Ngaba amalungu omzimba omntwana wakho ayashukuma ngaphandle kokuthanda kwakhe? Ngaba inokuba yiSydenham Chorea?

Ngaba umntwana wakho uqalise ngequbuliso ukushukumisa amalungu nomzimba wakhe ngeendlela ezingaqhelekanga? Ngaba ngamanye amaxesha uyathintitha xa ethetha? Okanye umbona encuma ngequbuliso aze enze ubuso? Njengomzali, kuqhelekile ukuba uzive usoyika kakhulu xa ubona ezi zinto. Kodwa kunokubakho isizathu sako konke oku. Namhlanje siza kuthetha ngesinye sezifo ezinjalo. Leyo yimeko ebizwa ngokuba yi-'Sydenham Chorea'.

Yintoni 'iSydney Chorea'?

Ngamafutshane, i-'Sydenham Chorea' sisifo sokushukuma kwenkqubo yemithambo-luvo esenzeka ebantwaneni. Sibangelwa ngokukodwa lusulelo lwebhaktheriya olubizwa ngokuba yi-'(Group A beta-hemolytic Streptococcus)'. Ewe, ewe, uqikelele kakuhle, le yibhaktheriya inye ebangela i-strep throat kunye ne-rheumatic fever.

Ngoku usenokuba ucinga, "Oku kungenzeka njani xa kukho isifo somqala?" Nantsi into eyenzekayo... Inkqubo yomzimba wethu yokuzikhusela ikhona ukuze isikhusele kwizifo. Nangona kunjalo, xa le ntsholongwane '(Streptococcus)' ingena emzimbeni, ezinye iinkqubo zokuzikhusela zabantwana ziyabhideka kancinci. Oko kuthetha ukuba endaweni yokuhlasela iintsholongwane kuphela, ngempazamo iqala ukuhlasela ezinye iindawo eziphilileyo zobuchopho. Oku kuyinyani ngakumbi kwiindawo zobuchopho ezilawula intshukumo.

Igama lesiGrike elithi "Chorea" lithetha "umdaniso." Ngoko ke eli gama livela ekushukumeni nasekushukumeni okunganyanzelekanga, okukhawulezayo, nokungalinganiyo kwamalungu omzimba abawafumanayo aba bantwana, okubonakala ngathi kuyadanisa. Kwezinye iimeko ezinzima, ezi ntshukumo zinokuphazamisana nemisebenzi yemihla ngemihla yomntwana.

Le meko idla ngokuvela ebantwaneni emva kokuba beno-"strep throat" okanye "rheumatic fever." Olu lolona hlobo luqhelekileyo lwe-chorea ebantwaneni olubangelwa zizizathu zangaphandle.

Ixhaphake kangakanani le meko?

Enyanisweni, kumazwe aphuhlileyo afana noMntla Melika neYurophu, ukwanda kwesifo seSydenham Chorea ngoku kuphantsi kakhulu. Isizathu soku kukuba amayeza okubulala iintsholongwane anikwa ngokukhawuleza xa kukho usulelo lomphimbo kuloo mazwe. Nangona kunjalo, kumazwe asaphuhlayo afana nelethu, le meko isabonakala kuba ngamanye amaxesha iindlela zonyango zahlukile kwaye ayinguye wonke umntu ofumana unyango ngokukhawuleza.

Ngubani onokuthi aphuhlise oku ngakumbi?

Ihlala ibonakala kubantwana abaphakathi kweminyaka emi-5 neli-15 ubudala. Ikwaxhaphake kancinci kumantombazana kunamakhwenkwe. Ayiqhelekanga kakhulu kubantwana abangaphantsi kweminyaka emi-5 ubudala okanye kubantu abadala.

Zeziphi ezinye iingxaki ezinokubangela oku?

