Okufanele Ubuze Udokotela Wakho Ngokuphatha I-Giant Cell Arteritis

-Delile

• Luthini ukwelashwa iGiant Cell Arteritis?
• Yimiphi imiphumela emibi i-prednisone engayibangela?
• Ngabe i-prednisone ingangivimbela ekulahlekelweni ukubona kwami?
• Ngingawehlisa nini umthamo wami we-prednisone?
• Ngabe ikhona eminye imishanguzo elapha i-giant cell arteritis?
• Kuthiwani uma izimpawu zami zibuya?
• Ingabe ukwelashwa kuzongelapha?
• Yini enye engingayenza ukuze ngizizwe ngingcono?
• Ukudla okudlela endlini

IGiant cell arteritis (GCA) ukuvuvukala kulwelwesi lwemithambo yakho, imvamisa emithanjeni yekhanda lakho. Kuyisifo esingajwayelekile.

Njengoba izimpawu zayo eziningi ziyefana nezinye izimo, kungathatha isikhathi ukuxilonga.

Cishe uhhafu wabantu abane-GCA nabo banezimpawu zobuhlungu nokuqina emahlombe, okhalweni, noma kokubili, okwaziwa nge-polymyalgia rheumatica.

Ukufunda ukuthi une-GCA kuyisinyathelo esikhulu. Umbuzo wakho olandelayo ukuthi ungayiphatha kanjani.

Kubalulekile ukuthi uqale ukwelashwa ngokushesha okukhulu. Akukhona nje kuphela ukuthi izimpawu ezinjengekhanda nobuhlungu bezinhlungu abuzwani, kepha lesi sifo singaholela ekubeni umuntu angaboni ngaphandle kokwelashwa ngokushesha.

Ukwelashwa okulungile kungaphatha izimpawu zakho, futhi kungaphilisa nesimo.

Luthini ukwelashwa iGiant Cell Arteritis?

Ukwelashwa kuvame ukufaka imithamo ephezulu yesidakamizwa se-corticosteroid njenge-prednisone. Izimpawu zakho kufanele ziqale ukuthuthuka ngokushesha emithini - zingakapheli izinsuku ezi-1 kuye kwezi-3.

Yimiphi imiphumela emibi i-prednisone engayibangela?

Ukwehla kwe-prednisone yimiphumela yako emibi, eminye yayo engaba mibi kakhulu. Iningi labantu abasebenzisa isipiliyoni se-prednisone okungenani owodwa wale miphumela emibi:

• amathambo abuthakathaka angaqhekeka kalula
• ukuzuza kwesisindo
• izifo
• umfutho wegazi ophakeme
• i-cataract noma i-glaucoma
• ushukela ophakeme wegazi
• ubuthakathaka bemisipha
• izinkinga zokulala
• ukulinyazwa okulula
• ukugcinwa kwamanzi nokuvuvukala
• ukucasuka kwesisu
• ukungaboni kahle

Udokotela wakho uzokuhlolela imiphumela engemihle bese elapha noma yini onayo. Isibonelo, ungathatha imishanguzo efana ne-bisphosphonates noma i-calcium novithamini D ongeza ukuze uqinise amathambo akho futhi uvimbele ukuqhekeka.

Imiphumela emibi eminingi ingeyesikhashana. Kufanele bathuthuke njengoba ususa i-prednisone.

Ngabe i-prednisone ingangivimbela ekulahlekelweni ukubona kwami?

Yebo. Lo muthi usebenza kahle kakhulu ekuvimbeleni ukulahleka kombono, okuyinkinga enkulu kakhulu ye-GCA. Yingakho kubalulekile ukuthi uqale ukuthatha le mithi ngokushesha ngangokunokwenzeka.

Uma ulahlekelwe umbono ngaphambi kokuthi uqale ukuthatha i-prednisone, ngeke isabuya. Kepha elinye iso lakho lingakwazi ukunxephezela uma uhlala ulandela le mpatho.

Ngingawehlisa nini umthamo wami we-prednisone?

Ngemuva kwesikhathi esingangenyanga uthatha i-prednisone, udokotela wakho uzoqala ukwehlisa umthamo wakho ngama-milligram ayi-5 kuye kwayi-10 ngosuku.

