I fa hian a rilru a na hnuah ruh a na em? Rheumatic fever a ni thei ang em?

I fa hian a rilru a na emaw, tonsillitis emaw a nei fo em? A chang chuan khawsik pangngai mai maiah kan ngai a, kan ngaihven vak lo. Mahse ni engemaw zat hnuah i fain "Mommy, ka khup a na," emaw, "Ka ke a na" tih ang chi thu a sawi tan a nih chuan, chu chu hnawl mai suh. A chhan chu, tunlaia kan sawi tur rheumatic fever tih natna bul tanna a ni thei. Hei hi fimkhur tur thil a nih avangin chipchiar zawkin sawi ila.

A awlsam zawngin, rheumatic fever chu eng nge ni?

Rheumatic fever hi autoimmune natna hmuh tur awm lo tak a ni a, taksa peng hrang hrang leh taksa peng hrang hrangte a ti hring chhuak thin. A awlsam zawngin hetiang hian a thawk a ni. Kan immune system hi ram humhimtu sipai angin han ngaihtuah teh. He sipai hna hi ramdang invader (virus, bacteria) te hriatchhuah a, beih a, natna laka min humhim hi a ni.

Tunah chuan i fa hian strep throat emaw scarlet fever emaw a nei ta ang u. Heng natna pahnih hi bacteria chi khat Group A Streptococcus an tih atanga lo chhuak a ni. Infection hi antibiotics hmanga kan enkawl that loh chuan kan taksa sipaite chu an hlauthawng deuh thin. Bacteria an do lai hian tlem an tisual thin. Kan tissue hrisel tak tak pawh an hmu a, "Aw, hetah hian hmelma a awm," tiin an ngaihtuah a, chu pawh chu an bei tan ta a ni. Kan sipaite ngeiin kan khawpui ngei an bomb ang mai a ni.

Pawimawh tak chu rheumatic fever hi kawr natna a ni lo tih hi a ni. A rilru a buai em em a, mahse enkawl loh rilru natna avanga harsatna lian tak a ni.

Naupang zingah hian rheumatic fever natna lan chhuah dan engte nge ni?

Rheumatic fever symptoms hi naupang hrang hrangah a inang lo thei. A chang chuan naupang kawr natna hi a nasat em avangin i hre lo pawh a ni thei. Rheumatic fever symptoms hi kar hnih atanga kar thum hnuah a lang tlangpui. Heng chhinchhiahnate hi natna tlanglawn dangte nen a inang thei a, chuvangin a chang chuan kan hruai sual thei a ni. Mahse hei hi hriat chian a pawimawh.

A hnuaia table-ah hian eng symptoms ber berte nge ni tih i lo en ang u.

He natna vei theihna hlauhawm ber chu tute nge ni?

Tu pawhin rheumatic fever vei thei mahse, mi thenkhat chu an hlauhawm zawk.

• Kum: He natna hian naupang leh puitling tleirawl kum 5 leh 15 inkar a vei tam ber a, kum 5 hnuai lam leh kum 15 chunglam tan a vei hi a tlem hle.
• Living environment: Mi tam tak inkhawmna hmunah (entir nan, sikul, daycare center, mipui tamna in) ah hian a hlauhawmna a sang zawk a, a chhan chu bacteria hi a darh awlsam vang a ni.
• Chhungkaw chanchin: Chhungkaw zinga mi tu emaw chuan rheumatic fever a nei tawh a nih chuan midang pawhin an vei duhna an nei thei bawk.
• Thlarau natna vei fo: Naupangin strep throat infection a neih fo chuan rheumatic fever vei theihna a sang hle.
• Hriselna hmun: Damdawi lam pan harsana hmun hla tak takah naupangte chu an rilru natna avanga a hun taka enkawl an nih loh avangin an hlauhawm zawk.

Rheumatic fever hian thinlung a nghawng tih hi a dik em?

Ni e, hei hi rheumatic fever chungchang kan sawi hian a hlauhawm ber leh ngaihtuahawm ber a ni. Rheumatic fever hian thinlung a nghawng ngai lo. Mahse a tih chuan thinlung tissue, a bik takin thinlung valve te a tichhe thei a ni .

Heart valve hi kan thinlunga kawngkhar angin ngaihtuah rawh. An hna chu thisen chu kawng khat chauha luang phalsak a, a luang let leh tawh loh tur ven hi a ni. Rheumatic fever hian heng valve-ah hian scar tissue a siam thei a, chu chuan a khar tha lo emaw, a inhawng tha lo emaw a ni. Hei hian thinlung hnathawh a tibuai thei a ni.

Chuvangin naupang rheumatic fever nei tan chuan hun rei tak chhung damdawi lam enkawlna hi a pawimawh em em a ni. Hei hian thinlung chhiatna chu a hmaa hriat theihna leh enkawl theihna a siamsak a ni.

