Nkag siab Txoj Kev Pheej Hmoo thiab Teeb Meem ntawm Giant Cell Arteritis
Zoo Siab
- Dig muag
- Aortic aneurysm
- Mob stroke
- Plawv nres
- Mob hlab ntsha peripheral leeg
- Polymyalgia rheumatica
- Nqa Nyiaj
Giant cell arteritis (GCA) ua rau cov leeg ntshav ntawm koj cov hlab ntsha tawg. Feem ntau, nws cuam tshuam cov hlab ntsha hauv koj lub taub hau, ua rau cov tsos mob zoo li mob taub hau thiab lub puab tsaig. Nws tau siv los hu ua ntu nqaij leeg vim tias nws tuaj yeem ua rau cov hlab ntsha hauv cov tuam tsev.
Kev o tuaj ntawm cov hlab ntshav txo cov ntshav uas tuaj yeem hla lawv. Tag nrho koj cov ntaub so ntswg thiab cov plab hnyuv siab raum cia siab rau cov ntshav uas muaj cov pa oxygen kom ua haujlwm zoo. Qhov tsis muaj oxygen yuav ua rau cov kev puas tsuaj no.
Kev kho mob nrog kev noj tshuaj corticosteroid siab kawg zoo ib yam li prednisone coj cov hlab ntsha hauv cov hlab ntshav tuaj sai. Koj nyuam qhuav pib noj cov tshuaj no, koj yuav tsis muaj teeb meem ntau yam li cov hauv qab no.
Dig muag
Qhov muag tsis pom yog ib qho ntawm qhov hnyav thiab txhawj xeeb tshaj plaws ntawm GCA. Thaum tsis muaj ntshav txaus rau hauv cov leeg ntshav uas xa ntshav mus rau lub qhov muag, cov nqaij uas ua rau cov leeg ntshav pib tuag. Nws thiaj li, qhov tsis muaj ntshav txaus rau lub qhov muag tuaj yeem ua rau dig muag.
Feem ntau, tsuas yog ib lub qhov muag cuam tshuam. Qee cov neeg tsis pom ntawm lub qhov muag thib ob tib lub sijhawm, lossis ob peb hnub tom qab yog lawv tsis kho.
Tsis pom kev tuaj yeem tshwm sim sai. Feem ntau nws tsis muaj mob lossis lwm yam mob los ceeb toom koj.
Thaum koj plam lub zeem muag, koj tsis tuaj yeem muab rov qab. Yog vim li cas nws yog ib qho tseem ceeb kom mus ntsib kws kho qhov muag lossis kws phais qhov muag thiab tau txais kev kho mob, uas feem ntau yog noj tshuaj steroid ua ntej. Yog tias koj muaj kev hloov pauv hauv koj lub zeem muag, ceeb toom koj cov kws kho mob tam sim ntawd.
Aortic aneurysm
Txawm hais tias GCA muaj tsawg heev txhua yam, nws yog ib qho tseem ceeb ua rau muaj kev mob hlwb aortic. Lub aorta yog koj lub cev cov hlab ntshav cov ntshav. Nws ntws hauv nruab nrab ntawm koj lub hauv siab, nqa ntshav los ntawm koj lub siab mus rau tas koj lub cev.
Tus aneurysm yog lub foob nyob hauv phab ntsa ntawm aorta. Nws tshwm sim thaum koj phab ntsa aorta tsis muaj zog dua li qub. Yog tias pob taws ua pob tawg, nws tuaj yeem ua rau muaj ntshav txaus sab hauv thiab tuag taus yog tias tsis kho sai.
Aortic aneurysms tsis tas ua rau cov tsos mob tshwm sim. Thaum koj tau kuaj pom GCA, koj tus kws kho mob yuav soj ntsuam koj kom mob pob txha caj qaum hauv ntshav thiab lwm cov hlab ntshav loj nrog kev soj ntsuam xws li ultrasound, MRI, lossis CT scans.
Yog tias koj mob pob taws thiab nws loj, cov kws kho mob tuaj yeem kho nws nrog kev phais mob. Cov txheej txheem ntau dhau los siv dag zog rau ib tug txiv neej-puab ua khoom coj mus rau hauv lub vev xaib aneurysm. Cov ntoo txhuam muaj zog ua rau thaj chaw tsis muaj zog ntawm lub aorta los tiv thaiv nws kom tawg.
