Cad ka-qaadista murqaha

Cad ka-qaadista muruqyada waa ka-goynta qayb yar oo ah murqaha baaritaanka.

Nidaamkan waxaa badanaa la sameeyaa inta aad soo jeedo. Bixiyaha xanaanada caafimaadka ayaa u adeegsan doona daawo suuxdin leh (suuxdinta maxaliga ah) aagga biopsy.

Waxaa jira laba nooc oo ah cad ka-qaadista muruqyada:

• Cirbaynta cirbadda ayaa ku lug leh irbad la gelinayo muruqa. Marka irbadda laga soo bixiyo, in yar oo unug ah ayaa irbadda ku hadha. In ka badan hal cirbad oo cirbad ah ayaa loo baahan karaa si loo helo muunad weyn oo ku filan.
• Bayobsi furan ayaa ku lug leh jarista yar ee maqaarka iyo muruqa. Unugyada muruqyada ayaa markaa laga saarayaa.

Labada nooc ee biopsy ka dib, nudaha ayaa loo dirayaa shaybaar si loo baaro.

Looma baahna diyaarin gaar ah badiyaa. Haddii suuxdintu kugu dhacdo, raac tilmaamaha ku saabsan inaadan waxba cunin ama cabbin baaritaanka ka hor.

Inta lagu jiro cad ka-qaadista jirka, badanaa ma yara ama wax dhib ah ma dareemaan. Waxaad dareemi kartaa xoogaa cadaadis ama jiidis ah.

Suuxdinta way gubi kartaa ama way xoqi kartaa marka la isku duro (ka hor inta aagga uusan kabuub noqon). Ka dib suuxdinta ka dib, aagga waxaa laga yaabaa inuu xanuuno illaa toddobaad.

Cad ka-qaadista muruqyada ayaa loo sameeyaa si loo ogaado sababta aad u daciif u tahay markii dhakhtarku kaa shakiyo inaad qabto dhibaato muruqa ah.

Cad ka-qaadista muruqyada ayaa la samayn karaa si loo caawiyo in la garto ama la ogaado:

• Cudurrada caabuqa ee murqaha (sida polymyositis ama dermatomyositis)
• Cudurada ku dhaca unugyada isku xidha iyo xididdada dhiigga (sida polyarteritis nodosa)
• Caabuqyada saameeya muruqyada (sida trichinosis ama toxoplasmosis)
• Dhibaatooyinka muruqyada ee la iska dhaxlo sida murqaha dystrophy ama myopathy lagu dhasho
• Cilladaha dheef-shiid kiimikaadka ee muruqa
• Saameynta daawooyinka, sunta, ama cilladaha korantada

Cad ka-qaadista muruqyada ayaa sidoo kale loo samayn karaa si loogu sheego farqiga u dhexeeya cilladaha neerfaha iyo murqaha.

Muruq dhowaan dhaawacmay, sida irbadda EMG, ama ay saameyn ku yeelatay xaalad hore u jirtay, sida isku-buufinta neerfaha, waa in aan loo dooran biopsy.

Natiijo caadi ah waxay ka dhigan tahay in muruqu caadi yahay.

Cad ka-qaadista murqaha ayaa kaa caawin kara baaritaanka xaaladaha soo socda:

• Lumida murqaha (atrophy)
• Cudurka muruqyada oo ku lug leh barar iyo maqaarka maqaarka (dermatomyositis)
• Cilladaha murqaha ee la iska dhaxlo (Duchenne murqaha dystrophy)
• Caabuq muruqa ah
• Kala dystrophies muruqyo kala duwan
• Burburinta muruqa (isbeddelada myopathic)
• Dhimashada unugyada muruqa (necrosis)
• Cilladaha ku lug leh caabuqa xididdada dhiigga oo saameeya muruqyada (necrotizing vasculitis)
• Dhaawac muruqa ah
• Muruqyada curyaanka ah
• Cudurka caabuqa ee keena daciifnimada murqaha, bararka jilicsanaanta, iyo dhaawaca unugyada (polymyositis)
• Dhibaatooyinka neerfaha ee saameeya muruqyada
• Nudaha muruqa maqaarka hoostiisa (fascia) wuxuu noqdaa barar, bararsan, iyo dhumuc weyn (eosinophilic fasciitis)

Waxaa jira shuruudo dheeraad ah oo baaritaanka lagu sameyn karo.

Khataraha baaritaankaan waa yar yahay, laakiin waxaa ka mid noqon kara:

• Dhiigbax
• Dhaawac
• Waxyeello soo gaadhay unugyada muruqyada ama unugyada kale ee aagga (aad u dhif ah)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Biopsy - murqaha

• Cad ka-qaadista murqaha

Shepich JR. Cad ka-qaadista murqaha. Gudaha: Fowler GC, ed. Nidaamka Pfenninger iyo Fowler ee Daryeelka Aasaasiga ah. 4aad. Philadelphia, PA: Elsevier; 2020: cutubka 188.

Warner WC, Sawyer JR. Cilladaha neerfaha. Gudaha: Azar FM, Beaty JH, eds. Xarunta Campbell ee Opeped. 14aad. Philadelphia, PA: Elsevier; 2021: cutubka 35.