as "tightness in the corset", the viscousness of the ruffles.

current period

First, show your best, intensive. The stench is inflamed with chondrosis, as well as the attack of gouty arthritis. For the reason of polymyalgia rheumatica, the last hour was called senile rheumatic gout.

Ale have the ailment іsnuє so titles prodrom. Tse a free period of provinces. The temperature rises, catarrhal symptoms appear. Then, at the same time, pain grows in the muscles. Perche, perhaps the patient himself might think about it, or the doctor's misunderstandings, the health conditions, bronchitis, tracheitis, or pneumonia. On the whole stage, antibacterial drugs, anti-tarsus, are recognized.

The apogee of key manifestations is on the 14-21 day with a corncob. Possibly, either the infusion of the polish (remission), or it will mean that there will be a lot of problems with the fires and remissions.

If there are pains in the muscles, they show signs of pain, as well as synovitis, bursitis and arthritis.

Systemic signs of RPM

Weakness is on the first plan. Vona is pummeled not only by the pain in the meat, but also in the systemic heat. Patients mean a decrease in appetite, like a wiklikak skinny. The temperature is low for the next hour.

Tse turbu paciєntіv. There is a lot of confusion about anxiety, some of them are about the same psychotherapeutic methods. All signs of ukupi tell the symptom of "malikh sign" of Savitsky in case of cancer. It is even more important not to engage in hyperdiagnostics, especially in the case of a sick person.

Suglobovi and navkoloslobovyh show

It is not only myazove that is characteristic of polymyalgia rheumatica. It is characteristic to admit the sunglobovy syndrome. The wine on the view of meat manifestations is rarely symmetrical in nature.

Part of the variant is the rate of 1 to 3 peripheral slopes. Yak, as a rule, there are swaths of the brushes and feet. Take another position for the broadening, and then go for the list of exchanges and homilkovostopni slopes.

One of the criteria for diagnostics of the current year is the presence of bursitis in singing localization. Greater pathognomonic appearance of the ignition line in the subdeltoid bursa. Subacromial bursitis is more common in polymyalgia rheumatica.

Diagnostics and differential diagnosis

Zagalny analysis of the blood of the disease is anemia of chronic illness and development of the disease. Zmіny bіlsh, nіzh nonspecific. In some cases, it is possible to increase the level of platelets in the blood.

Biochemical indicators of important enzymes. In case of rheumatic polymyalgia, the level of aspartate aminotransferase is isolated. LDH and ALAT do not move, as it does with myositis. Another important biochemical indicator of RPM is the improvement of the level of phosphatase.

For the vyklyuchennya gout, a level of sechaic acid begins, as well as CRP, by means of a more precise activity of the ignition process. Rheumatoid arthritis is affected by rheumatoid factor, ACCP. Remaining more specific and sensitive.

Pain may be caused by psoriasis and ankylosing spondylitis. For differential diagnostics, there is only one method of testing HLA-B27.

s instrumental methods ultrasound and tomography are used. Radiography of the slopes is necessary for the prevention of arthritis in the wild.

Go to lykuvannya

On the current day with a choice of starting therapy є Prednizolone. Cei glucocorticoid hormone is consumed in a dose of 15 mg. Then step by step to reduce to the minimum acceptable.

Non-steroidal anti-fumes are not recommended. However, if there is evidence of acute acute arthritis, the synovium is shortly marked with primer.

An alternative to prednizolone is Methotrexate. Rheumatologist designates immunosuppressive treatment only. Lіkuvannya cim by means of monitoring blood indicators.

Preparations of a group of monoclonal antibodies used for rheumatic polymyalgia. So, as it is, you can use a rose-liner like a chondroprotector.

Rheumatic polymіalgia - tse zhvoryuvannya, when a patient is sick of a rheumatic character, as there can be immediately wininikati in the very young groups of muses. The boredom in myaz and was especially strongly reversed, even symptoms during the day, as a rule, either faint or pass through.

Most often the winners are affected by people who have overtaken 50 years of age. The peak falls on the group of 65 - 75 years, and women are diagnosed more often than not. The last few days showed that the pathology does not grow older, not Bekhterev's ailment or systemic chervonia Vovchak.

The causes of polymyalgia rheumatica are not vaccinated until the end. Є pripuschennya, such officials play a great role here:

1. Evidence in organism viruses.
2. Stresovi stanii.
3. Overcooling.
4. State Respiratory Infections.
5. Hvoroba Horton.
6. Slump.

However, it is itself infused into the development of the disease, and it can be used with the starting mechanism, as long as it is unavailable.

The pathomorphology of becoming ill is also obscure. The peculiarity of this is that, in case of biopsy in people with cystic diagnostics, there is an increase in the daily appearance of the suttin changes in the tissues of the tissues. If there is a pre-existing synovial birth from the loam, the diagnosis of nonspecific synovitis and periarthritis is not readily confirmed.

Rheumatic polymyalgia is not often combined with the temporal arteries, and the cym itself is not often explained by the sounds upper half tuluba and heads. Ale take the day, do not expect it far.

Yak to come

To fix ailments gostro i raptovo. There are bends and skootness in the meats. Most often it is the muzzle of the shoulders and shoulders, and the stegon and the pelvis. It is more often more funny and more difficult to character. The іх intensity is to be found in the stage of activity.

Sickness is especially strongly reversed in the night. However, when there is a general calm, as soon as the people know the pose, I immediately become lighter. Bіl in myaz and wanness with a certain ailment have a symmetrical character. With a large patient, it does not mean that there is a swollen ailment during palpation. This kind of snake in the slopes is practically not turned. Atrophy of m'yazіv is not typical for tsyogo ailments.

Another diagnostic symptom of polymyalgia rheumatica is the intercourse of active moss in the slopes. People are importantly combing themselves, pulling themselves up, pulling themselves up, sisternas, growing up and going down the gatherings. It is also good to see the worms in the run - the crocs grow dumb and mincing.

Another important sign is the cost of arthritis. They began to talk about it only recently, for a while, since it became possible to carry out diagnostics using an additional method of scintigraphy. However, arthritis in polymyalgia rheumatica is not so stiff, and it can be eliminated for additional hydrocortisone injected into the joint.

