I-Giant Cell Arteritis Uhlobo Lwe-Vasculitis
Imininingwane Eyisisekelo Ngomakhalekhukhwini Omkhulu we-Arteritis
I-giant cell arteritis (ebizwa nangokuthi i-GCA, i-arteritis ye-craneal, noma i-arteritis yesikhashana) uhlobo lwama- vasculitis , iqembu lezimo ezinezikhukhula ezithinta imithwalo yegazi. Izitsha ezivame ukuhileleka ku-giant cell arteritis yizingcindezi zekhanda ne-scalp, ikakhulukazi eduze kwamathempeli.
Kungase kube nokubandakanyeka kwemithambo yezintambo nezingalo kanye.
Izimpawu ze-Giant Cell Arteritis
Uphawu oluvame kakhulu oluhlotshaniswa ne-giant cell arteritis lungumuthi omusha wekhanda, ngokuvamile eduze kwamathempeli, kodwa kungenzeka noma kuphi phezu kwekhanda. Izimpawu ezijwayelekile ezihambisana ne-giant cell arteritis zifaka ukukhathala, ukulahlekelwa ukudla, ukulahlekelwa isisindo, ukuzwa okunomkhuhlane, nemifudu ehlala isikhathi eside noma ephindaphindiwe. Ubuhlungu bomunyu noma ubuhlungu obusweni, ulimi, noma umphimbo kungenzeka kodwa kungavamile. Kungenzeka futhi ukuthi uzwele ugozi noma izinkinga ngokulinganisela.
I-giant cell arteritis ingathinta ukunikezwa kwegazi kweso elibangela umbono ongenalutho, umbono ophindwe kabili, noma ubumpumputhe. Uma kukhona ukulahlekelwa umbono, kungahle kwenzeke ngokuzumayo futhi kungenakwenzeka ukuguqula ukulahlekelwa kombono. Yingakho kubalulekile ukufuna ukwelashwa ngokushesha uma izimpawu zikhula ezingahle zihlobene ne-giant cell arteritis.
Ukwelashwa kwasekuqaleni kungavimbela ukulahleka kombono unomphela Abantu banomkhuba wokulinda futhi babone ukuthi izimpawu ziyaqhubeka yini. Endabeni ye-giant cell arteritis, lokho kungase kube yindlela edabukisayo.
Ukuthola i-Giant Cell Arteritis
Akukho ukuhlolwa kwegazi okungaqinisekisa ngokuqinisekisiwe ukuxilongwa kwe-giant cell arteritis.
Izinga lokuzijabulisa livame ukuphakanyiswa nge-giant cell arteritis kodwa usizo lwayo lukhawulelwe kusukela imiphumela ibonisa ukuvuvukala okungaqondile. Ukuze uhlolisise i-giant cell arteritis, i-biopsy yechungechunge elincane lombuso wesikhashana liyadingeka. Izicubu ezibizwa nge-biopsied zihlolwe ezincane kakhulu ukuvuvukala.
Ukwelashwa kwe-Giant Cell Arteritis
Ukwelashwa kwe-giant cell arteritis kufanele kuqale ngokushesha ngangokunokwenzeka - ngokushesha uma kusolwa futhi ngisho nangaphambi kokuba kube nokuqinisekisa kusuka emiphumeleni ye-biopsy. Ngokuvamile, ama- corticosteroids amisiwe kakhulu (40 kuya ku-60 mg prednisone ngosuku). Ngenkathi izinwele kanye nezinye izimpawu zivame ukuxazulula ngokushesha ngemithi yokwelapha, i-corticosteroids ephakeme iqhutshwa inyanga futhi yancipha kancane kancane ku-5-10 mg ngosuku ngezinyanga ezimbalwa, futhi imise ngemuva kweminyaka engu-1 noma engu-2. Njengoba umthamo we-corticosteroids wehla, ngezinye izikhathi ukubuyiswa kwezimpawu eziphendula ngokushesha kwizinga eliphakeme le-corticosteroids. Uma ngabe kukhona ukukhululwa kwe-steroid-free, noma kunjalo, ukuphindaphindiwe kwe-giant cell arteritis kuthathwa njengokungabonakali futhi kungavamile.
Ukuqhathaniswa kwe-Giant Cell Arteritis kanye nezibalo
I-giant cell arteritis ithinta abantu abadala, ngokuvamile baneminyaka engaphezu kwengu-50.
Iziguli ezingaba ngu-50% ezine-giant cell arteritis nazo zinezimpawu ze- polymyalgia rheumatica . Izimpawu zombili izimo, i-GCA ne-PMR, ingenzeka ngesikhathi esisodwa noma ngokwehlukana. Amantombazane avame ukuthinteka kakhulu yi-giant cell arteritis kunamadoda, nabamhlophe abangaphezu kwabangewona abamhlophe. Kulinganiselwa ukuthi abangu-200 kubantu abayi-100 000 abangaphezu kweminyaka engu-50 ubudala bahlakulela i-giant cell arteritis.
Imithombo:
I-Giant Cell Arteritis. I-American College of Rheumatology. Agasti 2013.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Giant-Cell-Arteritis
Imibuzo Nezimpendulo Nge-Polymyalgia Rheumatica ne-Giant Cell Arteritis. I-NIAMS. April 2015.
http://www.niams.nih.gov/health_info/polymyalgia/