Kaikōiwi ko te tamaiti: Take, tohu, Te tātaritanga me te rongoā

kaikōiwi Ko te tamaiti - he tino uaua, me te mōrearea te raruraru. Tenei mate i roto i Fale- hou ngā onge. Heoi, Me mōhiohio e pā ana ki ona tohu, me take ki te kia waia ki ia matua. Ko te take i kore e taea te tino ora tenei mate, engari ki te ki te wa tomokanga o te therapy me āraihia mō te rumati e taea nui whakahaere me te whakaiti i te tupono o pōauautanga kino.

ngā mōhiohio whānui e pā ana te mate

Rheumatoid rumati i roto i ngā tamariki, pai mohiotia i roto i te rongoa rite punua kaikōiwi (JRA) - he ma'i mate tahi o te take mai autoimmune. pūkete 100 mano tamariki hoki āhua 16-19 tūroro ki te tātaritanga taua. E ai ki ngā tatauranga, mamae kotiro i te mate, ko te atu pinepine 2-3 wā. I tua atu, kei te nuinga o pāngia te mate i roto i ngā tamariki i raro i te tau o rima.

Ko mau te mate tino kino no te mea he reira maha pānga te tukanga inflammatory kore anake hononga (i roto ano arata'i ki tupu o nga hanganga articular), engari ano hoki nga whekau (hei tauira, ngakau, kanohi, a D. na i runga i.). arata'i te mate ki te hekenga i roto i te kounga o te ora o te tamaiti, a ētahi wā ki te roa nui i roto i te whanaketanga ā-tinana, me te hauātanga.

kaikōiwi i roto i ngā tamariki: Take

Kia aroha mai, kua kore ano i elucidated te huarahi tangohia o te mate ki te rā. Kei te mohiotia te reira e kaikōiwi - mate autoimmune. Hoki ngā take, te pūnaha ārai mate o te kore nui puta, rite ki te hua o nei haamata te reira ki te kite i te hanganga tahi rite te tinana ke. Ko te kupu, ko te tinana hua paturopi e patu i te tuatahi pūtau membrane synovial, meinga ratou mumura me te e hōloa. Ka rite ki tīmata te mate ki te tūkino i te pūnaha ārai mate, me te tahi atu wahi o te tahi, a ētahi wā ā okana kiko.

Kei te mohiotia te reira e te vai nei te predisposition ira. He atu āhuatanga e taea taea ai te whanaketanga o te mate:

• huringa hormonal ohorere (i ētahi wā whakahohe te mate te i roto i pūhuruhurutanga rite ki te hua o ngā taumata taiki peke);
• ngā tukanga pūkoro;
• kano;
• tinana tamaiti huaketo (kia mau ai ki te huakita, wheori, mycoplasma, aha ...);
• pukā kaha overcooling ranei;
• huringa āhuarangi ohorere;
• whara tahi.

kaikōiwi i roto i ngā tamariki: whakaahua me tohu o te puka mate tahi

Tata 60-70% o tūroro mamae i ïa tenei ahua o te mate. Tīmata te reira te tikanga ki te mate o tetahi tahi nui (te nuinga o te turi pona ko ranei). I muri i tetahi 1-3 wiki ahi tahi. He āhuatanga āhuatanga ko te hangarite o te kino tahi.

kia kite koe e timata te tamaiti ki te parure. He he pakeke te ata i roto i te hononga pānga. kia hoki kia tuhia reira huamo i roto i te tukanga inflammatory. Nā ki te mamae, me te whāititanga o te nekehanga o ngā tamariki iti mutu te tākaro, neke i te iti - i roto i te poto, te hoatu ake mahi tinana, haere tahi nei i hūhi. Ki te kore maimoatia, ka taea e arahi i te reira ki te uaua atrophy.

Ka rite ki te mate kauneke reira he tupu o ngā hanganga tahi, e taea arahi ki hauātanga.

puka tahi-visceral o te mate

I whakaaro te nui tino kaikōiwi tahi-visceral i roto i ngā tamariki. Tohu konei, i roto i te tua ki te kino tahi ngā tohu katoa o te haurangi, no te mea te pakaru pūnaha ārai mate te kikokiko o whekau. Tikanga, haamata exacerbation ki te ara koi i roto i te pāmahana, kirika, hua i roto i kōpuku ate, kōateate, waitinana. kia kite e koe te ngawhatanga me te whero i roto i te hononga pānga. He tamaiti e mate ana i te mamae kino.

Hinga taea whekau arahi ki amyloidosis o tini o nga mate o nga whatukuhu, ngakau, pūkahukahu, te whanaketanga o te vasculitis, mate kite, a na i runga i. D.

