Kunewo chirwere chinopararira chinopararira, umo microbe "inowanikwa" zvakananga mumubatanidzwa uye inokonzera apo purulent inflammation, arthritis mushure mekutambudzika kwakanyanya, arthritis inotambudza uye zvimwe zvakawanda zvingasarudzwa. Kana iwe uchifungidzira mwana weArthritis, pakarepo umutungamirire kune chiremba wevana. Chiremba achapa miedzo uye, maererano nemigumisiro yavo, sarudza kana mwana achida kuenda kuchipatara kana kuti vabereki vanogona kumubata kumba. Zvinyorwa zvidzidze munyaya yehurukuro inoti "Kutapukisa-kurwisa arthritis mumwana, kuongororwa uye kurapwa."
Zvirwere zvinotapukira-zvinokonzera arthritis
Inoitika sechinhu chinokonzera mushure mekurwa kwepamuviri kana urogenital. Viral arthritis. Urwu hutachiona hunovhiringidzwa nehutachiona hwehutachiona - rubella, hepatitis B, parvovirus uye enterovirus zvirwere uye mumps. Post-streptococcal arthritis (yaimbova inonzi rheumatism). Inokonzerwa nehupenzi-streptococcal infection. Sezvo zita racho rinoreva, "makumbo" pano anowedzera kubva pakupora kusina kubudirira. Juvenile rheumatoid arthritis. Kuzvidzivirira kwekuzvidzivirira, umo muviri unotanga "kudya" maitiro ayo. Chimwe chikamu chemufananidzo uyu weArthritis ndechekushaya simba: pasinei nokuti mwana wacho achangobva kurwara, hapachina hutachiona hunovhiringidza muhutano hwakakanganiswa. Zvisinei, hazvifananidzi kufara: sero masvingo emakemikari epathogenic anobatsira lymphocytes, uye avo vari kubudisa nhamba yakawanda yezvirwere, nekubatsira kwezvinonzi maune masimba anodzivirira anogadzirwa. Izvi ndizvo zvinetso zvinokonzera kuvhiringidza. Kumubata, "zvinorwadza" zvinonyanya kupisa kudarika vamwe, uye ganda riri pamusoro pavo rinogona kusvibiswa uye kunyange rakafukidzwa neoma, scaly plaques (ivo vanozopfuura ivo pachavo). Iko kuonekwa hakusi nyore sezvinoratidzika. Kana arthritis yakatanga mwedzi mushure mekurwa kwepachivi, saka vabereki vangasayeuka nezvazvo mukukurukura nachiremba. Ndicho chikonzero chikamu chakanaka chekuongororwa kunopiwa neropa reakagadziriswa arthritis chinangwa chekuwana "inokonzerwa".
Nenzira yakanaka, ngetani yakadaro haisi kugara ichivaka, asi kana zvinhu zviviri zvichienderana: mwana anotora hutachiwana pane imwe nzvimbo (salmonellosis, dysentery, pseudotuberculosis, chlamydia) uye panguva imwe chete maitiro ekugadzirisa zvirwere pamwe chete anoonekwa. Muchiitiko ichi, mavhiki mana shure kwekudzikinura, majoini anobva atanga kupera: maoko, makumbo kana, kuti, zvigunwe zvinodururwa, zvitsvuka uye zvisingateereri. Reactive arthritis inoratidzirwa ne-asymmetry: somuenzaniso, kwete mabvi maviri maviri anotambura kamwechete, asi imwe (somuenzaniso, kuruboshwe) uye chikwata (kurudyi). Chimwe, chimwe chinhu chechirwere - nhamba shomanana ye foci: kubva kune imwe kusvika kune ina. Chimwe chienzaniso chekare chechirwere chetachiona chinonzi Reiter's syndrome, iyo inoratidzwa nekubatana kwekubatana (arthritis), eye mucosa (conjunctivitis) uye urethra (urethritis).
Nzira yekuziva sei?
1. Kuongorora ropa uye urini. Nechinokonzera chirwere cheArthritis, kupisa kwekuputika kunoonekwa mukati mavo.
3. Kuongororwa kweropa kwakasiyana (kubva mumutsipa) kutarisa kubatwa kwepamuviri kana kuti zvirwere zvekunamata.
4. Kuongorora ropa kweropa. Zvakakosha kubvisa zvimwe zvirwere umo zviratidzo zveArthritis zvinosanganiswa nechiropa kana kuora kwepvo. Mukuwedzera, maererano nemigumisiro yenyaya ino, unogona kuona kana mwana wacho ane "streptococcus."
5. Kuedza kweropa kusabvisa zvirwere zvemotokari yezvibatanidza (kubva mumutsipa).
6. Kuongororwa kwemuti uye chigaro chekuvapo kwezvirwere.
Mukuwedzera, kana zvichidikanwa, chiremba angakukumbira kuti uite shanduko kubva mumhino nehuro uye utumire murwere kune ultrasound uye / kana X-ray yezvikamu zvinopisa. Ophthalmologist inofanirawo kuongorora mwana: sekutonga, conjunctivitis inobata arthritis inoenda pasina tsanangudzo, asi vamwe vana vangave vane uveitis (kuvhiringidza kwechirosi), inoda kuti pakarepo kurapwa kwechirwere. Sezvo mutemo, rubatsiro runouya mushure mokurapa mumazuva maviri, uye shure kwemazuva manomwe kusvika ku14 mwana anonzwa ane utano. Uyezve vabereki vakatove vakanyarara vane mubvunzo wokuti: "Hazvizoitiki zvakare!" Zvinosuruvarisa, kudzokerazve kwechirwere chetachiona chinokonzera, saka zvakakosha kutarisa utano hwemwana. Zvakakosha kupindura nokukurumidza kune zvose zveku "utamba-kutamba" hutachiona, somuenzaniso kusingaperi tonsillitis kana caries. Kuziva kuti maitiro ekugadzirisa arthritis zvakajeka sei: kana vabereki vechidiki kana vanasekuru navanasekuru vanotambudzika ne "hutano" marwadzo, ipapo mugari wenhaka angave ane matambudziko akafanana.
