He aha te Arteritis Pūtau Nui? Tohutohu, Take, me te Maimoatanga

Ko te arteritis pūtau nui tētahi āhuatanga e mumura ana, e pupū ana ngā ātiretā i roto i tō upoko me tō kaki. Ko te mumura te mea nui e pā ana ki ngā ātiretā temporal, arā, ngā oko toto e rere ana i ngā taha o tō upoko, tata ki ō temepara.

Ka rongo pea koe i ngā tākuta e karanga ana i tēnei āhuatanga ko te arteritis temporal, nā te wāhi e tino puta ai. Ka taea e te mumura te whakakī i ēnei ātiretā, ā, ka ngawari, ka whakaiti i te rere o te toto ki ngā wāhi nui penei i ō kanohi, ō roro, me tō kiriūpoko.

He aha ngā tohu o te Arteritis Pūtau Nui?

Ko te tohu tino noa he mamae upoko nui, e pupuhi ana, he rerekē i tetahi mamae upoko kua pā ki a koe i mua. Ko te nuinga o te mamae upoko nei e pā ana ki tētahi taha, ki ngā taha rānei o tō upoko, inā te rohe temepara.

Ko ēnei ngā tohu matua ka kite pea koe:

• Mamae upoko nui, te nuinga i te rohe temepara
• Te ngawari o te kiriūpoko ina horoi i ō makawe, i te takoto rānei i runga i te moenga
• Te mamae o te kauae, te kōkō rānei ina ngau, ina kōrero rānei
• Ngā raruraru tirohanga, tae atu ki te tirohanga māre, te tirohanga takirua rānei
• Te ngenge, te ahua koretake rānei
• Te kirika me ngā wera o te pō
• Te ngaro o te taumaha kaore i whakaarohia
• Te kī o te pakihiwi me te hope

He mea nui te aro ki ngā huringa tirohanga, nā te mea ka taea e rātou te tohu i te raruraru nui. Ka kite pea etahi i te ngaro o te tirohanga mo te wā poto e haere mai ana, e haere atu ana rānei, ā, ka kite pea ētahi i te mārama o rātou tirohanga, te atarangi rānei.

I etahi wā, ka kite pea koe i te ngaro o te tirohanga tūturu, tūturu rānei i tētahi kanohi, i ngā kanohi rānei. Ka puta tēnei ina whakaitihia e ngā ātiretā mumura te rere o te toto ki te uaua tirohanga, ā, he āwangawanga hauora tēnei.

He aha ngā take o te Arteritis Pūtau Nui?

Kāore i tino mōhiotia te take pono o te arteritis pūtau nui, engari e whakapono ana ngā tākuta ka puta ina whakaeke he i tō pūnaha mate pūtau ki ō oko toto ake. Ka whakaoho tēnei whakautu mate pūtau i te mumura i roto i ngā pakitara ātiretā.

He maha ngā take ka āwhina pea ki te whānau i tēnei āhuatanga:

• Te tau - kaore i te tino pā ki ngā tāngata i raro i te 50 tau, ā, ka nui haere te tūponotanga i te pakeke ake, inā i muri i te 70 tau
• Te ira tangata - e rua te tūponotanga o ngā wāhine ki te whānau i te āhuatanga nei i te whakatau ki ngā tāne
• Te ira - ka taea e ētahi āhuatanga kua oti te whakawhiwhi te whakanui i tō tūponotanga
• Te wāhi whenua - he tino noa ake i ngā taupori o te Raki o Ūropi me ngā whenua Scandinavian
• Ngā mate - e whakaaro ana ētahi kairangahau ka taea e ngā mate huaketo, mate huaketo rānei te whakaoho i te āhuatanga i roto i ngā tāngata e ngāwari ana

Ka taea hoki e ngā take taiao te whai wāhi, ahakoa kei te ako tonu ngā kairangahau i ēnei hononga. Ka puta te āhuatanga i roto i ngā huringa, me te nui ake o ngā keehi e puta ana i ētahi wā, i ētahi tau rānei.

