Rheumatic malungo

Rheumatic fever ndi matenda omwe amayamba pambuyo poti munthu watenga kachilombo ka streptococcus group (monga strep throat kapena scarlet fever). Itha kuyambitsa matenda akulu mumtima, malo olumikizirana mafupa, khungu, komanso ubongo.

Rheumatic fever ikadali yofala m'maiko omwe ali ndi umphawi wambiri komanso thanzi labwino. Sizimachitika kawirikawiri ku United States ndi mayiko ena otukuka. Rheumatic fever ikachitika ku United States, nthawi zambiri imayamba pang'onopang'ono. Kuphulika kwaposachedwa ku United States kunali m'ma 1980.

Rheumatic fever imachitika pambuyo poti munthu watenga kachilombo kapena tizilombo toyambitsa matenda Streptococcus pyogenes kapena gulu A streptococcus. Kachilombo kameneka kamawoneka ngati konyenga chitetezo cha mthupi kuti chiwononge matupi athanzi mthupi. Matendawa amatupa kapena kutupa.

Kuchita zachilendo kumeneku kumawoneka ngati nthawi zambiri kumachitika ndi strep throat kapena scarlet fever. Matenda opatsirana omwe amakhudzana ndi ziwalo zina za thupi samawoneka kuti amayambitsa rheumatic fever.

Rheumatic fever makamaka imakhudza ana azaka zapakati pa 5 ndi 15 omwe adakhala ndi strep throat kapena scarlet fever. Zikachitika, zimayamba pafupifupi masiku 14 mpaka 28 pambuyo pa matendawa.

Zizindikiro zimatha kukhudza machitidwe ambiri mthupi. Zizindikiro zambiri zimatha kuphatikiza:

• Malungo
• Kutulutsa magazi m'mphuno
• Ululu m'mimba
• Mavuto amtima, omwe sangakhale ndi zizindikilo, kapena atha kupangitsa kupuma pang'ono ndi kupweteka pachifuwa

Zizindikiro m'malo olumikizirana mafupa zitha:

• Zimayambitsa kupweteka, kutupa, kufiira, ndi kutentha
• Amapezeka makamaka m'maondo, zigongono, akakolo, ndi manja
• Sinthani kapena kusuntha kuchoka pacholumikizira china kupita ku china

Kusintha kwa khungu kumatha kuchitika, monga:

• Ziphuphu zooneka ngati mphete kapena zopindika ngati njoka pamtengo ndi kumtunda kwa mikono kapena miyendo
• Ziphuphu zakhungu kapena zopindika

Vuto lomwe limakhudza ubongo ndi dongosolo lamanjenje, lotchedwa Sydenham chorea likhozanso kuchitika. Zizindikiro za vutoli ndi izi:

• Kutaya mtima, ndikulira kosazolowereka kapena kuseka
• Kusuntha kwachangu, kosachedwa komwe kumakhudza nkhope, mapazi, ndi manja

Wothandizira zaumoyo wanu adzakuyesani ndikuyang'ana mosamala mtima wanu, khungu, ndi malo.

Mayeso atha kuphatikiza:

• Kuyezetsa magazi kwa matenda obwereza mobwerezabwereza (monga mayeso a ASO)
• Kuwerengera kwathunthu kwa magazi (CBC)
• Electrocardiogram (ECG)
• Kuchulukitsa kwamadzi (ESR - mayeso omwe amayesa kutupa m'thupi)

Pali zinthu zingapo zomwe zimatchedwa zazikuluzikulu komanso zazing'ono zomwe zapangidwa kuti zithandizire kupeza rheumatic fever m'njira yofananira.

Njira zazikulu zowunikira ndi monga:

• Nyamakazi m'mfundo zingapo zazikulu
• Kutupa kwa mtima
• Mitsempha yamagazi pansi pa khungu
• Kuthamanga, kuthamanga (chorea, Sydenham chorea)
• Ziphuphu pakhungu

Njira zing'onozing'ono ndi izi:

• Malungo
• Mkulu ESR
• Ululu wophatikizana
• ECG Yachilendo

Mutha kupezeka kuti muli ndi rheumatic fever ngati:

• Pezani zofunikira ziwiri, kapena 1 zazikulu ndi 2 zazing'ono
• Khalani ndi zizindikilo za kachilombo koyambitsa matendawa

Ngati inu kapena mwana wanu mumapezeka kuti muli ndi rheumatic fever mudzalandira mankhwala opha tizilombo. Cholinga cha mankhwalawa ndikuchotsa mabakiteriya onse mthupi.

Pambuyo poti mankhwala oyamba amalizika, amapatsidwa maantibayotiki ambiri. Cholinga cha mankhwalawa ndikuteteza kuti rheumatic fever isabwererenso.

• Ana onse apitiliza mankhwala opha tizilombo mpaka azaka 21.
• Achinyamata ndi achikulire ayenera kumwa maantibayotiki kwa zaka zosachepera zisanu.

Ngati inu kapena mwana wanu munali ndi vuto la mtima pamene rheumatic fever idachitika, maantibayotiki angafunikire kwa nthawi yayitali, mwina kwa moyo wonse.

Kuthandizira kuthana ndi kutupa kwamatenda otupa panthawi yamatenda ofiira a rheumatic, mankhwala monga aspirin kapena corticosteroids angafunike.

Pazovuta zakusunthika kwachilendo kapena zizolowezi zina, mankhwala omwe amagwiritsidwa ntchito nthawi zambiri kuthana ndi kugwidwa atha kulembedwa.

Rheumatic fever imatha kubweretsa mavuto akulu amtima komanso kuwonongeka kwa mtima.

Mavuto amtima wamtali atha kuchitika, monga:

• Kuwonongeka kwa mavavu amtima. Kuwonongeka kumeneku kumatha kuyambitsa kutayika mu valavu yamtima kapena kuchepa komwe kumachedwetsa magazi kudutsa mu valavu.
• Kuwonongeka kwa minofu ya mtima.
• Mtima kulephera.
• Kutenga mkatikati mwa mtima wanu (endocarditis).
• Kutupa kwa nembanemba kuzungulira mtima (pericarditis).
• Nyimbo yamtima yothamanga komanso yosakhazikika.
• Sydenham chorea.

Itanani omwe akukuthandizani ngati inu kapena mwana wanu mukudwala matenda a rheumatic fever. Chifukwa mikhalidwe ina ingapo ili ndi zizindikilo zofananira, inu kapena mwana wanu mudzafunika kuyesedwa mosamala kuchipatala.

Ngati zizindikiro za khosi likukula, uzani omwe akukuthandizani. Inu kapena mwana wanu muyenera kuyang'aniridwa ndikuchiritsidwa ngati pali khosi lam'mero. Izi zichepetsa chiopsezo chokhala ndi rheumatic fever.

Njira yofunika kwambiri yopewera rheumatic fever ndikupeza mwachangu msana wam'mero ​​ndi scarlet fever.

Streptococcus - enaake ophwanya malungo; Kukoka pakhosi - rheumatic fever; Streptococcus pyogenes - rheumatic malungo; Streptococcus gulu - rheumatic malungo

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Mayosi BM. Rheumatic malungo. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. Philadelphia, PA: Elsevier; 2019: mutu 74.

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.

Stevens DL, Bryant AE, Hagman MM. Matenda a nonpneumococcal streptococcal ndi rheumatic fever. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 274.