I-arteritis yesikhashana: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

IGiant cell arteritis, eyaziwa nangokuthi i-temporal arteritis, isifo esizenzekelayo esidala ukuvuvukala okungapheli kwemithambo yegazi, futhi sidale izimpawu ezinjengekhanda, umkhuhlane, ukuqina nobuthakathaka bemisipha yokugaya, i-anemia, ukukhathala futhi, ezimeni eziningi sina, kungaholela ekubeni yimpumputhe.

Lesi sifo sitholwa udokotela ngokuhlolwa ngokomzimba, ukuhlolwa kwegazi nokuhlolwa komthambo, okukhombisa ukuvuvukala. Ukwelashwa kuqondiswa yi-rheumatologist, futhi yize singenalo ikhambi, lesi sifo singalawulwa kahle ngokusetshenziswa kwezidakamizwa, ikakhulukazi i-corticosteroids, njengePrednisone.

I-arteritis yesikhashana ivame kakhulu kubantu abaneminyaka engaphezu kwengama-50 ubudala, futhi yize imbangela yayo ingakacaci, kuyaziwa ukuthi ihlobene nokungalingani emasosheni omzimba. Lesi sifo siwuhlobo lwe-vasculitis, uhlobo lwesifo samathambo esithinta ukujikeleza kwegazi futhi singadala ukubandakanyeka kwezingxenye ezahlukahlukene zomzimba. Qonda ukuthi yini i-vasculitis nokuthi ingabangelwa yini.

Izimpawu eziyinhloko

Ukuvuvukala ezindongeni zemithambo yegazi kudala izimpawu ezijwayelekile ezivimbela ukusakazwa komthambo wegazi othintekile, ikakhulukazi umthambo wesikhashana, otholakala ebusweni, ngaphezu kwezinye ezifana ne-ophthalmic, carotid, aorta noma i-coronary arteries, ngokwesibonelo.

Ngakho-ke, izimpawu nezimpawu eziyinhloko yilezi:

• Ubuhlungu bekhanda noma ubuhlungu bekhanda, obungaqina futhi buqhume;
• Ukuzwela nobuhlungu emthanjeni wesikhashana, otholakala ohlangothini lwesiphongo;
• Ubuhlungu nobuthakathaka emhlathini, okuvela ngemuva kokukhuluma noma ukuhlafuna isikhathi eside futhi kuthuthuke ngokuphumula;
• Imfiva ephindaphindayo nengachazeki;
• Ukushoda kwegazi;
• Ukukhathala kanye ne-malaise ejwayelekile;
• Ukuntula ukudla;
• Ukwehla kwesisindo;

Izinguquko ezibucayi, njengokulahleka kombono, ubumpumputhe obungazelelwe noma ama-aneurysms, zingenzeka kwezinye izimo, kepha zingagwenywa ngokukhomba nokwenza ukwelashwa, ngokushesha okukhulu, yi-rheumatologist.

Ngaphezu kwalezi zimpawu, kujwayelekile ukuthi i-arteritis yesikhashana ihambisane ne-polymyalgia rheumatica, okuyisinye isifo esidala ukuvuvukala kwemisipha namalunga, okudala ubuhlungu emzimbeni, ubuthakathaka nokungaphatheki kahle emajoyintini, ikakhulukazi ezinqeni nasemahlombe . Funda kabanzi mayelana ne-polymyalgia rheumatica.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-arteritis yesikhashana kwenziwa ngokuhlolwa kwemitholampilo ngudokotela ojwayelekile noma i-rheumatologist, ngaphezu kokuhlolwa kwegazi, okukhombisa ukuvuvukala, njengokuphakama kwamazinga e-ESR, angafinyelela amanani angaphezu kuka-100mm.

Ukuqinisekiswa, nokho, kwenziwa nge-biopsy yomthambo wesikhashana, ozokhombisa izinguquko zokuvuvukala ngqo emkhunjini.

Yelashwa kanjani

Ukwelashwa kwe-giant cell arteritis kwenziwa ukukhulula izimpawu nokuvimbela ukulahleka kombono, kusetshenziswa ama-corticosteroids, njengePrednisone, ngemithamo enokwehla kancane kancane, eholwa yi-rheumatologist. Ukusetshenziswa kwemithi kwenziwa okungenani izinyanga ezintathu, kuyehluka ngokuya ngokuthuthuka kwezimpawu.

Ngaphezu kwalokho, udokotela futhi angancoma amaphilisi ezinhlungu nama-antipyretics, njenge-paracetamol, ukuqeda izimpawu ezinjengomkhuhlane, ukukhathala kanye nokugula okujwayelekile, uma kuvela.

Lesi sifo singalawulwa kahle ngokwelashwa futhi sivame ukungena ekuxolelweni, kepha singabuya emuva kwesikhathi esithile, esihluka ngokuphendula komzimba womuntu ngamunye.