The main symptoms are often associated with such, such as:

1. Inferior weakness.
2. Pogany appetite.
3. Skudnennya.
4. The temperature is adjusted.
5. Takhikardia.
6. The feeling of chilliness and onimіnnya in kіntsіvki.
7. Head bill.

All the signs can be manifested at the same time with pain and skutism in the muscles, and they can also be manifested in the daytime.

diagnostics

Rheumatic polymyalgia, symptoms such as may be swelling more strongly, in presumed fahivtsya... However, before the cym, it is necessary to undergo a diagnostic procedure.

So, for example, in the analysis of blood, there will be an increase in SHOE, which can reach 80 mm per year, there is little anemia - a decrease in hemoglobin up to 100 - 110 grams per liter, the number of fibrinogenous diseases is low.

In addition, the main diagnostic criteria for setting a diagnosis can be such signs as:

1. For more than 50 years.
2. Bіl in decіlkoh m'yazah one hour.
3. Lokalizatsiya pain on the offense of the flanks.
4. The triviality of the symptoms of the disease is not less than 2 months.
5. Ruku obmezhennya in the slopes.
6. Increased temperature.

therapy

Rheumatic polymyalgia - tse get sick, de in lіkuvannі start to get rid of glucocorticoids. Most often, the vibration is attacked on prednisolone in a dose of 10 to 30 mg. Dobova dose lasts for 2 - 4 doses, and everything here lies in the intensity of the pain, the magnitude of the SHOE and the level of insecurity of people.

Prednizolone is prescribed in a strictly individual dose, until a quiet period, as long as there is no significant improvement in pain syndrome, and laboratory indicators are not developed. When the entire dose of prednisolone is administered, only vrantsi, and only when the dose is gradually reduced to a quiet period, as long as it does not overflow only when it is needed, 5-10 mg for doba. I will take away the same dose of the patient by holding out more deciliters.

If it is necessary, then further treatment with prenizolone should be carried out every other day. However, we will show you that Lyudin is guilty of accepting lykarskiy zasib for the sake of not only miscellaneous, ale kil'koh rockiv. As soon as the prenizolone will be chewed earlier, after 8 months from the ear of the mouth, then the stinging of the ailment will be repeated immediately.

dodatkovym lykarskiy zasobami in lіkuvannі it is possible to add indomethacin, voltaren, ortofen and other preparations of the group. Alle the main remedies є the introduction of prenizolone itself.

When using prednisolone, it is necessary to carry out osteoporosis prophylaxis. When a patient is guilty, he is guilty of:

1. Calcium mineral supplements.
2. Harchuvatisya products, such as bagatі caltsієm.

In order to change the skiing in the slopes, it is not easy to recognize the course of exercise therapy.

forecast

Yaksho zvoryuvannya bulo viyavleno on early stage, And the lіkuvannya bulo is recognized in the correct dosuvannі, then after a dozen hour it is more ovuzhannya. In case of an inadequate or irregular injection, you can easily show a fire, as there will be vimagati in the presence of a large dose of prenizolone.

The primary prevention of ill health has not been broken up. Acceptance of prenizolone can be used with a second prophylaxis, as it will allow the development of repeated zagostren to be eliminated.

Also rheumatic polymialgia

Rheumatic polymialgia - tsere rheumatic disease, tied with the development of important pains in support-rocking apparatus and in the area of ​​the shoulders, shoulders and stegon. Dullness is the strongest to be manifested in vrance, for during periods of unbearableness and triumph, more than half a year. In some cases, the disorder can progress to a high level, but more people can develop in a step-by-step manner.

The reasons for the diagnosis of rheumatic polymyalgia are still not clear. Seemingly, the disease is associated with the problems of the immune system, genetic factors, as well as diseases of the type of infection, such as symptoms. The fact that the disease is mostly seen in people over fifty, you can talk about those who are not connected with the process of old.

Elimination of polymyalgia Take a loan for about 1-2 years. Symptoms of sickness can be taken under control of corticosteroid drug use, however, symptoms quickly turn around when early drug abuse occurs. Itself is addicted to corticosteroids, as to get used to, not pouring into the triviality of becoming ill.

SHO TAKE GIANT CELL ARTERY

Giant cell arteries (also vidomy as skroneviy arteries and arteries cranials) - the process of congestion, as viklikє fired arteries in the areas of the head (most likely on the arteries), shia and hands. The price of firing the sound of arteries and pereshkoja normal circulation blood. It is important to diagnose the incidence of yakomoga earlier, when unicut non-reversible ears.

Yak tied two tsikh get sick

Rheumatic polymyalgia and giant cell arteries are often diagnosed at once, albeit, as it should be, when it is unavailable. At the same time with polymyalgia, people develop arteries: either in parallel, or in the event of symptoms of debility of the musculoskeletal apparatus. Polymyalgia develops in some people at once from the firing arteries.

With the onset of diagnostics, the condition of arteries can lead to such serious problems, as it is periodically lost and insult. To that, for no reason, for the reasons of the diagnosis, people are always whispering signs of a fever of sudin in patients with a diagnosis of polymyalgia rheumatica.

Patients are also considered to be of nobility, as they recognize the symptoms of giant artery arteries, as well as at the early stage to allow them to be uncomfortable in the future. If any symptoms are evident, it is necessary to immediately turn to the drug.

symptoms of illness

• Rheumatic polymialgia.

In addition to the guessed muscular weakness, in people with rheumatic polymyalgia, influenza symptoms such as fever, weakness, and vagi may be manifested.

• Giant cell artery.

Early symptoms of artery disease may include flu symptoms, such as weakness, loss of appetite, fever. Before the symptoms, which are tied without a mediocre artery in the head, there are headaches, pains in the area of ​​skinny, double in the eyes, or a decrease in hospitality, or problems with the coordination of ruins. It is also possible to enmity the cracks and the move and see especially strongly before the hour of chasing, or with a wide view of the company. In children, arteries can be wicked around the head.

People in the group riziku

Women who are over fifty years old until the most risky development of polyology and arteritis. At the same time, in order to show the endorsement, the people in the arteries often look at them in the middle. With a lot of offense, people over fifty are killed. Pik zvoryuvan fall on the period between 70 and 80 rocks.

