Sydenham chorea

Sydenham chorea chirwere chekufamba chinoitika mushure mekutapukirwa nemamwe mabhakitiriya anonzi boka A streptococcus.

Sydenham chorea inokonzerwa nehutachiona nemabhakitiriya anonzi boka A streptococcus. Aya ndiwo mabhakitiriya anokonzera rheumatic fever (RF) uye strep huro. Boka A streptococcus bacteria inogona kuita nechikamu chehuropi chinonzi basal ganglia kukonzera kusagadzikana uku. Iyo basal ganglia seti yezvivakwa zvakadzika muuropi. Vanobatsira kudzora kufamba, kumira, uye kutaura.

Sydenham chorea chiratidzo chikuru cheacc RF. Munhu wacho anogona kunge parizvino kana munguva pfupi yapfuura anga aine chirwere. Sydenham chorea inogona kunge iri yega chiratidzo cheRF mune vamwe vanhu.

Sydenham chorea inoitika kazhinji muvasikana vasati vayaruka, asi inogona kuonekwa muvakomana.

Sydenham chorea inonyanya kusanganisira kufamba kwakashata, kusadzora uye kushaya chinangwa kwemaoko, maoko, bendekete, kumeso, makumbo, uye trunk. Aya mafambiro anotaridzika seanobvaruka, uye anonyangarika panguva yekurara. Zvimwe zviratidzo zvinogona kusanganisira:

• Shanduko mukunyora
• Kurasikirwa kwekudzora mota, kunyanya zvigunwe nemaoko
• Kurasikirwa kwekudzora kwepamoyo, uine nguva dzekuchema zvisina kukodzera kana kuseka

Zviratidzo zveRF zvinogona kunge zviripo. Izvi zvinogona kusanganisira kupisa kwakanyanya, dambudziko remwoyo, kurwadza kwemajoini kana kuzvimba, mapundu eganda kana kuputika kweganda, uye kubuda ropa mumhino.

Anopa hutano anoita bvunzo dzepanyama. Yakadzama mibvunzo ichabvunzwa nezve izvo zviratidzo.

Kana chirwere che streptococcus chikafungidzirwa, bvunzo dzichaitwa kusimbisa hutachiona. Izvi zvinosanganisira:

• Huro swab
• Anti-DNAse B yeropa bvunzo
• Antistreptolysin O (ASO) kuongororwa kweropa

Kuedzazve kuyedza kunogona kusanganisira:

• Ropa bvunzo senge ESR, CBC
• MRI kana CT scan yehuropi

Mishonga inorwisa mabhakitiriya inoshandiswa kuuraya streptococcus bacteria. Iye mupi anogona zvakare kunyorera maantibayoti kudzivirira ramangwana hutachiona hweRF. Izvi zvinonzi zvinodzivirira maantibhakitiriya, kana antibiotic prophylaxis.

Kufambisa kwakasimba kana zviratidzo zvepfungwa zvinogona kuda kurapwa nemishonga.

Sydenham chorea kazhinji inopera mumwedzi mishoma. Muzviitiko zvisingawanzoitika, chimiro chisina kujairika cheSydenham chorea chinogona kutanga mushure mehupenyu.

Hapana zvinetso zvinotarisirwa.

Fonera mupi wako kana mwana wako achikura asingadzoreke kana kufamba kwejerky, kunyanya kana mwana achangobva kurwadziwa nehuro.

Nyatsoteerera kunyunyuta kwevana vane huro uye utore kurapwa kwekutanga kudzivirira kwakanyanya RF. Kana paine nhoroondo yemhuri yakasimba yeRF, nyatsotarisa, nekuti vana vako vanogona kuve nehutachiona.

Vitus kutamba; Chorea minor; Rheumatic chorea; Rheumatic fever - Sydenham chorea; Strep huro - Sydenham chorea; Streptococcal - Sydenham chorea; Streptococcus - Sydenham chorea

Jankovic J. Parkinson chirwere uye zvimwe zvinetso zvekufamba. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 96.

Okun MS, Lang AE. Zvimwe zvinetso zvekufamba. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 382.

Shulman ST, Jaggi P. Nonsuppurative poststreptococcal sequelae: rheumatic fever uye glomerulonephritis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 198.