Mwana wako anowanzo rwara pahuro nefivha here? Dzimwe nguva tinofunga kuti idzihwa rinowanzoitika. Zvisinei, kana rikasarapwa zvakanaka, mamwe hutachiona hwepahuro hunogona kukonzera matambudziko asingatarisirwi. Rheumatic Fever chirwere chisingatarisirwi, asi chinogona kunge chakakomba. Ngatitaurei nezvazvo zvakadzama nhasi, nekuti zvakakosha kuziva nezvazvo.
Chii chinonzi Rheumatic Fever? Zvichitaurwa zviri nyore...
Zvichitaurwa zviri nyore, rheumatic fever chirwere chinokonzerwa nekusashanda zvakanaka kwemasoja emuviri wedu. Vanachiremba vanotiwo "acute rheumatic fever". Fungidzira, mwana wako ane chirwere chehuro, chakadai se strep throat kana scarlet fever , uye dambudziko iri rinotanga kana rikasarapwa zvakanaka.
Zvese strep throat nescarlet fever zvinokonzerwa nebhakitiriya rinonzi Group A Streptococcus . Zvinowanzo pora nekukurumidza nemishonga inorwisa mabhakitiriya. Zvisinei, kana ikasarapwa, kana masoja emuviri emwana achirwisa mabhakitiriya, dzimwe nguva anorwisa zvisizvo nhengo dzawo dzine hutano. Izvi zvinokonzera kuzvimba nekuzvimba munzvimbo dzakasiyana dzemuviri. Izvi zvinogona kukanganisa mapfundo emwana, moyo, netsinga dzeropa.
Chii chakasiyana pakati peScarlet Fever neRheumatic Fever?
Izvi zvinovhiringidza vanhu vazhinji. Scarlet fever ne strep throat zvese zvirwere zvinokonzerwa nebhakitiriya re streptococcus reboka A. Izvi zvinorapwa nemishonga inorwisa mabhakitiriya.
Chirwere cherheumatic fiver chirwere chisingawanzoitiki chinogona kuitika kana chirwere, chakadai se scarlet fiver kana strep throat, chikasarapwa zvakanaka. Izvi zvinoreva kuti, hazvisi zvese zvirwere zve strep throat zvinoguma zvaita rheumatic fiver.
Fivha yerheumatic yakajairika zvakadii?
Munyika dzakabudirira dzakadai seUnited States, chirwere che strep throat chakajairika, asi chirwere che rheumatic fever hachiwanikwe. Nekuti mishonga inorwisa mabhakitiriya inowanikwa nyore nyore munyika idzodzo, vanhu vazhinji vanorapwa strep throat ne scarlet fever nekukurumidza. Kana kurapa kuchiitwa, chirwere che rheumatic fever chinodzivirirwa.
Zvisinei, munyika dzakaita sedzedu, kunyanya munzvimbo dzisina zvipatara zvakawanda, dambudziko iri re rheumatic fever richiri kuonekwa. Saka, tinofanira kungwarira zvikuru nezveizvi.
Ndezvipi zviratidzo zve rheumatic fever?
Mabatirwo anoita fivha yerumato (rheumatic fever) pamunhu mumwe nemumwe anogona kusiyana. Dzimwe nguva hutachiona hwe strep hunogona kunge husina kunyanya kuoma zvekuti ungasatomboziva kuti unahwo kusvika wava nefivha yerumato (rheumatic fever).
Zviratidzo zverheumatic fever zvinowanzova zvakaoma kuziva nekuti zvakafanana nezvimwe zvinetso zvehutano. Asi zvakakosha kuziva kuti zviratidzo izvi ndezvipi. Nekuti rheumatic fever inogona kunge yakakomba, kana uchifungidzira kuti mwana wako ane zviratidzo izvi, unofanira kuona chiremba nekukasika.
Heano mamwe ezviratidzo zvinowanzoonekwa :
- Kuzvimba, kutsvuka, uye kurwadziwa (arthritis): Majoini akadai semabvi, zvitsitsinho, nemagokora anonyanya kurwadza. Marwadzo anogona kunge ari mujoini rimwe zuva uye oenda kune rimwe joini zuva rinotevera.
