Kodi miyendo ya mwana wanu ikugwedezeka mwangozi? Kodi ndi Sydenham Chorea?

Kodi mwana wanu wayamba mwadzidzidzi kusuntha miyendo ndi thupi lake m'njira zachilendo? Kodi nthawi zina amalankhula movutikira? Kapena mumamuona akumwetulira mwadzidzidzi ndi kupanga nkhope? Monga kholo, ndi zachilendo kuti muzichita mantha kwambiri mukaona zinthuzi. Koma pakhoza kukhala chifukwa cha zonsezi. Lero tikambirana za vuto limodzi lotere. Umenewo ndi vuto lotchedwa `Sydenham Chorea`.

Kodi 'Sydenham Chorea' ndi chiyani?

Mwachidule, `Sydenham Chorea` ndi vuto la kayendedwe ka mitsempha lomwe limapezeka mwa ana. Limayamba chifukwa cha matenda a bakiteriya otchedwa `(Group A beta-hemolytic Streptococcus)`. Inde, inde, mwaganiza bwino, awa ndi mabakiteriya omwewa omwe amayambitsa matenda a strep throat ndi rheumatic fever.

Tsopano mwina mukuganiza kuti, "Kodi izi zingachitike bwanji ndi matenda a pakhosi?" Izi ndi zomwe zimachitika... Chitetezo cha mthupi lathu chilipo kuti chititeteze ku matenda. Komabe, mabakiteriya a `(Streptococcus)` akalowa m'thupi, chitetezo cha mthupi cha ana ena chimasokonezeka pang'ono. Izi zikutanthauza kuti m'malo mongoukira mabakiteriya okha, amayamba kuukira ziwalo zina za ubongo zomwe zili ndi thanzi labwino. Izi ndi zoona makamaka ku ziwalo za ubongo zomwe zimalamulira kayendedwe ka thupi.

Mawu achigiriki akuti "Chorea" amatanthauza "kuvina." Chifukwa chake dzinali limachokera ku kugwedezeka kosafunikira, mwachangu, komanso kosagwirizana kwa miyendo komwe ana awa amakumana nako, komwe kumawoneka ngati kuvina. Nthawi zina zoopsa, mayendedwe amenewa amatha kusokoneza zochita za mwana za tsiku ndi tsiku.

Matendawa nthawi zambiri amapezeka mwa ana atakhala ndi "strep throat" kapena "rheumatic fever." Uwu ndi mtundu wofala kwambiri wa chorea mwa ana womwe umayamba chifukwa cha zinthu zina.

Kodi vutoli ndi lofala bwanji?

Ndipotu, m'maiko otukuka monga North America ndi Europe, kuchuluka kwa matenda a Sydenham Chorea tsopano kuli kochepa kwambiri. Chifukwa cha izi ndichakuti maantibayotiki amaperekedwa mwachangu pa matenda a pakhosi m'maiko amenewo. Komabe, m'maiko otukuka ngati lathu, vutoli likhoza kuonekabe chifukwa nthawi zina njira zochiritsira zimakhala zosiyana ndipo si aliyense amene amalandira chithandizo mwachangu.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Kawirikawiri imapezeka mwa ana azaka zapakati pa 5 ndi 15. Imapezekanso kwambiri mwa atsikana kuposa anyamata. Sizimachitika kawirikawiri kwa ana osakwana zaka 5 kapena akuluakulu.

Ndi mavuto ena ati omwe angayambitse izi?

Ana omwe ali ndi Sydenham Chorea ali pachiwopsezo cha matenda otchedwa PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). PANDAS ndi matenda a autoimmune neuropsychiatric omwe amagwirizanitsidwa ndi matenda a streptococcal. Komabe, pakadalibe kusagwirizana pakati pa madokotala pankhani ya ngati matenda a strep amayambitsadi PANDAS. Ana omwe ali ndi PANDAS amatha kukhala ndi zizindikiro monga:

• Kusintha kwa khalidwe ndi kusayang'aniridwa.
• Zinthu zochititsa chidwi kwambiri.
• Kusuntha mwadzidzidzi, kosakhala kwachibadwa kapena mawu (ma tics).

Si zokhazo, komanso momwe chitetezo chathu cha mthupi chimayankhira ku matenda a streptococcus chingakhudzenso ziwalo zina, monga khungu, mafupa, ndi mtima. Mwachitsanzo:

• Matenda a nyamakazi
• Kutupa kwa mkati mwa mtima (endocarditis)
• Matenda a mtima

Chofunika: Ichi ndichifukwa chake mwana yemwe ali ndi matenda a Sydenham Chorea amalangizidwa kuti akapimidwe ndi dokotala wa matenda a mtima.

Kodi chifukwa chenicheni cha 'Sydenham Chorea' ndi chiyani?

