Giant Cell Arteritis Chii? Zviratidzo, Zvinokonzera, & Kurapa

Giant cell arteritis chirwere umo ropa rinotakura mumusoro nemutsipa rinozvimba. Kuchema uku kunonyanya kukanganisa ropa rinotakura rinonzi temporal arteries, iro ropa rinotakura rinomhanya kumativi emusoro pedyo netemberi.

Unogonawo kunzwa vanachiremba vachidaidza chirwere ichi kuti temporal arteritis nekuda kwekuti ndiko kunonyanya kuitika. Kuchema uku kunogona kuita kuti ropa rinotakura rive guru uye rinorwadza, izvo zvinoderedza kuyerera kweropa kunzvimbo dzakakosha senge maziso ako, uropi, uye ganda remusoro.

Zviratidzo zveGiant Cell Arteritis Ndezvipi?

Chiratidzo chinonyanya kuzivikanwa ndiro kurwadziwa kwakanyanya kwemusoro, kunorwadza zvakanyanya kupfuura chero kurwadziwa kwemusoro kwaunambova nako. Kurwadziwa kwemusoro uku kunonyanya kukanganisa divi rimwe kana maviri emusoro wako, kunyanya munzvimbo yetemberi.

Heano zviratidzo zvikuru zvaunogona kuwana:

• Kurwadziwa kwakanyanya kwemusoro, kazhinji munzvimbo yetemberi
• Ganda remusoro rinorwadza kana uchikwesha bvudzi rako kana kurara pachipilowu
• Kurwadziwa kwemuromo kana kuomarara kana uchicheka kana kutaura
• Matambudziko ekuona, kusanganisira kuona kusapfava kana kuona zvinhu zviviri
• Kuneta uye kunzwa kwakashata kwepanyika
• Fivha uye kuzvimba usiku
• Kurasikirwa nehuremu pasina chikonzero
• Kuoma kwemafudzi nemabvi

Kuchinja kwekuona kunoda hanya yakanyanya nekuti kunogona kuratidza dambudziko rakakomba. Vamwe vanhu vanowana kurasikirwa nekuona kwenguva pfupi kunouya nekuenda, nepo vamwe vangacherechedza kuona kwavo kuchinja kuva rima kana kunge murima.

Muitiko ushoma, unogona kuwana kurasikirwa nekuona kwenguva refu kamwe kamwe mune rimwe kana maziso maviri. Izvi zvinoitika kana ropa rinotakura rinozvimba richideredza kuyerera kweropa kunerve yemaziso, uye zvinofungwa kuti inyaya yekukurumidzira yekurapa.

Chii Chinokonzera Giant Cell Arteritis?

Chikonzero chaicho che giant cell arteritis hachizivisike zvizere, asi vanachiremba vanotenda kuti chinoitika kana immune system yako ikarwisa ropa rako pachako. Kuita uku kwe autoimmune kunokonzera kuzvimba mukati mema arteries.

Zvinhu zvakati wandei zvinogona kukonzera mamiriro ezvinhu aya:

• Age - inowanzokanganisa vanhu vane makore anopfuura 50, ine chiyero chakakura pakati pemakore 70-80
• Gender - vakadzi vane mukana wekuwana zvakapetwa kaviri kupfuura varume
• Genetics - hunhu hwakagara nhaka hunogona kuwedzera mukana wako wekuwana
• Geographic location - inowanzowanikwa muNorthern European populations uye nyika dzeScandinavia
• Infections - vamwe vanotsvakurudza vanofunga kuti hutachiona hwehutachiona kana mabhakitiriya zvinogona kutanga mamiriro ezvinhu aya kune vanhu vane njodzi

Zvinhu zvakatipoteredza zvinogonawo kutamba basa, kunyange vatsvakurudzi vachiri kudzidza hukama uhwu. Mamiriro ezvinhu anowanzoitika mumapoka, nemamwe kesi zvichionekwa munguva dzakati kana makore.

