Mune vakwegura, basa remwoyo yematambudziko emuviri, kunyanya kuvakadzi, rinowanzovhiringidzwa. Chimwe chezvirwere zvakajairika zveurongwa hwakadaro ndiyo nguva inonzi giant cell arteritis (GTA). Iyo inoratidzirwa nekuputika kwemasvingo e-carotid uye yemaari yemazuva, iyo inokosha kuti igare pakarepo, sezvo hutachiona hunofambira mberi nokukurumidza uye hunogona kukonzera matambudziko akaoma, kusanganisira kupofumadza kamwe kamwe.
Zviratidzo zve giant cell temporal arteritis
Imwe zita rerondedzero yezvirwere ndeyeHorton's disease. Zviratidzo zvaro zvinosarudzwa nevanyanzvi mumapoka matatu:
1. Zvose:
- fevhiri nefivha;
- zvakanyanya musoro;
- kurasikirwa nokurema;
- kusava nenzara kusvikira anorexia;
- kushushikana kwehope;
- kuneta kukuru;
- myalgia uye arthralgia ;
- kurwadziwa kana kutsva;
- kupera kweimwe zvikamu zvechiso;
- Kusuruvara nekunzwa kwechizenga;
- rheumatic polymyalgia.
2. Vascular:
- kuwedzerwa kwemazuva emvura uye emapirari;
- kubwinya uye kuzvimba kweganda patemberi;
- mutsvuku mumakumbo;
- kusuruvara mu palpation yemaseriyo, kusavapo kwepulsation;
- dzimwe nguva - kurwisa kweschemic, nguva.
3. Kutarisa:
- kuora kwemaonero anooneka;
- kurwadziwa muziso reziso;
- nekukurumidza bofu.
Therapy ye giant cell arteritis ne rheumatic polymyalgia
Nzira inofungidzirwa yeHorton's disease inosangana nekurwadziwa kwakanyanya mumisungo yebhandi refudzi uye pelvis. Mushonga wake hausi wakasiyana nedzimwe nzira yakabatanidzwa yemamwe marudzi eGTA.
Maererano nekutsvakurudza kwezvokurapa, giant cell arteritis inotarirwa nehommone therapy. Kubvuma Prednisolone pamutambo wekutanga we 40 mg pazuva kunobvumira maawa 24 kusvika ku48 kuti achinje zvakanyanya mamiriro ehutano uye kuti asiye kuputika mumasvingo emiromo. Mumatambudziko akaoma, kuwedzerwa kunyorerwa Methylprednisolone.
Apo kuoma kwezviratidzo zveHorton chirwere zvakanyanya kuderedzwa, muyero we corticosteroid hormone inoderedza kusvika 10 mg pazuva. Mutsigiri unotsigira unotora mwedzi mitanhatu, kusvikira zviratidzo zve giant cell arteritis zanyangarika zvachose. Maitiro akaoma echirwere ichi anoratidza nguva refu yekurapa, anenge makore maviri.
Kunyangwe mushure mekusimbiswa kwekudzoka, zvakakosha kuti urambe uchitarisana nemumwe nyanzvi, nguva dzose unoshanyira miongorori yakarongwa, sezvo chirwere chinogona kudzoka.