ISydenham chorea

ISydenham chorea ukuphazamiseka kokunyakaza okwenzeka ngemuva kokutheleleka ngamagciwane athile abizwa ngeqembu A streptococcus.

ISydenham chorea idalwa ukutheleleka ngamagciwane abizwa ngeqembu A streptococcus. Lawa amabhaktheriya abangela i-rheumatic fever (RF) ne-strep throat. Amabhaktheriya eqembu A le-streptococcus angasebenza ngengxenye yobuchopho ebizwa nge-basal ganglia ukudala lesi sifo. I-basal ganglia iqoqo lezakhiwo ezijulile ebuchosheni. Basiza ukulawula ukunyakaza, ukuma, nokukhuluma.

ISydenham chorea iwuphawu olukhulu lwe-RF ebukhali. Umuntu kungenzeka njengamanje noma usanda kuba nalesi sifo. ISydenham chorea ingaba uphawu kuphela lwe-RF kwabanye abantu.

ISydenham chorea yenzeka kakhulu emantombazaneni ngaphambi kokuthomba, kepha ingabonakala kubafana.

ISydenham chorea ikakhulu ifaka ukunyakaza okungalawuleki, okungalawuleki nokungenanjongo kwezandla, izingalo, ihlombe, ubuso, imilenze, nesiqu. Lokhu kunyakaza kubukeka njengokuxubana, futhi kunyamalale ngesikhathi sokulala. Ezinye izimpawu zingafaka:

• Izinguquko ekubhalweni ngesandla
• Ukulahleka kokulawulwa kwezimoto okuhle, ikakhulukazi kweminwe nezandla
• Ukulahleka kolawulo lomzwelo, ngezikhathi ezithile zokukhala okungafanele noma ukuhleka

Izimpawu ze-RF zingaba khona. Lokhu kungabandakanya umkhuhlane omkhulu, inkinga yenhliziyo, ubuhlungu bamalunga noma ukuvuvukala, izigaxa zesikhumba noma ukuqubuka kwesikhumba, kanye nokopha kwamakhala.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Imibuzo eningiliziwe izobuzwa mayelana nezimpawu.

Uma kusolwa ukutheleleka nge-streptococcus, ukuhlolwa kuzokwenziwa ukuqinisekisa ukutheleleka. Lokhu kufaka phakathi:

• I-swab yomqala
• Ukuhlolwa kwegazi kwe-anti-DNAse B
• Ukuhlolwa kwegazi i-Antistreptolysin O (ASO)

Ukuhlolwa okwengeziwe kungafaka:

• Ukuhlolwa kwegazi njenge-ESR, i-CBC
• I-MRI noma i-CT scan yobuchopho

Ama-antibiotic asetshenziselwa ukubulala amagciwane e-streptococcus. Umhlinzeki futhi anganikeza ngemithi elwa namagciwane ukuvikela izifo ze-RF ezizayo. Lokhu kubizwa ngokuthi ngama-antibiotic, noma i-antibiotic prophylaxis.

Ukunyakaza okukhulu noma izimpawu ezingokomzwelo kungadinga ukwelashwa ngemithi.

ISydenham chorea imane icace ezinyangeni ezimbalwa. Ezimweni ezingavamile, ifomu elingavamile leSydenham chorea lingaqala kamuva empilweni.

Azikho izinkinga ezilindelekile.

Shayela umhlinzeki wakho uma ingane yakho iba nokunyakaza okungalawuleki noma okunamahloni, ikakhulukazi uma ingane isanda kuba nomphimbo obuhlungu.

Bhekisisa izikhalazo zezingane zomphimbo obuhlungu futhi uthole ukwelashwa kusenesikhathi ukuvimbela i-RF ebukhali. Uma kunomlando oqinile womndeni we-RF, qapha ngokukhethekile, ngoba izingane zakho zingaba namathuba amaningi okuthola lesi sifo.

Umdanso waseSt. Vitus; Chorea encane; I-rheumatic chorea; Umkhuhlane we-rheumatic - iSydenham chorea; Strep umphimbo - Sydenham chorea; I-Streptococcal - iSydenham chorea; IStreptococcus - iSydenham chorea

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Okun MS, Lang AE. Ezinye izinkinga zokuhamba. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 382.

UShulman ST, uJaggi P.Nonsuppurative poststreptococcal sequelae: i-rheumatic fever ne-glomerulonephritis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 198.