Rheumatic fever ndi vuto lalikulu lomwe lingakhoze kuchitika pambuyo pa matenda a mabakiteriya a streptococcus. Streptococcus imayambitsa matenda monga strep throat , scarlet fever ndi cellulitis . Ngati matendawa sakuyendetsedwa bwino, amatha kutentha thupi, ziwalo, khungu ndi ubongo. Nthawi zambiri zimakhudza ana - makamaka pakati pa zaka 6 ndi 15 - chifukwa matenda opatsirana amapezeka kwambiri m'badwo uno.
Zizindikiro
Zizindikiro za rheumatic fever zingakhalepo:
- Fever
- Kupweteka kwa m'mimba
- Kupweteka kumodzi (nyamakazi) - makamaka pamabondo, minofu, mabotolo ndi ziboda
- Kutupa kofanana
- Zilonda za khungu
- Nosebleeds
- Kuthamanga pamoto, mikono ndi miyendo yomwe ikuwoneka ngati njoka kapena njoka
- Matenda a mtima - angapangitse kupuma pang'ono kapena kupweteka pamtima, koma sangakhale ndi zizindikiro konse
- Sydenham chorea - minofu yofooka, kuyenda kolimba kwa nkhope, mapazi ndi manja, kuvutika ndi maganizo
Zimayambitsa
Rheumatic fever imakhala pafupifupi masabata atatu mutatha kudwala matenda opatsirana. Zili zochepa ku United States koma zimapezeka m'madera ena a dziko lotukuka. Zimakhalapo pamene matenda opatsirana amapita osatembenuzidwa.
Kudziwa
Palibe njira yosavuta yopezera magazi kuti apeze rheumatic fever. Ngati dokotala akudandaula kuti munthu ali ndi rheumatic fever, matendawa amapezeka pamayesero angapo komanso njira zowunikira. Kawirikawiri, munthu amapezeka ngati atakhala ndi kachilombo koyambitsa matendawa ndipo amakumana ndi zifukwa zikuluzikulu ziwiri.
Izi zikuphatikizapo:
Akuluakulu
- Ululu (nyamakazi) m'magulu angapo
- Kutupa kwa mtima (kakhasi) - kumatsimikiziridwa pogwiritsa ntchito echocardiogram
- Manyowa pansi pa khungu
- Kusunthira mwamsanga kwachangu
- Rash
Zochepa
- Fever
- Ntchito zosawononga magazi (mkulu ESR kapena mayesero ena a labu)
- Chisoni chophatikizana
Chithandizo
Matenda a chifuwa chachikulu ayenera kuchitidwa ndi antibiotic. Pambuyo pa chithandizo choyamba, anthu ambiri ayenera kumwa mankhwala ochepetsa tizilombo kwa zaka zambiri kuti tipewe matendawa.
Mankhwala otsutsana ndi kutupa (monga aspirin , ibuprofen ndi corticosteroids) angagwiritsidwe ntchito kuthandiza kuthana ndi zizindikiro.
Mavuto
Kuwonongeka kwa mtima kwambiri kungabwere kuchokera ku rheumatic fever. Izi zingaphatikizepo zovuta za mtima (arrhythmias), kuwonongeka kwa magetsi (mitral stenosis kapena aortic stenosis), kutupa kwa matenda a mtima (endocarditis kapena pericarditis) ndi mtima kulephera.
Sydenham chorea ingathenso kuthandizidwa kuti ndi vuto la rheumatic fever, ngakhale kuti ndi chimodzi mwa zizindikiro. Zimakhala ndi kusintha kwa maganizo, kuyenda mofulumira kwa manja, mapazi ndi nkhope komanso kufooka kwa minofu. Zonsezi ndi zizindikiro za kuwonongeka kwa ubongo, komabe kuwonongeka sikunali kosatha.
Zotsatira za Nthawi Zakale
Njira yosavuta yothetsera chiwopsezo cha mitsempha ndikuteteza matenda a mitsempha yonse. Ngati inu kapena mwana wanu mumapezeka kuti muli ndi strep throat, redly fever kapena cellulitis, onetsetsani kuti mumatenga mankhwala anu onse monga mankhwala. Lumikizanani ndi wothandizira zaumoyo wanu pomwepo ngati muli ndi zizindikiro kapena mukuda nkhawa ndi rheumatic fever.
Zotsatira:
"Rheumatic Fever." National Library of Medicine 12 Jul 08. Ma Institutes of Health. 15 Jan 10.
"Rheumatic Heart Heart / Rheumatic Fever." American Heart Association 2010. 17 Jan 10.