Viral arthritis
Tatove tati maitiro akadaro echirwere anoitika mushure mehutachiona hwezvirwere zvehutachiona, kureva: rubella (nechitarisiko chekumhanya kana mazuva mashomanana zvisati zvave zvisinganzwisisike kuvhuvhuta uye kutanga kupera, mabvi, maziso, maziso emakumbo nemaoko emaoko); chirwere cheparvovirus (mukati mechirwere, zvigunwe uye zvigunwe zvinotanga kuzvimba); adenovirus infection (mazuva matatu mushure mokunge zviratidzo "zvinotonhorera" zvinokurudzira hutachiwana hutano hwemabvi, maziso nemakumbo); furuwenza uye zvimwe zvirwere zvinoputira kupemha (zvinopesana nemhepo yefivha, kupfuvura kwenguva pfupi uye marwadzo ekubhururuka muzvibatanidza zvingaonekwa); utachivirus (majoints anotanga kupera pamusana pefivha uye zvinogona kugadzirisa zvipembenene); mumps. mawere (arthritis inowanikwa 1-3 masvondo mushure mekunyangarika kwezviratidzo zvechirwere uye inokanganisa mazamu makuru). Nyaya yehutachiona yakawanda inowanzopfuura iga - mushure memasvondo makumi maviri nemasere, uye kuti kuderedza marwadzo avo vanachiremba vanowanzoshandisa kwete-steroidal anti-inflammatory drugs.
Mishonga inosanganisira
- Rugare. Zvakakosha kugadzira mamiriro ezvinhu akadaro, umo mwana haafaniri kuomesa masangano akabatwa.
- Nonsteroidal anti-inflammatory drugs. Chiremba anorayira ibuprofen, diclofenac, indomethacin kana nimesulide - mishonga iyi inodzokera kubatana pamwe chete, uye inoitawo kuderedza kuora uye kurwadziwa.
- Antibiotics. Dzinorayirwa zvakasimba pane dzimwe nguva: nekudzokorora kana kusagadzikana kwechirwere cheArthritis, nehutachiona hwechirwere chechirwere, apo chirwere chepachivi chinowanikwa, kana kana chirwere chisingaperi chine utachiona chinowanika mu nasopharynx.
- Hormonal preparations. Mari yakadaro inoshandiswa chete nokuda kwechirwere chakanyanya, iyo iyo isiri steroid mishonga isina simba.
- Physiotherapy. Panzvimbo yekuregererwa kwekuputika uye panguva yekudzoka kwechecheche, phonophoresis, magneto-uye parafini therapy uye kurapa maitiro zvinoshandiswa zvakashandiswa.
Post-streptococcal arthritis
Boka A streptococci rinokonzera tonsillitis yakaoma (gonda kwazvo) uye / kana pharyngitis. Kana iwe usingatangi kurapwa nemishonga inorwisa mabhakitiriya munguva, simba rekudzivirira muviri rinogona kutora marapirwo emamwe masero emuviri wako - nokudzidza kuuraya streptococci, inotanga kurwisana nemwoyo nemapfundo. Somugumisiro, masvondo maviri mushure mehutachiona, arthritis inowanzoitika, inoshandisa kunyanya mabvi, maziso, maziso nemakumbo, apo kuputira nokukurumidza "kunokwidza" kubva kune rimwe diki kune rimwe. Kuongororwa kwemashure-streptococcal arthritis kunobatsira neropa rekuongorora, iro rinoratidza kuwedzera kwakakosha kwenhamba ye anti-streptococcal antibodies. Muzvinyorwa zve post-streptococcal arthritis, cardiorevmatologist inofanira kunge yakabatanidzwa mumwana! Gadzirira kurapwa kwenguva refu nemapoka emishonga inorwisa mabhakitiriya.
Post-vaccination arthritis
Sezvo mutemo, arthritis yakadaro inokonzerwa nokudzivirira kurwisa rubella (yakaoma kana "mono"). Zvishoma nezvishoma, kuputika kunowanikwa mushure mekudzivirira kupindira mumukati, pertussis kana chicken pox. Zviratidzo zveArthritis zvikaonekwa masvondo matatu mushure mejisi, asi mushure memazuva mashanu vanopedza zvachose. Dambudziko re systemic, risingabatanidzi majoini chete, asiwo nhengo dzomukati, dzinowanzoonekwa mumusikana wemakore 2-5. Arthritis yakadaro inogona kutanga zvakasimba (fivhiri uye kurwadziwa kwakanyanya) kana zvishoma nezvishoma - pasina kupisa, nekuwedzera kunononoka kwekudzimba uye kunzwa. Mangwanani, mwana anonzwa akaoma mukati, izvo zvinowanzoitika manheru, asi anodzoka zuva rakatevera. Chimwe chiitiko chechirwere chacho chinokonzera kukanganiswa kwekubatana. Kazhinji inoputika uye ganda reziso - izvi zvinoratidzwa panguva yeongororo ye ophthalmologic. Nevana vechirwere rheumatoid arthritis, chiremba anorayira kumwana wehomoni, kwete-steroidal anti-inflammatory drugs uye-chaizvoizvo - immunosuppressive drugs. Iye zvino tava kuziva kuti ngozi inotapukira-inokonzera arthritis mumwana ndeyekuti, kuongororwa uye kurapwa kwacho kunotarisirwa muchipatara kana kumba.