Chii Chinonzi Adult Still's Disease? Zviratidzo, Zvinokonzera, & Kurapa

Adult Still's disease chirwere chisingawanzoitika chinopisa, chinoita kuti munhu ave nemafivha akakwirira, kurwadziwa kwemapfupa, uye ganda rakaita seringi. Icho chimiro chechirwere chevana chinonzi systemic juvenile idiopathic arthritis, kunyange zvazvo chingaratidzika kekutanga kuvaya vakuru vemakore ese.

Chirwere ichi chinoita kuti hurongwa hwemudziviriri wemunhu husashande zvakanaka, richikonzera kuti rirove matishu ane hutano mumuviri mako. Kunyange zvazvo zvichinzwa zvine njodzi, vanhu vazhinji vane Adult Still's disease vanogona kutonga zviratidzo zvavo zvakanaka nekurapwa kwakakodzera uye vorarama upenyu hwakazara, hunoshanda.

Ndeapi zviratidzo zveAdult Still's Disease?

Zviratidzo zveAdult Still's disease kazhinji zvinouya nemafambiro, nemakore ekurwara anoteverwa nemazuva aunonzwa uri nani. Zviratidzo zvinokosha zvinosanganisira mafivha akakwirira, kurwadziwa kwemapfupa, uye ganda rakaita seringi rinouya nekuenda.

Heano zviratidzo zvikuru zvaunogona kuwana, kutanga nezvakajairika:

• Mafivha akakwirira: Mafivha ezuva nezuva anosvika 39°C kana kupfuura, kazhinji anouya masikati kana manheru
• Ganda rakaita seringi: Ganda rakaita seringi rinouya nekuenda, kazhinji richionekwa zvakajeka kana mafivha ako akakwirira
• Kurwadziwa kwemapfupa nekukwira: Kunyanya kukanganisa maoko, mazamu, nemabvi, kunyange chero pfudzi rinogona kukanganiswa
• Kurwadziwa kwemhino: Kurwadziwa kwemhino kunogara kwenguva refu, kunorwadza, kunoshaya kurapwa kwakajairika
• Kurwadziwa kwemhasuru: Kurwadziwa kwemhasuru kwakapararira mumuviri mako
• Kuneta: Kuneta kwakanyanya kunorasikirwa nekuzorora
• Zvipembenene zvakawanda: Zvipembenene zvakawanda, kunyanya munzvimbo yemutsipa wako

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika sekurwadziwa kwemudumbu, kurasikirwa nehuremu, kana kurwadziwa pabendekete. Zviratidzo zvinogona kuva zvakasimba panguva yekuzvimba, asi yeuka kuti kurapwa kwakanaka kuripo kuti kukubatsire kunzwa nani.

Chii chinokonzera Adult Still's Disease?

Chikonzero chaicho cheAdult Still's disease hachizivikanwi, asi vatsvakurudzi vanotenda kuti chinoitika kana hurongwa hwemudziviriri wemunhu huchitanga kurova matishu ako ane hutano. Izvi zvinoita kuti kuzvimba kuitike kunokonzera zviratidzo zvese zvisina kunaka zvaunonzwa.

Zvinhu zvakati wandei zvingaita kuti hurongwa hwemudziviriri wemunhu husashande zvakanaka:

• Zvirwere: Zvimwe zvirwere zvehutachiona zvinogona kutanga chirwere ichi kune vanhu vari kutova nechirwere ichi
• Zvinhu zvemagwenya: Zvimwe zviratidzo zvemagwenya zvinoita kuti vamwe vanhu vave nechirwere ichi, kunyange zvazvo zvisingauyi nemagwenya
• Zvinhu zvakatipoteredza: Kunetseka, zvimwe zvirwere, kana zvinhu zvakatipoteredza zvinogona kutamba basa mune dzimwe nyaya

Zvakakosha kunzwisisa kuti Adult Still's disease haisi chirwere chinopfuudzwa, uye hauna kuita chero chinhu chakakonzera. Dzimwe nguva izvi zvirwere zve autoimmune zvinongouya, kunyange kune vanhu vakanga vane hutano kare.

Rini unofanira kuona chiremba nekuda kweAdult Still's Disease?

Unofanira kuona chiremba nekukurumidza kana ukawana mafivha akakwirira ezuva nezuva, kurwadziwa kwemapfupa, uye ganda rinouya nekuenda. Izvi zviratidzo pamwe chete, kunyanya kana zvichingogara kwemazuva mashoma, zvinoda kutarisirwa nachiremba.

