Mafunso ndi Mayeso Dokotala Wanu Lingagwiritse Ntchito
Mutu wokha sikuti nthawi zonse umakhala vuto lalikulu , koma amakhala chizindikiro cha vuto linalake la matenda. Mwachitsanzo, mu thanzi lotchedwa giant cell arteritis (yemwenso amadziwika kuti temporal arteritis) mutu kumakhala kudandaula koyamba.
Tanthauzo la Giant Cell Arteritis
Magulu akuluakulu a arteritis kapena GCA ndizitsulo zazikulu komanso zowonjezera zamadzi zotengera vasculitis , ndipo mawu akuti "vasculitis" amatanthauza kuti mitsempha yambiri ya thupi imatentha.
GCA imakhudzidwa kwambiri ndi nthambi za mitsempha yamtundu wina, yomwe imakhala yaikulu kwambiri m'khosi. Kutupa kwa mitsempha yowonjezera mu GCA kumapangitsa kuti magazi asayende, kuchititsa zizindikiro zosiyanasiyana ngati mutu, masomphenya akusintha, ndi kupweteka kwa jaw pamene akutafuna.
Kuzindikira GCA
Kupeza mbiri yabwino yachipatala n'kofunika kwambiri kuti mupeze GCA. Ichi ndichifukwa chake dokotala adzafunsa mafunso asanayambe kupitilira mayeso kapena mankhwala ena. Chifukwa chakuti GCA kawirikawiri sizimachitika kwa achinyamata, dokotala wanu akhoza kungoyang'ana mu mafunso awa ngati muli ndi zaka 50 kapena kuposa.
Mafunso ena omwe dokotala angafunse ndi awa:
Kodi Mutu Wanu Watsopano Watsopano?
Kwa achikulire ambiri omwe akudwala GCA, kumutu kwao sikungokhala koopsa koma kwatsopano, kutanthauza kuti sanamvepo ululu wamtundu uwu kale.
Kodi Mutu Wanu Ali Kuti?
Kawirikawiri, mutu wa GCA uli m'kachisi, koma ukhoza kukhala wowonjezereka kapena wapangidwira pamphumi kapena pamutu.
Kuonjezera apo, zikhoza kuchitika kumbali zonse ziwiri za mutu kapena mbali imodzi. Pokhala ndi ululu wa pakachisi, anthu amatha kudandaula za vuto pamene akuvala chipewa kapena tsitsi lawo.
Kodi Mumakhala ndi Fever Kapena Chills?
Dokotala wanu adzatenga kutentha kwanu, monga momwe malungo amachitira nthawi zambiri kwa omwe ali ndi GCA, koma osati nthawi zonse.
Mukupeza bwanji?
Anthu omwe ali ndi GCA amakonda kumverera ndikuwoneka ngati okongola. Kuphatikiza pa mutu, amatha kuzindikira kulemera, kutopa, kusowa kwa njala, ndi chifuwa.
Kodi Muli ndi Zochepa?
Matenda otchedwa polymyalgia rheumatic (PMR) , omwe amachititsa kuti mmawa ndi kupsinjika muchuuno, mapewa, ndi khosi, zakhala zikugwirizana ndi GCA. Choncho ngati mwapezeka kuti muli ndi PMR ndipo muli ndi mutu watsopano, dokotala wanu akhoza kuyika awiri ndi awiri ndikukayikira kuti ali ndi GCA.
Kodi Mphuno Yanu Imatha Kutafuna?
Chizindikiro ichi chimatchedwa kuti nsagwada ndipo chimapezeka pafupifupi theka la anthu omwe ali ndi GCA. Nthawi zambiri ululu wa nsagwada umamveka pafupi ndi timagulu timene timatulutsa timadzi timene timakhala tikudya chakudya chomwe chimafuna kudula mwamphamvu, monga nyama yofiira kapena bagel.
