Nyamakazi ndi mwana: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Nyamakazi ndi mwana - vuto ndi zovuta ndi zoopsa. matenda mu Pediatrics ano n'chosoŵa. Komabe, nkhani zizindikiro zake ndi zimene muyenera kudziwa kuti kholo lililonse. Popeza kuti matenda sangathe kwathunthu wochiritsidwayo, koma ngati nthawi Chinamwali cha mankhwala ndi njira zodzitetezera kuti nyamakazi angathe kwambiri atsogolere ndi kuchepetsa mpata mavuto oopsa.

General zokhudza matendawa

Rheumatoid nyamakazi ana, imadziwika mankhwala monga zaumbanda nyamakazi (JRA) - aakulu olowa matenda chiyambi autoimmune. ana 100 zikwi mlandu pafupifupi 16-19 odwala matenda amenewa. Malinga ndi kafukufuku, atsikana amadwala matenda ndi 2-3 zambiri. Komanso, nthendayo zambiri matenda ana osakwana zaka zisanu.

Matendawo kwenikweni woopsa kwambiri chifukwa nthawi zambiri ndondomeko yotupa zimakhudza mfundo osati (zomwe palokha kumabweretsa alibe nyumba ya articular), komanso ziwalo (mwachitsanzo, mtima, maso, ndi zina zotero. D.). Matendawa kumabweretsa kuchepa khalidwe la moyo wa mwana, ndi zina kuti akuchedwa lalikulu mu kukula ndi olumala.

Nyamakazi ana: Zoyambitsa

Mwatsoka, limagwirira lenileni la matenda kwa tsiku sizinachitike elucidated. Amadziwika kuti nyamakazi - matenda autoimmune. Pa zifukwa zosiyanasiyana, chitetezo cha kulephera aakulu zikachitika, chifukwa chimene iwo amayamba kuzindikira dongosolo olowa monga bungwe lina. Motero, thupi limapanga mankhwala akupha amene kuukira woyamba synovial maselo nembanemba, kuwachititsa kutupa ndi alibe. Matendawa amayamba kuwononga chitetezo cha m'thupi ndi mbali zina za olowa ndi ziwalo zina mkati minofu.

Amadziwika kuti pali kutengera za kumtundu. Pali zinthu zina zomwe zingatithandize chitukuko cha matenda:

• mwadzidzidzi m'thupi kusintha (nthawizina nthendayo adamulowetsa pa unamwali chifukwa cha timadzi ta m'thupi kulumpha);
• njira kagayidwe kachakudya;
• vaccinations;
• kachilombo mwana thupi (kungakhale tizilombo toyambitsa matenda,, mycoplasma, etc ...);
• kutenthedwa amphamvu kapena overcooling;
• mwadzidzidzi kusintha kwa nyengo;
• olowa choipa.

Nyamakazi ana: chithunzi ndi zizindikiro za olowa mawonekedwe matenda

Pafupifupi 60-70% odwala amadwala ndendende mawonekedwe a matenda. Umayamba kawirikawiri ndi kufa olowa zazikulu (kawirikawiri bondo kapena m'miyendo ndi). Patatha milungu ina 1-3 kuvutika olowa. Mbali khalidwe ndi chosokonekera kuwonongeka olowa.

Mungaone kuti mwana anayamba limp. Pali m'mawa stiffness mu zimfundo amakhudzidwa. Komanso mwina kudziŵika kutupa mu ndondomeko yotupa. Chifukwa ululu ndi malire a zoyenda ana aang'ono kusiya kusewera, kusuntha pang'ono - Mwachidule, kusiya olimbitsa thupi, amene anatsagana ndi nkhawa. Ngati Popanda kuchitapo kanthu, lingachititse kuti minofu ya manja.

Monga matenda ili m'kati pali alibe wa nyumba limodzi tingayambe chilema.

Olowa choipidwa mawonekedwe a matenda

The aakulu ankaona olowa choipidwa nyamakazi ana. Zizindikiro pano, kuwonjezera kuwonongeka olowa monga zizindikiro zonse za kuledzera, chifukwa chitetezo cha kumawononga minofu ya ziwalo. Childs, exacerbation imayamba ndi kuwuka lakuthwa kutentha, kutentha thupi, kuwonjezeka mfundo chiwindi, ndulu, lymph. Mungaone kutupa ndi redness mu zimfundo amakhudzidwa. A mwana kupweteka kwambiri.

Akunde ziwalo kungachititse kuti amyloidosis matenda osiyanasiyana a impso, mtima, mapapo, chitukuko vasculitis, imfa masomphenya, ndi zina zotero D..