Tsvaka rubatsiro rwekurapa nekukurumidza kana uchinzwa:

• Mafivha anopfuura 39°C anouya zuva nezuva kwevhiki kupfuura imwe
• Kurwadziwa kwakanyanya kwemapfupa kunodzivisa kufamba kwako
• Kunetseka kufema kana kurwadziwa pabendekete
• Kurwadziwa kwakanyanya kwemudumbu
• Zviratidzo zvechirwere chakakomba sekunyongana kana kushaya simba kwakanyanya

Usamirira kana uchinzwa uri kurwara zvakanyanya. Kuongororwa nekukurumidza nekurapwa kunogona kudzivirira matambudziko uye kukubatsira kunzwa nani nekukurumidza.

Ndeapi njodzi dzeAdult Still's Disease?

Adult Still's disease inogona kukanganisa chero munhu, asi zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana chirwere ichi. Kunzwisisa njodzi idzi kunogona kukubatsira kuziva zviratidzo nekukurumidza kana zvikaonekwa.

Njodzi huru dzinosanganisira:

• Zera: Kazhinji inokanganisa vanhu vane makore 15-25 nemakore 35-45, kunyange zvazvo ichigona kuitika kune chero munhu mukuru
• Bonde: Vakadzi vane mukana wakakura wekuwana chirwere ichi kupfuura varume
• Zvirwere zvitsva: Vamwe vanhu vanowana zviratidzo mushure mezvirwere zvehutachiona
• Nhoroondo yemhuri: Kunyange zvazvo zvisingawanzoitika, kuva nehama dzine zvirwere zve autoimmune zvinogona kuwedzera njodzi zvishoma

Yeuka kuti kuva nenjodzi hazvirevi kuti iwe uchawana Adult Still's disease. Vanhu vazhinji vane njodzi idzi havambowana chirwere ichi, nepo vamwe vasina njodzi dzinooneka vanochiwana.

Ndeapi matambudziko anogona kuitika muAdult Still's Disease?

Kunyangwe vanhu vazhinji vane Adult Still's disease vanotonga zvakanaka nekurapwa, zvakajairika kunetseka nezvematambudziko anogona kuitika. Kunzwisisa izvi zvinogona kukubatsira kushanda nachiremba wako kuti uzvidzivise.

Matambudziko akajairika anosanganisira:

• Arthritis inogara kwenguva refu: Kuzvimba kwemapfupa kunogara kwenguva refu uye kunogona kukonzera kukuvara kwenguva refu kwemapfupa kana kusarapwa zvakanaka
• Matambudziko emwoyo: Kuzvimba kwemhasuru yemwoyo (myocarditis) kana ganda rinopoteredza mwoyo (pericarditis)
• Matambudziko emumapfupa: Kuzvimba kwemumapfupa kana mvura iri mumapfupa, izvo zvinogona kukonzera kunetseka kufema
• Matambudziko eropa: Kuwedzera kwema enzymes eropa kana kuzvimba kwetropa, kazhinji zvine chekuita nechirwere kana mishonga

Matambudziko asingawanzoitika asi ane njodzi anosanganisira:

• Macrophage activation syndrome: Chirwere chinouraya umo masero emudziviriri wemunhu anotanga kushanda zvakanyanya
• Zvirwere zvakakomba: Njodzi yakawedzera nekuda kwekudzikiswa kwemudziviriri wemunhu nemishonga
• Matambudziko eropa: Matambudziko ekugadzira masero eropa mune dzimwe nguva

Mashoko akanaka ndeawo kuti nekutarisa zvakanaka nekurapwa, matambudziko mazhinji anogona kudzivirirwa kana kutongwa zvakanaka. Timu yako yekurapa ichaona matambudziko aya uye ichichinja kurapwa kwako sezvinodiwa.

Adult Still's Disease inozwi sei?

Kuziva Adult Still's disease kunogona kuva kwakaoma nekuti hapana bvunzo imwe chete inozviziva. Chiremba wako achada kubvisa zvimwe zvirwere zvinokonzera zviratidzo zvakafanana, senge zvirwere, zvimwe zvirwere zve autoimmune, uye kenza dzakati.

Maitiro ekuongorora kazhinji anosanganisira:

• Kuongororwa kwemuviri: Chiremba wako achaona ganda rakaita seringi, mapfupa akakwira, nezvipembenene zvakawanda
• Kuongororwa kweropa: Izvi zvinoongorora zviratidzo zvekuzvimba, kubvisa zvirwere, uye kutsvaga maitiro chaiwo
• Kuongororwa kwemafirimu: X-rays, CT scans, kana MRI zvinogona kuitwa kuti uongorore mapfupa ako, chipfuva, nemudumbu
• Kutevera zviratidzo: Kunyora maitiro emafivha ako, ganda, nezvimwe zviratidzo

Chiremba wako achashandisa zvinhu zvakasimbiswa zvinoda zviratidzo zvakati, mhinduro dzekuongororwa kweropa, uye kusavapo kwezvimwe zvirwere. Izvi zvinotora nguva, asi zvakakosha kuwana kuongororwa kwakakodzera kuti uwane kurapwa kwakanaka.

