Rheumatic fever: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Pehea e hana ai i ka lāʻau
• Kāohi ʻana i ka fiva rumatika

ʻO ka maʻi Rheumatic kahi maʻi maʻi autoimmune i hōʻike ʻia e ka mumū o nā ʻano like ʻole i loko o ke kino, e hopena ai i ka ʻeha pū, ke ʻano o nā nodule i ka ʻili, nā pilikia puʻuwai, nāwaliwali o nā mākala a me nā neʻe ʻole.

Kū pinepine ka wela Rheumatic ma hope o ka hopena o ka maʻi a me ka hoʻā ʻana o ka puʻu i mālama ʻole ʻia a kumu ʻia e nā maʻi bacteria ʻO Streptococcus pyogenes. ʻO ka maʻi me kēia bacteria he mea maʻamau ia i nā keiki a me nā ʻōpio a hiki i ka makahiki 15, akā hiki ke hana i nā poʻe o nā makahiki.

No laila, i ka hihia o nā hōʻailona a me nā ʻōuli o pharyngitis a me nā tonsillitis hou, koi ʻia e nīnau i ke kauka i mea e hoʻomaka ai ka lapaʻau kūpono e hōʻalo i nā pilikia o ka maʻi e ʻO Streptococcus pyogenes.

Nā hōʻailona nui

Ke maʻi maʻi bacteria ʻO Streptococcus pyogenes ʻaʻole mālama pono ʻia me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, e like me ka hōʻike a ka pediatrician a i ʻole ka mea hana maʻamau, hiki i nā mea ʻino i hana ʻia i ka hoʻowahāha ke hoʻouka i nā lālā o ke kino, e like me nā hono, ka puʻuwai, ka ʻili a me ka lolo.

No laila, i ka hoʻohui ʻana i ke kuni, hiki ke piʻi i 39 mainC, nā ʻōuli nui o ke kuni rumatika:

• Nā hōʻailona hui: ka ʻeha a me ka pehu ʻana o nā hono, e like me nā kuli, nā kuʻekuʻe lima, nā kuʻekuʻe wāwae a me nā pulima, i loaʻa kahi neʻe neʻeneʻe, ʻo ia hoʻi, hiki ke hoʻololi i kēia mumuna mai kekahi hui i kahi ʻē aʻe, a hiki ke hala i 3 mau mahina;
• Nā hōʻailona Cardiac: ka pōkole o ka hanu, ka luhi, ka ʻeha o ka umauma, ka uha, ka pehu ʻana o nā wāwae a me ka namunamu o ka puʻuwai ma muli o ka hoʻowahāwahā ʻana o nā nū a me nā mākala o ka puʻuwai;
• Nā hōʻailona Neurological: nā neʻe ʻole o ke kino, e like me ka hāpai ʻana i nā lima a i ʻole nā ​​wāwae me ka manaʻo ʻole, ʻike ʻia kēia mau hiʻohiʻona neurological he chorea. Hiki paha i kahi fluctuation mau o ke ʻano, ke ʻano o ka ʻōlelo a me ka nāwaliwali o nā mākala.
• Nā ʻōuli o ka ʻili: nodule ma lalo o ka ʻili a mau ʻulaʻula paha.

Kū pinepine nā ʻōuli o ka rumatika ma waena o 2 mau pule a 6 mau mahina ma hope o ka maʻi ʻana o ke koʻohune, a hiki ke hala i mau mahina, ke kaukaʻi ʻia i ka mālama pono a me ka pale o kēlā me kēia kanaka. Eia nō naʻe, inā koʻikoʻi loa nā ʻeha i hana ʻia i ka puʻuwai, e waiho ʻia ke kanaka me ka sequelae i ka hana ʻana o ka naʻau. Hoʻohui ʻia, e like me ka hiki ʻana o nā ʻōuli ma nā laha, i kēlā me kēia manawa ke ʻike ʻia nā hopena o ka puʻuwai he ʻoi aku ka maikaʻi, e waiho ana i ke ola o ke kanaka i ka makaʻu.

Pehea e hana ʻia ai ke kuhi

Hoʻomaopopo ʻia ke kuhi o ka rumatika fever e ka mea hana maʻamau, rheumatologist a i ʻole pediatrician e pili ana i ke kū ʻana o nā hōʻailona nui a me ka hoʻokolohua kino ʻana o ka mea maʻi a me ka hopena o kekahi mau hōʻike koko e hōʻike ana i ka lū, e like me ESR a me CRP.

Hoʻohui ʻia, ke nānā ʻia nei ke alo o ka lāʻau pale e kūʻē i ka bacteria o ka rumatika fever, i ʻike ʻia e nā hoʻokolohua o nā huna ʻana mai ka puʻu a me ke koko, e like me ka hōʻike ASLO, kahi hōʻike nui e hōʻoia i ka maʻi i loaʻa i ka maʻi ka hōʻailona Maopopo pehea e hana ai ka hōʻike ASLO.

Pehea e hana ai i ka lāʻau

Hiki ke hoʻōla ʻia ke kuni Rheumatic, a hana ʻia ka lapaʻau me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, e like me Benzetacil, i kuhikuhi ʻia e ka pediatrician, rheumatologist a i ʻole ka mea hana maʻamau. Hiki ke hoʻomaha ʻia nā ʻōuli o ke kuni i nā hono a me ka puʻuwai me ka hoʻomaha a me ka hoʻohana ʻana i nā lāʻau anti-inflammatory, e like me ka ibuprofen a me ka prednisone, no ka laʻana.

Kaukaʻi ʻia i ke koʻikoʻi o ke kuni rheumatic, hiki i ke kauka ke hōʻike i ka hana ʻia o nā inikopa intramuscular o Benzetacil me ka lōʻihi o 21 mau lā, a hiki i nā makahiki he 25 o ke kanaka ke kaukaʻi ʻia.

Kāohi ʻana i ka fiva rumatika

ʻO ka pale ʻana i ka fiva rumatika he mea nui e pale aku i ka ulu ʻana o kēia maʻi a me kāna sequelae, a no laila, he mea nui i ka hihia pharyngitis a i ʻole tonsillitis na Streptococcus pyogenes, pono e mālama ʻia nā lāʻau antibiotic e like me ka ʻōlelo a ke kauka, ʻoiai hana nui i ka hoʻomaʻamaʻa piha, ʻoiai inā ʻaʻohe hōʻailona hou aʻe.

No ka poʻe i loaʻa i hoʻokahi mahele o nā hōʻailona fever rheumatic, he mea nui e ukali i ka mālama ʻana me nā injection ʻo Benzetacil i mea e pale ʻole ai i nā maʻi a ʻoi aku ka nui o nā pilikia.