Rheumatoid arthritis ingane: Izimbangela, Izimpawu, Sifo Nokuselapha

rheumatoid arthritis kuyinto ingane - inkinga iba nzima kakhulu futhi iyingozi. Lesi sifo e Pediatrics yesimanje abavamile. Nokho, ulwazi mayelana izimpawu zako kanye izimbangela kudingeka ukuba ijwayelekile umzali ngamunye. Iqiniso lokuthi lesi sifo ngeke welaphe ngokuphelele, kodwa uma isikhathi sokusoka yokwelapha nezindlela zokuzivikela Arthritis kungaba lula kakhulu futhi kunciphise namathuba okuthi ngenxa yezinkinga eziyingozi.

ulwazi olujwayelekile mayelana isifo

Isifo sokuqaqamba kwamalunga e izingane, eyaziwa kangcono imithi njengoba engamahlongandlebe samathambo (JRA) - a ezingamahlalakhona isifo ngokuhlanganyela Lokudabuka sokuhlasela kwamasosha omzimba. akhawunti izingane ayizinkulungwane 100 cishe 16-19 iziguli ezine kokutshelwa ngokukhubazeka kwengane. Ngokwezibalo, amantombazane uhlushwa isifo izikhathi 2-3 kaningi. Ngaphezu kwalokho, lesi sifo ngokuvamile kutholakala ezinganeni ezingaphansi kweminyaka eyisihlanu yobudala.

Ukugula empeleni iyingozi kakhulu ngoba ngokuvamile ukuvuvukala asithinti nje kuphela emalungeni (zona ngokwazo kuholela ukonakala izakhiwo articular), kodwa futhi izibilini (isib, inhliziyo, amehlo, njalo njalo. D.). Lesi sifo kuholela ukwehla izinga yokuphila kwengane, futhi ngezinye izikhathi ukuze ukubambezeleka sína ekuthuthukiseni ngokomzimba ukukhubazeka.

rheumatoid arthritis ezinganeni: Izimbangela

Ngeshwa, indlela esiqondile isifo samanje angakafakwa cacisa. isifo sokuhlasela kwamasosha omzimba - Kuyaziwa ukuthi i-rheumatoid arthritis ezaziwayo. Ngenxa yezizathu ezihlukahlukene, amasosha omzimba ukwehluleka ezinzima kwenzeka, ngenxa okuyinto uqala ukuqonda isakhiwo ngokuhlanganyela njengoba nomzimba angaphandle. Ngakho, umzimba ukhiqiza amasotsha omzimba okuyinto ukuhlasela ngowokuqala lwamalunga ulwelwesi amaseli, kubenze ukuvuvukala ukonakala. Njengoba isifo uqala ilimaze besimiso somzimba sokuzivikela nezinye izingxenye ngokuhlanganyela, futhi ngezinye izikhathi yangaphakathi izitho izicubu.

Kuyaziwa ukuthi kukhona yofuzo ezaziwayo. Kunezinye izici ezingaba akwati kutfutfukisa sifo:

• ukushintsha kwama-hormone okungazelelwe (ngezinye izikhathi lesi sifo icushiwe phakathi nesikhathi sokuthomba ngenxa amazinga ama-hormone gxuma);
• izinqubo umzimba;
• imigomo;
• onegciwane ingane umzimba (kungenzeka amagciwane mycoplasma, njll ...);
• okweqile eqinile noma overcooling;
• ngokuzumayo kwesimo sezulu;
• ukulimala ngokuhlanganyela.

rheumatoid arthritis ezinganeni: isithombe kanye nezimpawu ifomu isifo ngokuhlanganyela

Cishe 60-70% eziguli uhlushwa ngokunembile le ndlela lesi sifo. Iqala ngokuvamile nge ukulahlekelwa ngokuhlanganyela esisodwa esiyinhloko (ngokuvamile kwamadolo noma eqakaleni kuyinto). Ngemva kwenye amasonto 1-3 abavusa ngokuhlanganyela. Sici sici iyona wesimethri umonakalo ngokuhlanganyela.

