Puas yog koj tus menyuam txhais tes thiab txhais taw co tsis xav ua? Puas yog nws yog Sydenham Chorea?

Koj tus me nyuam puas tau pib txav nws ob txhais ceg thiab lub cev ua tej yam txawv txawv? Puas muaj tej lub sij hawm nws hais lus tsis meej? Los yog koj puas pom nws luag ntxhi thiab ua ntsej muag? Ua ib tug niam txiv, nws yog ib qho ib txwm muaj rau koj ntshai heev thaum koj pom tej yam no. Tab sis tej zaum yuav muaj ib qho laj thawj rau txhua yam no. Hnub no peb yuav tham txog ib qho mob zoo li no. Qhov ntawd yog ib qho mob hu ua 'Sydenham Chorea'.

Sydenham Chorea yog dab tsi?

Hais yooj yim xwb, 'Sydenham Chorea' yog ib qho teeb meem ntawm lub paj hlwb uas tshwm sim rau cov menyuam yaus. Nws yog tshwm sim los ntawm cov kab mob hu ua '(Group A beta-hemolytic Streptococcus)'. Yog lawm, yog lawm, koj twv yog lawm, qhov no yog tib yam kab mob uas ua rau mob caj pas thiab mob rheumatic fever.

Tam sim no koj yuav xav tias, "Qhov no yuav tshwm sim li cas nrog kev kis kab mob caj pas?" Nov yog qhov tshwm sim ... Peb lub cev tiv thaiv kab mob nyob ntawd los tiv thaiv peb ntawm kab mob. Txawm li cas los xij, thaum cov kab mob '(Streptococcus)' no nkag mus rau hauv lub cev, qee cov menyuam yaus lub cev tiv thaiv kab mob yuav tsis meej pem me ntsis. Qhov ntawd txhais tau tias es tsis txhob tawm tsam cov kab mob xwb, nws yuam kev pib tawm tsam qee qhov chaw noj qab haus huv ntawm lub hlwb thiab. Qhov no yog qhov tseeb tshwj xeeb rau cov qhov ntawm lub hlwb uas tswj kev txav mus los.

Lo lus Kili "Chorea" txhais tau tias "seev cev." Yog li lub npe no los ntawm qhov kev co thiab kev co ntawm cov ceg uas cov menyuam yaus no ntsib, uas zoo li seev cev. Hauv qee kis hnyav, cov kev txav no tuaj yeem cuam tshuam rau tus menyuam cov dej num txhua hnub.

Feem ntau tus mob no tshwm sim rau cov menyuam yaus tom qab lawv muaj "mob caj pas" lossis "mob rheumatic fever." Qhov no yog hom mob chorea uas feem ntau tshwm sim rau cov menyuam yaus uas tshwm sim los ntawm lwm yam ua rau.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, nyob rau hauv cov teb chaws uas muaj kev vam meej xws li North America thiab Europe, qhov tshwm sim ntawm Sydenham Chorea tam sim no tsawg heev. Qhov laj thawj rau qhov no yog vim tias cov tshuaj tua kab mob tau muab sai sai rau cov kab mob caj pas hauv cov teb chaws ntawd. Txawm li cas los xij, nyob rau hauv cov teb chaws uas tseem tab tom txhim kho zoo li peb li, qhov mob no tseem tuaj yeem pom vim tias qee zaum cov txheej txheem kho mob txawv thiab tsis yog txhua tus tau txais kev kho mob sai.

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Feem ntau pom muaj rau cov menyuam yaus hnub nyoog ntawm 5 thiab 15 xyoos. Nws kuj pom muaj ntau dua me ntsis rau cov ntxhais dua li cov tub hluas. Nws tsis tshua muaj rau cov menyuam yaus hnub nyoog qis dua 5 xyoos lossis cov neeg laus.

Qhov no ua rau muaj teeb meem dab tsi ntxiv?

