Intsha Ayingaqondi Ukuhlupheka Kwaso
Lapho abantu abaningi becabanga nge-arthritis, abazihlanganisi nezingane. Ukungaqondakali okuvamile kakhulu nge-arthritis ukuthi yisifo somuntu omdala. Eqinisweni, i-arthritis ithinta abantu bazo zonke ubudala, kuhlanganise nabantwana abangaba ngu-300,000 baseMelika.
Kubantu abasha nezingane ezingaphansi kweminyaka engu-16, isifo samathambo sihlukaniswa ngokwehlukile kunabantu abadala.
Inkambo yesifo ebantwaneni ivame ukuhluka kunabantu abadala. Izingane zithola izimpawu ezahlukahlukene futhi ngokuvamile zinezibalo ezihle kakhulu.
I-arthritis yabantwana ibizwa ngokuthi i-arthritis yabantwana noma i-juvenile idiopathic arthritis. Ibuye ibizwe ngokuthi i-juvenile rheumatoid arthritis (JRA), nakuba leyo yesikhathi eside.
I-Juvenile Arthritis Subsets
Kwaphela amashumi eminyaka, i-arthritis yezingane ihlukaniswe yaba yi-subsets esinezinhloko ezintathu, ngayinye ethinta amalunga ahlukene nephethini elihlukile lezimpawu:
- i-polyarticular ye-arthritis yezingane
- i-pauciarticular ye-arthritis yabantwana
- i-arthritis yezingane ezihlelekile
Ngo-2001, i-International League of Associations for Rheumatology (i-ILAR) yahlukanisa i-arthritis yengane ibe yi-subtypes engaphezulu, ikakhulukazi ngezinjongo zocwaningo. Ama- subtypes ayisikhombisa e-juvenile idiopathic arthritis azoqhubeka nokuguquka futhi anwebe njengoba kufundiswa okwengeziwe nge-arthritis ye-juvenile idiopathic. Ukuthuthukisa ukuqonda okuyisisekelo, ake siqale sicabangele ama-subsets amathathu okuqala we-arthritis yabantwana.
Isifo sePolyarticular
Isifo se-Polyarticular yisifo samalungu amaningi. Lolu hlobo lwe-arthritis yezingane lubathinta amalunga angaphezu kwamahlanu futhi afana kakhulu nesifo samathambo esibhedlela. Amantombazane angamathuba amabili okuthuthukisa izifo ze-polyarticular kunabesilisa. Amalunga ngokuvamile athintshwa ngokulinganayo (kokubili).
Ngokuvamile amalunga amancane ezandla ezithintekayo, kanye namanye amalunga. Umkhuhlane we-low-grade, ukulahlekelwa isisindo, kanye ne-anemia kungenzeka, kanye nezinkinga zokukhula ezimweni ezinzima.
Iningi lezingane ezinezifo ze-polyarticular zinezinto ezingenayo i- rheumatoid factor futhi ukuhlushwa kwazo kulungile. Ingane encane yezinkinga ezibhekene ne-rheumatoid ibonakala isengozini enkulu yokubhujiswa okungapheli, okuqhubekayo nokulimala okuhlangene.
Izifo ezithathelwanayo
Izifo ezinesifo sofuba uhlobo lwe-arthritis yezingane ezisithinta amalunga amane noma ambalwa. Okuvame ukuthinteka kakhulu ngamadolo, amajubane, ama-wrists, nama-ankles. Amalungu ngokuvamile athintshwa njenge-asymmetrically (okungukuthi, ukuhlanganyelwa okuhlangene ohlangothini olulodwa lomzimba, hhayi kokubili). Lokhu kuthathwa njengohlobo oluvame kakhulu lwe-arthritis yezingane futhi kuthinta ezingaphezu kwamaphesenti angu-50 abantwana abanezifo. I-arthritis yezingane ezisencane kakhulu ithinta amantombazane. Labo abanesifo se-pauciarticular ngokuvamile banesimo esihle sokuhlolwa kwe-anti-nuclear anti-antibody (ANA) futhi banesimo sengqondo sokuvuvukala, i-iridocyclitis. Izingane ezine-arthritis yezingane ezinconywa ngokuyinhloko ngokuvamile zenza kahle. Esigabeni esisha, lolu hlobo lwe-arthritis yezingane lubizwa ngokuthi i- oligoarticular i-juvenile idiopathic arthritis .
Izifo Ezivamile
Isifo sesistimu siqala ngezimpawu ezijwayelekile ezithinta izitho zangaphakathi nezingxenye zomzimba ngaphandle kwamalungu. Leli fomu le-arthritis elisencane liyinto engavamile futhi ithinta amaphesenti angu-10 kuphela abantwana abanezifo. Isifo sesistimu sivame ukuqala ngemfiva ebonakala ifika futhi ihamba, ihlala amasonto noma izinyanga. Ukuqhuma okubombala kungase kube khona emathangeni nasesifuba. Ingane ene-systemic isifo ingaveza:
- izimpawu zokwandiswa kwe-spleen nama-lymph nodes
- ukuvuvukala kwemisipha yenhliziyo nezicubu ezizungezile
- isibalo segazi eliphakeme elimhlophe
- i-anemia
- ukukhathala
- ukulahlekelwa isisindo
Ukuchazwa kwesifo se-systemic kubhekwa njengokuhle. Ezingamaphesenti angu-75 amacala, isifo sesistimu siphume ngaphandle kwemiphumela yesikhathi eside. Kubantu abadala, lesi simo sibizwa ngokuthi ukuqala kwabantu abadala .
Ukuqaphela Izimpawu Zokuqala
Izingane ezincane kakhulu kungenzeka zingaboni ukuthi yini engalungile uma zizwa ubuhlungu. Izingane zingase zingakwazi ukuthi zingakwazi kanjani ukuveza isikhalazo mayelana nokuqina, ukucindezeleka nobuhlungu abazizwayo. Labo abathintekayo benenkinga yokugibela izinyathelo, ukuphonsa ibhola, ukuvula umnyango, noma ukuhamba nje kungase kudingeke ukuba kuhlolwe ngokomzimba udokotela. Abazali nothisha kumele baqaphele ukuthi i-arthritis ithinta izingane, futhi. Ukuxilongwa okusheshayo nokuphathwa ngendlela efanele kuyadingeka.
> Imithombo:
> I-Duke University Medical Center Book of Arthritis, nguDavid S. Pisetsky, MD, Ph.D.
> Ukuqala kwezifo ze-Rheumatic. I-Arthritis Foundation. Umshicileli weshumi nantathu.