I etahi wā, ka taea te hono atu i te arteritis pūtau nui ki ētahi atu āhuatanga mate pūtau, ki te whānau rānei me te polymyalgia rheumatica, e puta ai te mamae o te uaua me te kī.

Nō hea te haere ki te tākuta mō te Arteritis Pūtau Nui?

Me rapu wawe koe i te awhina hauora mena ka kite koe i ngā huringa tirohanga tūturu, ngā mamae upoko nui e rerekē ana i ō mamae upoko noa, te mamae rānei o te kauae ina ngau. Ka taea e ēnei tohu te tohu kei te pā te āhuatanga ki te rere o te toto ki ngā wāhi nui.

Kaua e tatari mena ka kite koe i ētahi raruraru tirohanga, ahakoa ka puta mai, ka ngaro atu rānei. Ka taea te tūturu te ngaro o te tirohanga mai i te arteritis pūtau nui ki te kore e āwhina wawe, no reira he mea nui te wā mō te tiaki i ō tirohanga.

Me whakapiri atu hoki koe ki tō tākuta mena he tohu mau tōu penei i ngā mamae upoko haere tonu, te ngawari o te kiriūpoko, te ngenge rānei kaore i te whakamārama, me ētahi atu tohu. Ka taea e te whakamārama wawe me te maimoatanga te aukati i ngā raruraru nui, ā, ka āwhina i a koe kia pai ake te ahua.

He aha ngā take tūponotanga mō te Arteritis Pūtau Nui?

Ko te tau te take tūponotanga kaha rawa mō te whānau i te arteritis pūtau nui. He tino onge te āhuatanga nei i ngā tāngata i raro i te 50 tau, ā, ka nui haere tō tūponotanga i te pakeke ake, inā i muri i te 70 tau.

He maha ngā take ka taea te whakanui i tō tūponotanga ki te whānau i tēnei āhuatanga:

• Ko te wahine - e rua te tūponotanga o ngā wāhine ki te whānau i te arteritis pūtau nui i te whakatau ki ngā tāne
• Te tīpuna o te Raki o Ūropi - he nui ake ngā reiti o ngā tāngata o Scandinavian, te Raki o Ūropi, te moana-nui-a-Kiwa rānei
• Te polymyalgia rheumatica - tata ki te 15-20% o ngā tāngata e pangia ana e tēnei āhuatanga uaua ka whānau hoki i te arteritis pūtau nui
• Te hītori whānau - te whai whānau e pangia ana e ngā āhuatanga mate pūtau ka taea te whakanui i tō tūponotanga
• Ētahi tohu ira - ngā āhuatanga kua oti te whakawhiwhi e pā ana ki te mahi o te pūnaha mate pūtau

He mea nui hoki te wāhi whenua, me ngā reiti teitei e pūrongohia ana i ngā latitude o te raki me ētahi rohe penei i a Minnesota me Scandinavia. Heoi, ka taea te puta te āhuatanga i hea, i tetahi rōpū iwi rānei.

I etahi wā, ka taea te whakanui i te tūponotanga o ngā tāngata e pangia ana e ētahi atu āhuatanga mate pūtau, i ngā tāngata rānei kua pangia e ētahi mate, ahakoa kei te ako tonu ēnei hononga.

He aha ngā raruraru pea o te Arteritis Pūtau Nui?

Ko te raruraru tino nui ko te ngaro o te tirohanga, ka taea te puta tūturu, ka tūturu hoki ki te kore e āwhina wawe te āhuatanga. Ka puta tēnei ina whakaitihia e ngā ātiretā mumura te rere o te toto ki ō uaua tirohanga, ki ngā ātiretā rānei e whakarato ana i ō kanohi.