Cov menyuam yaus uas muaj Sydenham Chorea muaj feem yuav muaj tus mob hu ua PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). PANDAS yog ib tus mob autoimmune neuropsychiatric uas cuam tshuam nrog cov kab mob streptococcal. Txawm li cas los xij, tseem muaj kev tsis pom zoo ntawm cov kws kho mob txog seb tus kab mob strep puas ua rau muaj PANDAS. Cov menyuam yaus uas muaj PANDAS yuav muaj cov tsos mob xws li:

• Kev hloov pauv tus cwj pwm thiab tsis muaj kev saib xyuas.
• Cov yam ntxwv ntawm obsessive-compulsive.
• Kev txav mus los lossis suab nrov tam sim ntawd, tsis zoo li qub (tics).

Tsis yog li ntawd xwb, tab sis peb lub cev tiv thaiv kab mob teb rau tus kab mob streptococcus no kuj tseem tuaj yeem cuam tshuam rau lwm yam kabmob, xws li daim tawv nqaij, pob qij txha, thiab lub plawv. Piv txwv li:

• Mob pob qij txha
• Kev o ntawm sab hauv ntawm lub plawv (endocarditis)
• Kab mob plawv

Tseem Ceeb: Qhov no yog vim li cas ib tug menyuam uas muaj Sydenham Chorea thiaj li raug qhia kom mus kuaj los ntawm kws kho mob plawv.

Dab tsi yog qhov ua rau muaj 'Sydenham Chorea'?

Raws li peb tau hais lawm, qhov ua rau qhov no yog qhov tsis zoo ntawm lub cev tiv thaiv kab mob rau kev kis tus kab mob nrog '(Pawg A beta-hemolytic Streptococcus)'. Hais yooj yim, peb cov tub rog tiv thaiv (cov hlwb tiv thaiv kab mob) ua yuam kev tawm tsam qee qhov ntawm peb lub hlwb. Tshwj xeeb tshaj yog thaj chaw ntawm lub hlwb uas tswj kev txav mus los. Hauv cov ntshav ntawm cov neeg uas muaj 'Sydenham Chorea', cov 'tshuaj tiv thaiv' tshwj xeeb (cov tshuaj tiv thaiv) tau pom muaj nyob rau hauv cov ntshav ntawm cov neeg uas muaj 'Sydenham Chorea'.

Cov tsos mob ntawm 'Sydenham Chorea' yog dab tsi?

Cov tsos mob no tuaj yeem tshwm sim txhua qhov chaw ntawm tus menyuam lub cev. Qee zaum lawv tshwm sim sai sai thiab tuaj yeem hnyav dua thaum tus menyuam nkees.

Cov yam ntxwv ntawm lub cev:

• Cov ceg thiab lub cev co thiab co mus los yam tsis muaj lub hom phiaj, sai sai, thiab tsis muaj lub hom phiaj. Thaum koj pom qhov no, zoo li tus menyuam tsis nyob twj ywm thiab ua si lom zem heev.
• Tsis muaj peev xwm ua haujlwm, tej yam poob ntawm tes.
• Nyuaj tuav ib yam dab tsi ruaj khov rau hauv koj txhais tes.
• Sib txhuam koj ob txhais tes ua ke.
• Tsis so.
• Kev hloov pauv sai sai ntawm lub ntsej muag (zoo li me ntsis ntsej muag ntxhov siab).
• Dhia thiab ntog thaum taug kev.

Teeb meem hais lus:

• Kev hais lus tsis meej, kev hais lus tsis meej.
• Kev hais lus sai sai, kev qw, thiab lwm yam.

Cov yam ntxwv ntawm lub hlwb thiab kev xav:

• Kev ntxhov siab, kev ntshai.
• Nyuaj siab tsom ntsoov.

Xav txog, thaum ib tug me nyuam hu ua Amila los tsev kawm ntawv, nws niam pom tias nws cov ntawv sau tsis zoo li qub, thiab nws txhais tes tshee thaum nws sau ntawv. Txawm tias nyob hauv chav kawm, nws tsis zaum twj ywm thaum tus xib fwb hais tias nws yuav mus, nws tsuas yog seev cev xwb. Thaum nws los tsev, nws tsis tuaj yeem muab mov tso rau hauv nws lub qhov ncauj kom raug nrog rab diav thiab nws nchuav tawm. Yog tias koj pom ib yam dab tsi zoo li no, koj yuav tsum nrhiav kev pab kho mob.

Cov tsos mob pib thaum twg?

