Yintoni ongayibuza ugqirha wakho malunga nokunyanga iArteritis yeGiant Giant

Umxholo

• Luthini unyango lweGiant Cell Arteritis?
• Zeziphi iziphumo ebezingalindelekanga ezinokubangela i-prednisone?
• Ngaba i-prednisone ingandithintela ekuphulukaneni nokubona kwam?
• Ndingayinciphisa nini idosi yam ye-prednisone?
• Ngaba akhona amanye amayeza anyanga iarteritis enkulu yeseli?
• Kuthekani ukuba iimpawu zam ziyabuya?
• Ngaba unyango luya kundinyanga?
• Yintoni enye endinokuyenza ukuze ndizive ngcono?
• Yise kude

Iseli enkulu ye-arteritis (GCA) kukukrala kwilindle lemithambo yakho, ngokufuthi kwimithambo yentloko yakho. Sisifo esinqabileyo esihle.

Kuba uninzi lweempawu zayo ziyafana nezezinye iimeko, kungathatha ixesha ukufumanisa isifo.

Malunga nesiqingatha sabantu abane-GCA banempawu zentlungu kunye nokuqina kwamagxa, ihips, okanye zombini, ezaziwa ngokuba yi-polymyalgia rheumatica.

Ukufunda ukuba unayo i-GCA linyathelo elikhulu. Umbuzo wakho olandelayo uyiphatha njani.

Kubalulekile ukuba uqale unyango ngokukhawuleza. Ayisiyo kuphela iimpawu ezinjengentloko kunye nentlungu yokujongana nokungonwabi, kodwa esi sifo singakhokelela kubumfama ngaphandle konyango olukhawulezileyo.

Unyango olululo lunokulawula iimpawu zakho, kwaye lunokuyinyanga imeko.

Luthini unyango lweGiant Cell Arteritis?

Unyango luhlala lubandakanya amathamo aphezulu esiyobisi se-corticosteroid njenge-prednisone. Iimpawu zakho kufuneka ziqale ukuphucula ngokukhawuleza amayeza- ngaphakathi kweentsuku ezi-1 ukuya kwezi-3.

Zeziphi iziphumo ebezingalindelekanga ezinokubangela i-prednisone?

Ukuhla kwe-prednisone ziziphumo ebezingalindelekanga, ezinye zazo ezinokuba nzulu. Uninzi lwabantu basebenzisa amava e-prednisone ubuncinci kwezi ziphumo bezingalindelekanga:

• amathambo abuthathaka anokuqhekeka lula
• ukutyeba kwakho
• usulelo
• igazi elonyukayo
• i-cataract okanye i-glaucoma
• iswekile ephezulu yegazi
• ubuthathaka bemisipha
• iingxaki zokulala
• ukutyunyuzwa ngokulula
• ukugcinwa kwamanzi kunye nokudumba
• isisu esiswini
• ukungaboni kakuhle

Ugqirha wakho uya kujonga iziphumo ebezingalindelekanga kwaye anyange nantoni na onayo. Umzekelo, ungathatha amayeza afana ne-bisphosphonates okanye i-calcium kunye ne-vitamin D yokuncedisa ukomeleza amathambo akho kunye nokuthintela ukwaphuka.

Uninzi lweziphumo ebezingalindelekanga zezokwexeshana. Kuya kufuneka baphucule njengoko ususa i-prednisone.

Ngaba i-prednisone ingandithintela ekuphulukaneni nokubona kwam?

Ewe. Eli yeza lisebenza kakhulu ekuthinteleni ukulahleka kombono, eyona ngxaki inzima ye-GCA. Kungenxa yoko le nto kubalulekile ukuba uqale ukuthatha eli yeza ngokukhawuleza.

Ukuba ulahlekelwe ngumbono ngaphambi kokuba uqale ukuthatha i-prednisone, ayiyi kubuya. Kodwa elinye iliso lakho linokukwazi ukubuyekeza ukuba uhlala umkhondo ngolu nyango.

Ndingayinciphisa nini idosi yam ye-prednisone?

Emva kwenyanga yokuthatha i-prednisone, ugqirha wakho uya kuqala ukunciphisa umthamo wakho malunga ne-5 ukuya kwi-10 milligrams (mg) ngosuku.