- Kuzunza maoko nemakumbo zvisingadzoreki (chorea): Mwana anogona kunzwa sekunge maoko ake, makumbo, kana zvimwe zvikamu zvemuviri zviri kungoerekana zvazunza zvisingadzoreki. Izvi zvinonziwo "chorea yaSydenham".
- Mapundu madiki ari pasi peganda (mapundu): Dzimwe nguva mapundu madiki, akaomarara anogona kukura pasi peganda, ayo anogona kunzwikwa muruoko. Aya kazhinji haarwadzi.
- Kurwadziwa pachipfuva kana kurova kwemoyo zvisina kunaka: Unganzwa kurwadziwa pachipfuva, kana kuti unganzwa kuchinja kwekurova kwemoyo wako.
- Kuneta nguva dzose: Mwana anogona kunzwa kuneta uye hope nguva dzese, kunyangwe asina chaanoita.
- Fivha: Muviri unogona kupisa uye fivha inogona kuitika.
- Musoro unogara uchirwadziwa pasina chikonzero: Iva nehanya kana mwana asina kumbobvira ataura kuti ane musoro unogara uchirwadziwa.
- Kurwadziwa kwetsandanyama: Unganzwa sekunge tsandanyama dzako dziri kurwadza.
- Matonsi matsvuku akazvimba: Matonsi ari pahuro anogona kunge akazvimba uye akatsvuka.
- Mavara matsvuku paganda (erythema marginatum): Dzimwe nguva mavara matsvuku, akati sandara, ane mativi akatenderera anogona kuoneka paganda. Aya anogona kuuya oenda odzoka.
Yeuka kuti kuva nechimwe chezviratidzo izvi hazvirevi hazvo kuti une rheumatic fiver. Zvisinei, kana usina chokwadi nazvo, zvakanaka kuti uone chiremba.
Chii chinokonzera rheumatic fever?
Sezvatakambotaura, rheumatic fever isimba remuviri rinoshanda zvakanyanya rinorwisa nhengo dzine hutano. Chikonzero chikuru cheizvi ihutachiona hwe strep throat kana scarlet fever husina kurapwa. Kureva kuti, kusawana mishonga yakakodzera yehutachiona hwe streptococcus bacteria hweboka A.
Zvinoitika ndezvekuti kana dziviriro yemuviri (antibodies) ichirwisa mabhakitiriya, inorwisa zvisizvo nhengo dzemuviri dzine hutano. Funga nezvazvo sekunge kana uri kurwisa muvengi, unofunga kuti mumwe wako muvengi wobva wamurwisa.
Ndiani anowana chirwere cherheumatic fever?
Kunyangwe munhu wese achigona kubatwa nerheumatic fever, inowanzo bata vana nevechidiki vari pakati pemakore mashanu negumi nemashanu.Zviratidzo zvechirwere cherheumatic fever zvinowanzoonekwa mavhiki maviri kusvika matatu mushure mekunge chirwere che strep throat kana scarlet fever chisina kurapwa. Hazviwanzoitiki kuvana vari pasi pemakore mashanu uye kuvanhu vane makore anopfuura gumi nemashanu.
Pane mukana wakadini wekuti munhu awane rheumatic fever kubva pa strep throat kana scarlet fever?
Havasi vese vane strep throat kana scarlet fever vanozobatwa nerheumatic fever. Izvi zvinoitika chete kana hutachiona hwacho hukasarapwa. Zvisinei, munyika dzakadai seUnited States, rheumatic fever haiwanzoitiki.
Ndiani ari panjodzi huru yekubatwa nechirwere cherheumatic fiver?
Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekubatwa nefivha ye rheumatic. Heano zvimwe zvacho:
- Kwaunogara: Vanhu vazhinji vane rheumatic fever vanogara munzvimbo dziri kure dzisina zvipatara zvakawanda. Vana vanogara munzvimbo dzinenge dzakaoma kuwana mishonga kana kuonana nachiremba vari panjodzi huru.
