Amathiphu ayi-10 okuphatha ubuhlungu be-Giant Cell Arteritis Pain

-Delile

• 1. Bonana nodokotela wakho
• 2. Thatha imithi yakho
• 3. Hlala endleleni
• 4. Khuluma nodokotela wakho ngemiphumela engemihle
• 5. Bika noma yiziphi izinguquko ebuhlungwini
• 6. Yazi uma kunesimo esiphuthumayo
• 7. Thola uvithamini D wakho
• 8. Hambisa nsuku zonke
• 9. Yidla ukudla okulwa nokuvuvukala
• 10. Landelela
• Ukudla okudlela endlini

Ubuhlungu yingxenye enkulu yokuphila ne-giant cell arteritis (GCA), uhlobo lwe-vasculitis oluthinta imithambo yesikhashana, i-cranial, neminye imithambo ye-carotid. Uzozwa kaningi ubuhlungu ekhanda lakho, ekhanda, emhlathini nasentanyeni.

Awudingi ukuhlala impilo enobuhlungu. Ukwelashwa kuyatholakala ukuphatha i-GCA yakho.

Imithi yehlisa ukuvuvukala emzimbeni wakho. Bangaphinda banciphise ubuhlungu nezinye izimpawu ngokushesha.

Zama lawa macebiso ayi-10 ukukusiza uphathe ubuhlungu bakho be-GCA.

1. Bonana nodokotela wakho

Uma unezinhlungu ezintsha nezingavamile ekhanda lakho, ebusweni, noma kwezinye izindawo zomzimba wakho, bheka udokotela wakho. Ungaqala ngokuvakashela umhlinzeki wakho wokunakekela oyinhloko.

Udokotela wakho angakuthumela ku-rheumatologist noma omunye uchwepheshe ukuze ahlolwe futhi alashwe. Ngoba izimpawu ze-GCA ziyefana nezinye izimo zezokwelapha, kubalulekile ukuthola ukuxilongwa okulungile. Ngemuva kwalokho ungaqala ukwelashwa okufanele.

Kubalulekile futhi ukuqala ukuthatha imithi yakho ngokushesha okukhulu. Akuzukuqeda nje kuphela ubuhlungu bakho, futhi kuzovimbela nezinkinga ezinkulu, njengokulahleka kombono nokushaywa unhlangothi.

2. Thatha imithi yakho

Ukwelashwa okuyinhloko kwe-GCA yimithamo ephezulu yesidakamizwa se-steroid i-prednisone. Uma uyithatha njengoba udokotela wakho ekuyalela, ubuhlungu bakho kufanele buqale ukudamba kungakapheli usuku noma ezimbili.

3. Hlala endleleni

Kubalulekile ukulandela imiyalo kadokotela wakho futhi uthathe umthamo oqondile wemithi obunikwe yona. Kungenzeka uthathe i-prednisone unyaka noma emibili ukuphatha izimpawu zakho, kepha udokotela wakho uzokwehlisa kancane kancane umthamo wakho.

Uma uyeka ukuthatha imishanguzo yakho noma unciphisa umthamo wakho ngaphandle kokulunga kukadokotela wakho, ubuhlungu bakho bungabuya.

4. Khuluma nodokotela wakho ngemiphumela engemihle

I-Prednisone yisidakamizwa esinamandla. Kungadala imiphumela emibi engemihle, efaka:

• ukuyaluza nokungazinzi
• ukulinyazwa okulula
• ubunzima bokulala
• ukuzuza kwesisindo
• ukugcinwa kwamanzi nokuvuvukala
• ukungaboni kahle

Imiphumela emibi kakhulu yokuthatha imishanguzo ye-steroid esikhathini esizayo ifaka:

• isifo sikashukela
• umfutho wegazi ophakeme
• ukwakheka kwamehlo noma i-glaucoma
• kunciphise ukumelana nokutheleleka
• ukukhumuzeka kwamathambo

Bika noma imiphi imiphumela emibi onayo kudokotela wakho. Ungayeki nje ukuthatha imithi yakho.

