Infantile arthritis: nā kumu, nā ʻōuli a me nā lāʻau
Anter
- He aha nā hōʻailona a me nā hōʻailona
- Nā kumu kūpono
- Pehea e hana ai i ka lāʻau
- Physiotherapy no ka maʻi o ke keiki
- E ʻike i nā ala ʻē aʻe e hōʻoluʻolu ai i nā ʻōuli o ke kuamoʻo kamaliʻi e ka ʻai ʻana i ka papa ʻaʻai rumati kūikawā a i ʻole ke hoʻoikaika ʻana e hoʻomaikaʻi i nā hōʻailona.
ʻO ka maʻi hānai Infantile, ka mea i ʻike ʻia ma ke ʻano he juvenile rheumatoid arthritis he maʻi maʻi laha ʻole ia i loaʻa i nā keiki a 16 mau makahiki a ke kumu o ka mumū o hoʻokahi a ʻoi paha o nā hono, e hana ana i nā ʻōuli e like me ka ʻeha, ka pehu ʻana a me ka ʻulaʻula i nā hono, a hiki ke hoʻopili i nā mea ʻē aʻe nā ʻāpana e like me ka ʻili, ka puʻuwai, ka māmā, nā maka a me nā puʻupaʻa.
Kākaʻikahi ka ʻōpio ʻōpio, a ʻoiai ʻaʻole maopopo kona mau kumu, ʻike ʻia pili ʻia me nā loli i ka ʻōnaehana pale, nā genetics a me kekahi mau maʻi maʻi e nā virus a i ʻole bacteria. Eia nō naʻe, ʻaʻole maʻi ka maʻi idiopathic a lawe ʻole ʻia mai nā mākua a i nā keiki.
Hiki ke hoʻokaʻawale ʻia i nā ʻano ʻokoʻa, e like me ka helu o nā hono i hoʻopili ʻia a me nā hōʻailona a me nā ʻōuli i hana ʻia i nā ʻāpana ʻē aʻe o ke kino.
- Oligoarticular arthritis, kahi e pili ai ka 4 a ʻoi iki paha o nā hono;
- ʻO Polyarticular arthritis, ma kahi o 5 a ʻoi paha nā hui i hoʻopili ʻia i nā mahina 6 mua o ka maʻi.
- Pākuʻi ʻōnaehana, i kapa ʻia hoʻi ka maʻi o Still, ke hui pū ʻia ka maʻi līlū e ke kuni a me nā hōʻailona ʻē aʻe a me nā ʻōuli o ke komo ʻana o nā ʻāpana o ke kino, e like me ka ʻili, ka ate, ka palapū, nā akemāmā a puʻuwai paha
- Pākuʻi e pili ana i ka Entesitis, ʻo ia ka mumū i nā kiko paʻa o nā iwi i loko o nā iwi, me ka pili ʻole o nā hono sacroiliac a i ʻole ka iwi kuamoʻo;
- ʻO Juvenile Psoriatic Arthritis, ʻano e ke alo o ka maʻi ʻōniʻoniʻo me nā hōʻailona o psoriasis;
- Kūlike ʻole, ʻaʻole hoʻokō i nā pae hoʻohālikelike no kekahi o nā mahele i luna.
He aha nā hōʻailona a me nā hōʻailona
ʻO nā ʻōuli nui o ka maʻi ʻōpio ʻo:
- Ka ʻeha a me ka pehu ʻana i hoʻokahi a ʻoi paha o nā hono;
- Nā kiko ma ke kino;
- Nā maka huhū a me ka hiki ke hoʻololi ʻia ka ʻike maka, ke loaʻa ka maka o ka maka, i kapa ʻia ʻo uveitis;
- Ke kuni mau ma lalo o 38ºC, keu hoʻi i ka pō;
- Ka paʻakikī e hoʻoneʻe i ka lima a i ʻole ka wāwae;
- Hoʻonui i ka nui o ke ake a i ʻole ka palu;
- Ka luhi nui loa a nele i ka makemake ʻole.