Ko ēnei ngā raruraru matua ka taea te whānau:

• Te ngaro o te tirohanga tūturu i tētahi kanohi, i ngā kanohi rānei
• Te pōkaikaha - mena ka pā te mumura ki ngā ātiretā e whakarato ana i te roro
• Te aneurysm aortic - te ngoikore me te pupū o te ātiretā nui o te tinana
• Ngā raruraru ngakau - tae atu ki te mate ngakau i etahi wā
• Te mamae roa me te kore e taea te mahi mai i te mumura haere tonu

Ka taea e ngā raruraru tirohanga te rere mai i ngā wāhanga wā poto o te tirohanga mārama ki te matapo katoa, koretake.

Ko te pōkaikaha tētahi atu raruraru nui, engari he iti te noa, ka taea te puta mena ka horapa te mumura ki ngā ātiretā e whakarato ana i tō roro. I etahi wā, ka taea e te āhuatanga te pā ki te aorta, ka arahi ki ngā aneurysms e whānau ana i muri i ngā tau, me te tirotiro.

Ko te rongo pai, mā te maimoatanga tika, ka taea te aukati i te nuinga o ēnei raruraru, te whakaiti rānei i tō rātou tūponotanga.

Me pēhea te whakamārama i te Arteritis Pūtau Nui?

Ka tīmata tō tākuta mā te uiui mō ō tohu, mā te mahi rānei i te whakamātautau tinana, mā te aro nui ki ō temepara me ngā ātiretā temporal. Ka kite rātou i te ngawari, te pupū rānei, te iti rānei o te pupuhi i ēnei ātiretā.

He maha ngā whakamātautau e āwhina ana ki te whakamārama i te mate:

• Ngā whakamātautau toto - te tirotiro mō ngā tohu mumura penei i te ESR me te CRP
• Te biopsy ātiretā temporal - te tango i tetahi wāhanga iti o te ātiretā mō te tirotiro
• Te ultrasound o ngā ātiretā temporal - te rapu mō ngā tohu o te mumura
• Te whakamātautau kanohi - te tirotiro mō ngā raruraru tirohanga, te kino rānei o te uaua tirohanga
• Ngā whakaahua MRI, CT rānei - i etahi wā ki te whakakore i ētahi atu āhuatanga

Ko te biopsy ātiretā temporal te mea nui mō te whakamārama, ahakoa he mahi pokanga iti tēnei. Ka tangohia e tō tākuta tētahi wāhanga iti o te ātiretā temporal, te nuinga i raro i te mate kore, ka tirotirohia i raro i te microscope mō ngā huringa āhuatanga.

Ka tautoko ngā whakamātautau toto e whakaatu ana i ngā tohu mumura teitei i te whakamārama, engari kāore ngā hua noa e whakakore i te āhuatanga. I etahi wā kaore i te mārama ngā hua biopsy, ka taea e tō tākuta te whakamahi i ngā hangarau whakaahua whānui, te tirotiro rānei i tō whakautu ki te maimoatanga.

He aha te maimoatanga mō te Arteritis Pūtau Nui?

Ka tīmata te maimoatanga tonu me ngā corticosteroids nui, te nuinga ko te prednisone, ki te whakaiti tere i te mumura, ki te aukati rānei i ngā raruraru. Ka tīmata te nuinga o ngā tāngata ki te pai ake i roto i ngā rā i te tīmatanga o te maimoatanga, ahakoa ko te akoranga katoa e roa ana i ngā marama ki ngā tau.

Ko ēnei ngā mea e whakauru ana ki te maimoatanga:

• Te prednisone waha nui (40-60mg ia rā) i te tīmatanga
• Te whakaiti haere o te rāpoi i roto i te 1-2 tau
• Te tirotiro tonu me ngā whakamātautau toto me ngā whakamātautau kanohi
• Ngā taapiri kārati me te hua-D ki te tiaki i ngā wheua
• Ngā rongoā atu penei i te methotrexate i etahi wā

Mena kei te pāngia koe e ngā raruraru tirohanga, ka taea e tō tākuta te hoatu ki a koe ngā rāpoi nui ake o ngā steroids i te tīmatanga, i roto i te IV rānei, ki te aukati i te kino o te kanohi. Ko te whāinga ko te whakakore i te mumura i te tere rawa.