Muenzaniso ushoma, giant cell arteritis inogona kubatanidzwa nemamwe mamiriro e autoimmune kana kuitika pamwe chete ne polymyalgia rheumatica, iyo inokonzera marwadzo emhasuru nekukora.

Rini unofanira kuona chiremba nekuda kweGiant Cell Arteritis?

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana ukaona kuchinja kwekuona kamwe kamwe, misoro yakasimba inonzwa yakasiyana nemisoro yako yakajairwa, kana kurwadziwa kwemuromo kana uchicheka. Zviratidzo izvi zvinogona kuratidza kuti mamiriro ezvinhu ari kukanganisa kuyerera kweropa kunzvimbo dzakakosha.

Usamirira kana ukaona chero matambudziko ekuona, kunyangwe zvichiita sekunge zvinouya nekuenda. Kurasikirwa nekuona kubva ku giant cell arteritis kunogona kuva kwenguva refu kana kusapinzwa kurapwa nekukurumidza, saka nguva inokosha pakudzivirira kuona kwako.

Unofanirawo kubata chiremba wako kana uine zviratidzo zvinoramba zvichiitika senge kurwadziwa kwemusoro kunoramba kuripo, kuzvimba kwepamusoro pemusoro, kana kushaya simba kusina tsananguro pamwe nezvimwe zviratidzo. Kuongororwa nekurapwa pakutanga kunogona kudzivirira matambudziko akakomba uye kukubatsira kunzwa nani nekukurumidza.

Zvinokonzera Arteritis yeGiant Cell ndeapi?

Zera ndiro rine ngozi yakanyanya yekuwana arteritis yegiant cell. Zvirwere izvi zvisingawanzoitika kune vanhu vari pasi pemakore 50, uye njodzi yako inowedzera zvakanyanya sezvaunokura, kunyanya mushure memakore 70.

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana chirwere ichi:

• Kuva mukadzi - vakadzi vanowana arteritis yegiant cell kaviri kupfuura varume
• Mavambo ekuEurope yeChamhembe - vanhu vekuScandinavia, Northern Europe, kana Mediterranean vane huwandu hwakakwira
• Kuve nepolymyalgia rheumatica - anenge 15-20% yevanhu vane chirwere ichi chetsandanyama vanowanawo arteritis yegiant cell
• Nhoroondo yemhuri - kuva nehama dzine zvirwere zve autoimmune zvinogona kuwedzera njodzi yako zvishoma
• Zviratidzo zve genetic - hunhu hwakagara nhaka hunosanganisira kushanda kwe immune system

Nzvimbo ye geographical inonyanya kukoshawo, ine huwandu hwakakwira hunoratidzwa munzvimbo dzekumaodzanyemba uye nzvimbo dzakadai seMinnesota neScandinavia. Zvisinei, chirwere ichi chinogona kuitika chero kupi uye chero rudzi rwevanhu.

Mu zviitiko zvisingawanzoitiki, vanhu vane zvimwe zvirwere zve autoimmune kana avo vakambova nezvirwere zvakati zvinogona kuva nenjodzi yakakwira zvishoma, kunyange zvazvo hukama uhwu huchiri kudzidzwa.

Matambudziko anogona kuitika eGiant Cell Arteritis ndeapi?

Chinetso chakakomba kwazvo ndicho kurasikirwa nekuona, izvo zvinogona kuitika kamwe kamwe uye kuva zvisingadzorwi kana chirwere ichi chisingarapwi nekukurumidza. Izvi zvinoitika apo arteries dzakazvimba dzinoderedza kuyerera kweropa ku optic nerves kana arteries dzinopa maziso ako.

Aya ndiwo matambudziko makuru anogona kuitika:

• Kurasikirwa kusingaperi kwekuona kwemeso rimwe kana maviri
• Stroke - kana kuzvimba kuchikanganisa arteries inopa uropi ropa
• Aortic aneurysm - kushaya simba nekubuda kwetsinga huru yemuviri
• Matambudziko emoyo - kusanganisira kurwara kwemoyo mumamiriro ezvinhu mashoma
• Kurwadziwa kwenguva refu nekuremara kubva pakunetseka kuri kuramba kuripo

Matambudziko ekuona anogona kubva pakushomeka kwekuona kwenguva pfupi kusvika pakuburwa kwakazara, kusingaperi. Vanenge 15-20% vevanhu vane giant cell arteritis isina kurapwa vanowana rudzi rwekuora kwekuona.