Umzekelo, ukuba uqale nge-60 mg ngosuku, unokwehla uye kwi-50 mg emva koko uye kwi-40 mg. Uya kuhlala kwiqondo eliphantsi kakhulu elifunekayo ukulawula ukudumba.

Ukhawuleza kangakanani ukuthambisa idosi yakho kuxhomekeke kwindlela oziva ngayo kunye neziphumo zakho zovavanyo zomsebenzi wokukrala, oya kuthi ugqirha wakho abeke esweni kulo lonke unyango lwakho.

Awunakho ukuyeka ngokupheleleyo amayeza okwethutyana. Uninzi lwabantu abane-GCA luya kudinga ukuthatha idosi ephantsi ye-prednisone kangangeminyaka eli-1 ukuya kwezi-2.

Ngaba akhona amanye amayeza anyanga iarteritis enkulu yeseli?

I-Tocilizumab (i-Actemra) liyeza elitsha kuLawulo lokutya kunye neDrug evunyiweyo kwi-2017 yokunyanga i-GCA. Unokufumana eli chiza njengoko ususa i-prednisone.

Kuza njengokufaka inaliti ugqirha wakho phantsi kolusu lwakho, okanye inaliti ozinika zonke iiveki ezi-1 ukuya kwezi-2. Ugqirha wakho unokukugcina kwi-Actemra nje xa uyeka ukuthatha i-prednisone.

I-Actemra iyasebenza ekugcineni i-GCA kuxolelo. Inokunciphisa isidingo se-prednisone, eya kunciphisa iziphumo ebezingalindelekanga. Kodwa ngenxa yokuba i-Actemra ichaphazela amajoni akho omzimba, inokunyusa umngcipheko wosulelo.

Kuthekani ukuba iimpawu zam ziyabuya?

Kuqhelekile ukuba iintloko kunye nezinye iimpawu zibuye emva kokuba uqale ukucima i-prednisone. Oogqirha abazi ngqo ukuba yintoni ebangela oku kubuyela umva. Usulelo lunokubangela ukuba kubekho.

Ukuba iimpawu zakho zibuya, ugqirha wakho unokukhupha i-dose yakho ye-prednisone ukukunceda ukulawula. Okanye banokuyalela ichiza lokucinezela umzimba njenge-methotrexate (Trexall), okanye ngaba uqale unyango nge-Actemra.

Ngaba unyango luya kundinyanga?

Emva konyaka okanye emibini yokuthatha i-prednisone, iimpawu zakho kufuneka ziphele. I-GCA kunqabile ukuba ibuye emva kokuba iphathwe ngempumelelo.

Yintoni enye endinokuyenza ukuze ndizive ngcono?

Amayeza ayisiyiyo kuphela indlela yokulawula i-GCA. Ukuzikhathalela ngokwakho kunokukunceda uzive ungcono.

Yitya ukutya okunciphisa ukudumba emzimbeni wakho. Ukukhetha okuhle kukutya okuchasayo okuchasayo njengentlanzi enamafutha (isalmon, ityhuna), amandongomane nembewu, iziqhamo kunye nemifuno, ioyile yomnquma, iimbotyi, kunye neenkozo ezipheleleyo.

Zama ukusebenza yonke imihla. Khetha imithambo engenzima kakhulu kumalungu akho, njengokuqubha okanye ukuhamba. Eminye imisebenzi enokuphumla ukuze ungasebenzi kakhulu.

Ukuphila nale meko kunokuba luxinzelelo olukhulu. Ukuthetha nengcali yezempilo yengqondo okanye ukujoyina iqela lenkxaso le-GCA kunokukunceda ujongane ngcono nale meko.

Yise kude

I-GCA inokubangela iimpawu ezingathandekiyo kwaye inokuba yimfama ukuba ayinyangwa. Iidosi eziphezulu zedosi kunye namanye amayeza anokukunceda ulawule ezi mpawu kwaye uthintele ukulahleka kombono.

Nje ukuba ukwisicwangciso sonyango, kubalulekile ukuba unamathele kuyo. Jonga ugqirha wakho ukuba unengxaki yokuthatha amayeza akho, okanye ukuba uvelisa iziphumo ebezingalindelekanga awukwazi ukuzinyamezela.