Kukhona futhi i-arthritis esithathelwanayo, lapho i-microbe "ifika khona" ngqo ekuhlanganyeleni futhi ibangele ukuvuvukala kwe-purulent, i-arthritis ngemuva kwesifo esibuhlungu, i-arthritis enezifo kanye nezinye izinketho eziningi. Uma usola umntwana we-arthritis, ngokushesha umholele kudokotela wezingane. Udokotela uzobeka izivivinyo futhi, ngokusho kwemiphumela yabo, anqume ukuthi ngabe umntwana udinga ukuya esibhedlela noma abazali bangamphatha ekhaya. Imininingwane funda kulesi sihloko esihlokweni esithi "I-arthritis esithathelwanayo nengculaza yengane, ukuxilongwa nokuphathwa."
Isifo samathambo esithathelwanayo
Kubonakala njengenkinga ngemva kokutheleleka emathunjini noma kwe-urogenital. I-arthritis yama-viral. Lolu hlobo lwesifo lubangelwa ukutheleleka ngegciwane - i-rubella, i-hepatitis B, i-parvovirus kanye ne-enterovirus izifo kanye nama-mumps. I-post-streptococcal arthritis (eyaziwa ngokuthi i-rheumatism). Kubangelwa ukutheleleka kwe-art-streptococcal. Njengoba igama lisho, "imilenze" lapha ikhula kusukela ekugwenyweni okungenakuphumelela. I-arthritis ye-rhinotic arthritis. Yenza ngokuzenzakalelayo ukuvuvukala, lapho umzimba uqala 'ukugaya' izicubu zayo. Isici esihlukile salolu hlobo lwe-arthritis yisinyumba: naphezu kokuthi ingane isanda kugula, azikho izinambuzane ezinobungozi ezihlangene ezithintekayo. Kodwa-ke, akufanelekile ukujabula: udonga lwamaseli we-bacteria le-pathogenic lusebenza lymphocytes, futhi labo abazokhulula inani elikhulu lamagciwane, ngosizo lwama-complex immune complexes. Lezi zinkimbinkimbi ezibangela ukuvuvukala. Emathinini, "amaphuzu abuhlungu" ayashisa kakhulu kunabanye, futhi isikhumba esingaphezu kwazo singabhala futhi simbozwe ngamapulethi omile, ama-scaly (wona adlulisela eyedwa). Ukuxilongwa akulula njengoba kubonakala. Uma i-arthritis iqale inyanga ngemva kokutheleleka kwamathumbu, khona-ke abazali bangase bangakhumbuli ngakho engxoxweni nodokotela. Yingakho ingxenye ebhekene nezivivinyo ezinikezwe i-arthritis esebenzayo ihlose ukuthola ukuthi kungenzeka "ukutheleleka".
Ngenhlanhla, ukwakhiwa okunjalo akuwakhi njalo, kepha kuphela uma izici ezimbili zihambisana: ingane ikhetha ukutheleleka endaweni ethile (i-salmonellosis, isifo samathambo, i-pseudotuberculosis, i-chlamydia) futhi ngesikhathi esifanayo isifo sezakhi zofuzo sibonakala. Kulokhu, amasonto angu-1-4 ngemuva kokululama, amalunga aqala ukuphumula: izingalo, imilenze noma, kuthi, iminwe ivule, ivule futhi ingalaleli. I-arthritis esebenzayo ibonakala nge-asymmetry: isibonelo, akuwona amadolo womabili ahlupheka ngesikhathi esisodwa, kodwa eyodwa (isibonelo, ngakwesobunxele) nasesinqeni (kwesokudla). Enye, isici esisodwa saleso sifo - inombolo encane ye-foci: kusuka kokuya kuya kwezine. Isibonelo esiyingqayizivele se-arthritis esebenzayo yisifo se-Reiter, esibonakala ngokuvuvukala okuhlangene (i-arthritis), i-eye mucosa (conjunctivitis) ne-urethra (urethritis).
Indlela yokubona?