- Zera: Sezvatakambotaura, vana vari pakati pemakore mashanu negumi nemashanu ndivo vanonyanya kukanganiswa.
- Hutano hwese: Mwana ane masoja emuviri asina simba anogona kunge ari panjodzi yakakura. Vana vanogara vachirwara nezvirwere zvestrep vanowanzovawo nechirwere cherheumatic fiver.
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri akamborwara nefivha yerheumatic, vamwe vemumhuri vane mukana wakakura wekuitawo fivha iyi.
- Nzvimbo dzine vanhu vakawanda: Mabhakitiriya anopararira zviri nyore munzvimbo dzinoungana vanhu. Mienzaniso inosanganisira zvikoro nezvikoro zvebhodhingi.
Vanhu vakuru vanogona kubatwa nerheumatic fever here?
Hazviwanzoitiki, asi vanhu vakuru vanogonawo kubatwa nechirwere cherheumatic fiver.
Fivha yerheumatic inotapuriranwa here?
Kwete, rheumatic fivha haitapurirwi. Haugone kuibata kubva kune mumwe munhu, uye haugone kuiparadzira kune mumwe munhu.
Asi, yeuka! Strep throat ne scarlet fever, izvo zvinokonzera rheumatic fever, zvinotapuriranwa. Zvinopararira kuburikidza nemadonhwe ekufema kana mumwe munhu akakosora kana kuhotsira.
Chirwere cherheumatic chinokanganisa sei mwoyo?
Fivha yeRheumatic haigari ichikanganisa moyo. Zvisinei, kana ikadaro, inogona kukuvadza nyama yemoyo, kunyanya mavharuvhu emwoyo. Nyama yemoyo iyi yakakuvara uye ine mavanga haishande zvakanaka. Nekufamba kwenguva, fivha yeRheumatic inogona kukonzera kukuvara kwemoyo zvachose. Vanachiremba vanodanawo chirwere ichi kuti Rheumatic Heart Disease kana kuti Congestive Heart Failure .
Kana chirwere cherheumatic chikakanganisa vharuvhu yemwoyo, chiremba wako anogona kukurudzira kuvhiyiwa kuti agadzirise vharuvhu yakakuvara kana kuitsiva neimwe itsva. Dzimwe nguva, kukuvara kwemoyo kunogona kuitika makore gumi kusvika makumi maviri mushure mechirwere cherheumatic. Saka, zvakakosha kuti ugare uchitaurirana nachiremba waunovimba naye.
Ko fivha yerheumatic inogona kukonzera rheumatoid arthritis here?
Kunyangwe zvimwe zvezviratidzo zvekutanga zvefivha yerheumatic zvakafanana nerheumatoid arthritis (RA) , zvirwere zviviri izvi hazvina hukama. Zvirwere zvese izvi zvinogona kukanganisa majoini emwana. Zvisinei, fivha yerheumatic inowanzopera mukati memavhiki mashoma, nepo RA chirwere chehupenyu hwese. Vana vari pasi pemakore gumi nematanhatu vanoonekwa vaine chirwere chinonzi ``Juvenile Idiopathic Arthritis`` pachinzvimbo cheRA.
Chirwere cherheumatic fever chinoonekwa sei? (Kuongororwa)
Kana mwana wako aine pahuro rinorwadza kwemazuva anopfuura maviri kana matatu, iva nechokwadi chekuona chiremba. Kurapwa nekukurumidza kweboka rezvirwere zve streptococcal kunogona kubatsira kudzivirira rheumatic fiver.
Kana chiremba achifungidzira kuti ane fivha yerheumatic, anofanira kutanga atora mushonga wekubvisa pahuro yemwana kuti aone kana aine mabhakitiriya eboka A estreptococcus. Izvi zvinogona kuitwa uchishandisa nzira yekukurumidza yekuongorora chirwere ichi kana kuti kurapa chirwere chehuro .
- Kuongororwa kweropa nekukurumidza: Mhedzisiro inogona kuwanikwa mukati memaminitsi gumi.
