Cudurada hore ee loo yaqaan 'pauciarticular idiopathic arthritis
Cudurka arthritis-ka ee ilmo-galeenka ah ee loo yaqaan 'oigoarticular' (oo horay loogu yeero 'idiopathic arthritis-ka' ama 'pauciarthritis') waa nooc hoos-u-dhac ah oo loo yaqaan 'idiopathic arthritis-ka' kaas oo ka kooban wax ka yar 5 iskudhaf. Cudurka 'idiopathic idiopathic arthritis-ka' waa midka ugu wayn ee ku dhasha idiopathic arthritis-ka. Waxay ka kooban tahay 30% ilaa 60% dhammaan bukaanka idiopathic arthritis-ka ee Waqooyiga Ameerika iyo Yurub.
Nooc ka mid ah arthritis-ka daacuunka ah ee loo yaqaan 'oligoaricular idiopathic arthritis' waxaa lagu sii darayaa:
- Oligoarthritis joogto ah - Ma jirto wax dheeraad ah oo ku lug lahaansho dhexdhexaad ah lix bilood oo hore ee jirrada iyo calaamadaha.
- Oligoarthritis oo dheellitiran - Ka-qaybqaadashada dheeraadka ah ee isku-dhafan waxay dhacdaa kadib 6 bilood ee ugu horeeya ee jirrada iyo ugu danbeyntii in ka badan 4 xaglood.
Qiyaastii kala bar caruurta qaba cudurka daacuunka ee loo yaqaan 'idiopathic idiopathic arthritis' waxay horumariyaan nooca fidsan 4 illaa 6 sano ka dib marka cudurka uu billowdo. Inkastoo aysan jirin wax adag oo lagu saadaalinayo caruurtu inay sii wataan si ay u kobcaan nooca fidsan, waxaa jira astaamo xanuun oo u muuqda inay kordhin karaan suurtagalnimada, oo ay ka mid yihiin ka qaybqaadashada isku-xirnaanta isku-midka ah, lugta canqowga ama curcurka (ama labada lugood iyo curcurka), iyo sicir bararka sareeya ee lafdhabarta 6 bilood ee hore.
Astaamaha Caadiga ah iyo Calaamadaha
Da'da ugu sarreysa ee bilawga cudurka daacuunka ee loo yaqaan 'idiopore' idiopathic arthritis waa 2 illaa 4 sano jir carruurta Cafiska ah oo ka yimid Maraykanka iyo Yurub.
Gabdhaha ayaa badanaaba la saameeyaa wiilasha (3 illaa 1). Bilawga cudurka arthritis-ka ee dhalo-oogista ah ee carruurta yar-yar waxay ku badan tahay carruurta da'doodu ka weyn tahay 5 sano iyo bilawga ah carruurta ay da'doodu tahay 10 sano ama ka weyn.
Caadi ahaan, bilawga kaadiheysta ilmagaleenka idiopathic osteopathic arthritis, waxaa jira astaamaha isku dhafan oo isku xiran oo saameeya hal ama laba qaybood oo waaweyn.
Jilibka ayaa ah midka ugu caansan ee saameyn ku yeeshay. Canqowga, curcurka, iyo tirooyinka ayaa ah kuwa ugu badan ee ku lug leh ee ku xiga. Calaamadaha nidaamka (sida, qandhada, finan yaryar) waa dhif iyo naadir, sida lugta bidix iyo gadaal. Haddii ilmuhu uu ku lug yeesho nidaamka ku lugta ama ka-qaybgalka suuxdinta ama dib-u-eegista, dib-u-qiimeyn ayaa lagu muujiyay oo dib u eegis loogu sameynayo cudurka.
In kastoo laga yaabo inaad filayso xanuunka inuu yahay astaamaha ugu caansan ee bilawga ah ee cudurka daacuunka ah ee loo yaqaan 'idiopore' idiopathic arthritis-ka, caadi ahaan bilawga ayaa ah mid fudud. Waalidku wuxuu ogaan karaa in ilmahoodu uu kufilan yahay, u diidan yahay socodka ama socodka, ama bararka wadaagga ay saameysay.
