Ed pen ɛn prɔblɛm wit yu yay we kin kam wit ol pipul dɛn: Lɛ wi lan bɔt Jaynt Sɛl Arteritis (GCA) ɔ Temporal Arteritis?

Yu tink se ol pɔsin na yu famili, sɔntɛm yu mama, yu papa, ɔ yu grani, kin kɔmplen bɔku tɛm bɔt ed we de at? I tan lɛk se yu yay wik smɔl di sem tɛm? Dɔn dis na sɔntin we go impɔtant to yu. Tide wi de tɔk bɔt wan sik we dɛn kɔl Jaynt Sɛl Arteritis (GCA) , we dɛn bin de kɔl Temporal Arteritis , we kin ambɔg big pipul dɛn. Natin nɔ de fɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na GCA? Wetin mek i kin denja?

Fɔ tɔk am simpul wan, Jaynt Sɛl Atraytis (GCA) na wan sik we kin mek di big blɔd vesel dɛn na yu bɔdi swel (espɛshali di wan dɛn we de na yu ed, nɛk, ɛn yu an). dכkta dεn kin kכl am bak ``vasculitis.'' we di bכdi vεsul dεm swεla dis we, dεn wכl dεm kin tik, we de mek di pasej fכ bכdi sכmtεm sכmtεm. Tink bɔt am lɛk wata paip we dɛn dɔn blok fɔ mek i nɔ flɔ. We blɔd nɔ de flɔ dis kayn we, i kin pwɛl di impɔtant ɔgan ɛn tisu dɛn we dɛn blɔd vesel dɛn de gi blɔd.

di tεmporal atεri dεm we de na di tu say dεm na yu fכs, de gi bכdi to yu sכkul, di jaw mכsul dεm, εn di optik nεv, we na di nεv we de gi yu vishכn. If GCA afɛkt dɛn tɛmporal at ya, i kin mek siriɔs prɔblɛm dɛn lɛk fɔ blaynd . GCA kin afɛkt di aorta bak, we na di big blɔd vesel na di bɔdi, ɛn in branch dɛn. Dɛn kɔl dis swɛlin na di aorta aorta, ɛn i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm.

GCA kin apin togɛda wit ɔda inflammatory sik, Polymyalgia Rheumatica, ɔ PMR . Wi go tɔk mɔ bɔt PMR leta.

GCA rili na siriɔs kɔndishɔn?

Yɛs, GCA na sik we kin siriɔs if dɛn nɔ no am ɛn trit am kwik . Dis na bikɔs:

• Yu yay kin pwɛl . Yu kin lɔs yu yay wantɛm wantɛm, ɔ yu kin blaynd pan wan yay ɔ ɔl tu.
• Yu blɔd vesel dɛn kin pwɛl . Fɔ ɛgzampul, wan sik we dɛn kɔl aneurysm, we na blɔd vesel we de bɔl lɛk balyɔn ɛn bɔs, kin mek i bɔs mɔ ɛn mɔ.
• כda kכndyushכn dεm, lεk str כk כ transiεnt ischemic atak (dεn kכl am bak "mini-strok"), kin apin.

Na dat mek i rili impɔtant fɔ no bɔt dɛn sik ya.

Aw kɔmɔn tin fɔ GCA?

Pan ɔl we GCA na wan pan di kayn vaskulaytis we kin bɔku, na sik we nɔ kin bɔku ɔlsay . Frɔm wetin dɛn dɔn tɔk bɔt na Amɛrika, na 19-23 pan ɛvri 100,000 pipul dɛn nɔmɔ kin gɛt dis sik. Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik na Sri Lanka, i fayn fɔ mek wi wɔri bɔt dis as di pipul dɛn we de ol de bɔku.

Wetin na di sayn dɛm fɔ GCA (Temporal Arteritis)?

Di men ɛn kɔmɔn sayn fɔ GCA na wan bad bad ed we de at we nɔ de chenj ɛn we kin fil lɛk pen we de blo na wan ɔ ɔl tu di say dɛn na di ed.Bɔt apat frɔm dis, ɔda sayn dɛn kin sho:

• Tεnda we yu put yu an pan di skel כ na di tu say dεm na di fכs (abov di yes dεm).
• Jaw pen , mɔ we yu de it ɔ it.
• Prɔblɛm fɔ si : yu de si tu tɛm, yu nɔ de si fayn, ɔ yu nɔ de si wantɛm wantɛm fɔ shɔt tɛm.
• Taya .
• Fiva .
• I nɔ kin want fɔ it ɔ i nɔ kin gɛt bɔku bɔku bɔdi .
• Mɔsul pen : Pen na di sholda, di ɔp an, di hip, di ɔp pat na di shɔl, di ɔnda bak, ɛn di bɔt.