Abantwana abaneSydenham Chorea basengozini yokuba nemeko ebizwa ngokuba yiPANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). I-PANDAS sisifo se-neuropsychiatric esibangelwa yi-autoimmune esinxulunyaniswa nosulelo lwe-streptococcal. Nangona kunjalo, kusekho ukungavisisani phakathi koogqirha malunga nokuba usulelo lwe-strep lubangela i-PANDAS na. Abantwana abane-PANDAS banokufumana iimpawu ezifana nezi:

• Utshintsho kwindlela yokuziphatha kunye nokungakhathalelwa.
• Iimpawu zokuzingisa kakhulu.
• Iintshukumo okanye izandi ezingaqhelekanga, ezingaqhelekanga ngequbuliso.

Ayipheleli apho, kodwa indlela amasosha omzimba wethu asabela ngayo kolu sulelo lwe-streptococcus inokuchaphazela nezinye izitho zomzimba, ezifana nolusu, amalungu kunye nentliziyo. Umzekelo:

• Isifo samathambo
• Ukudumba kwengaphakathi lentliziyo (endocarditis)
• Isifo sevalvu yentliziyo

Kubalulekile: Yingakho umntwana oneSydenham Chorea ecetyiswa ukuba ahlolwe yingcali yentliziyo.

Yintoni kanye kanye imbangela ye-'Sydenham Chorea'?

Njengoko sele sitshilo, imbangela ephambili yoku kukusabela okungaqhelekanga kwenkqubo yomzimba yokuzikhusela kwisifo sebhaktiriya esine-`(Iqela A beta-hemolytic Streptococcus)`. Ngamafutshane, amajoni ethu okuzikhusela (iiseli zomzimba) ahlasela ngempazamo iindawo zobuchopho bethu. Ingakumbi indawo yobuchopho elawula intshukumo. Egazini labantu abane-`Sydenham Chorea`, kuye kwafunyanwa i-`(ii-antibodies)` (ii-antibodies) ezikhethekileyo egazini labantu abane-`Sydenham Chorea`.

Zithini iimpawu ze-'Sydenham Chorea'?

Ezi mpawu zinokuvela naphi na emzimbeni womntwana. Ngamanye amaxesha zibonakala ngequbuliso kwaye zinokuba mandundu xa umntwana ediniwe.

Iimpawu zomzimba:

• Amalungu nomzimba ziyashukuma kwaye ziyajikajika ngokungenanjongo, ngokukhawuleza, nangokungacwangciswanga. Xa ubona oku, kubonakala ngathi umntwana akaphumli kwaye ungumntu othanda ukukhohlakala.
• Ukungakwazi ukusebenza, izinto ziwa ezandleni.
• Ubunzima bokubamba into ngokuqinileyo esandleni sakho.
• Ukuhlikihla izandla zakho.
• Ukungazoli.
• Utshintsho olukhawulezileyo kwimbonakalo yobuso (njengokufinga kancinci).
• Ukukhubeka nokuwa xa uhamba.

Ubunzima bokuthetha:

• Ukungathethi kakuhle, ukuthuthumela.
• Ukuqhuma kwamazwi ngequbuliso, ukukhwaza, njl.njl.

Iimpawu zengqondo nezeemvakalelo:

• Ixhala, uloyiko.
• Ubunzima bokugxila.

Khawuthelekelele, xa umntwana ogama lingu-Amila ebuya esikolweni, unina uqaphela ukuba ukubhala kwakhe kungcolile kunesiqhelo, kwaye izandla zakhe ziyangcangcazela xa ebhala. Kwanaseklasini, akahlali phantsi xa utitshala esithi uyaya, uyadanisa nje. Xa efika ekhaya, akakwazi nokufaka irayisi emlonyeni wakhe kakuhle ngecephe kwaye iyachitheka. Ukuba ubona into efana nale, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kugqirha.

Iimpawu ziqala nini?