Kurapa kweAdult Still's Disease ndekupi?

Kurapa kweAdult Still's disease kunotarisa pakudzora kuzvimba, kutonga zviratidzo, uye kudzivirira matambudziko. Mashoko akanaka ndeawo kuti kurapwa kwakawanda kwakanaka kuripo, uye vanhu vazhinji vanoona kugadziriswa kukuru nenzira yakakodzera.

Chirongwa chako chekurapa chichava chinosanganisira:

• Mishonga inodzora kuzvimba (NSAIDs): Ibuprofen yakakwirira kana naproxen kuderedza kuzvimba nekukuvadza
• Corticosteroids: Prednisone kana mishonga yakafanana yezviratidzo zvakakomba kana NSAIDs dzisingakwani
• Mishonga inochinja chirwere: Methotrexate kana mishonga yakafanana kubatsira kudzora matambudziko ehurongwa hwemudziviriri wemunhu
• Mishonga yeBiologic: Mishonga mitsva yakatarwa senge anakinra kana tocilizumab yezviitiko zvakaoma kurapa

Kune matambudziko asingawanzoitika, kurapwa kuwedzerwa kunogona kusanganisira:

• Kudzikiswa kwakasimba kwemudziviriri wemunhu: Kune kukuvara kwakakomba kwematumbu
• Plasmapheresis: Maitiro ekubvisa zvinhu zvinokonzera kuzvimba kubva mweropa rako
• Kupinda muchipatara: Kune matambudziko akakomba anoda kutarisirwa kwakanyanya

Chiremba wako anotanga nemishonga yakapfava uye anochinja zvichienderana nekuita kwako. Vanhu vazhinji vanowana zororo neNSAIDs ne steroids, nepo vamwe vachida kurapwa kwakakomba.

Nzira yekutonga Adult Still's Disease pamba?

Kunyangwe kurapwa kwakakosha, kune zvinhu zvakawanda zvaunogona kuita pamba kuti ubatsire kutonga zviratidzo zvako uye kuvandudza hupenyu hwako. Aya maitiro ekutarisira pachako anoshanda zvakanaka pamwe chete nemishonga yako yakanyorwa.

Heano matanho aunogona kutora:

• Zorora kana uchida: Teerera kumuviri wako uye usamanikidza kana uchinetseka zvakanyanya panguva yekuzvimba
• Isa kupisa kana chando: Shandisa mapadi ekupisa kune mapfupa akasimba kana mapaketi echando kune nzvimbo dzakakwira, dzine kurwadziwa
• Ramba uchinwa mvura yakawanda: Inwa mvura yakawanda, kunyanya panguva yemafivha
• Kuita zvemitambo zvishoma: Kuwedzera zvishoma, kushambira, kana kufamba kunogona kubatsira kuchengetedza kunyanya kwemapfupa
• Kudzikamisa kunetseka: Ita maitiro ekudzikamisa, kufungisisa, kana mamwe maitiro ekudzikisa kunetseka
• Tevera zviratidzo zvako: Chengetedza zuva remafivha, ganda, nekukuvadzwa kwemapfupa kubatsira chiremba wako

Yeuka kutora mishonga yako sezvakanyorwa, kunyange kana uchinzwa uri nani. Kumisa kurapwa nekukurumidza kunogona kukonzera kuzvimba kwemashure.

Ungagadzirira sei kuona chiremba wako?

Kuagadzirira zvakanaka kuona chiremba wako kunogona kukubatsira kuti uwane zvakawanda kubva mukuona kwako uye kuve nechokwadi chekuti timu yako yekurapa ine ruzivo rwose rwaida. Sezvo zviratidzo zveAdult Still's disease zvingava zvakaoma uye zvakasiyana-siyana, kugadzirira zvakanaka kwakakosha zvikuru.

