Kodi mwana wanu ali ndi zizindikiro izi? Tiyeni tiphunzire bwino lomwe tanthauzo la matenda a nyamakazi!

Kodi mwana wanu nthawi zambiri amadwala pakhosi ndi malungo? Nthawi zina timaganiza kuti ndi chimfine wamba. Komabe, ngati sichichiritsidwa bwino, matenda ena a pakhosi angayambitse mavuto osayembekezereka. Matenda a Rheumatic Fever ndi matenda osayembekezereka, koma omwe angakhale oopsa. Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa ndikofunikira kwambiri kudziwa za izi.

Kodi Matenda a Rheumatic Fever ndi chiyani? Mwachidule...

Mwachidule, matenda a nyamakazi ndi matenda omwe amayamba chifukwa cha kulephera kwa chitetezo cha mthupi mwathu. Madokotala amatchanso kuti "matenda a nyamakazi oopsa". Tangoganizirani, mwana wanu ali ndi matenda a pakhosi, monga strep throat kapena scarlet fever , ndipo vutoli limayamba ngati silikuchiritsidwa bwino.

Matenda a strep throat ndi scarlet fever onse amayamba chifukwa cha bakiteriya wotchedwa Group A Streptococcus . Nthawi zambiri amachira msanga ndi maantibayotiki. Komabe, ngati sanachiritsidwe, chitetezo cha mthupi cha mwana chikamenyana ndi bakiteriya, nthawi zina chimaukira minofu ndi ziwalo zake zathanzi molakwika. Izi zimayambitsa kutupa ndi kutupa m'malo osiyanasiyana a thupi. Izi zitha kukhudza mafupa a mwana, mtima, ndi mitsempha yamagazi.

Kodi kusiyana pakati pa Scarlet Fever ndi Rheumatic Fever ndi kotani?

Izi ndi zomwe anthu ambiri amasokoneza. Matenda a scarlet fever ndi strep throat onse ndi matenda omwe amayamba chifukwa cha mabakiteriya a gulu A a streptococcus. Izi zimachiritsidwa ndi maantibayotiki.

Matenda a nyamakazi ndi vuto losowa kwambiri lomwe lingachitike ngati matenda, monga scarlet fever kapena strep throat, sanachiritsidwe bwino. Izi zikutanthauza kuti, si matenda onse a strep throat omwe amakula kukhala rheumatic fever.

Kodi matenda a nyamakazi ndi ofala bwanji?

M'mayiko otukuka monga United States, matenda a strep throat ndi ofala, koma matenda a rheumatic fever sapezeka. Popeza maantibayotiki amapezeka mosavuta m'mayiko amenewo, anthu ambiri amalandira chithandizo cha strep throat ndi scarlet fever mwachangu. Akalandira chithandizo, matenda a rheumatic fever amapewedwa.

Komabe, m'maiko ngati athu, makamaka m'madera omwe ali ndi zipatala zochepa, vutoli la rheumatic fever likuwonekabe. Chifukwa chake, tiyenera kusamala kwambiri pankhaniyi.

Kodi zizindikiro za matenda a nyamakazi ndi ziti?

Mmene malungo a nyamakazi amakhudzira munthu aliyense zingakhale zosiyana. Nthawi zina matenda a strep amatha kukhala ochepa kwambiri moti simungadziwe kuti muli nawo mpaka mutayamba matenda a nyamakazi.

Zizindikiro za matenda a nyamakazi nthawi zambiri zimakhala zovuta kuzizindikira chifukwa zimafanana ndi mavuto ena azaumoyo. Koma ndikofunikira kudziwa zizindikirozi. Popeza matenda a nyamakazi amatha kukhala oopsa, ngati mukukayikira kuti mwana wanu ali ndi zizindikirozi, muyenera kupita kwa dokotala nthawi yomweyo.