Stroke imwe chirwere chakakomba asi chisingawanzoitika chinogona kuitika kana kuzvimba kuchiwanda kuenda ku arteries inopa uropi hwako ropa. Mumamiriro ezvinhu mashoma kwazvo, mamiriro acho anogona kukanganisa aorta, ichitungamira kune aneurysms anokura makore gare gare uye anoda kutarisirwa.

Mashoko akanaka ndeawo ekurapa kwakakodzera, zvizhinji zvematambudziko aya zvinogona kudzivirirwa kana njodzi yacho kuderedzwa zvakanyanya.

Giant Cell Arteritis inoziiwa sei?

Chiremba wako anotanga nekubvunza nezve zviratidzo zvako uye kuita bvunzo yemuviri, achinyanya kutarisa temberi dzako ne temporal arteries. Vachazviona kuti zvine tsitsi, kuzvimba, kana kuwedzera kweropa mu arteries idzi.

Kuongororwa kwakati wandei kunobatsira kusimbisa chirwere ichi:

• Kuongororwa kweropa - kutarisa zviratidzo zvekuzvimba senge ESR ne CRP
• Temporal artery biopsy - kubvisa chidimbu chidiki che artery kuti chiongororwe
• Ultrasound ye temporal arteries - kutsvaga zviratidzo zvekuzvimba
• Kuongororwa kwemaziso - kutarisa matambudziko ekuona kana kukuvara kwe optic nerve
• MRI kana CT scans - mune zvimwe zviitiko kuti ubvise mamwe mamiriro ezvinhu

Temporal artery biopsy inofungwa seyakakosha yekuongorora, kunyangwe iri nzira duku yekuvhiya. Chiremba wako achabvisa chidimbu chidiki che temporal artery, kazhinji pasi pe local anesthesia, ozochiyedza pasi pemikroskopu kuti aone shanduko dzakakosha.

Kuongororwa kweropa kunoratidza zviratidzo zvekuzvimba kwakakwirira kunotsigira chirwere ichi, asi mhinduro dzakajairwa hadzina kubvisa mamiriro acho. Muzviitiko zvisingawanzoitika apo mhinduro dze biopsy hadzina kujeka, chiremba wako angashandisa nzira dzekufungisisa dzakakwirira kana kutarisa mhinduro yako pakurapwa.

Kurapwa kweGiant Cell Arteritis ndechii?

Kurapwa kunotanga nekukurumidza ne corticosteroids yakakwira, kazhinji prednisone, kuti ikurumidze kuderedza kuzvimba uye kudzivirira matambudziko. Vanhu vakawanda vanotanga kunzwa zvakanaka mukati memazuva ekutanga kurapwa, kunyange zvazvo nzira yakazara kazhinji inotora mwedzi kusvika kumakore.

Heino zvinosanganisirwa kurapwa kazhinji:

• Prednisone yakakwira (40-60mg zuva nezuva) pakutanga
• Kudzikiswa kwenguva refu kwehuwandu hwemakore 1-2
• Kutarisa nguva dzose nekuongororwa kweropa nekuongororwa kwemaziso
• Calcium uye vitamini D zvinowedzerwa kuchengetedza mapfupa
• Mishonga yakawedzerwa senge methotrexate mune dzimwe nguva

Kana uri kusangana nematambudziko ekufunga, chiremba wako angakupa huwandu hwakakwira hwe steroids pakutanga, dzimwe nguva kuburikidza ne IV, kudzivirira kukuvara kwemaziso kwenguva refu. Chinangwa ndechekudzima kuzvimba nekukurumidza sezvinobvira.

