Horton ta cuta: haddasawa, cututtuka, bincike da kuma magance

Daya daga cikin mafi m da kuma kawo hadari ga lafiyar jijiyoyin bugun gini cututtuka ne Horton ta cutar. Fiye da shi ne m da kuma yadda za a bi da, shi za a tattauna a nan.

Nature da cutar

Horton ta cuta kuma aka sani a karkashin sunaye kamar giant cell boko arteritis ko vasculitis. Wannan cuta nasa ne da category na autoimmune da kuma kumburi harafin sa. Kamar sauran tsari vasculitis, shi yawanci rinjayar da veins, jijiyoyi, da sauran manyan jini. Sau da yawa sosai da wannan cuta da aka sarrafa a cikin carotid daina kai hare hare.

A ciwo ne mai suna bayan Horton ta likita. Cutar da aka gano a Amurka a cikin thirties karni na ashirin da. Statistics nuna cewa boko arteritis ne ya fi kowa a arewacin Turai, da kuma Nordic kasashe. Matsayin mai mulkin, cutar rinjayar mutane na ja da baya da shekaru, da kuma mata wahala kusan sau biyu, kamar yadda maza.

abubuwan da ake bukata

An yi imani da cewa Horton ta cuta auku saboda wani digo na mutum rigakafi matakin. Da yawa jini gwaje-gwaje nuna cewa shafin na rauni jijiya vasculitis gina up antibodies. Haka kuma, ci gaban da wannan cuta na iya dogara ne a kan gaban a jikin kau- ƙwayoyin cuta kamar herpes, hepatitis, jamiái colds. Bayan duk na sama, akwai kuma masana kimiyya da kuma ka'idar wani yiwu kayyade predisposition, kamar yadda ya nuna wanzuwar lokuta na wannan gene.

Horton ta cuta, da bayyanar cututtuka da waxanda suke da matukar bambancin a cikin yanayi, zai iya nuna su alamu daga makonni da dama zuwa watanni da dama. Wani lokaci da ci gaban da cutar da aka kara bayan fama da kwayar cutar ko wani sanyi cutar. Bayyanar cututtuka da cutar za a iya raba general, bayyanar cututtuka na jijiyoyin bugun gini raunuka da kuma dakushe hangen nesa. Matsayin mai mulkin, gaban akalla daya daga cikinsu da kuma sanin abin da likita a tuntube.

Common bayyanar cututtuka

Bayyanuwar Horton ta cuta ne zazzabi, m, kuma mai tsanani ciwon kai, m nauyi asara, gajiya, barci cuta, zafi a cikin gidajen abinci da kuma tsokoki. Amma ga zafi a kai, zai iya faruwa a daya bangare na kwanyar, kuma da dama a lokaci daya kuma, a matsayin mai mulkin, yana mai pulsating hali. Mafi sau da yawa, zafi ya auku a dare, kuma ƙarshe kawai zama mafi tsanani. Bugu da kari ga migraine marasa lafiya na iya zama da damuwa game da fatar kan mutum numbness, zafi lokacin magana ko cin abinci, m majiyai a fuska yankin. Pain a cikin tsokoki da kuma gidajen abinci ana sarrafa, yawanci a kafada yanki ko cinya. A yanayi na hadin gwiwa zafi yana da irin wannan yanayi da amosanin gabbai.

jijiyoyin bugun gini cuta

Receptacles, Horton ta cuta sha compaction. Sun yawanci dauki cikin irin nodules, mai raɗaɗi, kuma zafi ga tabawa. Kamar haka a irin wannan tasoshin ba ãyõyin zuciya kudi da kuma jini motsi. A fatar kan mutum kamar yiwu gaban like da kumburi. Haka kuma, sau da yawa sosai ga a nan kusa arteries fata canji launi zuwa m-burgundy. Zai yiwu bayyanar edema a Horton ciwo.

