Ka hoʻomaopopo ʻana i nā pilikia a me nā pilikia o ka Giant Cell Arteritis

Anter

• Makapō
• Aneurysm ʻaʻano
• Hahau
• Maʻi hohola
• Maʻi maʻi peripheral artery
• Polymyalgia rheumatica
• Lawe aku

Hoʻopiʻi ka arteritis cell Giant (GCA) i ka uhi o kāu mau aʻa. ʻO ka pinepine, pili ia i nā aʻa i loko o kou poʻo, e hoʻoulu ana i nā ʻōuli e like me ke poʻo a me ka ʻeha iwi. Ua kapa ʻia ia ma mua he arteritis no ka mea hiki ke hoʻoulu i nā aʻa i loko o nā luakini.

ʻO ka pehu ʻana i loko o nā kīʻaha koko e hōʻemi i ka nui o ke koko e hiki ke kahe ma waena o lākou. Pili kou mau aʻa a me nā mea āpau i ke koko momona o ka oxygen e hana pono. Hiki i ka nele o ka oxygen ke hōʻino i kēia mau hale.

ʻO ka mālama ʻana me nā lāʻau kiʻekiʻe o nā lāʻau corticosteroid e like me ka prednisone e lawe koke mai i ka mumū i nā kīʻaha koko. ʻO ka mua o kou hoʻomaka ʻana i ka lawe ʻana i kēia lāʻau, ʻo ka liʻiliʻi e hoʻomohala ʻoe i nā pilikia e like me kēia.

Makapō

ʻO ka makapō kekahi o nā pilikia koʻikoʻi a hoprisome o GCA. Ke lawa ʻole ke kahe o ke koko i loko o ke aʻa e hoʻouna i ke koko i ka maka, hoʻomaka ke kino o ke aʻa e hānai i ke aʻa. ʻO ka hopena, ʻo ka nele o ke kahe o ke koko i nā maka ke kumu i ka makapō.

ʻO ka pinepine, hoʻokahi maka wale nō e hoʻopili ʻia. Ua nalowale kekahi mau maka i ka maka ʻelua i ka manawa like, a i ʻole i kekahi mau lā ma hope inā ʻaʻole mālama ʻia lākou.

Hiki wawe ka pohō o ka hihi. ʻAʻohe maʻamau ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe e aʻoaʻo aku iā ʻoe.

Ke lilo ʻoe i ka hihi, ʻaʻole hiki iā ʻoe ke hoʻihoʻi. ʻO ia ke kumu he mea nui e ʻike i ke kauka maka a i ʻole rheumatologist a hele i ka lāʻau lapaʻau, ka mea maʻa mau e lawe i kahi lāʻau steroid i mua. Inā loaʻa nā hoʻololi i kāu hihiʻo, e hoʻomaopopo koke i kāu kauka.

Aneurysm ʻaʻano

ʻOiai he laha ʻole ka GCA ma ka laulā, ʻo ia kekahi o nā kumu nui o ka aneurysm aortic. ʻO ke aorta ke kīʻaha koko nui o kou kino. Holo ia i waenakonu o kou umauma, e lawe ana i ke koko mai kou puʻuwai a i ke koena o kou kino.

ʻO kahi aneurysm he puʻu i ka paia o ka aorta. Hana ʻia ke nāwaliwali kou pā aorta ma mua o ka maʻamau. Inā pohā ka aneurysm, hiki iā ia ke kumu i ke kahe o ke kahe o loko a make inā ʻaʻole hāʻawi ʻia kahi lāʻau ulia pōpilikia.

ʻAʻole hana maʻamau nā aneurysms aortic i nā ʻōuli. I ka manawa e ʻike ʻia me GCA, hiki i kāu kauka ke nānā iā ʻoe no nā aneurysms ma ke aorta a me nā kīʻaha koko ʻē aʻe me nā hōʻike kiʻi e like me ultrasound, MRI, a me nā scan CT.

Inā loaʻa iā ʻoe kahi aneurysm a nui ia, hiki i nā kauka ke hoʻoponopono iā ia me ke kahakaha. Hoʻokomo ke kaʻina hana maʻamau i kahi graft i hana ʻia e ke kanaka i loko o ka pūnaewele aneurysm. Hoʻoikaika ka hoʻopili i ka nāwaliwali o ka aorta e pale iā ia mai ka haki.

