I-arteritis yethutyana: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

Iseli enkulu ekuthiwa yi-arteritis, ekwabizwa ngokuba yi-tempter arteritis, sisifo esizenzekelayo esibangela ukudumba okungapheliyo kwemithambo yegazi, kwaye sibangele iimpawu ezinjengentloko, umkhuhlane, ukuqina kunye nobuthathaka bemisipha ye-masticatory, i-anemia, ukudinwa kwaye, kwimeko ezingaphezulu kakhulu, kunokukhokelela ekungaboni.

Esi sifo sifunyanwa ngugqirha kuvavanyo lomzimba, uvavanyo lwegazi kunye nomthambo obonisa ukudumba. Unyango lukhokelwa yingcali ye-rheumatologist, kwaye nangona lungekho unyango, isifo sinokulawulwa kakuhle ngokusetyenziswa kweziyobisi, ngakumbi ii-corticosteroids, ezinjengePrednisone.

I-arteritis yexeshana ixhaphake kakhulu kubantu abangaphezulu kweminyaka engama-50 ubudala, kwaye nangona unobangela wayo ungacacanga, kuyaziwa ukuba kunxulumene nokungalingani kwinkqubo yomzimba yokuzikhusela. Esi sifo luhlobo lwe-vasculitis, uhlobo lwesifo samathambo esichaphazela ukujikeleza kwegazi kwaye sinokubangela ukubandakanyeka kwamalungu ahlukeneyo omzimba. Qonda ukuba yintoni i-vasculitis kunye nokuba inokubangela ntoni.

Iimpawu eziphambili

Ukudumba ezindongeni zemithambo yegazi kubangela iimpawu eziqhelekileyo ezithintela ukujikeleza kwesitya segazi esichaphazelekayo, ngakumbi umthambo wethutyana, obekwe ebusweni, ukongeza kwezinye ezinje nge-ophthalmic, carotid, aorta okanye i-coronary arteries, umzekelo.

Ke, iimpawu eziphambili kunye neempawu zezi:

• Intloko okanye iintlungu zentloko, ezinokuba namandla kwaye zibethe;
• Ubuntununtunu kunye neentlungu kwimithambo yexeshana, ebekwe kwicala lebunzi;
• Ubuhlungu kunye nobuthathaka emhlathini, ovela emva kokuthetha okanye ukuhlafuna ixesha elide kwaye uphucule ngokuphumla;
• Umkhuhlane ophindaphindiweyo nongachazwanga;
• Anemia;
• Ukudinwa kunye nokubola ngokubanzi;
• Ukungabikho komdla;
• Ukuhla ukusinda;

Utshintsho olunzulu, njengokulahleka kombono, ukungaboni ngokukhawuleza okanye i-aneurysms, kunokwenzeka kwezinye iimeko, kodwa zinokuthintelwa ngokuchonga kunye nokwenza unyango, ngokukhawuleza, yi-rheumatologist.

Ukongeza kwezi mpawu, kuqhelekile ukuba i-arteritis yokwexeshana ikhatshwe yi-polymyalgia rheumatica, esisinye isifo esibangela ukudumba kwezihlunu kunye namalungu, kubangela iintlungu emzimbeni, ubuthathaka kunye nokuphazamiseka kumalungu, ngakumbi isinqe namagxa . Funda ngakumbi malunga ne-polymyalgia rheumatica.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwe-arteritis yokwexeshana kwenziwa ngovavanyo lweklinikhi ngugqirha oqhelekileyo okanye i-rheumatologist, ukongeza kuvavanyo lwegazi, olubonisa ukudumba, njengokuphakama kwamanqanaba e-ESR, anokufikelela kumaxabiso ngaphezulu kwe-100mm.

Ukuqinisekiswa, nangona kunjalo, kwenziwa nge-biopsy ye-artery yexeshana, eya kuthi ibonakalise utshintsho olukukuvutha ngqo kwisitya.

Unyango lwenziwa njani

Unyango lwe-giant cell arteritis lwenziwa ukunciphisa iimpawu kunye nokuthintela ukulahleka kombono, kusetyenziswa i-corticosteroids, efana ne-Prednisone, ngeedosi ezincipha ngokuthe ngcembe, zikhokelwa yi-rheumatologist. Ukusetyenziswa kwamayeza kwenziwa iinyanga ezi-3 ubuncinci, kwahluka ngokwokuphuculwa kweempawu.

Ukongeza, ugqirha unokucebisa iipilisi zentlungu kunye ne-antipyretics, ezinje ngeparacetamol, ukunciphisa iimpawu ezinje ngomkhuhlane, ukudinwa kunye nokuqaqamba ngokubanzi, ukuba ziyavela.

Esi sifo sinokulawulwa kakuhle ngonyango kwaye sidla ngokuxolelwa, kodwa sinokuphinda sibuye emva kwexesha elithile, esahluka ngokuphendula komzimba womntu ngamnye.