Kutsanangurwa Kuronga Nguva
Makore apfuura, paiva nemhando mitatu yevechirwere rheumatoid arthritis iyo yaizivikanwa. MuUnited States, vana vechirwere rheumatoid arthritis vairehwawo seJRA, kana vana vechirwere arthritis. IEuropean Against Against Rheumatism yakataurira JRA sevana vechirwere vasingaverengeki arthritis. Iyo mitatu mitatu yeJRA yaiva pauciarticular, polyarticular, uye systemic.
Gare gare, International League of Associations for Rheumatology (ILAR) yakaparadzanisa vana veArthritis mune dzimwe subtypes. Izvi zvakaitwa kunyanya kutsvaga zvinotsvakurudza uye zvicharamba zvichichinja kune zvimwe zvinodzidza nezvema genetics uye pathogenesis yevana vechidiki idiopathic arthritis (JIA).
Polyarthritis RF yakaipa (inobata 10-30 muzana yevana vane JIA)
Vana vane chirwere cheparyarthritis-rhumumidhi chakashata vane arthritis inobata nhengo shanu kana kupfuura mumwedzi mitanhatu yekurapa. Rheumatoid test factor is negative.
Polyarthritis RF positive (inobata 5-10 kubva muzana yevana vane JIA)
Vana vane chirwere cheparyarthritis-rheumatoid chinokonzerwa neArthritis inobata masangano mashanu kana kupfuura mumwedzi mitanhatu yekurapa. Miviri miviri yekuongorora rheumatoid, inotorwa mwedzi mitatu yakasiyana, yakanaka.
Oligoarthritis (inobata 30-60 muzana yevana vane JIA)
Vana vane oligoarthritis vane arthritis inobata imwe kusvika kune dzimwe nhengo ina mukati memwedzi mitanhatu yekurapa.
Mamwe masangano mana anogona kunge akabatanidzwa mushure memwedzi mitanhatu yekutanga. Kana mwana wacho ane zviduku zvina kana zvishoma zvichishungurudzwa munguva yose yechirwere, inonzi inoramba iri oligoarthritis. Kana mwana wacho ane nhengo dzinopfuura mana dzakapindira mushure memwedzi mitanhatu yekutanga, inonzi yakawedzerwa oligoarthritis.
Systemic arthritis (inobata 10 muzana yevana vane JIA)
Vana vane urongwa hwehutachiona vane zvirwere zveArthritis, nefivha inopedza vhiki mbiri kana kupfuura, vachiputira kwemazuva matatu kana kupfuura, pamwe chete nechimwe chezviratidzo zvinotevera:
- Kuwedzera kwe lymph nodes
- Kuwedzera kwechiropa kana spleen (hepatomegaly kana spenomegaly)
- Kuvhiringidza kwembatya yemwoyo kana mapapu (pericarditis kana pleuritis)
- Rash (kwete-itchy) yenguva yakasiyana inogona kutamira kumativi akasiyana emuviri
Psoriatic arthritis (inobata 2-15 kubva muzana yevana vane JIA)
Vana vaduku vanopedzisira vaine psoriatic arthritis subtype vane arthritis uye psoriasis, kana ivo vanobatwa neArthritis uye zviratidzo zviviri zvinotevera:
- Dactylitis (menoji kana zvigunwe)
- Nail pitting / splitting
- A first-degree relative with psoriasis
Arthritis-yakabatana nemakumbo (inokanganisa 20 muzana yevana vane JIA)
Vana vane chirwere chinonzi arthritis subtype vane arthritis uye kuputika pane imwe nzvimbo ineses (iyo inonzi ligament, tendon, kana joint joint capsule inobatanidza pfupa) kana ine arthritis kana enthesitis pamwe chete naviri kana kupfuura pane zvinotevera:
- Kuvhiringidzwa kwezvikamu zve sacroiliac kana kurwadziwa nekuoma mukati mharaunda ye lumbosacral
- Kuongorora kwakanaka kweHLA-B27
- Arthritis inotanga kune varume vanopfuura makore matanhatu
- Chokutanga-degree maererano ne ankylosing spondylitis , arthritis-yakabatana nehythritis, kuvhiringidzwa kwesungano ye sacroiliac nemaperembudzi , kana kuvhiringidza maziso (acute anterior uveitis).
Undifferentiated arthritis
Ichi chikamu chinotaura nezvevana vane zviratidzo zveArthritis vasingakodzeri imwe yemamwe mapoka matanhatu-kana kuti vanosangana nemirairo yeviri kana kupfuura.
The Bottom Line
Zvakakosha, zvakanakisisa kutaurirana nevana vehu rumumologist kuti vaongorore chirwere ichi uye vatsanangurire huwandu hwevana vechidiki idiopathic arthritis. Kurapa kwakakodzera kunoenderana nekunyatsoongorora.
Asi, kune urombo hwehutachiona hwerheumatologists. Chaizvoizvo, vamwe vanoti hapana.
> Sources:
> Abramson, Leslie S. MD. Juvenile Arthritis. American College of Rheumatology.
> Juvenile Arthritis. NIH / NIAMS.
> Kurapa kwevana vechidiki Idiopathic Arthritis. Hsu, Lee, uye Sandborg. Chitsauko 107. Kelley's Bookbook yeRheumatology. Ninth edition. Bhuku II. Yakabudiswa naElsevier Saunders.