1. Ukuhlolwa okujwayelekile kwegazi kanye nomchamo. Nge-arthritis esebenzayo, izinguquko zokuvuvukala ziyabonakala kuzo.
3. Ukuhlolwa kwegazi okukhethekile (kusuka emthanjeni) ukucacisa ukutheleleka kwamathumbu emathunjini noma ama-genitourinary.
4. Ukuhlola igazi kwegazi. Kubalulekile ukukhipha ezinye izifo lapho ukubonakaliswa kwe-arthritis kuhlangene khona nomonakalo wesibindi noma wezinso. Ngaphezu kwalokho, ngokwemiphumela yalolu cwaningo, ungathola ukuthi ngabe ingane ine "streptococcus."
Ukuhlolwa kwegazi ukukhipha izifo ezizimele ezihlangene (kusukela emthanjeni).
6. Ukuhlaziywa komchamo kanye nesitembu sokuba khona kwama-viral.
Ngaphezu kwalokho, uma kunesidingo, udokotela angase akucele ukuba wenze i-swab esuka ekhaleni nasemphinjeni bese uthumela isiguli kwi-ultrasound kanye / noma i-X yama-joints avuliwe. I-ophthalmologist kumele iphinde ihlole ingane: njengomthetho, i-conjunctivitis ehambisana ne-arthritis ayifani nhlobo, kepha ezinye izingane zingase zibe ne-uveitis (ukuvuvukala kwe-choroid), okudinga ukungenelela okwelashwa ngokushesha. Njengomthetho, ukuphumula kuza ngemuva kokwelashwa ezinsukwini ezingu-2-3, futhi emva kwezinsuku ezingu-7-14 umntwana uzizwa enempilo. Bese kubazali abasebevele banelisekile banombuzo othi: "Ngeke kwenzeke futhi!" Ngeshwa, ukubuyela emuva kwe-arthritis esebenzayo kwenzeka, ngakho-ke kubaluleke kakhulu ukuqapha impilo yengane. Kubalulekile ukusabela ngokushesha kuzo zonke izinhlobo zokutheleleka "kokudlala isikhathi eside," isibonelo, isifo esingenasifo esibuhlungu noma isibalo esiphezulu. Ukunquma ukuthi izakhi zofuzo zikhona yini ezilula: uma abazali bomncane noma ugogo nomkhulu behlushwa ubuhlungu "obuhlangene", khona-ke indlalifa ingaba nezinkinga ezifanayo.
I-arthritis yama-viral
Sisevele sisho ukuthi uhlobo olunjalo lwesifo luvela ngemuva kwezifo ezibangelwa amagciwane, okungukuthi: i-rubella (ngokubonakala kwe-rash noma ezinsukwini ezimbalwa ngaphambi kokuba ivumelaniswe ngokulinganayo futhi iqale ukuguga, amadolo, izintambo, amaqaqa kanye namalungu ezandla); ukutheleleka kwe-parvovirus (phakathi kwesifo, iminwe kanye nezibungu ziqala ukuvuvukala); ukutheleleka kwe-adenovirus (izinsuku ezingu-3-5 emva kokuqala kwezimpawu "ezibandayo" kudala isifo samathambo samagciwane, ama-wrists nama-ankle); umkhuhlane kanye nezinye izifo ezithathelwanayo zokuphefumula (ngokumelene nesizinda somkhuhlane, ukuvuvukala okwesikhashana kanye nezinhlungu ezindizayo ezinamathwini kungavela); ukutheleleka kwe-enterovirus (amalunga aqala ukugula ngemuva komkhuhlane kanye nezifo ezingase zenzeke); izimpungushe. Amagciwane (i-arthritis ivela ngemva kwamasonto 1-3 emva kokunyamalala kwezibonakaliso zesifo futhi ithinta amalunga amakhulu). I-arthritis eningi yegciwane ngokuvamile idlula yodwa - emva kwamasonto angu-1 -2, futhi ukunciphisa ubuhlungu odokotela ngokuvamile basebenzisa izidakamizwa ezingezona izifo ezingenakuvuthayo.
Ukwelashwa kuhlanganisa
- Ukuthula. Kudingekile ukudala izimo ezinjalo, lapho umntwana engadingeki khona ukuhlupha amalunga afintekile.
