Cabanga ngengane yakho inomphimbo obuhlungu futhi uba ngcono ezinsukwini ezimbalwa. Kodwa ngemva kwesonto noma amabili, ingane yakho iba nomkhuhlane futhi, kanye namalunga avuvukele njengamadolo namaqakala, kanye nobuhlungu obukhulu. Ngezinye izikhathi lobu buhlungu busuka kwelinye ilungu luye kwelinye. Ingabe uke waba nalokhu okuhlangenwe nakho? Lokhu akuyona into okufanele uyishaye indiva nje. Kungaba umkhuhlane wamathambo, isimo esibi esenzeka lapho ukutheleleka komphimbo kungelashwa. Ake sixoxe ngakho konke namuhla.
Iyini ngempela i-Rheumatic Fever?
Kalula nje, umkhuhlane wamathambo uyindlela engathi sína yokusabela
ekuthelelekeni komphimbo okungalashwanga (Strep Throat) . Lokhu kutheleleka komphimbo kubangelwa yibhaktheriya ebizwa ngokuthi 'iqembu A streptococcus'. Uma leli bhaktheriya lingelashwa kahle, amasosha omzimba wethu ayaphela. Lokhu kusho ukuthi ama-antibodies asebenza njengokuzivikela komzimba aqala
ukuhlasela hhayi kuphela amagciwane kodwa nezicubu zethu, ikakhulukazi amalunga, inhliziyo, nesikhumba . Ingozi enkulu yalokhu ukulimala kwenhliziyo. Abantu abangaphezu kwengxenye abathola umkhuhlane wamathambo banomonakalo kuma-valve abo enhliziyo. Lokhu kwenza inhliziyo isebenze kanzima ukupompa igazi. Ngokuhamba kwesikhathi, lo monakalo ungaholela esimweni esibizwa ngokuthi
isifo senhliziyo samathambo , esingagcina siholele ekuhlulekeni kwenhliziyo. Ngezinye izikhathi, umkhuhlane wamathambo ungabangela isimo sesikhashana esibizwa ngokuthi i-Sydenham's chorea, esithinta uhlelo lwezinzwa. Lokhu kungabangela imisipha emzimbeni, ezithweni, nasebusweni ukunyakazisa ngokungalawuleki.
Into ebalulekile ukuthi umkhuhlane wamathambo awusona isifo esithathelwanayo. Kodwa-ke, igciwane le-streptococcus elibangela lokhu ( umphimbo obuhlungu ) lingadluliselwa kusuka komunye umuntu liye komunye.
Yiziphi izimpawu eziyinhloko zomkhuhlane wamathambo?
Lezi zimpawu zivame ukuvela phakathi kweviki eli-1 neli-5 ngemva komphimbo obuhlungu. Ngezinye izikhathi umphimbo obuhlungu ungaba mnene, okusho ukuthi ungafika ubuye uphele ngaphandle kwezimpawu ezinkulu. Ngakho-ke abanye abantu bangase bangakhumbuli ngisho nokuba nomphimbo obuhlungu.
| Isibonakaliso | Incazelo |
|---|
| Amalunga avuvukile, abuhlungu | Amalunga, ikakhulukazi amadolo, amaqakala, izindololwane, kanye nezihlakala, ziyavuvukala, zibe bomvu, futhi zibe buhlungu. Lobuhlungu bungasuka kwelinye ilungu uye kwelinye. |
| Imfiva | Umkhuhlane oza ngaphandle kwesizathu. |
| Ukuqhuma kwesikhumba | Ukubonakala kobomvu, okuphakanyisiwe kancane, okufana nokubomvu esifubeni, emhlane, noma esiswini. |
| Amaqhubu ngaphansi kwesikhumba (Amaqhubu) | Amaqhubu amancane, angenabuhlungu avela ngaphansi kwesikhumba eduze kwamalunga avuvukele, ikakhulukazi ezindaweni ezifana nezindololwane. |
| Izimpawu ezihlobene nenhliziyo | Ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo, kanye nobunzima bokuphefumula kuyizimpawu zokuthi inhliziyo ithintekile. |
| Ukunyakaza okungalawuleki (i-Chorea) | Ukunyakaza okungalawuleki kwezingalo, imilenze, noma ubuso. |
Nakekela umphimbo wengane obuhlungu
Ungawuthathi kalula umphimbo wengane obuhlungu. Ikakhulukazi
uma inomphimbo obuhlungu kakhulu kanye nomkhuhlane (ongaphezu kuka-100.4 F / 38 C) ngaphandle kwezinye izimpawu zomkhuhlane (njengokugobhoza kwekhala, ukuthimula) , futhi uma umphimbo wabo obuhlungu uhlala izinsuku ezingaphezu kwezimbili noma ezintathu,
kufanele nakanjani ubone udokotela . Kungaba ukutheleleka komphimbo obuhlungu. Uma kunjalo, kubalulekile ukuthola ama-antibiotic afanele ukuze ayelaphe ngokuphelele.
Ubani osengozini enkulu?
Nakuba noma ubani onesifo se-streptococcal angaba nomkhuhlane wamathambo, abanye abantu basengozini enkulu yokungenwa yiso.
- Izingane ezineminyaka ephakathi kwemi-5-15.
- Abantu abasezindaweni ezinabantu abaningi njengezikole nezikhungo zokunakekela izingane .
