Wechidiki Idiopathic Arthritis

Zvemukati

• Ndezvipi zviratidzo zvevechidiki idiopathic arthritis?
• Ndedzipi mhando dzevadiki idiopathic arthritis?
• Yechidiki juvenile idiopathic arthritis inoonekwa sei?
• Inobata sei vechidiki idiopathic arthritis?
• Kurapwa
• Mararamiro ehupenyu
• Kudya zvakanaka
• Kudzidzira muviri nguva dzose
• Kurapa kwepanyama
• Ndeapi matambudziko anogona kusangana nevechidiki idiopathic arthritis?
• Ndeapi maonero evana vane vana vadiki idiopathic arthritis?

Chii chinonzi juvenile idiopathic arthritis?

Vechidiki idiopathic arthritis (JIA), yaimbozivikanwa seyechidiki rheumatoid arthritis, ndiyo inonyanya kuzivikanwa chirwere cheArthritis muvana.

Arthritis ndeyemazuva mazhinji mamiriro anozivikanwa ne:

• kuomarara
• kuzvimba
• kurwadziwa mumajoini

Vanofungidzirwa vana mazana matatu ezviuru muUnited States vane chimiro cheArthritis. Vamwe vana vane arthritis kwemwedzi mishoma, nepo vamwe vane arthritis kwemakore akati wandei. Muzviitiko zvisingawanzoitika, mamiriro acho anogona kugara hupenyu hwese.

Icho chaicho chikonzero cheJIA hachizivikanwe. Zvisinei, vatsvakurudzi vanotenda kuti inonyanya chirwere chemoto. Mune vanhu vane autoimmune zvirwere, immune system inokanganisa kurwisa maseru asina njodzi sekunge vapambi vane njodzi.

Mazhinji kesi dzeJIA dzakapfava, asi kesi dzakakomba dzinogona kukonzera matambudziko, sekukuvara kwekubatana uye kurwadziwa kusingaperi. Kuziva zviratidzo zveJIA kwakakosha kuti uwane kurapwa mamiriro asati aenderera.

Kurapa kunowanzo kuve ne:

• kudzikira kwekuzvimba
• kubata marwadzo
• kugadzirisa basa
• kudzivirira kubatana kwekubatana

Izvi zvinogona kubatsira kuona kuti mwana wako anochengetedza anoshingaira, anogutsa mararamiro.

Ndezvipi zviratidzo zvevechidiki idiopathic arthritis?

Zviratidzo zvakajairika zveJIA zvinosanganisira:

• kurwadza kwemajoini
• kuomarara
• yakaderedzwa renji yekufamba
• kudziya uye kuzvimba majoini
• kukamhina
• kutsvuka munzvimbo yakakanganiswa
• kuzvimba lymph nodes
• dzokororo fevha

JIA inogona kukanganisa mubatanidzwa mumwe kana akawanda majoini. Mune zvimwe zviitiko, mamiriro acho anogona kukanganisa muviri wese, zvichikonzera kuputika, fivhiri, uye kuzvimba lymph node. Iyi subtype inonzi systemic JIA (SJIA), uye inoitika mune ingangoita gumi muzana yevana vane JIA.

Ndedzipi mhando dzevadiki idiopathic arthritis?

Kune marudzi matanhatu eJIA:

• Yakagadziriswa JIA. Rudzi urwu rweJIA runokanganisa muviri wese, kusanganisira majoini, ganda, uye nhengo dzemukati.
• Oligoarticular JIA. Rudzi urwu rweJIA runobata isingasviki mashanu majoini. Inoitika muinenge hafu yevana vese vane arthritis.
• Polyarticular JIA. Rudzi urwu rweJIA runobata mashanu kana kupfuura majoini. Iyo protein inozivikanwa se rheumatoid chinhu inogona kana inogona kunge isipo.
• Wechidiki psoriatic arthritis. Mhando iyi yeJIA inokanganisa majoini uye inoitika ne psoriasis, ndosaka ichinzi ndeyediki psoriatic arthritis.
• JIA ine hukama nehutachiona. Rudzi urwu rweJIA runosanganisira kusangana kwemapfupa iwo maronda nemarunda.
• Undifferentiated arthritis. Rudzi urwu rweJIA runosanganisira zviratidzo zvinogona kutapudza maviri kana anopfuura madiki kana kukodzera chero eimwe mamwe madiki.

