Dzinonzi rheumatoid arthritis mwana: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Dzinonzi rheumatoid arthritis ndiyo mwana - dambudziko kwakaoma chaizvo uye ngozi. chirwere ichi mu Pediatrics ano dererei. Zvisinei, mashoko pamusoro zviratidzo zvayo uye chinokonzera vanofanira kuva zvaizivikanwa mubereki mumwe. Chokwadi kuti chirwere ichi hazvigoni kupera zvachose, asi kana nguva mharuro kurapa uye matanho hosha yemajoini inogona aivabatsira zvikuru uye kuderedza mukana yematambudziko ngozi.

General ruzivo pamusoro chirwere

RA chearthritis nevana, nani kuzivikanwa somushonga yokupara dzinonzi rheumatoid arthritis (JRA) - munhu chirwere pamwe chirwere pamusoro autoimmune mavambo. vana 100 zviuru pamusana anenge 16-19 varwere chirwere chakadai. Maererano nenhamba, vasikana vanotambura hosha iri 2-3 nguva kazhinji. Mukuwedzera, maperembudzi kazhinji chirwere muvana vari pasi pemakore mashanu.

The urwere chaizvoizvo ngozi chaizvo nokuti kazhinji kushoma zvakunoita kwete chete majoini (izvo pachazvo inotungamirira degeneration ari articular hurongwa), asiwo zvomukati (semuenzaniso, mwoyo, maziso, uye zvichingodaro. D.). The chirwere kunotungamirira kune vasanyanye mararamiro mwana, uye dzimwe nguva kune chakakura kunonoka kwomuviri uye urema.

Dzinonzi rheumatoid arthritis muvana: Zvinokonzera

Zvinosuruvarisa chaiyo mashandiro chirwere zvevakomana usati elucidated. Zvinozivikanwa kuti dzinonzi rheumatoid arthritis - autoimmune chirwere. Nezvikonzero zvakasiyana-siyana, asi rokuzvidzivirira chakakomba kukundikana kunoitika, somugumisiro iyo inotanga kunzwisisa vagari chivako sezvo muviri yokumwe. Nokudaro, muviri unobereka antibodies iyo varwise yokutanga synovial Kamudzira masero, vachashora kuzvimba uye degeneration. Sezvo chirwere anotanga kuparadza dziviriro yezvirwere mumuviri uye dzimwe muhudyu, uye dzimwe nguva nhengo dzomukati tishu.

Zvinozivikanwa kuti pane majini kubatwa. Pane zvimwe zvinhu kunogona kuita kuti kukura chirwere:

• kungoerekana hormone kuchinja (dzimwe nguva maperembudzi kusashanda pakuyaruka somugumisiro mahomoni janhuka);
• metabolic pezvakaitwa;
• majekiseni;
• utachiona mwana muviri (kungava utachiona, nemavhairasi, mycoplasma, etc ...);
• simba overheating kana overcooling;
• chimbichimbi Climate change;
• joini kukuvara.

Dzinonzi rheumatoid arthritis muvana: Photo uye zviratidzo kwemajoini chirwere fomu

Inenge 60-70% wevarwere vanotambura chaizvo chimiro ichi chirwere. Unenge Kazhinji aine kurasikirwa chakanyanya muhudyu (kazhinji ibvi kana neketani iri). Pashure mumwe mavhiki 1-3 rirwadze rwakashodoka. A maitiro chinhu ndiwo symmetry rwakashodoka kukuvara.

Ungacherechedza kuti mwana akatanga kukamhina. Pane mangwanani kuomarara muna kwakakanganisa mapfundo. Uyewo anogona kuzivikanwa kuzvimba mu kushoma. Nokuda kurwadziwa uye kukamurwa inofamba vana vaduku kurega kutamba, tamirai zvishoma - iri pfupi, regedza kurovedza muviri, izvo pamwe kusanzwa. Kana untreated, zvinogona kutungamirira tsandanyama atrophy.

Sezvo chirwere mberi pane degeneration rwakashodoka zvivako, izvo zvingaita kuti vakaremara.

Vadyi visceral chimiro chirwere

Wakakura zvikuru kwainzi vadyi visceral dzinonzi rheumatoid arthritis vana. Zviratidzo pano, kuwedzera kwemajoini kukuvadza zvinosanganisira zvose zviratidzo kudhaka, nokuti zvirwere zvinokanganisa zvinyama zviri zvomukati. Kazhinji, exacerbation chinotanga unopinza kuwedzera kupisa, fivha, kuwedzera chiropa, chirwatata, node nodes. Ungacherechedza kuzvimba uye akatsvuka ari sei mapfundo. Mwana chirwere chakakomba marwadzo.

Rokukunda zvomukati kungaita kuti amyloidosis zvirwere zvakasiyana-siyana etsvo, mwoyo, mapapu, kukura vasculitis, chiratidzo kurasikirwa, uye zvichingodaro. D.

