I-arthritis yentsana: oonobangela, iimpawu kunye nonyango

Umxholo

• Zithini iimpawu?
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• I-Physiotherapy ye-arthritis yomntwana
• Jonga ezinye iindlela zokunciphisa iimpawu zesifo samathambo ebuntwaneni ngokutya ukutya okukhethekileyo kwamathambo okanye ukuzilolonga ukuphucula iimpawu.

I-Infantile arthritis, ekwabizwa ngokuba yi-juvenile rheumatoid arthritis sisifo esinqabileyo esenzeka kubantwana ukuya kuthi ga kwi-16 yeminyaka kwaye sibangela ukudumba kwelinye okanye ngaphezulu kwamalungu, kubangele iimpawu ezinjengentlungu, ukudumba nokubomvu kumalungu, kwaye inokuchaphazela nezinye amalungu afana nolusu, intliziyo, umphunga, amehlo kunye nezintso.

Isifo samathambo esikwishumi elivisayo sinqabile, kwaye nangona oonobangela baso bengacacanga, kuyaziwa ukuba sinxulunyaniswa notshintsho kwinkqubo yomzimba yokuzikhusela, kwimfuza nakwizifo ezithile ziintsholongwane okanye ibhaktiriya. Nangona kunjalo, i-idiopathic arthritis ayosuleli kwaye ayidluliswanga ivela kubazali iye ebantwaneni.

Inokwahlulwa ngokweendidi ezahlukeneyo, ngokwenani lamalungu achaphazelekayo kunye neempawu kunye neempawu ezibangelwa ngamanye amalungu omzimba:

• IArthritis yeOligoarticular, apho amalungu ama-4 okanye ngaphantsi achaphazelekayo;
• Isifo seArthritis sePolyarticular, apho amalungu ama-5 okanye nangaphezulu achaphazeleka kwiinyanga ezintandathu zokuqala zesi sifo;
• Inkqubo yeArthritis, nesikwabizwa ngokuba sisifo i-Still's disease, senzeka xa isifo samathambo sikhatshwa ngumkhuhlane kunye neminye imiqondiso yokubandakanyeka kwamalungu aliqela omzimba, afana nolusu, isibindi, udakada, imiphunga okanye intliziyo;
• IArthritis enxulumene ne-Entesitis, Kukudumba kwindawo zoncamathiselo lweetoni emathanjeni, kunye okanye ngaphandle kokubandakanyeka kwamalungu e-sacroiliac okanye umqolo;
• Ulutsha iArthritis Psoriatic, ebonakala ngobukho be-arthritis eneempawu ze-psoriasis;
• Ukungafani, ukungazalisekisi iikhrayitheriya zalo naluphi na udidi olungasentla.

Zithini iimpawu?

Iimpawu eziphambili ze-arthritis yabantwana zibandakanya:

• Ubuhlungu kunye nokudumba kwilungu elinye okanye nangaphezulu;
• Amabala emzimbeni;
• Amehlo arhabaxa kunye namandla okutshintsha okubonwayo, xa kukho ukudumba kwamehlo, okubizwa ngokuba yi-uveitis;
• Umkhuhlane ongapheliyo ongaphantsi kwama-38ºC, ngakumbi ebusuku;
• Ubunzima bokuhambisa ingalo okanye umlenze;
• Ukwanda kobungakanani besibindi okanye udakada;
• Ukudinwa okugqithisileyo kunye nokunqongophala kokutya.

Abanye abantwana abanakho ukukhalaza ngentlungu edibeneyo kwaye, ke, ezinye iimpawu ezinokuthi zibonise isifo samathambo siqhwalela, sizole kakhulu okanye sinobunzima bokusebenzisa izandla ukwenza iintshukumo eziethe-ethe, ezinje ngokubhala okanye ukupeyinta, umzekelo.

Ukuxilongwa kwesifo samathambo ebuntwaneni akusoloko kulula ukusenza, kuba akukho vavanyo lwegazi lokunceda ekuchongeni isifo, njengakwimeko yabantu abadala. Ke, ugqirha unokwenza uvavanyo oluninzi ukuphelisa ezinye ii-hypotheses kude kube kufikelelwe kwisifo se-arthritis yabantwana.

Izizathu ezinokubangela

Unobangela ophambili wesifo samathambo ebuntwaneni lutshintsho kwinkqubo yomzimba yokuzikhusela yomntwana ebangela ukuba umzimba uhlasele inwebu yelungu, ibangele ukonzakala kunye nokudumba okubangela ukonakaliswa kwembumba yelungu.

Nangona kunjalo, ingxaki ayisiyofuzo kwaye, ke ngoko, isuka kubazali kuphela ukuya ebantwaneni, iyinto eqhelekileyo ukubakho kwetyala elinye kuphela kusapho.

Unyango lwenziwa njani

Unyango lwe-arthritis yabantwana kufuneka ikhokelwe yi-rheumatologist yabantwana, kodwa ihlala iqala ngokusetyenziswa kweziyobisi ezichasayo, ezinje nge-Ibuprofen okanye naproxen, umzekelo, ngeedosi ezihambelana nobunzima bomntwana.

Nangona kunjalo, xa la machiza engenampembelelo, ugqirha unokuyalela amayeza awodwa acothisa ukukhula kwesifo, esenza ukungakhuseleki, njenge-methotrexate, i-hydroxychloroquine okanye i-sulfasalazine, enceda ekuthomalaliseni iimpawu nasekukhuseleni ukubonakala kwezilonda amalungu, ii-immunosuppressants, ezinje ngeCyclosporine okanye i-Cyclophosphamide okanye unyango olutsha olunokujova, olufana ne-Infliximab, i-Etanercept kunye ne-Adalimumab.

Xa isifo samathambo ebuntwaneni sichaphazela indibaniselwano enye kuphela, i-rheumatologist inokuyalela ngenaliti ye-corticosteroids, enje nge-prednisone, ukuxhasa unyango olwenziwe ngamanye amachiza kunye nokunciphisa iimpawu kwiinyanga ezimbalwa.

Ukongeza, abantwana abane-juvenile idiopathic arthritis kufuneka babe nenkxaso yengqondo kunye nenkxaso yosapho, njengoko banokuba nobunzima ngokweemvakalelo nakwintlalo. Ukukhula kwengqondo komntwana onesifo samathambo kuyinto eqhelekileyo, ke kufanele ukuba aye esikolweni, ekufuneka eyazi imeko yomntwana ukulungiselela ukumiliselwa kunye nokudityaniswa kwezentlalo.

I-Physiotherapy ye-arthritis yomntwana

Kukwabaluleke kakhulu ukwenza unyango lomzimba kwimo yesiqhelo, ngokuzivocavoca okunceda ekubuyiseni ukushukuma kwendibaniselwano, ukuze umntwana enze imisebenzi efana nokuhamba, ukubhala kunye nokutya ngaphandle kobunzima. Kubalulekile ukuba usebenzise ubhetyebhetye kunye namandla kwiimisipha zakho.

Jonga ezinye iindlela zokunciphisa iimpawu zesifo samathambo ebuntwaneni ngokutya ukutya okukhethekileyo kwamathambo okanye ukuzilolonga ukuphucula iimpawu.