Iyo yakawanda majoini anokanganisika, kazhinji kacho zvakanyanya kukomba chirwere.

Yechidiki juvenile idiopathic arthritis inoonekwa sei?

Mubatsiri wehutano wemwana wako anogona kukwanisa kuongorora JIA nekuita bvunzo dzepanyama uye nekukumbira nhoroondo yezvekurapa.

Ivo vanogona zvakare kuraira akasiyana mabvunzo ekuongorora, senge:

• C-inoshanda mapuroteni bvunzo. Iyi bvunzo inoyera chiyero cheC-inoshanda mapuroteni (CRP) muropa. CRP chinhu chinogadzirwa nechiropa mukupindura kuzvimba. Imwe bvunzo inoona kuzvimba, iyo sedimentation chiyero kana erythrocyte sedimentation rate (ESR), inogona kuitwa futi.
• Rheumatoid factor bvunzo. Bvunzo iyi inoona huvepo hwerheumatoid factor, antibody inogadzirwa ne immune immune system. Kuvapo kwechirwere ichi kunoratidza chirwere cheRheumatic.
• Antinuclear antibody. Antinuclear antibody is antibody kune nucleic acid (DNA neRNA) inonyanya kuwanika musero renzvimbo. Inowanzo gadzirwa nema immune system mune vanhu vane autoimmune chirwere. An antinuclear antibody bvunzo inogona kuratidza kana protein iripo muropa.
• HLA-B27 bvunzo. Iyi bvunzo inoona iyo yekumaka mamaki iyo inosangana neinthesitis-inoenderana-neJIA.
• X-ray kana MRI scan. Iyi bvunzo yekufungidzira inogona kushandiswa kutonga kunze mamwe mamiriro anogona kukonzeresa kuzvimba pamwe chete kana kurwadziwa, senge hutachiona uye kutsemuka. Kufungidzira kunogona zvakare kuratidza zvimwe zvakawanikwa (zviratidzo) zveeseti yehutachiona arthritis.

Inobata sei vechidiki idiopathic arthritis?

Marapirwo akasiyana siyana anogona kubata nemazvo uye kudzikisira mhedzisiro yeJIA. Vanopa hutano vanowanzo kurudzira musanganiswa wemishonga yekudzora marwadzo uye kuzvimba uye kuchengetedza kufamba uye simba.

Kurapwa

Nonsteroidal anti-inflammatory drugs (NSAIDs), senge ibuprofen (Advil) uye naproxen (Aleve), inowanzo shandiswa kudzikisa kuzvimba uye kuzvimba pamwe chete nemamwe marapirwo. Kushandisa aspirin hakuwanzo nekuda kwekukanganisa mhedzisiro muvana.

Mishonga yakasimba inowanzotarisirwa, yakadai sechirwere-kugadzirisa antirheumatic drug (DMARDs) uye biologics.

MaDMARD anoshandira kushandura mafambiro echirwere, mune iyi kesi kudzvinyirira immune system kuti idzivirire kubva pakurwisa majoini.

Kushandisa DMARDs inokurudzirwa pamusoro peNSAIDs chete. Anopa hutano mwana wako anogona kutanga kutanga kurapwa nemaDMARD ane kana asina maNSAID asati ashandisa biologics.

Mimwe mienzaniso yeDMARDs ayo anoshandiswa kurapa JIA anosanganisira:

• methotrexate
• sulfasalazine
• yasaromomide

Izvo zvakakosha kuti uzive kuti methotrexate parizvino inokurudzirwa pamusoro pemamwe maDMARD.

Biologics inoshanda kunanga zvakananga mamorekuru kana mapuroteni anobatanidzwa muchirwere chirwere. Kurapa ne biologics kunogona kusanganiswa neDMARD kurapwa.

