Isifo samathambo ngumntwana: Oonobangela, Iimpawu, diagnosis and Treatment

isifo samathambo yi ngumntwana - ingxaki kunzima kakhulu futhi kunobungozi. Esi sifo wezifo mihla ezinqabileyo kakhulu. Nangona kunjalo, ulwazi malunga neempawu zayo oonobangela kufuneka babe nolwazi umzali ngamnye. Isibakala sokuba esi sifo sinyangeke ngokupheleleyo, kodwa ukuba ixesha zolwaluko unyango kunye amanyathelo othintelo samathambo enokwenza kube lula kakhulu kwaye zinciphisa amathuba iingxaki eziyingozi.

ulwazi ngokubanzi malunga nesifo

Samathambo isifo kubantwana, eyaziwa amayeza njengoko ongumntwana isifo samathambo (JRA) - esingapheliyo isifo ehlangeneyo ye imvelaphi sokuhlasela. 100 amawaka abantwana akhawunti malunga 16-19 izigulane unesifo onjalo. Ngokutsho manani, amantombazana ubunzima ukusuka sifo izihlandlo 2-3 rhoqo. Ukongeza, esi sifo ngokuqhelekileyo olufunyanwa kubantwana abangaphantsi kweminyaka emihlanu.

Esi sifo kuyingozi kakhulu eneneni ngenxa yokuba kaninzi inkqubo yokukrala kuchaphazela amalungu hayi kuphela (nto leyo ikhokelela ekubeni angakwazi izakhiwo articular), kodwa kwakhona enyama yangaphakathi (umzekelo, intliziyo, amehlo, njalo njalo. D.). Esi sifo kukhokelela ekuncipheni umgangatho ubomi bomntwana, kwaye ngamanye amaxesha ukuya ukulibaziseka kakhulu kuphuhliso ngokwasemzimbeni kunye nokukhubazeka.

isifo samathambo kubantwana: Oonobangela

Ngelishwa, indlela ngqo esi sifo olwenziweyo okwangoku cacisa. Yinto eyaziwayo ukuba isifo samathambo - isifo samathambo. Ngenxa yezizathu ezahlukahlukeneyo, amajoni omzimba ngokumka kakhulu kwenzeka, ngenxa apho iqala ukuqonda isakhiwo joint njengequmrhu amazwe. Ngenxa yoko, umzimba ukhupha izilwa ezithi zihlasele iiseli yokuqala lwamalunga inwebu, adeleke nangokurhala, ukonakala. Njengoko esi sifo uqalisa umonakalo amajoni omzimba kunye nezinye iinxalenye edibeneyo, amaqumrhu zeethishu maxa wambi zangaphakathi.

Yinto eyaziwayo ukuba kukho yofuzo. Kukho nezinye izinto ezinokuthi ukuba uphuhliso sifo:

• utshintsho hormone yequbuliso (ngamanye amaxesha sifo isebenze le nkqubo ngexesha lokufikisa ngenxa amanqanaba hormone jump);
• iinkqubo metabolic;
• imigomo;
• umzimba umntwana onesifo (oko kusenokuba iibhaktheriya, iintsholongwane, mycoplasma, etc ...);
• nobushushu abanamandla overcooling;
• utshintsho lwemozulu ngokukhawuleza;
• ukulimala ngokuhlangeneyo.

isifo samathambo kubantwana: ifoto kunye iimpawu uhlobo ngokudibeneyo sifo

Malunga nama-60-70% ezigulane ubunzima ukusuka kanye olu hlobo sifo. Iqala ngokuqhelekileyo ilahleko lokudibanisa enye ezinkulu (idla idolo okanye namaqatha na). Emva kwenye kweeveki 1-3 kunokutshiseka joint. Uphawu Uphawu ke wolingano lomonakalo ngokudibeneyo.

