Qhov sib txawv tseem ceeb ntawm cov menyuam yaus idiopathic mob caj dab thiab mob caj dab rheumatoid yog tias cov menyuam yaus idiopathic mob caj dab yog ib hom mob caj dab feem ntau pom hauv cov menyuam yaus thiab cov hluas, thaum mob rheumatoid yog ib hom mob caj dab feem ntau pom hauv cov neeg laus.
Arthritis yog ib yam kab mob uas ua rau o ntawm ib lossis ntau pob qij txha. Cov tsos mob tseem ceeb ntawm kev mob caj dab yog mob pob qij txha thiab txhav. Feem ntau, mob caj dab zuj zus nrog lub hnub nyoog. Muaj ntau hom kev mob caj dab, suav nrog ankylosing spondylitis, gout, juvenile idiopathic arthritis, osteoarthritis, psoriatic mob caj dab, reactive arthritis, rheumatoid mob caj dab, septic arthritis, thiab ntiv tes xoo mob caj dab. Juvenile idiopathic arthritis thiab rheumatoid mob caj dab yog ob hom kab mob caj dab.
Juvenile Idiopathic Arthritis yog dab tsi?
Juvenile idiopathic arthritis (JIA) yog ib hom mob caj dab uas feem ntau pom hauv cov menyuam yaus thiab cov hluas. Nws yog hom mob caj dab tshaj plaws hauv cov menyuam yaus hnub nyoog qis dua 16 xyoo. Nws yog kab mob autoimmune, txhais tau hais tias lub cev tiv thaiv kab mob tawm tsam nws tus kheej cov ntaub so ntswg. Feem ntau, lub cev tiv thaiv kab mob tawm tsam cov synovium, uas yog cov ntaub so ntswg nyob ib puag ncig ib leeg. Inflamed synovium tuaj yeem ua rau mob pob qij txha. Nyob rau hauv cov ntaub ntawv ntawm juvenile idiopathic mob caj dab, nws tsis paub qhov ua rau. Txawm li cas los xij, ob qho tib si heredity thiab ib puag ncig zoo li ua lub luag haujlwm.
Cov tsos mob ntawm cov menyuam yaus feem ntau yog mob caj dab, o (lub hauv caug o), txhav, ua npaws, mob qog nqaij hlav, thiab pob khaus ntawm pob tw. Cov menyuam yaus idiopathic mob caj dab tuaj yeem cuam tshuam rau ib leeg lossis ntau. Cov teeb meem muaj xws li teeb meem qhov muag thiab teeb meem loj hlob. Muaj ntau hom kab mob me me ntawm cov menyuam yaus idiopathic mob caj dab. Tab sis cov tseem ceeb yog cov kab ke, oligoarticular, thiab polyarticular.
Hom kab mob me me idiopathic mob caj dab hauv tus menyuam yog txiav txim siab los ntawm cov tsos mob, suav nrog ua npaws, ua pob, thiab cov pob qij txha cuam tshuam. Ntxiv mus, qhov kev mob nkeeg no tuaj yeem kuaj tau los ntawm kev kuaj ntshav (erythrocyte sedimentation tus nqi, C-reactive protein, antinuclear antibody, rheumatoid factor, cyclic citrullinated peptide) thiab imaging scans (X-ray, MRI). Tsis tas li ntawd, cov kev kho mob muaj xws li cov tshuaj (cov tshuaj uas tsis yog steroidal anti-inflammatory, kab mob-hloov tshuaj antirheumatic, tshuaj lom neeg xws li etanercept, adalimumab, golimumab, infliximab), kev kho lub cev ua haujlwm, thiab kev phais.
Rheumatoid Arthritis yog dab tsi?