- Kukura kwehuro: Mhedzisiro inotora mazuva mashoma kuti idzoke. Zvisinei, dzimwe nguva bvunzo dzekukurumidza dze strep dzinogona kupa "mhedzisiro yenhema-isina kunaka" (zvichireva kuti dzinoratidza strep kana isipo).
Ndezvipi zvimwe zvidzidzo zvinoitwa kuti zviongororwe chirwere cherheumatic fever?
Zvichienderana nezviratidzo zvemwana, chiremba anogona kuraira mimwe miedzo:
- Kuongororwa kweropa: Dzimwe nguva kuongororwa kweropa kunoitwa kuti kusimbiswe hutachiona hwe strep. Kunyangwe bvunzo isingaone mabhakitiriya, inogona kutarisa ma antibodies ari muropa. Inogonawo kutarisa kuzvimba mumuviri nekuyera mamwe mapuroteni (akadai seCRP neESR).
- Kuongororwa kwemoyo: Kuongororwa uku kunobatsira kuona mashandiro ari kuita moyo wemwana wako. Izvi zvinogona kusanganisira ECG (electrocardiogram) kana Echocardiogram (ultrasound yemoyo, inonziwo Echo) .
Ndezvipi zvinodiwa naJones pakurapa rheumatic fever?
Dzimwe nguva vanachiremba vanoshandisa nzira inonzi Jones criteria kuti vaongorore rheumatic fever. Kuti mwana aonekwe aine rheumatic fever, anofanira kunge aine zvinhu zviviri zvikuru , kana chimwe chikuru nezviviri zvidiki, kubva pane zvinotevera. Pamusoro pezvo, panofanira kunge paine humbowo hwerabhoritari hwehutachiona hwekare hweboka A streptococcal.
Zvinodiwa zvikuru:
- Arthritis yemajoini akasiyana-siyana (arthritis)
- Kurwara kwemwoyo
- Mapundu ari pasi peganda (`mapundu`)
- Kufamba nekukurumidza, kusingadzoreki (chorea)
- Mavara chaiwo eganda (erythema marginatum)
Zvidimbu zvidiki:
- Kupindwa nechando
- Kuwedzera kwemazinga eropa e 'ESR (erythrocyte sedimentation rate)` kana `CRP (C-reactive protein)`
- Kurwadziwa kwemajoini (arthralgia)
- Kuchinja kweECG (electrocardiogram)
- Kuva nenhoroondo yekare yefivha yerheumatic kana chirwere chemwoyo cherheumatic
Chirwere cherheumatic chinorapwa sei?
Pakurapa chirwere cherheumatic fiver, chinangwa chekutanga ndechekubvisa hutachiona hwebhakitiriya. Zvadaro, kurapwa kunopiwa kuderedza kuzvimba mumuviri wemwana.
Kurapa kwe rheumatic fever kunogona kusanganisira:
- Mishonga inorwisa mabhakitiriya: Kutanga, vanachiremba vanopa mishonga inorwisa mabhakitiriya kurapa hutachiona hwebhakitiriya huripo. Mimwe mishonga inorwisa mabhakitiriya inopihwa jekiseni rimwe chete. Mimwe inotorwa nemuromo kwevhiki imwe chete kana kupfuura. Zvakakosha kunwa mishonga iyi kwenguva yakazara yakatarwa.
- Mishonga yekudzivirira kuzvimba: Chiremba anogona kunyora mushonga wekuderedza kuzvimba mumuviri wemwana wako. Mushonga uyu unogona zvakare kubatsira kuderedza zviratidzo zvakaita sekurwadziwa kwemajoini. Kana zviratidzo zvako zvakanyanya, chiremba anogona kunyora mushonga une simba (corticosteroids).
- Mamwe marapirwo: Nekuti fivha yerheumatic inokanganisa munhu mumwe nemumwe zvakasiyana, chiremba wako anogona kukurudzira mamwe marapirwo zvichienderana nekuti mwana wako akabatwa sei. Muzviitiko zvakakomba, kuvhiyiwa kwemoyo kana kutsiviwa kwemajoini kunogona kudiwa.