Ungase uphawule ukuthi Ingane yaqala kheleza. Kukhona ekuseni ukuqina emalungeni abathintekayo. ke Futhi kungase kuqashelwe nokuvuvuka ukuvuvukala. Ngenxa ubuhlungu futhi komkhawulo motion kwezingane ezincane Ukumisa ukudlala, ukuhambisa kancane - ngamafuphi, give up umzimba, okuyinto kuhambisana ukungakhululeki. Uma ungatholi ukwelashwa, kungaholela imisipha yoma.

Njengoba isifo siqhubeka kukhona ukonakala kwezakhiwo ngokuhlanganyela, okuyinto bungaholela ekukhubazekeni.

ifomu okuhlangene visceral lesi sifo

Kuwa sasibhekwa njengophawu lokuthi okuhlangene visceral samathambo ezinganeni. Izimpawu lapha, ngaphezu umonakalo ngokuhlanganyela zihlanganisa zonke izimpawu zokudakwa, ngoba amasosha omzimba umonakalo nezicubu yezitho zangaphakathi. Ngokuvamile, exacerbation iqala ukwanda kokutheleleka kudlange kakhulu lokushisa, imfiva, ukwanda isibindi, ubende, izindlala zamanzi. Ungase uphawule ukuvuvukala kanye ububomvu emalungeni abathintekayo. Ingane abaphethwe sebuhlungwini obunzima.

Hlula izitho zangaphakathi kungaholela amyloidosis izifo ezihlukahlukene izinso, inhliziyo, amaphaphu, ukuthuthukiswa vasculitis, umbono ukulahlekelwa, nokunye. D.

Ifomu generalized arthritis articular

rheumatoid arthritis e ingane kungathatha indawo ngezinye izindlela, ngokwesibonelo:

• oligosustavny samathambo esingelapheki, okuyinto kuhambisana 1-2 ukunqotshwa amalunga ezinkulu (amadolo kaningi) kanye eside, Yiqiniso ingozi lesi sifo;
• ifomu polyarticular lesi sifo, okuyinto kuhambisana kokunqotshwa izakhiwo eziningana ezinkulu noma inhlanganisela emalungeni ezinkulu nezincane; lesi sifo inamagquma.

amasu eziyisisekelo ukuhlola yesimanje

udokotela kuphela uyayazi indlela yokukhulula ayichaze samathambo ezinganeni. Ukuxilonga - inqubo eside ngokungenakulinganiswa neyinkimbinkimbi ngokungaphezulu. Ngokwemvelo, ukuze uqale nge ukuhlolwa jikelele wenziwa, okuvumela ukuba sithole khona ukuvuvukala kwamalunga. Kamuva, njengoba umthetho, kwenziwe ukuhlolwa laboratory. By the way, arthritis juvenile isici rheumatoid egazini sibizwa hhayi zitholiwe kusaqalwa isifo cishe ngo-50% of amacala.

Ezibalulekile Ezingafundwa uphethwe kukhona-X-ray nokuhlolwa. Kungase futhi kwenziwe ultrasound emalungeni ethintekile. Olunye ulwazi mayelana nesimo se-umzimba ingatholakala ngokusebenzisa tomography ngekhompyutha. Uma kukhona izinsolo ifomu visceral we sesifo, kwenza udokotela uncoma i electrocardiogram, lwahlolwa ukuze zokutshala bacteriological, ukuhlolwa kudokotela wezifo zamehlo.

izimiso eziyisisekelo sokuvivinya ebuntwaneni sokuqaqamba kwamalunga

Ukwelashwa nokuvikelwa samathambo ezinganeni - eqhubekayo, ngoba, ngeshwa, ukuqeda lesi sifo kungenzeki ngokuphelele. Ukwelashwa, kulesi simo iqondiswe okusithiyayo ukuvuvukala, ukunciphisa ngesilinganiso angakwazi emalungeni, kanye ukugcinwa ukuhamba kwabo.