Da cutar, wanda yake malala a yankin na ciki carotid jijiya, shi ne musamman m. Wannan shi ne saboda cewa da katin shaida na waje cututtuka ne da wuya. Matsalolin da wannan cuta ba shakka saboda gaskiyar cewa mai tsanani lalacewar manyan tasoshin ba da gano a cikin lokaci, za a iya kai wa ga m mummunan sakamakon, kamar bugun jini da kuma hemorrhage.

fada view

Wani Gabar da shan wahala mafi in ci gaban Horton ta cuta ne ido. Bayyanuwar jijiyoyin bugun gini cutar sau da yawa sosai hade tare da karuwa a matsa lamba, zafi, tsaga da kuma sauran munanan a wahayi. Wannan shi ne da farko saboda da rashin dace jini wurare dabam dabam a cikin wannan yanki. Lokacin da lokaci ya fara lura da tsanani sakamakon za a iya kauce masa, in ba haka ba da haƙuri razana su kammala atrophy na na gani jijiya da kuma m makanta.

bincikowa da

Cutar da ake fi dacewa gano ta gani dubawa na asibiti da kuma bincike bincike da sakamakon. Lokacin da kimantawa a haƙuri da yanayin da biyan kulawa da neurological kiwon lafiya. Yana kamata a lura cewa wannan cuta na iya mai tsanani shafi matakin da hangen nesa, don haka duba shi taka muhimmiyar rawa. Kamar yadda awon karatu biopsy dauka daga wani lalace jirgin ruwa, kazalika da haƙuri da ake sa Doppler duban dan tayi, Magnetic rawa ko lissafta tomography na kwakwalwa.

A sakamakon bincike

A samu a lokacin da ganewar asali data iya yin hukunci a mataki na cuta, kuma su yanke shawara a kan magani. Yawanci, da sakamakon da aka hadedde bayanai samu bayan da nassi na jarrabawa da kuma gwaje-gwaje da bincike.

A sakamakon gaban da jini tarin kafa insufficiency jini Kwayoyin inganta leukocyte da erythrocyte sedimentation hanzari. A cikakken bincike na jijiya yawanci gano canji rabo daga furotin kasarun adadi na da jini matakin da a rage na albumin.

A cikin binciken da likitoci da kulawa ta musamman ga kafa ta mai tsanani da kuma gaban lahani kuma lalata ciki kasa na ido.

Biopsy nazarin salon salula abu da kuma lalace jirgin ruwa da aka yarda su kafa benign canje-canje a cikin kauri da kuma tsarin da jirgin ruwa a Horton ciwo. A cuta yakan auku a cikin hanyar bayyana a cikin ganuwar arteries granulovidnyh nodules. Irin wannan ci gaba ba zai iya shafar aikin da jirgin ruwa: a kan lokaci, da lumen zama narrower da narrower.

Duk da haka, akwai lokuta lokacin da irin canje-canje a cikin jijiya ko jijiya ba ya lura. Wannan za a iya bayyana ta da cewa da asarar da jirgin ruwa yana da matukar niyya yanayi da ba su ko da yaushe amenable ga kafa. Wannan shi ne saboda cewa da rauni ne segmental jijiya a cikin yanayi da kuma a cikin shakka daga shan wani biopsy yiwu unaffected rabo daga jijiya.

Bugu da kari, duk da bayyanar cututtuka dogara ne kawai a kan halaye na jiki kowane mutum haƙuri, ciki har da ta shekaru, salon da kuma wasu dalilai. Alal misali, Association of American rheumatologists ba statistics nuna cewa a cikin shakka daga cutar da ake sosai karfi da ya rinjayi wani iri-iri alƙaluma dalilai. Sun hada da haƙuri da shekaru, musamman idan yana da fiye da shekaru 50.