- Uma umuntu oke waba nomkhuhlane wamathambo ngaphambilini eba nokutheleleka kwe-streptococcal futhi.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala alalele ngokucophelela izimpawu zakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. 1.
Ukwelashwa Komphimbo: Kuthathwa i-swab encane ngaphakathi komphimbo wakho ukuze kuhlolwe amagciwane e-strep bese iyithumela elabhorethri. 2.
Ukuhlolwa Komzimba: Udokotela uzolalela inhliziyo yakho nge-stethoscope ukuze ahlole noma yimiphi imisindo engavamile (ukububula kwenhliziyo). Uzohlola nokuvuvukala emalungeni akho, izilonda zesikhumba, noma amaqhubu. 3.
Ezinye Izivivinyo:- Ukuhlolwa kwegazi : Amazinga omzimba ayahlolwa ukuze kutholakale ukuthi ngabe kukhona yini ukutheleleka kwe-streptococcal muva nje.
- I-ECG (i-Electrocardiogram): Ihlola ukusebenza kwenhliziyo kanye nomsebenzi kagesi.
- I-Echo (i-Echocardiography): Iskeni esikuvumela ukuthi ubone imisipha yenhliziyo, ama-valve, kanye nokusebenza kokupompa njengevidiyo.
Yiziphi izindlela zokwelapha?
Uma umkhuhlane wamathambo uqinisekiswa, ukwelashwa kunemigomo emibili eyinhloko. Eyokuqala ukulawula izimpawu zamanje. Enye, futhi okubaluleke kakhulu,
ukuvimbela umonakalo wesikhathi eside enhliziyweni.- Ama-antibiotic : I-antibiotic efana ne-penicillin inikezwa ukubulala ngokuphelele noma yimaphi amabhaktheriya e-streptococcus asele emzimbeni. Kungase kudingeke futhi ukuthi uthathe imithamo ephansi yama-antibiotic iminyaka, noma ngisho impilo yakho yonke, ukuze uvimbele lesi sifo ukuthi singabuyi.
- Imithi yobuhlungu nokuvuvukala: Imithi efana ne-aspirin ne-ibuprofen inqunyelwe ukulawula ubuhlungu bamalunga , ukuvuvukala, kanye nomkhuhlane.
- Ama-Corticosteroids: Le mithi inikezwa ukulawula ukuvuvukala uma inhliziyo ithintekile.
- Ukuphumula okuphelele: Kubalulekile ukuthola ukuphumula okwanele kuze kube yilapho izimpawu ziphela.
- Ukuhlinzwa: Akuvamile, uma ama-valve enhliziyo onakele kakhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe noma kushintshwe.
Uma unesifo senhliziyo esibangelwa amathambo, kungadingeka ukuthi uthathe ama-antibiotic ngaphambi kokuhlinzwa okuthile, njengokukhipha amazinyo, ukuze uvimbele ukutheleleka kwama-valve enhliziyo. Udokotela wakho uzokweluleka ngalokhu.
Imiphumela yesikhathi eside kanye nezinkinga
Isici esiyingozi kakhulu somkhuhlane wamathambo yimiphumela yawo yesikhathi eside enhliziyweni. Lo monakalo ungenzeka ngisho nangemva kweminyaka eminingi isifo sesiqalile.
Umonakalo omkhulu ongenzeka enhliziyweni
| I-stenosis ye-valve | Ukuncipha kwevalvu yenhliziyo kuvimbela ukugeleza kwegazi kuyo. |
| Ukuvuselelwa kwevalvu | Ivalvu ayivaleki kahle, ngakho igazi ligeleza libuyela emuva. |
| Ukulimala kwemisipha yenhliziyo | Ukuvuvukala okubangelwa umkhuhlane wamathambo kwenza imisipha yenhliziyo ibe buthaka futhi kunciphisa ikhono layo lokupompa. |
| Ukushaya kwenhliziyo okungajwayelekile `(Atrial fibrillation)` | Ukulimala kwama-valve nezinye izingxenye zenhliziyo kubangela ukushaya kwenhliziyo okungajwayelekile. |
Umlayezo Wokuya Nawe Ekhaya
- Umkhuhlane we-rheumatic uwumphumela onzima we-strep throat engelashwa, ukutheleleka komphimbo okubangelwa yibhaktheriya i-Streptococcus.
- Uma ingane yakho inomphimbo obuhlungu kakhulu ohambisana nomkhuhlane, ungamane ungayinaki bese ucela iseluleko sezokwelapha ngokushesha.
- Inkinga eyingozi kakhulu yomkhuhlane wamathambo ukulimala kwenhliziyo isikhathi eside, okwaziwa ngokuthi isifo senhliziyo samathambo.
- Nakuba lesi sifo singathelelani, ukutheleleka komphimbo okusibangelayo kungathelelana.
- Uma une-rheumatic fever, kubalulekile ukuthatha ukwelashwa kwesikhathi eside njengoba kuqondiswe udokotela wakho ukuze uvimbele ukuphinda kuvele futhi uvikele inhliziyo yakho.
Umkhuhlane we-rheumatic, ubuhlungu bamalunga, ukutheleleka komphimbo, i-streptococcus, isifo senhliziyo esibuhlungu, izifo zezingane, isifo senhliziyo
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