Mimwe mienzaniso ye biologics iyo inogona kushandiswa kubatsira kudzikisa kuzvimba uye kubatana kwekubatanidza kunosanganisira:

• abatacept (Orencia)
• rituximab (Rituxan)
• tocilizumab (Actemra)
• TNF inhibitors (Humira)

Mushonga weSteroid unogona kuiswa jekiseni rakabatwa, kunyanya kana zviratidzo zvichikanganisa kugona kuita zviitiko zvezuva nezuva. Zvisinei, izvi hazvikurudzirwi kana majoini mazhinji akabatanidzwa. Muzviitiko zvakakomba, kuvhiya kunogona kushandiswa kutsiva majoini zvachose.

Mararamiro ehupenyu

Kurovedza muviri uye kuchengetedza kudya kunovaka muviri kwakakosha kune wese munhu, asi zvinonyanya kubatsira kune vana vane JIA. Kuva nemwana wako kuita zvinotevera mararamiro ekugadzirisa kunogona kumubatsira kukurira zviratidzo zvavo zviri nyore uye kudzikisa njodzi yezvinetso:

Kudya zvakanaka

Kurema kwehuremu kunozivikanwa muvana vane JIA. Mishonga inogona kuwedzera kana kudzikisira chishuwo chavo, zvichikonzera kukurumidza kuwedzera uremu kana kurasikirwa uremu. Mumamiriro ezvinhu akadaro, kudya kunovaka muviri kune huwandu hwakaringana hwe macalorie kunogona kubatsira mwana wako kuchengetedza huremu hwemuviri hwakakodzera.

Taura nemupi wako wezvehutano nezve chirongwa chekudya kana mwana wako achiwana kana kurasikirwa uremu hwakawandisa nekuda kweJIA.

Kudzidzira muviri nguva dzose

Kurovedza muviri kanokwana katatu pavhiki kunogona kusimbisa mhasuru uye kugadzirisa kubatana kwekubatana, zvichiita kuti zvive nyore kurarama neJIA mukufamba kwenguva. Maitiro ekudzikira-mashoma, sekushambira uye kufamba, anowanzo kuve akanyanya. Nekudaro, ipfungwa yakanaka kutaura nemubatsiri wehutano wemwana wako kutanga.

Kurapa kwepanyama

Chiremba wepanyama anogona kudzidzisa mwana wako kukosha kwekunamatira nemaitiro ekurovedza muviri uye anogona kutokurudzira kurovedza muviri kunoenderana nemamiriro avo chaiwo. Iye murapi anogona kuratidza zvimwe zviitwa zvinogona kubatsira kuvaka simba uye kudzoreredza kushanduka mune akaomarara, maronda akabatana.

Ivo vanoshanda pamwe neako wekutanga wezvehutano mupi kubatsira kudzivirira kubatana kwemajoini uye bone / kubatana kukura kusagadzikana.

Ndeapi matambudziko anogona kusangana nevechidiki idiopathic arthritis?

Kusarapwa JIA kunogona kutungamira kune mamwe matambudziko. Izvi zvinosanganisira:

• kupererwa neropa
• kurwadziwa kwenguva refu
• kubatana kuparadzwa
• kukura kuderera
• makumbo asina kuenzana
• shanduko pane zvakaratidzwa
• pericarditis, kana kuzvimba kwakakomberedza moyo

Ndeapi maonero evana vane vana vadiki idiopathic arthritis?

Vana vane hunyoro kusvika pakati nepakati JIA vanogona kupora pasina zvinetswa. Zvisinei, JIA inzvimbo yakareba-nguva iyo inowanzokonzera dzimwe nguva kupisa-ups. Mwana wako anogona kutarisira kuve nekuomarara uye kurwadziwa mumajoini panguva dzekuputika uku.

Kana JIA ikanyanya kuwedzera, mikana yekupinda mukuregererwa yakaderera zvakanyanya. Ichi chikonzero nei kuongororwa kwekutanga uye kurapwa kwakakosha. Kurapa nekukurumidza kunogona kudzivirira arthritis kubva pakuwedzera uye kupararira kune mamwe majoini.