Sydenham chorea

Sydenham chorea ndi vuto lakusuntha lomwe limachitika mutatha kutenga kachilomboka ndi mabakiteriya ena otchedwa gulu A streptococcus.

Sydenham chorea imayambitsidwa ndi matenda a bakiteriya otchedwa gulu A streptococcus. Awa ndi mabakiteriya omwe amayambitsa rheumatic fever (RF) ndi strep throat. Mabakiteriya a Gulu A a streptococcus amatha kuthana ndi gawo laubongo lotchedwa basal ganglia kuti athetse vutoli. Basal ganglia ndi gulu lazinthu zomwe zili mkati mwaubongo. Amathandizira kuwongolera mayendedwe, kaimidwe, ndi malankhulidwe.

Sydenham chorea ndichizindikiro chachikulu cha RF yovuta. Munthuyo akhoza kukhala kuti ali ndi matendawa pakadali pano kapena posachedwapa. Sydenham chorea atha kukhala chizindikiro chokha cha RF mwa anthu ena.

Sydenham chorea imachitika nthawi zambiri mwa atsikana asanakwane msinkhu, koma imawoneka mwa anyamata.

Sydenham chorea makamaka imakhudza kusuntha kwa manja, mikono, phewa, nkhope, miyendo, ndi thunthu. Kusuntha uku kumawoneka ngati zopindika, ndikusowa tulo. Zizindikiro zina zitha kuphatikiza:

• Zosintha pamanja
• Kuchepetsa kuyendetsa bwino kwamagalimoto, makamaka zala ndi manja
• Kutaya kudziletsa, ndikulira kosayenera kapena kuseka

Zizindikiro za RF zitha kupezeka. Izi zingaphatikizepo kutentha thupi, vuto la mtima, kupweteka pamfundo kapena kutupa, zotupa pakhungu kapena zotupa pakhungu, ndi kutuluka magazi m'mphuno.

Wothandizira zaumoyo adzayesa. Mafunso atsatanetsatane adzafunsidwa pazazizindikiro.

Ngati mukukayikira kuti matenda a streptococcus akukayesedwa, mayeso adzachitika kuti atsimikizire kuti ali ndi kachilomboka. Izi zikuphatikiza:

• Khosi lakhosi
• Kuyezetsa magazi kwa anti-DNAse B
• Kuyezetsa magazi kwa Antistreptolysin O (ASO)

Kuyesanso kwina kungaphatikizepo:

• Mayeso amwazi monga ESR, CBC
• MRI kapena CT scan ya ubongo

Maantibayotiki amagwiritsidwa ntchito kupha mabakiteriya a streptococcus. Woperekayo amathanso kupereka maantibayotiki kuti ateteze matenda amtsogolo a RF. Izi zimatchedwa antibiotic, kapena antibiotic prophylaxis.

Kusuntha kwakukulu kapena zizindikiritso zamaganizidwe angafunike kuthandizidwa ndi mankhwala.

Sydenham chorea nthawi zambiri imatha miyezi ingapo. Nthawi zambiri, mawonekedwe achilendo a Sydenham chorea amatha kuyamba m'moyo.

Palibe zovuta zomwe zikuyembekezeka.

Itanani omwe akukuthandizani ngati mwana wanu wayamba kusunthika kapena kusunthika, makamaka ngati mwanayu wangoyamba kumene kupweteka.

Samalani madandaulo a ana okhudzana ndi zilonda zapakhosi ndipo mupeze chithandizo choyambirira kuti muteteze RF yovuta. Ngati pali mbiri yolimba ya banja la RF, khalani maso kwambiri, chifukwa ana anu atha kutenga matendawa.

Gule wa St. Vitus; Chorea yaying'ono; Enaake ophwanya chorea; Enaake ophwanya malungo - Sydenham chorea; Kokani khosi - Sydenham chorea; Streptococcal - Sydenham chorea; Streptococcus - Sydenham chorea

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Okun MS, Lang AE. Zovuta zina zoyenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 382.

Shulman ST, Jaggi P. Nonsuppurative poststreptococcal sequelae: rheumatic fever ndi glomerulonephritis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 198.