Nazi zizindikiro zina zodziwika bwino zomwe zingawonekere:

• Kutupa kwa mafupa, kufiira, ndi kupweteka (nyamakazi): Mafupa monga mawondo, akakolo, ndi zigongono ndi opweteka kwambiri. Ululu ukhoza kukhala m'malo amodzi tsiku lina n'kupita ku malo ena tsiku lotsatira.
• Kugwedeza miyendo mosalamulirika (chorea): Mwana angamve ngati manja, miyendo, kapena ziwalo zina za thupi lake zikugwedezeka mwadzidzidzi mosalamulirika. Izi zimatchedwanso "chorea ya Sydenham".
• Ziphuphu zazing'ono pansi pa khungu (tiziphuphu): Nthawi zina ziphuphu zazing'ono zolimba zimatha kupangika pansi pa khungu, zomwe zimatha kumveka m'dzanja. Izi nthawi zambiri sizipweteka.
• Kupweteka pachifuwa kapena kugunda kwa mtima kosazolowereka: Mungamve kupweteka pachifuwa, kapena mungamve kusintha kwa kugunda kwa mtima wanu.
• Kutopa kosalekeza: Mwanayo angamve kutopa komanso kugona nthawi zonse, ngakhale osachita chilichonse.
• Malungo: Thupi likhoza kutentha ndipo malungo angayambe.
• Mutu wopitirira popanda chifukwa: Khalani ndi nkhawa ngati mwana amene sanadandaulepo za mutu akudwala mutu wopitirira.
• Kupweteka kwa minofu: Mungamve ngati minofu yanu ikupweteka.
• Ma tonsils otupa, ofiira: Ma tonsils omwe ali pakhosi akhoza kukhala otupa komanso ofiira.
• Mabala ofiira pakhungu (erythema marginatum): Nthawi zina mabala ofiira, athyathyathya, ozungulira amatha kuwoneka pakhungu. Izi zimatha kubwera ndi kupita kenako nkubwerera.

Kumbukirani, kukhala ndi chimodzi mwa zizindikiro izi sikutanthauza kuti muli ndi matenda a nyamakazi. Komabe, ngati muli ndi kukayikira kulikonse, ndi bwino kupita kwa dokotala.

Kodi n’chiyani chimayambitsa matenda a nyamakazi?

Monga tafotokozera kale, matenda a nyamakazi ndi chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso chomwe chimaukira minofu yathanzi. Chifukwa chachikulu cha izi ndi matenda a strep throat kapena scarlet fever omwe sanachiritsidwe. Izi zikutanthauza kuti, osalandira maantibayotiki oyenera a matenda a gulu A streptococcus bacteria.

Chomwe chimachitika n'chakuti chitetezo cha thupi (ma antibodies) chikamenyana ndi mabakiteriya, chimaukira molakwika minofu ndi ziwalo za thupi zomwe zili ndi thanzi labwino. Taganizirani ngati mukamalimbana ndi mdani, mumaganiza kuti mdani wanu ndi mdani ndipo mumamuukira.

Ndani amadwala matenda a nyamakazi?

Ngakhale aliyense akhoza kudwala matenda a nyamakazi, nthawi zambiri amakhudza ana ndi achinyamata azaka zapakati pa 5 ndi 15.Zizindikiro za matenda a nyamakazi nthawi zambiri zimawonekera milungu iwiri kapena itatu pambuyo poti matenda a strep throat kapena scarlet fever sanachiritsidwe. Sizichitika kawirikawiri kwa ana osakwana zaka 5 komanso kwa anthu opitirira zaka 15.

Kodi pali kuthekera kotani kokhala ndi matenda a rheumatic fever chifukwa cha strep throat kapena scarlet fever?

Si aliyense amene ali ndi strep throat kapena scarlet fever amene adzadwala rheumatic fever. Izi zimachitika pokhapokha ngati matendawa sanachiritsidwe. Komabe, m'maiko ngati United States, rheumatic fever ndi yosowa kwambiri.

