Zomwe Muyenera Kufunsa Dotolo Wanu Pokhudza Kuchiza Giant Cell Arteritis

Zamkati

• Kodi chithandizo cha Giant Cell Arteritis ndichotani?
• Kodi zotsatira zoyipa zomwe prednisone angayambitse ndi ziti?
• Kodi prednisone ingandilepheretse kuwona?
• Kodi ndingachepetse liti mlingo wa prednisone?
• Kodi pali mankhwala ena aliwonse omwe amachiza chimphona cha arteritis?
• Bwanji ngati matenda anga abweranso?
• Kodi mankhwala angandichiritse?
• Ndi chiyani china chomwe ndingachite kuti ndikhale bwino?
• Tengera kwina

Giant cell arteritis (GCA) ndikutupa mkatikati mwa mitsempha yanu, nthawi zambiri mumitsempha yam'mutu mwanu. Ndi matenda osowa kwambiri.

Popeza zizindikilo zake zambiri ndizofanana ndi zina, zimatenga nthawi kuti zipezeke.

Pafupifupi theka la anthu omwe ali ndi GCA amakhalanso ndi zowawa komanso kuuma m'mapewa, m'chiuno, kapena onse awiri, otchedwa polymyalgia rheumatica.

Kudziwa kuti muli ndi GCA ndichinthu chachikulu. Funso lanu lotsatira ndi momwe muyenera kuchitira.

Ndikofunika kuti muyambe kulandira chithandizo mwachangu momwe mungathere. Sikuti zizindikiro zokhazokha monga kupweteka kwa mutu ndikumva kuwawa sizimakhala bwino, koma matendawa amatha kubweretsa khungu popanda kuthandizidwa mwachangu.

Mankhwala oyenera amatha kuthana ndi matenda anu, ndipo atha kuchiritsa vutoli.

Kodi chithandizo cha Giant Cell Arteritis ndichotani?

Chithandizo nthawi zambiri chimaphatikizapo kuchuluka kwa mankhwala a corticosteroid monga prednisone. Zizindikiro zanu ziyenera kuyamba kusintha kwambiri pamankhwala - mkati mwa 1 mpaka masiku atatu.

Kodi zotsatira zoyipa zomwe prednisone angayambitse ndi ziti?

Zotsika za prednisone ndizotsatira zake, zina zomwe zingakhale zoyipa. Anthu ambiri omwe amagwiritsa ntchito prednisone amakhala ndi zovuta izi:

• mafupa ofooka omwe amatha kuthyoka mosavuta
• kunenepa
• matenda
• kuthamanga kwa magazi
• ng'ala kapena khungu
• shuga wambiri wamagazi
• kufooka kwa minofu
• mavuto ogona
• kuvulaza kosavuta
• kusungira madzi ndi kutupa
• kupweteka m'mimba
• kusawona bwino

Dokotala wanu adzakufufuzirani za zotsatirapo zake ndikuthandizani zilizonse zomwe muli nazo. Mwachitsanzo, mutha kumwa mankhwala monga bisphosphonates kapena calcium ndi vitamini D zowonjezera kuti mulimbitse mafupa anu ndikupewa kusweka.

Zotsatira zoyipa zambiri ndizosakhalitsa. Ayenera kusintha pamene mukuchotsa prednisone.

Kodi prednisone ingandilepheretse kuwona?

Inde. Mankhwalawa ndi othandiza kwambiri poletsa kutayika kwa masomphenya, vuto lalikulu kwambiri la GCA. Ndicho chifukwa chake ndikofunikira kuyamba kumwa mankhwalawa mwachangu momwe mungathere.

Ngati mwataya masomphenya musanatenge prednisone, sichingabwererenso. Koma diso lanu linatha kulipirira ngati mungatsatire njira imeneyi.

Kodi ndingachepetse liti mlingo wa prednisone?

Pambuyo pa mwezi umodzi mutatenga prednisone, dokotala wanu ayamba kuchepetsa mlingo wanu pafupifupi 5 mpaka 10 milligrams (mg) patsiku.