Ezinkathini oyingozi futhi subacute ajwayele imithi esiza ukuqeda ukuvuvukala. Izinkathi ukuthethelelwa futhi zihlanganisa beqhuba imisebenzi ehlukahlukene zokuzithokozisa, kuhlanganise Physiotherapy.

ukwelashwa

Yiqiniso, abazali abaningi kubaluleke kakhulu kuba umbuzo sendlela yokuphatha abanye-rheumatoid arthritis. Izimpawu kanye nokwelashwa kwezingane kuhlobene - kusukela isimo ingane kuncike uhlu yemithi esetshenziswayo. Yonke imikhiqizo zingahlukaniswa ngamaqembu amabili:

• imithi yakhelwe ukubhekana izimpawu ezinkulu ngesikhathi egula acute;
• izidakamizwa ukuthi ezicindezela amasosha omzimba (isiguli kuthatha kukho konke ukuphila kwabo, ngisho ngezikhathi ukuthethelelwa).

Njengomthetho, kuqale izingane ebekiwe izidakamizwa nonsteroidal eqeda ukuvuvukala. Indlela ephumelela kakhulu zalezi zinhlobo zihlanganisa "Phenylbutazone" "Indomethacin" "Voltaren", "i-ibuprofen". Yiqiniso, umthamo kanye isikhathi sokwelashwa zinqunywa ngamunye. By endleleni, le mithi isinyathelo ngokushesha ukubambezela ukuthuthukiswa ukuvuvukala, okudambisa ubuhlungu futhi imfiva. Ngaphezu kwalokho, akuzona ezinobuthi futhi babe ezimbalwa side effects, okuyinto ebaluleke for umzimba wengane. Ngokwesibonelo, uma wathola i-rheumatoid arthritis e ingane (iminyaka engu-3 ubudala) e esigabeni oyingozi, kungenzeka, udokotela imithi izidakamizwa nje enjalo, futhi idayiswa ngisho nasezitolo ngesimo suppository, okuyilona elisebenzayo futhi elula.

Ezimweni ezimbi kakhulu kakhulu (isb, ifomu generalized noma visceral) kudinga ukusetshenziswa corticosteroids, okuyinto wakwazi ukubhekana kangcono nale nqubo ukuvuvukala esebenza kahle kakhulu kangakanani. Njengomthetho, kungukuthi kuboniswe izingane ezingaphansi kweminyaka engu-5 ubudala, kodwa ngezinye izikhathi senze okuhlukile. izidakamizwa ezinjalo asetshenziswa ngendlela amaphilisi kanye nezixazululo, futhi ngezinye izikhathi iqondiswa ngqo egobolondweni lelunga ukufeza umphumela esiphezulu.

Ngeshwa, izidakamizwa eqeda ukuvuvukala ayikwazi ukubambezela yonke inqubo ukonakala amalunga omzimba. Ngakho-ke, iziguli iqondiswa kanye nalo okubizwa ngokuthi immunosuppressants - izidakamizwa ukuthi zivimbela umsebenzi wamasosha omzimba. "Plaquenil" libhekisela ephumelela kunazo, "Krizanol", "Sanokrezin", "do Lago". izidakamizwa ezinjalo kufanele kuthathwe izifundo, kodwa ngaso sonke isikhathi, ngisho ukuthethelelwa ukuze kuvinjelwe ukuqala elinye exacerbation.

Kuye isimo udokotela ingane angabeka reception cytostatics (expediently at allergo ifomu isifo septicemic), izidakamizwa ezibangela coagulation we ulwelwesi lwamalunga (isb, "Varikotsid") kusho ukuthi ukunciphisa izinga isici samathambo ( "kuprenil").

izindlela elashwe ngokomzimba futhi ukusebenza kwabo

Ukwelashwa engamahlongandlebe samathambo ezinganeni ngesikhathi esizayo, ngaphezu kokuthola amalungiselelo ezivamile Ungahlanganisa Physiotherapy. Kukhona amasu amaningi ezisetshenziswa ukufeza ukuthethelelwa, kodwa akhethwe udokotela ukuba khona ngayinye lemfundzi ngamunye.

