Mea Kākau: Monica Porter
Lā O Ka Hana: 13 Malaki 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Rheumatic Fever | Etiology, Pathophysiology, Diagnosis
Wikiō: Rheumatic Fever | Etiology, Pathophysiology, Diagnosis

Anter

He aha ke kuni rumatika?

ʻO ka fiva Rheumatic kekahi o nā pilikia e pili ana i ka ʻāʻī strep. He maʻi nui ʻino ia e ʻike ʻia ma nā keiki ma waena o 5 a 15 mau makahiki. Eia nō naʻe, ua ʻike ʻia nā kamaliʻi makua a me nā mākua e ʻaelike i ka maʻi.

He mau nō ia ma nā wahi e like me ʻApelika sub-Saharan, ma ka hema o ʻAsia, a ma waena o kekahi mau heluna ma Australia a me Nūhōlani. He kakaʻikahi ia i ʻAmelika Hui Pū ʻIa.

He aha ke kumu o ka fiva rumatika?

Hoʻokumu ʻia ka fiva Rumatika e ka maʻi koʻohune i kapa ʻia ʻo ka hui A ʻO Streptococcus. Kuhi kēia bacteria i ka ʻāʻī strep a i ʻole, ma kahi pākēneka liʻiliʻi o ka poʻe, ka fiva ʻulaʻula. He maʻi hōʻeha.

Hoʻokumu ke kuni Rheumatic i ke kino e hoʻouka i kāna mau pilikino ponoʻī. ʻO kēia hopena ke kumu o ka laha ākea ma loko o ke kino, ʻo ia ke kumu no nā ʻōuli a pau o ka fiva rumatika.

He aha nā hōʻailona o ke kuni rumatika?

Hoʻokumu ʻia ka fiva Rumatika e ka hopena i ka maʻi bacteria e kumu ai i ka ʻāʻī strep. ʻOiai ʻaʻole nā ​​hihia āpau o ka puʻu strep e hopena i ka maʻi rumatika, hiki ke pale ʻia kēia pilikia koʻikoʻi me ka ʻike a ke kauka a me ka mālama ʻana i ka ʻāʻī strep.


Inā loaʻa i kāu keiki a ʻeha paha kahi ʻāʻī me nā ʻōuli e hiki mai ana, e ʻike i kāu kauka no ka loiloi:

  • palupalu a pehu nā lymph node
  • ʻulaʻula
  • paʻakikī i ka ale ʻana
  • mānoanoa, hoʻokuʻu koko mai ka ihu
  • ka mahana o 101 ° F (38.3 ° C) a i luna paha
  • ʻulaʻula a pehu
  • nā tonsil me nā pā keʻokeʻo a i ʻole ka pā
  • nā kiko liʻiliʻi, ʻulaʻula ma ka hale o ka waha
  • ʻeha poʻo
  • nausea
  • ka luaʻi

Pili nā ʻano like ʻole o nā ʻōuli me ka rumatika. Hiki i kekahi kanaka me ka maʻi ke ʻike i kekahi, i kekahi, a i ʻole ka hapa nui o nā ʻōuli e hiki mai ana. ʻIke mau nā ʻōuli i ʻelua a i ʻehā mau pule ma hope o ka loaʻa ʻana o ka maʻi strep i kāu keiki.

ʻO nā ʻōuli maʻamau o ke kuni rumatika:

  • liʻiliʻi, ʻeha nā nodule ma lalo o ka ʻili
  • ʻeha ka umauma
  • ka palu ʻana o ka umauma i ka pālua ʻana o ka umauma
  • māluhiluhi a māluhiluhi paha
  • ihu ihu
  • ʻeha ka ʻōpū
  • ʻeha a ʻeha pū paha i nā hui lima, kuʻekuʻe lima, kuli, a me nā kuʻekuʻe wāwae
  • ʻeha ma kekahi ami e neʻe i kahi hui ʻē aʻe
  • ʻulaʻula, wela, ami pehu
  • pokole o ka hanu
  • fiva
  • ka houʻu ʻana
  • ka luaʻi
  • he pālahalaha, hoʻāliʻi iki ʻia, kahi hū
  • ʻeleu, neʻe hiki ʻole ke kaohi ʻia o nā lima, nā wāwae, a me ke alo
  • he hoʻemi i ke kiko nānā
  • hū o ka uē a me ka ʻakaʻaka kūpono ʻole