A mtundu zowombetsa mkota nyamakazi articular

Nyamakazi mwana akhoza kutenga malo m'njira zina, mwachitsanzo:

• oligosustavny aakulu nyamakazi, omwe limodzi ndi 1-2 kugonjetsedwa kwa mfundo zazikulu (bondo kawirikawiri) ndi lalitali, chosaopsa Inde matendawa;
• polyarticular mawonekedwe a matenda, amene anatsagana ndi kugonjetsedwa kwa nyumba zingapo lalikulu kapena osakaniza mfundo zazikulu ndi zazing'ono; matenda ndi undulating.

luso labwino la diagnostics zamakono

Only dokotala amadziwa mukazindikira nyamakazi ana. Diagnostics - njira yaitali ndi yovuta. Mwachibadwa, kuyamba ndi kuyamba kuyendera ambiri anachita, zomwe zimathandiza kudziwa pamaso kutupa mu malo. Kenako, monga ulamuliro, ikuchitika mayesero zasayansi. Mwa njira, mu zaumbanda nyamakazi, rheumatoid Chinthu mu magazi si wapezeka mu magawo oyambirira a matendawa pafupifupi 50% ya milandu.

Zofunika kwa matenda ndi mayeso X-ray. Lusoli kuchitidwa ultrasound zimfundo akhudzidwa. Zambiri zokhudza chikhalidwe cha thupi akhoza analandira kudzera yopangidwa tomography. Ngati pali kukayikitsa mawonekedwe choipidwa matendawa, dokotala akuonetsa ndi electrocardiogram, anayesedwa kwa seeding bacteriological, kuti ndiweruzidwe ndi maso ndi.

zoyamba za chithandizo kwa nyamakazi ubwana

Mankhwala a nyamakazi ana - sikumatha, chifukwa, mwatsoka, kuchotsa matenda zosatheka kwathunthu. Therapy, mu nkhani iyi anawalozera kwa chopinga kutupa, mlingo kuchepetsa alibe zimfundo ndi, komanso kuteteza sayenda awo.

M'nthawi pachimake ndi subacute nthawi zonse umachitikira mankhwala omwe amathandiza kuthetsa kutupa. Nthawi chikhululukiro mulinso kuchititsa zosiyanasiyana zosangalatsa, kuphatikizapo physiotherapy.

mankhwala

N'zoona kuti makolo ambiri n'kofunika kwambiri ndi funso la mmene tiyenera kuchitira nyamakazi. Zizindikiro ndi mankhwala a ana n'zogwirizana - kuchokera udindo wa mwana chimadalira pa mndandanda wa mankhwala ntchito. Zonsezi zikhoza kugawidwa m'magulu awiri:

• mankhwala lakonzedwa kuti akonze zizindikiro zazikulu akudwala pachimake;
• mankhwala kubisa chitetezo cha m'thupi (wodwala amatenga m'moyo wawo wonse, ngakhale mu nthawi ya chikhululukiro).

Monga ulamuliro, kuyamba ndi ana zotchulidwa nonsteroidal odana ndi yotupa mankhwala. The zothandiza kwambiri zikuphatikizapo "Phenylbutazone" "Indomethacin" "Voltaren", "ibuprofen". Kumene, mlingo ndi nthawi ya mankhwala atsimikiziridwa payekha. Mwa njira, mankhwala mwamsanga m'mbuyo chitukuko cha kutupa, kupweteka ndi kutentha thupi. Komanso, si poizoni ndi kusokoneza ochepa mbali, chimene chiri chofunika kwa thupi mwanayo. Mwachitsanzo, ngati adapeza nyamakazi mu mwana (zaka 3) mu gawo pachimake, n'kutheka, dokotala mankhwala monga mankhwala, ndipo amagulitsidwa ngakhale mu maonekedwe a suppository, umene ndi yabwino.

Zikavuta kwambiri (mwachitsanzo, zowombetsa mkota kapena choipidwa mawonekedwe) amafuna kugwiritsa ntchito corticosteroids, zomwe kulimbana ndi ndondomeko kutupa kwambiri zosavuta. Monga ulamuliro, iwo anasonyeza kwa ana zaka wocheperapo 5, koma nthawi zina kupatula. mankhwala ntchito mu mawonekedwe a miyala ndi njira, ndipo nthawi zina kutumikiridwa mwachindunji mu kapisozi olowa kukwaniritsa zotsatira pazipita.

Mwatsoka, mankhwala odana ndi yotupa sangathe m'mbuyo ndondomeko alibe zimfundo ndi. Choncho, odwala kutumikiridwa nawo ndi otchedwa immunosuppressants - mankhwala ziletsa ntchito chitetezo cha m'thupi. "Plaquenil" amatanthauza yabwino kwambiri, "Krizanol", "Sanokrezin", "kuchita Lago". mankhwala ayenera kumwedwa maphunziro, koma nthawi zonse, ngakhale chikhululukiro pofuna kupewa isanayambike exacerbation wina.