Ungase uphawule ukuba umntwana waqalisa ukujingxela. Kukho kusasa ukuqina kwamalunga abachaphazelekayo. Kwakhona ukuze kuqwalaselwe ukudumba kwinkqubo arhabaxa. Ngenxa intlungu emthwalweni sesindululo abantwana abancinane Ukumisa ukudlala, ukususa kancinane - ngokufutshane, unike umsebenzi emzimbeni, nto leyo sikhatshwa ubuhlungu. Ukuba lunganyangwa, oko kunokukhokelela yoma kwezihlunu.

Njengokuba isifo siqhubeka kukho ubani angakwazi nezakhiwo ngokudibeneyo, nto leyo inokukhokelela nokukhubazeka.

ifomu Joint-visceral isifo

Eyona ngxaki yokuwa yayigqalwa isifo samathambo joint-visceral ebantwaneni. Iimpawu apha, ukongeza umonakalo ngokudibeneyo ziquka zonke iimpawu ukunxila, ngokuba umonakalo amajoni omzimba esikule ngamalungu angaphakathi. Ngokuqhelekileyo, exacerbation luqala Ukunyuka kwamaqondo obushushu, ifiva, ukwanda kwiindawo zesibindi, udakada, nkovu. Ungase uphawule ukufukuka, kwaye bomvu kwamalunga abachaphazelekayo. Umntwana abaphethwe ubuhlungu obukhulu.

Hlula amalungu zangaphakathi kunokukhokelela amyloidosis zizifo ezahlukahlukeneyo izintso, intliziyo, imiphunga, uphuhliso vasculitis, ilahleko mbono, njalo-njalo. D.

Ifom ngokubanzi yokuqaqamba articular

isifo samathambo ngendlela umntwana zenzeke kwezinye iindlela, umzekelo:

• oligosustavny samathambo esinganyangekiyo, nto leyo sikhatshwa bazoyise 1-2 amalungu ezinkulu (idolo rhoqo ngaphezulu) kwaye elide, ikhondo elihle esi sifo;
• uhlobo polyarticular zesi sifo, nto leyo sikhatshwa ngokoyiswa izakhiwo ezininzi ezinkulu okanye indibanisela amalungu ezinkulu nezincinane; isifo lihlangana.

iindlela ezisisiseko kuxilongo lwangoku

Kuphela ugqirha uyayazi indlela yokubona ngokuchanekileyo isifo samathambo ebantwaneni. Uxilongo - yinkqubo ende kwaye inzima. Ngokuqhelekileyo, ukuba siqale ukuhlolwa jikelele lwenziwa, nto leyo evumela ukufumanisa ubukho ukudumba kwamalunga. Kamva, njengokuba umthetho, baqhuba iimvavanyo elebhu. Hi ndlela leyi, ku samathambo mthetho ongumntwana, into samathambo egazini ayikho labonwa nisaqala sifo nowama-50% amatyala.

Kubalulekile ukuba kuyokufunyaniswa isifo zezengxilingo X-ray. Kusenokwenzeka kwakhona kwenziwe ultrasound amalungu achaphazelekayo. Ulwazi oluninzi malunga isimo umzimba zingafumaneka ngokuthi Itomography ngekhompyutha. Ukuba kukho urhano le fom visceral zesi sifo, ugqirha icebisa ukuba electrocardiogram, avavanyelwe imboni bacteriological, makancinwe zamehlo.

imigaqo esisiseko unyango ngenxa samathambo ebuntwaneni

Ukunyanga isifo samathambo ebantwaneni - yinkqubo eqhubekayo, ngenxa yokuba, ngelishwa, ukuze buncothulwe sifo akunakwenzeka ngokupheleleyo. Therapy, kulo mzekelo mayibhekiswe inhibition na ukudumba, izinga ukuncitshiswa angakwazi amalungu, kwakunye nolondolozo ukuhamba kwabo.

