Rheumatic fever

Rheumatic fever chirwere chinogona kukura mushure mekutapukirwa neboka A streptococcus bacteria (senge strep huro kana tsvuku fivha). Inogona kukonzera chirwere chakakomba mumoyo, majoini, ganda, uye huropi.

Rheumatic fever ichiri yakajairika munyika dzine hurombo hwakawanda uye husina hutano masisitimu. Hazviwanzo kuitika muUnited States nedzimwe nyika dzakasimukira. Kana rheumatic fever ikaitika muUnited States, inowanzo kuve iri kuputika kudiki. Kubuda kwazvino muUnited States kwanga kuri muma1980.

Rheumatic fever inoitika mushure mekutapukirwa nehutachiona kana hutachiona hunodaidzwa Streptococcus pyogenes kana boka A streptococcus. Utachiona uhu hunoratidzika sehunonyengedza immune system kuti irwise matukisi ane hutano mumuviri. Nyama idzi dzinozvimba kana kuzvimba.

Izvi zvisingaite zvinoita kunge zvinowanzoitika ne strep huro kana tsvuku fivha. Kurwisa hutachiona hunosanganisira zvimwe zvikamu zvemuviri zvinoita kunge kuchikonzera rheumatic fever.

Rheumatic fever inonyanya kubata vana vane makore mashanu kusvika gumi nemashanu vane strep huro kana tsvuku fivha. Kana zvikaitika, zvinomuka mazuva gumi nemana kusvika makumi maviri nemasere mushure mezvirwere izvi.

Zviratidzo zvinogona kukanganisa masisitimu mazhinji mumuviri. Kazhinji zviratidzo zvinogona kusanganisira:

• Kupindwa nechando
• Mhino dzemhino
• Marwadzo mudumbu
• Zvinetso zvemwoyo, izvo zvingave zvisina zviratidzo, kana zvinogona kutungamira mukufema kwemweya uye kurwadziwa pachipfuva

Zviratidzo mumajoini zvinogona:

• Chikonzero kurwadziwa, kuzvimba, kutsvuka, uye kudziya
• Kunyanya kuitika mumabvi, magokora, makumbo, uye mawoko
• Chinja kana kufambisa kubva pane rimwe mubatanidzwa uchienda pane rimwe

Kuchinja kweganda kunogona zvakare kuitika, senge:

• Ringi-yakaita serin'i kana kuita kunge nyoka kuputika paganda uye chikamu chepamusoro chemaoko kana makumbo
• Mapundu eganda kana mapundu

Mamiriro ezvinhu anokanganisa huropi uye huta system, inonzi Sydenham chorea inogona zvakare kuitika. Zviratidzo zveichi chiitiko ndezvi:

• Kurasikirwa kwekudzora kwemanzwiro, uine nguva dzekuchema zvisina kujairika kana kuseka
• Kurumidza, kufamba kwejerky kunonyanya kukanganisa kumeso, tsoka, nemaoko

Anokuchengetedza hutano achakuongorora uye achanyatsoongorora moyo wako manzwi, ganda, uye majoini.

Miedzo inogona kusanganisira:

• Ropa bvunzo yekudzokorora strep hutachiona (senge yeASO bvunzo)
• Yakazara kuverenga ropa (CBC)
• Electrocardiogram (ECG)
• Sedimentation rate (ESR - bvunzo inoyera kuzvimba mumuviri)

Zvinhu zvakati wandei zvinodaidzwa kuti zvidiki uye zvidiki zviyero zvakagadziriswa kubatsira kuongorora rheumatic fever nenzira yakajairwa.

Maitiro makuru ekuongororwa anosanganisira:

• Arthritis muzvikamu zvakakura zvakawanda
• Kuzvimba kwemoyo
• Nodules pasi peganda
• Inokurumidza, inofambisa kufamba (chorea, Sydenham chorea)
• Mapundu eganda

Izvo zvidiki maitiro zvinosanganisira:

• Kupindwa nechando
• Yakakwirira ESR
• Joint kurwadziwa
• Isina kujairika ECG

Iwe ungangoonekwa uine rheumatic fever kana iwe:

• Sangana nematanhatu makuru maitiro, kana 1 makuru uye maviri madiki maitiro
• Iva nezviratidzo zvekare strep hutachiona

Kana iwe kana mwana wako akaonekwa kuti ane rheumatic fever unorapwa nemishonga inorwisa mabhakitiriya. Chinangwa chekurapwa uku ndechekubvisa ese e strep mabhakitiriya kubva mumuviri.

Mushure mekunge kurapwa kwekutanga kwapera, mamwe maantibayoti anotsanangurwa. Chinangwa chemishonga iyi ndechekudzivirira rheumatic fever kubva mukudzokorora.

• Vese vana vanoenderera mberi nemishonga inorwisa mabhakitiriya kusvika makore makumi maviri nerimwe.
• Vechidiki nevakuru vechidiki vanofanirwa kutora mishonga inorwisa mabhakitiriya kweanenge makore mashanu.

Kana iwe kana mwana wako aine matambudziko emoyo pakaitika rheumatic fever, mishonga inorwisa mabhakitiriya inogona kudiwa kwenguva yakareba, pamwe kweupenyu hwese.

Kubatsira kubata kuzvimba kwezviputi zvinopisa mukati meakanyanya rheumatic fever, mishonga yakadai saasipurini kana corticosteroids inogona kudikanwa.

Kune matambudziko ane mafambiro asina kujairika kana maitiro asina kujairika, mishonga inowanzo shandiswa kurapa kubatwa inogona kupihwa.

Rheumatic fever inogona kukonzera matambudziko akakomba emoyo uye kukuvara kwemoyo.

Yenguva refu-matambudziko emoyo anogona kuitika, akadai se:

• Kukuvadza kwemagetsi mavharuvhu. Uku kukuvara kunogona kukonzeresa muvharuvhu yemoyo kana kudzikira kunononoka kuyerera kweropa kuburikidza nevhavha.
• Kukuvadza kune mhasuru yemwoyo.
• Kutadza kwemoyo.
• Utachiona hwemukati memukati memwoyo wako (endocarditis).
• Kuzvimba kweiyo membrane yakakomberedza moyo (pericarditis).
• Mwoyo rhythm iyo inokurumidza uye isina kugadzikana.
• Sydenham chorea.

Fonera waunopa kana iwe kana mwana wako muchiva nezviratidzo zve rheumatic fever. Nemhaka yekuti mamwe mamiriro akati wandei ane zviratidzo zvakafanana, iwe kana mwana wako muchazoda kunyatsoongorora kurapwa.

Kana zviratidzo zve strep huro zvichikura, udza wako mupi. Iwe kana mwana wako munofanira kuongororwa uye kurapwa kana strep throat iripo. Izvi zvinoderedza njodzi yekuvandudza rheumatic fever.

Nzira yakakosha yekudzivirira rheumatic fever ndeyokukurumidza kurapwa kwe strep huro uye tsvuku fivha.

Streptococcus - rheumatic fever; Kurwisa huro - rheumatic fever; Streptococcus pyogenes - rheumatic fever; Boka A streptococcus - rheumatic fever

Carr MR, Shulman ST. Rheumatic chirwere chemoyo. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 465.

Mayosi BM. Rheumatic fever. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. Philadelphia, PA: Elsevier; 2019: chitsiko 74.

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.

Stevens DL, Bryant AE, Hagman MM. Nonpneumococcal streptococcal hutachiona uye rheumatic fever. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 274.