Malinga ndi chikhalidwe cha dokotala mwana angakupatseni phwando cytostatics (expediently pa allergo septicemic mawonekedwe matenda), mankhwala amene amayambitsa coagulation wa Kakhungu synovial (mwachitsanzo, "Varikotsid") zitanthauzanso kuti kuchepetsa mlingo wa chinthu rheumatoid ( "kuprenil").

mankhwala njira thupi komanso ndi mphamvu zawo

Mankhwalawa zaumbanda nyamakazi ana pa nthawi, kuwonjezera pa kukonzekera ochiritsira Mwina mulinso physiotherapy. Pali njira zambiri zimene zimagwiritsidwa ntchito kukwaniritsa chikhululukiro, koma iwo amasankhidwa ndi dokotala kupita kwa mwana aliyense payekha.

Pafupifupi ana onse analimbikitsa nthawi kuti maphunziro a mankhwala kutikita kuthandiza kusintha magazi, kuthetsa kwa minofu ndi kuwalimbikitsa. Kumathandiza ndi physiotherapy, amene amathandiza kukhala olowa kuyenda. Kumene, maphunziro chiwembu ndi ntchito amasankhidwa payekha malinga mlingo wa chitukuko cha matenda, zaka ndi mmene wodwalayo pang'ono.

Pali njira zina zambiri. Makamaka nyamakazi ana - zikuonetsa kwa chipatala chaching'ono chithandizo. Ndithu amakhala ogwira matope mankhwala, paraffin mankhwala balneotherapy, etc .. D. Mu magawo pambuyo mankhwala mulole mafunde. Pamene bwino anasankha ya njira thupi mankhwala ndi dongosolo la mankhwala iyende bwino.

ndi maganizo chifukwa mwana wodwala chiyani?

Kodi mungayembekezere akapezeka nyamakazi mwana? Mapa, mwatsoka, si zolimbikitsa. matenda ndi moyo ndi kumchiritsa kwathunthu, zonse ziri pafupi zosatheka. Kuchotserapo akhoza zimachitika pokhapokha oligoarthritis, amene si limodzi ndi chiwonongeko olowa. Koma ovuta kwambiri mtundu wa matenda imatengedwa kuti choipidwa, chifukwa chiwerengero cha mavuto zotheka ndi apamwamba kwambiri.

Kodi kuchita ngati mwana anapeza matenda? Panthawi yake komanso imachitika mankhwala akhoza kusokoneza ndondomeko chiwonongeko olowa ndi okhudzidwa ziwalo zina. Pali milandu pamene zinali zotheka kukwaniritsa yaitali chikhululukiro ndipo kwambiri kusintha khalidwe la moyo wa mwanayo. Komano, ndi musabise pafupipafupi zotheka kwambiri kuphwanya ntchito zikuluzikulu za malo, zikubweretsa chilema.

Kodi pali njira bwino kupewa?

Nyamakazi ana - matenda aakulu. Ndipo, mwatsoka, mankhwala kapena njira zina zopewera chitukuko cha matenda makamaka mankhwala amakono kulibe. Komabe, ngati mwana anali m'gulu chiopsezo (Mwachitsanzo, pali kutengera za kumtundu, matenda awo sagwirizana, aakulu kutupa), pakhoza kukhala otchedwa si yeniyeni kupewa, womwenso zinthu zotsatirazi:

• Zonse polojekiti ndi dokotala. Iyi ndi dokotala kapena rheumatologist, amene nthawi zonse tione mwana kutsatira kusanthula ndi zina zotero. D. Monga matenda m'njira ina chikugwirizana ndi matenda a chitetezo cha m'thupi, si superfluous kuti dokotala wa immunologist.
• Zofunika khalidwe mankhwala a foci aakulu matenda, monga yotupa ndondomeko kungakhale chitukuko cha nyamakazi. Malinga ndi matenda amafuna upo ENT, mano, nephrologists, cardiologist ndi T D..
• Nkofunika kwambiri kuti musayandikire wa mwana odwala matenda, chifukwa, kachiwiri, kugonjetsedwa kwa thupi ndi tizilombo toyambitsa matenda kapena tizilombo akhoza kutsogolera chitukuko cha nyamakazi.
• Madokotala mankhwala kuteteza hypothermia zimabwezera hyperthermia.

Mwa kutsatira malamulo amenewa, mungathe kuchepetsa mosavuta kudwala matenda kapena pakutchulidwa a kumwa.