Zonyaka etsolo kunye subacute ngokuqhelekileyo luqhutywa amayeza kunceda ukuphelisa komtshiso oko. Amaxesha kuxolelwe iquka uqhuba izinto ezahlukeneyo zokuzonwabisa, kuquka ukuyifundisa.

unyango ngamachiza

Kakade ke, abazali abaninzi kubaluleke kakhulu ke umbuzo indlela yokunyanga isifo samathambo. Iimpawu kunye nonyango abantwana zihlobene - ukususela nobume bomntwana kuxhomekeke kuluhlu lwamayeza ezisetyenzisiweyo. Zonke iimveliso lungahlulwa-hlulwa ibe ngamaqela amabini:

• amayeza siqulunqelwe ukujongana iimpawu eziphambili ngexesha ukugula oyingozi;
• iziyobisi gqiba amajoni omzimba (isigulane ikuthatha kwazo bonke ubomi babo, nkqu kwisithuba kuxolelwe).

Njengomgaqo, ukuqala nabantwana ezimiselweyo nonsteroidal amachiza-ukudumba. Eyona ngempumelelo ezi ziquka "Phenylbutazone" "Indomethacin" "Voltaren", "ibuprofen". Kakade ke, lo idosi ixesha zonyango azimisele ngamnye. Hi ndlela leyi, la machiza inyathelo ngokukhawuleza isantya uphuhliso ukudumba, ephelisa intlungu kunye nomkhuhlane. Ngaphezu koko, bengengabo ziyityhefu kwaye zineziphumo ebezingalindelekanga ezimbalwa, nto leyo ibaluleke kakhulu emzimbeni lomntwana. Umzekelo, ukuba bafumanisa isifo samathambo emntwaneni (iminyaka emi-3 ubudala) kwinqanaba etsolo, kungenzeka, ugqirha uyakukumisela nje iziyobisi ezinjalo, yaye ithengiswa nkqu ngohlobo suppository, nto leyo nayo lula.

Kwiimeko kakhulu ngakumbi (umz, uhlobo ngokubanzi okanye visceral) ifuna usebenziso lwakudala lwe corticosteroids, leyo ukumelana inkqubo nangokurhala kakuhle kakhulu ngakumbi. Njengomgaqo, azikho eboniswe abantwana abangaphantsi kweminyaka emi-5 ubudala, kodwa maxa wambi ukwenza ngaphandle. iziyobisi ezifana asetyenziswa ngokohlobo amacwecwe kunye nezisombululo, kwaye maxa wambi zilawulwa ngqo philisi edibeneyo yokuphumeza kangangoko.

Ngelishwa, amachiza anti-ukudumba ayikwazi ayilibali phantsi inkqubo angakwazi omzimba. Ngenxa yoko, izigulane elawulwa kunye nabo kunye immunosuppressants ebizwa njalo-- iziyobisi zinqanda umsebenzi kwamajoni omzimba. "Plaquenil" libhekisela kakhulu, "Krizanol", "Sanokrezin", "wenze Ichibi". iziyobisi ezinjalo kufuneka kuthathwe iikhosi, kodwa lonke ixesha, nkqu kuxolelwe ukwenzela ukunqanda izigulo kwenye exacerbation.

Kuxhomekeka imeko igqirha umntwana ukubekwa cytostatics yokwamkela (expediently kwi allergo ifomu isifo septicemic), iziyobisi ezibangela coagulation le synovia (umz: "Varikotsid") kuthetha ukuba ukwehlisa izinga factor samathambo ( "kuprenil").

iindlela zonyango Physical nokusebenza kwabo

Unyango lwe isifo samathambo abasebatsha abantwana kamva, ngaphandle kokufumana amalungiselelo eqhelekileyo nayo iquka ukuyifundisa. Kukho iindlela ezininzi ezisetyenziswa ukufikelela uxolelo, kodwa zikhetwa yi igqirha nokuya kumntwana ngamnye.