Inā he kuni kāu keiki, koi paha lākou e mālama koke. E ʻimi koke i ka mālama olakino no kāu keiki ma nā ʻano aʻe:


  • No nā keiki hānau i nā keiki pēpē he 6 mau pule. ma mua o kahi mahana 100 ° F (37.8 ° C)
  • No nā pēpē 6 mau pule a 6 mau makahiki. a 101 ° F (38.3 ° C) a i ʻole ke ana wela kiʻekiʻe
  • No kahi keiki o nā makahiki: kahi kuni e ʻoi aku ana ma mua o ʻekolu mau lā

E heluhelu hou aʻe e pili ana i nā fiva i loko o nā pēpē.

Pehea e ʻike ʻia ai ke kuni rheumatic?

E makemake mua ke kauka o kāu keiki e kiʻi i kahi papa inoa o nā hōʻailona o kāu keiki a me kā lākou mōʻaukala olakino. Makemake pū lākou e ʻike inā loaʻa i kāu keiki kahi maʻi o ka ʻāʻī strep. A laila, hāʻawi ʻia kahi hoʻokolohua kino. E hana ke kauka o kāu keiki i kēia mau mea, ma waena o nā mea ʻē aʻe:

  • E nānā i kahi nīhī a me nā nodule ʻili.
  • E hoʻolohe i ko lākou puʻuwai e nānā no nā mea kūpono ʻole.
  • Hana i nā hoʻoneʻe neʻe e hoʻoholo ai i ka hana ʻōnaehana ʻōnaehana ʻole.
  • Nānā i ko lākou mau hono no ka mumū.
  • E hoʻāʻo i ko lākou puʻu a i kekahi manawa ke koko no ka hōʻike o ka bacteria bacteria.
  • Hana i kahi electrocardiogram (ECG a i ʻole EKG), e ana i nā nalu uila o ko lākou puʻuwai.
  • Hana i kahi echocardiogram, kahi e hoʻohana ai i nā nalu kani e hana i nā kiʻi o ko lākou puʻuwai.

He aha nā ʻano hana e kū pono ai i ka fiva rumatika?

E hoʻopili ka mālama ʻana i ka hemo ʻana i nā koena a pau o nā koʻohune A strep a me ka mālama ʻana a me ka kaohi ʻana i nā ʻōuli. Hiki i kēia ke komo i kekahi o kēia mau mea:


Nā Antibiotics

E kauoha ke kauka o kāu keiki i nā lāʻau ʻalopika a kauoha paha i kahi lāʻau lōʻihi e pale ai i ka hanana hou ʻana. I nā hihia kakaikahi, loaʻa i kāu keiki ka lāʻau lapaʻau i nā lā a pau.

Hoʻoikaika anti-inflammatory

Hoʻopili nā lāʻau anti-inflammatory i nā lāʻau ʻeha a anti-inflammatory hoʻi, e like me aspirin (Bayer) a i ʻole naproxen (Aleve, Naprosyn). ʻOiai ka hoʻohana aspirin i nā keiki me kekahi mau maʻi e pili pū me Reye's Syndrome, ʻoi aku ka maikaʻi o ka hoʻohana ʻana ia mea i ka mālama ʻana i ka fiva rumatika ma mua o nā pilikia. Kauoha paha nā kauka i ka corticosteroid e hoʻemi i ka puhū.

Nā lāʻau lapaʻau anticonvulsant

Kau kauka paha kāu keiki e kuhikuhi i kahi anticonvulsant inā lilo i neʻe ʻole i mea ʻoi loa.

Hoʻomaha moe

E paipai pū ke kauka o kāu keiki i ka moe hoʻomaha a me nā hana i kaupalena ʻia a hiki i ka hala ʻana o nā hōʻailona nui - e like me ka ʻeha a me ka mumū. E koi ʻia ka maha ʻana o ka moena no kekahi mau pule a i kekahi mau mahina inā ua loaʻa i ka fiva nā pilikia puʻuwai.

