Umkhuhlane weRheumatic Fever

Umxholo

• Yintoni irheumatic fever?
• Yintoni ebangela i-rheumatic fever?
• Ziintoni iimpawu zerheumatic fever?
• Ifunyaniswa njani i-rheumatic fever?
• Luluphi unyango olusebenzayo ngokuchasene nerheumatic fever?
• Amayeza okubulala iintsholongwane
• Unyango oluchasayo
• Amayeza e-anticonvulsant
• Ukuphumla kwebhedi
• Yeyiphi imingcipheko yomkhuhlane wamathambo?
• Ithintelwa njani i-rheumatic fever?
• Zeziphi iingxaki ezinxulunyaniswa ne-rheumatic fever?
• Yintoni imbonakalo yabantu abane-rheumatic fever?

Yintoni irheumatic fever?

I-rheumatic fever yenye yeengxaki ezinxulumene nomqala womqala. Sisifo esibi kakhulu esihlala sivela kubantwana abaphakathi kweminyaka emi-5 ukuya kweli-15 ubudala. Nangona kunjalo, abantwana abadala kunye nabantu abadala baziwa ukuba bayasifumana isigulo ngokunjalo.

Kuqhelekile kwiindawo ezinjenge-Afrika esemazantsi eSahara, emazantsi kumbindi weAsia, naphakathi kwabantu abathile eOstreliya naseNew Zealand. Inqabile eMelika.

Yintoni ebangela i-rheumatic fever?

Umkhuhlane wamathambo ubangelwa yintsholongwane ebizwa ngokuba liqela A IStreptococcus. Le bhaktiriya ibangela umqala womqala okanye, kwipesenti encinci yabantu, umkhuhlane obomvu. Sisifo sokudumba.

Irheumatic fever ibangela ukuba umzimba uhlasele izicwili zawo. Le mpendulo ibangela ukudumba okuxhaphakileyo emzimbeni wonke, nesisiseko sazo zonke iimpawu zerheumatic fever.

Ziintoni iimpawu zerheumatic fever?

I-rheumatic fever ibangelwa yintsholongwane ebangela umqala womqala. Nangona ayizizo zonke iimeko zomqala we-strep obangela umkhuhlane we-rheumatic fever, le ngxaki inkulu inokuthintelwa ngoxilongo lukagqirha kunye nonyango lwe-strep throat.

Ukuba wakho okanye umntwana wakho unesifo somqala kunye naziphi na iimpawu ezilandelayo, jonga ugqirha wakho ukuvavanya:

• I-lymph nodes ezinomdla kunye nokudumba
• irhashalala ebomvu
• kunzima ukugwinya
• ukujiya okuxineneyo, kwegazi empumlweni
• ubushushu be-101 ° F (38.3 ° C) okanye ngaphezulu
• iitoni ezibomvu nokudumba
• iitoni ezinamachaphaza amhlophe okanye ubofu
• amancinci, amabala abomvu eluphahleni lomlomo
• intloko ebuhlungu
• isicaphucaphu
• ukugabha

Iimpawu ezahlukeneyo zento edibene ne-rheumatic fever. Umntu onesifo unokufumana ezimbalwa, ezinye, okanye uninzi lweempawu ezilandelayo. Iimpawu zihlala zivela kwiiveki ezimbini ukuya kwezine emva kokuba umntwana wakho enesifo se-strep.

Iimpawu eziqhelekileyo zerheumatic fever zibandakanya:

• amancinci, iintlungu ezingenazintlungu phantsi kolusu
• iintlungu zesifuba
• Ukubetha ngokukhawuleza okanye ukubetha isifuba
• ukudinwa okanye ukudinwa
• impumlo
• isisu esibuhlungu
• iintlungu ezibuhlungu okanye ezibuhlungu ezihlahleni, iingqiniba, amadolo kunye namaqatha
• intlungu kwelinye ilungu elihamba kwelinye
• bomvu, kushushu, amalungu adumbile
• ukuqhawukelwa ngumphefumlo
• ifiva
• ukubila
• ukugabha
• tyaba, iphakanyiswe kancinci, irhashalala
• intshukumo engalawulekiyo yezandla, iinyawo nobuso
• ukuncipha kwengqwalaselo
• ukudubula ngokulila okanye ukuhleka okungafanelekanga

Ukuba umntwana wakho unefiva, banokufuna ukhathalelo kwangoko. Funa unyango kwangoko kumntwana wakho kwezi meko zilandelayo:

• Kubantwana abasanda kuzalwa ukuya kwiintsana ezineeveki ezi-6 ubudala: ngaphezu kwe-100 ° F (37.8 ° C) ubushushu
• Kwiintsana ezintandathu ukuya kwiinyanga ezintandathu ubudala: i-101 ° F (38.3 ° C) okanye ubushushu obuphezulu
• Umntwana wakhe nabuphi na ubudala: ifiva ehlala ngaphezu kweentsuku ezintathu

Funda ngakumbi malunga nefiva kwiintsana.

Ifunyaniswa njani i-rheumatic fever?

Ugqirha womntwana wakho uya kuqala afune ukufumana uluhlu lweempawu zomntwana wakho kunye nembali yakhe yezonyango. Baza kufuna ukwazi ukuba umntwana wakho ukhe wanesifo somqala wamva nje. Emva koko, kuya kunikwa uvavanyo lomzimba. Ugqirha womntwana wakho uya kwenza oku kulandelayo, phakathi kwezinye izinto:

• Khangela irhashalala okanye amaqhuqhuva esikhumba.
• Mamela iintliziyo zabo ukujonga ukungaqheleki.
• Yenza uvavanyo lwentshukumo ukumisela ukungasebenzi kakuhle kwenkqubo yemithambo-luvo.
• Vavanya amalungu abo ngokudumba.
• Vavanya umqala wabo kwaye ngamanye amaxesha igazi kubungqina be-strep bacteria.
• Yenza i-electrocardiogram (i-ECG okanye i-EKG), elinganisa amaza ombane entliziyo.
• Yenza i-echocardiogram, esebenzisa amaza esandi ukuvelisa imifanekiso yentliziyo yabo.

