Kwayar da aka fi sani da labarun ƙananan ƙwayar ƙananan yara
Kwararrun ƙananan ƙwararrun ƙwararrun ƙwararrun ƙananan yara (wanda ake kira lakabiyar ƙananan ƙwararrun ƙwayar ƙwayar cuta na ƙananan ƙwayoyin cuta) ko ƙananan ƙwayar cuta ne) wanda ke dauke da ƙananan ƙwayar cuta na ƙananan yara wanda ya ƙunshi abubuwa fiye da 5. Abigoarticular ƙananan ƙwararrun ƙwaƙwalwar ƙwayar ƙwayar cuta ne ƙananan ƙwararrun ƙwaƙwalwar ƙwayar cuta. Ya ƙunshi kashi 30% zuwa 60% na marasa lafiya na cututtukan marasa lafiya a cikin Arewacin Amirka da Turai.
An rage raguwar ƙwayar ƙananan ƙwayar ƙwayar ƙananan yara ta jiki a cikin:
- Ƙarfin wutar lantarki mai tsanani - Babu wani ƙarin haɗin gwiwa tare da haɗin bayan watanni 6 na rashin lafiya da bayyanar cututtuka.
- Ƙarfin wutar lantarki - Ƙarin hadin gwiwar haɗuwa yana faruwa bayan an fara watanni 6 na rashin lafiya kuma a ƙarshe sun hada da mahaɗin 4.
Game da rabi na yara tare da ƙananan ƙwayar ƙwayar cuta na ƙananan yara na ci gaba da bunkasa irin ta 4 zuwa 6 bayan da cutar ta fara. Duk da yake babu wata hanyar da za ta iya hango ko yaya yara za su ci gaba da bunkasa irin wannan yanayin, akwai alamun cututtukan da suke da alama su ƙara ƙwarewa, ciki har da aikin haɗin gwiwa, ƙwanƙwasa ko wuyan hannu (ko duka idon da wuyan hannu), da kuma Girmaccen erythrocyte sedimentation a farkon watanni shida.
Yanayi na al'ada da cututtukan cututtuka
Shekaru mafi girma na farko na ƙwayar cututtuka na ƙananan yara na jarirai mai shekaru 2 zuwa 4 ne a yara Caucasian daga Amurka da Turai.
'Yan mata suna da yawa fiye da yara (3 zuwa 1). Sakamakon magungunan ƙwayar ƙananan ƙwayar ƙananan yara wanda ke da shekaru fiye da 5 yana da yawa a cikin yara da suka wuce shekaru 5 kuma ba a samuwa ba ne a cikin yara masu shekaru 10 da haihuwa.
Yawancin lokaci, tare da farawa na maganin ƙwararrun ƙwayar ƙananan yara na ƙananan yara, akwai haɗin haɗin gwiwa na asymmetric wadda ke shafar ɗayan manyan ɗigogi ɗaya ko biyu.
Gwiwar ita ce mafi yawan haɗin gwiwa. Kwankwali, wuyan hannu, da lambobi su ne mafi yawan abubuwan da suka fi yawa a ciki. Tsarin kwayoyin cututtuka (misali, zazzaɓi, rash) suna da wuya, kamar yadda yake da hanzarin da baya da baya. Idan yaro yana da hannu ko kuma shiga cikin ɓangare ko baya, ana nuna sake dubawa da kuma sake nazarin ganewar asali.
Duk da yake zaku iya tsammanin cutar za ta zama alama ta farko da aka fi sani da ƙananan ƙwararrun ƙwayar cuta na ƙananan yara, yawancin lokaci ne mafi mahimmanci. Mai iyaye na iya lura cewa ɗayansu yana da ƙaƙƙarfan ƙafa, rashin haɗari don tafiya ko gudu, ko kumburi na haɗin ginin.
Kimanin kashi 70% zuwa 80% na yara tare da ciwon hauka mai ƙaurin ƙananan yara na jiki da kuma 80% zuwa 95% tare da ciwon maganin ƙwaƙwalwar ƙwayar ƙananan yara masu ƙananan ƙarancin mutum na samun gwajin ANA mai kyau. Mahimmancin ANA suna da yawa a matsakaici. A cikin marasa lafiya marasa lafiya da ke dauke da kwayar cutar ƙwayar cutar ƙananan yara, akwai yiwuwar bunkasa uveitis . Har ila yau, yawancin yara masu kamuwa da cututtukan ƙananan yara na jiki suna da karfin hali na CRP da ƙwaƙwalwar ƙwayar jiki, ƙididdigar jini mai tsabta, da anemia (m).
Game da uveitis, akwai gwaje-gwajen gwaje-gwajen da ke taimakawa wajen hango ƙananan ƙananan uveitis a cikin yara tare da maganin ƙwaƙwalwar ƙwayar cutar ƙananan yara.
Gwaje-gwaje bazai yi la'akari da farko ba, duk da haka. Gwaje-gwajen na iya haɗa da matakin a2-globulin a cikin magani, da kuma HLA antigens (HLA-A19, HLA-B22, HLA-DR9).
Jiyya na Ciwon Haɗari na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya
Yin jiyya na ƙananan ƙwayar ƙananan ƙwayar ƙwayar ƙananan yara wanda ke da ƙwayar ƙwayar cuta yana da mahimmanci irin na rheumatoid factor tabbatacce ko rheumatoid factor korau polyarticular ƙananan ƙananan ƙwaƙwalwar ƙwayar cutar. Hakanan da ake yi a magani shi ne saboda sanya hannu na polyarticular .
Ga masu tsaurin ƙwaƙwalwar ƙwayar ƙananan marasa lafiya na oligoarticular, an yi amfani da matakai mai yawa:
- Jiyya tare da NSAID (tare da ko ba tare da allurar rigakafin steroid ba)
- Ana kokarin gwada Methotrexate idan amsawar injections na steroid injictions bai dace ba
- Ana iya kara maƙarar TNF , tare da ko ba tare da bin hanya ba, idan hanya kawai ta kasa
Azulfidine (sulfasalazine) da Plaquenil (hydroxychloroquine) za a iya amfani dashi a matsayin wani tsari na dabam. Za a iya samun gafara (ko dai na waje ko cikakke) na arthritis yaran yara masu rai a cikin kashi 60-70% na marasa lafiya marasa lafiya na marasa lafiya na marasa lafiya wanda ke amfani da methotrexate.
Sources:
Kelley's Textbook na Rheumatology. Elsevier. Tsarin na tara. Babi na 107. Jiyya na Arthritis Idiopathic Arthritis. Hsu, Lee, Sandborg.
Abigoarticular ƙananan ƙananan ƙwayar cutar ƙwayar cuta. Na zamani. Pamela F. Weiss MD. 12/09/15.
http://www.uptodate.com/contents/oligoarticular-juvenile-idiopathic-arthritis
OrthoInfo. Jirgin Ƙwayar Yara. Satumba 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00075
Maganar farko na hangen nesa da ƙwayar cuta a cikin ƙananan ƙwayar ƙwayar ƙananan yara. Zulian E. et al. Jaridar Rheumatology. Nuwamba 2002.
http://www.ncbi.nlm.nih.gov/pubmed/12415607