Okuqukethwe
NginoDkt Isabelle Koné-Paut, inhloko ye-rheumatology kanye nezifo ezivuvukalayo zezingane esibhedlela sase-Bicêtre.
Sekuphele amasonto ambalwa uqaphela ukuthi ingane yakho iyaxhuga futhi uyabona ukuthi nayo inezilonda ezibuhlungu, idolo elivuvukele kanye nelunga eliqinile. Nokho, lezi zimpawu azilandeli ukuwa. Eqinisweni, ngemva kokubonisana isinqumo siwela: intombazanyana ine-juvenile idiopathic arthritis (JIA).
Iyini I-Juvenile Idiopathic Arthritis
“Sikhuluma nge-JIA lapho ingane engaphansi kweminyaka engu-16 okungenani isibe nesiqephu esisodwa sesifo samathambo esithatha amasonto angaphezu kwayisithupha futhi ingekho imbangela eqondile, njengokuwa noma ukungenwa yizifo, isibonelo. Akusona isifo esingavamile, cishe ingane eyodwa enkulungwaneni engaphansi kweminyaka engu-16 inaso », Kuchaza udokotela wamathambo wezingane u-Isabelle Koné-Paut.
Ifomu elivame kakhulu le-oligoarticular
I-Juvenile idiopathic arthritis ingathatha izinhlobo eziningi futhi ithinte izingane zabo bonke ubudala. Okuvame kakhulu (ngaphezu kwama-50% amacala) yi ifomu oligoarticular okuvamise ukuphatha izingane eziphakathi kweminyaka emi-2 no-4 futhi ikakhulukazi amantombazane, kungekho muntu owazi ukuthi angakuchaza kanjani. Kulolu hlobo lwesifo, phakathi kwelunga elilodwa kuya kwamane kuyathinteka, ngokuvamile amadolo namaqakala.
Ukuxilongwa okunzima kwalesi sifo esingaqondakali kahle
“Ngeshwa lesi sifo asiqondwa kahle. Futhi, ngokuvamile, abazali babhekana nokuzulazula kwezokwelapha ngaphambi kokuba lesi sifo sibonakale ”, ugxeka uchwepheshe. Ngakolunye uhlangothi, uma ukuxilongwa kwenziwa udokotela wezingane onguchwepheshe, kungelashwa. “Ezimweni eziningi, sigwema ngazo zonke izindlela ukusebenzisa i-cortisone isikhathi eside, ngoba siyazi ukuthi ingaba nomthelela omubi ekukhuleni kwengane,” kusho uProfesa Isabelle Koné-Paut. Okokuqala, umgomo uwukudambisa ukuvuvukala ngemithi elwa nokuvuvukala. Futhi ezimweni eziningi, lokho kungase kwanele.
Ukwelashwa kwe-juvenile idiopathic arthritis
Uma izidakamizwa ezilwa nokuvuvukala zinganele ukudambisa ukuvuvukala, khona-ke uchwepheshe angase anikeze a ukwelashwa ngemuva okufanele ithathwe izinyanga ezimbalwa noma iminyaka, njalo isekelwe emithini elwa nokuvuvukala. Futhi ngemva kwalokho, uma lesi sifo siqhubeka nokuthuthuka, umuntu angase asebenzise a i-biotherapy okuzoqondisa ngokuphumelelayo uhlobo lokuvuvukala okuhilelekile. Iningi lezingane ezine-juvenile arthritis lingena ekuxolelweni ngemva kokwelashwa kokuqala.
Qaphela amehlo!
Lesi sifo, ngesimo saso se-oligoarticular, singabangela izinkinga emehlweni ku-30% yamacala. Ukuhlola kudlala indima ebalulekile ngoba kungase kube nokuvuvukala okungabonakali esweni (alibomvu, futhi alibuhlungu), kodwa okungaholela ekulahlekelweni kombono. Ngudokotela wamehlo owenza ukuhlolwa njalo ezinyangeni ezintathu.