Le yimeko ekhethekileyo. Iimpawu azibonakali kwangoko emva kokuba usulelo lomphimbo (strep throat) okanye umkhuhlane wamathambo. Abanye abantwana basenokungaqali ukuba nezi mpawu ze-'Sydenham Chorea' de babe malunga neenyanga ezi-6 ubudala .

Uyixilonga njani le nto?

Ugqirha uza kubuza umntwana wakho ngeempawu zakhe aze abuze ukuba ngaba ukhe wachaphazeleka kusulelo lwe-beta-hemolytic Streptococcus lweQela A ngaphambili. Oku kuthetha ukuba uza kubuza ukuba ngaba ukhe waba nomphimbo obuhlungu, usulelo lolusu, okanye iintlungu zamalungu kutshanje.

Emva koko, uvavanyo lwegazi lunokwenziwa ukujonga ii-antibodies kwi-strep bacteria. Oku kunokuba luncedo kakhulu ekuxilongweni. Ukuba umntwana wakho uqinisekisiwe ukuba uneSydenham Chorea, uvavanyo lwentliziyo (oludla ngokuba yi-echocardiogram) lunokwenziwa ukujonga umonakalo kwiivalvu zentliziyo okanye iimeko ezifana ne-endocarditis.

Iphathwa njani iSydenham Chorea?

Unyango olungcono lomntwana wakho luya kuxhomekeka ekubeni iimpawu zinzima kangakanani na. Ngamanye amaxesha, ukuba iimpawu zincinci kakhulu, akukho nyango lukhethekileyo lunokufuneka. Nangona kunjalo, ugqirha uya kuqhubeka ejonga umntwana.

Unyango lwe-`Sydenham Chorea` ephakathi neqatha:

Abantwana abaneempawu eziphakathi ukuya kweziqatha banokungenelwa ngamayeza.

• Amayeza ohlobo lwe-steroid: La mayeza anceda ukususa ii-antibodies ezenziwe ngendlela engafanelekanga emzimbeni.
• Amanye amayeza: Ngamanye amaxesha amayeza ongezelelweyo anokufuneka. Nangona la mayeza esetyenziswa kakhulu kwezinye iimeko, angasetyenziswa ngokukhuselekileyo kwiSydenham Chorea. Aquka:
• Imithi yokuthomalalisa isingqala: Imizekelo ibandakanya amayeza afana ne-valproic acid kunye ne-carbamazepine. La mayeza anceda ukuzinzisa imithambo-luvo.
• Ii-Antipsychotics: Umzekelo, i-haloperidol. Ezi zinokulawula ii-tics, ezifana neentshukumo zokuxhuzula kunye nokukhala ngequbuliso.
• Izithinteli zeDopamine: Umzekelo wale nto sisiyobisi esibizwa ngokuba yiTetrabenazine. Esi silawula iintshukumo ezizenzekelayo.

Khumbula, onke la mayeza afumaneka kuphela ngomyalelo kagqirha. Ungaze uwasebenzise la mayeza ngaphandle kwengcebiso kagqirha.

Ngaba le meko ingathintelwa?

Ewe, ukuya kuthi ga kwinqanaba elithile. Unyango olufike ngexesha elifanelekileyo (ii-antibiotics) lwe-"Strep throat" (usulelo lomphimbo) kunye ne-"rheumatic fever" (i-rheumatic fever) lunokunciphisa umngcipheko wokuba ne-"Sydenham Chorea".

Kwaye kwakhona,Ukuba umntwana wakho uneSydenham Chorea, oogqirha banokucebisa ukuba umntwana aqhubeke enikwa amayeza okubulala iintsholongwane de abe ngumntu omdala (mhlawumbi ade abe neminyaka engama-21 nangaphezulu) ukuthintela usulelo oluphindaphindayo lwe-strep nokunciphisa umngcipheko wesifo sentliziyo. Injongo yexesha elide kukuthintela umonakalo osisigxina kwiivalvu zentliziyo onokubangelwa sisifo sentliziyo.

