Temporitis arteritis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Giant cell arteritis, yomwe imadziwikanso kuti temporical arteritis, ndimatenda omwe amayambitsa kutupa kwamitsempha yamagazi, ndipo imayambitsa zizindikilo monga mutu, malungo, kuuma komanso kufooka kwa minofu ya masticatory, kuchepa magazi, kutopa ndipo, nthawi zina kwambiri, zingayambitse khungu.

Matendawa amadziwika ndi dokotala kudzera pakuwunika kwakuthupi, kuyesa magazi ndi mitsempha ya mtsempha wamagazi, womwe umawonetsa kutupa. Chithandizochi chimatsogozedwa ndi rheumatologist, ndipo ngakhale ilibe mankhwala, matendawa amatha kuwongoleredwa bwino ndikugwiritsa ntchito mankhwala, makamaka corticosteroids, monga Prednisone.

Matenda a arteritis amapezeka kwambiri kwa anthu azaka zopitilira 50, ndipo ngakhale chomwe chimayambitsa sichikudziwika, zimadziwika kuti ndizokhudzana ndi kusamvana mthupi. Matendawa ndi mtundu wa vasculitis, mtundu wa matenda a rheumatic omwe amakhudza kuyenda kwa magazi ndipo amatha kuyambitsa mbali zosiyanasiyana za thupi. Mvetsetsani chomwe vasculitis ndi chomwe chingayambitse.

Zizindikiro zazikulu

Kutupa m'makoma amitsempha yamagazi kumayambitsa zizindikilo zomwe zimalepheretsa kufalikira kwa zotengera zamagazi zomwe zimakhudzidwa, makamaka mtsempha wosakhalitsa, womwe uli pamaso, kuphatikiza ena monga ophthalmic, carotid, aorta kapena coronary artery, mwachitsanzo.

Chifukwa chake, zizindikilo zazikulu ndi izi ndi izi:

• Mutu kapena kupweteka kwa khungu, zomwe zingakhale zolimba komanso zopweteka;
• Kutengeka ndi kupweteka kwa mitsempha ya kanthawi, yomwe ili pambali pamphumi;
• Ululu ndi kufooka nsagwada, zomwe zimachitika mutalankhula kapena kutafuna kwa nthawi yayitali ndikusintha ndi kupumula;
• Malungo obwereza ndi osadziwika;
• Kusowa magazi;
• Kutopa ndi kufooka kwakukulu;
• Kusowa kwa njala;
• Kuwonda;

Kusintha kwakukulu, monga kutayika kwa masomphenya, khungu ladzidzidzi kapena kuperewera kwa magazi, kumatha kuchitika nthawi zina, koma kumatha kupewedwa pozindikira ndi kuchititsa chithandizo, posachedwa, ndi rheumatologist.

Kuphatikiza pa zisonyezozi, ndizofala kuti arteritis yakanthawi imatsagana ndi polymyalgia rheumatica, omwe ndi matenda ena omwe amayambitsa kutupa kwa mafupa ndi mafupa, ndikupangitsa kupweteka mthupi, kufooka komanso kusapeza bwino m'malo molumikizana mafupa, makamaka mchiuno ndi mapewa . Dziwani zambiri za polymyalgia rheumatica.

Momwe mungatsimikizire matendawa

Kuzindikira kwa temporitis arteritis kumachitika kudzera pakuwunika kwachipatala ndi dokotala kapena rheumatologist, kuphatikiza pakuyesa magazi, komwe kumawonetsa kutupa, monga kukwera kwa milingo ya ESR, yomwe imatha kufikira mfundo zopitilira 100mm.

Chitsimikizo, komabe, chimapangidwa ndi biopsy of the temporical artery, yomwe iwonetsa kusintha kwamatenda mwachindunji mchombocho.

Momwe mankhwalawa amachitikira

Chithandizo cha chimphona cha cell arteritis chimachitika kuti muchepetse zizindikilo ndikupewa kuwonongeka kwa masomphenya, pogwiritsa ntchito corticosteroids, monga Prednisone, m'mayeso omwe amachepetsa pang'ono, motsogozedwa ndi rheumatologist. Kugwiritsa ntchito mankhwala kumachitika kwa miyezi itatu, mosiyanasiyana malinga ndi kusintha kwa zizindikilo.

Kuphatikiza apo, adotolo amathanso kulangiza othetsa ululu ndi ma antipyretics, monga paracetamol, kuti athetse zizindikiro monga kutentha thupi, kutopa komanso kufooka, zikadzayamba.

Matendawa amatha kuwongoleredwa bwino ndi mankhwala ndipo nthawi zambiri amapita kukakhululukidwa, koma amatha kubwereranso pakapita nthawi, zomwe zimasiyanasiyana ndi momwe thupi la munthu aliyense limayankhira.