Ndani ali pachiwopsezo chachikulu chotenga matenda a nyamakazi?

Zinthu zina zingakulitse chiopsezo chanu chotenga matenda a nyamakazi. Nazi zina mwa izo:

• Kumene mumakhala: Anthu ambiri omwe ali ndi matenda a nyamakazi amakhala m'madera akutali omwe ali ndi zipatala zochepa. Ana omwe amakhala m'madera omwe n'kovuta kupeza mankhwala kapena kuonana ndi dokotala ali pachiwopsezo chachikulu.
• Zaka: Monga tanenera kale, ana azaka zapakati pa 5 ndi 15 ndi omwe amakhudzidwa kwambiri.
• Thanzi lonse: Mwana amene chitetezo chake chamthupi chili chofooka akhoza kukhala pachiwopsezo chachikulu. Ana amene nthawi zambiri amadwala matenda a strep nawonso amakhala pachiwopsezo chachikulu chotenga matenda a rheumatic fever.
• Mbiri ya banja: Ngati wina m'banjamo adadwalapo matenda a nyamakazi, achibale ena nawonso ali ndi mwayi waukulu woti matendawa adwale.
• Malo odzaza anthu: Mabakiteriya amafalikira mosavuta m'malo omwe anthu amasonkhana pamodzi. Zitsanzo zikuphatikizapo masukulu ndi masukulu ogona.

Kodi akuluakulu angapeze matenda a nyamakazi?

Ndikosowa kwambiri, koma akuluakulu amathanso kudwala matenda a nyamakazi.

Kodi matenda a rheumatic fever ndi opatsirana?

Ayi, matenda a nyamakazi si opatsirana. Simungawatenge kuchokera kwa wina, komanso simungawapatsire kwa wina.

Koma kumbukirani! Matenda a strep pakhosi ndi scarlet fever, zomwe zimayambitsa matenda a nyamakazi, ndi opatsirana. Amafalikira kudzera m'madontho a mpweya pamene munthu akutsokomola kapena kuyetsemula.

Kodi matenda a nyamakazi amakhudza bwanji mtima?

Matenda a nyamakazi (rheumatic fever) sakhudza mtima nthawi zonse. Komabe, ngati atero, amatha kuwononga minofu ya mtima, makamaka ma valve a mtima. Matenda a mtima owonongekawa, omwe ali ndi zipsera, sagwira ntchito bwino. Pakapita nthawi, matenda a nyamakazi (rheumatic fever) amatha kuwononga mtima kosatha. Madokotala amatchanso vutoli kuti Matenda a Mtima (Rheumatic Heart Disease) kapena Congestive Heart Failure .

Ngati matenda a nyamakazi awononga valavu ya mtima, dokotala wanu angakulangizeni opaleshoni kuti akonze valavu yowonongekayo kapena kuisintha ndi yatsopano. Nthawi zina, kuwonongeka kwa mtima kumatha kuchitika patatha zaka 10 mpaka 20 kuchokera pamene matenda a nyamakazi ayamba. Chifukwa chake, ndikofunikira kulumikizana ndi dokotala amene mumamudalira.

Kodi malungo a rheumatic angayambitse nyamakazi?

Ngakhale zizindikiro zina zoyambirira za matenda a nyamakazi zimafanana ndi matenda a nyamakazi (RA) , matenda awiriwa sali ofanana. Matenda onsewa amatha kukhudza mafupa a mwana. Komabe, matenda a nyamakazi nthawi zambiri amatha mkati mwa milungu ingapo, pomwe matenda a nyamakazi ndi matenda omwe amakhalapo kwa moyo wonse. Ana osakwana zaka 16 amapezeka ndi matenda otchedwa ``Juvenile Idiopathic Arthritis`` m'malo mwa matenda a nyamakazi.