Usati waona chiremba wako:

• Nyora zviratidzo zvako: Nyora nguva yekuuya kwemifivha, kukwirira kwavo, uye zvinhu zvinoita kuti zvive nani kana zvakanyanya kuipa
• Tora mifananidzo yeganda rako: Sezvo ganda richingouya nekuenda, mifananidzo inogona kubatsira zvikuru pakuzivisa
• Rondedzera mishonga yose: Sanganisira mishonga yakanyorwa, mishonga yekutengesa, uye zvinowedzerwa
• Gadzira mibvunzo: Nyora zvaunoda kuziva nezvechirwere chako nezvinhu zvekurapa
• Uye nemunhu anokubatsira: Kuva nemunhu ari newe kunogona kukubatsira yeuka ruzivo uye kupa rutsigiro rwepfungwa

Usazengurire kubvunza chiremba wako kuti akutsanangurire chero chinhu chisinganzwisisiki. Iyi ndiyo hutano hwako, uye unofanira kuwana ruzivo rwakajeka, rwakakwana nezvechirwere chako nezvinhu zvekurapa.

Chii chinonyanya kukosha nezveAdult Still's Disease?

Adult Still's disease chirwere chisingawanzoitika asi chinogona kutongwa chinokonzera mafivha akakwirira, kurwadziwa kwemapfupa, uye ganda rakaita seringi. Kunyange zvazvo zvingava zvinotyisa kana zviratidzo zvikaonekwa kekutanga, vanhu vazhinji vane chirwere ichi vanorarama upenyu hwakazara, hunoshanda nekurapwa kwakakodzera.

Zvinhu zvinonyanya kukosha zvekuyeuka ndezvekuti kuongororwa nekukurumidza nekurapwa zvinoita musiyano mukuru mumigumisiro. Kana uri kuwana zviratidzo zvemafivha akakwirira ezuva nezuva, kurwadziwa kwemapfupa, uye ganda rakaita seringi, usamirira kutsvaka rubatsiro rwekurapa.

Nemishonga yemazuva ano, kusanganisira mishonga yekare nemishonga mitsva yeBiologic, vanhu vazhinji vanogona kudzora zviratidzo zvakanaka. Shandisa timu yako yekurapa, gara wakasimba nechirongwa chako chekurapa, uye usazengurire kusvika kana uchida rubatsiro kana uine zvinetso.

Mibvunzo inobvunzwa kazhinji nezveAdult Still's Disease

Adult Still's disease yakafanana here nejuvenile arthritis?

Adult Still's disease inofungwa sechitarisiko chevakuru che systemic juvenile idiopathic arthritis, asi haisi imwe chirwere chakafanana. Kunyange zvazvo vachigovana zviratidzo zvakafanana nemaitiro ekuzvimba, Adult Still's disease inoitika kune vanhu vane makore anopfuura 16 uye inogona kuva nezvimwe zvinhu zvakasiyana uye mhinduro dzekurapa.

Adult Still's disease inogona kupora zvachose here?

Hungu, vamwe vanhu vane Adult Still's disease vanoita kuti chirwere chirambe chisingaoneki, kunyanya nekurapwa kwakakodzera nekukurumidza. Zvisinei, vamwe vanogona kuwana chirwere chinogara kwenguva refu nekuzvimba kwenguva nenguva. Anenge wechitatu wevanhu ane chiitiko chimwe chete chinogadziriswa zvachose, nepo vamwe vachinzwa zviratidzo zvinodzokororwa kana arthritis inogara kwenguva refu.

Ndichakwanisa kushanda uye kuchengetedza mabasa angu here?

Vanhu vazhinji vane Adult Still's disease vanogona kuramba vachishanda uye vachitaura mumabasa avo, kunyanya nekurapwa kwakanaka. Panguva yekuzvimba, ungada kuchinja mabasa ako kana kutora nguva, asi vanhu vazhinji vanodzoka kumabasa avo pakati pemaitiro. Taura nachiremba wako nezvekuchinja kunogona kubatsira.

Kune zvokudya zvandofanira kudzivisa here neAdult Still's disease?

Hapana kudya kunodiwa kweAdult Still's disease, asi kudya kwakakwana, kudya kunodzora kuzvimba kunogona kukubatsira kunzwa uri nani. Vamwe vanhu vanoona kuti kuderedza zvokudya zvakagadzirwa uye kuwedzera omega-3 mafuta kunobatsira nekuzvimba. Zvisinei, tarisa zvikuru pakutora mishonga yako yakanyorwa panzvimbo pekuvimba nezvimwe zvekudya chete.

Adult Still's disease inogona kukanganisa pamuviri here?

Pamuviri neAdult Still's disease inoda kuronga zvakanaka nekutarisa, asi vakadzi vazhinji vane pamuviri vakabudirira. Mishonga inoshandiswa kurapa chirwere ichi inogona kudikanwa kuchinjwa kana kuchinjwa panguva yepamuviri. Kana uri kuronga kuva nepamuviri kana uri kutova nepamuviri, shanda zvakanaka nachiremba wako wezvirwere zvemapfupa uye chiremba wako wevakadzi kuti uve nechokwadi chemigumisiro yakanaka kwauri nembabva yako.