Kukho isifo sesifo samathambo, apho i-microbe "ifumana" ngokuthe ngqo kwidibeneyo kwaye ibangele ukuvuvukala kwe-purulent, i-arthritis emva kokuxhwaleka, i-arthritis enezifo kunye nezinye izinto ezininzi. Ukuba uyakrokrela umntwana we-arthritis, ngokukhawuleza umkhokele kumntwana wezingane. Ugqirha uya kunika iimvavanyo kwaye, ngokwemiqathango yazo, anqume ukuba umntwana ufuna ukuya esibhedlele okanye abazali bangamphatha ekhaya. Iinkcukacha zifunde kwinqaku esithetha ngesihloko esithi "Ukugula-isifo sokuphefumula emntwaneni, ukuxilongwa kunye unyango."
Usuleleke-isifo samathambo
Kuvela njengengxaki emva kokusulelwa kwamathumbu emathunjini okanye ama-urrogenital. I-arthritis. Olu hlobo lwesifo lubangelwa yiintsholongwane zentsholongwane - i-rubella, i-hepatitis B, i-parvovirus kunye ne-enterovirus nezifo. I-post-streptococcal arthritis (eyayibizwa ngokuba yi-rheumatism). Kubangelwa usulelo lwe-art-streptococcal. Njengoko igama lichaza, "imilenze" apha ikhula ukusuka ekungeneni kwegciwane. I-rheumatoid arthritis. Ukuqhayisa ngokuzenzekelayo, apho umzimba uqala "ukugaya" izicubu zazo. Into ehlukileyo yale fom ye-arthritis iyinyumba: nangona into yokuba umntwana usanda kugula, akukho zixhobo ezinobungozi ezinobungozi ezichaphazelekayo. Nangona kunjalo, akufanelekile ukuvuya: udonga lwamaseli we-microbe lwe-pathogenic luyasebenza i-lymphocytes, kwaye abo bakhululwa inani elininzi lamagciwane, ngoncedo olubizwa ngokuba yi-immune complexes. Ezi ziyinkimbinkimbi ezibangela ukuvuvukala. Kwinqonkqo, "iingongoma ezibuhlungu" zichaneka ngakumbi kunabanye, kwaye isikhumba esingaphezulu kwazo sinokudibanisa kwaye siyakutyhulwa kunye ne-scaly plaques (emva koko zidlula ngokwazo). Ukuxilongwa akulula kangangoko kubonakala ngathi. Ukuba i-arthritis iqalile inyanga emva kokusuleleka kwamathumbu emathumbu, ngoko abazali abanokukukhumbula ngokuthetha ngodokotela. Yingakho inxalenye efanelekileyo yeemvavanyo ezinikezwa isifo samathambo esiphumelelayo sijolise ekufumaneni "intsholongwane" enokwenzeka.
Ngethamsanqa, uluhlu olunjalo aluhlali lukwakha, kodwa kuphela ukuba izinto ezimbini zihambelana: umntwana uthabatha intsholongwane kwindawo ethile (i-salmonellosis, i-dysentery, i-pseudotuberculosis, i-chlamydia) kwaye ngelo xesha i-genetic predisposition to diseases diseases. Kule meko, emva kweeveki ezi-1-4 emva kokuphulukana, amaqumrhu aqala ngokukhawuleza: iingalo, imilenze okanye, zithi, iminwe ivule, ibomvu ibe ingathobeli. I-arthritis esebenzayo ibonakala ngokuba yi-asymmetry: umzekelo, kungekho ngamadolo amabini ahluphekayo kanye, kodwa omnye (umzekelo, ngakwesobunxele) kunye ne-ankle (ekunene). Enye, enye into yesifo - inani elincinci le-foci: ukusuka kwelinye ukuya kwezine. Umzekelo weklasi we-arthritis esebenzayo yi-Reiter's syndrome, ebonakaliswa ukuvuvukala ngokubambisana (i-arthritis), i-mucosa ye-eye (conjunctivitis) kunye ne-urethra (urethritis).
Njani ukuchonga?
