Kumvetsetsa Zowopsa ndi Zovuta za Giant Cell Arteritis

Zamkati

• Khungu
• Aortic aneurysm
• Sitiroko
• Matenda amtima
• Matenda a mtsempha wamagazi
• Polymyalgia rheumatica
• Tengera kwina

Giant cell arteritis (GCA) imayatsa matenthedwe amitsempha yanu. Nthawi zambiri, zimakhudza mitsempha m'mutu mwanu, zimayambitsa zizindikilo monga kupweteka kwa mutu ndi nsagwada. Amadziwika kuti temporical arteritis chifukwa amatha kuyambitsa mitsempha m'makachisi.

Kutupa m'mitsempha yamagazi kumachepetsa kuchuluka kwa magazi omwe amathamo. Minofu yanu yonse ndi ziwalo zanu zimadalira magazi okhala ndi oxygen kuti azigwira ntchito moyenera. Kuperewera kwa mpweya kumatha kuwononga nyumbazi.

Kuchiza ndimankhwala ambiri a corticosteroid mankhwala monga prednisone kumachepetsa kutupa m'mitsempha yamagazi mwachangu. Mukangoyamba kumwa mankhwalawa, sizingakhale zovuta kuti mukhale ndi mavuto ngati awa.

Khungu

Khungu ndi vuto lalikulu kwambiri komanso loopsa la GCA. Pakakhala kuti mulibe magazi okwanira kulowa mumtsempha womwe umatumiza magazi m'maso, minofu yomwe mtsempha umadyetsa imayamba kufa. Potsirizira pake, kusowa kwa magazi m'maso kumatha kuyambitsa khungu.

Nthawi zambiri, diso limodzi lokha limakhudzidwa. Anthu ena amataya diso lachiwiri nthawi yomweyo, kapena masiku angapo pambuyo pake akapanda kulandira chithandizo.

Kutaya masomphenya kumachitika mwadzidzidzi. Nthawi zambiri sipakhala zopweteka kapena zizindikilo zina zokuchenjezani.

Mukataya masomphenya, simungathe kuwabwezeretsanso. Ichi ndichifukwa chake ndikofunikira kuwona dokotala wa maso kapena wa rheumatologist ndikupeza mankhwala, omwe nthawi zambiri amaphatikizapo kumwa mankhwala a steroid poyamba. Ngati mukusintha masomphenya anu, dziwitsani madokotala nthawi yomweyo.

Aortic aneurysm

Ngakhale GCA ndiyosowa kwathunthu, ndichimodzi mwazomwe zimayambitsa aortic aneurysm. The aorta ndiye chotengera chanu chachikulu chamagazi. Amayenderera pakatikati pa chifuwa chanu, atanyamula magazi kuchokera pamtima panu kupita kumthupi lanu lonse.

Matenda a aneurysm ndi chotupa pakhoma la aorta. Zimachitika pamene khoma lanu la aorta ndilofooka kuposa masiku onse. Matenda a aneurysm ataphulika, atha kupangitsa magazi kutuluka mkati ndi kufa ngati sangalandire chithandizo mwadzidzidzi.

Matenda aortic nthawi zambiri samayambitsa zizindikiro. Mukapezeka kuti muli ndi GCA, dokotala wanu amatha kukuyang'anirani kuti mupeze ma aneurysms mu aorta ndi mitsempha ina yayikulu yamagazi yoyezetsa zojambula ngati ultrasound, MRI, kapena CT scans.

Ngati mupeza aneurysm ndipo ndi yayikulu, madokotala amatha kuikonza ndi opaleshoni. Njira yofala kwambiri imayikamo zomezera zopangidwa ndi anthu patsamba la aneurysm. Kumezanitsa kumalimbitsa malo ofowoka aorta kuti isaphulike.

Sitiroko

GCA imakulitsa chiopsezo chanu chodwala ischemic, ngakhale kuti vutoli ndilosowa. Sitiroko ya ischemic imachitika pamene magazi amatseka magazi kupita kuubongo. Sitiroko imawopseza moyo ndipo imafunikira chithandizo mwachangu kuchipatala, makamaka yemwe ali ndi sitiroko.

Anthu omwe ali ndi sitiroko amakhala ndi zizindikilo za GCA monga kupweteka kwa nsagwada, kutaya masomphenya kwakanthawi kochepa, komanso masomphenya awiri. Ngati muli ndi zizindikiro ngati izi, auzeni dokotala nthawi yomweyo.

Matenda amtima

Anthu omwe ali ndi GCA amakhalanso pachiwopsezo chachikulu cha matenda amtima. Sizikudziwika ngati GCA yokha imayambitsa matenda amtima, kapena ngati zinthu ziwirizi zimakhala ndi zoopsa zomwezo, makamaka kutupa.

Matenda a mtima amachitika pamene mtsempha womwe umapatsa mtima wanu magazi umatsekedwa. Popanda magazi okwanira, zigawo za minofu ya mtima zimayamba kufa.

Kupeza chithandizo mwachangu cha matenda amtima ndikofunikira. Samalani ndi zizindikiro monga:

• kupanikizika kapena kukakamira m'chifuwa
• kupweteka kapena kupanikizika komwe kumatuluka nsagwada, mapewa, kapena mkono wamanzere
• nseru
• kupuma movutikira
• thukuta lozizira
• chizungulire
• kutopa

Ngati muli ndi izi, itanani 911 kapena pitani kuchipatala mwachangu nthawi yomweyo.

Matenda a mtsempha wamagazi

Anthu omwe ali ndi GCA amakhalanso pachiwopsezo chokwanira cha mtsempha wamagazi (PAD). PAD imachepetsa magazi kutuluka m'manja ndi m'miyendo, zomwe zimatha kupangitsa kukomoka, kufooka, kufooka, komanso kuzizira.

Zofanana ndi matenda amtima, sizikudziwika ngati GCA imayambitsa PAD, kapena ngati zinthu ziwirizi zikugawana zomwe zimayambitsa chiopsezo.

Polymyalgia rheumatica

Polymyalgia rheumatica (PMR) imayambitsa kupweteka, kufooka kwa minofu, ndi kuuma kwa khosi, mapewa, chiuno, ndi ntchafu. Sizovuta za GCA, koma matenda awiriwa nthawi zambiri amachitika limodzi. Pafupifupi theka la anthu omwe ali ndi GCA alinso ndi PMR.

Mankhwala a Corticosteroid ndiwo chithandizo chachikulu pazinthu zonsezi. Mu PMR, prednisone ndi mankhwala ena m'kalasiyi amathandiza kuthetsa kuuma ndikuchepetsa kutupa. Mlingo wotsika wa prednisone ungagwiritsidwe ntchito mu PMR kuposa GCA.

Tengera kwina

GCA imatha kuyambitsa zovuta zingapo. Chimodzi mwazinthu zovuta kwambiri ndikukhala khungu. Mukataya masomphenya, simungathe kuwabwezeretsanso.

Matenda a mtima ndi sitiroko ndizochepa, koma zimatha kuchitika mwa ochepa mwa anthu omwe ali ndi GCA. Chithandizo choyambirira cha corticosteroids chitha kuteteza masomphenya anu, ndikuthandizira kupewa zovuta zina za matendawa.