Rheumatic polyology and giant cell artery є to complete with enlargements. For statistics in the United States for 100 thousand. People over 50 suffer from polymyalgia 700 of them. The same indicator for arteritis is 200 per 100 yew.

diagnostics

Rheumatic polymyalgia is diagnosed, first for everything, on the basis of symptoms and all history of the patient's ailment, as well as the results and look around. The test cannot be confirmed by a hundred and fifty thousand. Tom likarіvayutsya until the early laboratory tests, test hardening or by means of diagnoses, as they experience analogous symptoms.

One of the typical ways of revealing in humans and polymyalgia with a laboratory path is revealing promoted SHOE- shvidkostі deposition of erythrocytes. The Danish test allows for the liquidity of the deposition of erythrocytes to the bottom of the test tube. Shvidke buried to the bottom ( adjustments erythrocytes) signals about ignition processes in the body. I would like to get a message and be cinnamon, it’s not proof of rheumatic polymyalgia. Inspection from norms is not necessary to indicate the presence of ignition processes in tissues, which may be a symptom new forms arthritis or other rheumatic diseases.

For the diagnosis of a diagnosis, a diagnostic test can be used. For example, the test for C-reactive block, which is another extension of the method of detection of ignition. Є also a zagalny test for rheumatoid factor and antibodies (violated by the immune system), which is sometimes used in people with rheumatoid arthritis... On the right, in the case of rheumatic polymyalgia and rheumatoid arthritis, there are a number of other symptoms, but in case of polymyalgia, the test for rheumatoid factor is usually positive. Tobto, positive test on the rheumatoid factor, speak for rheumatoid arthritis, and not polymyalgia.

Diagnosis of gigantic artery disease is also based on symptoms and physical conditions. Be it a licar, like a giant cell artery, is guilty of recognizing a biopsy of the early artery. During the whole procedure, a small fragment of the artery is applied through the holes on the screen and is guided to the laboratory. It is positive for artery biopsies to reveal abnormal cells on the artery walls. I would like to have a negative result in children with symptoms of arteritis of biopsies. At the same time, the doctor will send the patient to the procedure again.

lykuvannya

Lіkuvannya yak arthritis, so і polymyalgia polyagaє in the signs of corticosteroids (addicted, prednizolone).

• Lіkuvannya polymyalgia.

Improvement of the average dose of prenizolone for symptoms of polymyalgia rheumatica. At any stage of the drug, you can vary the dose to relieve symptoms. Most of the students complete the course during the period up to two years. As the symptoms turn, then the symptoms are renewed.

There can also be used non-steroidal anti-pyretic drugs (NSAP), such as aspirin and ibuprofen. If you need to take a day, you can use a trivial implantation of a shlunka. For large patients, non-steroidal treatment is not sufficient for relieving symptoms.

Without treatment, rheumatic polymyalgia takes place by itself in the period from one rock to decile rock. Symptoms for 24-48 years. If the prednisolone does not bring pollen, then the car will turn to the view of the most powerful diagnoses.

• Lіkuvannya arterіїtu.

Giant cell artery is taken with large doses of prednisolone. Iakshcho zhvoryuvannya do not wait for a while, є risik to develop a slice. To that end, prenizolone is more beautiful to repair a yakomog earlier, including before the diagnosis of biopsy skin artery is confirmed.

As a result of polymyalgia, symptoms of artery disease in lykuvannyam become aware of the symptoms. By taking high doses of pre-nizolone, make sure to last for one month.

When the symptoms are known and the indicators of POE are reduced to the norms, the risk of sloughing decreases. At the same stage, the dose of the drug gradually decreases.

In both cases, the symptoms may become evident with a lower dose of predisolone. To reduce the control of symptoms of a drug, you can indicate a low dose of drugs for a trivial period, for example, navpaki, zbіlshiti їkh. In addition, as the remission symptoms disappear and if the drug is taken, the possibility of a relapse will change.

Necessarily because of the fact that there will be signs of prenizolone for trivial treatment of polymyalgia, or for short intensive therapy, next to memory, but the drug has a number of side effects. With trivial stagnation or high doses, the patients are guilty of being guilty about possible fatal events:

• utrimannya rіdin і improvement of vagi;
• rounded shape of the individual;
• trust in the processes of ignition;
• Diabetes mellitus;
• atrophy of myaziv (myopathy);
• glaucoma;
• p_advischennya arterial vise;
• osteoporosis (through a decrease in the level of calcification);
• teased slunk;
• improvement of the number of infections.

People who take corticosteroids can be fed with a decal of side effects, but maybe not their mothers. If there are side effects, the drug needs to be treated with its own medicine. Yakscho zupiniti priyom lіkіv, povіchnі efekti also zіydut. It is possible to change the medication only after the request of the drug, so as prenizolone and corticosteroids will help to reduce the natural release of corticosteroid hormones by the body, which are necessary for normal functioning. Step by step to lower the dosage of calls, drugs and patients who are guilty of social activities.

perspectives

Most people with these illnesses can lead an active way of life. The triviality of using corticosteroids in the skin is individual. When the drug is taken, the symptoms may turn, or if the drug is stifled again, it will not fold. at correct love arteritis practically does not give relapses.

cause

If I want an autoantigen not to appear, to get involved, the syndrome is autoimmune for its nature through the link to the syndrome with gigantoclinic arteries (skronevial ​​arteries). It is not clear how the tying of rheumatic polymyalgia and giant cell artery is tied. On the other hand, about 15 people with polymyalgia rheumatica also develop a gigantic clinical artery. Patients can develop a giant cell artery, or at once with polymyalgia rheumatica, or for symptoms of polymyalgia. Closely half of the people who suffer from giant artery also suffer from rheumatic polymyalgia.

If a person is diagnosed with rheumatic polymyalgia, there is also a diagnosis of hypertension symptoms through a rheumatoid artery.

Caucasian women over 50 years of age are most likely to develop rheumatic polymyalgia. Women are two times more likely to get sick. Mayzhe viklyuchno wines in people over 50 years old. The middle age will become 70 rocky on the cob. Rheumatic polymyalgia develop frequently. The newest sign of sickness is revealed in the Dania and Sweden.

Клінічні signs

The main symptoms of polymyalgia rheumatica are the roughness of the mucous membranes from the world to the most important and the muscles in the area of ​​the neck, shoulders, or stegon. The hardness of the old strong drive for awakening or for the period of inactivity and for the triviality of more than 30 minutes. People with their minds can also have symptoms similar to fever, including fever, weakness, and loss of vagina.

