I fate ruh chu a na reng em? Juvenile rheumatoid arthritis (JIA) chungchang hi han sawi ila!

I fa hian ruh natna a complain em? A chang chuan zîngah kal a harsat em? Chutiang a nih chuan he thu hi i tan a pawimawh hle ang. Vawiin hian naupang tê tête nghawng thei dinhmun buaithlak deuh, mahse enkawl theih tak chungchang kan sawi dawn a ni. Chu chu juvenile idiopathic arthritis, emaw keini doctor-te’n kan tih angin, `(Juvenile Idiopathic Arthritis)` emaw `(JIA)` emaw a ni.

Juvenile rheumatoid arthritis (JIA) hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, `(JIA)` hi naupang ruh natna chi khat a ni ber. Chronic condition a ni a, naupang chu rei tak a nghawng thei tihna a ni. Naupang taksaa ruh eng pawh a nghawng thei a ni.

Ngaihtuah teh, kan taksa hian immune system a nei a. Chu chu natna lakah min vengtu a ni. Mahse `(JIA)` hi `autoimmune disease` a ni. Chumi awmzia chu, naupang ngei pawhin a taksa peng hrang hrang, a bik takin a ruh chhunga `(synovium)` tissue leh joint fluid te chu a bei sual tihna a ni. Rukruin nangmah ngeiin a rawn luhchilh ang mai a ni.

Hetianga nghawng a neih avang hian synovium hian joint fluid a siam tam zawk a ni. Hei hi ruhte a hring a, a na a, a nghet lo tih a hriat hian a ni.

He immune system response leh a chhuak inflammation hian a chhehvel tissue te pawh a nghawng thei a, a tawpah chuan cartilage leh ruh a tichhe thei a ni. He inflammation hian naupang taksa peng dang, a bik takin mit a nghawng thei bawk. Enkawl loh chuan JIA hian naupang thanlenna leh thanlenna pangngai a tibuai thei a ni. Mahse, enkawl \ha a nih chuan naupang nunphung chu nasa takin a \ha thei a ni.

JIA hi naupang ruh natna chi khat a ni ber. United States-ah ringawt pawh naupang 1,000 zinga pakhat velin he natna hi an vei nia chhut a ni.

(JIA) chi hrang hrangte chu engte nge ni?

JIA hi chi hrang hrang lian tak tak a awm a. Chungte chu symptoms leh ruh natna vei zat a zirin an thliar hrang a ni. Eng nge an nih i han thlir teh ang.

Oligoarticular JIA hmanga siam a ni

Hei hi `(Oligoarthritis)` an ti bawk. In this type , joint panga aia tlem lo a nghawng a ni . A tam zawkah chuan ruh, khup, ke ruh leh ke ruh te hi a nghawng thin. Mit a nghawng thei bawk a, chu chu `(Uveitis)` an ti. A châng chuan mit enfiah loh chuan hriat a harsa ṭhin. `(JIA)` vei naupang zinga a chanve vel chu he chi hi an ni. Hmeichhiaah a tam zawk. Naupang tam zawk chuan puitlin an nih meuh chuan he natna hi an paih chhuak thei a ni. Mahse, naupang thenkhatah chuan ruh tam zawkah a darh thei a ni.

Polyarticular JIA hmanga siam a ni

Hei hi ``Polyarthritis`` an ti bawk. In this type , ruh panga emaw a aia tam emaw a nghawng a ni.Taksa sir lehlamah ruhkawr inang chiah chiah a nghawng a ni. Tin, kawr, hmui leh kut leh ke ruh te te a nghawng thei bawk. Hmeichhiaah pawh a tam zawk. `(JIA)` vei zinga 20% vel chu he chi hi an ni.