Rheumatoid mob caj dab yog ib hom mob caj dab uas feem ntau pom hauv cov neeg laus. Nws yog ib qho mob ntev thiab mob autoimmune uas cuam tshuam rau tus neeg mob cov pob qij txha. Hauv qee tus neeg, rheumatoid mob caj dab tuaj yeem ua rau ntau yam ntawm lub cev, nrog rau cov tawv nqaij, qhov muag, lub ntsws, lub plawv, thiab cov hlab ntsha. Nws tau raug txheeb xyuas tias muaj qee cov noob xws li HLA-DR4, STAT4, TRAF1 thiab C5, PTPN22 txhim kho qhov mob thiab mob rheumatoid. Lwm yam tshaj li cov caj ces, ib puag ncig, hnub nyoog (40 txog 60), poj niam txiv neej (feem ntau hauv cov poj niam), rog rog, haus luam yeeb, thiab noj zaub mov (noj ntau cov nqaij liab thiab noj cov vitamin C tsawg) yog qhov laj thawj tseem ceeb rau tus kab mob no. Cov tsos mob tseem ceeb ntawm rheumatoid mob caj dab yog mob pob qij txha, pob qij txha o, sov, liab, txhav, nkees, tsis muaj zog, poob phaus, kub taub hau, tawm hws, qhov muag qhuav, thiab mob hauv siab.
Daim duab 01: Rheumatoid Arthritis
mob caj dab mob caj dab tuaj yeem kuaj tau los ntawm kev kuaj ntshav (erythrocyte sedimentation tus nqi, C-reactive protein, rheumatoid factor, anti-cyclic citrullinated peptide antibodies (anti-CCP)) thiab imaging scans (X-ray, MRI). Tsis tas li ntawd, cov kev kho mob yuav suav nrog cov tshuaj (NSAIDs, steroids, cov pa DMARDs, tsom DMARDs hluavtaws, cov neeg ua haujlwm biologic xws li abatacept, adalimumab, anakinra, rituximab, sarilumab, tocilizumab), kev kho lub cev ua haujlwm, thiab kev kho mob sib koom ua ke, fusion, thiab tag nrho kev sib koom ua ke.
Dab tsi zoo sib xws ntawm Juvenile Idiopathic Arthritis thiab Rheumatoid Arthritis?
- Cov menyuam yaus idiopathic mob caj dab thiab mob caj dab rheumatoid yog ob hom kab mob caj dab.
- Lawv yog kab mob autoimmune.
- Ob qho kev kho mob muaj mob ntev.
- Lawv yuav muaj cov tsos mob zoo sib xws xws li mob pob qij txha, pob qij txha o, ua npaws, teeb meem qhov muag.
- Lawv tuaj yeem kuaj tau los ntawm txoj kev zoo sib xws.
- Ob leeg yog kho tau los ntawm kev siv tshuaj thiab kev phais.
Qhov txawv ntawm Juvenile Idiopathic Arthritis thiab Rheumatoid Arthritis yog dab tsi?
Cov menyuam yaus idiopathic mob caj dab feem ntau pom hauv cov menyuam yaus thiab cov hluas, thaum mob rheumatoid feem ntau pom hauv cov neeg hnub nyoog nruab nrab. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm cov menyuam yaus idiopathic mob caj dab thiab rheumatoid mob caj dab. Tsis tas li ntawd, cov menyuam yaus idiopathic mob caj dab cuam tshuam rau pob txha kev loj hlob thiab kev loj hlob tag nrho, thaum rheumatoid mob caj dab tsis cuam tshuam rau pob txha loj hlob thiab kev loj hlob tag nrho.
Cov hauv qab no qhia txog qhov sib txawv ntawm cov menyuam yaus idiopathic mob caj dab thiab mob caj dab rheumatoid hauv daim ntawv tabular rau ib sab sib piv.
Summary – Juvenile Idiopathic Arthritis vs Rheumatoid Arthritis
Cov menyuam yaus idiopathic mob caj dab thiab mob caj dab rheumatoid yog ob hom kab mob caj dab. Lawv yog cov mob autoimmune. Juvenile idiopathic mob caj dab feem ntau pom nyob rau hauv cov me nyuam thiab cov hluas, thaum rheumatoid mob caj dab feem ntau pom nyob rau hauv nruab nrab cov neeg. Yog li, qhov no qhia txog qhov sib txawv ntawm cov menyuam yaus idiopathic mob caj dab thiab rheumatoid mob caj dab.