Chirwere cherheumatic fiver chingadzivirirwe sei?
Ichi ndicho chinhu chakakosha! Kurapa hutachiona hwakadai se strep throat ne scarlet fever nekukurumidza uye nemazvo kunogona kubatsira kudzivirira rheumatic fever. Zviratidzo zve strep throat ne scarlet fever hazvisi nyore kuona nguva dzose. Saka, kana mwana wako aine pahuro inorwadza kwemazuva anopfuura matatu, kana kana uine zvimwe zviratidzo zvaunofungidzira, iva nechokwadi chekubvunza chiremba.
Kana chiremba wemwana wako akakuudza kuti ane strep throat kana scarlet fever, tevera mirairo yake nemazvo. Kunyangwe mwana wako ari kunzwa zviri nani, unofanira kutora mishonga yese inorwisa mabhakitiriya. Zvikasadaro, hutachiona hunogona kusapera zvachose, uye ungangove nemukana wekuva nerheumatic fever.
Chii chimwe chaungaite kuti uzvidzivirire kubva kuchirwere cherheumatic fever?
Kudzidzira tsika dzakanaka dzehutsanana kunogona kubatsira kuderedza njodzi yemwana wako yekuwana hutachiona hwemabhakitiriya. Zvinogonawo kubatsira kudzivirira kupararira kwehutachiona kubva kumwana mumwe kuenda kune mumwe. Mwana wako anofanira kugara achiita zvinhu izvi:
- Geza maoko ako nguva nenguva (uye zvakakwana) nesipo.
- Paunenge uchikosora kana kuhotsira, vhara muromo wako netishu, gokora, kana pfudzi (kwete ruoko rwako).
- Rasa chirauro chaunoshandisa kuhotsira kana kufemera mhino yako kamwe chete, wogeza maoko ako.
Kana mwana wako akaonekwa aine rheumatic fever, chiremba wako anogona kunyora mishonga inorwisa mabhakitiriya kwenguva refu (yakadai sekubaiwa jekiseni repenicillin pamwedzi). Izvi zvinonzi antibiotic prophylaxis . Izvi zvinogona kubatsira kudzivirira strep throat mune ramangwana uye kudzivirira rheumatic fever kuti isadzokorore.
Chii chiri kutarisira munhu ane rheumatic fiver?
Kunyangwe pasina mushonga we rheumatic fever, chirwere ichi chinogona kurapwa nekurapwa. Nekuongorora chirwere nemazvo uye kutanga kurapwa nekukurumidza kana zviratidzo zvaonekwa, unogona kudzivirira kukuvara zvachose kunokonzerwa nechirwere. Matambudziko akakomba haawanzoitika. Kana zvikaitika, zvinogona kukanganisa moyo wemwana, majoini, tsinga, kana ganda.
Fivha yeRheumatic inogona kudzoka kana kuva dambudziko guru. Mune zvimwe zviitiko, fivha yeRheumatic inogona kukonzera matambudziko anogona kuisa hupenyu panjodzi. Saka, kuongororwa nachiremba nguva dzose kunogona kudiwa kuchengetedza hutano hwemwana wako kwenguva refu.
Fivha yerheumatic inogona kudzokazve here?
Ehe. Kana mwana wako akawana strep throat kana scarlet fever zvakare, rheumatic fever inogona kudzoka zvakare. Kana mwana wako akamborwara nerheumatic fever kare, chiremba anogona kukurudzira mwana wako kuti atore mishonga inorwisa mabhakitiriya kwemakore, kana kutoti hupenyu hwake hwese. Kurapa uku kunonzi antibiotic prophylaxis . Izvi zvinogona kubatsira kudzivirira kumwe hutachiona hwestrep uye kudzivirira rheumatic fever kuti isadzoke zvakare.
Chii chandinofanira kubvunza chiremba wemwana?
Kana mwana wako aine rheumatic fiver, unogona kubvunza chiremba mibvunzo yakaita seiyi:
- Ndeupi mushonga unorwisa mabhakitiriya waunokurudzira?
