Mwana wako ane Jevenile Idiopathic Arthritis?
Arthritis vs Aches uye Pains
Vana vanowana arthritis . Muzvokwadi, maererano neArthritis Foundation, vana vanenge 300 000 muUnited States vane chirwere chisingaperi chine arthritis kana vana vechidiki idiopathic arthritis (JIA).
Nenzira, zvinowanzozivikanwa kuti vana vane aches uye marwadzo asina kukonzerwa neArthritis, kunyanya kana vari kukura kurwadziwa. Kunyange zvakadaro, arthritis inowanzova chinhu chekutanga vabereki vakawanda vanofunga kana vana vane marwadzo.
Izvo zvinoita kuti zvive zvakakosha kunzwisisa zviratidzo nezviratidzo zvevana vechidiki idiopathic arthritis kuitira kuti iwe ugone kudzivisa miedzo isingakoshi uye kuti mwana wako aongororwe kana ari zvechokwadi ane JIA.
Chimwe chezvinhu zvinonyanya kukosha kuti unzwisise ndechokuti kana vanachiremba vachitaura nezveArthritis, havasi kungotaura nezvekutambudzika. Izwi rechokwadi reArthritis rinosanganisira kuvhiringidza pamwe uye kakawanda kunosanganisira kuzvimba uye / kana kurwadziwa nekufamba uye zvishoma zvishoma kufamba. Kana mwana wako achingova kurwadziwa pasina kuputika, zvino inonzi arthralgia.
Kuvhiringidzika kwevana vane arthritis, kunyanya kana iri mubatanidzwa muduku, dzimwe nguva ingave yakangwara, zvisinei, izvo zvinogona kuita kuti chirwere chevana vechidiki idiopathic arthritis chive chakaoma. Uye kunyange zvazvo vabereki vakawanda vachifunga kuti unogona kuongorora mwana nevana vechidiki idiopathic arthritis nechinguva chiduku kuongororwa ropa, kana zvichibatsira, izvi zvinongedza hazviiti kuti kuongororwa kwega pachavo.
Vanogona kutonganisa zvinhu dzimwe nguva.
Saka kana uchifanira kuona chiremba wevana kana mwana wako ane aches uye marwadzo aunofunga nezvazvo, usashamisika kana akakuudza kuti mwana wako haana JIA kunze kwekuti ane zvimwe zviratidzo nezviratidzo zvinokurukurwa pasi apa.
Aina dzeJubleArthritis
Juvenile arthritis zvirokwazvo haisi mamiriro maviri chete.
Zvinhu zvakawanda zvinogona kukonzera arthritis muvana, kusanganisira zvirwere (septic arthritis), kuchinja kune zvirwere (reactive arthritis), nezvimwe zvinhu (SLE, HSP, nezvimwewo)
Kune marudzi akasiyana-siyana evana vechidiki idiopathic arthritis zvakare, kusanganisira:
- Systemic arthritis
- Oligoarthritis - majoini 1 kusvika ku4 chete anoshandiswa mukati memwedzi mitanhatu yekutanga
- Polyarthritis - inogona kunge iri rhumatoid chinhu chisina kunaka kana chakanaka - 5 kana kuti mamwe mairi anowanikwa mukati memwedzi mitanhatu yokutanga
- Psoriatic arthritis
- Arthritis-yechirwere inonzi inthesite - ine kupisa apo tete inowedzera pfupa
- Undifferentiated arthritis
Chii chakaitika kuna JRA kana vana vechirwere rheumatoid arthritis? Iri ndiro izwi rekare rakashandurwa apo mitemo yemazuva ano yakagadzirwa muna 2001.
Juvenile Arthritis Symptoms
Juvenile idiopathic arthritis zviratidzo uye zviratidzo zvinogona kusanganisira:
- Joint kuzvimba
- Joint pain
- Ushu huri pamwe chete hunowanzova hwakaipa mangwanani
- Ifivha yakakura (systemic JIA)
- Kushanda kweganda rearimoni (systemic JIA)
- Kudzora lymph glands (systemic JIA)
- Kupfigira minwe uye nail pitting (psoriatic JIA)
- Kunzwa kurwadziwa kwepamusoro (enthesitis-related arthritis)
- Kuchema kweziso (oligoarthritis)
Chinonyanya kukosha, kuti uonekwe neJIA, mwana anofanira kunge ari muduku kudarika makore ane gumi nematanhatu ekutanga kweArthritis uye anofanirwa kunge ane mavhiki masere ekubatana kwekubatana.
Kuongororwa kwevana vechiArthritis
Saka vana vane vana vechidiki idiopathic arthritis vanoona sei?
Zvinosuruvarisa, iwe haugoni kungoita kuongorora ropa uye kuziva kana mwana asina JIA kana kuti kwete. Zvakawanda zvekuedzwa hazvisi izvo. Somuenzaniso, chirwere che erythrocyte sedimentation (ESR) chinongotaura chete kuti kuputika kuripo mumuviri, asi haakuudze kana kuchibva kuJIA kana kutapukirwa. Uye vana vakawanda vane JIA vane chirwere chekare chinonzi antitinuclear antibody (ANA), iyo inowanzofungidzirwa se "arthritis test."
Panzvimbo pejeri rekuedzwa, iyo ndiyo nzira yemwana wako yezviratidzo uye zviratidzo uye zvishomanana zvidzidzo zvinotarisirwa zvingangobatsira chiremba wevana uye / kana chirwere chepachirwere chepachirwere chekuongorora chirwere chako neJIA.
Juvenile Arthritis Treatments
Kunyange zvazvo pasina chirwere chechirwere chinonzi idiopathic arthritis, pane zvirwere zvakawanda zvinogona kubatsira kudzora zviratidzo uye kudzivirira zviratidzo zviri kupisa, kusanganisira nonsteroidal anti-inflammatory drugs (EG, aspirin, ibuprofen, uye naproxen), zvirwere-kuchinja antirheumatic drugs (EG , methotrexate ), prednisone, uye biologic agents (EG, etanercept, infliximab, uye adalimumab).
Kurapa kwepanyama uye chirwere chekuita basa kune zvimwe zvirongwa izvo vana vane JIA vanowanzoda.
Zvaunoda Kuziva
Zvimwe zvinhu zvokuziva nezvevana vechidiki idiopathic arthritis zvinosanganisira kuti:
- JIA inofungidzirwa kuti ine zvose zvinokonzera mazamu uye zvakatipoteredza.
- Oligoarticular JIA ndiyo inowanzozivikanwa yeJIA uye inotanga kusvika pakati pemakore 2 ne4.
- Iridocyclitis (kuvhiringidza muziso) chinhu chakakomba cheJIA. Vana vane JIA vanowanzoona vanachiremba vezvechipatara kuti vaoneke kuti havasi kukura maziso ekutuka.
- Vana vane JIA vanofanira kuongororwa nokuda kwekukura kwezvinetso.
Rheumatologist yevana vanogona kubatsira kuongorora nekutarisa mwana wako neJIA.
Sources:
Espinosa, Maria. Juvenile Idiopathic Arthritis. Pediatrics in Review 2012; 33: 303-313.