Psoriatic JIA natna vei te

Hei hi `(Psoriatic Arthritis)` an ti bawk. Chumi awmzia chu naupang chuan vun natna `(Psoriasis)` (vunah sen hring, vun chunglam silvery scales ang chi) nen arthritis a nei tihna a ni. Mahse, naupang hian `(Psoriasis)` nei lo mah se, chhinchhiahna dang a neih chuan, entirnan, kut zungtang emaw ke ruh emaw a hring, nail-a inthlak danglamna engemaw zat, emaw, chhungkaw zinga first-degree relative pakhatin `(Psoriasis) a neih chuan, he natna hi `(Psoriatic JIA)` tia hriat theih a ni.

Naupangte zingah Spondyloarthritis a awm

Hei hi `(Axial Spondyloarthritis) an ti bawk.` Hetiang arthritis hian ruhro, hip joint, leh `(Entheses)` (tendon leh ligament ruh inzawmna hmun) te a nghawng a ni. Tin, mit sen leh na a thlen thei bawk. Mipa naupang kum 7 chunglam ah hmuh a ni ber.

Systemic JIA hmanga siam a ni

A chang chuan `(Juvenile Still's disease)` an ti bawk. Naupang `(JIA)` vei zinga 10% atanga 20% velin hetiang chi hi an nei a ni. ``Systemic`` tih awmzia chu taksa pum emaw taksa system tam tak emaw a nghawng thei tihna a ni. Arthritis bakah hian systemic `(JIA)` hian khawsik sang tak leh vun natna a thlen tlangpui . Heng rashes te hi trunk, kut leh ke ah a lang a, a bik takin khawsik lai hian a lang thin. Tin, chhungril peng hrang hrang, thinlung, thin, ril, leh lymph node te pawh a nghawng thei bawk. Hetiang `(JIA)` chi hi mit a nghawng tlem hle. Hmeichhia leh mipa pawh a nghawng vek a ni.

(JIA) natna lan chhuah dan chu engte nge ni?

JIA natna lan chhuah dan hi a chi hrang hrangah a inang lo thei. A lan chhuah dan tlangpui chu:

• A sen, mit na, leh mit a fiah lo (a bik takin uveitis i neih chuan) .
• Chauhna emaw, thinrim fo emaw
• Fever (a bik takin systemic JIA-ah) .
• Limp-a kal (ruh natna avang) .
• Zing lama ruh (joint stiffness ) (zing i thawh tirh khan i ruh ben harsa ang maia hriat) .
• Natna, hring, emaw, ruhkawr lumna hriatna
• Vun a hring chhuak
• Lymph node a lo hring chhuak
• Weight loss emaw growth chak lohna emaw

Chûng mizia zawng zawng chu naupang tinah a awm vek lo tih hre reng ang che. Naupang thenkhat chuan tlemte chauh an nei thei.

Eng thilin nge (JIA) a thlen?

Dik tak chuan mithiamte chuan JIA thlen chhan dik tak hi an la hmu lo. " Idiopathic " tih a ni.""Idiopathic" tih thumal hi "a chhan hriat loh" tihna a ni.Mahse, hei hi thil engemaw zat thlentu nia ngaih a ni:

• Environmental factors: Environment chhunga thil awm, naupang taksa hriselna tichhe thei.
• Genetic factors: Heredity atanga lo chhuak predisposition.
• Infection: Infection thenkhat hnua immune system inthlak danglam vangin he natna hi a awm thei nia rinhlelh a ni.

(JIA) hi enkawl loh chuan eng harsatna nge a thlen theih?

He natna hi uluk taka enkawl a nih loh chuan naupang hian harsatna hrang hrang a nei thei a ni. Chuvang chuan natna hriatchhuah hmasak a, enkawl tan a pawimawh hle.

• Chronic arthritis leh functional impairment: Ruh natna chhunzawm zel leh hnathawh pangngai tih harsat.
• Thinlung chhehvel membrane inflammation (`Pericarditis`) emaw, lung vel membrane inflammation (`Pleuritis`) emaw .
• Naupang ruh leh than chak lohna.
• Joint a chhiat reng thin.
• Mit lama harsatna: a bik takin `(Uveitis)` (mit chhunga inflammation) leh a vanga mit hmuh lohna.

Engtin nge (JIA) hi hmuhchhuah a nih?