Mwachitsanzo, ngati munayamba pa 60 mg patsiku, mutha kutsikira ku 50 mg kenako 40 mg. Mukhala pamlingo wotsika kwambiri wofunikira kuti muchepetse kutupa kwanu.

Momwe mungachepetsere mlingo wanu zimadalira momwe mumamvera komanso zotsatira zanu zoyeserera, zomwe dokotala wanu amayang'anira nthawi yonse yomwe mumalandira.

Simungathe kuimitsa mankhwalawo kwakanthawi. Anthu ambiri omwe ali ndi GCA amafunika kumwa mlingo wocheperako wa prednisone kwa zaka 1 kapena 2.

Kodi pali mankhwala ena aliwonse omwe amachiza chimphona cha arteritis?

Tocilizumab (Actemra) ndi mankhwala atsopano omwe Food and Drug Administration amavomereza mu 2017 kuti athetse GCA. Mutha kulandira mankhwalawa mukamachotsa prednisone.

Zimabwera ngati jakisoni yemwe dokotala amakupatsani pansi pa khungu lanu, kapena jekeseni womwe mumadzipatsa nokha sabata limodzi kapena awiri aliwonse. Dokotala wanu akhoza kukupatsani inu pa Actemra mukangosiya kumwa prednisone.

Actemra ndiyothandiza kuti GCA iwonongeke. Ikhozanso kuchepetsa kufunika kwa prednisone, yomwe ingachepetse zovuta zake. Koma chifukwa Actemra imakhudza chitetezo chanu chamthupi, zitha kuwonjezera chiopsezo chotenga kachilombo.

Bwanji ngati matenda anga abweranso?

Zimakhala zachilendo kuti mutu ndi zizindikilo zina zibwerere mukangoyamba kuchotsa prednisone. Madokotala sakudziwa chomwe chimayambitsa izi. Matenda ndi omwe amatha kuyambitsa.

Ngati zizindikiro zanu zibwereranso, dokotala wanu akhoza kugwedeza mlingo wanu wa prednisone kuti muwathandize. Kapenanso akhoza kukupatsani mankhwala ochepetsa chitetezo cha mthupi monga methotrexate (Trexall), kapena mwayamba kumwa mankhwala ndi Actemra.

Kodi mankhwala angandichiritse?

Pambuyo pa chaka chimodzi kapena ziwiri mutatenga prednisone, zizindikiro zanu ziyenera kutha. GCA imabweranso kawirikawiri itachiritsidwa bwino.

Ndi chiyani china chomwe ndingachite kuti ndikhale bwino?

Mankhwala si njira yokhayo yothetsera GCA. Kudzisamalira bwino kumathandizanso kuti muzimva bwino.

Idyani chakudya chomwe chimachepetsa kutupa mthupi lanu. Zisankho zabwino ndi zakudya zotsutsana ndi zotupa monga nsomba zamafuta (saumoni, tuna), mtedza ndi mbewu, zipatso ndi ndiwo zamasamba, maolivi, nyemba, ndi mbewu zonse.

Yesetsani kukhala achangu tsiku lililonse. Sankhani zolimbitsa thupi zomwe sizili zovuta pamafundo anu, monga kusambira kapena kuyenda. Zochita zina ndi kupumula kuti musagwire ntchito mopitirira muyeso.

Kukhala ndi vutoli kumakhala kovuta kwambiri. Kuyankhula ndi katswiri wamaganizidwe kapena kulowa nawo gulu lothandizira la GCA kungakuthandizeni kuthana ndi vutoli.

Tengera kwina

GCA imatha kuyambitsa zodetsa nkhawa komanso mwina khungu ngati sakuchiritsidwa. Mankhwala otchedwa steroids ndi mankhwala ena angakuthandizeni kuthetsa zizindikirozi ndikupewa kutaya masomphenya.

Mukakhala pa dongosolo lamankhwala, ndikofunikira kuti muzitsatira. Onani dokotala wanu ngati mukuvutika kumwa mankhwala anu, kapena ngati mukukhala ndi zovuta zomwe simungathe kuzipirira.