Yu mɛmba we a bin tɔk bɔt wan ɔda sik we kin kam wit GCA bɔku tɛm, we na Polymyalgia Rheumatica (PMR)? Dis na tin bak we kin mek pɔsin swel. PMR kin mek yu fil bad bad wan ɛn stif , mɔ na di sholda ɛn hip. PMR kin apin insεf bak (i ​​kכmכn fכ PMR fכ apin insεf pas GCA). Bɔt, lɛk 40-60% pan di pipul dɛn we gɛt GCA go gɛt PMR bak. Dɔn bak, 10-20% pan di pipul dɛn we gɛt PMR nɔmɔ go gɛt GCA leta na dɛn layf.

Wetin kin mek pɔsin gɛt GCA?

Risach pipul dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt GCA, bɔt bɔku pipul dɛn biliv se na ɔtoimyun ɔ ɔtoinflammatory sik. Fɔ tɔk am simpul wan, na we yu bɔdi in yon imyun sistɛm mistek atak yu blɔd vesel dɛn we gɛt wɛlbɔdi .

Dis sik kin kam pan pipul dɛm wae dɔn ol, so sɔm pipul dɛn kin tink se i gɛt fɔ du wit ol pipul dɛm. Dɛn kin tink bak se na di tin dɛn we de apin na di bɔdi ɛn di tin dɛn we de apin na di say we i de (lɛk infɛkshɔn we de afɛkt di imyun sistɛm).

Udat dɛn GCA kin afɛkt mɔ?

Pan ɔl we ɛnibɔdi kin gɛt GCA, dɛn pipul ya kin gɛt di prɔblɛm mɔ:

• Ol pipul : Klose to ɔltɛm GCA kin afɛkt pipul dɛm wae dɔn pas 50. Di risk fɔ gɛt dis sik kin go ɔp wit di ej. E kin bɔrku pan pipul dɛm wae ol bitwin 70 ɛn 80 ia.
• Uman : Dis sik kin kam pan uman pas man. Bɔt man dɛn kin gɛt bɔku prɔblɛm fɔ blaynd bikɔs ɔf dis sik.
• Wait pipul : Risach dɔn sho se GCA kin afɛkt wayt pipul dɛn we kɔmɔt na Nɔtan Yurop pas ɔda etnik grup dɛn. Bɔt dis nɔ min se ɔda etnik grup dɛn nɔ go ebul fɔ divɛlɔp am.

Aw dɛn kin no se pɔsin gɛt GCA?

If yu gɛt GCA, yu dɔktɔ go aks yu fɔs bɔt yu mɛdikal istri ɛn afta dat i go du yu bɔdi ɛgzam. Dɛn go chɛk fɔ wik puls na yu an ɛn yu leg. Dɛn go chɛk yu ed bak fɔ si if yu gɛt ɛni pen na yu skel ɛn if di at dɛn we de na di tu say dɛn na yu fɔɛd dɔn swel.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt GCA?

Di dɔktɔ go ɔda fɔ mek dɛn du bɔku blɔd tɛst fɔ no di lɛvɛl we di inflamɛns de na yu bɔdi. Fɔ ɛgzampul:

• (Eritrosayt Sεdimεntεshכn Rεt) (ESR) .
• `(C-Rɛaktiv Protɛin)` (CRP) .

Dɛn tɛst ya kin gi yu wan aidia bɔt di lɛvɛl we di inflamɛns de na yu bɔdi. Dɛn kin no bak di lɛvɛl we yu gɛt ɛmoglobin, we na di pat we de kɛr ɔksijɛn na yu rɛd blɔd sɛl dɛn, fɔ si if yu gɛt anemia.

If yu dɔktɔ sɔspɛkt GCA (Temporal Arteritis), dɛn kin ɔda fɔ mek dɛn du temporal artery ultrasound, we na ɔltra saund fɔ di at dɛn we de na yu fɔrɛst. Ɔ, dɛn kin ɔda fɔ mek dɛn tek tɛmporal at bayɔpsi . Dis min se dɔktɔ we tren fɔ tek wan smɔl sɛmpul pan di at we de na yu fɔrɛst ɛn sɛn am to dɔktɔ we de mɛn sik dɛn fɔ mek i chɛk am ɔnda maykroskɔp. dis go chεk fכ sayn dεm fכ inflameshn (vasculitis) na di at. Dis na di men tɛst fɔ kɔnfɔm GCA.