1. Uvavanyo jikelele lwegazi kunye nomchamo. Nge-arthritis esebenzayo, utshintsho oluvuthayo lubonakala kuzo.
3. Iimvavanyo zegazi ezikhethekileyo (ukusuka kwimiva) ukucacisa ukutshatyalaliswa kwamathumbu emathunjini okanye ama-genitourinary infections.
4. Uvavanyo lwegazi lwegazi. Kubalulekile ukukhuphela ezinye izifo apho ukubonakaliswa kwe-arthritis kudibaniswa nesibindi okanye umonakalo wento. Ukongeza, ngokwemiqathango yale sifundo, unokufumana ukuba umntwana unayo "streptococcus."
5. Ukuhlolwa kwegazi ukukhuphela izifo ezizimeleyo zezigulane (ukusuka kwintlambo).
6. Uhlalutyo lomchamo kunye nesitulo sokuba khona kwezifo.
Ukongezelela, ukuba kunyanzelekile, ugqirha unokucela ukuba wenze i-swab esuka ekhaleni nasemqaleni kwaye uthumele isigulane kwi-ultrasound kunye / okanye i-X-ray yezihlanganisi ezivuthayo. I-ophthalmologist kufuneka iphinde ihlole umntwana: njengomthetho, i-conjunctivitis ehamba ne-arthritis ayifumanekanga, kodwa ezinye iintsana zinokuba ne-uveitis (ukuvuvukala kwe-choroid), efuna ukungenelela kwonyango olusondeleyo. Njengomthetho, uncedo luza emva kwonyango kwiintsuku ezingama-2-3, kwaye emva kweentsuku ezingama-7 ukuya kwe-14 iintsana ziziva ziphilile. Kwaye ke abazali abaye baqhawula umbuzo: "Akuyi kuphinda kwenzeke kwakhona!" Ngelishwa, ukubuyela kwakhona kwe-arthritis esebenzayo kuyenzeka, ngoko kubaluleke kakhulu ukuqapha impilo yomntwana. Kubalulekile ukuphendula ngokukhawuleza kuwo onke amacandelo e-"play-play". Ukucacisa ukuba i-genetic predisposition kwi-arthritis yinto elula: ukuba abazali bomntwana okanye ugogo wakhe kunye noomkhulu-ntloko bahlushwa "intlungu", ngoko indlalifa inokuba neengxaki ezifanayo.
I-arthritis
Sithe satsho ukuba uhlobo olunjalo lwesifo luvela kwimvelaphi yezifo zentsholongwane, oko kukuthi: i-rubella (ngokubonakala kwintlanzi okanye iintsuku ezimbalwa ngaphambi kokuba ivumelane ngokugqithiseleyo kwaye iqalise ukuguqa, amadolo, isifuba, amaqaqa kunye namalungu ezandla); i-parvovirus isifo (phakathi kwesi sifo, iminwe kunye nezibilini ziqala ukuvuthwa); i-adenovirus isifo (iintsuku ezingama-3-5 emva kokuqala kweempawu "ezibandayo" zenza i-arthritis ehambisanayo yamadolo, amaqhosha kunye namaqhosha); umkhuhlane kunye nezinye izifo zentsholongwane yokuphefumula (ngokubhekiselele kwimvelaphi yomkhuhlane, ukuvuvuka kwexesha elifutshane kunye neentlungu ezindizayo ezinxulumaneni). ukutheleleka kwe-enterovirus (amaqhinga aqala ukugquma kwimvelaphi yomkhuhlane kunye neengxaki zesigxina); umxube. iimbumba (i-arthritis ibonakala emva kweeveki ezi-1-3 emva kokusalala kweempawu zesifo kwaye zichaphazela amaninzi amakhulu). Ininzi ye-arthritis yintsholongwane iyadlula yodwa - emva kweveki ezi-1 -2, kwaye ukunciphisa ubuhlungu boogqirha ngokuqhelekileyo basebenzisa izidakamizwa ezingekho-steroidal ezichasayo.
Unyango luquka
- Uxolo. Kubalulekile ukudala imimiselo enjalo, apho umntwana engenazo ukujongana nezixhamli ezichaphazelekayo.