Monga tanenera kale, chifukwa chachikulu cha izi ndi kuyankha kosazolowereka kwa chitetezo cha mthupi ku matenda a bakiteriya omwe ali ndi `(Group A beta-hemolytic Streptococcus)`. Mwachidule, asilikali athu oteteza (maselo a chitetezo chamthupi) amaukira molakwika mbali zina za ubongo wathu. Makamaka dera la ubongo lomwe limalamulira kayendedwe ka thupi. M'magazi a anthu omwe ali ndi `Sydenham Chorea`, `(ma antibodies)` apadera (ma antibodies) apezeka m'magazi a anthu omwe ali ndi `Sydenham Chorea`.

Kodi zizindikiro za `Sydenham Chorea` ndi ziti?

Zizindikirozi zimatha kupezeka kulikonse pa thupi la mwana. Nthawi zina zimaonekera mwadzidzidzi ndipo zimatha kukulirakulira mwana akatopa.

Makhalidwe a thupi:

• Miyendo ndi thupi zikugwedezeka ndi kugwedezeka mopanda cholinga, mwachangu, komanso mwachisawawa. Mukawona izi, zikuwoneka ngati mwanayo ndi wosakhazikika komanso wochita nkhanza.
• Kulephera kugwira ntchito, zinthu zikugwa m'manja.
• Kuvuta kugwira chinthu mwamphamvu m'dzanja lako.
• Kupukuta manja anu pamodzi.
• Kusakhazikika.
• Kusintha kwadzidzidzi kwa nkhope (monga kukwinya nkhope pang'ono).
• Kugwa ndi kugwa poyenda.

Mavuto olankhula:

• Kusalankhula momasuka, kusokonezeka kwa mawu.
• Kufuula mwadzidzidzi kwa mawu, kufuula, ndi zina zotero.

Makhalidwe a m'maganizo ndi m'maganizo:

• Nkhawa, mantha.
• Kuvuta kuganizira kwambiri.

Tangoganizirani, mwana wotchedwa Amila akabwera kuchokera kusukulu, amayi ake akuona kuti kulemba kwake kuli kosokoneza kwambiri kuposa masiku onse, ndipo manja ake amanjenjemera akamalemba. Ngakhale mkalasi, samakhala chete aphunzitsi akanena kuti apita, amangovina. Akabwera kunyumba, sangathe ngakhale kuyika mpunga mkamwa mwake bwino ndi supuni ndipo umatuluka. Ngati muwona chinthu chonga ichi, muyenera kufunsa upangiri kwa dokotala.

Zizindikiro zimayamba liti?

Izi ndi nkhani yapadera. Zizindikiro sizimawonekera nthawi yomweyo matenda a pakhosi (strep throat) kapena rheumatic fever. Ana ena sangayambe kukhala ndi zizindikiro za `Sydenham Chorea` mpaka atakwanitsa miyezi 6 .

Kodi mumazindikira bwanji izi?

Dokotala adzafunsa mwana wanu za zizindikiro zake ndikufunsa ngati adakumanapo ndi matenda a Group A beta-hemolytic Streptococcus kale. Izi zikutanthauza kuti adzafunsa ngati posachedwapa adadwala zilonda za pakhosi, matenda a pakhungu, kapena kupweteka kwa mafupa.

Kenako, kuyezetsa magazi kungachitike kuti aone ngati pali ma antibodies ku mabakiteriya a strep. Izi zingathandize kwambiri pozindikira matendawa. Ngati mwana wanu watsimikizika kuti ali ndi Sydenham Chorea, kuyezetsa mtima (nthawi zambiri echocardiogram) kungachitikenso kuti aone ngati pali kuwonongeka kwa ma valve a mtima kapena matenda monga endocarditis.

Kodi Sydenham Chorea imachiritsidwa bwanji?

Chithandizo chabwino kwambiri cha mwana wanu chimadalira momwe zizindikiro zake zilili zovuta. Nthawi zina, ngati zizindikirozo zili zochepa kwambiri, sipangafunike chithandizo chapadera. Komabe, dokotala apitiliza kuyang'anira mwanayo.

Chithandizo cha `Sydenham Chorea` yocheperako komanso yoopsa:

Ana omwe ali ndi zizindikiro zochepa mpaka zazikulu angapindule ndi mankhwala.

• Mankhwala a steroid: Mankhwalawa amathandiza kuchotsa ma antibodies opangidwa molakwika m'thupi.
• Mankhwala ena: Nthawi zina pangafunike mankhwala ena. Ngakhale kuti mankhwalawa amagwiritsidwa ntchito makamaka pa matenda ena, angagwiritsidwenso ntchito mosamala pa matenda a Sydenham Chorea.
• Mankhwala oletsa kupweteka kwa mutu: Zitsanzo zake ndi monga mankhwala monga valproic acid ndi carbamazepine. Izi zimathandiza kukhazikika kwa mitsempha.
• Mankhwala oletsa matenda amisala: Mwachitsanzo, haloperidol. Mankhwalawa amatha kulamulira kugwedezeka, monga kugwedezeka ndi kufuula mwadzidzidzi.
• Mankhwala ochepetsa dopamine: Chitsanzo cha izi ndi mankhwala otchedwa Tetrabenazine. Mankhwalawa amalamulira mayendedwe osafunikira.

