সংজ্ঞা
Temporal arteritis is a condition of inflammation of the arteries. It affects the head, neck, upper body, and arms. The temporal artery is most often affected. It runs over the temple, to the outside of the eye. In extreme or untreated cases, this condition can lead to blindness or strokes. Two other terms often associated with this condition include:
- Giant cell arteritis (GCA)—another name for temporal arteritis
- Vasculitis—a general term for swelling or inflammation of blood vessels
কারণসমূহ
The cause of temporal arteritis is not known. It may result from an immune response in the body.
ঝুঁকির কারণ
Factors that increase your risk of temporal arteritis include:
- বয়স: 50 বা তার বেশি
- Race: White, especially of Scandinavian or northern European descent
- Location: northern latitudes
- লিঙ্গ: মহিলা
- Family member with temporal arteritis
- Polymyalgia rheumatica, a condition characterized by stiffness and pain in muscles of the neck, shoulders, lower back, hips, and thighs
- Smoking and low body weight
লক্ষণ
উপসর্গ অন্তর্ভুক্ত হতে পারে:
- Headaches that are usually localized and one-sided
- Fever or flu -like symptoms
- Pain when chewing
- Pain in the jaw or tongue
- Scalp pain or tenderness over the temporal artery
- রক্তশূন্যতা
- ক্লান্তি
- Loss of appetite and weight loss
- দৃষ্টিশক্তি হ্রাস
- Sweats
- Aches in the joints or muscles
রোগ নির্ণয়
ডাক্তার আপনার লক্ষণ এবং চিকিৎসা ইতিহাস সম্পর্কে জিজ্ঞাসা করবে। একটি শারীরিক পরীক্ষা সম্পন্ন করা হবে।
Diagnosis is based on the occurrence of certain factors, including:
- বয়স: 50 বা তার বেশি
- New localized headache
- Temporal artery tenderness or decreased temporal artery pulse
- Sedimentation rate of 50 mm/hour or greater
- Abnormal temporal artery biopsy
- রক্তশূন্যতা
পরীক্ষা অন্তর্ভুক্ত হতে পারে:
- Blood tests, including a sedimentation rate, c-reactive protein, hemoglobin, or hematocrit
- Biopsy —removal of a sample of the temporal artery for testing
- Retinal exam
- Ultrasound of the temporal artery
চিকিৎসা
চিকিত্সা অন্তর্ভুক্ত হতে পারে:
Corticosteroid Therapy
This therapy is used to decrease the swelling and inflammation. It will also help decrease the risk of blindness. At first, high doses of prednisone are often given. The doses are then tapered off. Therapy is often continued for several years.
Long-term use of corticosteroids has some harmful side effects. This may include:
- অস্টিওপোরোসিস —weakening of bones
- ডায়াবেটিস —high glucose levels in blood
- ছানি —clouding of the eye’s lens
- Stomach irritation
Supplements will help to stop these effects on the bone. The supplements may include:
- ক্যালসিয়াম
- ভিটামিন ডি
- Bisphosphonate
Low-Dose Aspirin
Your doctor may recommend that you take low-dose aspirin every day. This may help to reduce the risk of vision loss associated with temporal arteritis.
প্রতিরোধ
There is no known way to prevent temporal arteritis.