Qiyaastii 70% ilaa 80% carruurta qaba cudurka 'idiopathic arthritis-ka' joogto ah oogada yar iyo 80% ilaa 95% oo leh xinjirowga 'idiopathic arthritis-ka' oo leh fiditaan ilmagaleenka ah ayaa leh baaritaan wanaagsan ANA . Meelaha ANA-yada ah ayaa caadi ahaan hoos udhexaad ah. Bukaannada qaba cudurka 'ANA' ee leh 'oigearticular idiopathic arthritis-ka', waxaa jira halis weyn oo ay ku yeelan karto uveitis . Sidoo kale, carruurta badankood ee qaba cudurka daacuunka ee loo yaqaan 'idiopathic neuropathic arthritis' waxay leeyihiin heer caadi ah ama qafiif ah oo heer sare ah oo CRP ah iyo sicir barar, tirada unugyada dhiigga ee caadiga ah, iyo dhiig yaryar.
Marka laga hadlayo uveitis, waxaa jira baaritaanno shaybaar oo kaa caawinaya saadaalinta darnaanta cunnooyinka irbadda ee carruurta ee leh cudurka daacuunka ah ee loo yaqaan 'idiopathic idiopathic arthritis-ka'.
Hase yeeshee tijaabooyinku ma saadaalinayaan bilawga, hase yeeshee. Baaritaannada waxaa ku jiri kara heerka a2-globulin ee serum, iyo waliba antibiyootika HLA (HLA-A19, HLA-B22, HLA-DR9).
Daaweynta Cudurka 'Idiopathic Arthritis-ka ee Dhallaanka ah'
Daaweynta ilmo-xayawaaneedka ilmagaleenka ee ilmo-galeenka ee la dheereeyey waxay u egtahay sida rheumatoid factor factor pozitif ama rheumatoid saameyn aan caadi aheyn ee yar-yar ee ilmagaleenka idiopathic arthritis. Isbarbardhigga daaweynta waxaa sabab u ah ku lug lahaansha shubanka .
Wixii talaabo ah oo loo yaqaan 'idiopathic idiopathic arthritis-ka' joogto ah, habab kore ayaa loo adeegsadaa:
- Daaweynta NSAID (oo leh ama aan lahayn cirbadeynta steroid intra-siga)
- Daawada methotrexate waxaa la isku dayeyaa haddii jawaab-celinta cirbadeynta steroid-ka ee ku-meel-gaadhka ahi aysan ku filneyn
- TNF inhibitor waxaa lagu dari karaa, iyadoo aan laheyn ama aan laheyn daawada methotrexate, haddii methotrexate oo kaliya ayan ku filneyn
Azulfidine (sulfasalazine) iyo Plaquenil (hydroxychloroquine) ayaa loo isticmaali karaa qorshe bedel ah. Ka-fadhiisinta (qayb ahaan ama dhammeystiran) ee kaadimareenka ilmagaleenka ee loo yaqaan 'idiopore' idiopathic arthritis-ka waxaa lagu gaari karaa 60-70% ee bukaanka loo yaqaan 'idiopathic' idiopathic arthritis-ka ee la yiraahdo 'idiopathic idiopathic arthritis' oo leh isticmaalka daawada methotrexate.
Ilaha:
Kelley ee buugta qoraalka ee Rheumatology. Elsevier. Qoraalka sagaalaad. Cutubka 107aad: Daaweynta Cudurka 'Idiopathic Arthritis'. Hsu, Lee, Sandborg.
Cudurka arthritis-ka ee ilmo-galeenka ee ilmo-galeenka ah. UpToDate. Pamela F. Weiss MD. 12/09/15.
http://www.uptodate.com/contents/oligoarticular-juvenile-idiopathic-artritis
OrthoInfo. Xanuunka Arthritis-ka. Sebtembar 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00075
Saadaalinta hore ee koorsada daran ee uveitis ee kudhaca arthritis-ka ee ilmo-galeenka ah. Zulian E. et al. Wargeyska Rheumatology. Nofembar 2002.
http://www.ncbi.nlm.nih.gov/pubmed/12415607