Ka tirotirohia e tō tākuta tō whakautu mā ngā whakamātautau toto e ine ana i ngā taumata mumura, ka whakaiti haere i tō rāpoi steroid i te pai ake o te āhuatanga. Ka whakahaerehia tenei tukanga whakaiti kia pai ai te aukati i ngā whakaoho, te whakaiti rānei i ngā pānga.

I etahi wā kaore he hua ngā steroids, ka puta rānei ngā pānga nui, ka taea e tō tākuta te tuhi i ngā rongoā mate pūtau atu penei i te methotrexate, tocilizumab rānei.

Me pēhea te whakahaere i te tiaki kāinga i te wā e maimoatia ana te Arteritis Pūtau Nui?

Ko te tango i ō rongoā kia rite ki te tuhi te mea nui rawa atu ka taea e koe te mahi i te kāinga. Kaua e mutu, kaua e whakaiti i ō steroids me te kore e arahihia e tō tākuta, ahakoa kei te pai ake tō ahua, nā te mea ka taea e tēnei te whakaoho i te āhuatanga.

Ko ēnei ngā rautaki tiaki whaiaro matua:

• Tangohia ngā rongoā me te kai hei whakaiti i te mamae o te kopu
• Tirohia tō huka toto mena he mate huka tōu, nā te mea ka taea e ngā steroids te whakanui i ngā taumata huka
• Kai i te kai kārati-nui, tangohia ngā taapiri kia rite ki te tūtohu
• Noho mahi me te whakakori ngawari hei pupuri i te kaha o ngā wheua
• Whiwhi moe tika, whakahaerehia te ahotea
• Tīaki i a koe i ngā mate, nā te mea ka taea e ngā steroids te whakaiti i te mate pūtau

Tirohia ngā tohu kei te whakaoho pea tō āhuatanga, penei i ngā mamae upoko e hoki mai ana, ngā huringa tirohanga, te mamae rānei o te kauae. Whakapiri atu wawe ki tō tākuta mena ka hoki mai, ka kino ake rānei tetahi o ēnei tohu.

Nā te roa o te whakamahinga steroid ka pā ki ō wheua, ngā ngākau, te pūnaha mate pūtau rānei, whai i ngā tūtohu a tō tākuta mō te tiaki wheua me te aukati mate. Ka taea e te whakakori tonu, te hikoi noa rānei, te pupuri i tō kaha me te hauora o ngā wheua.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai, te nui o te kino, te aha rānei e pai ake ai, e kino ake ai rānei. Kia tino mōhio ki ētahi huringa tirohanga, ngā tauira mamae upoko, te mamae rānei o te kauae kua pā ki a koe.

Kawe mai i te rārangi katoa o ō rongoā o nāianei, tae atu ki ngā rongoā-kore-tūtohu me ngā taapiri. Whakaritea hoki ngā mōhiohio mō tō hītori hauora, inā ngā āhuatanga mate pūtau, te hītori whānau rānei o ngā raruraru rite.

Whakaarohia te kawe mai i tētahi mema whānau, hoa rānei ka taea te awhina ki te mahara ki ngā mōhiohio nui, te whakarato rānei i te tautoko. Tuhia ngā pātai e hiahia ana koe ki te ui, penei i te aha e tatari ana koe mai i te maimoatanga, te pēhea rānei te whakahaere i ngā pānga.

Kaua e whakaroa ki te whakaatu i te pēhea o ō tohu e pā ana ki tō oranga o ia rā, tō mahi, tō hononga rānei. Ka āwhina ēnei mōhiohio i tō tākuta ki te mōhio ki te pānga katoa o te āhuatanga, ki te whakarite rānei i te maimoatanga kia rite.