Not a single test for the residual diagnosis of polymyalgia rheumatica. Diagnosis and diagnosis of a patient's ailment history, including symptoms, such as occasional patients, and the results of laboratory analyzes, which may include possible diagnoses.

The most typical laboratory knowledge in people with rheumatic polymyalgia is the increased rate of sedimentation. Tsey test vimіryuє, as soon as the erythrocytes fall to the bottom of the test tube. Shvidko dropping clitini (increased by the swiftness of sedation) will lead to the heat in the body. If I want to improve the speed of sedation with a corny diagnostic instrument, it does not, by itself, cause polymyalgia rheumatica. The wrong result is caused only on those who are fired up, but I also know many forms of arthritis and / or even those with rheumatic fever. The first step is to diagnose polymyalgia rheumatica, a drug may be diagnosed as a test, including rheumatoid arthritis, some symptoms of polymyalgia rheumatica and rheumatoid arthritis may be similar.

Likar may recommend a rheumatoid factor (RF) test. RF - it is anti-tilo, so it is sometimes in the blood. People with rheumatoid arthritis, Imovirno, may have RF in their blood, but most people with rheumatic polymyalgia do not think. Even though the diagnosis is still unclear, it is possible to carry out additional tests, tests and tests. The ailment is viciously vinikє by itself; Tim is not the least, the price is not easy to see in the same countries, such as infections, new autoimmune disease with good fabrics. If you find yourself secondarily ill, there is a great deal of gigantic clientele arteries in most cases. Giant cell artery occurs in about half of the patients with polymyalgia. Protest, only in insignificant number of patients from cymosis, in those who do not have a sign of artery, a giant clique artery develops.

lykuvannya

Rheumatic polymyalgia evoke knowledge without treatment in one ric or a few rocks. However, when symptoms are detected, they become aware of the symptoms, start appearing in 24-48 years. It’s impossible to get a polish, a license, but it’s not possible to diagnose it.

Call for corticosteroid use, call for prednisone. Rheumatic polymialgia reacts to a low dose of prenizone. The dose is increased in the world of need, as long as the symptoms are not known. If only the symptoms are known, the car can change the dosage step by step, so that the minimum number of symptoms is necessary for the relief of symptoms. An hour, necessary for a treatment, in a way for a skin patient. Most of the kids can pinch them by taking a look through a number of months or two rock. When the symptoms recur, it is necessary to know about prenizone symptoms.

Non-steroidal anti-pyretic drugs (NPZP), such as aspirin and ibuprofen, can also be used to treat polymyalgia rheumatica. The drug is used for the preparation of the preparation, ale trivale, the preparation can be used for the preparation of the preparation. For most patients, some NPZPs are not enough to relieve symptoms.

Most people with rheumatic polymyalgia and giant artery arteries lead a productive, active life. triviality drug therapy lie down from the patient. Yak only lіkuvannya is pinched, maybe a relapse of polymyalgia; Ale know, the symptoms quickly react to pren_zone. With the correct treatment, the gigantic clinical artery rarely recurs.

Causes and factors of rizik

• parvovirus;
• influenza virus;
• adenovirus;
• Chlamydia pneumonia.

symptoms

• Significant weakness;
• visibility of appetite;
• the loss of vagi;
• temporal temperature;
• gratitude;
• shvidka stomlyuvanism;
• disreputable failures;
• head beel;
• feeling of chilliness;
• lowered dawn.

• maxillofacial neuralgia;
• chubby to the brain.

diagnostics

• Growth in osteoporosis.
• Attack hypertension.
• Show sweet diabetes.
• Osvita cataract.

accelerating

prophylaxis

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Causes and factors of rizik

To become ill with doctors for more than 50 years, and even to the present, there are no clear reasons for their development. It was confirmed that the disease was weak.

Another reason for the pathology in the onset of activation in the systems and organs of humans and viruses is:

• parvovirus;
• influenza virus;
• adenovirus;
• Chlamydia pneumonia.

As a result of the epidemic of parvovirus (Sweden 1994), a great number of patients with the diagnosis of rheumatoid polymyalgia have been registered. Fixes of the disease, if the activation of the ailment was repaired during the course of vaccination against influenza.

The current medicine is the last rocky vistavlyaє the cause of the ailment of the ecologic mind the overwhelming of the people. Often provocateurs of the pathological process є post-stress and conflict, overcooling of the body.

The pathogenesis of pathology is not open-ended. Fakhivtsi condone the fate of the zhisnogo immune system, albeit with a lot of specific antibodies and severe defects in the immune system did not occur.

Slid the nobility, the pathology of the fiery character is carried to the systemic illnesses of the slopes without hitting the meat dylyanoks. Vivchennya bo_ptatov sickly m'yaz_v led to a thought, scho morphological changes not viewed. Exercise grows with the full structure of periarticular tissue dylyanok and synovial membrane, bursitis develops.

For the rest of the history of the doctor's treatment, the diagnosis of the synovitis of the great proximal slopes in 99% of patients has been diagnosed. Ridko is the manifestation of synovitis of distal zones.

Statistical data confirm that this year's ill health is wider than that of older people. In the zone of ill health with a peak of 60-75 years. Singly, if ailment is diagnosed in patients 49 years old and younger. Especially ailments are those that are more often hostile to female organisms, less cholovic, with a physical body without important somatic pathologies.

symptoms

On the cob stage of development, rheumatic polymyalgia symptoms manifest gosstro. Patients experience pain syndromes and mobility in the mucous zones of the shoulder, shoulder girdle. Inodі kіnіchnі signs give a signal of pain in the muscles of the stegon and pelvic girdle.

Not accepting the intense, the stench may be rusty, heavy, smoother character. It is uncomfortable for the patient to see himself with a new awakening. At night there is a turbulence, on which it is necessary to come up to a date, it is not turned on and wagu tila. Iakshcho ailments to be found in the manual position for an hour after an hour, by a verse.

Symptoms of scuttle and maladies contradict the spillover functions of the shoulders, tazostegnovs. Show yourself symmetrically straight in the shiyniy zone of the ridge. Rheumatologists recognize the difference between the pain and the appearance of pain at the moment of palpation of the given dishes.