- Izidakamizwa eziphikisana nezidakamizwa. Udokotela ubeka ibuprofen, i-diclofenac, i-indomethacin noma i-nimesulide-lezi zidakamizwa zibuyisela ukuhamba ngokuhlanganyela, futhi zinciphisa ukuvuvukala nobuhlungu.
- Ama-antibiotics. Amiswe ezimweni ezithile: nge-arthritis ephindaphindiwe noma engapheliyo, kanye nesimo se-chlamydial sesifo, lapho kutholakala ukutheleleka kwamathumbu emathunjini, noma uma umthombo ongapheli wokutheleleka utholakala nasopharynx.
- Amalungiselelo amaHormonal. Izimali ezinjalo zisetshenziselwa i-arthritis enamandla, lapho izidakamizwa ezingekho ze-steroid zingenamandla.
- Physiotherapy. Esigabeni sokukhululwa kwesibindi futhi ngesikhathi sokuthola umntwana, i-phonophoresis, i-magneto-ne-parafini yokwelapha kanye nokwelashwa kokusebenzisa isetshenziswa ngokugcwele.
I-post-streptococcal arthritis
I-group A streptococci ibangela i-tonsillitis enzima (umkhuhlane omncane) kanye / noma i-pharyngitis. Uma ungaqali ukwelashwa ngama-antibiotic ngokuhamba kwesikhathi, isimiso somzimba sokuzivikela singathatha amagciwane ukuze amangqamuzana akho omzimba - ngokufunda ukubulala streptococci, futhi iqala ukulwa nenhliziyo namalungu. Ngenxa yalokho, amaviki amabili emva kokutheleleka, i-arthritis yenzeka, ethinta ikakhulukazi amadolo, izimbambo, izigqoko nezinwele, kuyilapho ukuvuvukala ngokushesha "kuqhuma" kusuka komunye ohlangene kuya kwesinye. Ukuxilongwa kwe-arthritis post-streptococcal kusizwa ukuhlolwa kwegazi, okuveza ukwanda okweqile kwenani lamagciwane okulwa ne-anti-streptococcal. Endabeni ye-post-streptococcal arthritis, i-cardiorevmatologist kufanele ifakwe enganeni! Lungiselela ukwelashwa isikhathi eside ngezifundo zama-antibiotics.
I-post-vaccination arthritis
Njengomthetho, isifo samathambo sibangelwa ukugoma ngokumelene ne-rubella (okuyinkimbinkimbi noma "mono"). Ngokuvamile, ukuvuvukala kwenzeka ngemva kokugonywa ngokumelene nemisipha, i-pertussis noma i-pox pox. Izimpawu ze-arthritis zivela emavikini amathathu emva kokujola, kodwa emva kwezinsuku ezinhlanu zidlula ngokuphelele. Isifo esibucayi se-systemic, esingathinti amalunga kuphela, kodwa futhi nezitho zangaphakathi, kuvame kakhulu emantombazaneni 2-5 ubudala. I-arthritis enjalo ingaqala kakhulu (imfiva nobuhlungu obukhulu) noma kancane kancane - ngaphandle kokushisa, ngokunyuka okuncane kokukhukhumeza nokuzwela. Ekuseni, umntwana uzizwa ekhuthele ekuhambeni, okuvame ukuqhutshwa kusihlwa, kepha ubuyela ngosuku olulandelayo. Esinye isici salesi sifo umonakalo ohlangene ohlangene. Kuvame ukuvutha kanye negobolondo leso - lokhu kuboniswe ngesikhathi sokuhlolwa kwe-ophthalmologic. Ngesifo samathambo esincane samantombazane, udokotela ubeka emithini ye-hormonal yengane, engeyona i-steroidal anti-inflammatory futhi - impela - izidakamizwa zokuzivivinya umzimba. Manje sazi ukuthi kuyingozi kangakanani isifo samathambo esithathelwanayo esithathelwanayo emntwaneni, ukuxilongwa nokuphathwa kwayo kuyadingeka esibhedlela noma ekhaya.