Sɔntɛnde, dɛn kin nid fɔ du dɛn tɛst ya bak:

• Wan ``(Kɔmpyut Tomografi)`` ɔ ``(CT)`` skan tɛst
• Magnɛtik Rizɔnans Imej (MRI) skan
• Ultrasound fɔ di big at dɛn
• Wan `(Positron Emission Tomography)` ɔ `(PET)` skan tɛst

Wetin na di tritmɛnt dɛm fɔ GCA (Temporal Arteritis)?

Di tritmɛnt fɔ GCA fɔ bigin kwik kwik wan, mɔ fɔ mek i nɔ si .

di men tritmεnt na wan kayn mεdikeshכn we dεn kכl ``glucocorticoid''. Di kayn mɛrɛsin we dɛn kin yuz mɔ na ``prednisone.'' Yu go bigin wit 40 to 60 miligram (mg) wan de (bay mɔt) ɛn smɔl smɔl yu go ridyus di doz. If yu dɔn ɔlrɛdi gɛt prɔblɛm wit yu yay ɔ yu nɔ de si fayn, yu dɔktɔ kin gi yu ay dos fɔ ``glucocorticoids'' tru wan kanula we dɛn put insay wan vein (``(IV)'').

Impɔtant: Glucocorticoids na wan rili impɔtant mɛrɛsin fɔ kɔntrol GCA. Bɔt dɛn mɛrɛsin ya kin mek yu gɛt sɔm bad bad tin dɛn, so yu dɔktɔ go de wach yu gud gud wan.

Glucocorticoids kin mek yu imyun sistɛm wik, we kin mek yu gɛt infɛkshɔn mɔ ɛn mɔ ɛn mek dɛn tranga . Dɛn kin mek yu bon dɛn tan bak , ɛn dis kin mek yu bon dɛn brok mɔ ɛn mɔ .

Ɔda sayd ɛfɛkt dɛn we kin apin na:

• Katarakt we pɔsin kin gɛt
• Di ay blɔd prɛshɔn
• Di blɔd shuga we bɔku
• Nɔ ebul slip
• Di we aw pɔsin de fil kin chenj
• Mɔsul dɛn wik ɛn west, mɔ na di leg dɛn
• Swel, mɔ na di fes ɛn leg
• We yu de gɛt mɔ wet

We yu de tek glukokɔtikoyd, yu dɔktɔ kin chɛk yu bon dɛnsiti. I kin tɛl yu bak se yu fɔ du ɛksɛsayz, fɔ tek kalsiɔm ɛn vaytamɛn D, ɛn sɔntɛm fɔ tek mɛrɛsin fɔ mek yu nɔ gɛt ɔstioporosis (bon dɛn we de lɔs) fɔ mek yu bon dɛn strɔng.

Insay 2017, di U.S. Food and Drug Administration bin gri fɔ wan nyu bayolojikal drɔg we dɛn kɔl tocilizumab (Actemra®) fɔ trit GCA. Dɛn kin gi dis mɛrɛsin as injɛkshɔn ɔnda di skin ɔ as IV. I kin ɛp fɔ ridyus di nid fɔ glukokɔtikoyd. Bɔt, tocilizumab gɛt in yon sayd ɛfɛkt, we yu dɔktɔ go ɛksplen to yu.

Ustɛm a fɔ go to di dɔktɔ?

If yu gɛt sayn dɛn fɔ GCA, sayn dɛn fɔ se yu gɛt infekshɔn, ɔ ɛni nyu sayn, go to yu dɔktɔ wantɛm wantɛm . Fɔ go to yu dɔktɔ ɔltɛm ɛn fɔ du blɔd tɛst ɛn skan kin ɛp fɔ no if i gɛt di sik bak (`rilaps`) kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• Us tritmɛnt dɛn yu kin advays?
• Us sayd ɛfɛkt dɛn a fɔ no bɔt we a de du tritmɛnt?
• Wetin a kin du fɔ ridyus di bad tin dɛn we kin apin to mi we dɛn de trit mi?
• Wetin na de prɔblɛm wae kin kam wit dis sik?
• Aw a go de wach aw a de fil?
• Wetin na di sayn dɛm wae de sho se yu gɛt dis sik bak?
• Us simptom dɛn a fɔ kɔntakt yu fɔ?

Wetin na di layf we pɔsin we gɛt GCA kin liv?

Dɛn nɔr dɔn si se fɔ gɛt GCA kin mek yu layf shɔt, bɔt difrɛn tin dɛn kin afɛkt dis. If dɛn no di sik ɛn trit am kwik, i kin rili fayn , ɛn di sayn dɛn kin bigin fɔ bɛtɛ insay sɔm dez.