Matsaloli a diagnosing

A lokacin da kafa Horton cuta cututtuka kamata kuma rarrabe shi daga kama da cututtuka, kamar amosanin gabbai, rheumatism, neuralgia, pathologies na lymphatic tsarin, tsari vasculitis. Wannan shi ne musamman gaskiya mazan mutane. Flow iya bambanta daga abin da na sauran shekaru kungiyoyin, tun da shi ne sau da yawa sosai canje-canje a jijiyoyinmu da kuma arteries, hade da sauran diagnoses, shige da description of Horton ciwo. Cutar da ake rikita, misali, atherosclerosis. Duk da haka, a cikin wannan yanayin da zafi a kansa ne wani sosai daban-daban hali. Bugu da ƙari kuma, vasculitis bambanta yafi tsanani matakin na sedimentation kuma mafi m canje-canje a cikin jirgin ruwa ganuwar, wanda aka nuna a biopsy. Wani lokaci gauraye bayyanar cututtuka zai iya sa matsala a cikin haƙuri a tambaya, to abin da likita a tuntube.

magani

Farawa kawar da cutar da ake za'ayi da aikace-aikace na glucocorticoids. Yawanci, a farkon magani, likita halaye far da wadannan kwayoyi, wanda kara a shekaru biyu. A hanya ne kare, idan haƙuri zo cikakken 'yanci daga cutar da komowan cutar. Amfani da corticosteroids yana da wani tasiri mai kyau wajen Horton cuta.

A lura da hormonal jamiái ne da za'ayi a kan daidai kewaye daukan la'akari da nuances da cutar. A jinkirin ci gaba da haƙuri an wajabta yin Allunan dauke da prednisone da daga 20 zuwa 80 milligrams kowace rana. Tare da ƙwazo ci gaba da cutar da shi ne mafi kuxi to tambaya buga far da high allurai methylprednisolone. Bayan wata guda, na m magani iya rage sashi. A wannan yanayin, kowane mako kashi da aka rage don kula da matakin wanda shi ne game da 5-7.5 milligrams kowace rana. Bayan shekara biyu da magani iya zama da yarjejeniyoyin da far in babu dakwai, komowan cutar. Past watanni shida, da mãsu haƙuri iya zama a kan wani goyon baya da kashi na 2-2.5 milligrams na hormonal miyagun ƙwayoyi kullum.

Duk da haka, halin da ake ciki shi ne zai yiwu a lokacin da magani tare da glucocorticoids ba ya ba da ake so sakamako. A wannan yanayin, shi ne bu mai kyau da su bi da nada cytostatics. Haka kuma, ban da hormonal far za a iya dakatar daga sallama anticoagulant kwayoyi da kuma antihistamines.

hangen nesa da cutar

Ya kamata a lura cewa wannan cuta ne mai barazana ga rai na haƙuri, kamar yadda mai mulkin, ba su wakilta. Wasu rare lokuta na igiyoyin guje rashin lafiya zai iya kai ga hangen nesa hasara, ciki har da makanta, kazalika da ci gaba da bugun jini, ciwon zuciya da kuma necrosis. Duk da haka, cutar ne daman a mafi yawan lokuta. A hangen nesa ga yadda ya kamata zaba far kagaggun m. A cikin rashi na komawa a cikin shekaru biyu, da mãsu haƙuri ta rayuwa ce cewa, mafi m, bã su da wuri a nan gaba na rayuwarsa. Rare rikitarwa a lokacin jiyya iya hade ne kawai tare da masu zaman kansu m marasa lafiya da corticoid far. Kada ka manta da babban mulkin nasara magani - ganewar asali dole ne sa likita! Ya kuma yana da m hakkin ya sanya magani.

Kamar yadda daya daga cikin abubuwan da cuta ne da cutar da halittarsa, yana da muhimmanci don kula da lafiya salon da a gudanar da hardening na jiki. Har ila yau, sani cewa da dama na bunkasa vasculitis genetically m, kuma kada ka bijirar da kanka to ba dole ba hadarin.

Har ila yau, marasa lafiya sukan sha'awar wannan tambaya: ko tawaya ba Horton ta cuta? Matsayin mai mulkin, karfi da rashin jin daɗi da cutar zai iya kai ta zuwa ga batun, saboda yana da wuya a ga cutar, wanda bayyana kanta a cikin tsanani da ciwon kai, kuma da hawaye, ba da damar da ma'aikaci ya yi aikinsu na dogon lokaci, a cikin haske da.