I-Sydenham chorea

I-Sydenham chorea sisifo sokuhamba esenzeka emva kosulelo kwiibhaktheriya ezithile ezibizwa ngokuba liqela A streptococcus.

I-Sydenham chorea ibangelwa lusulelo ngeentsholongwane ezibizwa ngokuba liqela A streptococcus. Le yile bhaktheriya ebangela i-rheumatic fever (RF) kunye ne-strep throat. Iqela le-streptococcus bacteria linokuphendula ngenxalenye yengqondo ebizwa ngokuba yi-basal ganglia ukudala esi sifo. I-basal ganglia iseti yolwakhiwo olunzulu kwingqondo. Banceda ukulawula ukuhamba, ukuma, kunye nentetho.

ISydenham chorea luphawu olukhulu lweRF ebukhali. Umntu usenokuba unesi sifo okwangoku okanye kutshanje. ISydenham chorea inokuba kuphela komqondiso weRF kwabanye abantu.

ISydenham chorea yenzeka rhoqo kumantombazana ngaphambi kokufikisa, kodwa inokubonakala kubafana.

I-Sydenham chorea ikakhulu ibandakanya ukunyakaza okungalawulekiyo nokungalawuleki kwezandla, iingalo, igxalaba, ubuso, imilenze, kunye nesiqu. Ezi ntshukumo zikhangeleka njengokujija, kwaye ziyanyamalala xa ulele. Ezinye iimpawu zingabandakanya:

• Utshintsho ekubhalweni ngesandla
• Ukuphulukana nolawulo lweemoto oluchanekileyo, ngakumbi iminwe nezandla
• Ukuphulukana nolawulo lweemvakalelo, kunye nokukhala okungafanelekanga okanye ukuhleka

Iimpawu zeRF zinokubakho. Oku kunokubandakanya umkhuhlane omkhulu, ingxaki yentliziyo, iintlungu ezidibeneyo okanye ukudumba, amaqhuma esikhumba okanye irhashalala, kunye neempumlo zeempumlo.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Imibuzo eneenkcukacha iya kubuzwa malunga neempawu.

Ukuba kurhanelwa usulelo lwe-streptococcus, kuya kwenziwa iimvavanyo ukuqinisekisa usulelo. Oku kubandakanya:

• Umqala swab
• Uvavanyo lwegazi oluchasene ne-DNA
• Uvavanyo lwegazi lwe-Antistreptolysin O (ASO)

Ukuvavanywa ngakumbi kunokubandakanya:

• Uvavanyo lwegazi olufana ne-ESR, CBC
• I-MRI okanye i-CT scan yengqondo

Amayeza okubulala iintsholongwane asetyenziselwa ukubulala iintsholongwane ze-streptococcus. Umboneleli unokumisela amayeza okubulala iintsholongwane ukukhusela usulelo lwe-RF kwixa elizayo. Oku kubizwa ngokuba luthintelo, okanye iyeza lokuthintela ukungasebenzi.

Ukuhamba ngamandla okanye iimpawu zovakalelo kunokufuneka ukuba unyangwe ngamayeza.

ISydenham chorea ihlala icacisa kwiinyanga ezimbalwa. Kwiimeko ezinqabileyo, indlela engaqhelekanga yeSydenham chorea ingaqala kamva ebomini.

Akukho ngxaki zilindelweyo.

Fowunela umboneleli wakho ukuba umntwana wakho uba nokunyakaza okungalawulekiyo, ngakumbi ukuba umntwana usandula ukuba nomqala obuhlungu.

Nika ingqalelo kwizikhalazo zabantwana zomqala obuhlungu kwaye ufumane unyango kwangoko ukunqanda iRF ebukhali. Ukuba kukho imbali eyomeleleyo yosapho ye-RF, jonga ngakumbi, kuba abantwana bakho banokubakho ngakumbi kwesi sifo.

Umdaniso waseSt Vitus; Chorea encinci; I-rheumatic chorea; I-rheumatic fever - iSydenham chorea; Umqala womqala - iSydenham chorea; IStreptococcal - iSydenham chorea; IStreptococcus - iSydenham chorea

Isifo sikaJankovic J. Parkinson kunye nezinye iingxaki zokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 96.

Okun MS, uLang AE. Ezinye iingxaki zokuhamba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 382.

UShulman ST, uJaggi P. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 198.