Kodi Muli ndi Masomphenya Angasinthe?
Pali kusintha kwambiri kwa maonekedwe omwe angachitike kwa odwala omwe ali ndi GCA, ndipo chovuta kwambiri ndikutayika kwathunthu kwa masomphenya. Ichi ndi chifukwa chake ngati dokotala akukayikira GCA, adzachitapo kanthu mwamsanga kuti athetse kutupa ndikuletsa khungu.
Kuchiza GCA
Ngati dokotala akudandaula kuti GCA ndiye chifukwa cha kupweteka kwa mutu kuposa momwe angapangire kuchuluka kwa dothi la erythrocyte (ESR) , lomwe ndi chizindikiro cha kutukumula thupi ndipo ndi khalidwe lapamwamba kwa iwo omwe ali ndi GCA.
Inu dokotala mutha kukuwonetsani kuti mumakhala ndi chithandizo chamakono cham'mbuyo kuti mutsimikizire kuti mukudwala matendawa. Izi zikutanthauza kuti zitsanzo zazing'ono zamtundu wanu wamtunduwu zidzachotsedwa kotero kuti zikhoza kuyang'aniridwa ndi microscope ndi zizindikiro za vasculitis.
Chithandizo cha matendawa chikuphatikizapo mlingo wautali wa glucocorticoids , monga prednisone. Nthawi ya mankhwala imatha kuchokera pa miyezi ingapo mpaka zaka, pofuna kupewa zovuta zokhudzana ndi GCA, monga kusokonezeka kwa masomphenya. Gawo lovuta kwambiri lochiza GCA ndi mlingo waukulu wa mankhwala a oral steroid, chifukwa cha nthawi imeneyi, kuti steroid ingayambitse mavuto monga kuthamanga kwa magazi ndi shuga, matenda, ndi mafupa.
Pofuna kuchepetsa mlingo komanso nthawi yogwiritsira ntchito glucocorticoid mu GCA, kafukufuku wina wochepa mu Arthritis Rheumatism anafufuza chithandizo choyambirira cha GCA ndi glucocorticoid yogwiritsidwa ntchito ndi glucocorticoid. Izi zinkalola kuti mlingo wochepetsetsa ndi wothamanga steroids, poyerekeza ndi anthu omwe anatenga oral steroids popanda chiwindi choyambirira.
Madokotala ena angagwiritse ntchito kugwiritsa ntchito mankhwala opatsirana pogonana (mwachitsanzo, methotrexate kapena azathioprine) monga mankhwala owonjezera kuti athe kukhululukidwa mwamsanga kuti munthu asakhale ndi zotsatira zovuta za ntchito yayitali ya steroid . Izi zikuti, umboni wa sayansi pa mankhwala awa ndiwoperewerabe.
Mawu Ochokera
Zoonadi, ngati muli ndi mutu watsopano kapena kusintha kwa mutu wamutu, onani chithandizo chako chaumoyo kuti mudziwe bwinobwino. Palinso mavuto ambiri azaumoyo omwe angakhalepo, ndipo zizindikiro zimatha kufanana ndi za GCA.
Izi zikuti, ngati mutapezeka kuti muli ndi GCA, dziwani kuti ndi matenda ochiritsira, koma ayenera kuchiritsidwa pomwepo. Monga nthawizonse, mvetserani mwatsatanetsatane wanu ndipo muzitha kugwira nawo ntchito yathanzi.
Zotsatira:
Caylor TL, Perkins A. Kuzindikira ndi kusamalira polymyalgia rheumatica ndi chimphona chachikulu chotchedwa arteritis. Am Phys Physician . 2013 Nov 15; 88 (10): 676-84.
Ponte C, Rodrigues AF, O'Neill L, Luqmani RA. Giant cell arteritis: Chithandizo chamakono ndi kasamalidwe. Mavuto a World J Clinic . 2015 Jun 16; 3 (6): 484-94.