Qhov no yog ib qho teeb meem tshwj xeeb me ntsis. Cov tsos mob tsis tshwm sim tam sim ntawd tom qab muaj kab mob caj pas (strep throat) lossis mob rheumatic fever. Ib txhia menyuam yaus yuav tsis pib muaj cov tsos mob ntawm 'Sydenham Chorea' kom txog thaum muaj hnub nyoog li 6 lub hlis .

Koj kuaj qhov no li cas?

Tus kws kho mob yuav nug koj tus menyuam txog lawv cov tsos mob thiab nug seb lawv puas tau raug tus kab mob Group A beta-hemolytic Streptococcus yav dhau los. Qhov no txhais tau tias lawv yuav nug seb lawv puas tau mob caj pas, mob tawv nqaij, lossis mob pob qij txha tsis ntev los no.

Tom qab ntawd, yuav muaj kev kuaj ntshav los xyuas seb puas muaj cov tshuaj tiv thaiv kab mob rau cov kab mob strep. Qhov no yuav pab tau heev rau kev kuaj mob. Yog tias koj tus menyuam tau raug lees paub tias muaj Sydenham Chorea, yuav muaj kev kuaj plawv (feem ntau yog echocardiogram) los xyuas seb puas muaj kev puas tsuaj rau cov qhov plawv lossis cov mob xws li endocarditis.

Yuav kho Sydenham Chorea li cas?

Kev kho mob zoo tshaj plaws rau koj tus menyuam yuav nyob ntawm seb cov tsos mob hnyav npaum li cas. Qee zaum, yog tias cov tsos mob tsis hnyav heev, tsis tas yuav kho tshwj xeeb. Txawm li cas los xij, tus kws kho mob yuav txuas ntxiv saib xyuas tus menyuam.

Kev kho mob ntawm 'Sydenham Chorea' nruab nrab thiab hnyav:

Cov menyuam yaus uas muaj cov tsos mob nruab nrab mus rau hnyav yuav tau txais txiaj ntsig los ntawm kev siv tshuaj.

• Cov tshuaj steroid: Cov no pab tshem tawm cov tshuaj tiv thaiv kab mob uas tsis raug ntawm lub cev.
• Lwm cov tshuaj: Tej zaum yuav xav tau lwm cov tshuaj. Txawm hais tias cov tshuaj no feem ntau yog siv rau lwm yam mob, lawv kuj siv tau rau Sydenham Chorea kom muaj kev nyab xeeb. Lawv suav nrog:
• Cov tshuaj tiv thaiv kev qaug dab peg: Piv txwv li cov tshuaj xws li valproic acid thiab carbamazepine. Cov no pab kom cov hlab ntsha ruaj khov.
• Cov tshuaj tiv thaiv kev puas siab puas ntsws: Piv txwv li, haloperidol. Cov no tuaj yeem tswj cov tics, xws li kev txav mus los thiab kev qw tam sim ntawd.
• Cov tshuaj dopamine depleters: Ib qho piv txwv ntawm qhov no yog ib yam tshuaj hu ua Tetrabenazine. Qhov no tswj cov kev txav mus los uas tsis kam.

Nco ntsoov tias, cov tshuaj no tsuas muaj nyob rau ntawm daim ntawv qhia tshuaj xwb. Tsis txhob siv cov tshuaj no yam tsis tau kev qhia los ntawm kws kho mob.

Puas tiv thaiv tau qhov teeb meem no?

Yog, rau qee yam. Kev kho mob raws sijhawm thiab kom raug (tshuaj tua kab mob) rau "Strep throat" (kab mob caj pas) thiab "rheumatic fever" (rheumatic fever) tuaj yeem txo qhov kev pheej hmoo ntawm kev mob "Sydenham Chorea".

Thiab kuj,Yog tias koj tus menyuam muaj mob Sydenham Chorea, cov kws kho mob yuav pom zoo kom txuas ntxiv noj tshuaj tua kab mob kom txog thaum tus menyuam loj hlob (tej zaum txog thaum muaj hnub nyoog 21 xyoos lossis laus dua) kom tiv thaiv kev kis tus kab mob strep rov qab thiab txo qhov kev pheej hmoo ntawm kab mob plawv. Lub hom phiaj mus sij hawm ntev yog kom tiv thaiv kev puas tsuaj mus tas li rau cov hlab ntsha plawv uas tuaj yeem tshwm sim los ntawm kab mob plawv.