He aha te mea nui mō te Arteritis Pūtau Nui?

Ko te arteritis pūtau nui he āhuatanga nui, engari he tino āwhina ina kite wawe. Ko te mea nui rawa atu hei mahara ko te āwhina wawe ka taea te aukati i ngā raruraru, inā te ngaro o te tirohanga, no reira kaua e whakaroa ki te rapu awhina hauora mena he tohu āwangawanga tōu.

Mā te maimoatanga tika, ka taea e te nuinga o ngā tāngata e pangia ana e te arteritis pūtau nui te tumanako ka pai ake ō rātou tohu, ka hoki ki ō rātou mahi noa. Ahakoa ko te maimoatanga e hiahia ana ki te rongoā roa, he tino pai te tirohanga.

Noho hono atu ki tō rōpū hauora i te wā o te maimoatanga, whai i tō kaupapa rongoā, kaua hoki e whakaroa ki te whakapiri atu ki tō tākuta mena he āwangawanga tōu. Ko tō whakauru mahi ki te maimoatanga te kī mō te hua pai rawa atu.

Ngā pātai e ui pinepinetia ana mō te Arteritis Pūtau Nui

P1: Ka hoki mai te arteritis pūtau nui i muri i te maimoatanga?

Ae, ka taea te hoki mai te arteritis pūtau nui, inā ka whakaitihia tere rawa ngā steroids. Tata ki te 40-60% o ngā tāngata ka kite i tetahi whakaoho i te wā o te maimoatanga. Koia te take ka whakaiti haerehia e tō tākuta ō rongoā, ka tirotirohia koe me ngā whakamātautau toto me ngā tirotiro.

P2: E hia te roa o te tango steroids mō te arteritis pūtau nui?

Ko te nuinga o ngā tāngata e hiahia ana ki te maimoatanga steroid mō te 1-2 tau, ahakoa ka hiahia pea ētahi ki te maimoatanga roa atu. Ka whakaiti haerehia e tō tākuta tō rāpoi i runga i ō tohu me ngā hua whakamātautau toto. Ko te whāinga ko te kimi i te rāpoi iti rawa e pupuri ana i tō āhuatanga i raro i te mana, te whakaiti rānei i ngā pānga.

P3: Ka ora ake tōu tirohanga mena kua ngaro atu i te arteritis pūtau nui?

Aroha mai, ko te ngaro o te tirohanga mai i te arteritis pūtau nui te nuinga ka tūturu i te wā e puta ana. Heoi, ka taea e te āwhina wawe me ngā steroids nui te aukati i te ngaro o te tirohanga atu, te tiaki rānei i ō tirohanga e toe ana. Koia te take he mea nui te awhina hauora wawe mena ka kite koe i ētahi huringa tirohanga.

P4: Ka taea e te arteritis pūtau nui te pā ki ētahi atu wāhanga o toku tinana i tua atu i toku upoko?

Ae, ka taea e te arteritis pūtau nui te pā ki ngā ātiretā nui i roto i tō tinana, tae atu ki te aorta me ona manga nui. Ka whānau hoki ētahi i te polymyalgia rheumatica, e puta ai te mamae o te uaua me te kī. Ka tirotirohia e tō tākuta ēnei raruraru i te wā o tō maimoatanga.

P5: He maimoatanga taiao, taapiri rānei e taea te āwhina ki te arteritis pūtau nui?

Ahakoa he mea nui te pupuri i te kai pai me te tango i ngā taapiri kua tuhia penei i te kārati me te hua-D, kāore he maimoatanga taiao kua whakamāramahia e taea te whakakapi i te rongoā hauora mō te arteritis pūtau nui. Ko ngā corticosteroids tonu te maimoatanga tino whai hua mō te whakahaere i te mumura me te aukati i ngā raruraru nui. Kōrero tonu ki tō tākuta i mua i te tango i ētahi taapiri.