Malangizo 10 Othandizira Kuthetsa Mavuto Akuluakulu a Cell Arteritis

Zamkati

• 1. Onani dokotala wanu
• 2. Tengani mankhwala anu
• 3. Khalani panjira yabwino
• 4. Lankhulani ndi dokotala wanu za zovuta
• 5. Nenani za kusintha kulikonse pakumva kuwawa
• 6. Dziwani nthawi yadzidzidzi
• 7. Pezani vitamini D yanu
• 8. Sunthani tsiku lililonse
• 9. Idyani zakudya zotsutsa-zotupa
• 10. Tsatirani
• Tengera kwina

Ululu ndi gawo lalikulu lokhala ndi chimphona cha cell arteritis (GCA), mtundu wa vasculitis womwe umakhudza nthawi yayitali, cranial, ndi ma carotid system ena. Nthawi zambiri mumamva kupweteka kumutu, khungu, nsagwada, ndi khosi.

Simuyenera kukhazikika moyo wokhala ndi ululu. Mankhwala alipo kuti asamalire GCA yanu.

Mankhwala atha kutsitsa kutupa mthupi lanu. Amathanso kuchepetsa ululu ndi zisonyezo zina mwachangu.

Yesani malangizo awa 10 okuthandizani kuthana ndi ululu wanu wa GCA.

1. Onani dokotala wanu

Ngati muli ndi zowawa zatsopano komanso zosazolowereka pamutu panu, nkhope, kapena mbali zina za thupi lanu, onani dokotala wanu. Mutha kuyamba ndikuchezera omwe amakuthandizani.

Dokotala wanu akhoza kukutumizani kwa rheumatologist kapena katswiri wina kukayezetsa ndi kulandira chithandizo. Chifukwa zizindikiro za GCA ndizofanana ndi zamankhwala ena, ndikofunikira kuti matendawa athe. Kenako mutha kuyamba chithandizo choyenera.

Ndikofunikanso kuyamba kumwa mankhwala anu posachedwa. Sikuti zidzangothetsa ululu wanu, zidzatetezanso zovuta zazikulu, monga kutaya masomphenya ndi sitiroko.

2. Tengani mankhwala anu

Chithandizo chachikulu cha GCA ndimlingo waukulu wa mankhwala a steroid prednisone. Mukamamwa mankhwalawa monga dokotala akukuuzani, ululu wanu uyenera kuyamba kuchepa tsiku limodzi kapena awiri.

3. Khalani panjira yabwino

Ndikofunika kutsatira malangizo a dokotala wanu ndikumwa mankhwala enieni omwe mwapatsidwa. Mwinanso mutha kutenga prednisone kwa chaka chimodzi kapena ziwiri kuti muchepetse zizindikilo zanu, koma dokotala wanu amachepetsa pang'onopang'ono mlingo wanu.

Mukasiya kumwa mankhwala anu kapena kuchepetsa mlingo wanu popanda dokotala wanu, ululu wanu ukhoza kubwerera.

4. Lankhulani ndi dokotala wanu za zovuta

Prednisone ndi mankhwala amphamvu. Zitha kuyambitsa zovuta zina, kuphatikiza:

• kusakhazikika komanso kupumula
• kuvulaza kosavuta
• kuvuta kugona
• kunenepa
• kusungira madzi ndi kutupa
• kusawona bwino

Zotsatira zoyipa kwambiri zakumwa mankhwala a steroid nthawi yayitali ndi monga:

• matenda ashuga
• kuthamanga kwa magazi
• mapangidwe amaso kapena khungu
• kuchepetsa kuchepa kwa matenda
• kufooka kwa mafupa

Nenani za zovuta zilizonse zomwe mungakhale nazo kwa dokotala wanu. Osangosiya kumwa mankhwala anu.