Kunezindlela zokuphatha imiphumela emibi ye-prednisone. Udokotela wakho anganciphisa umthamo wakho. Bangase banikeze omunye umuthi ukuphatha imiphumela ethile eseceleni, njenge-bisphosphonate yokuqinisa amathambo akho noma i-proton pump inhibitor ukuvimbela i-acid reflux.

5. Bika noma yiziphi izinguquko ebuhlungwini

Gcina incwadi yezimpawu zakho. Yazisa udokotela wakho ngokushesha uma ubuhlungu bakho buqala ukwanda. Ungadinga ukulungiswa komthamo, noma udokotela wakho angangeza esinye isidakamizwa esinjenge tocilizumab (Actemra) ukuphatha ukuvuvukala nobuhlungu.

6. Yazi uma kunesimo esiphuthumayo

Shayela udokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha uma uba nezimpawu ezinkulu, njengobuhlungu emihlathini noma olimini lwakho lapho udla, noma umbono ushintsha njengombono ophindwe kabili.

Lezi zimpawu zibucayi kakhulu futhi zihlotshaniswa namathuba aphezulu okuba yimpumputhe. Ungadinga ukwelashwa ngemithambo (IV) ngama-steroids ukuvimbela ukulahleka kombono nezinye izinkinga.

7. Thola uvithamini D wakho

Buza udokotela wakho ukuthi kufanele yini uthathe izithako ze-calcium nevithamini D. Amathambo abuthakathaka angumphumela wecala lokusetshenziswa kwesikhathi eside kwe-prednisone. Ukwengeza lezi zakhi zomzimba kungasiza ekuqiniseni amathambo akho futhi kuvimbele ukuphuka.

8. Hambisa nsuku zonke

Ukutshova ibhayisikili elimile noma ngisho nokuhambahamba kungabonakala kungenakwenzeka uma ungakhululekile, kodwa ukuzivocavoca kungukuqeda izinhlungu okusebenzayo.

Uma usebenza, umzimba wakho ukhipha amakhemikhali okhulula izinhlungu zemvelo abizwa ngama-endorphin akusiza uzizwe ungcono.

Ukuzivocavoca umzimba kuqinisa namathambo nemisipha yakho, okusiza ukuvimbela ukuqhekeka futhi kususe olunye uhlobo lwamalungu abuhlungu. Futhi, ukuzivocavoca umzimba kungumgqugquzeli onamandla wokulala nokucindezeleka. Kokubili ukulala kabi nokucindezeleka kungabangela ubuhlungu.

9. Yidla ukudla okulwa nokuvuvukala

Ubuhlungu be-GCA buvela ekuvukeleni. Ukwehlisa ukuvuvukala ngokudla kungenye indlela yokuzisiza uzizwe ungcono.

Yidla ukudla okulwa nokuvuvukala ngokwemvelo, njenge:

• izithelo nemifino
• izinhlanzi ezinamafutha njenge-salmon ne-tuna
• okusanhlamvu okuphelele
• amantongomane nembewu
• amafutha omnqumo namanye amafutha anempilo

Gwema noma ukhawulele noma yini enganikela ekuvukeleni, kufaka phakathi:

• amaswidi
• ukudla okuthosiwe
• ukudla okusetshenzisiwe

10. Landelela

Uzobona udokotela wakho kanye ngenyanga ekuqaleni, bese kanye ezinyangeni ezi-3 njengoba isimo sakho sizinza.

Lokhu kuvakasha kunikeza udokotela wakho ithuba lokungena nawe abone ukuthi uqhuba kanjani. Lokhu kuqokwa kubalulekile kudokotela wakho ukugcina ithrekhi yezimpawu zakho.

Ukudla okudlela endlini

Ubuhlungu bungenye yezimpawu eziyinhloko ze-GCA. Kungaba nzima ngokwanele ukuphazamisa impilo yakho yansuku zonke.

Ukuqala ku-prednisone ngokushesha okukhulu kuzosiza ukulawula ubuhlungu bakho. Ezinsukwini ezimbalwa zokuphuza lo muthi, kufanele uqale ukuzizwa ungcono kakhulu.