Cishe zonke izingane Kunconywa ngezikhathi ezithile ukuba bakhethe izifundo zokwenezela yokwelapha massage ukusiza ukuthuthukisa kwegazi, khulula ukungezwani kusukela imisipha futhi ubaqinise kanjani. Futhi ewusizo Physiotherapy, okuyinto esisisiza ukuhamba ngokuhlanganyela. Yiqiniso, ihlelo lokubandula abaphelelwe kanye umzimba akhethiwe ngamunye kuncike degree yentuthuko isifo, yobudala kanye ngezimo zesiguli kancane.

Kunezinye izindlela eziningi. Ikakhulukazi i-rheumatoid arthritis ezinganeni - izinkomba ukuze bayothola ukwelashwa kulesi sibhedlela. Kaningi ukufakazela ukwelashwa okuphumelelayo udaka, ukwelashwa upharafini, balneotherapy, njll .. D. izigaba kamuva ukwelashwa kungase imisinga. Lapho akhethiwe kahle iqoqo izindlela elashwe ngokomzimba futhi uhlelo ukwelashwa kungaba zithole imiphumela emihle.

Kuyini isimo ingane egulayo?

Okufanele ukulindele uma kwenzeka i-rheumatoid arthritis e ingane? Isibikezelo, ngeshwa, Akududuzi kakhulu. Lesisifo ukuphila futhi ukuyelapha ngokuphelele, bonke cishe kungenakwenzeka. Ukuxolela akunakubangelwa ngaphandle oligoarthritis, okungasekelwe ephelezelwa ekubhujisweni ngokuhlanganyela. Kodwa ifomu ezinzima iningi isifo ubhekwa visceral, ngoba inombolo yezinkinga kungenzeka iphezulu kakhulu.

Yini okumele uyenze uma ingane uye wathola lesi sifo? ukwelashwa okufika ngesikhathi futhi esiqhutshwa kahle kungaba ijubane inqubo ekubhujisweni ngokuhlanganyela nokubandakanyeka nezinye izitho. Kukhona amacala lapho kungenzeka ukuba sifinyelele ukuthethelelwa eside futhi kakhulu ngcono izinga le yokuphila yomntwana. Ngakolunye uhlangothi, nge umuntu uyahluleka uma elwa njalo kungenzeka ukwephulwa imisebenzi eyisisekelo emalungeni, okuholela ekukhubazekeni.

Zikhona izindlela eziphumelelayo lokuvikela?

rheumatoid arthritis ezinganeni - isifo esingelapheki. Futhi, ngeshwa, izidakamizwa noma ezinye izindlela ukuvimbela alikho ukuthuthukiswa isifo oyinhloko imithi yesimanje. Nokho, uma ingane uyilungu leqembu ingozi (isibonelo, kukhona yofuzo, izifo umzimba uxabane nawo, ukuvuvukala ezingamahlalakhona), lapho kungenzeka okuthiwa zokuvimbela non-ethize, okubandakanya kwale mibandela elandelayo:

• ukuqapha avamile ngudokotela. Lokhu kungaba wezingane noma wamathambo, ngeke ababeka njalo uhlole ingane ukulandela ukuhlaziywa nokunye. D. Njengoba lesi sifo ngandlela-thile exhunywe ne iziyaluyalu izivikeli mzimba, akusiyo engadingekile kumele uthintwe i immunologist.
• Kudingekile ukwelashwa izinga ezingamahlalakhona ukutheleleka foci, ezifana ukuvuvukala kungaba avuse ukuthuthukiswa zesifo sokuqaqamba kwamalunga. Kuya ngemvelo lesi sifo kudinga ENT kokubonisana, okuxilonga amazinyo, nephrologists, wenhliziyo futhi t. D.
• Kubaluleke kakhulu ukugwema ukuthintana wengane neziguli ezithathelwanayo, ngoba, futhi, ukunqotshwa emzimbeni by nezilwanyana ezincane pathogenic noma amagciwane okungenzeka bafake umfutho ekuthuthukiseni zesifo sokuqaqamba kwamalunga.
• odokotela batusa ukuvimbela hypothermia ngokweqile nokushisa komzimba okukhulu.

Ngokulandela leyo mithetho, ungakwazi unciphise amathuba asathuthuka lesi sifo noma okuvela kokushelela.