Ingabe ingane yakho inayo i-Juvenile Idiopathic Arthritis?
I-Arthritis vs Aches and Pains
Izingane zithola i-arthritis . Empeleni, ngokusho kwe-Arthritis Foundation, izingane ezingaba ngu-300 000 e-United States zinesifo samathambo esingapheli noma i-arthritis ye-juvenile idiopathic (JIA).
Ngenhlanhla, kuvame kakhulu ukuthi izingane zinezinhlungu nezinhlungu ezingabangelwa yi-arthritis, ikakhulukazi uma zinezinhlungu ezikhulayo. Noma kunjalo, i-arthritis ngokuvamile iyinto yokuqala abazali abaningi abacabanga ngayo lapho izingane zinobuhlungu obuhlangene.
Lokhu kwenza kubalulekile ukuqonda izimpawu nezimpawu ze-arthritis ye-juvenile idiopathic ukuze ukwazi ukugwema izivivinyo ezingadingekile bese uthola ingane yakho ihlolwe ukuthi ingabe i-JIA ngempela.
Enye yezinto ezibaluleke kakhulu ukuyiqonda ukuthi lapho odokotela bekhuluma nge-arthritis, akugcini nje ukubhekisela ebuhlungu. Incazelo yeqiniso ye-arthritis ihlanganisa ukuvuvukala okuhlangene futhi kuvame ukufaka ukuvuvukala kanye / noma ubuhlungu ngokunyakaza nokuhamba okulinganiselwe kokunyakaza. Uma ingane yakho ibuhlungu nje ngaphandle kokuvuvukala, kuthiwa yi-arthralgia.
Ukuvuvukala ukuthi abantwana bane-arthritis, ikakhulukazi uma kuhlangene okuncane, ngezinye izikhathi kungabonakala kuyinkimbinkimbi, okwenza ukuthi i-juvenile idiopathic arthritis ihlolwe. Futhi nakuba abazali abaningi bacabanga ukuthi ungakwazi ukuhlolisisa ingane ene-arthritis ye-juvenile idiopathic isifo esincane esiphuthumayo segazi, kuyilapho kuyasiza, lezi zivivinyo azikwazi ukuzitholela ngokwazo.
Bangakwazi ngisho nokudideka izinto ngezinye izikhathi.
Ngakho-ke ngenkathi kufanele ubone udokotela wezingane uma ingane yakho inezinhlungu nezinhlungu ozikhathazayo, ungamangali uma ekutshela ukuthi ingane yakho ayinayo i-JIA ngaphandle kokuba inezinye izimpawu nezimpawu ezichazwe ngezansi.
Izinhlobo ze-Arthritis Yezingane
I-arthritis yabantwana empeleni ayisona isimo esisodwa kuphela.
Izinto eziningi zingabangela i-arthritis ezinganeni, kuhlanganise nezifo (i-arthritis septic), ukusabela kwezifo (i-arthritis esebenzayo), nezinye izimo (SLE, HSP, njll)
Kunezinhlobo eziningi ezihlukahlukene ze- arthritis ye- juvenile idiopathic futhi, kufaka phakathi:
- I-arthritis yesimiso
- I-Oligoarthritis - amajoyina angu-1 kuya kwangu-4 kuphela athathwe ezinyangeni eziyisithupha zokuqala
- I-Polyarthritis - ingaba isifo se-rheumatoid esibi noma esiqondile - amalunga amahlanu noma ngaphezulu athathwe ezinyangeni eziyisithupha zokuqala
- I-arthritis yengqondo
- I-arthritis ehlobene ne-enthesitis - ine-inflammation lapho i-tendon ifaka emathanjeni
- I-arthritis engabonakali
Kwenzekeni ku-JRA noma i-arthritis ye-rhuumatoid yezingane? Leli yigama elidala eliphinde lashintshwa lapho imithetho yakamuva yokwenziwa ngezigaba yasungulwa ngo-2001.
