Har yanzu ke cuta a cikin manya da yara: haddasawa, cututtuka, magani

A mafi muhimmiyar rawa a lura da wani m cuta taka ganewar asali da damar don bambance da cutar daga da dama sauran kiwon lafiya cuta. Har yanzu ta cuta magani ne tsawo, amma da hangen nesa da marasa lafiya a lokacin da za a gani a gwani, a mafi yawan lokuta kyau.

A tarihin da cutar

Da farko koya game da cutar a 1897, godiya ga likita George Steele. Amma a wannan lokaci na Duk da haka ta cuta da aka dauke shi kawai wani nau'i na rheumatoid amosanin gabbai. Kawai a cikin shekara ta 1971, Erik Bayuoters buga nazarin cewa bambanta da cutar daga da dama matsaloli da irin wannan bayyanar cututtuka.

Medical statistics nuna cewa rashin lafiya rare cuta iya daidai wakilan biyu namiji da mace. Duk da haka, mafi yawan marasa lafiya ake magana a kai likita da bayyanar cututtuka na Duk da haka ta cuta da kuma samu mai gaskatãwa ganewar asali - yara a karkashin shekaru 16 da haihuwa. Ganin irin wannan matashi, yawancin marasa lafiya, da ganewar asali ne rikitarwa saboda iyaye farko lura bayyanar cututtuka na yaro, yana da wuya a yi imani da wanzuwar irin wannan "shekaru" na matsalar.

A Sanadin cutar

Har yanzu, da etiology da cuta ne m. Wurare da dama a nazarin da nufin gano da abubuwan da tsokani Duk da haka ta cuta a cikin yara da manya, sun gaza. Bisa ga kullum yarda da jarrabawa, da cutar ne a sakamakon effects a jiki ko dauke da kwayar cutar kwayar jamiái, amma shaida, don tallafa wa wannan tabbatarwa, babu.

Doctors kokarin yin shirki da cutar tare da ciki, da yin amfani da magunguna, ciki har da na mace hormones, danniya da kuma wasu dalilai. A cewar wasu kafofin Duk da ke cutar tana nufin autoimmune cuta. Authentically shi ya tabbatar da cewa kawai a cikin aiki lokaci na cutar halin canje-canje a cikin taro na cytokines. Zai yiwu a nan gaba magani zai iya gane dalilin da cutar, game da shi simplifying ta bincikowa da kuma accelerating da dawo da marasa lafiya.

Alamun cutar Duk da haka, a manya

Har yanzu ke da cutar, wanda cututtuka su ne kama da dama sauran cututtuka suna kamu da dalilai da dama:

• Fever faruwa a lokacin Duk da haka ta cutar halin zazzabi, muhimmi a cikin wani yawan cututtuka, su inconstancy. A bisa ga al'ada, da yawan zafin jiki a lokacin da rana da aka sa a cikin al'ada iyaka, amma sau biyu a rana, tanã fita zuwa 39 darajõji, kuma a sama. A lokaci guda daya cikin biyar na marasa lafiya rage daga zazzabi Manuniya da kuma inganta haƙuri da alheri ba a lura, da muhimmanci dagula ganewar asali.
• A ganiya zazzabi tadawa a wani haƙuri bayyana fata eruptions, gabatar da ruwan hoda papules ko macula. Mafi sau da yawa, a rash located a kan ganga da proximal extremities, m sau da yawa - da hoto na nuna wani mai rash a kan fuskarsa. Daya-uku da marasa lafiya da rash lẽƙãwa a kan fata cover, da suka samo asali, yafi a cikin yankunan na gogayya da kuma matsawa. Irin wannan alama an kira Koebner sabon abu. An ba da yaushe tare da wani kurji, itching, kuma ta quite kodadde ruwan hoda launi da kuma yin lokaci-lokaci bacewar cututtuka imperceptible ga mãsu haƙuri. Doctors yi wani cikakken ganewar asali na haƙuri da za a hõre zafin jiki da tsakaitãwa, activates magana da garaje. Yana iya zama mai dumi shawa ko Kaddamar da dumi ajiye waje ɗaya. Atypical bayyanuwar da cutar ne: alopecia, erythema nodosum, petechial hemorrhages. Amma a yi, irin cututtuka su ne rare.