He puka te whakatakiruatanga o o kaiponapona articular

kaikōiwi i roto i te tamaiti e taea te tango i te wahi i roto i te tahi atu mau rave'a, no te tauira:

• oligosustavny rumati ma'i, haere tahi nei i te 1-2 hinga o hononga nui (turi atu pinepine) me roa, akoranga Koló o te mate;
• ahua polyarticular o te mate, haere tahi nei i te hinga o te maha ngā hanganga nui te huinga o hononga nui, me te iti ranei; Ko tāwakawaka te mate.

tikanga Basic o tātaritanga hou

Anake te tākuta mohio pehea ki te tautuhi tika kaikōiwi i roto i ngā tamariki. Tātaritanga - he tukanga roa, me te uaua. Noatia, ki te timata ki te tirohanga whānui whakamana, e taea ana ki te whakatau i te aroaro o te mumura i roto i te hononga. I muri mai, ka rite ki te tikanga, kawea atu whakamātautau taiwhanga. E te ara, i roto i te rumati punua, take rheumatoid i roto i te toto e kore kitea i roto i te tīmatanga o te mate i roto i pā ana ki 50% o te wā.

Nui mō te tātaritanga he whakamātautau X-ray. kia hoki kia whakamana te reira i ultrasound o te hononga pāngia. Ka taea te whiwhi ētahi atu pārongo e pā ana ki te āhua o te tinana i roto i tomography computed. Ki te reira te mea he māharahara o te ahua visceral o te mate, taunaki te tākuta he hiko-, whakamatauria hoki te matomato bacteriological, ki kia te uiui e te ophthalmologist.

te mau parau tumu Basic o therapy mō te rumati kōhungahunga

Maimoatanga o te kaikōiwi i roto i ngā tamariki - he tukanga haere tonu, no te mea, kāore, kia whakakahoretia atu o te raruraru rawa taea. Therapy, i roto i tenei take whakahaua ki te inhibition o mumura, auau whakaiti o tupu o nga hononga, me te tiaki o ratou nekeneke.

I roto i te wā tāhapa, me te subacute te tikanga kawea rongoā e āwhina ana ki te whakakore i mumura. ngā ano wā o te murunga whakahaere ngā mahi hākinakina, tae atu ki tua.

therapy tarukino

O te akoranga, mō ngā mātua maha he mea tino nui ko te pātai o te pehea, ki te hamani kaikōiwi. He tino hononga tohu me te maimoatanga o tamariki - i te mana o te tamaiti tei runga i te rārangi o ngā rongoā e whakamahia ana. Ka taea te wehea hua katoa ki e rua ngā rōpū:

• rongoā hangaia ki te whakatutuki i te tohu nui i roto i te mate whakapeka;
• raau taero e pehi i te pūnaha ārai mate (e ratou te manawanui, puta noa i to ratou oraraa, ara i roto i wā o murunga).

Ka rite ki te tikanga, ki te timata ki te tamariki whakaritea nonsteroidal taero anti-inflammatory. Ko te whai hua te nuinga o enei ngā "Phenylbutazone" "Indomethacin" "Voltaren", "ibuprofen". O te akoranga, kua oti te whakarite te inenga me te roanga o te maimoatanga takitahi. E te ara, hohoro enei taero ngāue ki pōturi iho te whanaketanga o te mumura, atawhai mamae me te kirika. Ano, e kore e paitini ratou, ka whai torutoru pānga taha, i te mea nui mō te tinana o te tamaiti. Hei tauira, ki te kitea kaikōiwi i roto i te tamaiti (3 tau) i roto i te atamira whakapeka, he reira pea, ka whakahau i te tākuta tika taua raau taero, a kua hokona e ratou ara i roto i te puka o te pire tou, i te mea e watea hoki.

I roto i te wā atu kino (hei tauira, puka whānui visceral ranei) titau whakamahi o corticosteroids, e akakoromaki i te tukanga mumura nui atu pai. Ka rite ki te tikanga, e kore e tohua ratou mo ngā tamariki teina atu i te 5 tau, engari i ētahi wā hanga okotahi. E whakamahia taua raau taero i roto i te puka o papa me rongoā, a kei te te tahi mau taime whakahaere tika ki te capsule tahi ki te whakatutuki i te pānga mōrahi.

Kia aroha mai, e kore e taea e taero anti-inflammatory pōturi iho te tukanga o tupu o nga hononga. Na reira, whakahaere tūroro me ratou, me te pera-ka karanga immunosuppressants - raau taero e tautāwhi i te mahi o te pūnaha ārai mate. "Plaquenil" e pā ana ki te whai hua tino, "Krizanol", "Sanokrezin", "mahi Lago". kia taua raau taero e tangohia akoranga, engari te wa katoa, ara i roto i te murunga i roto i te tikanga ki te ārai i te tīmatanga o tētahi atu exacerbation.

