Mwana wenyu anowanzova nekurwadziwa pahuro kana kuti tonsillitis here? Dzimwe nguva tinofunga kuti idzihwa rinowanzoitika uye hatiriteerere zvakanyanya. Asi kana mushure memazuva mashoma mwana wenyu akatanga kutaura zvinhu zvakaita sekuti "Amai, ibvi rangu rinorwadza," kana kuti "Gumbo rangu rinonzwa kusanzwa," musazviramba. Nekuti, zvinogona kunge zviri kutanga kwechirwere chinonzi rheumatic fever chatiri kutaura nezvacho nhasi. Ichi chinhu chekungwarira, saka ngatitaurei nezvazvo zvakadzama.
Zvichitaurwa zviri nyore, chii chinonzi rheumatic fever?
Rheumatic fever chirwere chisingawanzoitiki chinokonzera kuzvimba kwenhengo dzemuviri wemwana. Muchidimbu, iyi ndiyo nzira inoshanda nayo. Funga nezvemasoja edu ekudzivirira muviri seuto rinodzivirira nyika. Basa reuto iri nderekuona nekurwisa vapambi vekunze (mavhairasi, mabhakitiriya) uye kutidzivirira kubva kuzvirwere.
Zvino, ngatitii mwana wenyu ane strep throat kana scarlet fever. Utachiona uhwu hwese hunokonzerwa nerudzi rwebhakitiriya rinonzi Group A Streptococcus. Kana tikasarapa hutachiona nemazvo nemishonga inorwisa mabhakitiriya, uto remuviri wedu rinotya zvishoma. Pavanenge vachirwisa hutachiona, vanoita chikanganiso chidiki. Vanoona nyama yedu ine hutano vofunga kuti, "Heuno muvengi," vobva vatanga kurwisawo. Zvakafanana neuto redu richibhomba maguta edu.
Kusashanda zvakanaka kwedziviriro yemuviri uku kunokonzera kuzvimba mumajoini emwana, mwoyo, mitsipa yeropa, ganda, neuropi . Chirwere ichi chinonzi rheumatic fever.
Chinhu chakakosha ndechekuti rheumatic fiver haisi chirwere chehuro. Idambudziko risingawanzoitiki asi rakakura rinokonzerwa nechirwere chehuro chisina kurapwa.
Ndezvipi zviratidzo zve rheumatic fever mumwana?
Zviratidzo zvefivha yerheumatic zvinogona kusiyana kubva pamwana kuenda kune mumwe. Dzimwe nguva hutachiona hwepahuro hwemwana hushoma zvekuti ungasatombozviona. Zviratidzo zvefivha yerheumatic zvinowanzoonekwa mushure memavhiki maviri kusvika matatu. Zviratidzo izvi zvinogona kufanana nezvimwe zvirwere zvakajairika, saka dzimwe nguva tinogona kutsauswa. Asi zvakakosha kuziva izvi.
Ngationei zviratidzo zvikuru zviri patafura iri pazasi.
| Chiratidzo | Tsananguro nezvinhu zvekuchenjerera |
|---|---|
| Kuzvimba uye kurwadziwa kwemajoini (Arthritis) | Ichi ndicho chiratidzo chinowanzoitika. Majoini makuru emwana, akadai semabvi, zvitsitsinho, magokora, uye maoko, anotsvuka, anozvimba, uye anorwadziwa. Marwadzo anowanzo 'svetuka' kubva pajoini rimwe kuenda kune rimwe. Kana ibvi richirwadza nhasi, gumbo rinogona kurwadza mangwana. |
| Kurwara kwemwoyo | Ichi ndicho chiratidzo chakakomba chefivha yerheumatic. Chinogona kukonzera kurwadziwa muchipfuva, kushaya mweya, uye kunzwa sekuti moyo uri kurova nekukurumidza. Dzimwe nguva, kana chiremba akaisa stethoscope pachipfuva chemwana, anogona kunzwa ruzha rusina kujairika (kunyunyuta). |
| Kufamba kusingadzoreki (Chorea) | Ichi chiratidzo chinoshamisa. Maoko emwana, makumbo, uye tsandanyama dzechiso zvinogwinha-gwinha zvisingadzoreki, sekunge vari kutamba. Mwana haakwanise kuita zvinhu zvakaita sekunyora, kudya, kana mabhatani ehembe dzake. Izvi zvinokonzerwa nekukuvara kweuropi. |
| Mapundu ari pasi peganda (Mapundu) | Mapundu madiki asingarwadzi anotaridzika semapfupa anogona kuoneka pasi peganda pedyo nemapfundo akadai semagokora, mabvi, uye maoko emwana. Izvi zvinowanzopera mushure memavhiki mashoma. |
| Mapundu matsvuku eganda | Vamwe vana vanova nemapundu matsvuku, akatenderera, akajeka pamiviri yavo, kunyanya pachipfuva, mudumbu, nemusana. Izvi hazviwanzokwenya. |
| Zvimwe zvinhu zvakajairika | Kuwedzera kune zviratidzo zvikuru izvi, unogona zvakare kunzwa fivha, kuneta zvakanyanya, kurwadziwa kwemuviri, musoro, uye kuzvimba kwematoni matsvuku . |
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kunyange hazvo munhu wese achigona kurwara nefivha yerheumatic, vamwe vanhu vari panjodzi huru.
