Yiziphi izindlela zokwelapha ezingaba khona kwesifo sikaHorton?

Ukwelashwa okuyisisekelo kungumuthi futhi kuqukethe ukwelashwa kwe-corticosteroid, ukwelashwa okususelwa ku-cortisone. Lokhu kwelashwa kusebenza kahle kakhulu, kunciphisa kakhulu ubungozi bezinkinga zemithambo yegazi ezenza lesi sifo sibe sibi kangaka. Lokhu kwelashwa kusebenza ngoba i-cortisone yisidakamizwa esiqine kakhulu sokulwa nokuvuvukala esaziwayo, kanti isifo sikaHorton yisifo sokuvuvukala. Kungakapheli isonto, ukuthuthuka sekuvele kubonakala futhi kungakapheli inyanga yokwelashwa ukuvuvukala kuvame ukulawulwa.

Kwengezwa ukwelashwa ngama-antiplatelet. Lokhu ukuvikela amaplatelet egazini ekuhlanganeni nasekubangeleni ukuvimba ukusakazwa kwegazi emthanjeni.

Ukwelashwa nge-cortisone kuqala kungumthamo wokulayisha, lapho-ke lapho ukuvuvukala kungaphansi kokulawulwa (isilinganiso sedimentation noma i-ESR ibuyele kokujwayelekile), udokotela wehlisa umthamo we-corticosteroids ngezigaba. Ufuna ukuthola umthamo omncane osebenzayo ukuze anciphise imiphumela engathandeki yokwelashwa. Ngokwesilinganiso, ukwelashwa kuhlala iminyaka emi-2 kuya kwemi-3, kepha kwesinye isikhathi kuyenzeka ukuthi kusheshe kumiswe i-cortisone.

Ngenxa yemiphumela emibi le mithi engayidala, abantu abelashwa kumele babhekwe ngeso elibukhali ngenkathi belashwa. Ukunakekelwa okukhethekile kufanele kunikezwe asebekhulile ukuze bakwazi ukuvimbela ukwanda komfutho wegazi (nomfutho wegazi ophezulu), a kwamathambo (isifo samathambo) noma isifo samehlo (i-glaucoma, ikati).

Ngenxa yezinkinga ezihambisana nokwelashwa kwe-corticosteroid, ezinye izindlela ziyafundwa njenge-methotrexate, azathioprine, synthetic antimalarials, ciclosporin, kanye ne-anti-TNF α, kepha ayikhombisanga ukusebenza kahle okuphezulu.

 

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