Hahau

Hoʻonui ka GCA i kou makaʻi i ka hahau ischemic, ʻoiai ʻaʻole laha kēia pilikia. Hana ʻia kahi maʻi ischemic ke ālai kahi ʻōpala i ke kahe o ke koko i ka lolo. Hoʻoweliweli ke ola hahau a pono koke i ka lāʻau lapaʻau i kahi haukapila, ʻoi aku me kahi kikowaena hahau.

ʻO ka poʻe i loaʻa ka maʻi hahau e loaʻa iā lākou nā hōʻailona GCA e like me ka ʻeha o ka iwi, ka nalo ʻana o ka hihi wā pōkole, a me ka ʻike lua. Inā loaʻa iā ʻoe nā ʻōuli e like me kēia, e hoʻomaopopo koke i kāu kauka e pili ana iā lākou.

Maʻi hohola

ʻO ka poʻe me GCA kahi i kahi kiʻekiʻe kiʻekiʻe o ka hōʻeha puʻuwai. ʻAʻole maopopo inā he GCA pono ke kumu o ka puʻuwai, a i ʻole inā like nā ʻano ʻelua i nā mea pilikia like, keu hoʻi ka pehu.

Hana ʻia kahi puʻuwai puʻuwai ke lilo kahi aʻa e hoʻolako i kou puʻuwai me ke koko i ālai ʻia. Me ka lawa ʻole o ke koko, hoʻomaka nā ʻāpana o ka mākala puʻuwai e make.

He mea nui ka mālama ʻana i ka lāʻau lapaʻau wikiwiki no ka hōʻeha puʻuwai. E nānā no nā ʻōuli e like me:

• kaomi a paʻa paha i kou umauma
• ka ʻeha a i ʻole ke kaomi e hoʻomālamalama i kou ʻāʻī, nā poʻohiwi, a i ka lima hema
• nausea
• pokole o ka hanu
• hou anu
• ʻūpā
• luhi

Inā loaʻa kēia mau ʻōuli iā ʻoe, e kāhea iā 911 a i ʻole e hele koke aku i kahi lumi pilikia o ka haukapila.

Maʻi maʻi peripheral artery

ʻO ka poʻe me GCA kahi i kahi kiʻekiʻe kiʻekiʻe o ka maʻi ākea ākea (PAD). Hoʻoemi ka PAD i ke kahe o ke koko i nā lima a me nā wāwae, kahi e hiki ai ke cramping, numbness, nāwaliwali, a me nā ʻaoʻao anu.

ʻIke like me nā puʻuwai puʻuwai, ʻaʻole maopopo inā GCA ke kumu o PAD, a i ʻole ʻāpana like nā kūlana ʻelua i nā kumuhana pilikia maʻamau.

Polymyalgia rheumatica

ʻO Polymyalgia rheumatica (PMR) ke kumu o ka ʻeha, nāwaliwali o nā mākala, a me ka ʻoʻoleʻa o ka ʻāʻī, nā poʻohiwi, nā pūhaka, a me nā ʻūhā. ʻAʻole ia he pilikia o GCA, akā hele pinepine nā maʻi ʻelua. Ma kahi o ka hapalua o ka poʻe me GCA he PMR kekahi.

ʻO nā lāʻau Corticosteroid ka lapaʻau nui no nā kūlana ʻelua. I ka PMR, prednisone a me nā lāʻau ʻē aʻe i kēia papa e kōkua e hōʻoluʻolu i ka ʻoʻoleʻa a lawe i lalo i ka mumū. Hiki ke hoʻohana ʻia nā lāʻau ma lalo o ka prednisone ma PMR ma mua o GCA.

Lawe aku

Hiki i ka GCA ke hana i nā pilikia he nui. ʻO kekahi o nā mea koʻikoʻi a pili ʻia ka makapō. Ke lilo ʻoe i ka ʻike, ʻaʻole hiki iā ʻoe ke hoʻihoʻi.

Kūleʻa ka hōʻeha puʻuwai a me ka hahau ʻana, akā hiki iā lākou ke hana i kahi pākēneka liʻiliʻi o ka poʻe me GCA. Hiki i ka mālama mua ʻana me nā corticosteroids ke pale aku i kāu ʻike, a kōkua i ka pale ʻana i nā pilikia ʻē aʻe o kēia maʻi.