Luluphi unyango olusebenzayo ngokuchasene nerheumatic fever?

Unyango luya kubandakanya ukulahla lonke iqela eliyintsalela ye-strep bacteria kunye nokunyanga kunye nokulawula iimpawu. Oku kunokubandakanya nayiphi na kwezi zilandelayo:

Amayeza okubulala iintsholongwane

Ugqirha womntwana wakho uya kukunika amayeza okubulala iintsholongwane kwaye unokumisela unyango lwexesha elide ukunqanda ukuba lungaphinde lwenzeke. Kwiimeko ezinqabileyo, umntwana wakho unokufumana unyango lwe-antibiotic.

Unyango oluchasayo

Unyango oluchasene nokuvuvukala lubandakanya amayeza eentlungu akwangokuchasayo, njengeasprini (Bayer) okanye naproxen (Aleve, Naprosyn). Nangona ukusetyenziswa kweasprini ebantwaneni abanezifo ezithile kunxulunyaniswa neReye's Syndrome, iinzuzo zokuyisebenzisa ekunyangeni i-rheumatic fever zisenokubalaselisa ubungozi. Oogqirha banokumisela i-corticosteroid ukunciphisa ukudumba.

Amayeza e-anticonvulsant

Ugqirha womntwana wakho unokumisela i-anticonvulsant ukuba iintshukumo ezingazibandakanyiyo ziba nzima kakhulu.

Ukuphumla kwebhedi

Ugqirha womntwana wakho uya kuncomela ukuphumla ebhedini kunye nemisebenzi ethintelweyo kude kube neempawu eziphambili - ezinjengeentlungu kunye nokudumba - zidlulile. Ukuphumla kwebhedi okungqongqo kuya kucetyiswa iiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuba umkhuhlane ubange iingxaki zentliziyo.

Yeyiphi imingcipheko yomkhuhlane wamathambo?

Izinto ezonyusa amathuba omntwana wakho wokufumana isifo samathambo zibandakanya:

• Imbali yosapho. Ezinye izakhi zofuzo zikwenza ukuba ube nakho ukukhula i-rheumatic fever.
• Uhlobo lwe-strep bacteria ekhoyo. Ezinye iintlobo zinokwenzeka ngakumbi kunabanye ukukhokelela kumkhuhlane we-rheumatic fever.
• Imeko yendalo esingqongileyo ikhona kumazwe asakhasayo, njengokuxinana.

Ithintelwa njani i-rheumatic fever?

Eyona ndlela isebenzayo yokuqinisekisa ukuba umntwana wakho akabi nayo i-rheumatic fever kukuqala ngokunyanga usulelo lwe-strep emphinjeni kwiintsuku ezininzi kwaye alunyange kakuhle. Oku kuthetha ukuqinisekisa ukuba umntwana wakho ugqibezela onke amayeza amiselweyo amayeza.

Ukuziqhelanisa neendlela ezifanelekileyo zokucoceka kunokunceda ukuthintela umqala womqala:

• Vala umlomo xa ukhohlela okanye uthimla.
• Hlamba izandla zakho.
• Kuphephe ukunxibelelana nabantu abagulayo.
• Kuphephe ukwabelana ngezinto zakho kunye nabantu abagulayo.

Zeziphi iingxaki ezinxulunyaniswa ne-rheumatic fever?

Nje ukuba bakhule, iimpawu zerheumatic fever inokuhlala iinyanga okanye iminyaka. I-rheumatic fever inokubangela iingxaki zexesha elide kwiimeko ezithile. Enye yeengxaki ezixhaphakileyo sisifo sentliziyo. Ezinye iimeko zentliziyo zibandakanya:

• I-valve ye-aortic stenosis. Oku kukunciphisa i-valve ye-aortic entliziyweni.
• Ukuphinda ubuye kwakhona kwi-Aortic. Oku kuvuza kwivalve ye-aortic ebangela ukuba igazi lihambe ngendlela engeyiyo.
• Umonakalo wentliziyo. Oku kukudumba okunokuthi buthathaka imisipha yentliziyo kunye nokunciphisa ukubanakho kwentliziyo yokupompa igazi ngokufanelekileyo.
• I-fibrillation ye-Atriya. Oku kubetha kwentliziyo ngokungaqhelekanga kumagumbi aphezulu entliziyo.
• Ukumelwa yintliziyo. Oku kwenzeka xa intliziyo ingasakwazi ukumpompa igazi kuwo onke amalungu omzimba.

Ukuba ishiywe inganyangwa, i-rheumatic fever inokukhokelela ku:

• ukubetha
• umonakalo ongapheliyo entliziyweni yakho
• ukufa

Yintoni imbonakalo yabantu abane-rheumatic fever?

Iziphumo zexesha elide ze-rheumatic fever zinokukhubaza ukuba umntwana wakho unetyala elinzima. Omnye umonakalo obangelwe sesi sigulo usenokungabonakali de kube semva kweminyaka. Yazi imiphumo yexesha elide njengoko umntwana ekhula.

Ukuba umntwana wakho uhlangabezana nomonakalo wexesha elide onxulumene nerheumatic fever, kukho iinkonzo zenkxaso ezikhoyo zokunceda yena nosapho lwakho.