Phantse bonke abantwana Kucetyiswa amaxesha ngamaxesha ukuthatha izifundo unyango yokuthanjiswa ukunceda ukuphucula kwegazi, sizani kwempixano evela izihlunu kwaye abomeleze. Kwakhona olunoluncedo ukuyifundisa, nto leyo inceda ukugcina ukushukumiseka ngokuhlangeneyo. Kakade ke, inkqubo yoqeqesho kunye imithambo mazikhethwe ngabanye ngokuxhomekeke iqondo yophuhliso sifo, ubudala kunye kwimeko yomguli encinane.

Kukho nezinye iindlela ezininzi. Xa isifo esithile samathambo ebantwaneni - ezibonisa ukuba unyango kweso sibhedlele. Lidla kuvamile ukuba unyango olusebenzayo udaka, unyango iparafini, balneotherapy, njl .. D. Kumanqanaba kamva zonyango bangase kwemisinga. Xa ukhethe kakuhle iseti iindlela unyango ngokwasemzimbeni kunye nesicwangciso zonyango unako ukufikelela nemiphumo emihle.

Yintoni na imbonakalo umntwana egulayo?

Yintoni lokulindela ukuba wafumana isifo samathambo na umntwana? Wezulu, ngelishwa, ayikhuthazi kakhulu. Esi sifo ubomi kumphilisa ngokupheleleyo, zonke nzima. Ngaphandle oku kubangelwe ngaphandle kokuba oligoarthritis, nto leyo ezingahambi intshabalalo ngokuhlangeneyo. Kodwa uhlobo ngokuqatha esi sifo ithathwa visceral, kuba inani ingxaki enokwenzeka iphezulu kakhulu.

Kufuneka wenze ntoni xa umntwana uyifumene le sifo? unyango ngexesha kakuhle esiqhutywa isantya inkqubo wentshabalalo ngokuhlangeneyo kunye nokubandakanyeka zeminye imibutho. Kukho iimeko xa kunokwenzeka ukufezekisa kuxolelwe ixesha elide kakhulu ngcono umgangatho yomntwana yobomi. Kwelinye icala, kunye likakade rhoqo kunokwenzeka ukwaphulwa komGaqo-imisebenzi esisiseko namalungu, zikhokelela nokukhubazeka.

Ingaba zikhona iindlela ezisebenzayo yothintelo?

isifo samathambo kubantwana - isifo esinganyangekiyo. Kwaye, ngelishwa, iziyobisi okanye ezinye iindlela ukuthintela ukunwenwa kwezifo eziziiprayimari amayeza yanamhlanje ayikho. Noko ke, ukuba umntwana bobabo iqela umngcipheko (umzekelo, kukho yofuzo, izifo negazi, nangokurhala esinganyangekiyo), ukuze ngoko-wabiza khona zothintelo non-ngqo, equka miqathango ilandelayo:

• esweni rhoqo ngugqirha. Oku kunokuba wezingane okanye wamathambo, abasoloko kuhlolisisa umntwana ukulandela uhlalutyo njalo njalo. D. Njengoko esi sifo ngendlela enye okanye omnye ezinxulumene kunye ukuphazamiseka kwenkqubo omzimba, akukho akufuneki ukuba kuthethwane i engokuthintelwa.
• unyango umgangatho eziyimfuneko nakujoliso olutsha usuleleko ezinganyangekiyo, ezifana inkqubo yokukrala kungabangela uphuhliso samathambo. Kuxhomekeka kuhlobo sifo kufuna uthethathethwano ENT, wamazinyo, nephrologists, cardiologist kunye t. D.
• Kubaluleke kakhulu ukuba ukuphepha zoqhagamshelwano umntwana kunye nezigulane ezasulelayo, ngenxa yokuba, kwakhona, ngokoyiswa umzimba amagciwane yayintsholongwane eyosulela okanye iintsholongwane unakho ukunika amandla okuqhubela phambili kuphuhliso samathambo.
• oogqirha kwakhona ukuthintela emzimbeni ngokugqithiseleyo nokushisa.

Ngokulandela le mithetho, ungenza ukunciphisa amathuba nokuphuhlisa sifo okanye okuvela likakade.