- Izidakamizwa ezichasene nezidakamizwa. Ugqirha ubeka ibuprofen, i-diclofenac, i-indomethacin okanye i-nimesulide-ezi ziyobisi zibuyisela ukuhamba ngokubambisana kunye nokunciphisa ukuvuvukala nentlungu.
- Antibiotics. Zigqityiwe ngokuthe ngqo kwiimeko ezithile: nge-arthritis ephindaphindiweyo okanye engapheliyo, kunye ne-chlamydial imeko yesifo, xa isifo se-intestinal sisifo, okanye xa imvelaphi engapheliyo yesifo ifumaneka kwi-nasopharynx.
- Amalungiselelo eHormonal. Iimali ezinjalo zisetyenziselwa kuphela i-arthritis enamandla, apho izidakamizwa ezingenayo i-steroid zingenamandla.
- Physiotherapy. Kwinqanaba lokukhululwa kwesibindi kunye nokubuyiselwa kwengane, i-phonophoresis, i-magneto-kunye ne-parafini unyango kunye nokusetyenziswa kweyeza kusetshenziselwa.
I-post-streptococcal arthritis
Iqela le-streptococci lenza i-tonsillitis enobuhlungu (umqala omzimba) kunye / okanye i-pharyngitis. Ukuba awuyi kuqali unyango ngamayeza omzimba ngexesha, i-immune system ingathatha amagciwane kwiiseli zomzimba wakho - ngokufunda ukubulala i-streptococci, iqala ukulwa nentliziyo kunye namalungu. Ngenxa yoko, iiveki ezi-1-2 emva kokusuleleka, i-arthritis iyenzeka, ichaphazela ikakhulu amadolo, amajubane, izibonda kunye namaqhosha, ngoxa ukuvuvukala ngokukhawuleza "kuhamba" kwindibano enye. Ukuxilongwa kwe-post-streptococcal arthritis kuncediswa ukuhlolwa kwegazi, ebonisa ukunyuka okukhawuleza kwinqanaba le-anti-streptococcal antibodies. Kwimeko ye-post-streptococcal arthritis, i-cardiorevmatologist imele iqhutywe kumntwana! Lungiselela unyango olude kunye nekhosi ze-antibiotics.
I-post-vaccination arthritis
Njengomthetho, isifo samathambo sibangelwa ukugonywa kwi-rubella (eyinkimbinkimbi okanye "mono"). Ngokuqhelekanga, ukuvuvukala kwenzeka emva kokugonywa kumama, i-pertussis okanye inkukhu yenkukhu. Iimpawu ze-arthritis ziyavela emva kweiveki ezi-1 emva kokujola, kodwa emva kweentsuku ezintlanu zidlulile. Isifo se-systemic esichukumisayo, asichaphazeli nje amajoyina, kodwa kunye nezitho zangaphakathi, zixhaphake kakhulu kwimantombazana engama-2-5 ubudala. I-arthritis enjalo ingakwazi ukuqala kakhulu (intsholongwane kunye nentlungu ebuhlungu) okanye ngokuthe ngcembe - ngaphandle kokushisa, ngokunyuka okukhawulezayo kokukhukhumeza nokuvala. Ekuseni, umntwana uziva ekhuni kwiminyango, edlalwa ngokuhlwa, kodwa ubuyela ngosuku olulandelayo. Esinye isici sesi sifo sinomonakalo ohlangeneyo. Ixesha elivuthayo kunye negobolondo liso - oku kubonakaliswe ngexesha lokuhlolwa kwe-ophthalmologic. Ngomntwana wesifo se-rheumatoid arthritis, ugqirha ubonelela kwi-hormonal yomntwana, engeyi-steroidal anti-inflammatory drugs-ngokuqinisekileyo - iziyobisi ezingenakuzibulala. Ngoku siyazi ukuba yingozi kangakanani isifo sokugula esasifikeni-isifo semfuyo emntwaneni, ukuxilongwa kunye nokunyangwa kwayo kuyimfuneko esibhedlele okanye ekhaya.