He aha te Mate Rewhamatanga? Tohutohu, Take, me te Maimoatanga

Ko te mate rewhamatanga te whakaeke he a te pūnaha ārai mate o tō tinana i ō ake kiko i muri i te mate korokoro strep. Ko te nuinga o ngā tamariki kei waenganui i te 5 me te 15 tau te pakeke ka pa ki tenei āhuatanga mumura, ahakoa ka taea te puta i tetahi tau.

Whakaarohia he pokanoa te pūnaha ārai mate o tō tinana i muri i te whawhai ki ngā huakita strep. Ki te kore e mutu te whawhai i te wa kua ngaro te mate, ka haere tonu te whawhai ka werohia he ngā wāhanga hauora o tō tinana penei i tō ngakau, ngā hononga, te roro, me te kiri. Ko te rongo pai, mā te maimoatanga tika, ka ora te nuinga o te iwi katoa.

He aha ngā tohu o te mate rewhamatanga?

Ko ngā tohu o te mate rewhamatanga ka puta i te 2 ki te 4 wiki i muri i te mate korokoro strep kaore i te maimoatia. Ka rereke te tohu mai i te tangata ki te tangata, ā, ka pā pea ki a koe etahi noa rānei i te wa kotahi.

Koinei ngā tohu matua ka kitea pea e koe:

• Te mamae me te pupuhi o ngā hononga: Ka whero pea ō turi, ō rekereke, ō koki, ō ringa rānei, ka wera, ka mamae. Ko te mamae ka neke pea mai i tetahi hononga ki tetahi atu i roto i ngā rā maha.
• Te kirika: Ka nui pea tō pāmahana i te 101°F (38.3°C) ka haere mai, ka haere atu.
• Ngā raruraru ngakau: Ka pā pea ki a koe te mamae o te uma, te poto o te manawa, te tere o te ngakau i te mea ka pā te mumura ki tō ngakau.
• Te pupuhi o te kiri: Ka puta pea te pupuhi whero, porowhita e kiia nei ko te erythema marginatum i runga i tō puku me ō ringa rānei, ō waewae rānei.
• Ngā nekehanga kaore i te mana: E kiia ana ko te Sydenham's chorea, ko ēnei ngā nekehanga tere, wiri o ō ringa, ō waewae, ō mata rānei kaore e taea e koe te whakahaere.
• Ngā pūtau iti i raro i te kiri: Ko ēnei pūtau kaore i te mamae ka puta pea i runga i ngā wāhi wheua penei i ō pūngāwerewere, ō turi, ō koki rānei.

Ko te mamae o ngā hononga te tohu tino kitea, ā, ka tino kaha. Ko te mea e whakamārama ana i te rerekētanga ko te nekehanga – i te wa tonu ka tīmata te pai ake o tetahi hononga, ka puta ake tetahi atu.

He aha ngā take o te mate rewhamatanga?

Ka puta te mate rewhamatanga ina nui rawa te mahi a te pūnaha ārai mate o tō tinana ki te mate korokoro strep i puta mai i ngā huakita Streptococcus rōpū A. Kāore te āhuatanga i puta mai i ngā huakita anō, engari mai i te whakautu a tō tinana ki a rātou.

Koinei te mea e puta ana i roto i tō tinana. Ina pā ngā huakita strep ki tō korokoro, ka hanga e te pūnaha ārai mate o tō tinana ngā antibodies hei whawhai ki a rātou. I etahi wā ka pokanoa ēnei antibodies, no te mea he rite ngā wāhanga o ngā huakita strep ki ngā pūtau i roto i ō ake kiko. No reira ka tīmata te pūnaha ārai mate o tō tinana ki te whakaeke i ō kiko hauora mā te he.

Ko tēnei take o te whakaaro he e kiia ana ko te molecular mimicry. Kei roto i tō ngakau, ngā hononga, te roro, me te kiri ngā pūtau e rite ana ki ngā mea kei runga i ngā huakita strep. Koia te take ka mumura ēnei wāhi i te wa o te mate rewhamatanga.

Ko te mea nui hei mahara ko te mate rewhamatanga ka puta anake i muri i te mate korokoro strep kaore i te maimoatia, kāore rānei i te maimoatia tika. Ki te tango tika koe i ngā rongoā antibiotic mō te mate korokoro strep, ka taea e koe te ārai i te puta mai o te mate rewhamatanga.

Nōhea te haere ki te taote mō te mate rewhamatanga?

Me rapu awhina hauora tonu koe ki te puta mai i a koe, i tō tamaiti rānei ngā tohu o te mate rewhamatanga, ina koa i muri i te mate korokoro strep tata nei. He mea nui te maimoatanga wawe hei ārai i ngā raruraru nui.

Waea atu ki tō taote tonu ki te kite koe i te mamae o ngā hononga e neke ana mai i tetahi hononga ki tetahi atu, te kirika kaore i te whakamārama, tetahi pupuhi kiri rānei. Ko ēnei pea ngā tohu wawe o te mate rewhamatanga e hiahia ana ki te aromatawai tere.

Whiwhi awhina hauora āwangawanga ki te pā ki a koe te mamae o te uma, te poto o te manawa, te tere o te ngakau rānei. Ka tohu pea ēnei tohu kei te pā te mate rewhamatanga ki tō ngakau, e hiahia ana ki te maimoatanga tonu.

Kaua e tatari kia pai ake ngā tohu. Ka taea e te mate rewhamatanga te whakarawe i tō ngakau ki te kore e maimoatia, engari ka taea e te whakauru wawe te ārai i te nuinga o ngā raruraru.