Chiremba wako acharamba achitarisa mhinduro yako kuburikidza nekuongororwa kweropa nguva dzose uchinyora mazinga ekusvibiswa uye zvishoma nezvishoma kuderedza huwandu hwako hwe steroid sezvo mamiriro acho ari kuvandudza. Iyi nzira yekudzikisa inotaridzirwa zvakanyatsochengetedzwa kudzivirira kuzvimba uku uchideredza zvipingamupinyi.

Muzviitiko zvisingawanzoitika apo steroids hazvina kushanda kana zvichikonzera zvipingamupinyi zvakakomba, chiremba wako anganyora mishonga yakawedzerwa inodzora kuzvimba senge methotrexate kana tocilizumab.

Nzira yekutarisira kuchengetedza kumba panguva yekurapwa kweGiant Cell Arteritis?

Kutora mishonga yako chaizvo sezvakanyorwa ndicho chinhu chakakosha chaunogona kuita pamba. Usarega kana kuderedza steroids ako pasina nhungamiro yechiremba wako, kunyangwe uri kunzwa zvakanaka zvikuru, sezvo izvi zvingaita kuti mamiriro acho azvimbe.

Heano mazano ekutarisira pachako:

• Inwa mishonga nechikafu kuderedza kurwadziwa kwemudumbu
• Tarisa shuga yeropa rako kana uri diabetic, sezvo steroids inogona kukwidzamazinga eglucose
• Dyai chikafu chine calcium yakawanda uye inwa zvinowedzerwa sezvakarayirwa
• Rambai muchiita zvemitambo zvinyoro nyoro kuchengetedza simba remapfupa
• Zorora zvakakwana uye gadzirai kushushikana
• Zvidzivirire kubva kune zvirwere, sezvo steroids inogona kuderedza simba remuviri

Tarisa zviratidzo zvekuti mamiriro ako angave ari kuwedzera, senge kurwadziwa kwemusoro kunodzoka, kuchinja kwekuona, kana kurwadziwa kwegumbo. Taura nachiremba wako nekukurumidza kana chimwe chezviratidzo izvi chidzoka kana kuipa.

Sezvo kushandiswa kwenguva refu kwe steroid kunogona kukanganisa mapfupa ako, manzwiro, uye sisitimu yekudzivirira muviri, tevera zano rachiremba wako rekudzivirira mapfupa uye kudzivirira hutachiona. Kuita zvemitambo nguva dzose, kunyange kufamba chete, kunogona kubatsira kuchengetedza simba rako nehutano hwemashure.

Ungagadzirira sei kuenda kuchipatara?

Usati waenda kuchipatara, nyora zviratidzo zvako zvose, kusanganisira nguva zvakatanga, kuti zvakakomba sei, uye chii chinoita kuti zvive nani kana kuipa. Taura zvakajeka nezve chero kuchinja kwekuona, maitiro ekurwadziwa kwemusoro, kana kurwadziwa kwegumbo rawakatarisana naro.

Uya nehuremu hwemishonga yako yese iripo, kusanganisira mishonga inowanikwa pasina chinyorwa chechiremba nezvinowedzerwa. Gadzirirawo ruzivo nezve nhoroondo yako yekurapa, kunyanya chero mamiriro ekudzivirira muviri kana nhoroondo yemhuri yezvinetso zvakafanana.

Funga kuuya nemumwe wemhuri kana shamwari anogona kukubatsira kurangarira ruzivo rwakakosha uye kupa rutsigiro. Nyora mibvunzo yaunoda kubvunza, senge kuti unofanira kutarisira chii kubva pakurapa kana kuti ungadzorera sei migumisiro.

Usanetseka kutaura kuti zviratidzo zvako zviri kukanganisa sei hupenyu hwako hwezuva nezuva, basa, kana hukama. Ruzivo urwu runobatsira chiremba wako kunzwisisa kukanganisa kwakazara kwemamiriro acho uye kugadzirisa kurapwa zvakakodzera.

Chii chinonyanya kukosha nezve Giant Cell Arteritis?