A generalized chimiro yemajoini articular

Dzinonzi rheumatoid arthritis ari mwana anogona kutora nzvimbo nedzimwe nzira, somuenzaniso:

• oligosustavny chisingaperi chearthritis, izvo pamwe ne 1-2 kukundwa mapfundo makuru (ibvi kakawanda) uye refu, benign weboka chirwere;
• polyarticular chimiro chirwere, izvo pamwe pokukundwa zvivako makuru anoverengeka kana mubatanidzwa nemagungano majoini; chirwere chacho undulating.

Basic nenyanzvi Diagnostics ano

chiremba chete anoziva sei kuti zvakarurama kuziva dzinonzi rheumatoid arthritis vana. Diagnostics - a kwacho refu uye zvakaoma. Sezvingatarisirwa, pakutanga Kazhinji vaongo- akaitwa, izvo anobvumira kuona pamberi kuzvimba majoini. Gare gare, sezvo mutemo, kuitwa rabhoritari nemiedzo. Panzira, muna yokupara chearthritis, RA chinhu muropa hauna kuona mukutanga nzendo chirwere munenge 50% nyaya.

Zvinokosha kuti chirwere muri X-ray bvunzo. Zvinogona kuitwa Ultrasound pamusoro zvakakanganisa mapfundo. More ruzivo pamusoro mamiriro muviri kunogona kuwanikwa kuburikidza computed tomography. Kana paine fungidziro pamusoro visceral chimiro chirwere, chiremba anokurudzira unonzi, electrocardiograph, akaedzwa kuti bacteriological seeding, kuti ndiongororwe ane ophthalmologist.

Basic misimboti yokurapa nekuti uduku chearthritis

Mabatirwo dzinonzi rheumatoid arthritis muvana - kuchiitwa, nekuti, zvinosuwisa, kubvisa ari chirwere zvachose zvisingabviri. Mushonga, kana ichi kutungamirirwa chinovhiringidza pamusoro kuzvimba, zvinoderedza yevanhu degeneration pakati mapfundo, uyewo Kuchengetedzwa kufamba kwavo.

In chenjera uye subacute nguva kazhinji vakatakura mishonga chinobatsira kubvisa kuzvimba. Nguva kuregererwa anosanganisirawo kuitisa siyana yenhandaro, kusanganisira physiotherapy.

zvinodhaka kurapa

Chokwadi, vabereki vakawanda zvakakosha chaizvo ndiyo mubvunzo sei kurapa dzinonzi rheumatoid arthritis. Zviratidzo uye mabatiro evana chokuita - kubva mamiriro mwana kunoenderana pandandanda inoshandiswa. zvigadzirwa zvose zvinogona mapoka mapoka maviri:

• mishonga zvakagadzirirwa kugadzirisa mikuru zviratidzo panguva rikwanise chirwere;
• zvinodhaka kuti vasaziva zvirwere (murwere anotora navo hwavo, kunyange nguva kanganwiro).

Kazhinji, kutanga navana ushandiswe nonsteroidal Anti-anogumbura zvinodhaka. Inonyatsobudirira izvi zvinosanganisira "Phenylbutazone" "Indomethacin" "Voltaren", "ibuprofen". Chokwadi, chipimo chemushonga uye nguva kurapwa takatsunga nomumwe. Panzira, zvinodhaka izvi wakurumidza kunetesa kukura kuzvimba, marwadzo uye fivha. Uyezve, havana chepfu uye vane zvishoma nemishonga, izvo zvinokosha muviri wemwana. Somuenzaniso, kana akaziva dzinonzi rheumatoid arthritis ari mwana (3 makore) ari rikwanise danho, zvingangoita, chiremba vanonyorera chete zvinodhaka zvakadaro, uye vari vakatengesa kunyange chimiro suppository, riri nyore.

Muzviitiko zvakaipisisa (semuenzaniso, generalized kana visceral chimiro) zvinoda kushandiswa corticosteroids, iro kukunda kuzvimba kwacho zvikuru zvokufambisa. Kazhinji, havana yakaratidza kuti vana vadiki pane 5 makore asi dzimwe nguva kuita kunze. mishonga yakadaro dzinoshandiswa muchimiro mapiritsi uye negadziriso, uye dzimwe nguva achiita zvakananga kupinda mekamudzira aka kuzadzisa kunonyanyisa kushanda.

Zvinosuruvarisa Anti-anogumbura zvinodhaka havagoni kumboderera chirongwa degeneration of mapfundo. Naizvozvo, varwere dzakabatwa pamwe navo uye anonzi immunosuppressants - zvinodhaka kuti inogona kuderedza basa zvirwere. "Plaquenil" rinoreva inonyatsobudirira, "Krizanol", "Sanokrezin", "ita Lago". mishonga yakadaro inofanira kunwiwa makosi, asi nguva dzose, kunyange munguva kuregererwa kuitira kudzivirira kutanga imwe exacerbation.