Chi does not manifest itself in tazostegnovy and shoulder slopes, periarticular tissue dylyankas. A slight pain is caused by palpation of mucous membranes and tendon-ligamentous apparatus. Chi does not prevent atrophy or infiltration of sufferers of children.

At the consultation, the patient is to skarzhiv for an exchange of rucks in urazhenih zones. The process is brought up to psychological and physical discomfort, and even people will be very important to see how they look after themselves: comb their hair, straighten themselves, pull themselves together. People are especially hungry, like the need for food collapsing at the gatherings, like the robot in the position of "navpochіpki".

Visually, the children change their course, the stench is oversupplied with other, mincing crocs. Arthritis is actively developing in children with ailments. Among the backward symptoms with active development of the ailment, there are:

• Significant weakness;
• visibility of appetite;
• the loss of vagi;
• temporal temperature;
• gratitude;
• shvidka stomlyuvanism;
• disreputable failures;
• head beel;
• feeling of chilliness;
• lowered dawn.

Bagato patients, when activated, suffer from a tachycardia. At the moment of palpation of the great arterial stovburiv, a lot of vidchutty appear.

In some cases, before more in the pictures, there will be some, as they appear through the development of the temporal artery. It’s a wintry provokuvati zamorochennya, headache, one-sided character, which is manifested at night before the hour of sleep. See you can play from the screen in shin the area, Extend to the bottom slit, to organize and hear. As soon as possible in therapeutic ways, do not eliminate the symptom, you can see the acceleration in the viglyad:

• maxillofacial neuralgia;
• arthritis of the temporomandibular joint;
• chubby to the brain.

You can visually look around at the patient's skinny artery, the doctor can see the damage and sound of the walls of the vessels, the soreness, the visibility of the pulsations, the tissue zones of the artery.

According to statistics, 50% of patients with temporal arteries have a decrease in zir, possibly a diplopia. Deyakіpatsієnti become ill due to deformities in the system of hemorrhagic character, diagnostics of ischemic neuropathy of the green nerve.

diagnostics

Schob competently carry out diagnostics, rheumatologists are spiraling on the breakdown of professional criteria. The first five points are vikoristovyt in the general order, and the following:

1. Vikova category of patients with diagnosis rheumatic polymyalgia is guilty of revisiting 50 years of life.
2. The presence of pain in the shoulder, shoulder, pelvic joints.
3. Bilateral widening of pain attacks.
4. more views to be activated when there is a state of emergency.
5. According to the results of laboratory doslіdzhen SHOE maє buti vische 35mm / h.
6. Symptoms of trivati ​​for more than 60 days.
7. Sposterіgaєtsya obmezhennya during collapses in the dilyanki of the ridge, shoulder or tazostegnovy slopes.
8. Having shown zagalny symptoms of sickness.

A rheumatologist should conduct a zagalny look around, taking anamnesis. Specialist zverta uvagu on earlier postponed sickness developmental directness, in the development of individuality to the organism, assessment of the functional of the ruch system and of the slopes.

Specialist referring a sick person to the parkan extravagant analysis blood. SHOE and SRB will be evaluated based on the results of the follow-up.

On an individual basis, the doctor may recommend to undergo ultrasound examination of the slopes and sudin, if you are diagnosed with illnesses from other pathologies with similar symptoms. Behind the help of MRI, there are some causes of pain syndromes in the shoulder area. Yakshcho є naymensha pidozra on the illumination of the giant artery, the ailing one should conduct a biopsy of the early artery.

In case of rheumatic polymyalgia, treatment is indicated by a rheumatologist. Prescribed glucocorticoid drugs, repaired with minimal doses. It is important to take care of the liquids under the control of the liquor, and in case of the first manifestations of the blockage pobichna diya on organism:

• Strength of wagi improvement.
• Growth in osteoporosis.
• Attack hypertension.
• Show sweet diabetes.
• Osvita cataract.

One day of therapy with medications of this group is about 12 months. It is not possible to retry the course of therapy for the first years of health.

For vklyuchennya vtrati cystkovoy mass, as it is possible with implantation of glucocorticoids, drugs are prescribed calcium, Vitamin D.

Additional visits to physiotherapy can be physiotherapeutic manipulation. A rheumatologist is involved in a number of factors.

It was more efficient and effective in the case of the usual troubles of vicarists in the additional annexes. It is important to minimize risik fall, for the whole varto carry swelling on a low course, coristvate with a cane or for those who are attached for relocation.

accelerating

In order not to allow the acceleration and unnecessary inheritance of ailments, you need to quickly undergo diagnostics and proceed to the prescribed complex therapy directly. For the fate of the treatment during the severe interruption of rheumatic polymyalgia, the doctors stuck with the problem at the expense of the brain.

It is one of the firing processes of the early artery, which in medicine is called the skinny artery, the giant artery. Pathology against severe headaches in the middle, activate your activity at night. The severity of ailments in the field in the reduced functions of the body. Bully recorded a diagnosis of myocardial infarction.

prophylaxis

It is a pity, for the fate of the pathological process, the fahivtsi did not go into the development of the primary form of prophylactic visits in rheumatic polymyalgia.

Secondly, come in and take the implantable doses of glucocorticosteroids. Chi is not recommended to be taken on its own by taking advantage of it.

Slid turns to fahivtsya for individual development of children. If you want to take a look at the results of the day, it is recommended to take a look at the present rate of food. The body needs a number of vitamins, minerals, and calcium to blame for the crime. Slide to minimize the growth of salty yyzhi, so as not to provoke the accumulated birth, which can lead to hypertensive attacks and crises. It is more beautiful to get ready before implantation. Require more fresh vegetables, fruits, berries, grains from whole grains, lean meat, ribs, milk.

Do not forget about physically assigned and the skin day is broken up by the doctor to the right. The stench is picked up individually to the skin patient and directly on the change of cyst tissues, mucus, control of the vagina.

(1 rating, average: 5.00 out of 5)

cause

Until the current day, doctors cannot go to the United State Council, and just go to food "What is the main reason for the development of ailments?" You can see some of the most widespread reasons, for which there is rheumatic polymyalgia. To them are admitted:

• Transferring important viruses or infectious diseases;
• Stronger overcooling and overloading the body;
• Parts of stress, depression, supravodzhuyutsya with nervous vision;
• Folding against the flu or the GRZ.