I fa chu JIA vei nia rinhlelh a nih chuan hetiang hian doctor-in a diagnosis a approach ang:

• Naupang ruhkawr enfiah.
• Naupang medical history kimchang enfiah.
• Nangmah leh i fate nen symptom chungchang sawi dun.

JIA hriat theihna tur thisen test bik a awm lo. Chuvangin doctor chuan condition dang a hnawl a, JIA hi a chhan a ni tih thutlukna a siam ta a ni.

Chu bakah, doctor chuan test a order thei bawk a, chungte chu:

• Imaging test: X-ray, ultrasound, magnetic resonance imaging (MRI) ang chi test hmangin i fate ruhkawr dinhmun enfiah theih a ni.
• Laboratory test: Hengte hian thisen, zun, leh/ emaw ruhkawr tui enfiahin arthritis chi hrang hrang hriat theihna kawngah a pui thei a, a chhan dang, natna hrik, hliam, cancer te pawh a zawng thei bawk.

Engtin nge (JIA) hi enkawl a nih?

Damdawi leh exercise hi `(JIA)` enkawlna bulpui ber a ni tlangpui. Enkawlna tum berte chu:

• Joint-a mobility leh chakna tihpun.
• Joint chhiatna leh harsatna awm thei venna.
• Natna tihziaawmna.
• Swelling tihziaawmna.

Damdawi chi hrang hrang

I fa chu JIA a vei tih hmuhchhuah a nih chuan doctor chuan damdawi a pe thei a, chungte chu:

• Nonsteroidal anti-inflammatory drugs (NSAIDs): Heng damdawi te hian natna leh hliam a tiziaawm a, mahse JIA kalphung leh a chhuah dan erawh a nghawng lian lo.
• Corticosteroids: Doctor-te chuan he damdawi hi ruh natna pakhatah injection angin an pe fo thin. A châng chuan ruh tam tak a nghawng emaw, naupangin systemic JIA a neih emaw chuan steroid hi pill emaw liquid emaw angin an pe bawk a, ka ei tur a ni.
• Disease-modifying anti-rheumatic drugs (DMARDs): Heng damdawi te hian arthritis natna kalphung thlak danglamin hna an thawk a ni. DMARD enkawlna tum ber chu immune system-in naupang ruh leh ruh a beih dan tihtawp a ni.
• Biological modifying agents: Heng damdawi te hian inflammation thlentu molecule emaw protein emaw te chu an target a. Heng enkawlnate hi naupang natna lanchhuahna na tak nei, damdawi dang ei lote tan chuan a tha fo thin.

Insawizawi

Exercise (physical therapy leh occupational therapy te pawh huam tel) hian natna a tihziaawm thei a, taksa ruh a tichak thei a, mobility a ti tha a, harsatna awm reng tur a veng thei bawk. A châng chuan doctor chuan naupang a lo puitlin chhoh zêl a ruhte humhim nân splint emaw, brace emaw a hmang thei bawk.

JIA hi ven theih a ni em?

Doctor ten JIA thlentu dik tak an hriat loh avangin tun dinhmunah chuan ven dan tur a awm lo. Mithiamte chuan JIA natna thlentu leh inven dan an zirchiang chhunzawm zel a ni.

(JIA) vei naupang leh thalai te hmalam hun eng nge ni?

JIA hian naupang zawng zawng a nghawng dan inang vek lo. Mi thenkhat tan chuan ruh pakhat emaw pahnih emaw chauh a nghawng a, awlsam taka enkawl theih a ni. Midang tan chuan JIA hian ruh tam tak a nghawng thei a, natna khirh tak emaw, rei tak emaw a thlen thei bawk.

JIA vei naupang tam tak chu a hmaa hriatchhuah leh enkawl a nih chuan an arthritis hi an control thei a, ruh chhiatna an veng thei a, an hnathawh dan pangngai emaw, a pangngai hnaih emaw-ah an kir leh thei bawk.

(JIA) hi eng chen nge a daih?