Kodi matenda a rheumatic fever amawapeza bwanji? (Kuzindikira)

Ngati mwana wanu akumva kupweteka pakhosi kwa masiku opitilira awiri kapena atatu, onetsetsani kuti mwawonana ndi dokotala. Chithandizo chadzidzidzi cha matenda a streptococcal a gulu A chingathandize kupewa malungo a nyamakazi.

Ngati dokotala akukayikira kuti ali ndi matenda a nyamakazi, choyamba ayenera kutenga thovu la pakhosi pa mwana kuti aone ngati ali ndi mabakiteriya a gulu A a streptococcus. Izi zitha kuchitika pogwiritsa ntchito mayeso ofulumira a strep kapena culture ya pakhosi .

• Kuyesa kwachangu kwa strep: Zotsatira zake zitha kupezeka mkati mwa mphindi 10.
• Kumera kwa pakhosi: Zotsatira zimatenga masiku angapo kuti zibwererenso. Komabe, nthawi zina mayeso ofulumira a strep angapereke "zotsatira zabodza-zoipa" (kutanthauza kuti amasonyeza strep pamene palibe).

Ndi mayeso ena ati omwe amachitidwa kuti adziwe matenda a nyamakazi?

Kutengera ndi zizindikiro za mwanayo, dokotala akhoza kuyitanitsa mayeso ena:

• Kuyezetsa magazi: Nthawi zina kuyezetsa magazi kumachitika kuti atsimikizire matenda a strep. Ngakhale kuti kuyezetsako sikuzindikira mabakiteriya, kumatha kuyang'ana ma antibodies m'magazi. Kungathenso kuyang'ana kutupa m'thupi poyesa mapuloteni ena (monga CRP ndi ESR).
• Mayeso a mtima: Mayesowa amathandiza kuona momwe mtima wa mwana wanu ukugwirira ntchito. Izi zingaphatikizepo ECG (electrocardiogram) kapena Echocardiogram (ultrasound ya mtima, yomwe imatchedwanso Echo) .

Kodi njira za Jones zochizira matenda a rheumatic fever ndi ziti?

Madokotala nthawi zina amagwiritsa ntchito njira yotchedwa Jones criteria kuti adziwe matenda a rheumatic fever. Kuti mwana apezeke ndi matenda a rheumatic fever, ayenera kukhala ndi zizindikiro ziwiri zazikulu , kapena chimodzi chachikulu ndi ziwiri zazing'ono, kuchokera pamndandanda wotsatira. Kuphatikiza apo, payenera kukhala umboni wa labotale wa matenda a streptococcal a gulu la A.

Zofunikira zazikulu:

• Matenda a nyamakazi a ziwalo zingapo
• Matenda a mtima (carditis)
• Ziphuphu pansi pa khungu (`nodules`)
• Kusuntha mwachangu, kosasunthika (chorea)
• Madontho enaake a pakhungu (erythema marginatum)

Zofunikira zazing'ono:

• Malungo
• Kuwonjezeka kwa milingo ya 'ESR' m'magazi (erythrocyte sedimentation rate) kapena 'CRP' (C-reactive protein) m'magazi
• Kupweteka kwa mafupa (arthralgia)
• Kusintha kwa ECG (electrocardiogram)
• Kukhala ndi mbiri yakale ya matenda a nyamakazi kapena matenda a mtima a nyamakazi

Kodi matenda a rheumatic fever amachiritsidwa bwanji?

Pochiza matenda a nyamakazi, cholinga choyamba chimakhala kuchotsa matenda a bakiteriya. Kenako, chithandizo chimaperekedwa kuti achepetse kutupa m'thupi la mwana.