- Zera: Chirwere ichi chinonyanya kubata vana nevechidiki vari pakati pemakore mashanu negumi nemashanu. Kashoma kuti vanhu vari pasi pemakore mashanu uye vanopfuura makore gumi nemashanu vabatane nacho.
- Nzvimbo yekugara: Njodzi yacho yakakura munzvimbo dzine vanhu vakawanda vanoungana (semuenzaniso, zvikoro, nzvimbo dzekurera vana, misha yakazara vanhu) nekuti mabhakitiriya anopararira zviri nyore.
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri akamborwara nefivha yerheumatic, vamwe vanogona kunge vaine katsika kekuirwarawo.
- Kubatwa nezvirwere zvepahuro kakawanda: Kana mwana achibatwa nezvirwere zvepahuro kakawanda, njodzi yekubatwa nefivha yerheumatic inowedzera.
- Zvivako zvehutano: Vana vanogara munzvimbo dziri kure uko zvipatara zvakaoma kusvika vari panjodzi huru sezvo vangasawana kurapwa panguva yakakodzera kwechirwere chehuro.
Ichokwadi here kuti rheumatic fiver inokanganisa mwoyo?
Ehe, ichi ndicho chinhu chinotyisa uye chinonetsa zvikuru kana tichitaura nezve rheumatic fever. Rheumatic fever haigari ichikanganisa moyo. Asi kana ikadaro, inogona kukuvadza nhengo dzemwoyo, kunyanya mavharuvhu emwoyo .
Funga nezvemavharuvhu emwoyo semagonhi ari mumoyo medu. Basa rawo nderekubvumira ropa kuti rifambe nenzira imwe chete uye kudzivirira kuti risadzokere shure. Rheumatic fiver inogona kukonzera mavanga pavharuvhu idzi, zvichiita kuti dzisavharwe zvakanaka kana kuti dzisavhurike zvakanaka. Izvi zvinogona kukanganisa mashandiro emoyo.
Dambudziko iri tinoridaidza kuti Rheumatic Heart Disease . Chinhu chine njodzi zvikuru ndechekuti zviratidzo zvechirwere ichi chemwoyo zvinogona kuoneka dzimwe nguva makore gumi kusvika makumi maviri mushure mekutanga kwerheumatic fever.
Ndosaka kuongororwa nachiremba kwenguva refu kwakakosha zvikuru kumwana ane rheumatic fiver. Izvi zvinoita kuti aonekwe nekukasika kana mwoyo wake wakuvara uye kurapwa.
Chiremba anoongorora sei chirwere ichi?
Kana mwana wako achirwadziwa pahuro kwemazuva anopfuura maviri kana matatu, iva nechokwadi chekuona chiremba. Kurapa hutachiona hwe strep ndiyo nzira yakanakisisa yekudzivirira rheumatic fiver.
Kana chiremba akaongorora mwana wako uye akafungidzira kuti ane rheumatic fiver, achaita bvunzo dzakasiyana-siyana, dzakadai se:
1. Kusvuura pahuro: Sampuro diki yehuro inotorwa kuti ionekwe kana paine bhakitiriya re'Group A Streptococcus'. Izvi zvinogona kuitwa se'Rapid Strep Test' iyo inopa mhedzisiro mumaminitsi gumi, kana kuti inogona kutumirwa ku'Throat Culture' iyo inotora mazuva akati wandei kuti iongororwe.
2. Kuongororwa kweRopa:Ropa remwana rinogona kuongororwa kuti rionekwe here kana kuti kwete masoja ekudzivirira chirwere ichi anorwisa mabhakitiriya eStrep. Vanogonawo kutarisa huwandu hwezvinhu zvakaita seCRP neESR, izvo zvinoratidza kana paine kuzvimba mumuviri.
3. Kuongororwa kweMwoyo: Kuongororwa uku kwakakosha zvikuru kuti uone kana mwoyo wakakanganiswa.
- EKG (Electrocardiogram): Muedzo unotarisa mashandiro emagetsi emwoyo.
- Echocardiogram (Echo): Sekunge scan, izvi zvinogona kuona zvakajeka mashandiro anoita mavharuvhu emwoyo netsandanyama.
