Zomwe Zidasinthidwe Kusintha Nthawi
Zaka zapitazo, panali mitundu itatu ya nyamakazi ya nyamakazi yomwe inadziwika. Ku United States, nyamakazi ya mwana wamagazi imatchedwanso JRA, kapena nyamakazi ya ana. European League Against Rheumatism inatchula kuti JRA ndi matenda a nyamakazi. Mitundu itatu ya JRA inali yeniyeni, polyarticular, ndi systemic.
Pambuyo pake, International League of Associations for Rheumatology (ILAR) inagawana nyamakazi ya ana m'magulu ambiri. Izi zinkachitika makamaka pakufufuza ndikupitirizabe kusintha monga momwe zimaphunzirira zambiri za majeremusi ndi matenda a mwana wa nyamakazi.
Polyarthritis RF yoipa (imakhudza ana 10 mpaka 30 mwa ana omwe ali ndi JIA)
Ana omwe ali ndi poyarthritis-rhumumidasi amalephera kukhala ndi nyamakazi yomwe imakhudza ziwalo zisanu kapena zingapo m'miyezi isanu ndi umodzi yoyamba ya matenda. Mayeso a chifuwa chachikulu ndi olakwika.
Rhythritis RF positive (amakhudza ana 5-10 peresenti ya ana a JIA)
Ana omwe ali ndi matenda a rhythritis-rhumatoid amakhala ndi matenda a nyamakazi okhudza ziwalo zisanu kapena zambiri m'miyezi isanu ndi umodzi yoyamba ya matenda. Mayeso awiri a chifuwa chachikulu, omwe amachotsedwa miyezi itatu, ndi abwino.
Oligoarthritis (amakhudza ana 30 mpaka 60 mwa ana omwe ali ndi JIA)
Ana omwe ali ndi oligoarthritis ali ndi nyamakazi imene imakhudza gawo limodzi kapena zinayi mkati mwa miyezi isanu ndi umodzi yoyamba ya matenda.
Zolumikiza zoposa zinayi zingakhalepo pambuyo pa miyezi isanu ndi umodzi yoyamba. Ngati mwanayo ali ndi ziwalo zinayi kapena zochepa zomwe zimakhudza nthawi yonse ya matendawa, amatchedwa oligoarthritis. Ngati mwanayo ali ndi ziwalo zinayi zomwe zakhudzidwa pambuyo pa miyezi isanu ndi umodzi yoyamba, amatchedwa oligoarthritis.
Matenda a nyamakazi (amachititsa 10 peresenti ya ana omwe ali ndi JIA)
Ana omwe ali ndi matenda a nyamakazi ali ndi zizindikiro za nyamakazi, ndi malungo omwe amatha milungu iwiri kapena kuposerapo, akuwombera masiku atatu kapena kuposerapo, limodzi ndi zizindikiro zotsatirazi:
- Kukula kwa ma lymph nodes
- Kukulitsa chiwindi kapena nthenda (hepatomegaly kapena spenomegaly)
- Kutupa kwazitsulo za mtima kapena mapapo (pericarditis kapena pleuritis)
- Mtengo (wosasintha) wautali womwe ungasunthire kumbali zosiyanasiyana za thupi
Psoriatic arthritis (imakhudza 2 peresenti ya ana a JIA)
Ana omwe amadziwika ndi psematic arthritis subtype ali ndi nyamakazi komanso psoriasis, kapena amakhudzidwa ndi nyamakazi ndi zizindikiro ziwiri zotsatirazi:
- Dactylitis (zala kapena zala za soseji)
- Nail pitting / splitting
- Chiwerengero choyamba cha digiri ndi psoriasis
Matenda a nyamakazi (amakhudza 20 peresenti ya ana omwe ali ndi JIA)
Ana omwe ali ndi matenda a kutupa nyamakazi amagwiritsidwa ntchito ndi nyamakazi ndi kutupa pa malo otsekemera (kumene chimbudzi, tendon, kapena joint joint capsulate). Kapena ali ndi nyamakazi kapena insheteti pamodzi ndi ziwiri kapena zingapo zotsatirazi:
- Kutupa kwa ziwalo za sacroiliac kapena kupweteka ndi kuuma mu dera la lumbosacral
- Mayeso abwino kwa HLA-B27
- Matenda a nyamakazi amayamba mwa amuna akuluakulu oposa 6
- Maphunziro oyambirira ali ndi ankylosing spondylitis , nyamakazi yodwala matenda odwala matenda odwala matenda odwala matenda odwala matendawa , kutupa kwa sacroiliac pamodzi ndi matenda opatsirana , kapena kutentha kwa maso (pachimake choopsa).
Undifferentiated nyamakazi
Gawoli likukhudzana ndi ana omwe ali ndi zizindikiro za nyamakazi zomwe sizikugwirizana ndi magawo ena asanu ndi limodzi-kapena zimakhala ndi magawo awiri kapena angapo.
Mfundo Yofunika Kwambiri
Choyenera, ndi bwino kuyankhulana ndi mwana wa rheumatologist kuti adziwe matendawa ndikudziwitsanso kuti ali ndi matenda a nyamakazi. Kuchiza moyenera kumadalira kulondola molondola.
Koma, pali kusowa kwa ana a rheumatologists. Ndipotu, mayiko ena alibe.
> Zotsatira:
> Abramson, Leslie S. MD. Matenda a Amuna. American College of Rheumatology.
> Amuna Amakazi. NIH / NIAMS.
> Chithandizo cha Matenda a Amuna a Idiopathic Arthritis. Hsu, Lee, ndi Sandborg. Mutu 107. Kelley's Bookbook of Rheumatology. Kusindikiza kwachisanu ndi chinayi. Volume II. Lofalitsidwa ndi Elsevier Saunders.