Mob stroke
GCA tsub kom koj muaj feem yuav muaj mob stroke ischemic, txawm hais tias qhov kev tsis haum no tsis tshua muaj tshwm sim. Kev mob hlab ntsha hauv ischemic tshwm sim thaum ntshav khov los ntshav ntws mus rau lub hlwb. A stroke yog lub neej txoj sia thiab xav tau kev kho mob sai hauv tsev kho mob, zoo dua yog ib qho chaw muaj mob stroke.
Cov neeg uas muaj mob stroke feem ntau yuav muaj GCA cov tsos mob zoo li lub puab tsaig mob, lub zeem muag tsis pom kev, thiab lub zeem muag ob npaug. Yog tias koj muaj cov tsos mob zoo li no, qhia koj tus kws kho mob paub txog lawv tam sim ntawd.
Plawv nres
Cov neeg uas muaj GCA kuj tseem muaj kev pheej hmoo ntxiv ntawm lub plawv nres. Nws tsis paub meej tias GCA nws tus kheej ua rau lub plawv nres, lossis yog hais tias ob qho xwm txheej sib koom ua ke tib qho kev pheej hmoo, tshwj xeeb yog mob o.
Ib qho mob plawv nres tshwm sim thaum cov hlab ntsha uas xa koj cov ntshav siab. Yog tias tsis muaj ntshav txaus, ntau ntu ntawm cov leeg plawv yuav pib tuag.
Mus cuag kev kho mob sai rau lub plawv yog ib qho tseem ceeb. Saib xyuas cov tsos mob zoo li:
- siab lossis nruj hauv koj lub hauv siab
- mob los yog siab uas tawg rau koj lub puab tsaig, xub pwg, lossis sab caj npab
- xeev siab
- txog siav
- hws no
- kiv taub hau
- nkees nkees
Yog tias koj muaj cov tsos mob no, hu rau 911 lossis mus rau chav kho mob hauv tsev kho mob tam sim.
Mob hlab ntsha peripheral leeg
Cov neeg uas muaj GCA kuj tseem muaj qhov pheej hmoo me ntsis ntawm kab mob hlab ntsha hlwb (PAD). PAD txo cov ntshav ntws mus rau caj npab thiab txhais ceg, uas tuaj yeem ua rau mob plab, fab, qaug zog, thiab mob khaub thuas.
Zoo ib yam li lub plawv nres, nws tsis paub meej tias GCA ua rau PAD, lossis yog ob qho xwm txheej sib koom ua ke txhua yam xwm txheej.
Polymyalgia rheumatica
Polymyalgia rheumatica (PMR) ua rau mob, leeg tsis muaj zog, thiab nruj ntawm lub caj dab, lub xub pwg nyom, ncej puab, thiab ncej puab. Nws tsis yog ib qho mob hnyav heev ntawm GCA, tab sis ob qho kab mob feem ntau tshwm sim ua ke. Txog ib nrab ntawm cov neeg uas muaj GCA tseem muaj PMR.
Cov tshuaj Corticosteroid yog kev kho mob tseem ceeb rau ob qho xwm txheej. Hauv PMR, prednisone thiab lwm yam tshuaj hauv chav kawm no pab daws qhov txhav thiab coj los ua mob. Kev txhaj tshuaj qis dua ntawm cov tshuaj prednisone tuaj yeem siv hauv PMR dua li hauv GCA.
Nqa Nyiaj
GCA tuaj yeem ua rau ntau qhov kev nyuaj. Ib qho loj tshaj thiab hais txog yog qhov muag dig. Thaum koj plam lub zeem muag, koj tsis tuaj yeem muab rov qab.
Kev mob plawv thiab mob hlab ntsha tawg yog qhov tsawg, tab sis lawv tuaj yeem tshwm sim hauv feem pua me me ntawm cov neeg muaj GCA. Kev kho thaum ntxov nrog corticosteroids tuaj yeem tiv thaiv koj lub zeem muag, thiab pab tiv thaiv lwm cov kev cuam tshuam ntawm tus kab mob no.