Oko Kufuneka Ukwazi Ngohlobo lwe-Juvenile Idiopathic Arthritis

by UVincent Iannelli, MD, ugqirha oqinisekisiweyo webhodi

Ngaba umntwana wakho unayo i-Juvenile Idiopathic Arthritis?

Arthritis vs Aches and Pains

Abantwana bafumana i-arthritis . Enyanisweni, ngokwe-Arthritis Foundation, abantwana abangama-300 000 eUnited States bane-arthritis engapheliyo okanye i-idiopathic arthritis (JIA).

Ngethamsanqa, kuninzi kakhulu ukuba abantwana banamafutha kunye neentlungu ezingabangelwa yi-arthritis, ingakumbi xa zikhula iintlungu. Sekunjalo, i-arthritis yinto yokuqala into yokuba abazali abaninzi bacinga ngayo xa abantwana beentlungu.

Oko kubangela ukubaluleka ukuqonda iimpawu kunye neempawu zentsholongwane ye-idiopathic arthritis ukuze ukwazi ukuphepha iimvavanyo ezingadingekile kwaye ufumane umntwana wakho ukuba ufumane i-JIA.

Enye yezona zinto zibaluleke kakhulu ukuyiqonda kukuba xa oogqirha bekhuluma nge-arthritis, abagcini nje babhekisela entlungu. Inyaniso yokwenene ye-arthritis ibandakanya ukuvuvukala ngokubambisana kwaye ngokuqhelekileyo kubandakanya ukuvuvukala kunye / okanye intlungu ngokunyakaza kunye nobuninzi bokuhamba. Ukuba umntwana wakho unesihlungu ngaphandle kokuvuvukala, ngoko kuthiwa yi-arthralgia.

Ukuvuvukala ukuba abantwana bane-arthritis, ngokukodwa xa kuhlanganiswe encinci, ngamanye amaxesha kungabonakali, nangona kunjalo, nto leyo ingenza ukuba i-infantry idiopathic arthritis ibe nzima. Yaye nangona abazali abaninzi becinga ukuba unokuxilonga umntwana kunye nomntwana osemantwaneni we-idiopathic arthritis kunye novavanyo olukhawulezayo lwegazi, ngelixa li luncedo, le mvavanyo ayikwazi ukwenza ukuba ixilongwe ngokwabo.

Baya kudibanisa izinto ngezinye izihlandlo.

Ngoko ngelixa ufanele ubone udokotela wakho wezilwanyana ukuba umntwana wakho unesifo kunye neentlungu ozikhathalelayo, ungamangaliswa xa ekuxelela ukuba umntwana wakho akanalo i-JIA ngaphandle kokuba enezinye iimpawu kunye neempawu ezichazwe ngezantsi.

Iintlobo ze-Arthritis yabantwana

I-arthritis yobuncinane ngokwenene ayikho enye imeko.

Izinto ezininzi zingabangela i-arthritis kubantwana, kubandakanya izifo (isifo se-arthritis septic), ukusabela kwisifo (i-arthritis esebenzayo) kunye nezinye iimeko (SLE, HSP, njl.).

Kukho iintlobo ezahlukeneyo zeentlobo ze -idiopathic arthritis , kuquka:

Isifo samathambo
I-Oligoarthritis - i-1 ukuya kwi-4 izihlanganisi zithinteka kwiinyanga ezintandathu zokuqala
I-Polyarthritis - ingaba yintlu ye-rheumatoid engafanelekiyo okanye i-positive - ama-5 okanye amaninzi amaninzi achaphazelekayo kwiinyanga ezintandathu zokuqala
I-Psoriatic arthritis
I-arthritis enxulumene ne-enthesitis - inokutshaya apho ithenda ithatha ithambo
I-arthritis engabonakaliyo

Yintoni eyenzekayo kwi-JRA okanye i-rhumatoid arthritis yabantwana? Leli lixesha elide eliyitshintshileyo xa i-regulated classification rules yasungulwa ngo-2001.

Iimvumba zeArthritis Symptoms

Iimpawu ze-arthritis ze-idiopathic kunye nempawu ziquka:

Ukuvuvukala okuhlangeneyo
Intlungu ehlangeneyo
Ubunzima obuhlangeneyo obusoloko bubi nakusasa
Umkhuhlane ophezulu (i-JIA)
Ukugqithisa kwebala le-Salmon (i-JIA inkqubo)
I-lymph gland (i-JIA)
Iminwe yokuvuvukala kunye ne-nail pitting (i-JIA ye-psoriatic)
Iintlungu ezisezantsi (intlungu yesifo se-enthesitis)
Ukuvuvuka kweso (oligoarthritis)

Okubaluleke kakhulu, ukuba ufumane i-JIA, umntwana kufuneka abe ncinane kuneminyaka engama-16 ubudala ekuqalekeni kwe-arthritis kwaye kufuneka abe ubuncinane ubuncinane bee-6 zeveki.

Ukuxilongwa kwe-Juvenile Arthritis

Ngako-ke, abantwana abaneentsholongwane ze-idiopathic arthritis bafumana njani?

Ngelishwa, awukwazi nje ukuyala ukuhlolwa kwegazi kwaye wazi ukuba umntwana akayiyo i-JIA. Uninzi lweemvavanyo alunanto. Ngokomzekelo, uvavanyo lwe-erythrocyte lwe-sedimentation rate (ESR) lucacisa nje luthi ukuvuvukala kubakho emzimbeni, kodwa akakuxeleli ukuba kuvela kwi-JIA okanye isifo. Kwaye abantwana abaninzi abane-JIA banomvavanyo oqhelekileyo we-anti-nuclear anti-antibody (ANA), odla ukucinga ukuba "uvavanyo lwe-arthritis."

Esikhundleni sepaneli yeemvavanyo, ngumzekelo womntwana wakho weempawu kunye neempawu ezijoliswe kuzo eziza kunceda unobantwana bakho kunye / okanye i-rheumatologist yezilwanyana ukuxilonga umntwana wakho nge-JIA.

Yonyango lwe-Arthritis

Nangona kungekho nonyango lwe-idiopathic arthritis yolutsha, kukho iindlela ezininzi zonyango ezinokukunceda ukulawula iimpawu kunye nokukhusela iimpawu ezivuthayo, kubandakanya izidakamizwa ezingabhubhisiyo (non-steroidal anti-inflammatory (EG, aspirin, ibuprofen kunye ne-naproxen), izidakamizwa zokuguqula izidakamizwa (i-EG , methotrexate ), i-prednisone, kunye ne-biologic agents (EG, etanercept, infliximab, kunye ne-adalimumab).

Ulwaphulo lwezonyango kunye neyeza lokusebenza ngenye indlela unyango olwenziwa ngabantwana abane-JIA.