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Me Dr Isabelle Koné-Paut, ke poʻo o ka rheumatology a me nā maʻi inflammatory pediatric ma ka haukapila Bicêtre.
No nā pule he nui, ua ʻike ʻoe i ke ʻokeʻo o kāu keiki a ʻike pū nō hoʻi ʻoe ua loaʻa iā ia kahi ʻeha, pehu a me ka ʻāʻī ʻoʻoleʻa. Eia naʻe, ʻaʻole pili kēia mau hōʻailona i ka hāʻule. ʻOiaʻiʻo, ma hope o ke kūkākūkā ʻana ua hāʻule ka ʻōlelo hoʻoholo: he juvenile idiopathic arthritis (JIA) ke kaikamahine liʻiliʻi.
He aha ka Juvenile Idiopathic Arthritis
"Ke kamaʻilio nei mākou e pili ana i ka JIA i ka wā i loaʻa ai i kahi keiki ma lalo o 16 mau makahiki hoʻokahi o ka maʻi o ka maʻi maʻi i ʻoi aku ma mua o ʻeono pule a ʻaʻohe kumu kūpono, e like me ka hāʻule ʻana a i ʻole kahi maʻi, no ka laʻana. ʻAʻole ia he maʻi kūʻokoʻa, kokoke hoʻokahi keiki no ke tausani ma lalo o 16 makahiki », Wehewehe ʻo Isabelle Koné-Paut ka mea hoʻomaʻi maʻi rheumatologist.
ʻO ke ʻano oligoarticular maʻamau
Hiki ke loaʻa nā ʻano ʻano like ʻole o ka maʻi maʻi idiopathic juvenile a pili i nā keiki o nā makahiki āpau. ʻO ka mea maʻamau (ʻoi aku ma mua o 50% o nā hihia). ke ano oligoarticular pili pinepine i nā keiki ma waena o 2 a me 4 makahiki a ʻoi aku ka nui o nā kaikamahine, me ka ʻike ʻole o kekahi i ka wehewehe ʻana. Ma kēiaʻano o ka maʻi, ma waena o hoʻokahi aʻehā mau hui e pili ana,ʻo ka pinepine o nā kuli a me nā kuʻekuʻe wāwae.
He maʻi paʻakikī no kēia maʻi i ʻike ʻole ʻia
“Eia naʻe, ʻaʻole maopopo loa kēia maʻi. A, ma ka laulā, ke alo nei nā mākua i ka hele ʻana i ka lāʻau lapaʻau ma mua o ka ʻike ʻia ʻana o ka maʻi ”, ke kaumaha nei ka loea. Ma ka ʻaoʻao ʻē aʻe, ke hana ʻia ka hōʻailona e ka pediatrician specialist, hiki ke mālama ʻia. "Ma ka hapanui o nā hihia, pale mākou i nā koina āpau i ka hoʻohana ʻana i ka cortisone no nā manawa lōʻihi, no ka mea, ʻike mākou hiki ke loaʻa ka hopena deleterious i ka ulu ʻana o ke keiki," wahi a Professor Isabelle Koné-Paut. ʻO ka mua, ʻO ka pahuhopu ka hoʻonāʻana i ka mumū me nā lāʻau anti-inflammatory. A i nā manawa he nui, lawa paha ia.
Hoʻomaʻamaʻa ʻana i ka maʻi maʻi idiopathic juvenile
Inā ʻaʻole lawa nā lāʻau anti-inflammatory e hōʻoluʻolu i ka mumū, a laila hiki i ke kauka ke kuhikuhi a lapaau kāʻei kua e lawe ʻia i nā mahina a i ʻole mau makahiki, e hoʻokumu mau ʻia i nā lāʻau anti-inflammatory. A ma ia hope aku, inā e hoʻomau ka maʻi i ka holomua, hiki i kekahi ke huli i a biotherapy ʻo ia ka mea e ʻoi aku ka maikaʻi o ke ʻano o ka ʻāʻī e pili ana. ʻO ka hapa nui o nā keiki me ka maʻi o nā ʻōpio e hele i ke kala ʻana ma hope o ka mālama mua ʻana.
E makaala i na maka!
ʻO ka maʻi, ma kona ʻano oligoarticular, hiki ke hoʻopilikia i nā maka i 30% o nā hihia. He kuleana koʻikoʻi ka nānā ʻana no ka mea ʻaʻole hiki ke ʻike ʻia ka mumū i ka maka (ʻaʻole ʻulaʻula, ʻaʻole ʻeha), akā hiki ke alakaʻi i ka nalowale o ka ʻike. ʻO ia ka mea ophthalmologist nāna e hoʻokolokolo i kēlā me kēia ʻekolu mahina.