As a matter of fact, there is a lack of effective treatment, it is guilty to inspect the patient beforehand, and, if necessary, to make the whole body more secure. If you earlier, you will turn up to the disease, and in this case you will be more easily overcome from any ailments in the future.

symptoms

Symptoms and symptoms of polymyalgia rheumatica are clearly interrelated. Give a sickness to cob stage development, it is necessary to remember the information about the head, and itself:

• Rheumatoid ailment symptom of vinikє in the area of ​​shia, stegon or ridge.
• The ruhs of the patient become trustworthy, skutiy.
• Depression develops in a sick person, we will gradually admit it to ourselves.

Doctors have brought that rheumatic polymyalgia is negatively infused into the immune system, which is weakened. Progression of ailments to produce before the appearance of additional symptoms:

• Risky diminution of the vagi, without any real reasons;
• Appetite during the day;
• Along with drowsiness;
• Increased temperature.

The development of pathology is not unbeatable for the life of a sick person, a disease can cause harmless discomfort and damage the quality of life. Over the years, the patients become more and more satiated. Tse was overwhelmed by the fact that he had an ailment with a rapid atrophy m'yazovoy fabric... As soon as the patient doesn’t go, he can’t just walk, take it on his own, take the hygienic procedures. At the earliest stage of pathology, only one or several symptoms may appear. As long as you have a chance to find the least suspicious for rheumatic polymyalgia, it is innocuous to get sick to a doctor.

diagnostics

A professional drug can quickly recognize symptoms of illness and indicate an effective treatment. In the process of diagnostics, you may need to build a shelter. For the additional help of special laboratory facilities, you can use:

• Biochemistry analysis;
• Clinical analysis;
• Rheumoprobi.

Rheumatic polymyalgia is supervised by a strong igniting process in the body of a sick person, and it is well seen in the analysis of blood. In addition, real-time diagnostics allows the appearance of a snake in the structure of the meat fabric. Polymyalgia rheumatica can be diagnosed by special diagnostic criteria. Axis їх reversal:

• Vіk sickly ponad 50 rockіv;
• The muscles of the shoulder, the shoulder and the pelvis are severely sore from time to time;
• Inconsistent perceptions are localized from two sides;
• Uncommon symptoms last for 2 or more months;
• The muscles of the shoulder, the pelvis and the shiya become low-ear;
• The patient sees after all, because it is very thin, to be dashing.

The first point 3 should be without preference for the development of polymyalgia rheumatica, and it is infused with pre-existing ones. A patient in the area of ​​the skin clearly shows arteries, when palpation of a lyudin sees a blister, blood circulation in the zone of magistralnye sudins collapses.

Anxiety can be progressing step by step і open up friendly minds for the development of those who are sick, like:

• Diabetes mellitus;
• Rizka vrata zoru, cataract;
• Zapalennya skronevoy artery;
• Osteoporosis.

In patients, it is often significant to increase the level of cholesterol in the blood, and even more negatively to be recognized as a cause of atherosclerosis. If you want to be unique, try to find out the pathology of the most effective methods.

Understand rheumatic polymyalgia rely on respect klinichny camp ill, it is important to develop in people who have been kidnapped. It is characterized by a pain syndrome, which manifests itself as wound pains and muscular skutism, which is important in the shoulder and pelvic girdle, feverishness, decreased vagi, the appearance of depression, the appearance of indicators in the interruption of the activity of the laboratory. According to the statistical data of the middle given pathology learn more often, less at the choloviks.

cause development

The primary reason for the appearance of a systemic illness is not to let go. Alec is the role of the officials, who can take their development:

• різні viruses,
• post-stress,
• trivali overcooled,
• transfer of GRZ I GRVI.

clinika zvoryuvannya

Symptoms of polymyalgia rheumatica... With a lot of ailments, skarzhitsya on bends and skuzhst in the main in the shoulder girdle, pelvic region, or in the other muscles. It is obvious that there are pains in the region, shoulder slopesі shoulders, sіdnitsa and stegon є one of the diagnostic criteria. More can be buzzing, pulling or softening, and the intensity is due to the activity of the ignition process. Polymyalgia is generally accepted at the rank hour. Ailments see and navit with the best Rus in the fight against ailments. Bіl verseє as soon as ailments are accepted. Most of them are often symmetrical and provoke bunches of sleeves in the slopes of the shoulder and pelvic girdle, as well as in the shia.

In case of polymyalgia rheumatoid є particularity of symptoms. Vona polyagu in the inconsistency between the ailments of the sick for the intensity of the pain and the data, which are taken out by the doctor when they look around. For scargs from a sick person strong pain, And objectively, when palpating lesions of the areas, it does not occur, or it appears that there is little ailment.

Through the intercourse of active rulers in the areas destroyed by the ailments, we are ailing importantly for great peopleдії. for example:

• strap on,
• comb yourself
• hang in,
• sisti napochіpki,
• stand on your own from the low style,
• go down and go down the gatherings.

The change is evident, the crocs are dripping and mincing. And also more to be intertwined active hands, Nіzh passive.

From the backward symptoms of polymyalgia in ailments, there can be present: backward weakness, decreased or increased appetite, loss of vagina, increased temperature of the body.

There may also be symptoms characteristic of the development of the temporal artery. Wines are often manifested in the hearts of the very quickly and sickly, while promising the great arterial stovburys. With a wide range of ailments, you may also be prone to the appearance of a feeling of chilliness, paresthesia, oniminnya, headache, deterioration of damage.

diagnostics of illness

For carrying out diagnostics of a complex of rheumatic polymyalgia vicoristovuyut laboratory and instrumental methods of diagnostics. Prior to laboratory reports:

• Viznachennya shvidkostі deposition of erythrocytes, which can be more than 60 mm / year.
• Zagalny blood analysis, in which case anemia begins, hemoglobin appears at a time when it is between 100 to 110 g / l.
• Conducting biochemistry of blood, in which case there is an increase in fibrinogen, alpha-2-globulin, URP and other markers of the state of the blood.
• The rheumatic factor does not appear, and the antistreptolysin indicators do not outweigh the established norms.

