Zvirwere zvaimbozivikanwa se' pauciarticular vana vechidiki idiopathic arthritis
Oligoarticular juvenile idiopathic arthritis (yaimbozivikanwa inonzi pauciarticular juvhiri idiopathic arthritis kana pauciarthritis) inonzi subtype yevana idiopathic arthritis inosanganisira zvishomanana zvishanu. Oligoarticular juvenile idiopathic arthritis ndiyo yakanyanya kufanana nevana vechidiki idiopathic arthritis subtype. Inosanganisira 30% kusvika 60% yevamwe vana vechidiki idiopathic arthritis varwere muNorth America neEurope.
Nhengo ye oligoarticular yevana idiopathic arthritis inowedzera kugoverwa mu:
- Persistent oligoarthritis - Hapana humwe humwe hubatanidzwa hunobatanidzwa kunze kwekutanga 6 mwedzi yekurwara uye zviratidzo.
- Kuwedzerwa oligoarthritis - Kuwedzera kubatanidzwa kwekubatana kunowanikwa mushure mekutanga kwemwedzi mitanhatu yekurwara uye pakupedzisira zvinopfuura 4 majoini anobatanidzwa.
Inenge hafu yevana vane oligoarticular vana vechidiki idiopathic arthritis vanokura rudzi rwakapetwa 4 kusvika ku 6 makore mushure mekunge zvirwere zvatanga. Kunyange zvazvo pasina nzira yakasimba yekufanotaura kuti vana vacharamba vachikudziridza rudzi rwakawedzerwa, kune zvirwere zvinoratidzika zvichiita kuti kuwedzere mukana, kusanganisira kusanganiswa kwekubatana, chikwama kana chekubatanidza maoko (kana zvose zviri mazhe nekristani), uye yakakosha erythrocyte sedimentation rate mumwedzi 6 yekutanga.
Unhu hunhu uye zviratidzo
Nhamba yepamusoro yekutanga kwe oligoarticular vana vechidiki idiopathic arthritis vane makore 2 kusvika ku4 muCaucasian vana vanobva kuUnited States neEurope.
Vasikana vanowanzoshungurudzwa kupfuura vakomana (3 kusvika ku1). Kutanga kwe oligoarticular vana vechidiki idiopathic arthritis zvakanyanya kudarika kuvana vanopfuura makore mashanu uye kutanga kushoma kune vana vane makore gumi kana kupfuura.
Kazhinji, nekutangira kwe oligoarticular vana vechidimbu idiopathic arthritis, kune huwandu hwekubatanidza humwe humwe hunoita hune hutano humwe kana maviri makuru.
Mabhesi ndiyo nhengo yakawanda inowanikwa. Hondo, chiuno, uye nhamba ndiyo inotevera inowanzobatanidzwa. Zviratidzo zvinoshandiswa (semuenzaniso, fever, rash) hazviwanzoitiki, sekubatanidzwa kwechiuno uye shure. Kana mwana ane hutachiona hwehutano kana kuve nekubatanidzwa kwechiuno kana shure, kuongorora zvakare kunoratidzwa uye kuongororwa kwehutachiona.
Nepo iwe unogona kutarisira marwadzo kuti ave anonyanya kuzivikanwa chiratidzo chekutanga chemiorigoarticular juvenile idiopathic arthritis, kazhinji inotanga yakajeka. Mubereki angaona kuti mwana wavo ane chikwama, kusazeza kufamba kana kumhanyira, kana kupfugama kwekubatana kwakagadzikana.
Inenge 70% kusvika ku80% yevana vanoramba vari oligoarticular vana vechidimbu idiopathic arthritis uye 80% kusvika 95% nevakawedzerwa oligoarticular vechiduku idiopathic arthritis vane positive ANA test . Zita reAA dzinowanikwa pasi kusvika pakuenzanisa. MuAA vane varwere vane oligoarticular vana vechidiki idiopathic arthritis, kune dambudziko guru rekuwedzera uveitis . Uyewo, vazhinji vana vane oligoarticular vana vechidiki idiopathic arthritis vane tsika dzakanaka kana dzakanyatsokwidziridzwa dzeRPP uye sedimentation rate, zvinowanzochena masero eropa, uye anemia (munyoro).
Nezve uveitis, kune ma laboratory test anobatsira kufanotaura kuoma kwe anterior uveitis kune vana vane oligoarticular vana vechidimbu idiopathic arthritis.
Iyi miedzo haina kufanotaura kutanga, zvisinei. Miedzo inogona kusanganisira ye2-globulin level mu serum, pamwe neHLA antigens (HLA-A19, HLA-B22, HLA-DR9).
Kurapa kweOrigoarticular Juvenile Idiopathic Arthritis
Kurapa kweiyo yakawanda yegogoarticular juvenile idiopathic arthritis yakafanana neyo ye rheumatoid chinhu chakanaka kana rheumatoid factor negative polyarticular juvenile idiopathic arthritis. Kufanana mukurapa kunokonzerwa nekubatanidzwa kweparyarticular .
Kana uchida kuramba uine oligoarticular juvenile idiopathic arthritis, nzira yekutsika inowanzoshandiswa:
- Kurapa neNSAID (kana kuti isina kana intra-articular injection steroid)
- Methotrexate inoshandiswa kana kupindura ku intra-articular steroid injection isingakwani
- TNF inhibitor inogona kuwedzerwa, kana isina kana methotrexate, kana methotrexate chete isina kukwana
Azulfidine (sulfasalazine) uye Plaquenil (hydroxychloroquine) inogona kushandiswa pamwechete sechimwe chirongwa. Kuregererwa (kunyangwe kusarura kana kukwana) kweoligoarticular vana vechidimbu idiopathic arthritis inogona kuwanikwa mu 60-70% yewedzerwa oligoarticular vana vechidimbu idiopathic arthritis vane kushandisa methotrexate.
Sources:
Kelley's Textbook yeRheumatology. Elsevier. Ninth edition. Chitsauko 107. Kurapa kwevana vechidiki Idiopathic Arthritis. Hsu, Lee, Sandborg.
Oligoarticular juvenile idiopathic arthritis. Kusvika pari zvino. Pamela F. Weiss MD. 12/09/15.
http://www.uptodate.com/contents/oligoarticular-juvenile-idiopathic-arthritis
OrthoInfo. Juvenile Arthritis. Svondo 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00075
Kufanotangira kwakatanga kwemaitiro akaoma eveitisitis mu oligoarticular vana vechidiki idiopathic arthritis. Zulian E. et al. Nyaya yeRheumatology. November 2002.
http://www.ncbi.nlm.nih.gov/pubmed/12415607