Kwibadala, umsebenzi we-cardiovascular system yomzimba, ngokukodwa kubasetyhini, uvame ukuphazamiseka. Esinye sezifo eziqhelekileyo zesicwangciso esinjalo yi-cell giant cell arteritis (GTA). Ubonakaliswe ukuvuvukala kweendonga ze-carotid kunye ne-artery yesikhashana, nto ibalulekile ukuyeka ngokukhawuleza, njengoko i-pathology iqhubekela phambili ngokukhawuleza kwaye ingabangela iingxaki ezinzima, kuquka ukungaboni ngokukhawuleza.
Iimpawu ze-cell enkulu ye-tempter arteritis
Olunye igama lento echazwe ngumzimba wesifo sikaHorton. Iimpawu zayo zihlelwa ziingcali kumaqela amathathu:
1. Jikelele:
- umkhuhlane kunye nomkhuhlane;
- intloko;
- ukulahleka kwesisindo;
- ukungabi nesidlo kude kube yi-anorexia;
- izifo zokulala;
- ukukhathala okukhulu;
- i-myalgia kunye ne- arthralgia ;
- intlungu xa uhlafuna;
- ukuphazamiseka kwezinye iinxalenye zobuso;
- ukukhathazeka ngokubethelwa kwesikhumba;
- i-rheumatic polymyalgia.
2. Iisetyhula:
- ukunyanzeliswa kweetriyari zexesha kunye neeparietal;
- ubomvu nokuvuvukala kwesikhumba kwiitempile;
- iigundane kwi-scalp;
- ukunyameka kwintlungu yeetriyiti, ukungabikho kwe-pulsation;
- ngamanye amaxesha - ukuhlaselwa kwe-ischemic, okuphazamisayo.
3. Ukubonisa:
- ukuwohloka kwezinto ezibonakalayo;
- intlungu kwi-eyeball;
- u bumfama.
Ulwaphulo lwe-arteritis yesigxina esine-rheumatic polymyalgia
Ifom ye-Horton ejongene nayo ihamba kunye neentlungu ezibuhlungu kwimisipha yebhande kunye nekhwele. Unyango lwakhe alufani nendlela edibeneyo nayiphi na iindidi ze-GTA.
Ngokutsho kophando lwezophando olushicilelwe, i-cell arteritis enkulu ilawulwa yi-hormone therapy. Ukwamkelwa kwe-Prednisolone kwisiqalo sokuqala sama-40 mg ngosuku kukuvumela iiyure ezingama-24 ukuya ku-4 ukuphucula ngokugqithiseleyo imeko yesigulane kunye nokuyeka ukuvuvukala kwiindonga zeemitha. Kwiimeko ezinzima, ukongezwa ngokwengeziwe iMethylprednisolone.
Xa ubunzima beempawu zesifo sikaHorton sinciphise kakhulu, i-horticone ye-corticosteroid iyanciphisa ukuya kwi-10 mg ngosuku. Unyango oluxhasayo luhlala ubuncinane kwiinyanga ezintandathu, de kube zonke iimpawu ze-cell giant arteritis ziphela ngokupheleleyo. Iifom ezintle zesifo zibonisa ixesha elide lokunyanga, malunga neminyaka emi-2.
Nangemva kokuqinisekiswa kokubuyiswa, kubalulekile ukuqhubeka nokubeka iliso kunye neengcali, rhoqo ukutyelela iimviwo ezicwangcisiweyo, njengoko isifo singakwazi ukuqhubeka.