Ukuhlukaniswa Kuguqula Isikhathi Esiningi
Eminyakeni eyedlule, kwakunezinhlobo ezintathu ze-arthritis yezingane ezisemathunjini ezaziwa. E-United States, i-arthritis ye-juvenile i-rheumatoid arthritis nayo ibizwa ngokuthi i-JRA, noma i-arthritis yabantwana. I-European League Against Rheumatism ibhekisele ku-JRA njenge-arthritis yengane engapheli. Lezi zintathu izinhlobo ze-JRA zaziyizizwe eziphansi, zentandokazi, nezomsebenzi.
Kamuva, i-International League of Associations for Rheumatology (i-ILAR) yahlukanisa i-arthritis yengane ibe yi-subtypes engaphezulu. Lokhu kwenziwa ngokuyinhloko ngezinhloso zocwaningo futhi kuzoqhubeka nokuguqukela njengoba kuningi okufundwayo ngezakhi zofuzo kanye ne-pathogenesis ye-juvenile idiopathic arthritis (JIA).
I-Polyarthritis RF negative (ithinta amaphesenti angu-10-30 wezingane ezine-JIA)
Izingane ezine-polyarthritis-rheumatoid factor negative have arthritis ezithinta amalunga amahlanu noma ngaphezulu ezinyangeni zokuqala eziyisithupha zezifo. Izivivinyo zesici se-Rheumatoid azilungile.
I-Polyarthritis RF positive (ithinta amaphesenti angu-5-10 wezingane ne-JIA)
Izingane ezine-polyarthritis-rheumatoid factor zine-arthritis ezithinta amalunga amahlanu noma ngaphezulu ezinyangeni eziyisithupha zokuqala zezifo. Ukuhlolwa okubili kwe-rheumatoid factor, kuthathwe izinyanga ezintathu ngaphandle, kukhona okuhle.
I-Oligoarthritis (ithinta amaphesenti angu-30-60 wezingane ezine-JIA)
Izingane ezine- oligoarthritis zine-arthritis ezithinta izilonda ezine kuya ezinyangeni eziyisithupha zokuqala zezifo.
Amalunga angaphezu kwamane angabandakanywa emva kwezinyanga eziyisithupha zokuqala. Uma ingane inezinhlanganiso ezine noma ezimbalwa ezithintekayo kulo lonke lesi sifo, ibizwa ngokuthi i-oligoarthritis eqhubekayo. Uma ingane inezingxube ezingaphezu kwezine ezithintekile ngemva kwezinyanga eziyisithupha zokuqala, ibizwa ngokuthi i-oligoarthritis enwetshiwe.
Isifo samathambo (sithinta amaphesenti angu-10 wezingane ezine-JIA)
Izingane ezine-arthritis zesimiso zinezifo ze-arthritis, ne-fever ehlala amasonto amabili noma ngaphezulu, i-spiking izinsuku ezintathu noma ngaphezulu, kanye nesinye sezibonakaliso ezilandelayo:
- Ukwandiswa kwama-lymph nodes
- Ukwandiswa kwesibindi noma ubhedu (hepatomegaly noma spenomegaly)
- Ukuvuvukala kwendwangu yenhliziyo noma amaphaphu (i-pericarditis noma i-pleuritis)
- I-Rash (engeyona i-itchy) yezinga eliguqukayo elingase lihambise ezingxenyeni ezihlukene zomzimba
I-arthritis ye-Psoriatic (ithinta amaphesenti angu-2-15 wezingane ezine-JIA)
Izingane ezihlukaniswe ne- psoriatic arthritis subtype zinezifo ezimbili zomzimba kanye ne-psoriasis, noma zithinteka yi-arthritis nezimpawu ezimbili ezilandelayo:
- I-Dactylitis (iminwe yesobho noma izinzwane)
- I-nail pitting / ukwehlukanisa
- Isihlobo sokuqala se-psoriasis
I-arthritis ehlobene ne-enthesitis (ithinta amaphesenti angu-20 wezingane ezine-JIA)
Izingane ezine- enthesitis- ezihlobene ne-arthritis subtype zine-arthritis nokuvuvukala endaweni ye-entheses (lapho i-ligament, i-tendon, noma i-capsule ehlangene ifakwe kwisithambo) noma ingabe i-arthritis noma i-enthesitis inokubili noma ngaphezulu kokulandelayo:
- Ukuvuvukala kwamalungu e-sacroiliac noma ubuhlungu nokuqina kwesifunda se-lumbosacral
- Ukuhlolwa okunamandla kwe- HLA-B27
- I-arthritis iqala kubantu besilisa abaneminyaka engaphezu kwengu-6 ubudala
- Isilinganiso sokuqala sihlobene nesiphilylitis i-ankylosing , i-arthritis ehlobene nesifo sofuba , ukuvuvukala kwesibindi se- sacroiliac nesifo sofuba , noma ukuvuvukala kweso (acute anterior uveitis).
I-arthritis engabonakali
Lesi sigaba sibhekisela ezinganeni ezinezimpawu ze-arthritis ezingafanani nanoma yiziphi ezinye izigaba eziyisithupha-noma zihlangabezana nemigomo yezigaba ezimbili noma ngaphezulu.
Okubalulekile
Okungcono, kungcono ukubonisana ne-rheumatologist yezingane ukuze uhlolisise lesi sifo futhi unqume ukuthi yi-subtype ye-juvenile idiopathic arthritis. Ukwelashwa okufanele kuncike ekuhloleni okuqondile.
Kodwa, kukhona ukuntuleka kwezidakamizwa zezinsana zezingane. Eqinisweni, ezinye zithi azikho.
> Imithombo:
> Abramson, Leslie S. MD. I-Arthritis yamaJuni. I-American College of Rheumatology.
> I-Arthritis Yezingane. I-NIH / NIAMS.
> Ukwelashwa kwe-Juvenile Idiopathic Arthritis. Hsu, Lee, noSandborg. Isahluko 107. I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Umqulu II. Ishicilelwe ngu-Elsevier Saunders.