• A can farko na Duk da haka ta cutar halin bayyanar myalgia da arthralgia. A wannan na farko shafi daya kawai hadin gwiwa. A kan lokaci, cutar ta rufe sauran gidajen abinci, shan yanayin polyarthritis. Da farko rinjayar da gwiwa, idon, wuyan hannu, hip, temporomandibular, metatarsophalangeal gidajen abinci. Amma da alama da cutar, mafi hankula ga masu rinjaye na lokuta, shi ne ci gaban da amosanin gabbai da distal interphalangeal gidajen abinci na hannuwanku. Wannan shi ne abin da ya yale mu mu bambance Duk da haka ta cuta daga rheumatic zazzabi, ja tsari lupus ko rheumatoid amosanin gabbai.
• A 65% na lokuta da cutar na faruwa a kan bango na lymphadenopathy. Rabin da marasa lafiya ya karu mahaifa Lymph nodes. A lokaci guda, a wasu lokuta, necrotizing lymphadenitis daukan hali.
• A farkon cutar, marasa lafiya ruwaito alama kona a cikin makogwaro, wanda shi ne m.
• Domin Duk da ke cutar halin da cardio-na huhu bayyananen kamar aseptic pneumonitis, cardiac tamponade, valvular tsiri numfashi wuya ciwo.
• A marasa lafiya da alama kuma ophthalmic cuta. Wannan rikitarwa cataract, corneal degeneration blends Ribbon ido iridocyclitis.

Har yanzu ke cuta a cikin yara

Symptomatology na da cuta a cikin yara ne daban-daban daga manya. Duk da haka, manifestations Duk da ke cuta a cikin 'ya'yanku za a iya lubricated, abu don jinkirta ganewar asali da kuma jinkirta jiyya. Wani lokaci amosanin gabbai a cikin shimfiɗar jariri take kaiwa zuwa tawaya. Don kauce wa wannan, iyaye bukatar zama sosai m ga yanayin jiki na yaro. Kuma a lõkacin da farko bayyanar cututtuka na cuta koma zuwa gwani artisan. Kaddamar Duk da ke cuta a cikin yara zai iya sa a disproportionate karuwa a cikin extremities cewa bukatar m baki.

ganewar asali da cutar

Tun kusan babu takamaiman bayyanar cututtuka da cutar, da ganewar asali ne wuya. A kowane hali, ta ashirin Duk da ke cutar da aka bi da matsayin zazzabi na unknown yanayi. A wasu lokuta, da ganewar asali ne "sepsis". Sai da bayan jerin m darussa daga kwayoyin far da kuma yawan ƙarin nazarin likitoci sun zo Tsayawa akan matsayin cewa shi ne wata cuta daga adult Duk da ke. Magani da kuma fi - magani lokaci da kuma bukatar m likita dubawa. Haka ya shafi yara.

A ganewar asali rubuta kamar yadda bayyanar cututtuka kamar zazzabi, kumburi da gidajen abinci, da kara Lymph nodes da makogwaro kumburi, da kuma sauran abubuwan samu ta amfani da echocardiography, lissafta tomography da kuma duban dan tayi. M da wani jini gwajin nuna matakan platelets da farin jini Kwayoyin. A Duk da haka ta cuta ga mãsu haƙuri ne halin karu a matakin na ja jini Kwayoyin. A adult marasa lafiya, dagagge C-amsawa da furotin da kuma ferritin. Kamar wancan kima ga anti-nukiliya antibodies da rheumatoid factor ne yawanci korau.

Jiyya a lokacin gafarta musu

Complex da phased magani ne da za'ayi a cikin aiki lokaci na cuta, ko kuma a gafarta musu. A cikin farko idan, da hanya ya yi a wani asibiti, a karo na biyu - marasa lafiya sama da zama dole magani, yayin da sauran asibitoci ko a sanatoria da kuma kiwon lafiya mura. Jiyya hada magani, physiotherapy, motsa jiki far da kuma tausa.

Jiyya a lokacin m rashin lafiya

A lokacin exacerbation marasa lafiya shan NSAIDs, immunosuppressants, glucocorticoids. Magani ne ko da yaushe dogon. Wannan shi ne dalilin da ya sa duka biyu ga mãsu haƙuri da iyalinsa bukatar Stock babban kashi na haƙuri. Har yanzu ke cuta a cikin manya da yara - rashin lafiya mai tsanani da kuma aiwatar da shi ne kawai zai iya zama dace da bincike da kuma wajabta magani daidai.

Outlook

Bayan da magani, da uku yiwu siffofin da cutar. A mafi kyau daga gare su - maras wata-wata dawo da lura a daya bisa uku na marasa lafiya da wani rare ganewar asali. Wani daya-uku da marasa lafiya da relapsing nau'i na cutar lokaci zuwa lokaci. A mafi wuya wani zaɓi - a kullum cutar a adult Duk da ke. Jiyya, dawo da kuma fi a cikin wannan harka iya hada ba kawai gargajiya far, amma arthroplasty, kyale su mayar da halakar hadin gwiwa cutar.