I-rheumatism yegazi: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Izizathu ezinokubangela
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

I-rheumatic fever, eyaziwa ngokuba yi-rheumatism egazini, sisifo esibangelwa kukungazenzisi komzimba emzimbeni emva kosulelo olubangelwa ziintsholongwane.

Esi sifo sixhaphake ebantwaneni abaphakathi kweminyaka emi-5 neli-15 ubudala kwaye sidla ngokubangela iimpawu ezinjengentlungu nokudumba emalungwini, kunye nomkhuhlane nokudinwa. Ukongeza, i-rheumatism egazini inokuchaphazela inkqubo yeemvakalelo kunye nezivalo zentliziyo, eziphazamisa ukusebenza kwentliziyo.

I-rheumatism egazini kufuneka inyangwe ngokukhawuleza xa iimpawu zokuqala zivela, ukunqanda ukubonakala kwezilonda ezingapheliyo kwingqondo okanye entliziyweni, ezinokuthi zikhokelele kubunzima obufana ne-stenosis yevalves zentliziyo okanye ukusilela kwentliziyo, umzekelo.

Iimpawu eziphambili

Olunye lweempawu zokuqala ze-rheumatism egazini kukubakho kokudumba kwilungu elikhulu, elifana nedolo, elihlala iintsuku ezimbalwa, liyaziphilisa emva koko livele kwelinye idibeneyo, njalo njalo.

Nangona kunjalo, inokuthi ihambisane nezinye iimpawu ezinje:

• Umkhuhlane ongaphezu ko 38º C;
• Amaqhuqhuva amancinci phantsi kolusu, aqhelekileyo ezihlahleni, iingqiniba okanye amadolo;
• Iintlungu zesifuba;
• Amabala abomvu esiqwini okanye ezingalweni, eziba mandundu xa zime elangeni.

Kuxhomekeka ekubeni sele kukho ukubandakanyeka kwentliziyo, kusenokubakho ukudinwa kunye nokunyuka kwenqanaba lentliziyo. Ukuba kukho ukubandakanyeka kwengqondo, kunokubakho utshintsho kwindlela yokuziphatha, njengokukhala kunye nokuxhalaba, kunye notshintsho lweemoto, ezinje ngokuhamba okungazibandakanyi okanye ukuxhuzula.

Bona ngakumbi iimpawu zerheumatic fever.

Izizathu ezinokubangela

Unobangela oqhelekileyo we-rheumatism egazini sisifo somqala esibangelwa yintsholongwane IStreptococcus pyogenesEli liqela A beta-hemolytic streptococcus, engakhange inyangwe ngokukhawuleza okanye engakhange inyangwe ngokuchanekileyo.

Imeko yokuqala sisifo esisemqaleni apho umzimba udala ii-antibodies zokulwa neebhaktiriya, kodwa emva koko, kwaye akwaziwa ukuba kutheni, ezi zinto zibulala iintsholongwane kwaye zihlasela amalungu omzimba aphilileyo.

Uphononongo lubonisa ukuba abanye abantu banokuchaphazeleka kwimfuza kwesi sifo, oko kukuthi, ezinye izakhi zofuzo ezikhoyo emzimbeni zingabonisa ukuba ngenye imini umntu angahlaselwa sisifo samathambo kwaye, xa umntu engalunyangi ngokwaneleyo usulelo, le ntsholongwane kunye neetyhefu zayo inokuvula ezi ntlobo zemfuza kwaye incede ekuvuseleleni i-rheumatic fever.

Indlela yokuqinisekisa ukuxilongwa

Akukho luvavanyo lunye oluya kuthi ngokuqinisekileyo luchaze i-rheumatism egazini kwaye, ke, ugqirha, ukongeza kuvavanyo lweempawu, unoku-odola uvavanyo oluninzi olufana ne-electrocardiogram, i-echocardiogram kunye novavanyo lwegazi, njengesixa segazi, i-ESR kunye ne-ASLO, umzekelo. umzekelo. Yazi ukuba yeyantoni kwaye luthathwa njani uviwo lwe-ASLO.

Unyango lwenziwa njani

Eyona njongo iphambili yonyango kukususa iintsholongwane ezibangele usulelo lokuqala ukunciphisa iimpawu kunye nokunciphisa ukudumba emzimbeni. Ukulungiselela le nto, amayeza aliqela anokumiselwa:

• Amayeza okubulala iintsholongwane, ezifana neBenzathine Penicillin: ukunceda ukuphelisa iintsholongwane ezisele;
• Ulwaphulo-mthetho, njengeNaproxen: phelisa ukudumba kunye nentlungu edibeneyo kwaye unokunciphisa umkhuhlane;
• IiAnticonvulsants, ezinje ngeCarbamazepine okanye iValproic Acid: zinciphisa ukubonakala kokuhamba okungazibandakanyi;
• Acetylsalicylic acid (AAS): kunciphisa ukudumba ngokudibeneyo kunye nesifo sentliziyo;
• ICorticosteroids, njengePrednisone: phucula ukukhubazeka kwentliziyo.

Ukongeza, kubalulekile ukugcina ukuphumla xa iintlungu zidibene kakhulu kwaye zisela amanzi amaninzi ukunceda amajoni omzimba asebenze. Ukuqonda ngcono ukuba lwenziwa njani unyango.