Kumbukirani kuti mankhwala onsewa amapezeka pokhapokha ngati dokotala wakupatsani mankhwala. Musagwiritse ntchito mankhwala awa popanda upangiri wa dokotala.

Kodi vutoli lingapewedwe?

Inde, mpaka pamlingo winawake. Chithandizo choyenera komanso choyenera (maantibayotiki) cha ``Strep throat`` (matenda a pakhosi) ndi ``rheumatic fever`` (matenda a rheumatic fever) chingachepetse chiopsezo chotenga ``Sydenham Chorea```.

Ndiponso,Ngati mwana wanu ali ndi Sydenham Chorea, madokotala angakulangizeni kuti mupitirize kumwa mankhwala opha tizilombo mpaka mwanayo atakula (mwina mpaka zaka 21 kapena kuposerapo) kuti mupewe matenda opatsirana omwe amabwereranso m'thupi komanso kuchepetsa chiopsezo cha matenda a mtima. Cholinga cha nthawi yayitali ndikupewa kuwonongeka kosatha kwa ma valve a mtima omwe angabwere chifukwa cha matenda a mtima.

Kodi tsogolo la ana omwe ali ndi `Sydenham Chorea` ndi lotani? (Zomwe zidzachitike mtsogolo)

Mungasangalale kumva izi. Ana ambiri amachira kwathunthu mkati mwa miyezi itatu mpaka isanu ndi umodzi. Komabe, ochepa kwambiri amatha kukhala ndi zizindikiro kwa zaka ziwiri.

Chinthu china n’chakuti nthawi zina zizindikiro zimenezi zimatha kubwereranso m’moyo, makamaka akazi akamamwa mapiritsi oletsa kubereka okhala ndi hormone `(estrogen)` kapena akatenga pakati. Chifukwa chake, ngati munayamba mwamwapo `Sydenham Chorea`, ndikofunikira kwambiri kudziwitsa dokotala wanu za vutoli.

Kodi moyo watsiku ndi tsiku uli bwanji ndi vutoli?

Ana omwe ali ndi zizindikiro zochepa mpaka zazikulu angavutike kuchita zinthu za tsiku ndi tsiku. Tangoganizirani momwe mayendedwe amenewa osadziwika bwino amasokonezera ntchito ya kusukulu, kusewera, komanso kucheza ndi anzawo. Chimodzi mwa zovuta zomwe zimakhalapo chifukwa chokhala ndi Sydenham Chorea ndichakuti zizindikiro zimatha kubwera mwadzidzidzi ndipo zimatha kuzizira tsiku lonse. Izi zingapangitse kuti zikhale zovuta kutenga nawo mbali muzochitika zachizolowezi zaubwana.

Sydenham Chorea ndi matenda amitsempha omwe amapezeka pambuyo pa matenda a Gulu A beta-hemolytic Streptococcus. Amafala kwambiri m'maiko osatukuka, komwe ana salandira chithandizo chokwanira cha maantibayotiki a matenda a strep. Ngakhale atalandira chithandizo chabwino, ana ochepa amatha kudwala matenda a mtima ndi mavuto ena mtsogolo. Komabe, ana ambiri amachira kwathunthu ndipo samakhala ndi mavuto aliwonse.

Kumbukirani mwachidule (Uthenga Wopita Nawo Kunyumba)

• Sydenham Chorea ndi matenda oyambitsidwa ndi kusagwira bwino ntchito kwa chitetezo cha mthupi lathu ku bakiteriya (streptococcus) yomwe imayambitsa matenda a pakhosi ndi malungo a nyamakazi.
• Izi nthawi zambiri zimawonedwa pakati pa ana azaka zapakati pa 5-15, makamaka atsikana.
• Zizindikiro monga kuyenda kosafunikira kwa miyendo, kulankhula molakwika, ndi kusintha kwa khalidwe zingaonekere.
• Kuchiza matenda a pakhosi mwachangu komanso moyenera kungathandize kupewa izi.
• Ana ambiri amachira kwathunthu, koma kuyang'aniridwa ndi dokotala kwa nthawi yayitali ndikofunikira chifukwa ena amatha kukhala ndi mavuto monga matenda a mtima.
• Ngati mwana wanu ali ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala wodziwa bwino ntchito yake nthawi yomweyo. Kuzindikira matenda mwachangu komanso kulandira chithandizo kungathandize mwana wanu kuchira msanga.

Ngati muli ndi mafunso ena okhudza izi, onetsetsani kuti mwalankhula ndi dokotala wa banja lanu kapena dokotala wa ana. Adzatha kukupatsani kufotokozera ndi kukuthandizani.

'Sydenham's chorea, strep throat, rheumatic fever, matenda amitsempha, matenda oyenda, ana, maantibayotiki