Elem İNAL, , Gülümser AYDIN, Işık KELEŞ, Derya Özmen ALPTEKİN, Mehmet Cüneyt ENSARİ

Jüvenil İdiopatik Artritte Tedavi Yaklaşımı

Jüvenil idiopatik artrit (JIA) 16 yaşından önce başlayan, en az 6 hafta süren ve etiyolojisi bilinmeyen artrit olarak tanımlanmaktadır. İnsidansı 16 yaş altı çocuklarda 3,2/100000/yıl ve prevalansı 19,8/100000 olarak saptanmıştır. JIA’lı çocuklarda tedavinin amacı ağrıyı kontrol etmek, eklemin hareket açıklığını ve fonksiyonunu korumak, sistemik komplikasyonları minimize etmek ve normal büyüme ve gelişmeyi desteklemektir. Böylece kabul edilebilir bir hayat kalitesi sağlanabilir. JIA’da hastalık başlangıcından sonraki birkaç yıl içinde radyolojik değişikliklerin geliştiği gösterildiğinden, antiinflamatuar tedavi mümkün olan en kısa zamanda başlanmalıdır. Mevcut ilaçların daha etkin kullanımı kadar yeni geliştirilen ilaçların, özellikle biyolojik tedavi ajanlarının kullanıma girmesi son dekatta JIA tedavisinde oldukça dramatik değişikliklere yol açmıştır. Bu makalede amaç JIA’nın tedavisinde yaygın olarak kullanılan fizik tedavi yaklaşımlarını ve farmakolojik ajanları kliniğimize ait tecrübelerle tekrar gözden geçirmektir

Anahtar Kelimeler:

Jüvenil idiopatik artrit, tedavi

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