Vechiduku Vanogona Kunzwisisa Kunzwa Kwavo
Apo vanhu vazhinji vanofunga nezveArthritis, havasi kushamwaridzana nevana. Nyaya yakajairika yakawanda pamusoro pesarthritis ndeyekuti chirwere chekare. Muzvokwadi, arthritis inobata vanhu vezera rose, kusanganisira vanenge 300 000 vana veAmerica.
Muvanhu vaduku nevana vasati vava nemakore gumi nemasere, arthritis inorongwa zvakasiyana pane yevakuru.
Chikoro chechirwere chevana chinowanzosiyana kune vakura. Vana vanoona zviratidzo zvakasiyana uye kazhinji vane humwe hunofadza.
Childhood arthritis inonzi mwana wechirwere arthritis kana kuti juvenile idiopathic arthritis. Inotumidzwawo sevana vechirwere rheumatoid arthritis (JRA), kunyange iyo ndiyo nguva yekare.
Juvenile Arthritis Subsets
Kwenguva yemakumi emakore, vana vane arthritis vakapatsanurwa kuva zvikamu zvitatu zvakakosha, chimwe nechimwe chinoshandisa maringe akasiyana neyechimiro chezviratidzo:
- polyarticular juvenile arthritis
- pauciarticular juvenile arthritis
- systemic juvenile arthritis
Muna 2001, International League of Associations for Rheumatology (ILAR) yakaparadzanisa vana veArthritis mune dzimwe subtypes, kunyanya nokuda kwekutsvakurudza. Ichinomwe chikamu chechiduku chinonzi idiopathic arthritis chicharamba chichitsanduka uye chichiwedzera sezvinodzidza nezvevana vechidiki idiopathic arthritis. Kuti tive nekunyatsonzwisisa, ngatitangei tangorangarira mavambo matatu ekutanga evana vechirwere.
Polyarticular Disease
Polyarticular chirwere chirwere chezvizhinji zvakawanda. Urwu rwemwana wechirwere weArthritis hunoita hutano hunopfuura hutano uye hunofanana nehukuru hwerheumatoid arthritis . Vasikana vanowanzoita kuti vave nehutachiona hwevarwere kupfuura varume. Masangano acho anowanzobatanidzwa zvakasiyana-siyana (kumativi maviri).
Kazhinji majoka maduku emaoko anobatwa, pamwe chete nemamwe maungo. Low-grade fever, kuora muviri, uye kuperevedza muviri kunogona kuitika, uyewo matambudziko ekukura mumatambudziko makuru.
Vana vazhinji vane chirwere cheparyarticular hachina kunaka kwerhumatoid uye izvozvi zvinowanzova zvakanaka. Vana vashoma vanoita zvakanaka nokuda kwerhumatori inoratidzika kunge vari pangozi yakakura yekusingaperi, kupfuurira mberi nekuparara pamwe chete.
Dambudziko rePauciarticular
Chirwere chepauciarticular rudzi rwevana vechirwere chinokanganisa majoini mana kana mashomanana. Zakawanda zvinowanzobatwa ndezvemabvi, maziso, maziso, uye makumbo. Majojo anowanzobatwa asymmetrical (kureva, kubatanidzwa kune rumwe rutivi rwemuviri, kwete zvose). Izvi zvinoonekwa semhando yakawanda yevana arthritis uye inobata kupfuura 50 muzana yevana vane chirwere. Pauciarticular vana veArthritis inowanzokonzera vasikana. Vaya vane zvirwere zveuposiarticular vanowanzova ne-positive antinuclear antibody (ANA) uye vanofanirwa nechokuvhiringidza maziso, iridocyclitis. Vana vane pauciarticular vana arthritis vanoita zvakanaka. Muzvitsva zvitsva, rudzi urwu rwemwana arthritis runotumidzwa semurigoarticular vana vechidiki idiopathic arthritis .
Dambudziko reSystem
Chirwere cheSystem chinotanga nemararamiro akazara anogunzva nhengo dzomukati uye zvikamu zvemuviri kunze kwekubatana. Ichi chimiro chevana vaduku chinonzi arthritis chinonyanya kufanana uye chinokanganisa anenge 10 muzana yevana vane chirwere. Chirwere cheSystem chinowanzotanga ne fever inoita seinouya uye ichienda, inogara kwevhiki kana mwedzi. Kushanda kwemavara kunogona kuvapo pahudyu uye pachipfuva. Mwana ane chirwere che systemic angaratidza:
- zviratidzo zvekuwedzera kwepleen uye lymph nodes
- kuputika kwemutsipa wemwoyo uye maviri akakomberedzwa
- imwe yakachena yeropa rekuverenga
- anemia
- kuneta
- kuonda
Kufananidzira kwehutachiona hunofungidzirwa kunofadza. Muna 75 muzana yematambudziko, chirwere che systemic chinopera pasina nguva yakareba. Muvanhu vakuru, chirwere ichi chinonzi kutakura kwevanhu vakuru .
Kucherechedza Zviratidzo Zvishomanana
Vana vaduku zvikuru vangave vasingazivi kuti chii chakaipa pavanonzwa kurwadziwa. Vana vangave vasingazivi kuti vangakwanise sei kuratidza kunyunyuta pamusoro pekuoma, kusuruvara, uye marwadzo avo vari kunzwa. Vaya vanocherechedza vane dambudziko vachikwira matanho, vachikanda bhora, kuvhura suo, kana kungofamba vanogona kunge vachida kuongororwa kwepanyama nachiremba. Vabereki nevadzidzisi vanofanira kuziva kuti arthritis inobata vana, zvakare. Kutanga kuongororwa uye kurapa kwakakodzera kunokosha.
> Sources:
> Duke University Medical Centre Bhuku reArthritis, rakanyorwa naDavid S. Pisetsky, MD, Ph.D.
> Primer of the Rheumatic Diseases. Arthritis Foundation. Chinyorwa chegumi nemitatu.