Electromyography of zones, in which pain begins, has been expanded from instrumental methods. With a whole method of diagnostics, it is rare for a decrease in the average triviality of the potential of ruff muses, or even one fibrillation, to begin.

Likari in Danish hour to determine the diagnosis of rheumatoid polymyalgia vikoristovuyt onset of diagnostic criteria, such as proponyav V. Hamrin.

Main:

1. vіk ponad 50 rockіv;
2. mіalgії, which are located in two three areas (shia, shoulder girdle, pelvic girdle);
3. bilaterally symmetrical spreading of pain;
4. overgrowth in significant areas of pain in the entire stretch of ailment in the active phase;
5. The rate of deposition of erythrocytes is due to the change of 35 mm / year.

dodatkovі:

1. the triviality of symptoms of polymyalgia is not less than 8 types;
2. the manifestation of the encirclement of rukhiv in the hills near the Vishchevkazan areas;
3. the appearance of backward symptoms (abnormal stomachache, backward weakness, impaired appetite, thinning, signs of fever and anemia).

lykuvannya zhvoryuvannya

With the treatment of rheumatic polymyalgia, glucocorticosteroids occur in the first place. Nybilsh is often indicated as prenizolone in extra dose from 10 to 30 mg. It lasts for 2 or 4 times, so it’s safe to lie down as a result of the activity of the ailment in a sick person. When the dose is adjusted, it is necessary to take it before it is reduced. key signs ailments.

Upon reaching a change in symptoms of ill health, the patient should be gradually transferred to an acceptable dose of the drug, as it is necessary to take the drug by hand. Before the end of the course, I started to receive ailments by taking a minimal dose, and every other day, step by step, they were interrupted by the methods. Accumulation of reports on the basis of the show, which can be used as a pre-nizolone, as well as rock.

In the case of severe pain syndrome, the drug may be included in the treatment. Non-steroidal anti-pyretic drugs are sometimes used as additional drugs. It is also recommended to fix the problem, for those who are sick to the organism of a sick person, for example, immunostimulants and vitamins. When the temporal artery is revealed, the first treatment is carried out in parallel with the main ailments.

forecast

In case of early diagnostics and adequate therapy, it is possible to use... In case of diagnostics and irregular intake of drugs, the patient becomes ill in a step-by-step process. How to increase the dosage taken by pre-nizolone, and then, in the end-to-end dosage, to grow to a lot of rock.

• Until then, what are you doing? Rheumatic polymialgia

SHO TAKE Rheumatic polymialgia

Rheumatic polymialgia (RP)- systemically fired up people who are abducted, are characterized by pain and skutism in the muscles of the shoulder and pelvic girdle in the midst of feverishness, decreased muscle mass, depression, high indicators of activity in the process in laboratory diagnoses of arterial disease.

• Epidemiology

Epidemiology of the Republic of Poland was vivchena in the last 10-15 years in the SSA and Svets. It has been established that the expansion of the RP varies from 133 to 28.6 per 100,000 population over 50 years. Bagato doslіdnikіv vvazhayut, but the RP does not grow up, nіzh Bekhterev's ailment, gout, VKV.

People who are older than 50 years old are in good health with a peak in the age of 65-75 years. Females are sick less often than choloviks.

• Pathomorphology

The pathomorphology of the RP is practically not vivified, there are some splinters in case of biopsies of sickly mucous membranes, as a rule, there are no certain symptoms. With biopsies of the synovial membrane and periarticular tissues, signs of nonspecific synovitis and periarthritis do not appear.

More often than not, the RP with temporal arteries has become an allowance, but the symptomatology of polymyalgia is accompanied by a vascular change - an oozing process in the aorta and appears from some of the grids, especially the arteries of the upper half of the head. Dysno, signs of RP appear in approximately half of the ailments with temporal arteries, biopsies of early arteries, and in one third of ailments, symptoms of RP are preceded by signs of temporal arteries.

Scho provokuє Rheumatic polіmіalgіya

Can role viral infections and also stressful situations, Overcooling, transferring gostrich respiratory infections.

Symptoms of Rheumatic Polymyalgia

Major ailments of the Republic of Poland have a gostro, With swiveling pains and scuttles, the head rank in the meat of the shoulder and shoulder girdle, before (in one third of the ailments) in the meat of the pelvic girdle, stegon. N.V. Bunchuk і S.S. characteristic pain with RP, which may be diagnostic value... Localization of pain - area of ​​shia, shoulders, slopes and shoulders, sidnitsa, stegna. More to indulge in a laughing one, it is more difficult, smoother in character, the intensity of which is tied to the activity of the ailment. Mіalgії and skootіstіt vrantіyutsі, in any rusі, at night in quiet groups of languages, as they come to the option, including wagu tila. Characteristically, it’s not painful to worry about the sick in general calm, when taken by hand. Mіalgії і skutіst evoke a symmetrical character, supravlyuyutsya surrounded by ruffs in the shoulder and tazostegnovy slopes, shyny vіddіlі ridge. Beast on myself I respect the inconsistency between the swivel of sub-active views and the daytime ailment, for a little ailment at palpation of cych areas. So, in a large number of vypads, there is no vyaviti vyavity of humeral wrinkles in the humeral and tazostegonovy slopes, periarticular tissues, due to a slight ailment with palpation of the muscles and tendon ligaments in the region Nemaє nі atrophy, nі infiltration in the muscles of the shoulder abo-pelvic girdle.

Active ruffs in the high-rise ridge, in the shoulder and tazostegnovy slopes of the ridge, so we have a big problem to pull up, to get overwhelmed, to grasp, to sit down, to get up from the low likelihood, to get up. The progress changes, the croc is old, dumb, dumb. It is extremely important that the passive hands are enclosed in the small world, not active. Non-steroidal anti-pyretic drugs, for analgesics, to change myalgia for a short hour, at that hour, when prenizolone is administered in small doses (10-15 mg / dob), it has a very good effect.

From the last manifestations of RP, arthritis must be taken into account; L. A. Healey is most often aware of signs of arthritis in the area of ​​the shoulder, thoracic-clavicular, interstitial and colonic slopes. Arthritis is unstable and it is easy to stop intra-angular injections of hydrocortisone, or with corticosteroids in the middle.