Zvinodiwa naJones
Vanachiremba vanoshandisa gwara rakakosha rinonzi "Jones criteria" kuti vaongorore chirwere cherheumatic fever. Izvi zvakafanana nehurongwa hwekuongorora zviratidzo. Kuti mwana asimbise chirwere ichi, anofanira kunge aine zvinhu zviviri zviri pazasi, kana chimwe chinhu chikuru uye zvinhu zviviri zvidiki, pamwe chete nehumbowo hwekuti akambobatwa nechirwere chestrep.
| Maitiro Makuru | Zviyero Zvidiki |
|---|---|
| Kuzvimba kwemajoini akawanda (Arthritis) | Kupindwa nechando |
| Kurwara kwemwoyo | Kuwedzera kwemazinga eESR kana CRP muropa |
| Mapundu ari pasi peganda (Mapundu) | Kurwadziwa kwemajoini (Arthralgia) |
| Kufamba kusingadzoreki (Chorea) | Kuchinja mubvunzo yeEKG |
| Mapundu eganda (Erythema marginatum) | Wakambova nefivha yerheumatic kana chirwere chemwoyo cherheumatic |
Ndeipi mishonga yekurapa rheumatic fever?
Pane zvinangwa zvikuru zvakawanda pakurapa chirwere cherheumatic fiver.
1. Kubvisa hutachiona hwebhakitiriya: Danho rekutanga nderekubvisa zvachose mabhakitiriya eStrep anokonzera fivha yerheumatic mumuviri. Kuti izvi zviitike, chiremba achanyora mishonga inorwisa mabhakitiriya . Izvi zvinogona kuva kubaiwa kamwe chete kana kupiwa mishonga inorwisa mabhakitiriya kwemazuva gumi. Chinhu chakakosha ndechekutora mishonga yese, kunyangwe mwana achinzwa zviri nani. Zvikasadaro, hutachiona hunogona kudzoka.
2. Kudzora kuzvimba: Mishonga inorwisa kuzvimba inopihwa kuderedza kuzvimba nekurwadziwa mumuviri. Iyi inobatsira zvikuru pakurwadziwa kwemajoini. Kana zviratidzo zvacho zvakanyanya, kunyanya kana moyo wakanganiswa, mishonga yakasimba yakaita se'Corticosteroids' inogonawo kupihwa.
3. Kudzivirira kudzoka kwechirwere: Izvi zvakakosha zvikuru. Kana mwana akamborwara nefivha yerheumatic, ane mukana wekuwana fivha yerheumatic zvakare kana akawana hutachiona hwestrep zvakare. Kuti adzivise izvi, chiremba anogona kuisa mwana mushonga wemishonga inorwisa mabhakitiriya kwenguva refu . Izvi zvinogona kuva jekiseni repenicillin pamwedzi. Kurapa uku kungada kuenderera mberi kwemakore, dzimwe nguva kusvika mwana akura.
Tinodzivirira sei vana vedu kubva kuchirwere ichi?
Nzira yakanakisisa uye yega yekudzivirira rheumatic fever ndeyekuongorora nekurapa strep throat nescarlet fever nekukurumidza uye nemazvo.
- Usaregeredza pahuro panorwadza: Kana mwana aine pahuro panorwadza kwemazuva anopfuura matatu, achinetseka kumedza, aine ma lymph nodes akazvimba mumutsipa, kana kuti aine fivha, iva nechokwadi chekuona chiremba.
- Ipai mishonga inorwisa mabhakitiriya sezvakarairwa: Ipai mushonga sezvakarairwa nachiremba kwenguva yese. Musarega kuutora pakati penguva, muchiudza mwana wenyu kuti achava nani mumazuva maviri.
- Tsika dzakanaka dzehutsanana:
- Dzidzisai mwana wenyu kugeza maoko ake nesipo zvakanaka nguva dzose.
- Vadzidzisei kufukidza muromo nemhino dzavo netishu kana gokora ravo pavanenge vachikosora kana kuhotsira.
- Iva nechokwadi chekuti vamwe vanhu havashandisi ndiro, makapu, nezvipunu zvemwana wako.
Nekutarisira zvinhu izvi, unogona kuita zvakawanda kudzivirira mwana wako kubva kuchirwere chakakomba chakadai se rheumatic fever.
Mharidzo Yekuenda Nayo Kumba
- Kana pahuro yemwana wako ichirwadza kwemazuva anopfuura maviri kana matatu, ichiperekedzwa nezviratidzo zvakaita sefivha, kurasikirwa nechido chekudya, kana bundu mumutsipa, iva nechokwadi chekuona chiremba.
- Chirwere cherheumatic fever chinokonzerwa nehutachiona hweStrep husina kurapwa.
- Chirwere ichi chinogona kukonzera kukuvara kwenguva refu kwemoyo wemwana, majoini, uye tsinga, saka kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru.
- Ipa mwana wako mishonga inorwisa mabhakitiriya yakanyorerwa nachiremba kwenguva yese. Usarega kuitora kunyangwe zviratidzo zvikadzikira.
- Mwana ane chirwere cherheumatic fiver angangoda kunwa mishonga inorwisa mabhakitiriya kwenguva yakareba kuti isadzoke. Tevedzera mirairo yachiremba wako nokungwarira.
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