- Mwana wangu anofanira kutora mushonga uyu kwenguva yakareba sei?
- Mwana wangu achafanira kutora mishonga inorwisa mabhakitiriya kwenguva yakareba here?
- Mwana wangu achada mimwe miedzo here iye zvino kana mune ramangwana?
- Chirwere cherheumatic fiver chinogona sei kukanganisa mwana wangu iye zvino kana mune ramangwana?
- Pane zvinhu zvinogona kukanganisa hutano hwemwana wangu here?
- Mwana wangu achada kurapwa kwerudzii kubva panguva ino?
- Chii chandingaita kuti ndichengetedze hutano hwemwana wangu zvakanyanya?
- Ndinofanira kufonera chiremba wemwana wangu rini?
Kana muchifunga kuti mwana wenyu ane strep throat kana scarlet fever, musanonoka kufonera chiremba wenyu. Kurapwa nekukurumidza kunogona kubatsira kudzivirira rheumatic fever. Zviratidzo zvehutachiona hwemabhakitiriya ndeizvi:
- Huro inorwadza inopedza mazuva anopfuura matatu.
- Kushaya chido chekudya (kunyanya nekuda kwekuoma kwekumedza).
- Ma lymph nodes akazvimba mumutsipa.
- Mavara matsvuku anoita sejecha.
- Kupindwa nechando.
- Matumbu akazvimba, matsvuku, kana kuti ane madota (gland riri kumashure kwemuromo).
- Musoro.
Mharidzo Yekuenda Nayo Kumba
Chirwere cherheumatic fever chirwere chisingawanzoitiki chinokonzerwa ne strep throat kana scarlet fever isingarapwe. Chinonyanya kubata vana nevechidiki. Muzviitiko zvakakomba, chinogona kukonzera matambudziko makuru ehutano anokanganisa moyo wemwana, majoini, kana dzimwe nhengo dzemuviri.
Chinhu chinonyanya kukosha ndechekuona chiremba nekukasika kana uchifungidzira kuti mwana wako ane strep throat kana scarlet fever. Kuita izvi kunogona kubatsira kudzivirira rheumatic fever kuti isatange. Vanhu vane rheumatic fever vanowanzoda mazano ekurapwa kwehupenyu hwavo hwese kuti varambe vaine hutano. Saka, musatore pahuro kana fivha yemwana wenyu zviri nyore. Iva nehanya nazvo.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Fivha yerheumatic inokura sei?
Kana uchinzwa kurwadziwa pahuro (Strep throat), kana ukasatora mishonga chaiyo yekurapa, imhaka yekuti muviri unogadzira ma antibodies makuru ekurwisa mabhakitiriya iwayo. Ma antibodies aya anovhiringidza mabhakitiriya uye anorwisa mwoyo yedu, majoini, neuropi, ndosaka zvichinyanya kuitika muvana vari pakati pemakore mashanu negumi nemashanu.
💬 Izvi zvine njodzi kumoyo here?
Zvine njodzi huru! Kunyangwe ukava nekurwadziwa kwemajoini, zvichava nani nekufamba kwenguva. Asi kana izvi zvikarova nekukuvadza mavharuvhu ari mumoyo medu (Valves - kunyanya mitral valve), achaparadzwa zvachose (Rheumatic Heart Disease). Izvi zvinogona kutokonzera kurwiswa kwemoyo mune ramangwana.
💬 Ndinofanira kutora penicillin kwemakore here semushonga weizvi?
Ehe! Kana chirwere ichi chikaitika, moyo unofanirwa kumiswa zvachose kuti usazvimbe uye mabhakitiriya anofanira kumiswa zvachose kuti asapinde mumuviri zvakare. Saka, zvichienderana nemamiriro emurwere, zvinosungirwa kuti apiwe jekiseni rePenicillin kamwe chete pamwedzi kusvika asvika makore makumi maviri nerimwe kana muhupenyu hwake hwese.
` Rheumatic fiver, strep throat, scarlet fiver, zvirwere zvevana, chirwere chemwoyo, hutachiona, immune system











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