He natna hi engtin nge doctor hian a hriat theih ang?

I fain ni hnih emaw ni thum emaw aia rei a beng a na a nih chuan doctor pan ngei ngei tur a ni. Strep infection enkawl hi rheumatic fever venna tha ber a ni.

Doctor chuan i fa chu a enfiah a, rheumatic fever a rinhlelh chuan test eng emaw zat an ti ang a, chungte chu:

1. Throat Swab: Throat sample te tak te lak a, `Group A Streptococcus` bacteria awm leh awm loh enfiah a ni. Hei hi `Rapid Strep Test` angin tih theih a ni a, minute 10 chhungin result a pe thei a, a nih loh leh `Throat Culture` atan thawn theih a ni a, test nan ni engemaw zat a ngai bawk.

2. Thisen endikna: 1.1.Naupang thisenah hian Strep bacteria laka antibody a awm leh awm loh enfiah theih a ni. Tin, CRP leh ESR ang chi thil level te pawh an enfiah thei a, chu chuan taksaah inflammation a awm leh awm loh a tilang thei a ni.

3. Heart Test: Heng test te hi thinlungin a nghawng tawh em tih hriat nan a pawimawh hle.

• EKG (Electrocardiogram): Thinlung electric hnathawh dan enfiahna test a ni.
• Echocardiogram (Echo): Scan ang maiin hei hian thinlung valve leh muscle te hnathawh dan chiang takin a hmu thei a.

Jones Criteria a ni

Doctor-te chuan rheumatic fever hmuhchhuah nan hian kaihhruaina bik "Jones criteria" an tih chu an hmang a. Hei hi scoring system ang mai a ni. Natna finfiah tur chuan naupang hian a hnuaia criteria lian ber pahnih, emaw, tehfung lian ber pakhat leh tehfung tenau pahnih tal a neih a ngai a, chubakah chuan a hmaa strep infection a neih tawhna finfiahna a nei tur a ni.

Rheumatic fever enkawlna tur engte nge ni?

Rheumatic fever enkawlnaah hian thil tum lian tak tak engemaw zat a awm a.

1. Bacteria infection tihbo dan: A hmasa ber chu taksa atanga Rheumatic fever thlentu Strep bacteria tihbo vek a ni. Chumi atan chuan doctor chuan antibiotics a pe ang . Hei hi vawi khat injection emaw, ni 10 chhunga antibiotics course emaw a ni thei. A pawimawh ber chu damdawi ei zawng zawng ei hi a ni a, naupang chu a rilru a hahdam hle a nih pawhin. Chutiang a nih loh chuan infection chu a lo let leh thei a ni.

2. Hriselna (swelling) controlling: Taksa a vun leh natna tihziaawmna turin anti-inflammatory damdawi pek thin a ni. Hengte hi ruh natna atan a \angkai hle. A natna lanchhuahna a nasat chuan, a bik takin thinlung a khawih chuan damdawi chak zawk `Corticosteroids` ang chi pawh pek theih a ni.

3. A lo lang leh tur venna: Hei hi a pawimawh hle. Naupangin vawi khat chu rheumatic fever a vei tawh a nih chuan strep infection a neih leh chuan rheumatic fever an vei leh theihna a sang zawk. Chutiang a nih loh nân, doctor chuan naupang chu hun rei tak chhûng antibiotics ei tûrin a dah thei a ni . Hei hi thla tin penicillin injection a ni thei. He enkawlna hi kum tam tak chhung chhunzawm zel a ngai mai thei a, a châng chuan naupang chu puitling a nih hma loh chuan chhunzawm zel a ngai mai thei.

He natna lakah hian engtin nge kan fate kan humhim ang?

Rheumatic fever venna kawng tha ber leh awmchhun chu strep throat leh scarlet fever te hi rang tak leh dik taka hriatchhuah leh enkawl hi a ni.

• Kawng na hi ngaihthah suh: Naupangin ni thum aia rei a beng a na a, ei harsa a nei a, a kawngah lymph node a hring a, a khawsik a nei a nih chuan Doctor pan ngei ngei tur a ni.
• Antibiotics pek ang chiah chiah pe rawh: Damdawi hi doctor-in a pek angin a hun chhung zawng pe rawh. Ni hnih hnuah i fa chu a dam leh ang tih sawiin a chanve vel chu bansan suh.
• Faina lama tih dan tha: 1.1.
• I fate chu sahbawn hmanga uluk taka kut sil turin zirtir la.
• An hmui leh hnar chu tissue emaw, an elbow emaw hmanga khuh emaw, khuh emaw, khuh emaw, khuh emaw zirtir rawh.
• Mi dangin i fate plate, cup leh spoon te hi an hmang lo turin fimkhur rawh.

Heng thilte hi i enkawl hian i fa chu natna khirh tak, rheumatic fever ang chi laka venhimna kawngah nasa takin i ti thei a ni.