Yav tom ntej rau cov menyuam yaus uas muaj 'Sydenham Chorea' yuav zoo li cas? (Kev kwv yees)

Tej zaum koj yuav zoo siab hnov ​​qhov no. Feem ntau cov menyuam yaus yuav zoo tag nrho hauv 3 txog 6 lub hlis. Txawm li cas los xij, muaj tsawg tus neeg uas yuav muaj cov tsos mob txog li 2 xyoos.

Ib qho ntxiv yog tias qee zaum cov tsos mob no tuaj yeem rov tshwm sim dua tom qab hauv lub neej, tshwj xeeb tshaj yog thaum cov poj niam noj cov tshuaj tswj kev yug me nyuam uas muaj cov tshuaj hormones '(estrogen)' lossis cev xeeb tub. Yog li ntawd, yog tias koj tau muaj 'Sydenham Chorea' ua ntej, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog qhov no.

Lub neej txhua hnub zoo li cas nrog rau qhov xwm txheej no?

Cov menyuam yaus uas muaj cov tsos mob nruab nrab mus rau hnyav yuav pom tias nws nyuaj rau ua cov haujlwm txhua hnub. Xav txog seb cov kev txav tsis kam no cuam tshuam rau kev ua haujlwm hauv tsev kawm ntawv, kev ua si, thiab kev nyob nrog cov phooj ywg npaum li cas. Ib qho ntawm cov teeb meem ntawm kev nyob nrog Sydenham Chorea yog tias cov tsos mob tuaj yeem tshwm sim sai sai thiab tuaj yeem loj hlob thiab ploj mus thoob plaws hnub. Qhov no tuaj yeem ua rau nws nyuaj rau koom nrog cov haujlwm thaum yau.

Sydenham Chorea yog ib qho mob hlwb uas tshwm sim tom qab muaj tus kab mob Group A beta-hemolytic Streptococcus. Feem ntau nws tshwm sim hauv cov teb chaws uas tseem tab tom txhim kho, uas cov menyuam yaus tsis tau txais kev kho mob txaus rau cov kab mob strep. Txawm tias tom qab kho tau zoo lawm, muaj ob peb tug menyuam yaus uas yuav muaj kab mob plawv thiab lwm yam teeb meem tom qab ntawd. Txawm li cas los xij, feem ntau cov menyuam yaus zoo rov zoo tag nrho thiab tsis muaj teeb meem dab tsi.

Nco ntsoov ua ib qho kev xaus lus (Cov Lus Qhia Coj Mus Tsev)

• Sydenham Chorea yog ib qho teeb meem kev txav mus los uas tshwm sim los ntawm kev teb tsis zoo ntawm peb lub cev tiv thaiv kab mob rau cov kab mob (streptococcus) uas ua rau muaj kab mob caj pas thiab mob rheumatic fever.
• Qhov no feem ntau pom ntawm cov menyuam yaus hnub nyoog ntawm 5-15 xyoos, tshwj xeeb tshaj yog cov ntxhais.
• Tej zaum yuav pom cov tsos mob xws li kev txav ntawm ob txhais ceg yam tsis txhob txwm ua, hais lus tsis meej, thiab kev hloov pauv ntawm tus cwj pwm.
• Kev kho mob caj pas sai thiab kom raug yuav pab tiv thaiv qhov no.
• Feem ntau cov menyuam yaus zoo rov zoo tag nrho, tab sis qee tus yuav muaj teeb meem xws li kab mob plawv, yog li kev saib xyuas kev kho mob mus sij hawm ntev yog qhov tseem ceeb.
• Yog koj tus menyuam muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd. Kev kuaj mob sai thiab kev kho mob sai yuav pab tau koj tus menyuam zoo sai.

Yog koj muaj lus nug ntxiv txog qhov no, nco ntsoov nrog koj tus kws kho mob hauv tsev neeg lossis kws kho menyuam yaus tham. Lawv yuav muab cov lus piav qhia ntxiv thiab kev pab rau koj.

`Sydenham's chorea, mob caj pas strep, mob rheumatic fever, mob hlwb, mob txav tsis tau, kev kho mob menyuam yaus, tshuaj tua kab mob