Intsha Ayinakuyayiqonda Intlungu Yabo
Xa abaninzi abantu becinga nge-arthritis, abaxhamli nabantwana. Inkolelo engaqhelekanga ngokuphathelele i-arthritis kukuba isifo somntu omdala. Enyanisweni, i-arthritis ichaphazela abantu bonke ubudala, kuquka nabantwana abangama-300,000 baseMerika.
Kubantu abaselula kunye nabantwana abangaphantsi kweminyaka eyi-16, isifo samathambo sifakwa ngokwahlukileyo kunabantu abadala.
Inkqubo yesi sifo kubantwana ngokuqhelekileyo iyahluka kunabantu abadala. Abantwana bafumana iimpawu ezahlukileyo kwaye ngokuqhelekileyo banesicatshulwa esihle.
I-arthritis yabantwana ibizwa ngokuba ngumntwana we-arthritis okanye umntwana we-idiopathic arthritis. Ikwabizwa nangokuthi isifo se-rheumatoid arthritis (JRA), nakuba eli lixesha elide.
I-Substance Arthritis Subsets
Kwiminyaka emininzi, i-arthritis yabantwana ihlukaniswe ibe yi-subsets ephezulu, nganye ichaphazela amaqela ahlukeneyo kunye neendlela ezihlukileyo zeempawu:
- i-polyarticular child arthritis
- i-arthritis yolutsha
- i-arthritis yabantwana
Ngo-2001, i-International League of Associations kwi-Rheumatology (ILAR) yahlula i-arthritis yabantwana kwimigangatho engaphezulu, ngokuyinjongo zophando. Iingqimba ezisixhenxe ze-juvenile idiopathic arthritis ziya kuqhubeka ziguquka kwaye zandise njengoko kufundwa ngaphezulu malunga ne-arthritis ye-idiopathic. Ukuphuhlisa ukuqonda okuyisiseko, makhe siqale siqwalasele izinto ezintathu zokuqala ze-arthritis yabantwana.
Izifo zePolyarticular
Isifo seParyarticular sisifo sezihlanganisi ezininzi. Olu hlobo lwe-arthritis yolutsha luchaphazela amanxeba angaphezulu kwamahlanu kwaye lufana ne- arthritis yabantu abadala . Amantombazana aphindwe kabili ukuba ahlakulele isifo se-polyarticular ngaphezu kwamakhwenkwe. Amalungu amaninzi athatyathwa ngokulinganayo (kumacala amabini).
Ngokuqhelekileyo izihlanganisi ezincinci zezandla zichaphazelekayo, kunye namanye amalunga. I-fever-grade-grade, ukulahleka kwesisindo, kunye ne-anemia zingenzeka, kunye neengxaki zokukhula kwiimeko ezinzima.
Uninzi lwabantwana abanezifo zeparyarticular ababi kakhulu kwi- rheumatoid factor and their pregnosis. Ubuncinane bezingane ezichanekileyo kwi-rheumatoid factor kubonakala kunomngcipheko omkhulu, ukutshatyalaliswa okuqhubekayo kunye nomonakalo ohlanganyelweyo.
Izifo eziPhezulu
Isifo esincinci sisifo sesifo samathambo esabantwana abathintela amanxeba amane okanye ambalwa. Uninzi oluchaphazelekayo ngamadolo, amaqabunga, izibonda kunye namaqhosha. Amalungu amaninzi achaphazelekayo angabonakaliyo (oko kukuthi, idibene echaphazelekayo kwicala elinye lomzimba, kungekhona zombini). Oku kuthathwa njengoluhlobo oluqhelekileyo lwe-arthritis yolutsha kwaye luchaphazela ngaphezu kwe-50 ekhulwini yabantwana abanesifo. I-arthritis yintsholongwane yabantwana ichaphazela kakhulu intombazana. Labo abanezifo ezibuhlungu bahlala benesicoco se-anti-nuclear anti-anti-nuclear (ANA) kwaye baxhomekeka kwimeko yesiso esivuthayo, iridocyclitis. Abantwana abane-arthritis yabantwana abahluphekileyo ngokuqhelekileyo benza kakuhle. Ngoluhlu olutsha, olu hlobo lwe-arthritis yolutsha lubhekiswa njenge- oligoarticalular juvenile idiopathic arthritis .
Izifo eziSistim
Isifo sesisombululo siqala ngeempawu eziqhelekileyo ezichaphazela izitho zangaphakathi kunye namalungu omzimba ngaphandle kwamalungu. Le fom ye-arthritis yabantwana yinto encinane kwaye ichaphazela kuphela iipesenti ezili-10 zabantwana abanesifo. Isifo sesisombululo siqala rhoqo ngeentsholongwane ezibonakala ziza, zihlala iiveki okanye iinyanga. Ukukhawuleza okukhanyayo kunokuba khona kwimathangeni nasesifuba. Umntwana onesifo sesistim unokubonisa:
- iimpawu zokwandiswa kwetyeni kunye ne-lymph nodes
- ukuvuvukala kwemisipha yeentliziyo kunye nezicubu ezijikelezayo
- inani eliphezulu lamhlophe yegazi
- i-anemia
- ukukhathala
- ukuhla ukusinda
Ukugxekwa kwesifo sesistim kubonwa ngathi kulungile. Kwimizuzu engama-75 yamatyala, isifo sesistim sehla ngaphandle kwexesha elide. Kubantu abadala, le meko ibizwa ngokuba ngumntu omdala uqhubeka isifo .
Ukuqwalasela iimpawu zokuqala
Abantwana abaselula kakhulu abanako ukuqonda into engalunganga xa beva ubunzima. Abantwana abanako ukungazi indlela okanye abanakho ukuveza isikhalazo malunga nokuqina, ukunyuka, nentlungu abavakalelwa ngayo. Abo babonwa ngxaki enyukayo, ukuphonsa ibhola, ukuvula umnyango, okanye ukuhamba nje kunokudinga ukuhlolwa komzimba ngugqirha. Abazali nootitshala kufuneka baqaphele ukuba i-arthritis ichaphazela abantwana, nabo. Ukuxilongwa kwangaphambili kunye nokunyango olufanelekileyo kubalulekile.
> Imithombo:
> I-Duke University Medical Centre ye-Arthritis, nguDavid S. Pisetsky, MD, Ph.D.
> Ukuqala kweeRheumatic Diseases. Arthritis Foundation. Uluhlu lweSithathu.