Bɔt if dɛn nɔ trit am kwik, GCA kin mek i gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja lɛk we i nɔ de si fayn ɔltɛm, we i nɔ de si fayn, ɛn i kin mek i nɔ ebul fɔ waka. So, i rili impɔtant fɔ go to dɔktɔ wantɛm if yu gɛt sɔm sayn dɛn we gɛt fɔ du wit GCA.

Wae di tritmɛnt bigin, di men risk wae yu kin gɛt na di sayd ɛfɛkt dɛm wae di tritmɛnt kin gɛt . כlso, ivin if dεn fכs fכ kכl GCA wit saksesful tritmεnt, i kin kam bak sכmtεm (`rilaps`) . Risach pipul dɛn nɔ no yet wetin mek dis kin apin.

Aw a kin tek kia ɔf misɛf we a de liv wit GCA?

Fɔ liv wit GCA kin tranga. Fɔ kɔntrol yu kɔndishɔn ɛn kɔntrol di sayd ɛfɛkt dɛm we glukokɔtikoyd kin gɛt, tray dɛn tin ya:

• It gud it we gɛt fayn fayn tin dɛn fɔ it : tin dɛn lɛk mit we nɔ gɛt bɛtɛ bɔdi, ligɛm, ɔl gren, fresh frut ɛn vɛjitebul.
• Gɛt inof vaytamɛn D ɛn kalsiɔm fɔ protɛkt yu bon dɛn.
• Du sɔm tin dɛn fɔ du fɔ at le 30 minit insay di de.
• Gɛt at le sɛvin to et awa fɔ slip fayn ɛvri nɛt.
• Tek di mɛrɛsin we dɛn tɛl yu fɔ tek di rayt tɛm .
• Si yu dɔktɔ ɔltɛm .
• Tek step fɔ protɛkt yusɛf frɔm infɛkshɔn .

Us tin dɛn a fɔ avɔyd we a gɛt GCA?

If yu gɛt GCA, i bɛtɛ fɔ avɔyd dɛn tin ya:

• Tin dɛm wae de mek yu sik pasmak : Bikɔs di mɛrɛsin dɛm fɔ GCA de wik yu imyun sistɛm, yu kin gɛt infɛkshɔn. Aks yu dɔktɔ bɔt ɔda we dɛn fɔ ridyus yu risk fɔ gɛt di sik, lɛk fɔ avɔyd fɔ sik, fɔ was yu an ɔltɛm, ɛn fɔ de fa frɔm pipul dɛn we sik.
• Smok : Smok kin mek yu gɛt mɔ risk fɔ gɛt GCA. Di wɛlbɔdi na yu blɔd vesel dɛn go bɛtɛ jɔs afta yu lɛf fɔ smok, ɛn dis go bɛnifit yu fɔ yu layf.
• Fɔ drink rɔm : Rɔk kin afɛkt yu at ɛn yu blɔd vesel dɛn wɛlbɔdi bad bad wan. I kin mek bak yu bon dɛn lɔs kwik kwik wan ɛn i kin intarakt wit di mɛrɛsin dɛn we yu de tek fɔ yu kɔndishɔn.

Sɔm rili impɔtant pɔynt dɛn (Take-Home Message) .

Jaynt Sεl Atεraytis (we dεn bin de kɔl Tεmporal Atεraytis) kin bi wan chεlεnj kכndyushכn. Bɔt if dɛn no se yu gɛt di sik kwik kwik wan ɛn dɛn kin chɛk yu ɔltɛm to dɔktɔ we sabi du di wok, yu go gɛt bɛtɛ tin fɔ du . De sayn dɛm ɛn sayd ɛfɛkt dɛm wae de tritmɛnt kin afɛkt yu maynd wɛl bɔdi, yu woke, ɛn bɔrku tin na yu layf. Bɔt nɔto yu wangren de. Aks yu dɔktɔ fɔ ɛp yu fɔ fɛn sɔpɔt grup wit pipul dɛm wae dɔn pas dis kayn tin. We yu tɛl ɔda pipul dɛn bɔt yu ɛkspiriɛns ɛn advays dɛn, dat kin mek yu fil fayn.

Mɛmba se, if yu gɛt ɛni ɔda kayn sayn lɛk ed pen, jaw pen, ɔr yu nɔr de si fayn (espɛshali if yu pas 50 ia), nɔr ignore am ɛn go to dɔktɔ kwik kwik wan. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn.

` Jaynt Sεl Atεrayt, Tεmporal Atεraytis, GCA, Hεd-ak, Ays, Blɔd Vεsεl Swεl, Gεriatrik Wεlth, Polymyalgia Rheumatica, Prednisone, Vasculitis