I-Cell Arteritis enkulu Inhlobo ye-Vasculitis
Iinkcukacha Eziyisiseko Nge-Arteritis Eyona Mkhulu
I-cell arteritis enkulu (ekwabizwa ngokuba yi-GCA, i-arteritis ye-craneal, okanye i-arteritis yesikhashana) luhlobo lwe- vasculitis , iqela leemeko ezinokutshatyalaliswa kwemithambo yegazi. Iinqwelo eziqhelekileyo ezibandakanyeka kwi-cell arteritis enkulu ziyimida yeentloko kunye ne-scalp, ngokukodwa kufuphi neetempile.
Kukho ukubandakanywa kwemithambo yeentamo kunye neengalo.
Iimpawu zeGiant Cell Arteritis
Uphawu oluqhelekileyo oluhambelana ne-giant cell arteritis yintsholongwane entsha, ngokuqhelekileyo kufuphi neetempileni, kodwa inokwenzeka naphi na kuyo phezu kwekhayi. Izimpawu eziqhelekileyo ezinxulumene ne-giant cell arteritis ziquka ukukhathala, ukulahleka kwesidlo, ukulahleka kwesisindo, ukuvakalelwa kwintsholongwane, kunye neentsholongwane ezinde okanye eziphindaphindiweyo. Ukubuhlungu kwintlanzi okanye ubuso, ulwimi, okanye intlungu yomzimba inokwenzeka, kodwa engaphantsi. Kwakhona kunokwenzeka ukuba ufumane utywala okanye iingxaki ngokulinganisela.
I-cell arteritis enkulu inokuchaphazela ukunikezelwa kwegazi kwiso edala imbono ephosakeleyo, umbono obini, okanye ubumpumputhe. Ukuba kukho ukulahleka kombono, kunokuvela ngokukhawuleza kwaye akunakwenzeka ukuguqula ukulahleka kombono. Yingakho kuyimfuneko ukufumana unyango ngokukhawuleza xa iimpawu eziphuhliswayo ezinokuthi zihlobene ne-cell arteritis enkulu.
Unyango lwangaphambili lunokuthintela ukulahleka kombono ongapheliyo Abantu banomdla wokulinda baze babone ukuba iimpawu ziyacima. Kwimeko yesigxina se-cell arteritis, leyo ingaba yindlela yokuzisola.
Ukuchonga i-Giant Cell Arteritis
Akukho vavanyo lwegazi elinokuqinisekisa ngokuqinisekileyo ukuxilongwa kwe-cell arteritis enkulu.
Ireyithi yokutywa kwesantya iphakanyiswe nge-arteritis enkulu yamaseli kodwa ukusetyenziswa kwayo kunqamlekile kuba iziphumo zibonakalisa ukuvuvukala okungezizo. Ukuxilonga i-arteritis yesigxina esikhulu, i-biopsy yecandelo elincinci lomzobo wexesha elifunekayo. Iimpawu ezixutywayo zihlolwe ubuncinci ukuze zivuke.
Unyango lwe-Giant Cell Arteritis
Unyango lwe-cell arteritis enkulu kufuneka uqalise ngokukhawuleza-ngokukhawuleza ukuba ukhunjulwe kwaye nangaphambi kokuba kukho ubungqina obuvela kwiziphumo ze-biopsy. Ngokuqhelekileyo, amanani aphezulu e- corticosteroids anqunywe (40 ukuya ku-60 mg prednisone ngosuku). Nangona i-headache kunye nezinye iimpawu zivame ukusombulula ngokukhawuleza kunyango, i-corticosteroids ephezulu iqhutyelwa inyanga kwaye iyancipha ngokukhawuleza ukuya kwi-5-10 mg ngosuku ngeenyanga eziliqela, kwaye yima emva kweminyaka eyi-1 okanye-2. Njengoko umthamo we-corticosteroids uyancipha, ngamanye amaxesha ukubuyela kweempawu eziphendula ngokukhawuleza kwandisa i-corticosteroids. Xa sele kukho ukukhululwa kwe-steroid-free, nangona kunjalo, ukuphindaphinda kwe-giant cell arteritis kuthathwa njengokuba akunakwenzeka kwaye kuyinqabile.
Ubuninzi beSiginal Cell Arteritis kunye neNkcukacha
I-cell arteritis enkulu ithinta abantu abadala, ngokuqhelekileyo bangaphezu kwama-50.
Phantse i-50% yezigulane ezine-cell arteritis ezinkulu zinempawu ze- polymyalgia rheumatica . Iimpawu zezo zombini iimeko, i-GCA kunye ne-PMR, inokuvela ngexesha elinye okanye ngokwahlukileyo. Abafazi baxhaphazwa ngokuqhelekileyo nge-cell arteritis enkulu kunamadoda, kunye nabamhlophe abangaphezu kwabangcwele. Kuqikelelwa ukuba abantu abangama-200 abantu abayi-100 000 abangaphezu kweminyaka engama-50 ubudala bahlakulela i-arteritis yeselenta enkulu.
Imithombo:
Cell Arteritis enkulu. Ikholeji yaseMerika yaseRheumatology. Agasti 2013.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Giant-Cell-Arteritis
Imibuzo Neempendulo NgePolymyalgia Rheumatica kunye neGiant Cell Arteritis. NIAMS. Epreli 2015.
http://www.niams.nih.gov/health_info/polymyalgia/