Indlela i-JRA ingayithinta ngayo umbono wakho womntwana
I-rhumatoid arthritis (i-JRA) yintlobo eqhelekileyo ye-arthritis enokuchaphazela abantwana. I-JRA yinkinga yokuzimela ngokuzenzekelayo eyenza ukuvuvukala nokuqina kumalunga. Abantwana abachaphazelekayo be-JRA bafumana amaqabana entlungu kunye nokuvuvukala, nangemva kwexesha lokuphumla okanye ukunciphisa ukunyakaza. Abanye abantwana banokuba neentsholongwane kunye neengqumbo.
Iimpawu kunye neempawu ze-JRA ngezinye izihlandlo ziyabonakala emehlweni. Kwiimeko ezigqithiseleyo, kunokubangela ukulahleka kombono okanye nokuba yimfama.
Indlela i-JRA inokuchaphazela ngayo amehlo akho umntwana
Nangona i-JRA ichaphazela kakhulu iimboniselo zabantwana, inokubangela ukuvuvukala kweso. Iqondo eliphantsi lokuvuvukala iso isoloko lisibuhlungu, ngoko baninzi abantwana abaneengxaki zamehlo ezinxulumene ne-JRA abanakho naziphi iimpawu ezibonakalayo. Nangona kunjalo, abanye abantwana banokuthi bavelele ekukhanyeni okanye babe nombono ophazamisayo. Unokwazi ukubona ubomvu okanye ukukhanya kwamehlo omntwana wakho. Ngenxa yokuba iimpawu zamehlo zihlala zikhula ngokukhawuleza emva kwexesha kwaye zingakhange ziqaphele, umonakalo omkhulu wamehlo ungenzeka ngaphambi kokuba ukuvuvukala kubonakale. Ngoko ke, kubaluleke kakhulu ukuba ube ne- ophthalmologist yezilwanyana ngokukhawuleza uhlole amehlo nomntwana wakho nombono.JRA no-Uveitis
I-JRA inokubangela ukuvuvukala kweso. Ukuthungwa kweso ehambelana ne-JRA kubhekiselwa ku- uveitis . Ifom ye-uveitis edla ngokuchaphazela abantwana kunye ne-JRA iyaziwa ngokuba iritis okanye iridocyclitis. U-Iritis ukuvuvukala okanye ukuvuvukala kweso. I-uvea iphakathi kweso, phakathi kwe-sclera kunye ne-retina. Xa izicubu ezivuthayo zivuthayo, izicubu ezisehlobeni ziyakunamathela kunye nokuxhamla kwangaphakathi. Kwakhona, iiseli ezivuzayo ezibonakalayo, ezinjengeeseli ezimhlophe zegazi, ziqala ukuvela kumanzi ngaphakathi kweso.Abantwana abaphuhlisa i-uveitis enxulumene ne-JRA banokuba nolwaphulo olunzima ngokwenza ukuba isigulane sikhalazo kwezi zimpawu ezilandelayo:
- Uvelwano lokukhanya: Umntwana wakho unokukhathazeka kakhulu ekukhanyeni okukhulu, kokubili ngaphakathi nangaphandle.
- Iintlungu zamehlo: Umntwana wakho unokukhononda ukukhala okanye intlungu emehlweni.
- Umbono ogqityiweyo: Umbono onqabileyo ngamanye amaxesha isikhalazo sabantwana. Ngokuqhelekileyo, umzali ufumanisa iimpawu zembono ephosakeleyo njenge-squinting.
- Ukugqithisa ngokweqile: Amehlo omntwana angenza iinyembezi ezininzi kunezinye eziqhelekileyo, ezinokubangela ukuba amehlo obomvu okanye avuvuke.
I-Uveitis enxulumene ne-JRA inokudala indawo kwimeko eyenza umntwana wakho abe mngciphekweni wokuphuhlisa izifo zamehlo ezibalulekileyo, njengalezi zilandelayo:
Ukunyanga i-JRA-Related Uveitis
Ulwaphulo lwe-uveitis ehlobene ne-JRA luya kuqalwa ngokukhawuleza xa isifo sifumaneka, ukukhusela ukulahleka kombono. I-Uveitis kubantwana abane-JRA kuqala baphathwa nge-corticosteroid kunye ne-cycloplegic isohlo. Kwiimeko ezininzi, abantwana baphendula kakuhle. Kwezinye iimeko, i-steroids kufuneka isetyenziswe ixesha elide. Ukusetyenziswa kwexesha elide le-steroid kwenza abantwana basengozini enkulu kakhulu yokuphuhlisa i-glaucoma ne-cataract. Kwiimeko ezinzima, abantwana bangathatha amanye amachiza afana ne-methotrexate okanye i-cyclosporine.JRA
I-JRA yezobuNtu yintlobo ye-JRA abanye abantwana abakhulayo, ngokuqhelekileyo phakathi kwamantombazana amantombazana. I-JRA yezobuchule ingabangela izinga eliyingozi kakhulu lokuvuvukala emehlweni, okubizwa ngokuba yi iridocyclitis. Ukuvutha kwamanye amaxesha kungabangela ukutshatyalaliswa kwentsholongwane kwaye kaninzi kubangele ukulahlekelwa kwimbono engapheliyo xa kungabonwa kwangaphambili. Ngethamsanqa, iridocyclitis inokufunyanwa yi-optometrist okanye i-ophthalmologist ngokusetyenziswa kwesibane sokutsala .Oko Okufanele Uyazi
I-Uveitis kubantwana abane-JRA yiyona nto ibangela ukulahleka kombono kunye nokungaboni. Nangona kunjalo, ukuba ifunyanwe kwangethuba kwaye iphathwe ngokukhawuleza, abaninzi abantwana baya kuba netyala elihle. Ngoko ke kubalulekile ukucwangcisa iimviwo zamehlo rhoqo kunye ne-ophthalmologist yabantwana. Xa ugqiba ishedyuli yoviwo olufanelekileyo, ugqirha wakho uya kuqwalasela uhlobo lwe-arthritis, yobudala bomntwana ekuqaleni kwe-JRA, ubude beempawu ze-JRA, iziphumo zeemvavanyo zegazi ezikhangela iintsholongwane ze-nyukliya kunye nobukho okanye ukungabikho kweso sigwebo. Umntwana wakho angadinga iimviwo ezimbalwa kwixesha.Umthombo:
UCassidy, uJames noJane Kivlin, uCarol Lindsley noJames Nocton. Iimviwo ze-Ophthalmologic kwi-Children ene-Juvenile Rheumatoid Arthritis, i-Pediatrics 2006.