Tei te āhua o te rata tamaiti kia whakahau cytostatics fariiraa (expediently i allergo puka mate septicemic) i runga i, taero e meinga coagulation o te membrane synovial (hei tauira, "Varikotsid") te tikanga e whakaiti i te taumata o te tauwehe rheumatoid ( "kuprenil").

tikanga therapy tinana me ratou whai huatanga

Ko te maimoatanga o te kaikōiwi punua i roto i te tamariki i te wā i muri mai, i roto i te tua ki te fariiraa i te mau faaineineraa tikanga kia hoki ngā tua. He maha ngā rautaki e kua whakamahia ki te whakatutuki i murunga, engari kua tīpakohia ratou e te rata haere hoki ia tamaiti takitahi.

Tata ki te tamariki katoa tūtohutia i wa wa ki te tango i ngā akoranga o te mirimiri therapy ki te āwhina te whakapai ake tohanga toto, atawhai mānukanuka i te uaua, me te whakakaha ratou. whai hua hoki he tua, e āwhina mau tonu nekeneke tahi. O te akoranga, e tīpakohia kaupapa whakangungu me mahi takitahi i runga i te tohu o te whanaketanga o te mate, tau, me te huru o te manawanui iti rānei.

He maha atu tikanga. I roto i ngā kaikōiwi i roto i ngā tamariki - tohu mō te maimoatanga hōhipera. Tino maha whakamatau maimoatanga whai hua paru, parawini therapy, balneotherapy, etc .. D. I roto i te wāhanga i muri mai o te maimoatanga kia ngā. A, no te tīpakohia tika huinga o ngā tikanga therapy tinana, me te mahere o te maimoatanga e taea te whakatutuki i ngā hua pai.

He aha te mea te outlook mo te tamaiti mate?

He aha ki te titau ki te kitea kaikōiwi i roto i te tamaiti? Matapae, kāore, e kore e fakafiemālie rawa. Tenei mate he ora, me te whakaora rawa ia, he tata e taea katoa. Ka taea te pēnei Okotahi te kore oligoarthritis, e kore e nei i haere tahi e whakangaromanga tahi. Ko whakaaro te puka tino nui o te mate e ki kia visceral, no te mea he nui teitei te maha o pōauautanga taea.

Aha ki te mahi, ki te mea kua kitea he tamaiti tenei mate? Ka taea e therapy wā, me te pai-whakahaere pōturi iho te tukanga o te whakangaromanga tahi me te whai wāhi o ētahi atu whēkau. He take i te mea ka taea ki te whakatutuki murunga wā roa-a tino whakapai ake te kounga o te ora o te tamaiti. I te tahi atu te ringa, ki te relapses auau taea ofatiraa nui o nga mahi taketake o te hononga, ārahi ki hauātanga.

He reira tikanga whai hua o te ārai?

kaikōiwi i roto i ngā tamariki - mate ma'i. Na, kāore, taero atu tikanga ranei ki te ārai kore e te whanaketanga o te mate tuatahi i roto i te rongoā hou te tīariari. Heoi, ki te no te tamaiti ki te rōpū mōrearea (hei tauira, i reira te mea he predisposition ira, mate pāwera, mumura ma'i), i reira kia kia pera-ka karanga ārai kore-motuhake, e ngā te tikanga e whai ake nei:

• aroturuki i ia te wā i te tākuta. Ka taea e waiho he tākuta tamariki rheumatologist ranei, ko wai tonu ka titiro te tamaiti ki te whai i te tātari, me te pera i runga i. D. Ka rite ki te mate i roto i tetahi ara ranei tetahi hono ki nga disorders o te pūnaha ārai mate tenei, e kore te mea he tikanga i ki kia runanga te immunologist.
• Tika maimoatanga kounga o aronga mate ma'i, pērā i te tukanga inflammatory taea whakapataritari i te whanaketanga o te rumati. Tei runga i te āhua o te mate titau kōrero Ent, niho, nephrologists, mafatu me te t D..
• He mea tino nui ki te karo whakapā o te tamaiti ki te tūroro hopuhopu, no te mea, ano, kia hoatu te hinga o te tinana e microorganisms pathogenic huaketo ranei whanaketanga ki te whanaketanga o te rumati.
• tūtohu hoki tākuta ki te ārai hauhauaitu nui, me te tūāhuruiti.

Na roto i te peeraa i teie mau ture, ka taea e koe te whakaiti i te tūponotanga o te whakawhanake i te mate te takanga o te matahoki ranei.