Mankhwala a rheumatic fever angaphatikizepo:

• Mankhwala Opha Mabakiteriya: Choyamba, madokotala amapereka mankhwala opha mabakiteriya kuti achiritse matenda oyamba ndi bakiteriya. Mankhwala ena amaperekedwa ngati jakisoni kamodzi. Ena amatengedwa pakamwa kwa sabata imodzi kapena kuposerapo. Ndikofunikira kumwa mankhwala awa nthawi yonse yomwe mwapatsidwa.
• Mankhwala oletsa kutupa: Dokotala angapereke mankhwala ochepetsa kutupa m'thupi la mwana wanu. Mankhwalawa angathandizenso kuchepetsa zizindikiro monga kupweteka kwa mafupa. Ngati zizindikiro zanu zili zazikulu, dokotala angapereke mankhwala amphamvu (corticosteroids).
• Njira Zina Zochiritsira: Popeza malungo a nyamakazi amakhudza munthu aliyense mosiyana, dokotala wanu angakulangizeni njira zina zochiritsira kutengera momwe mwana wanu akukhudzidwira. Pa milandu yoopsa, opaleshoni ya mtima kapena kusintha mafupa kungakhale kofunikira.

Kodi matenda a nyamakazi angapewedwe bwanji?

Ichi ndiye chinthu chofunikira kwambiri! Kuchiza matenda monga strep throat ndi scarlet fever mwachangu komanso moyenera kungathandize kupewa rheumatic fever. Zizindikiro za strep throat ndi scarlet fever sizimaonekera nthawi zonse komanso sizosavuta kuzizindikira. Chifukwa chake, ngati mwana wanu ali ndi pakhosi lopweteka kwa masiku opitilira atatu, kapena ngati muli ndi zizindikiro zina zomwe mukukayikira, onetsetsani kuti mwaonana ndi dokotala.

Ngati dokotala wa mwana wanu akukuuzani kuti ali ndi strep throat kapena scarlet fever, tsatirani malangizo ake molondola. Ngakhale mwana wanu akumva bwino, muyenera kumwa mankhwala onse opha tizilombo toyambitsa matenda. Kupanda kutero, matendawa sangatheretu, ndipo mungakhale ndi mwayi waukulu wopeza rheumatic fever.

Kodi mungachite chiyani china kuti mudziteteze ku matenda a nyamakazi?

Kuchita zinthu zaukhondo kungathandize mwana wanu kuchepetsa chiopsezo chotenga matenda a bakiteriya. Kungathandizenso kupewa kufalikira kwa matenda kuchokera kwa mwana wina kupita kwa wina. Mwana wanu ayenera kuchita zinthu izi nthawi zonse:

• Sambani m'manja mwanu pafupipafupi (ndi bwino) ndi sopo.
• Mukatsokomola kapena kuyetsemula, phimbani pakamwa panu ndi minofu, chigongono, kapena phewa (osati dzanja lanu).
• Tayani minofu yomwe imagwiritsidwa ntchito poyetsemula kapena kupumira mphuno yanu kamodzi, ndipo sambani m'manja mwanu.

Ngati mwana wanu wapezeka ndi matenda a rheumatic fever, dokotala wanu angakulembeni mankhwala opha tizilombo toyambitsa matenda kwa nthawi yayitali (monga jakisoni wa penicillin pamwezi). Izi zimatchedwa antibiotic prophylaxis . Izi zingathandize kupewa strep throat mtsogolo komanso kupewa rheumatic fever kuti isabwererenso.

Kodi chiyembekezo cha munthu amene ali ndi matenda a nyamakazi n’chiyani?

Ngakhale kuti palibe mankhwala a matenda a nyamakazi, matendawa amatha kuchiritsidwa ndi chithandizo. Mukazindikira matendawa molondola ndikuyamba chithandizo zizindikiro zikangoyamba kuwonekera, mutha kupewa kuwonongeka kosatha chifukwa cha matendawa. Mavuto akuluakulu sachitika kawirikawiri. Ngati atachitika, angakhudze mtima wa mwana, mafupa, mitsempha, kapena khungu.