Pali njira zothetsera zovuta za prednisone. Dokotala wanu akhoza kuchepetsa mlingo wanu. Amatha kupatsanso mankhwala ena kuti athane ndi zovuta zina, monga bisphosphonate yolimbitsa mafupa anu kapena proton pump inhibitor kuti muchepetse acid reflux.

5. Nenani za kusintha kulikonse pakumva kuwawa

Lembani zolemba zanu. Lolani dokotala wanu adziwe nthawi yomweyo ngati ululu wanu ukuyamba kuwonjezeka. Mungafunike kusintha kwa mlingo, kapena dokotala akhoza kuwonjezera mankhwala ena monga tocilizumab (Actemra) kuti athetse kutupa ndi kupweteka.

6. Dziwani nthawi yadzidzidzi

Itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi mukayamba kukhala ndi zizindikilo zazikulu, monga kupweteka nsagwada kapena lilime mukamadya, kapena masomphenya akusintha ngati masomphenya awiri.

Zizindikirozi ndizovuta kwambiri ndipo zimalumikizidwa ndi kuthekera kokulira khungu. Mungafunike mankhwala am'mitsempha (IV) ndi ma steroids kuti mupewe kutaya masomphenya ndi zovuta zina.

7. Pezani vitamini D yanu

Funsani dokotala ngati muyenera kumwa calcium ndi vitamini D zowonjezera. Mafupa ofooka ndi zotsatira zoyipa zogwiritsa ntchito prednisone kwanthawi yayitali. Kuonjezera michere imeneyi kumatha kulimbitsa mafupa anu ndikupewa kusweka.

8. Sunthani tsiku lililonse

Kubwereka njinga yoyimirira kapena ngakhale kuyenda kungamawoneke ngati kosatheka mukakhala kuti simukumva bwino, koma kuchita masewera olimbitsa thupi ndikuthandizira kupweteka.

Mukamachita masewera olimbitsa thupi, thupi lanu limatulutsa mankhwala othandizira kupweteka kwachilengedwe omwe amatchedwa endorphins omwe amakuthandizani kuti mukhale bwino.

Kuchita masewera olimbitsa thupi kumalimbitsanso mafupa anu ndi minofu yanu, yomwe imathandiza kupewa kuphulika komanso kuchotsa zina paziwalo zopweteka. Kuphatikizanso apo, kulimbitsa thupi kumalimbikitsa kugona komanso kulimbikitsa nkhawa. Kugona mokwanira komanso kupsinjika kumatha kubweretsa ululu.

9. Idyani zakudya zotsutsa-zotupa

Zowawa za GCA zimachokera mukutupa. Kuchepetsa kutupa ndi zakudya ndi njira imodzi yodzithandizira kuti mumve bwino.

Idyani zakudya zachilengedwe zotsutsana ndi zotupa, monga:

• zipatso ndi ndiwo zamasamba
• nsomba zamafuta ngati saumoni ndi tuna
• mbewu zonse
• mtedza ndi mbewu
• maolivi ndi mafuta ena athanzi

Pewani kapena muchepetse chilichonse chomwe chingapangitse kutupa, kuphatikiza:

• maswiti
• zakudya zokazinga
• zakudya zopangidwa

10. Tsatirani

Mudzawona dokotala wanu kamodzi pamwezi poyamba, kenako kamodzi miyezi itatu iliyonse mukakhazikika.

Maulendowa amapatsa dokotala mwayi wofufuzira ndi kuwona momwe mukuyendera. Maimidwe awa ndiofunikira kuti adotolo azindikire zomwe zikuwonetsa.

Tengera kwina

Ululu ndi chimodzi mwazizindikiro zazikulu za GCA. Zitha kukhala zovuta kwambiri kusokoneza moyo wanu watsiku ndi tsiku.

Kuyambira pa prednisone posachedwa kungakuthandizeni kuchepetsa ululu wanu. Pasanathe masiku ochepa mutamwa mankhwalawa, muyenera kuyamba kumva bwino kwambiri.