JIA hi thla tam tak emaw kum tam tak emaw a daih thei. Naupang thenkhat chu full remission-ah an kal a, thenkhat erawh chuan puitlin thlengin symptoms an nei tha hle thung. Doctor-te chuan hei hi JIA atanga "aging out" leh puitling atanga lo chhuak arthritis a lo nih thu an sawi. Engtikah nge hetiang hi a thlen tak tak dawn tih sawi theih a ni lo. Mahse i doctor chuan i fate dinhmun enkawl turin a pui thei che a, enkawlna tha tak tak a zawng thei che a, hmalam hun hlawhtling tak siam turin a pui thei bawk che a ni.

Engtikah nge Doctor ka hmuh ang?

I fa hian kar ruk emaw a aia rei emaw chhung heng symptoms te hi a neih chuan doctor i pan ngei tur a ni:

• Joint natna
• Joint a nghet lo
• Joints vel a hring chhuak

Naupang leh thalai (JIA) nena khawsa te hnenah eng thurawn nge i pek theih ang?

I fain JIA a neih chuan a pangngai thei ang bera awm turin fuih rawh. Sikul kal te, infiamna te, extracurricular activity-a tel te, chhungkaw thila tel te a pawimawh hle. A châng chuan doctor-te chuan arthritis leh sikul hnathawh theih lohnate hmachhawn tûra ṭanpui tûrin awmna bîk an rawt ṭhîn.

Hriat tur pawimawh tak chu exercise hian arthritis symptoms a ti na lo tih hi a ni. Dik tak chuan exercise hian deconditioning a veng thei a, muscle chakna leh endurance a tipung thei a, chu chuan joint a thlawp a ni.

Nutritional needs chungchang sawi dawn chuan ei tur ruahmanna bik hian arthritis symptoms a pui tih finfiahna a awm lo. Chuvangin, i fa chu chaw pangngai, inthlau tak ei turin fuih rawh.

Nu leh pa i nih angin i fa chu hrisel leh natna laka fihlim turin i duh a ni. Mahse i fain JIA a nei tih hrilh chu a lungchhiatthlak thei a, a ti lungngai thei bawk – a dik lo thei bawk. I doctor chu tanpui turin a awm a ni. JIA natna hmuhchhuah a nih chuan highway-ah harsatna lian tak angin a lang thei. Mahse enkawlna nen chuan kawngpuiah speed bump te tak te ang mai a ni. A tir lamah chuan tlem a nghing deuh tih hi thil pangngai a ni. I doctor chuan i natna lan chhuah dan tur a enkawl thei ang che tih ring la, i fa chu kawng dik zawh turin enkawlna ruahmanna tha tak siam rawh.

He thawnthu atanga kan hriat reng tur pawimawh tak tak (Take-Home Message) .

Okay, chuvangin vawiin a kan sawi tawh atanga kan hriat reng tur pawimawh tak tak te chu hetiang hi a ni:

• `(JIA)` hi naupang ruhkawr natna (chronic inflammatory disease) a ni a, naupangte zingah a awm thin. Immune system tha lo vang a ni.
• Hei hi chi hrang hrang a awm a, a natna lan chhuah dan pawh naupang hrang hrangah a inang lo thei.
• Natna hi hriat hmasak a, enkawl dan mumal tak tan a pawimawh hle. Hei hian ruh chhiatna a tihziaawm thei a, naupang chu nunphung tha tak a pe thei bawk.
• Damdawi leh exercise hi a enkawl dan ber a ni.
• JIA vei naupang chu a theih ang anga nun pangngai leh active taka nung turin fuih a pawimawh hle.
• Nangmah chauh i ni lo. Doctor te, physical therapist te leh mi dang tam tak te chuan nang leh i naute tanpui turin an awm reng a ni.

He thu hian `(JIA)` chungchang hriatthiamna tha zawk a neih theih ka beisei. I fa hian heng symptoms te hi a neih chuan doctor rawn la.

` Juvenile arthritis, JIA, naupang ruh na, ruh na, ruh natna, naupang natna, autoimmune natna