Pererakhovani vische signs of supravodzhuyutsya, as a rule, zagalnaya weakness, decreased appetite, emaciation, increased temperature. The variability of the cich is a sign of an affliction tied to the activity of the ailment.

A number of ailments have tachycardia, soreness during palpation along the great arterial stoves. In a number of patients with pain, they develop a spontaneous character, there are paresthesias, the appearance of chilliness, oniminnya, which, as a rule, are tied to the development of the temporal artery. Temporal artery also manifests itself as a headache, sensitiveness during palpation of the scalp, especially arteries of the skrone region, damaged vision. The head beel is one-sided, important, the most powerful at nights. You can get a quick fix, and in about one third of ailments, the first symptom of ailments. Bil often irradiated from the skinny area into the shia, the lower slit, eyes, vuha, simulating maxillofacial neuralgia, arthritis of the maxillary lobes, or to induce fluff into the brain. When looking around the area of ​​early artery, it is possible to see a sickly defilement of the walls of the court and the appearance of the pulsations, filling up the artery of the tissue. Mayzhe at half of the ailing temporal arteries collapse zir. There is a step-by-step decrease in rapidity, diplopia develops in a number of ailments, and approximately 10% may have a slap in one of them, or an injury of the eye as a legacy of ischemic neuropathy of the healthy nerve or of hemorrhagic diseases. It is more important to diagnose the value of the rapid development of cerebral disturbances, the breakdown of the passage of the magistral vessels (asymmetry of the pulse, vice, sudden noises).

Three laboratory tests in case of RP are most important є improvement of the SHOE, with a range of 60-80 mm / year. In bagatioh ailments, there is a slight normochromic anemia (100-110 g / l). It is possible to state a high level of fibrinogen, a2globulin, SRV and the other biches of the state phase. RF, AHA does not appear, the level of antistreptolysin is normal.

With Electromyographic advances, in the zones of which there were pains, these changes did not appear;

Diagnostics of rheumatic polymyalgia

When the RP is recognized, I will help you to propose V. Hamrin diagnostic criteria:

• vіk sickly older than 50 years;
• the appearance of pains in the muscles, at least in two three areas (shia, shoulder and pelvic girdle);
• bilateral localization of pains;
• revaluation of the designated localization of pain by stretching the active phase of the ailment;
• SHOE more than 35 mm / year;
• the triviality of symptoms of ailment is not less than 2 ms;
• obmezhennya rukhіv in the sheer end of the ridge, shoulder and tazostegnovy slopes;
• abnormal weakness, increased obesity, anorexia, decreased body mass, fever, anemia.

The first five criteria are vvazhayutsya obovyazkovy, rashta - dodatkovy.

The manifestation of the temporal artery in the ailing RP can be judged with the appearance of changes in the arteries of the peripheral region, ailment with palpation, the pulse rate, impaired blood circulation in the zone of that or the second magistral artery, the passage. Reliable diagnostics mean positive sorcerers in biopsies of temporal artery.

Slid mothers on uvazi "nimi" form of RP, with any onset of the malgic syndrome, and if there is no asthenia, depression, or deterioration of laboratory tests.

• Differential diagnosis

The presence of specific signs of ailments is not often put in front of a clinician for the diagnosis of RP by the method of diagnosing a low ailment, which is developed in the case of a sick person, - systemic vasculitis, polyparanasia, systemic osteoarthritis syndrome,

Feverishness about the possibility of an ailing polymyositis turns into a link with a development in case of RP. However, the remainder is overwhelmed not by myasthenia, which is typical for polymyositis, but only by myalgia. In ailments of RP, there is no amyotrophy, an increase in serovate creatine phosphokinase and an increase in creatinuria. On the day of the RP in case of polymyositis in the place of blood in the blood of the state of the phase, as well as SHOE, in addition to admissions. In addition, a small dose of prednisolone with polymyositis is absolutely ineffective.

Submission of RPs with temporal arteries to rob the necessary differential diagnostics with other systemic vasculitis, protest nevazhka, as well as memory about the peculiarities of the vertebral pathology in temporal arteritis.

You may find out that there is a need to know the RP from the Republic of Armenia, as soon as possible in the summer. For the rest, it is characteristic that the shoulder slopes are significantly affected, ale, as a rule, during the process, i.e. Shvidko, the symptoms of polyarthritis develop in the affected other slopes of the hands and feet and characteristic x-ray signs.

Differentiation from polyosteoarthrosis is important, fragments of RP can be improved. In many cases, the memory of the particularity of pain in RP, swelling is a sign of fiery activity, which is not overbearing for steoarthrosis.

In case of paraneoplastic syndrome with myalgias, most often we talk about polymyositis with characteristic myasthenia, amyotrophysiology, and not about RP, since it is possible to recognize on the basis of muscular pain syndrome.

Treatment of rheumatic polymyalgia

RP є absolute indications for the value of corticosteroids, not importantly prenіzolone, in small and medium doses (from 10 to 30 mg / add), or else (in 2-4 priyomi) in the amount of activity in the process, so that the intensity of the pain, the severity of the symptoms in the place of bile's in the hospitality phase of ailments and SHOE. In individual doses, prednizolone is indicated for a significant change in pain syndrome and laboratory indicators in the activity of the process. Then, step by step, transfer the ailment to a one-time rankovy reception of all important doses of pre-nizolone, and if necessary, carefully reduce the dose until the additional dose (5-10 mg / dose). I will take away a dose of ailments with a stretch of decilkoh months. As well as possible, the therapy ends with alternating intake of prenizolone, i.e., Cherguvans (every other day) receive an additional dose with a smaller amount of incremental increases in the interval between the intake of prenizolone. Dosvid show, how sick snares take the GCS in months, and then in rocks.

When the RP is recognized with the temporal arteries, the lykuvannya should be carried out according to the rules of the lykuvannya of the rest.

Dodatkovo, in case of elimination, it is possible to use non-steroidal anti-fumes - indo metacin, voltaren and іnshі in medium doses.

forecast

The prognosis for RP is good. In case of early development and adequate treatment, the infusion of ointment. With a decrease in the development and irregular use, there may be a fire, which can lead to an increase in the dosage of prenizolone, which, in a small amount in acceptable doses, may indicate a long stretch of rock. By the essence, the method of treatment is by means of secondary prevention of aggravation. Primary prevention is not broken up.