Matenda a nyamakazi amatha kubwerera kapena kukhala vuto lalikulu. Nthawi zina, matenda a nyamakazi amatha kuyambitsa mavuto omwe angawononge moyo. Chifukwa chake, kufufuza nthawi zonse kwa dokotala kungakhale kofunikira kuti muteteze thanzi la mwana wanu kwa nthawi yayitali.

Kodi matenda a nyamakazi angabwerenso?

Inde. Ngati mwana wanu agwidwanso ndi strep throat kapena scarlet fever, rheumatic fever ingabwererenso. Ngati mwana wanu wakhalapo ndi rheumatic fever kale, dokotala angakulangizeni kuti mumwe mankhwala opha tizilombo toyambitsa matenda kwa zaka zambiri, kapena moyo wanu wonse. Mankhwalawa amatchedwa antibiotic prophylaxis . Izi zingathandize kupewa matenda ena a strep ndikuletsa rheumatic fever kuti isabwererenso.

Kodi ndifunse dokotala wa mwanayo chiyani?

Ngati mwana wanu ali ndi matenda a nyamakazi, mukhoza kufunsa dokotala mafunso monga awa:

• Kodi mumalimbikitsa mankhwala opha tizilombo ati?
• Kodi mwana wanga ayenera kumwa mankhwalawa kwa nthawi yayitali bwanji?
• Kodi mwana wanga adzafunika kumwa mankhwala opha tizilombo kwa nthawi yayitali?
• Kodi mwana wanga adzafunika mayeso ena tsopano kapena mtsogolo?
• Kodi matenda a nyamakazi angakhudze bwanji mwana wanga panopa kapena mtsogolo?
• Kodi pali zochita zilizonse zomwe zingawononge thanzi la mwana wanga?
• Kodi mwana wanga adzafunika chithandizo chamankhwala chotani mtsogolo?
• Kodi ndingachite chiyani kuti nditeteze bwino thanzi la mwana wanga?
• Kodi ndiyenera kuyimbira dokotala wa mwana wanga liti?

Ngati mukuganiza kuti mwana wanu ali ndi strep throat kapena scarlet fever, musazengereze kuyimbira dokotala wanu. Chithandizo choyambirira chingathandize kupewa rheumatic fever. Zizindikiro zodziwika bwino za matenda a bakiteriya awa ndi:

• Kupweteka pakhosi komwe kumatenga masiku opitilira atatu.
• Kusowa chilakolako (makamaka chifukwa cha kuvutika kumeza).
• Ma lymph nodes otupa m'khosi.
• Madontho ofiira omwe amamveka ngati sandpaper.
• Malungo.
• Ma tonsils otupa, ofiira, kapena okhala ndi madontho (tizilombo tomwe tili kumbuyo kwa pakamwa).
• Mutu.

Uthenga Wopita Nawo Kunyumba

Matenda a nyamakazi ndi vuto losowa kwambiri la matenda a strep throat kapena scarlet fever omwe sanachiritsidwe. Amakhudza kwambiri ana ndi achinyamata. Pa milandu yoopsa, angayambitse mavuto aakulu azaumoyo omwe amakhudza mtima wa mwana, mafupa, kapena ziwalo zina.

Chofunika kwambiri ndikuonana ndi dokotala nthawi yomweyo ngati mukuganiza kuti mwana wanu ali ndi strep throat kapena scarlet fever. Kuchita zimenezi kungathandize kupewa rheumatic fever kuti isakule. Anthu omwe ali ndi rheumatic fever nthawi zambiri amafunika upangiri wachipatala ndi chithandizo cha moyo wawo wonse kuti akhale ndi thanzi labwino. Choncho, musatengere zilonda za pakhosi kapena malungo a mwana wanu mopepuka. Khalani osamala.

Matenda a nyamakazi, strep throat, scarlet fever, matenda a ana, matenda a mtima, matenda opatsirana, chitetezo chamthupi