Kulaba asebekhulile, umsebenzi wesimiso senhliziyo yomzimba, ikakhulukazi kwabesifazane, uvame ukuphazamiseka. Esinye sezifo ezivame kakhulu zaloluhlelo yi-temporal giant cell arteritis (GTA). Kubonakala ukuvuvukala kwezindonga ze-artery carotid neyesikhashana, okubalulekile ukuyeka ngokushesha, njengoba i-pathology iqhubeka ngokushesha futhi ingabangela izinkinga ezinzima, kuhlanganise nokuphoqa okungazelelwe.
Izimpawu ze-arantitis yama-giant temporal temporal
Elinye igama lesifo esichazwe yisifo sikaHorton. Izimpawu zalo zihlukaniswa ochwepheshe abe ngamaqembu amathathu:
1. Okujwayelekile:
- umkhuhlane nomkhuhlane;
- ikhanda elikhulu;
- ukulahlekelwa kwesisindo;
- ukungabi nesidlo kuze kube yilapho i-anorexia;
- ukuphazamiseka kokulala;
- ukukhathala okukhulu;
- i-myalgia ne- arthralgia ;
- ubuhlungu lapho kuhlafuna;
- ukunganaki kwezinye izingxenye zobuso;
- ukukhathazeka nge-palpation ye-scalp;
- i-polymyalgia ye-rheumatic.
2. I-Vascular:
- ukuqiniswa kwemithambo ye-temporal and parietal;
- ubomvu nokuvuvukala kwesikhumba emathempelini;
- ama-nodules esikhwameni;
- ukukhathazeka ekuguleni kwamathambo, ukungabi khona kwe-pulsation;
- ngezinye izikhathi - ukuhlaselwa kwe-Ischemic okudlulayo, ukushaya.
3. Ukuhlola:
- ukuwohloka kwezinto ezibonakalayo;
- ubuhlungu e-eyeball;
- ukuphoqa okungazelelwe.
Ukwelashwa kwe-giant cell arteritis ene-rheumatic polymyalgia
Ifomu lokucatshangelwa kwesifo sikaHorton lihambisana nosizi olunzima emisipha yesikhwama sehlombe nesifuba. Ukwelashwa kwakhe akufani nenye indlela ehlanganisiwe yezinye izinhlobo ze-GTA.
Ngokusho kocwaningo lwezokwelapha eshicilelwe, i-giant cell arteritis ilawulwa ukwelashwa kwe-hormone. Ukwamukelwa kwe-Prednisolone esilinganisweni sokuqala sama-40 mg ngosuku kuvumela amahora angu-24-48 ukuthuthukisa isimo sesiguli ngokuphawulekayo nokuyeka ukuvuvukala ezindongeni ze-arteries. Ezimweni ezinzima, iMehylprednisolone eyengeziwe.
Uma ubukhulu bezimpawu zesifo sikaHorton buyancishiswa kakhulu, umthamo we-horticone ye-corticosteroid wehlelwa ku-10 mg ngosuku. Ukwelashwa okusekelayo kuqhubeka okungenani izinyanga eziyisithupha, kuze kube yilapho zonke izimpawu ze-giant cell arteritis ziphela ngokuphelele. Izinhlobo ezimbi zalesi sifo zibonisa ukuthi kukhona isikhathi eside sokwelashwa, cishe iminyaka emibili.
Ngisho nangemva kokuqinisekiswa kokuthola kabusha, kubalulekile ukuqhubeka nokuqapha nomchwepheshe, uvakashele njalo ukuhlolwa okuhleliwe, njengoba lesi sifo singakwazi ukubuyela emuva.