Izimpawu ze-Arthritis zeJaji
Izimpawu nezibonakaliso ze-arthritis ze-Juvenile idiopathic zingabandakanya:
- Ukuvuvukala okuhlangene
- Ubuhlungu obuhlangene
- Ukuqina okuhlangene okuvame ukubi kakhulu ekuseni
- Umkhuhlane ophezulu (i-JIA yesistimu)
- I-Salmon-colored rash rash (uhlelo lwe-JIA)
- Ama-lymph glands (i-JIA esebenzayo)
- Iminwe yokuguqa kanye ne-nail pitting (i-JIA ye-psoriatic)
- Ubuhlungu obuphansi emuva (i-arthritis ehlobene ne-enthesitis)
- Ukuvuvuka kweso (oligoarthritis)
Okubaluleke kakhulu, ukuthi kutholakale ukuthi i-JIA, ingane kufanele ibe ncane kuneminyaka engu-16 ubudala lapho kuqala i-arthritis futhi kumele okungenani ibe namaviki angu-6 wokuvuvukala okuhlangene.
Ukuxilongwa kwe-Juvenile Arthritis
Ngakho-ke abantwana abane-arthritis ye-juvenile ye-idiopathic bafunyanwe kanjani?
Ngeshwa, awukwazi nje ukuyala ukuhlolwa kwegazi futhi wazi ukuthi ingane ingenayo i-JIA noma cha. Ukuhlolwa okuningi akukona okuqondile. Isibonelo, ukuhlola kwe-erythrocyte sedimentation rate (ESR) ukusho nje ukuthi ukuvuvukala kukhona emzimbeni, kodwa akutsheli ukuthi kuvela ku-JIA noma ukutheleleka. Futhi izingane eziningi ezine-JIA zinokuhlolwa okuvamile okujwayelekile kwe-anti-nyukliya (ANA), okuvame ukucatshangwa ngokuthi "ukuhlolwa kwe-arthritis."
Esikhundleni sephaneli lokuhlola, kuyimodeli yengane yakho yezimpawu nezimpawu kanye nezivivinyo ezimbalwa ezihlosiwe ezizosiza ingane yakho kanye / noma i-rheumatologist yezingane ukuhlola ingane yakho nge-JIA.
Ukwelashwa kwe-Arthritis Yezingane
Nakuba kungekho ukwelashwa kwengane ye-idiopathic arthritis, kunezinhlobo eziningi zokwelapha ezingasiza ekulawuleni izimpawu nokuvimbela izimpawu eziqhamukayo, kuhlanganise nezidakamizwa eziphikisana nezidakamizwa (EG, aspirin, ibuprofen, ne-naproxen), izidakamizwa zokuguqula izifo ezithathelwanayo (EG , methotrexate ), ama-prednisone, nama-biologic agents (EG, etanercept, infliximab, ne-adalimumab).
Ukwelapha ngokomzimba kanye nokwelashwa komsebenzi kukhona ezinye izindlela zokwelashwa izingane ezihlala ne-JIA.
Okudingeka Ukwazi
Ezinye izinto zokwazi nge-arthritis ye-juvenile idiopathic zihlanganisa ukuthi:
- I-JIA kucatshangwa ukuthi inezimbangela zezofuzo nezemvelo.
- I-Oligoarticular JIA yiyona ndlela ejwayelekile kunazo zonke ze-JIA futhi iqala ukuphakama phakathi kweminyaka engama-2 no-4.
- Iridocyclitis (ukuvuvukala emehlweni) kuyinkinga enkulu ye-JIA. Izingane ezine-JIA ngokuvamile zibona ophthalmologist yezingane ukuze ziqiniseke ukuthi azikhulisi ukuvuvukala kweso.
- Izingane ezine-JIA kufanele zihlolwe ngezinkinga zokukhula.
I-rheumatologist yezingane ingasiza ukuxilonga nokuphatha ingane yakho nge-JIA.
Imithombo:
U-Espinosa, uMaria. I-Juvenile Idiopathic Arthritis. Izingane zokwelashwa ekubuyekezweni 2012; 33: 303-313.