Zvichienderana mamiriro mwana chiremba anogona mishonga kugamuchirwa cytostatics (expediently pa allergo septicemic chirwere chimiro), zvinodhaka kuti anokonzera coagulation pamusoro synovial Kamudzira (semuenzaniso, "Varikotsid") rinoreva kuti kuderedza mwero okuremadzwa chinhu ( "kuprenil").

Physical kurapa nzira uye kubudirira kwavo

The Mabatirwo yokupara dzinonzi rheumatoid arthritis vana padanho akazotevera, kuwedzera kugamuchira kugadzirira kwakajairika Angasanganisira physiotherapy. Pane nzira zhinji dziri kushandiswa kuwana ruregerero, asi ivo vanosarudzwa nokuda kupinda chiremba nomwana mumwe nomumwe.

Anenge zvose vana varumbidzwa nguva nenguva kutora yamabwe masaja mishonga kubatsira kuvandudza kweropa, batsirai kusungika kubva tsandanyama uye avasimbise. Uyewo kubatsira ndiye physiotherapy, iyo inobatsira kuramba kwemajoini mufambo. Chokwadi, kudzidzisa zano uye kurovedza vanosarudzwa nomumwe zvichienderana mwero kukura chirwere, zera uye mamiriro ezvinhu duku murwere.

Kune dzimwe nzira dzakawanda. In Kunyanya dzinonzi rheumatoid arthritis mu vana - zvairatidza kuti pachipatara pacho kurapwa. Kazhinji kuratidza kunobudirira madhaka kurapwa, Paraffin kurapa, balneotherapy, etc .. D. In akazotevera nzendo kurapwa gona dzenzvimbo. Kana akasarudza zvakanaka yakatarwa mumuviri kurapa nzira uye urongwa kurapwa kunogona kuzadzisa migumisiro yakanaka.

Chii riro mwana anorwara?

Chii kutarisira kana akawanikwa dzinonzi rheumatoid arthritis ari mwana? Forecast zvinosuwisa kunyanya anonyaradza. chirwere ichi ndiwo upenyu uye kumurapa zvachose, zvose kwakaoma zvisingaiti. Kunze anogona kunzi kana oligoarthritis, usina achiperekedzwa kuparadzwa rwakashodoka. Asi zvikuru kwazvo chimiro chirwere anoonekwa kuti visceral, nekuti nhamba zvichibvira yematambudziko iri yepamusoro zvikuru.

Zvokuita kana mwana akawaneiko chirwere ichi? Zvinoenderana Nenguva uye zvakanaka zvidzidzo mushonga anogona kunetesa muitiro nokuparadzwa kwemajoini uye kunobatanidza nedzimwe nhengo. Kune zviitiko apo zvaibvira vabudirire-refu kuregererwa uye yekudyidzana kuvandudza unhu hwomwana woupenyu. Ukuwo, pamwe kakawanda zvazvo zvichiita zvakakomba kutyora dzinokosha mashandiro ari mapfundo, zvichitungamirira kuremara.

Pane nzira dzinoshanda muzvidzivirire?

Dzinonzi rheumatoid arthritis muvana - chirwere. Uye, zvinosuruvarisa zvinodhaka kana dzimwe nzira kudzivirira kukura chirwere chikuru mushonga ano haako. Zvisinei, kana mwana ndorwevaya boka panjodzi (somuenzaniso, pane nemagene kubatwa, sema zvirwere, chisingaperi kuzvimba), panogona kuva inonzi dzisiri dzakananga kudzivirira, zvinosanganisira zvinotevera ezvinhu:

• Kugara zvichiongororwa nachiremba. Izvi zvinogona kuva chiremba kana rheumatologist, nguva dzose ndiani tichaongorora mwana kutevera kuongorora uye zvichingodaro. D. Apo chirwere muna imwe nzira kana mumwe chokuita kunyongana ari zvirwere, hazvina okushamisira kuti akabvunza imwe Immunology.
• Zvakakodzera yepamusoro kurapa echirwere chirwere foci, akadai kushoma kungakonzera kukura chearthritis. Zvichienderana chirwere kunoda kubvunzana pfava, mazino, nephrologists, cardiologist uye t. D.
• Zvinokosha kuti usagunzva mumwe mwana pamwe zvirwere varwere, nekuti, zvakare, pokukundwa muviri pathogenic tusingaoneki kana mavhairasi anogona kupa zvakasimbisa kukura chearthritis.
• vanachiremba vanotiwo kudzivisa kunyanya hypothermia uye hyperthermia.

Nokutevedzera mitemo iyi, unogona kuderedza mukana wokuti dzichiri chirwere kana panowanikwa wava kusvutazve.