Rheumatism yamagazi: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Rheumatic fever, yotchedwa rheumatism m'magazi, ndimatenda omwe amayamba chifukwa chodzitchinjiriza mthupi mthupi mutatha matenda oyamba ndi mabakiteriya.

Matendawa amapezeka kwambiri kwa ana azaka zapakati pa 5 ndi 15 ndipo nthawi zambiri amayambitsa zisonyezo zakumva kupweteka komanso kutupa m'malo olumikizirana mafupa, komanso kutentha thupi ndi kutopa. Kuphatikiza apo, rheumatism m'magazi imathanso kukhudza dongosolo lamanjenje komanso ma valves amtima, osokoneza magwiridwe antchito amtima.

Rheumatism m'magazi iyenera kuthandizidwa akangoyamba kuwonekera, kupewa kupewa zotupa zosatha muubongo kapena mumtima, zomwe zimatha kubweretsa zovuta monga stenosis yamavali amtima kapena kulephera kwamtima, mwachitsanzo.

Zizindikiro zazikulu

Chimodzi mwazizindikiro zoyambirira za rheumatism m'magazi ndi kupezeka kwa kutupa mu cholumikizira chachikulu, monga bondo, lomwe limatenga masiku ochepa, limadzichiritsa kenako limapezeka mgulu lina, ndi zina zotero.

Komabe, itha kuperekanso zizindikiro zina monga:

• Malungo pamwamba 38º C;
• Tinthu tating'onoting'ono tating'ono pakhungu, tofala kwambiri pamanja, zigongono kapena mawondo;
• Kupweteka pachifuwa;
• Mawanga ofiira pa thunthu kapena mikono, omwe amaipiraipira akaimirira padzuwa.

Kutengera ngati pali kale kukhudzidwa kwamtima, pakhoza kukhala kutopa komanso kuwonjezeka kwa kugunda kwa mtima. Ngati pali kukhudzidwa kwaubongo, pakhoza kukhala kusintha kwamakhalidwe, monga kulira ndi kupsa mtima, komanso kusintha kwamagalimoto, monga kuyenda kosagwirizana kapena kugwedezeka.

Onani zizindikilo zambiri za rheumatic fever.

Zomwe zingayambitse

Zomwe zimayambitsa rheumatism m'magazi ndimatenda apakhosi oyambitsidwa ndi mabakiteriya Streptococcus pyogenes, lomwe ndi gulu A beta-hemolytic streptococcus, lomwe silinachiritsidwe mwachangu kapena silinalandiridwe moyenera.

Matendawa ndimatenda apakhosi pomwe thupi limapanga ma antibodies olimbana ndi mabakiteriya, koma, ndipo sizikudziwika chifukwa chake, ma antibodies awa amalimbana ndi mabakiteriya komanso kuwononga ziwalo zathanzi za thupi.

Kafukufuku akuwonetsa kuti anthu ena amatha kutenga matendawa, ndiko kuti, majini ena omwe amapezeka mthupi amatha kuwonetsa kuti tsiku lina munthuyo akhoza kudwala rheumatic ndipo, munthuyo akapanda kuchiza matendawa, bakiteriya ndi poizoni wake imatha kuyambitsa majini amenewa ndikuthandizira kuyambitsa malungo.

Momwe mungatsimikizire matendawa

Palibe mayeso amodzi omwe angazindikiritse rheumatism m'magazi, chifukwa chake, adotolo, kuwonjezera pakuwunika zizindikilo, atha kuyitanitsa mayeso angapo monga electrocardiogram, echocardiogram ndi kuyesa magazi, monga kuchuluka kwa magazi, ESR ndi ASLO, kwa Mwachitsanzo. Dziwani kuti ndi za chiyani komanso momwe mayeso a ASLO amachitikira.

Momwe mankhwalawa amachitikira

Cholinga chachikulu cha mankhwala ndikuchotsa mabakiteriya omwe adayambitsa matendawa kuti athetseretu ndikuchepetsa kutupa mthupi. Pachifukwa ichi, njira zingapo zitha kuperekedwa:

• Maantibayotiki, monga Benzathine Penicillin: kuthandizira kuthetsa mabakiteriya otsala;
• Anti-zotupa, monga Naproxen: amachotsa kutupa ndi kupweteka kwamalumikizidwe komanso amathanso kutentha malungo;
• Ma anticonvulsants, monga Carbamazepine kapena Valproic Acid: amachepetsa mawonekedwe amachitidwe osachita;
• Acetylsalicylic acid (AAS): amachepetsa kutupa ndi mafupa a mtima;
• Corticosteroids, monga Prednisone: kusintha kuwonongeka kwa mtima.

Kuphatikiza apo, ndikofunikira kukhalabe ndi mpumulo pamene kupweteka kwamalumikizidwe kumakhala kovuta kwambiri ndikumwa madzi ambiri kuti athandize chitetezo cha mthupi. Kumvetsetsa bwino momwe mankhwalawa amachitikira.