Liyintoni ikamva labantwana abane-'Sydenham Chorea'? (Ingxelo yokuqikelela)

Ungavuya ukuva oku. Uninzi lwabantwana luyaphola ngokupheleleyo kwiinyanga ezi-3 ukuya kwezi-6. Nangona kunjalo, inani elincinci kakhulu linokuba neempawu ukuya kuthi ga kwiminyaka emi-2.

Enye into kukuba ngamanye amaxesha ezi mpawu zinokuphinda zibuye kamva ebomini, ingakumbi xa abafazi bethatha iipilisi zokulawula ukuzala ezine-hormone `(estrogen)` okanye bekhulelwe. Ke ngoko, ukuba ukhe wasebenzisa i-`Sydenham Chorea` ngaphambili, kubaluleke kakhulu ukwazisa ugqirha wakho ngayo.

Ubomi bemihla ngemihla bunjani kule meko?

Abantwana abaneempawu eziphakathi ukuya kwezinzima banokukufumanisa kunzima ukwenza imisebenzi yemihla ngemihla. Khawuthelekelele indlela ezi ntshukumo zinganyanzelekanga eziphazamisana ngayo nomsebenzi wesikolo, ukudlala, kunye nokuchitha ixesha nabahlobo. Omnye wemingeni yokuphila neSydenham Chorea kukuba iimpawu zinokuvela ngequbuliso kwaye zinokucotha kwaye ziphele imini yonke. Oku kunokwenza kube nzima ukuthatha inxaxheba kwimisebenzi eqhelekileyo yobuntwana.

I-Sydenham Chorea sisifo semithambo-luvo esifunyenwe emva kokosulelwa yi-Group A beta-hemolytic Streptococcus. Sixhaphake kakhulu kumazwe asakhasayo, apho abantwana bengafumani unyango olufanelekileyo lwee-antibiotics zosulelo lwe-strep. Kwanasemva konyango oluphumeleleyo, inani elincinci labantwana linokuba nesifo sentliziyo kunye nezinye iingxaki kamva ebomini. Nangona kunjalo, uninzi lwabantwana luyaphila ngokupheleleyo kwaye alubi nazo naziphi na iingxaki.

Khumbula njengesishwankathelo (Umyalezo Wokuya Ekhaya)

• I-Sydenham Chorea sisifo sokushukuma esibangelwa kukusabela okungaqhelekanga kwenkqubo yomzimba yokuzikhusela kwibhaktheriya (i-streptococcus) ebangela usulelo lomphimbo kunye nomkhuhlane wamathambo.
• Oku kubonakala kakhulu kubantwana abaneminyaka emi-5 ukuya kweli-15 ubudala, ingakumbi amantombazana.
• Iimpawu ezinje ngokushukuma kwamalungu omzimba ngokungazi, intetho engaqondakaliyo, kunye notshintsho kwindlela yokuziphatha zinokubonakala.
• Ukunyanga izifo zomqala ngokukhawuleza nangendlela efanelekileyo kunokunceda ekuthinteleni oku.
• Uninzi lwabantwana luyaphila ngokupheleleyo, kodwa ukujonga imeko yabo ixesha elide kubalulekile kuba abanye banokuba neengxaki ezifana nesifo sentliziyo.
• Ukuba umntwana wakho unenye yezi mpawu, musa ukoyika kwaye ubone ugqirha ofanelekileyo ngoko nangoko. Ukuxilongwa ngokukhawuleza kunye nonyango kunokunceda umntwana wakho aphile ngokukhawuleza.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wosapho lwakho okanye ugqirha wabantwana. Baya kukwazi ukukunika iingcaciso ezingaphezulu kunye noncedo.

"I-chorea kaSydenham, umphimbo obuhlungu, umkhuhlane wamathambo, iingxaki zemithambo-luvo, iingxaki zokunyakaza, amayeza abantwana, amayeza okubulala iintsholongwane