Umkhuhlane we-Rheumatic is complication engathi sína engenzeka emva kokutheleleka nge-bacteria streptococcus. I-Streptococcus ibangela izifo ezinjenge- strep throat , scarlet fever kanye ne- cellulitis . Uma lezi zifo zingelashwa kahle, zingaholela e-rheumatic fever, engalimaza inhliziyo, amalunga, isikhumba nobuchopho. Ivame ukuthinta izingane - ngokuvamile phakathi kweminyaka engu-6 no-15 - ngoba ukutheleleka kwe-strep kuvame kakhulu kule nkathi yobudala.
Izimpawu
Izimpawu ze-rheumatic fever zingabandakanya:
- Fever
- Ubuhlungu besisu
- Ubuhlungu obuhlangene (i-arthritis) - ngokuyinhloko emadolweni, ama-elbow, ama-ankle nama-wrists
- Ukuvuvukala okuhlangene
- Izikhwama zesikhumba
- I-Nosebleeds
- U-Rash on torso, izingalo nemilenze ebheka indandatho noma inyoka
- Izinkinga zenhliziyo - zingabangela ubuhlungu obukhulu bokuphefumula noma isifuba, kepha kungenzeka ukuthi awunayo izimpawu nhlobo
- Sydenham Chorea - ubuhlungu obunzima, ukunyakaza okukhulu kobuso, izinyawo nezandla, ubunzima ngemisindo
Izimbangela
I-rheumatic fever ivela cishe amasonto amathathu emva kokutheleleka kokusakaza. Kuyinto engavamile e-United States kodwa evamile kwezinye izingxenye zezwe elisathuthuka. Ngokuvamile kwenzeka uma isifo sofuba singalashwa.
Ukuxilongwa
Ayikho i-test elula yegazi yokuthola i-rheumatic fever. Uma udokotela esola ukuthi umuntu une-rheumatic fever, ukuxilongwa kuyobe kusekelwe ekuhlolweni okuningi kanye ne-diagnostic criteria. Ngokuvamile, umuntu uzothola ukuthi ngabe une-strep yokutheleleka yakamuva futhi ahlangabezane nezilinganiso ezimbili eziyinhloko noma izilinganiso ezimbili ezinkulu nezincane ezimbili.
Lokhu kufaka:
Omkhulu
- Ubuhlungu (i-arthritis) ezinhlanganisweni eziningana
- Ukuvutha kwenhliziyo (ikhadidi) - kunqunywa ngokusebenzisa i-echocardiogram
- Amakhodi ngaphansi kwesikhumba
- Ukuhamba okusheshayo kwe-jerky
- Rash
Okuncane
- Fever
- Umsebenzi wegazi ongavamile (i-ESR ephezulu noma ezinye izivivinyo zebhu)
- Ubuhlungu obuhlangene
Ukwelapha
I-rheumatic fever kufanele iphathwe ngama-antibiotics. Ngemuva kokwelapha kokuqala, abantu abaningi kufanele bathathe imithi ephansi yama-antibiotic iminyaka eminingi ukuvimbela lesi sifo ukuba singaphinde siphume.
Imithi yokulwa nokuvuvukala (njenge- aspirin , ibuprofen kanye ne-corticosteroids) ingasetshenziswa futhi ukusiza ukuphatha izimpawu.
Izinkinga
Umonakalo omkhulu wenhliziyo ungavela e-rheumatic fever. Lokhu kungabandakanya izilinganiso ezingavamile ze-heart (arrhythmias), umonakalo emagodini enhliziyo (mitral stenosis noma i-aortic stenosis), ukuvuvukala kwezicubu zenhliziyo (endocarditis noma pericarditis) nokuhluleka kwenhliziyo.
I-Sydenham chorea nayo ingase ibhekwe njengengcindezi ye-rheumatic fever, nakuba ingenye yezimpawu. Iqukethe izinguquko emicabangweni, ukunyakaza okusheshayo kwezandla, izinyawo nobuso nobuthakathaka bomzimba. Zonke lezi zibonakaliso zokulimala kwemvelo, kodwa umonakalo ngokuvamile awuhlali unomphela.
Imiphumela Yesikhathi Eside
Indlela elula yokuvimbela umkhuhlane we-rheumatic ukuphatha noma yikuphi ukutheleleka kwe-strep ngokuphelele. Uma wena noma ingane yakho itholakala ukuthi une-strep throat, scarlet fever noma i-cellulitis, qiniseka ukuthi uthatha yonke imithi yakho yama-antibiotics njengoba iqondiswe. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha uma unezibonakaliso noma ukhathazekile nge-rheumatic fever.
Imithombo:
"I-Rheumatic Fever." I-Library Yomphakathi Yomuthi 12 Jul 08. Izikhungo Zomphakathi Zempilo. 15 Jan 10.
"I-Rheumatic Heart Heart / Feheumatic Fever." American Heart Association 2010. 17 Jan 10.