Mibvunzo Nekuedzwa Dhigirii Mungaita
Musoro wega hausi nguva dzose chinetso chepakutanga , asi pane chiratidzo chemwe hutachiona hwehutano huripo. Somuenzaniso, mune hutano hunonzi giant cell arteritis (inozivikanwawo setimes temporal arteritis) musoro wemusoro ndiyo inonyanya kunetseka.
Tsanangudzo yeGiant Cell Arteritis
Giant cell arteritis kana GCA ibhuku rinotakura uye rinenge riri mukati remvura ndiro vasculitis , uye izwi rokuti "vasculitis" rinoreva kuti mimwe midzi yeropa mumuviri inopisa.
GCA inowanzokonzera matavi emutsetse wecarotid kunze, aritari huru mumutsipa. Kuvhiringidzika kwemasero chaiwo muGCA kunokanganisa ropa kubuda, zvichiita zviratidzo zvakasiyana-siyana semusoro, maziso anochinja, uye marwadzo ejaya paitsva.
Kuongorora GCA
Kuwana nhoroondo yezvehutano yakakosha kunokosha pakuongorora GCA. Ichi ndicho chikonzero chiremba wako achaita mibvunzo chaiyo asati aenderera mberi nemimwe miedzo kana kurapwa. Nokuda kwekuti GCA inowanzoitika kuvanhu vaduku, chiremba wako angangobvunzurudza mumibvunzo iyi chaiyo kana iwe uine makore makumi mashanu kana kupfuura.
Mimwe mibvunzo iyo chiremba wako angabvunza inosanganisira:
Iko Musoro Wenyu Mutsva Here?
Kune vakawanda vakura vanotambura neGCA, misoro yavo haisi yakakura chete asi itsva, zvinoreva kuti havana kumbobvira vachinzwa rudzi urwu rwehutambudzi hwemusoro kare.
Ndeipi Musoro Wako Musoro?
Kazhinji, misoro yeGCA iri mumatemberi, asi inogona kuva yakawanda kana yakagadzirirwa kuhuma kana kumashure kwepamusoro.
Mukuwedzera, zvinogonawo kuitika kumativi ose emusoro kana kune rumwe rutivi. Nekunetseka kwetemberi, vanhu vanogona kunyunyuta pamusoro pokusuruvara pavanenge vakapfeka ngowani kana kusunga vhudzi ravo.
Une Fever kana Chills?
Chiremba wako achatora kutonhora kwako, sezvo fever inowanzoonekwa kune avo vane GCA, asi kwete nguva dzose.
Iwe Unonzwa Sei?
Vanhu vane GCA vanofarira kunzwa uye kutarisa lousy. Mukuwedzera kune musoro, vanogona kucherechedza kuora, kuora, kurasikirwa nechido, uye / kana kukoromora.
Une Mimwe Mashizha Here?
Mamiriro ezvinhu anonzi polymyalgia rheumatic (PMR) , inokonzera matenga emangwanani uye kuoma mukati mahudyu, mapepa, nemutsipa, zvave zvichibatanidzwa neGCA. Saka kana iwe wakarapwa uine PMR uye uine hutano hutsva, chiremba wako anogona kuisa vaviri neviri pamwechete uye anofungidzira kuongororwa kweGCA.
Kuramba Kwako Kurwadza Paunenge Uchera Here?
Chiratidzo ichi chinonzi mutsara wechipupuriro uye chinoonekwa munenge hafu yevanhu vane GCA. Iyo marwadzo ejaya kazhinji anonzwa pedyo nehana ye- temporomandibular (TMJ) uye inoitika mushure mekudya kudya kunoda kudya kwakasimba, semafuta matsvuku kana bagel.
Une Pane Chiratidzo Chakuchinja?
Kune huwandu hwekuona kuchinja kunogona kuitika kune varwere vane GCA, uye yakanyanya kukanganisa kuva kurasikirwa kwakakwana kwemaonero. Ichi ndicho chikonzero kana chiremba achifungira GCA, achabata nekukurumidza kuronga kupisa nekudzivirira upofu.
Kubata GCA
Kana chiremba wako achifungira GCA semhosva yepamusoro wako kupfuura iye angangodaro akaronga erythrocyte sedimentation rate (ESR) , iyo chiratidzo chekuvhiringidza muviri uye inoratidzika zvikuru kune avo vane GCA.
Iwe iwe chiremba angangodaro akakutaurira iwe kwechirwere chemashure biopsy kuti uone kuongorora. Izvi zvinoreva kuti chimiro chiduku chemuviri wako wekare chinogona kubviswa kuitira kuti chinogona kuongororwa pasi microscope nokuda kwezviratidzo zvevasculitis.
Kurapa kwechirwere ichi kunosanganisira nguva yakareba yepamusoro glucocorticoids , yakafanana ne prednisone. Nguva yekurapa inogona kubva kumwedzi yakawanda kusvika kumakore, kuitira kuti kudzivirira matambudziko akakomba e-GCA, sekusakanganiswa kwekuona kurasikirwa. Chikamu chakaoma chekurapa GCA nechirwere chakanyanya chemuromo steroid, kwenguva iyi, iyo steroid inogona kukonzera migumisiro yakaipa sepamusoro wehutano weropa uye yeropa rega, zvirwere, uye mapfupa eropa.
Kuti kuderedze chirwere uye nguva yeglucocorticoid kushandiswa muGCA, chimwe chidiki chekudzidza muArthritis Rheumatism chakaongorora kurapwa kwekutanga kweGCA neine gracocorticoid inobata uye yakatevedzwa nemuromo weglucocorticoid. Izvi zvakabudirira zvichibvumidza kuti zvive nechepasi uye nekukurumidza kudonha pasi kwe steroids, kana ichienzaniswa nevanhu vakatora steroid oral vasingatangi mazamu okutanga.
Vamwe vanachiremba vanogona kufunga nezvekushandiswa kwezvirwere zve immunosuppressive (semuenzaniso, methotrexate kana azatioprin) sechiwedzera-mishonga yekuwana kukurumidza kuregererwa kuitira kuti munhu asanyanya kuve nemigumisiro yakaipisisa yekushandiswa kwenguva refu steroid . Izvozvo zvakati, uchapupu hwezvesayenzi hwemishonga iyi huripo.
Shoko Rinobva
Zvechokwadi, kana uine mutsva unotanga kubuda-kana kuchinja mumusoro wepamusoro, tarisa muchengeti wako wehutano kuti uwane hutano hwakanaka. Pane zvakawanda zvehutano hwehutano hunogona kuitika, uye zviratidzo zvinogona kutevedzera avo veGCA.
Izvozvo zvakati, kana iwe uine chirwere cheGCA, uzive kuti chirwere chinoporesa, asi chinoda kurapwa pakarepo. Sezvaunogara uchiita, teerera maitiro ako uye iva nesimba mune zvehutano hwako.
Sources:
Caylor TL, Perkins A. Kuziva uye kutungamira kwepolymyalgia rheumatica uye giant cell arteritis. Ndiye Chiremba weNzara . 2013 Nov 15; 88 (10): 676-84.
Ponte C, Rodrigues AF, O'Neill L, Luqmani RA. Giant cell arteritis: Iye zvino kurapwa uye kutungamirirwa. World J Clin Cases . 2015 Jun 16; 3 (6): 484-94.