Isibonelo, uma uqale ku-60 mg ngosuku, ungehlela ku-50 mg bese kuba ngu-40 mg. Uzohlala kumthamo ophansi kakhulu odingekayo ukuphatha ukuvuvukala kwakho.

Ushesha kangakanani ukwehlisa umthamo wakho kuncike ekutheni uzizwa kanjani kanye nemiphumela yakho yokuhlolwa yomsebenzi wokuvuvukala, ezohlolwa ngudokotela wakho kulo lonke ukwelashwa kwakho.

Ungahle ungakwazi ukumisa ngokuphelele imithi okwesikhashana. Iningi labantu abane-GCA lizodinga ukuthatha umthamo ophansi we-prednisone iminyaka engu-1 kuya kwengu-2.

Ngabe ikhona eminye imishanguzo elapha i-giant cell arteritis?

I-Tocilizumab (i-Actemra) umuthi omusha i-Food and Drug Administration evunyelwe ngo-2017 ukwelapha i-GCA. Ungasithola lesi sidakamizwa njengoba ususa i-prednisone.

Kuza njengomjovo odonswa udokotela wakho ngaphansi kwesikhumba sakho, noma umjovo ozinikeza wona njalo emavikini ayi-1 kuya kwayi-2. Udokotela wakho angakugcina ku-Actemra nje uma uyeka ukuthatha i-prednisone.

I-Actemra iyasebenza ekugcineni i-GCA ikhululiwe. Kunganciphisa nesidingo se-prednisone, esizonciphisa imiphumela emibi. Kodwa ngoba i-Actemra ithinta amasosha akho omzimba, ingakhuphula ubungozi bokutheleleka.

Kuthiwani uma izimpawu zami zibuya?

Kuvamile ukuthi izinhlungu zekhanda nezinye izimpawu zibuyele emuva uma uqala ukucisha i-prednisone. Odokotela abazi kahle ukuthi yini ebangela lokhu kubuyela emuva. Ukutheleleka kungenye yezinto ezingabangela.

Uma izimpawu zakho zibuya, udokotela wakho angase ahlasele umthamo wakho we-prednisone ukusiza ukuwalawula. Noma bangahle banikeze umuthi ocindezela amasosha omzimba njenge-methotrexate (Trexall), noma uqale ukwelashwa nge-Actemra.

Ingabe ukwelashwa kuzongelapha?

Ngemuva konyaka noma emibili yokuthatha i-prednisone, izimpawu zakho kufanele zinyamalale. I-GCA ayivamile ukubuya ngemuva kokuphathwa ngempumelelo.

Yini enye engingayenza ukuze ngizizwe ngingcono?

Imithi akuyona ukuphela kwendlela yokuphatha i-GCA. Ukuzinakekela kahle nakho kungakusiza uzizwe ungcono.

Yidla ukudla okunciphisa ukuvuvukala emzimbeni wakho. Ukukhetha okuhle ukudla okulwa nokuvuvukala okufana nenhlanzi enamafutha (isalmon, i-tuna), amantongomane nembewu, izithelo nemifino, uwoyela womnqumo, ubhontshisi nokusanhlamvu okuphelele.

Zama ukusebenza nsuku zonke. Khetha izivivinyo ezingenzima kangako kumajoyini akho, njengokubhukuda noma ukuhamba ngezinyawo. Eminye imisebenzi enokuphumula ukuze ungasebenzi ngokweqile.

Ukuphila nalesi simo kungakucindezela kakhulu. Ukukhuluma nochwepheshe wezempilo yengqondo noma ukujoyina iqembu lokwesekwa le-GCA kungakusiza ukubhekana kangcono nalesi simo.

Ukudla okudlela endlini

I-GCA ingadala izimpawu ezingakhululekile futhi mhlawumbe nobumpumputhe uma ingalashwa. Ama-steroids aphezulu kanye neminye imithi ingakusiza ukuphatha lezi zimpawu futhi uvikele ukulahleka kombono.

Uma usuhlelweni lokwelashwa, kubalulekile ukuthi unamathele kukho. Bona udokotela wakho uma unenkinga yokuphuza imithi yakho, noma uma uba nemiphumela engemihle ongeke uyibekezelele.