He aha nā mea weliweli no ka fiva rumatika?

Nā mea e hoʻonui ai i ka manawa o kāu keiki e ulu i ka fiva rumatika:

  • Mōʻaukala ʻohana. ʻO nā genes ʻē aʻe e hoʻomohala iā ʻoe i ke kuni rumatika.
  • ʻAno o nā koʻohune strep i kēia manawa. ʻOi aku ka paʻakikī o kekahi mau maʻi ma mua o nā mea ʻē aʻe e alakaʻi ai i ka fiva rumatika.
  • Nā kūlohelohe i kēia manawa i nā ʻāina kūkulu, e like me ka nui loa.

Pehea e pale ʻia ai ka wela rumatika?

ʻO ke ala kūpono e hōʻoia i ka ulu ʻole o kāu keiki i ka maʻi rumatika ka hoʻomaka ʻana i ka mālama ʻana i kā lākou maʻi puʻu strep i loko o kekahi mau lā a e mālama pono iā ia. ʻO kēia ka hōʻoia ʻana i kāu keiki e hoʻopau i nā lāʻau i kuhikuhi ʻia i ka lāʻau.

ʻO ka hoʻomaʻamaʻa ʻana i nā ʻano hana hoʻomaʻemaʻe kūpono hiki ke pale aku i ka ʻāʻī strep:

  • Uhi i kou waha ke ʻeha a hū paha.
  • E holoi i kou mau lima.
  • Hōʻalo i ka launa ʻana me ka poʻe maʻi.
  • Hōʻalo i ka kaʻana like ʻana i nā mea pilikino me ka poʻe maʻi.

He aha nā pilikia e pili ana i ka fiva rumatika?

Ke ulu pono lākou, hiki i nā ʻōuli o ke kuni rumatika ke mau no nā mahina a i ʻole mau makahiki. Hiki i ke kuni Rheumatic ke hana i nā pilikia lōʻihi ma kekahi mau hanana. ʻO kekahi o nā pilikia e laha loa nei, ʻo ia ka maʻi puʻuwai rheumatic. ʻO nā kūlana puʻuwai ʻē aʻe e:

  • Stenosis kiwikā Aortic. ʻO kēia ka hoʻopili ʻana o ka kiwikā aortic i ka puʻuwai.
  • Regurgitation ʻaʻa. He kulu kēia i loko o ke kiwikā aortic e hiki ai i ke kahe o ke koko ma ke ʻano hewa.
  • Poino puʻuwai puʻuwai. ʻO kēia ka mumū e hiki ai ke hoʻonāwaliwali i ka puʻuwai puʻuwai a hoʻemi i ka hiki i ka puʻuwai ke pauma pono i ke koko.
  • Hoʻopaʻa kūpilikiʻi. He puʻuwai puʻuwai ʻole kēia i nā keʻena o luna o ka puʻuwai.
  • Hewa puʻuwai. Kū kēia ke hiki ʻole i ka puʻuwai ke paipū hou i ke koko i nā ʻāpana āpau o ke kino.

Inā haʻalele ʻole ʻia, hiki i ke kuni rumatika ke alakaʻi i:

  • hahau
  • pōʻino mau i kou puʻuwai
  • make

He aha ka manaʻo no ka poʻe me ke kuni rumatika?

Hiki ke hoʻopau ʻia nā hopena lōʻihi o ke kuni rumatika inā loaʻa i kāu keiki kahi hihia koʻikoʻi. ʻAʻole paha e hōʻike ʻia kekahi o nā mea i hōʻino ʻia e ka maʻi a hala nā makahiki i hala. E makaʻala i nā hopena wā lōʻihi ke hele a makua kāu keiki.

Inā loaʻa i kāu keiki ka hōʻino lōʻihi lōʻihi e pili ana i ka maʻi rumatika, aia nā lawelawe kākoʻo e kōkua iā lākou a me kou ʻohana.

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