ʻAʻole namunamu paha kekahi mau keiki no ka ʻeha hui a, no laila, ʻo kekahi mau hōʻailona e hōʻike ai i ka palu ʻana o ka maʻi palu, noho mālie loa a paʻakikī paha i ka hoʻohana ʻana i ko lākou mau lima e hana i nā neʻe lahilahi, e like me ke kākau ʻana a i ʻole ke pena ʻana.
ʻAʻole maʻalahi ka ʻike ʻana i nā maʻi o ka wā kamaliʻi, no ka mea ʻaʻohe hōʻike koko e kōkua e ʻike i ka maʻi, e like me ka hihia o nā mākua. No laila, hiki i ke kauka ke hana i nā hoʻokolohua he nui e hoʻopau i kekahi kuhiakau a hiki i ka loaʻa ʻana o ka diagnose o ka maʻi ʻōpio.
Nā kumu kūpono
ʻO ke kumu nui o ke kuamoʻo kamaliʻi kahi hoʻololi i ka ʻōnaehana pale o ke keiki e hoʻouka i ke kino i ka membrane o ka ami, e hōʻeha ai i ka ʻeha a me ka mumū e luku ai i ka membrane o ka ami.
Eia naʻe, ʻaʻole hoʻoilina ka pilikia a, no laila, mai nā mākua wale nō a hiki i nā keiki, he mea maʻamau ka noho ʻana o hoʻokahi hihia wale nō i ka ʻohana.
Pehea e hana ai i ka lāʻau
Pono e alakaʻi ʻia ka mālama ʻana no ka maʻi ʻōpio e ka rheumatologist pediatric, akā hoʻomaka mau ʻia ia me ka hoʻohana ʻana i nā lāʻau anti-inflammatory, e like me Ibuprofen a i ʻole naproxen, no ka laʻana, me nā hana i hoʻopili ʻia i ke kaumaha o ke keiki.
Eia nō naʻe, inā ʻaʻohe hopena o kēia mau lāʻau, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau kūikawā e hoʻopaneʻe i ka hoʻomohala ʻia ʻana o ka maʻi, e hana ana i ka pale ʻana, e like me methotrexate, hydroxychloroquine a i ʻole sulfasalazine, e kōkua ai e hōʻoluʻolu i nā hōʻailona a pale i ke ʻano o nā leona hou i ka nā ami, nā immunosuppressants, e like me Cyclosporine a i ʻole Cyclophosphamide a i ʻole nā mea ola biology hou e like me Infliximab, Etanercept a me Adalimumab.
Ke hoʻopili wale ka maʻi ʻōpio i hoʻokahi ami, hiki i ka rheumatologist ke kuhikuhi i nā kuikui o nā corticosteroids, e like me ka prednisone, e hoʻokō i ka lāʻau i hana ʻia me nā lāʻau ʻē aʻe a hoʻomaha i nā ʻōuli no kekahi mau mahina.
Eia kekahi, pono i nā keiki me ka ʻōpio idiopathic arthritis e loaʻa i ke kākoʻo psychological a me ke kākoʻo mai ka ʻohana, no ka mea he pilikia pilikia ka naʻau a me ka pilikanaka. ʻO ka ulu ʻana o ka ʻike o ke keiki me ka maʻi rumati ka mea maʻamau, no laila pono ʻo ia e hele maʻamau i ke kula, kahi e ʻike ai i ke kūlana o ke keiki e hoʻomaʻalahi i kāna hoʻololi a me ka hoʻopili ʻana i ka nohona.
Physiotherapy no ka maʻi o ke keiki
He mea nui loa nō hoʻi e hana i ka hoʻōla kino no ka hoʻoponopono hou ʻana, me nā hoʻomaʻamaʻa e kōkua ai e hoʻihoʻi i ka neʻe ʻana i ka ami, i hiki i ke keiki ke hana i nā hana e like me ka hele wāwae, ke kākau ʻana a me ka ʻai ʻana me ka pilikia ʻole. He mea nui nō hoʻi e hoʻoikaika i ka maʻalahi a me ka ikaika i kou mau mākala.