Ukuqonda Izingozi Nezinkinga ZeGiant Cell Arteritis

-Delile

• Ubumpumputhe
• I-aortic aneurysm
• Unhlangothi
• Isifo senhliziyo
• Isifo semithambo yegazi
• I-Polymyalgia rheumatica
• Ukudla okudlela endlini

IGiant cell arteritis (GCA) ivutha ulwelwesi lwemithambo yakho. Imvamisa, kuthinta imithambo yegazi ekhanda lakho, okudala izimpawu ezifana nobuhlungu bekhanda nomhlathi. Kudala kwakuthiwa i-temporal arteritis ngoba kungadala ukuvuvukala emithanjeni yethempeli.

Ukuvuvukala emithanjeni yegazi kunciphisa inani legazi elikwazi ukugeleza ngayo. Zonke izicubu zakho nezitho zakho zincike egazini eline-oxygen ukuze lisebenze kahle. Ukuntuleka komoya-mpilo kungalimaza lezi zakhiwo.

Ukwelashwa ngemithamo ephezulu yemithi ye-corticosteroid efana ne-prednisone kwehlisa ukuvuvukala emithanjeni yegazi ngokushesha. Ekuqaleni uqala ukuthatha lo muthi, mancane amathuba okuthi uzoba nezinkinga ezinjengalezi ezilandelayo.

Ubumpumputhe

Ukungaboni kungenye yezinkinga ezinkulu kakhulu nezikhathaza kakhulu i-GCA. Lapho kungekho ukugeleza kwegazi okwanele emthanjeni othumela igazi esweni, izicubu umphako owondlayo ziqala ukufa. Ekugcineni, ukuntuleka kokugeleza kwegazi emehlweni kungadala ubumpumputhe.

Imvamisa, kuthinteka iso elilodwa kuphela. Abanye abantu balahlekelwa ukubona esweni lesibili ngasikhathi sinye, noma ezinsukwini ezimbalwa kamuva uma bengalashwa.

Ukulahleka kombono kungenzeka ngokuzumayo. Ngokuvamile abukho ubuhlungu noma ezinye izimpawu zokukuxwayisa.

Uma usulahlekelwe ukubona, awukwazi ukukuthola emuva. Yingakho kubalulekile ukubona udokotela wamehlo noma i-rheumatologist bese uthola ukwelashwa, okuvame ukufaka ukuphuza umuthi we-steroid kuqala. Uma kukhona izinguquko kumbono wakho, yazisa odokotela bakho khona manjalo.

I-aortic aneurysm

Yize i-GCA ingavamile kakhulu, ingenye yezimbangela ezinkulu ze-aortic aneurysm. I-aorta yisitsha segazi esikhulu somzimba wakho. Yehla maphakathi nesifuba sakho, ithwale igazi lisuke enhliziyweni yakho liye emzimbeni wonke wakho.

I-aneurysm iyisigaxa odongeni lwe-aorta. Kwenzeka lapho udonga lwakho lwe-aorta lubuthakathaka kunokujwayelekile. Uma kuqhuma i-aneurysm, kungadala ukopha ngaphakathi nokufa okuyingozi uma kunganikezwa ukwelashwa okuphuthumayo.

Ama-aneurysms we-aortic awavami ukudala izimpawu. Lapho usutholwe ukuthi une-GCA, udokotela wakho angakuqapha ama-aneurysms ku-aorta neminye imithambo yegazi emikhulu enezivivinyo zokucabanga njenge-ultrasound, MRI, noma i-CT scan.

Uma uthola i-aneurysm futhi inkulu, odokotela bangayilungisa ngokuhlinzwa. Inqubo ejwayelekile ifaka okuxhunywe okwenziwe ngumuntu kusayithi le-aneurysm. Ukuxhunyelelwa kuqinisa indawo ebuthakathaka ye-aorta ukuyivimba ukuthi ingadabuki.

Unhlangothi

I-GCA inyusa ubungozi bokushaywa yisifo se-ischemic, yize lokhu kuba nenkinga akuvamile. Ukushaywa yischemic kwenzeka lapho iqhwa livimba ukuhamba kwegazi liye ebuchosheni. Isifo sohlangothi sisongela impilo futhi sidinga ukwelashwa ngokushesha esibhedlela, okungcono okunesikhungo sohlangothi.

Abantu abanesifo sohlangothi kungenzeka babe nezimpawu ze-GCA ezinjengobuhlungu bomhlathi, ukulahleka kombono wesikhashana, nokubona okuphindiwe. Uma unezimpawu ezifana nalezi, yazisa udokotela wakho ngazo ngokushesha.

Isifo senhliziyo

Abantu abane-GCA nabo basengozini ethe xaxa yokuhlaselwa yisifo senhliziyo. Akucaci ukuthi ngabe i-GCA uqobo ibanga ukuhlaselwa yinhliziyo, noma uma ngabe lezi zimo zombili zabelana ngezingozi ezifanayo, ikakhulukazi ukuvuvukala.

Ukuhlaselwa yinhliziyo kwenzeka lapho umthambo onikeza inhliziyo yakho ngegazi uvimba. Ngaphandle kwegazi elanele, izingxenye zemisipha yenhliziyo ziqala ukufa.

Ukuthola ukunakekelwa okusheshayo kokwelashwa kwenhliziyo kubalulekile. Qaphela izimpawu ezifana nalezi:

• ingcindezi noma ukuqina esifubeni sakho
• ubuhlungu noma ingcindezi ephuma emhlathini, emahlombe, noma engalweni yangakwesobunxele
• isicanucanu
• ukuphelelwa umoya
• umjuluko obandayo
• isiyezi
• ukukhathala

Uma unalezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo esibhedlela ngokushesha.

Isifo semithambo yegazi

Abantu abane-GCA nabo basengozini ethe xaxa yesifo semithambo yegazi (PAD). I-PAD inciphisa ukugeleza kwegazi kuya ezingalweni nasemilenzeni, okungadala ukucindezela, ukuba ndikindiki, ubuthakathaka, kanye nemikhawulo ebandayo.

Ngokufana nokuhlaselwa yinhliziyo, akucaci ukuthi i-GCA iyimbangela yini i-PAD, noma uma ngabe lezi zimo zombili zabelana ngezici ezivamile zobungozi.

I-Polymyalgia rheumatica

I-Polymyalgia rheumatica (PMR) ibangela ubuhlungu, ubuthakathaka bemisipha, nokuqina entanyeni, emahlombe, ezinqeni nasemathangeni. Akuyona inkinga ye-GCA, kepha izifo ezimbili zivame ukuvela ndawonye. Cishe uhhafu wabantu abane-GCA nabo bane-PMR.

Imithi ye-Corticosteroid iyindlela yokwelashwa eyinhloko yazo zombili lezi zimo. Ku-PMR, i-prednisone nezinye izidakamizwa kuleli klasi zisiza ukuqeda ukuqina nokuletha ukuvuvukala. Imithamo ephansi ye-prednisone ingasetshenziswa ku-PMR kune-GCA.

Ukudla okudlela endlini

I-GCA ingadala izinkinga eziningi. Enye yezinto ezibucayi kakhulu futhi eziphathelene nobumpumputhe. Uma usulahlekelwe ukubona, awukwazi ukukuthola emuva.

Ukuhlaselwa yinhliziyo nokushaywa unhlangothi akuvamile, kodwa kungenzeka emaphesenti amancane abantu abane-GCA. Ukwelashwa kusenesikhathi ngama-corticosteroids kungavikela umbono wakho, futhi kusize ukuvikela ezinye izinkinga zalesi sifo.