Ukwahlula ukuguquka kwexesha
Kwiminyaka edlulileyo, kwakukho iintlobo ezintathu ze-rheumatoid arthritis eyaziwayo. EUnited States, i-rhumatoid arthritis yabantwana yayibhekiswa njengeJRA, okanye i-arthritis yabantwana. I-European League echasene neRheumatism ibhekisele kwi-JRA njenge-arthritis engapheliyo. Ezi zintathu iintlobo ze-JRA zazingekho phantsi kwezemvelo, i-polyarticular, kunye neenkqubo.
Kamva, i-International League of Associations kwiRheumatology (i-ILAR) yahlula i-arthritis yabantwana kwiindawo ezincinci. Oku kwenziwa ngokuyinjongo kwiinjongo zophando kwaye kuya kuqhubeka ukuguquka njengoko kufundwa ngokuphathelele i-genetics kunye ne-pathogenesis ye-idiopathic arthritis (JIA).
I-Polyarthritis RF engekho (ichaphazela i-10-30 ekhulwini yabantwana abane-JIA)
Abantwana abane-polyarthritis-rheumatoid factor negative have arthritis echaphazela amaqhosha amahlanu okanye ngaphezulu kwiinyanga ezintandathu zokuqala zezifo. Iimvavanyo zezinto ze-Rheumatoid zibi.
I-Polyarthritis RF positive (ichaphazela i-5-10 iphesenti yabantwana abane-JIA)
Abantwana abane-polyarthritis-rhumumideid factor have arthritis ezichaphazela amahlanu okanye ngaphezulu amanqanaba ezintandathu zokuqala zezifo. Iimvavanyo ezimbini ze-rheumatoid factor, zithathwe iinyanga ezintathu zodwa, zilungile.
Oligoarthritis (ithintela i-30-60 ekhulwini yabantwana abane-JIA)
Abantwana abane- oligoarthritis bane-arthritis ezithinta omnye ukuya kumane amanxeba kwiinyanga ezintandathu zokuqala zezifo.
Amalungu amaninzi angabandakanywa emva kweenyanga ezintandathu zokuqala. Ukuba umntwana unamalungu amane okanye amancinci achaphazelekayo kwixesha le sifo, kuthiwa yi-oligoarthritis eqhubekayo. Ukuba umntwana unamalungu amaninzi amane athathwe emva kweenyanga ezintandathu zokuqala, kuthiwa yi-oligoarthritis enwetshiwe.
I-arthritis yesistim (ichaphazela iipesenti ezili-10 zabantwana abane-JIA)
Abantwana abane-arthritis ye-systemy abaneempawu ze-arthritis, benomkhuhlane ohlala kwiiveki ezimbini okanye ngaphezulu, ukukhahlela iintsuku ezintathu okanye ngaphezulu, kunye nempawu ezilandelayo:
- Ukwandiswa kwee-lymph nodes
- Ukwandiswa kwesibindi okanye ipeni (hepatomegaly okanye spenomegaly)
- Ukuvuvukala kwimbali yentliziyo okanye imiphunga (i-pericarditis okanye i-pleuritis)
- I-Rash (engekho itchy) yexesha eliguqukayo elinokuthi lihambele kwiindawo ezahlukeneyo zomzimba
I-Psoriatic arthritis (ithintela i-2-15 iphesenti yabantwana abane-JIA)
Abantwana abachazwe nge- psoriatic arthritis subtype bane-arthritis kunye ne-psoriasis, okanye bachaphazeleka yi-arthritis kunye nezimbini zilandelayo:
- I-Dactylitis (iminwe yesinqa okanye iinzwane)
- Ukwahlula / ukuhlula
- Isilinganisi sokuqala sesi-psoriasis
I-arthritis enxulumene ne-enthesitis (ichaphazela iipesenti ezingama-20 zabantwana abane-JIA)
Abantwana abane- enthesitis - enxulumene ne- arthritis subtype bane-arthritis kunye nokuvuvukala kwisayithi ye-entheses (apho i-ligament, i-tendon, okanye i-capsule ehlangeneyo ifakwe kwisithambo) okanye i-arthritis okanye i-enthesitis kunye ezimbini okanye ngaphezulu kwezi zinto zilandelayo:
- Ukuvuvukala kwamalungu e-sacroiliac okanye intlungu kunye nokuqina kommandla we-lumbosacral
- Uvavanyo oluhle lwe-HLA-B27
- I-arthritis iyaqala kumadoda aneminyaka engama-6 ubudala
- Isilinganiselo sokuqala esine-spylylitis e- ankylosing , i-enthritis ehlobene ne-enthesitis, ukuvuvukala kwe-sacroiliac kunye nesifo sesisu , okanye ukukhanya kwesilingo (i-acute intereitisitis).
I-arthritis engabonakaliyo
Eli nqanaba libhekiselele kubantwana abaneempawu ze-arthritis abangafanelanga naziphi na ezinye iindidi ezithandathu-okanye bahlangabezana nemigangatho yesibini okanye ngaphezulu.
Ngaphantsi
Eyona ndlela, kukulungele ukubonisana ne-rheumatologist yezilwanyana ukuba uhlolisise eso sifo kwaye unqume i-subtype ye-juvenile idiopathic arthritis. Utyando olululo luxhomekeke kwi-diagnostic echanekileyo.
Kodwa, kukho ukunqongophala kwamathambo e-rheumatologists. Enyanisweni, ezinye iindawo azikho.
> Imithombo:
> Abramson, Leslie S. MD. Umntwana weArthritis. Ikholeji yaseMerika yaseRheumatology.
> I-Juvenile Arthritis. NIH / NIAMS.
> Unyango lwe-Juvenile Idiopathic Arthritis. Hsu, Lee, noSandborg. Isahluko 107. I-Kelley Textbook yeRheumatology. I-ninth edition. Umqulu II. Ipapashwe ngu-Elsevier Saunders.