Khawuthelekelele umntwana wakho ebuhlungu emqaleni aze aphile emva kweentsuku ezimbalwa. Kodwa emva kweveki okanye ezimbini, umntwana wakho uphinde abe nomkhuhlane, kunye namalungu avuvukileyo njengamadolo namaqatha, kunye nentlungu enzima. Ngamanye amaxesha le ntlungu isuka kwelinye ilungu iye kwelinye. Ngaba ukhe waba nalo eli thuba? Oku akuyonto yokungayinaki nje. Isenokuba ngumkhuhlane wamathambo, imeko enzima eyenzeka xa usulelo lomphimbo lunganyangwa. Makhe sithethe ngayo yonke le nto namhlanje.
Yintoni kanye kanye iRheumatic Fever?
Ngamafutshane, umkhuhlane werheumatic yimpendulo enzulu
kwisifo somqala esinganyangwanga (Strep Throat) . Esi sifo somqala sibangelwa yintsholongwane ebizwa ngokuba yi-'group A streptococcus'. Xa esi sifo singanyangwa kakuhle, amasosha omzimba wethu ayaphela. Oku kuthetha ukuba ii-antibodies ezisebenza njengokhuselo lomzimba ziqala
ukuhlasela kungekuphela nje iintsholongwane kodwa nezicubu zethu, ingakumbi amalungu, intliziyo, kunye nolusu . Eyona ngozi inkulu yoku kukulimala kwentliziyo. Abantu abangaphezu kwesiqingatha abanesifo serheumatic fever banomonakalo kwiivalvu zabo zentliziyo. Oku kwenza intliziyo isebenze nzima ukupompa igazi. Ekuhambeni kwexesha, lo monakalo unokukhokelela kwimeko ebizwa ngokuba
sisifo sentliziyo serheumatic , ekugqibeleni enokukhokelela ekusileleni kwentliziyo. Ngamanye amaxesha, umkhuhlane werheumatic unokubangela imeko yexeshana ebizwa ngokuba yiSydenham's chorea, echaphazela inkqubo yemithambo-luvo. Oku kunokubangela ukuba izihlunu zomzimba, amalungu, kunye nobuso zishukume ngokungalawulekiyo.
Into ebalulekileyo kukuba i-rheumatic fever ayisosifo esosulelayo. Nangona kunjalo, intsholongwane ye -streptococcus eyibangelayo ( umphimbo obuhlungu ) inokudluliselwa ukusuka komnye umntu ukuya komnye.
Ziziphi iimpawu eziphambili zesifo samathambo?
Ezi mpawu zihlala zibonakala phakathi kweveki e-1 ukuya kwe-5 emva kokuba umphimbo ubuhlungu. Ngamanye amaxesha umphimbo obuhlungu unokuba mncinci, oko kuthetha ukuba unokufika ubuye uphele ngaphandle kweempawu ezinkulu. Ngoko ke abanye abantu basenokungakhumbuli nokuba umphimbo obuhlungu.
| Uphawu | Inkcazo |
|---|
| Amalungu avuvukileyo, abuhlungu | Amalungu, ingakumbi amadolo, amaqatha, iingqiniba, kunye nezandla, ayadumba, abe bomvu, kwaye abe buhlungu. Le ntlungu inokuhamba ukusuka kwelinye ilungu ukuya kwelinye. |
| Ifiva | Umkhuhlane oza ngaphandle kwesizathu. |
| Ukuqhambuka kwesikhumba | Ukubonakala kwerhashalala ebomvu, ephakanyisiweyo kancinci, efana nokudumba esifubeni, emqolo, okanye esiswini. |
| Amaqhuma angaphantsi kolusu (iiNodules) | Amaqhuma amancinci angenabuhlungu abonakala phantsi kolusu kufutshane namalungu avuvukileyo, ingakumbi kwiindawo ezifana neengqiniba. |
| Iimpawu ezinxulumene nentliziyo | Iintlungu zesifuba, ukubetha kwentliziyo ngokukhawuleza, kunye nobunzima bokuphefumla ziimpawu zokuba intliziyo ichaphazelekile. |
| Iintshukumo ezingalawulekiyo (iChorea) | Ukushukuma okungalawulekiyo kweengalo, imilenze, okanye ubuso. |
Nyamekela umphimbo womntwana obuhlungu
Musa ukuyithatha lula intlungu yomntwana ebuhlungu. Ingakumbi
ukuba umphimbo wakhe ubuhlungu kakhulu kunye nomkhuhlane (ongaphezulu kwe-100.4 F / 38 C) ngaphandle kwezinye iimpawu zomkhuhlane (ezifana nempumlo egobhozayo, ukuthimla) , kwaye ukuba umphimbo wakhe ubuhlungu uhlala ngaphezu kweentsuku ezimbini okanye ezintathu,
ngokuqinisekileyo kufuneka ubone ugqirha . Isenokuba lusulelo lomphimbo olubangelwa yi-strep. Ukuba kunjalo, kubalulekile ukufumana amayeza okubulala iintsholongwane afanelekileyo ukuze anyangwe ngokupheleleyo.
Ngubani osengozini enkulu?
Nangona nabani na onesifo se-streptococcal anokuba nomkhuhlane wamathambo, abanye abantu banokuba nawo lula.
- Abantwana abaneminyaka ephakathi kwemi-5-15 ubudala.