Arteritis yema cell makuru chirwere chakakomba asi chinorapika zvikuru kana chawanikwa pakutanga. Chinhu chakakosha chokurangarira ndechokuti kurapwa nokukurumidza kunogona kudzivirira matambudziko, kunyanya kurasikirwa nekuona, saka usakurumidza kutsvaka kurapwa kana uine zviratidzo zvinotyisa.

Nerapwo rakanaka, vanhu vakawanda vane arteritis yema cell makuru vanogona kutarisira kuti zviratidzo zvavo zvirove zvikuru uye vadzoka kune zviitiko zvavo zvakajairwa. Kunyange zvazvo kurapwa kazhinji kunoda mishonga yenguva refu, tarisiro inowanzogara iri yakanaka kwazvo.

Rambai makabatana nechikwata chenyu chehutano mukati mekurapwa, teverai purogiramu yemishonga yenyu zvakanyatsonaka, uye musazengurira kubata chiremba wenyu kana muine zvinotyisa. Kuita kwenyu kwakanyanya mukurapwa ndicho kiyi yemugumisiro wakanaka kwazvo.

Mibvunzo inobvunzwa kazhinji pamusoro peGiant Cell Arteritis

Q1: Arteritis yema cell makuru inogona kudzoka here mushure mekurapwa?

Hungu, arteritis yema cell makuru inogona kudzokazve, kunyanya kana steroids dzaderedzwa nokukurumidza. Anenge 40-60% evanhu vanosangana nekuputika kamwe panguva yekurapwa. Ndokusaka chiremba wenyu achaderedza mishonga yenyu zvishoma nezvishoma uye kukutevera pedyo nekuongororwa kweropa nguva dzose uye kuongororwa.

Q2: Ndingatora steroids kwenguva yakareba sei kuti ndirape arteritis yema cell makuru?

Vanhu vakawanda vanoda kurapwa kwe steroid kwemakore 1-2, kunyange vamwe vangada kurapwa kwenguva refu. Chiremba wenyu achaderedza zvishoma nezvishoma dose yako zvichienderana nezviratidzo zvako uye mhinduro dzekuongororwa kweropa. Chinangwa ndechekuwana dose yakaderera inoramba ichichengeta mamiriro ako pasi pekudzora uchideredza zvipingamupinyi.

Q3: Ndichadzosa kuona kwangu here kana ndararasikirwa nako nekuda kwe arteritis yema cell makuru?

Zvinosuruvarisa, kurasikirwa nekuona kubva ku arteritis yema cell makuru kazhinji kunogara kwenguva refu kana kwaitika. Zvisinei, kurapwa nokukurumidza ne steroids yakakwira-dose kunogona dzimwe nguva kudzivirira kurasikirwa nekuona zvakawanda uye kuchengetedza kuona kwauri kwakasara. Ndokusaka kutarisirwa kwemishonga nokukurumidza kwakakosha kwazvo kana uine chero shanduko yekuona.

Mubvunzo 4: Giant cell arteritis inogona kukanganisa zvimwe zvikamu zvemuviri wangu kunze kwekumeso here?

Hungu, giant cell arteritis inogona dzimwe nguva kukanganisa midziyo miduku yakakura mumuviri wose, kusanganisira aorta nemapazi ayo makuru. Vamwe vanhu vanogonawo kuwana polymyalgia rheumatica, inokonzera kurwadziwa kwemhasuru nekukora. Chiremba wenyu achazvitarisa izvi panguva yekurapwa kwenyu.

Mubvunzo 5: Kune kurapwa kwemiti kana zvinowedzerwa zvinogona kubatsira ne giant cell arteritis here?

Kunyangwe kuchengetedza chikafu chakanaka uye kutora zvinowedzerwa zvakanyorwa semacalcium ne vitamin D zvakakosha, hapana kurapwa kwemiti kwakaratidzwa kunogona kutsiva kurapwa kwemishonga ye giant cell arteritis. Corticosteroids inoramba iri kurapwa kwakanakisa pakudzora kuzvimba uye kudzivirira matambudziko akakomba. Gara uchikurukura nezve chero zvinowedzerwa nachiremba wako usati wazvitora.