I-blood rheumatism: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

I-rheumatic fever, edume ngokubizwa nge-rheumatism egazini, yisifo esidalwa ukuphendula okuzenzakalelayo komzimba ngemuva kwezifo ezibangelwa amagciwane.

Lesi sifo sijwayeleke kakhulu ezinganeni ezineminyaka ephakathi kwemihlanu nengu-15 futhi sivame ukudala izimpawu ezifana nobuhlungu nokuvuvukala emajoyintini, kanye nomkhuhlane nokukhathala. Ngaphezu kwalokho, i-rheumatism egazini nayo ingathinta uhlelo lwezinzwa ngisho nama-valve wenhliziyo, okhubaza ukusebenza kwenhliziyo.

I-rheumatism egazini kufanele yelashwe ngokushesha lapho kuvela izimpawu zokuqala, ukugwema ukubonakala kwezilonda ezingapheli ebuchosheni noma enhliziyweni, okungaholela ezinkingeni ezifana ne-stenosis yama-valve enhliziyo noma ukwehluleka kwenhliziyo, ngokwesibonelo.

Izimpawu eziyinhloko

Esinye sezimpawu zokuqala ze-rheumatism egazini ukuba khona kokuvuvukala ejoyintini elikhulu, njengedolo, elihlala izinsuku ezimbalwa, liyaziphilisa bese livela kwelinye ilunga, njalonjalo.

Kodwa-ke, ingahle ihambisane nezinye izimpawu ezinjenge:

• Imfiva engaphezu kuka-38º C;
• Amaqhubu amancane ngaphansi kwesikhumba, ajwayelekile ezihlakaleni, endololwaneni noma emadolweni;
• Ubuhlungu besifuba;
• Amabala abomvu esiqwini noma ezingalweni, okuba kubi kakhulu uma umi elangeni.

Ngokuya ngokuthi ngabe sekuvele kukhona ukubandakanyeka kwenhliziyo, kungahle kube nokukhathala nokwanda kokushaya kwenhliziyo. Uma kunokubandakanyeka kobuchopho, kungahle kube nezinguquko ekuziphatheni, njengokukhala nokuxokozela, nezinguquko zezimoto, njengokuhamba okungazibandakanyi noma ukudlikizela.

Bona ezinye izimpawu ze-rheumatic fever.

Izimbangela ezingaba khona

Isizathu esivame kakhulu se-rheumatism egazini ukutheleleka komphimbo okubangelwa amagciwane IStreptococcus pyogenes, okuyiqembu A i-beta-hemolytic streptococcus, engazange ilashwe ngokushesha noma ingazange iphathwe kahle.

Isimo sokuqala ukutheleleka emphinjeni lapho umzimba udala amasosha omzimba ukulwa namagciwane, kodwa-ke, futhi akwaziwa ukuthi kungani, la ma-antibody agcina elwa namagciwane futhi ahlasela namalunga omzimba aphilile.

Ucwaningo lukhombisa ukuthi abanye abantu banokuthambekela kofuzo kulesi sifo, okungukuthi, ezinye izakhi zofuzo ezikhona emzimbeni zingakhombisa ukuthi ngelinye ilanga umuntu angaba nesifo samathambo futhi, lapho umuntu engalwelisi ngokwanele lolu gciwane, leli bhaktheriya nobuthi balo ingasebenza lezi zakhi zofuzo futhi isize ukuqala i-rheumatic fever.

Ungakuqinisekisa kanjani ukuxilongwa

Asikho isivivinyo esisodwa esizokuhlonza ngokusobala i-rheumatism egazini, ngakho-ke, udokotela, ngaphezu kokuhlola izimpawu, anga-oda ukuhlolwa okuningi okufana ne-electrocardiogram, i-echocardiogram nokuhlolwa kwegazi, okufana nokubalwa kwegazi, i-ESR ne-ASLO, isibonelo. isibonelo. Yazi ukuthi yenzelwe ini nokuthi kwenziwa kanjani ukuhlolwa kwe-ASLO.

Yelashwa kanjani

Inhloso enkulu yokwelashwa ukuqeda amabhaktheriya abangele ukutheleleka kokuqala ukukhulula izimpawu nokunciphisa ukuvuvukala emzimbeni. Ngenxa yalokhu, amakhambi amaningi angabekwa:

• Imithi elwa namagciwane, njengeBenzathine Penicillin: kusiza ukuqeda amabhaktheriya asele;
• Ama-anti-inflammatories, njengeNaproxen: khipha ukuvuvukala nobuhlungu obuhlangene futhi kunganciphisa nomkhuhlane;
• Ama-anticonvulsants, njengeCarbamazepine noma iValproic Acid: zinciphisa ukubonakala kokunyakaza okungazibandakanyi;
• I-Acetylsalicylic acid (AAS): kunciphisa ukuvuvukala okuhlangene nesifo senhliziyo;
• Ama-Corticosteroids, njengePrednisone: thuthukisa ukukhubazeka kwenhliziyo.

Ngaphezu kwalokho, kubalulekile ukugcina ukuphumula lapho ubuhlungu bamalunga bukhulu kakhulu futhi uphuza amanzi amaningi okusiza amasosha omzimba asebenze. Ukuqonda kangcono ukuthi ukwelashwa kwenziwa kanjani.