- Abantu abakwiindawo ezixineneyo ezifana nezikolo kunye neendawo zokugcina abantwana .
- Ukuba umntu owayekhe waba nomkhuhlane wamathambo ngaphambili uphinda abe nosulelo lwe-streptococcal.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala aphulaphule ngononophelo iimpawu zakho. Emva koko uza kwenza uvavanyo lomzimba. 1.
Unyango loMqala: Kuthathwa iswab encinci ngaphakathi emqaleni wakho ukuze kuhlolwe iintsholongwane ze-strep kwaye kuyithumele kwilebhu. 2.
Uvavanyo lomzimba: Ugqirha uza kumamela intliziyo yakho nge-stethoscope ukujonga naziphi na izandi ezingaqhelekanga (ukugquma kwentliziyo). Uza kujonga nokudumba kwamalungu akho, izilonda zolusu, okanye amaqhuma. 3.
Ezinye iimvavanyo:- Uvavanyo lwegazi : Amanqanaba e-antibody ayahlolwa ukuze kuqinisekiswe ukuba kukho usulelo lwe-streptococcal kutshanje.
- I-ECG (i-Electrocardiogram): Ivavanya ukusebenza kwentliziyo kunye nomsebenzi wombane.
- I-Echo (i-Echocardiography): Iskeni ekuvumela ukuba ubone izihlunu zentliziyo, iivalvu, kunye nokusebenza kokumpompa njengevidiyo.
Zithini iindlela zonyango?
Ukuba umkhuhlane werheumatic uqinisekisiwe, unyango luneenjongo ezimbini eziphambili. Enye kukulawula iimpawu ezikhoyo ngoku. Enye, kwaye okona kubaluleke kakhulu,
kukuthintela umonakalo wentliziyo ixesha elide.- Iiantibiotics : I-antibiotic efana ne-penicillin inikwa ukubulala ngokupheleleyo nayiphi na intsholongwane ye-streptococcus eseleyo emzimbeni. Kusenokufuneka uthathe iidosi ezincinci zee-antibiotics kangangeminyaka, okanye ubomi bakho bonke, ukuthintela ukuba isifo singabuyi.
- Amayeza entlungu nokudumba: Amayeza anjenge-aspirin kunye ne-ibuprofen amiselwe ukulawula iintlungu zamalungu , ukudumba, kunye nomkhuhlane.
- IiCorticosteroids: La mayeza anikwa ukulawula ukudumba ukuba intliziyo iye yachaphazeleka.
- Ukuphumla ngokupheleleyo: Kubalulekile ukuphumla ngokwaneleyo de iimpawu ziphele.
- Utyando: Amaxesha amaninzi, ukuba iivalvu zentliziyo zonakele kakhulu, kunokufuneka utyando ukuze zilungiswe okanye zitshintshwe.
Ukuba unesifo sentliziyo esibizwa ngokuba yi-rheumatic heart disease, kusenokufuneka uthathe amayeza okubulala iintsholongwane ngaphambi kotyando oluthile, njengokukhupha amazinyo, ukuthintela ukosuleleka kwevalvu zentliziyo. Ugqirha wakho uza kukunika iingcebiso ngale nto.
Iziphumo zexesha elide kunye neengxaki
Eyona nto iyingozi kakhulu ngesifo samathambo yimiphumo yaso ehlala ixesha elide entliziyweni. Lo monakalo unokwenzeka nokuba sele kudlule iminyaka isifo siqalile.
Umonakalo omkhulu onokwenzeka entliziyweni
| I-stenosis yevalvu | Ukuncitshiswa kwevalvu yentliziyo kuthintela ukuhamba kwegazi kuyo. |
| Ukubuyiselwa kwevalvu | Ivalvu ayivaleki kakuhle, ngoko ke igazi libuyela umva. |
| Ukonakala kwemisipha yentliziyo | Ukudumba okubangelwa yi-rheumatic fever kwenza izihlunu zentliziyo zibe buthathaka kwaye kunciphisa amandla ayo okupompa. |
| Ukubetha kwentliziyo okungaqhelekanga `(Atrial fibrillation)` | Ukonakala kweevalvu nakwezinye iindawo zentliziyo kubangela ukubetha kwentliziyo okungaqhelekanga. |
Umyalezo Wokuya Ekhaya
- I-rheumatic fever sisiphumo esibi kakhulu se-strep throat enganyangwanga, usulelo lomphimbo olubangelwa yibhaktheriya yeStreptococcus.
- Ukuba umntwana wakho unesifo somqala esibuhlungu kakhulu, musa ukusityeshela, funa ingcebiso kagqirha ngoko nangoko.
- Eyona ngxaki iyingozi kakhulu yesifo samathambo kukwenzakala kwentliziyo ixesha elide, okwaziwa ngokuba sisifo sentliziyo samathambo.
- Nangona esi sifo singosuleli, usulelo lomphimbo olusibangelayo lunokosulela.
- Ukuba une-rheumatic fever, kubalulekile ukuba uthathe unyango olude njengoko ugqirha wakho ekuyalele ukuba luqhubeke nolu hlobo lwesifo kwaye ukhusele intliziyo yakho.
Umkhuhlane werheumatic, iintlungu zamalungu, usulelo lomphimbo, istreptococcus, isifo sentliziyo esibuhlungu, izifo zabantwana, isifo sentliziyo
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho