Ingabe izitho zomntwana wakho ziyanyakaza ngokungazikhetheli? Kungenzeka yini ukuthi yiSydenham Chorea?

Ingabe ingane yakho encane isiqalile ngokuzumayo ukuhambisa izitho zayo nomzimba ngezindlela ezingavamile? Ingabe ngezinye izikhathi iyathuthumela ngenkathi ikhuluma? Noma ingabe uyayibona ngokuzumayo imomotheka futhi isenza ubuso? Njengomzali, kuyinto evamile ukuthi uzizwe wesaba kakhulu uma ubona lezi zinto. Kodwa kungaba khona isizathu salokhu konke. Namuhla sizokhuluma ngesinye isimo esinjalo. Leso yisimo esibizwa ngokuthi 'iSydenham Chorea'.

Iyini i-'Sydenham Chorea'?

Kalula nje, i-'Sydenham Chorea' iyisifo sokunyakaza kwesimiso sezinzwa esenzeka ezinganeni. Sibangelwa ngqo ukutheleleka kwebhaktheriya okubizwa ngokuthi `(Iqembu A beta-hemolytic Streptococcus)`. Yebo, yebo, ukuqagele kahle, leli yibhaktheriya elifanayo elibangela i-strep throat kanye ne-rheumatic fever.

Manje ungase ucabange, "Lokhu kungenzeka kanjani ngokutheleleka komphimbo?" Nakhu okwenzekayo... Amasosha omzimba wethu akhona ukuze asivikele ezifweni. Kodwa-ke, lapho leli gciwane '(Streptococcus)' lingena emzimbeni, amanye amasosha omzimba ezingane ayadideka kancane. Lokho kusho ukuthi esikhundleni sokuhlasela amagciwane kuphela, aqala ngephutha ukuhlasela ezinye izingxenye zobuchopho ezinempilo. Lokhu kuyiqiniso ikakhulukazi ezingxenyeni zobuchopho ezilawula ukunyakaza.

Igama lesiGreki elithi "Chorea" lisho "umdanso." Ngakho-ke leli gama livela ekunyakazeni nasekunyakazeni okungahleliwe, okusheshayo, nokungalingani kwamalungu omzimba abhekana nawo la bantwana, okubonakala sengathi kuyadansa. Kwezinye izimo ezinzima, lokhu kunyakaza kungaphazamisa ngisho nemisebenzi yansuku zonke yengane.

Lesi simo sivame ukwenzeka ezinganeni ngemuva kokuba sezibe nesifo "somqala" noma "umkhuhlane wamathambo." Lolu uhlobo oluvame kakhulu lwe-chorea ezinganeni olubangelwa yizimbangela zangaphandle.

Sivame kangakanani lesi simo?

Eqinisweni, emazweni athuthukile njengeNyakatho Melika neYurophu, ukwanda kwe-Sydenham Chorea manje sekuphansi kakhulu. Isizathu salokhu ukuthi ama-antibiotic anikezwa ngokushesha ngenxa yokutheleleka komphimbo kulawo mazwe. Kodwa-ke, emazweni asathuthuka njengelethu, lesi simo sisabonakala ngoba ngezinye izikhathi izindlela zokwelapha zihlukile futhi akuwona wonke umuntu othola ukwelashwa okusheshayo.

Ubani onamathuba amaningi okuthuthukisa lokhu?

Kuvame ukubonakala ezinganeni ezineminyaka ephakathi kwemi-5 neyi-15. Kuvame kakhulu futhi emantombazaneni kunabafana. Kuyivelakancane kakhulu ezinganeni ezingaphansi kweminyaka emi-5 noma kubantu abadala.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

Izingane ezine-Sydenham Chorea zisengozini yesimo esibizwa ngokuthi i-PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). I-PANDAS yisifo se-neuropsychiatric esibangelwa yi-autoimmune esihlotshaniswa nokutheleleka kwe-streptococcal. Kodwa-ke, kusekhona ukungavumelani phakathi kodokotela mayelana nokuthi ukutheleleka kwe-strep kubangela yini ngempela i-PANDAS. Izingane ezine-PANDAS zingase zibe nezimpawu ezifana nalezi:

• Izinguquko zokuziphatha kanye nokunganakwa.
• Izici zokuzikhukhumeza ngokweqile.
• Ukunyakaza noma imisindo okungazelelwe, okungavamile (ukudlikiza).

Akukhona lokho kuphela, kodwa impendulo yamasosha omzimba wethu kulokhu kutheleleka kwe-streptococcus ingathinta nezinye izitho zomzimba, njengesikhumba, amalunga, nenhliziyo. Isibonelo:

• Isifo samathambo
• Ukuvuvukala kolwelwesi lwangaphakathi lwenhliziyo (i-endocarditis)
• Isifo se-valve yenhliziyo

Okubalulekile: Yingakho ingane ene-Sydenham Chorea ilulekwa ukuba ihlolwe udokotela wenhliziyo.

Iyini imbangela yangempela ye-'Sydenham Chorea'?

Njengoba sesishilo kakade, imbangela enkulu yalokhu ukusabela okungavamile kwesimiso somzimba sokuzivikela ekuthelelekeni ngamagciwane nge-`(Iqembu A beta-hemolytic Streptococcus)`. Kalula nje, amasosha ethu okuzivikela (amangqamuzana omzimba) ahlasela ngephutha izingxenye zobuchopho bethu. Ikakhulukazi indawo yobuchopho elawula ukunyakaza. Egazini labantu abane-`Sydenham Chorea`, kutholakale i-`(amasosha omzimba)` ekhethekile egazini labantu abane-`Sydenham Chorea`.

Ziyini izimpawu ze-'Sydenham Chorea'?

Lezi zimpawu zingavela noma kuphi emzimbeni wengane. Ngezinye izikhathi zivela ngokuzumayo futhi zingaba zimbi kakhulu uma ingane ikhathele.

Izici zomzimba:

• Izitho zomzimba ziyagxumagxuma futhi ziyazulazula ngokungenanjongo, ngokushesha, nangokungahleliwe. Uma ubona lokhu, kubonakala sengathi ingane ayihlaliseki futhi inonya.
• Ukungakwazi ukusebenza, izinto ziwela ezandleni.
• Ubunzima bokubamba into ethile ngokuqinile esandleni sakho.
• Ukuhlikihla izandla zakho ndawonye.
• Ukungahlaliseki.
• Izinguquko ezisheshayo ekubonakaleni kobuso (njengokuhwaqabala okuncane).
• Ukukhubeka nokuwa lapho uhamba.

Izinkinga zokukhuluma:

• Ukungakhulumi kahle, ukungingiza.
• Ukuqhuma kwamazwi okungazelelwe, ukumemeza, njll.

Izici zengqondo nezemizwa:

• Ukukhathazeka, ukwesaba.
• Ubunzima bokugxilisa ingqondo.

Cabanga nje, lapho ingane egama lingu-Amila ibuya esikoleni, unina uqaphela ukuthi ukubhala kwayo kungcolile kakhulu kunokujwayelekile, futhi izandla zayo ziyaqhaqhazela lapho ibhala. Ngisho nasekilasini, ayihlali phansi lapho uthisha ethi iya khona, iyadansa nje. Uma ifika ekhaya, ayikwazi ngisho nokufaka ilayisi emlonyeni wayo kahle ngesipuni bese ichitheka. Uma ubona into efana nale, kufanele nakanjani ufune iseluleko sezokwelapha.

Izimpawu ziqala nini?

Lokhu kuyisimo esikhethekile. Izimpawu azibonakali ngokushesha ngemva kokutheleleka komphimbo (strep throat) noma umkhuhlane wamathambo. Ezinye izingane zingase zingaqali ukuba nalezi zimpawu ze-'Sydenham Chorea' kuze kube yilapho sezinezinyanga ezi-6 ubudala .

Ukuthola kanjani lokhu?

Udokotela uzobuza ingane yakho ngezimpawu zayo futhi abuze ukuthi ngabe ike yavezwa yini ku-Group A beta-hemolytic Streptococcus infections esikhathini esidlule. Lokhu kusho ukuthi izobuza ukuthi ngabe ike yaba nomphimbo obuhlungu muva nje, ukutheleleka kwesikhumba, noma ubuhlungu bamalunga.

Ngemuva kwalokho, ukuhlolwa kwegazi kungenziwa ukuhlola ama-antibodies kubhaktheriya we-strep. Lokhu kungaba usizo kakhulu ekuxilongweni. Uma ingane yakho iqinisekisiwe ukuthi ine-Sydenham Chorea, ukuhlolwa kwenhliziyo (ngokuvamile i-echocardiogram) nakho kungenziwa ukuhlola umonakalo kuma-valve enhliziyo noma izimo ezifana ne-endocarditis.

Iphathwa kanjani iSydenham Chorea?

Ukwelashwa okungcono kakhulu kwengane yakho kuzoncika ekutheni izimpawu zimbi kangakanani. Ngezinye izikhathi, uma izimpawu zincane kakhulu, kungadingeki ukwelashwa okukhethekile. Kodwa-ke, udokotela uzoqhubeka nokuqapha ingane.

Ukwelashwa kwe-'Sydenham Chorea' ephakathi nendawo futhi enzima:

Izingane ezinezimpawu eziphakathi kuya kwezinzima zingazuza emithini.

• Imithi yohlobo lwe-steroid: Le mithi isiza ukususa ama-antibodies akhiwe ngendlela engafanele emzimbeni.
• Eminye imithi: Ngezinye izikhathi kungadingeka imithi eyengeziwe. Nakuba le mithi isetshenziswa kakhulu kwezinye izimo, ingasetshenziswa ngokuphephile naseSydenham Chorea. Ihlanganisa:
• Imithi Yokulwa Nokuxhuzula: Izibonelo zifaka phakathi imithi efana ne-valproic acid kanye ne-carbamazepine. Lokhu kusiza ekuqiniseni imizwa yezinzwa.
• Ama-antipsychotics: Isibonelo, i-haloperidol. Lawa angalawula ukudlikiza, njengokunyakaza okudlikizayo kanye nokukhala okungazelelwe.
• Iziqeda i-Dopamine: Isibonelo salokhu umuthi obizwa ngokuthi i-Tetrabenazine. Lo muthi ulawula ukunyakaza okungahleliwe.

Khumbula, yonke le mithi itholakala kuphela ngomuthi kadokotela. Ungalokothi usebenzise le mithi ngaphandle kweseluleko sikadokotela.

Ingabe lesi simo singavinjelwa?

Yebo, ngezinga elithile. Ukwelashwa ngesikhathi esifanele nangokufanele (ama-antibiotic) "e-Strep throat" (ukutheleleka komphimbo) kanye "ne-rheumatic fever" (i-rheumatic fever) kunganciphisa ingozi yokuthola "i-Sydenham Chorea".

Futhi okunye,Uma ingane yakho ine-Sydenham Chorea, odokotela bangase batuse ukuthi ingane iqhubeke isebenzisa ama-antibiotic kuze kube yilapho isikhulile (mhlawumbe ize ibe neminyaka engu-21 noma ngaphezulu) ukuze kuvinjelwe ukutheleleka kwe-strep okuphindaphindiwe futhi kuncishiswe ingozi yesifo senhliziyo. Umgomo wesikhathi eside ukuvimbela ukulimala okungapheli kwama-valve enhliziyo okungabangelwa yisifo senhliziyo.

Liyini ikusasa labantwana abane-'Sydenham Chorea'? (Isibikezelo)

Ungase ujabule ukuzwa lokhu. Iningi lezingane liyalulama ngokuphelele zingakapheli izinyanga ezi-3 kuya kweziyi-6. Kodwa-ke, inani elincane kakhulu lingase libe nezimpawu kuze kube yiminyaka emi-2.

Enye into ukuthi ngezinye izikhathi lezi zimpawu zingaphinde zibuye kamuva ekuphileni, ikakhulukazi lapho abesifazane bephuza amaphilisi okuvimbela inzalo aqukethe i-hormone `(estrogen)` noma bekhulelwa. Ngakho-ke, uma uke waba ne-`Sydenham Chorea` ngaphambili, kubaluleke kakhulu ukwazisa udokotela wakho ngakho.

Impilo yansuku zonke injani ngalesi simo?

Izingane ezinezimpawu eziphakathi nendawo kuya kwezinzima zingase zikuthole kunzima ukwenza imisebenzi yansuku zonke. Cabanga ukuthi lokhu kunyakaza okungenasidingo kuphazamisa kangakanani umsebenzi wesikole, ukudlala, kanye nokuchitha isikhathi nabangani. Enye yezinselele zokuphila neSydenham Chorea ukuthi izimpawu zingavela ngokuzumayo futhi zingaba bomvu futhi zinciphe usuku lonke. Lokhu kungenza kube nzima ukuhlanganyela emisebenzini evamile yobuntwana.

I-Sydenham Chorea yisifo sezinzwa esitholakala ngemva kokutheleleka nge-Group A beta-hemolytic Streptococcus. Sivame kakhulu emazweni asathuthuka, lapho izingane zingatholi ukwelashwa okwanele kwama-antibiotic okutheleleka kwe-strep. Ngisho nangemva kokwelashwa okuphumelelayo, inani elincane lezingane lingase libe nesifo senhliziyo nezinye izinkinga kamuva ekuphileni. Kodwa-ke, izingane eziningi ziyalulama ngokuphelele futhi azibi nezinkinga.

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

• I-Sydenham Chorea iyisifo sokunyakaza esibangelwa ukusabela okungavamile kwesimiso somzimba wethu sokuzivikela kubhaktheriya (i-streptococcus) ebangela izifo zomphimbo kanye nomkhuhlane wamathambo.
• Lokhu kuvame ukubonakala ezinganeni ezineminyaka ephakathi kwemi-5-15, ikakhulukazi amantombazane.
• Izimpawu ezifana nokunyakaza okungahleliwe kwezitho zomzimba, inkulumo engacacile, kanye nezinguquko ekuziphatheni zingase zibonakale.
• Ukwelapha izifo zomphimbo ngokushesha nangendlela efanele kungasiza ekuvimbeleni lokhu.
• Iningi lezingane liyalulama ngokuphelele, kodwa ukuqapha isikhathi eside kwezokwelapha kubalulekile ngoba ezinye zingaba nezinkinga ezifana nesifo senhliziyo.
• Uma ingane yakho inanoma yiziphi zalezi zimpawu, ungesabi futhi ubone udokotela ofanelekayo ngokushesha. Ukuxilongwa nokwelashwa ngokushesha kungasiza ingane yakho ukuba ilulame ngokushesha.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela womndeni wakho noma udokotela wezingane. Bazokwazi ukukunikeza izincazelo ezengeziwe kanye nosizo.

'I-chorea kaSydenham, umphimbo obuhlungu, umkhuhlane wamathambo, izinkinga zezinzwa, izinkinga zokunyakaza, izingane, ama-antibiotic