Giant Cell Arteritis Icho Chirwere cheAvasculitis
Zvinyorwa Zvikuru Pamusoro peGiant Cell Arteritis
Giant cell arteritis (inonziwo GCA, inonzi arteritis, kana kuti arteritis yemazuva) inorudzi rwevasculitis , boka remamiriro ezvinhu ane chimiro chekudzivirira kwemidziyo yeropa. Imidziyo yakawanda inowanzobatanidzwa mu giant cell arteritis ndiyo mitsetse yepamusoro neyocheka, kunyanya pedyo ne temberi.
Ikoko kunogona kuve nekubatanidzwa kwemasero emutsipa nemaoko zvakare.
Zviratidzo zveGiant Cell Arteritis
Chiratidzo chakakurumbira chinosangana ne giant cell arteritis ndeye musoro mutsva, kazhinji pedyo nematemberi, asi inogona kuitika kupi pane dhehenya. Zviratidzo zvechizvarwa zvinowanzobatanidzwa ne giant cell arteritis zvinosanganisira kuneta, kurasikirwa kwechido, kuora muviri, manzwiro e-flu-like, uye fever inowedzera kana kuti inowanzoitika. Kutambudzika kwejaya kana chiso, rurimi, kana kurwadziwa kwehuro kunokwanisika asi kuderera. Zvinogona zvakare kuti uwane chirwere chinetso kana matambudziko nekuenzanisa.
Giant cell arteritis inogona kukanganisa ropa rinopa ziso rinokonzera maonero asina kunaka, zviratidzo zviviri, kana upofu. Kana pane kurasikirwa kwemaonero, zvinogona kuitika kamwe-kamwe uye zvingasazogone kudzosera kurasikirwa kworatidzwa. Ndokusaka zvakakosha kutsvaga kurapwa pakarepo apo zviratidzo zvinokura zvingave zvakabatana ne giant cell arteritis.
Kurapa kwokutanga kunogona kudzivirira kurasikirwa kwemaono zvachose. Vanhu vane chido chekumirira uye kuona kana zviratidzo zvinopera. Munyaya ye giant cell arteritis, iyo inogona kuratidza nzira inosuruvarisa.
Kuongororesa Giant Cell Arteritis
Hapana kuongororwa kweropa kunogona kusimbisa kusimbiswa kwe giant cell arteritis.
Sedimentation rate inowanzosimudzirwa ne giant cell arteritis asi kubatsira kwayo kunogadziriswa kubva pamigumisiro inoratidza kusina kuvhiringidzika. Kuti uongorore giant cell arteritis, biopsy yechinhu chiduku cheiyo yekare inofanira kudiwa. Mhuka idzi dzinotsvakurudzwa dzinoongororwa microscopically nokuda kwokuputika.
Kurapa kweGiant Cell Arteritis
Mishonga ye giant cell arteritis inofanira kutanga nokukurumidza sezvinobvira - pakarepo kana ichifungidzirwa uye kunyange kusati kwava nekusimbiswa kubva pamigumisiro yebiopsy. Kazhinji, kukwirira kwe corticosteroids kunorayirwa (40 kusvika 60 mg prednisone pazuva). Kunyange zvazvo misoro uye dzimwe zviratidzo zvinowanzogadzirisa nokukurumidza nekurapa, chirwere chakanyanya che corticosteroids chinoenderera kwemwedzi uye zvishoma nezvishoma zvishoma nezvishoma kusvika ku10-10 mg kwezuva kwemwedzi yakawanda, uye yakamira mushure memakore 1 kana 2. Sezvo nhamba ye corticosteroids yakaderera, pane dzimwe nguva kudzoka kwezviratidzo zvinopindura nokukurumidza kusvika kuwedzera kwezana re corticosteroids. Pane imwe nguva pane steroid-kusunungurwa kusununguka, zvisinei, kudzokorora kwe giant cell arteritis kunofungidzirwa kusingaiti uye kusingawanzoitiki.
Kuwanda kweGiant Cell Arteritis uye Statistics
Giant cell arteritis inobata vanhu vakuru, kazhinji vanopfuura makore makumi mashanu.
Inenge 50% yevarwere vane giant cell arteritis vanewo zviratidzo zvepolymyalgia rheumatica . Zviratidzo zvezvinhu zvose izvi, GCA ne PMR, zvinogona kuitika panguva imwe chete kana zvakasiyana. Madzimai anowanzobatwa ne giant cell arteritis kupfuura varume, uye vatsvene pane vasiri vatsvene. Izvo zvave zvichifungidzirwa kuti 200 kubva pa100 000 vanhu vanopfuura makore makumi mashanu vanokura giant cell arteritis.
Sources:
Giant Cell Arteritis. American College of Rheumatology. August 2013.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Giant-Cell-Arteritis
Mibvunzo neMhinduro Pamusoro pePolymyalgia Rheumatica uye Giant Cell Arteritis. NIAMS. April 2015.
http://www.niams.nih.gov/health_info/polymyalgia/