He aha ngā take morearea mō te mate rewhamatanga?

He maha ngā take ka piki ake ō tūmanako ki te whiwhi mate rewhamatanga i muri i te mate korokoro strep. Ka taea e te mārama ki ēnei take morearea te awhina i a koe ki te tango i ngā whakarite tika.

Ko ngā take morearea tino nui ko:

• Te tau: Ko ngā tamariki kei waenganui i te 5 me te 15 tau te pakeke te tino morearea, ahakoa ka taea hoki e ngā pakeke te whiwhi i te āhuatanga.
• Te hītori whānau: Ki te pā ki ō whānau te mate rewhamatanga, ka nui pea ō tūmanako ki te whiwhi ano hoki.
• Te mate korokoro strep kaore i te maimoatia: Ko te kore e tango i ngā rongoā antibiotic mō te mate korokoro strep, te kore rānei e mutu te whakamātautau katoa ka piki ake te morearea.
• Ngā mate strep maha: Ko te maha o ngā mate korokoro strep, ina koa ki te kore e maimoatia, ka piki ake ō tūmanako.
• Ngā āhuatanga noho: Ko ngā āhuatanga noho tata, te kore o te horoi, te iti rānei o te uru atu ki te tiaki hauora ka piki ake te morearea.
• Te wāhi whenua: Ko te mate rewhamatanga he mea noa i ngā whenua whakawhanake me ētahi wāhi me ngā rauemi hauora iti.

Ko te whai i ēnei take morearea kāore e tikanga ka whiwhi koe i te mate rewhamatanga. He tokomaha ngā tangata he take morearea kei a rātou kaore e pā ki te āhuatanga, i te wā e pā ana ki ētahi atu he iti ngā take morearea.

He aha ngā raruraru pea o te mate rewhamatanga?

Ka taea e te mate rewhamatanga te arahi ki ētahi raruraru nui, ko te kino o te ngakau te mea tino awangawanga. Ka taea e ēnei raruraru te puta i te wa o te mate, i ngā tau i muri mai rānei, koia te take he mea nui te tiaki hauora tonu.

Ko ngā raruraru matua me mōhio koe ko:

• Te mate ngakau rewhamatanga: Ka taea e te mumura te whakarawe i ō waahanga ngakau, ka arahi ki te rereke, te whakaiti rānei e pā ana ki te rere o te toto.
• Ngā raruraru o te tere o te ngakau: Ka pā pea ki tō pūnaha hiko ngakau, ka puta mai ngā whiu ngakau kaore i te tika, ngā raruraru tere rānei.
• Te kore o te ngakau: Ka taea e te kino o te waahanga te arahi ki te kore e taea e tō ngakau te pupuhi toto.
• Te whakarawe tonu o ngā hononga: Ahakoa he iti te noa, ka pā pea ki ētahi tangata ngā raruraru hononga roa, te mate khớp rānei.
• Ngā pānga neurological: Ko ngā nekehanga kaore i te mana mai i te Sydenham's chorea ka mutu pea, engari ka taea pea te noho tonu.

Ko ngā raruraru ngakau te mea tino nui, no te mea ka taea te noho tonu, te mate rānei. Heoi, mā te maimoatanga tika me te tiaki whai muri, ka ora te nuinga o te iwi he mate rewhamatanga me te ora noa, hauora, kaore he raruraru roa.

Me pēhea te ārai i te mate rewhamatanga?

Ko te huarahi pai ki te ārai i te mate rewhamatanga ko te maimoatanga tere me te tino tika o ngā mate korokoro strep mā ngā rongoā antibiotic. No te mea ka puta anake te mate rewhamatanga i muri i ngā mate strep kaore i te maimoatia, he tino whai hua te maimoatanga antibiotic hei ārai.

Koinei te huarahi ka tiaki koe i a koe me tō whānau:

• Whiwhi maimoatanga tere mō te mate korokoro strep: Tirohia te taote ki te mamae tō korokoro me te kirika, ina koa ki te kaha, ki te roa atu i ngā rā tokoiti.
• Whakaoti i te whakamātautau antibiotic katoa: Tangohia ngā rongoā antibiotic katoa kua tohua ahakoa ka pai ake koe i mua i te mutunga.
• Whakamahia te horoi pai: Horoihia ō ringa maha, ā, kaua e tutaki i ngā inu, ngā taputapu, ngā taonga whaiaro rānei.
• Noho ki te kāinga ina mate: Ki te pā ki a koe te mate korokoro strep, noho ki te kāinga kia 24 haora i runga i ngā rongoā antibiotic.
• Pupuri i ngā wāhi noho mā: Ka taea e te horoi noa te whakaiti i te hora o ngā huakita strep.

Ki te pā ki a koe te mate rewhamatanga i mua, ka tūtohu pea tō taote i te maimoatanga antibiotic roa hei ārai i ngā mate strep i muri mai. Ka taea e tēnei huarahi ārai te whakaiti nui i tō morearea ki te mate rewhamatanga anō.

Me pēhea te whakatau i te mate rewhamatanga?

Ka uaua pea te whakatau i te mate rewhamatanga, no te mea kāore he whakamātautau kotahi hei whakau i te āhuatanga. Ka whakamahi tō taote i te whakakotahitanga o tō hītori hauora, te tirotiro tinana, me ētahi whakamātautau hei whakatau i te whakatau.

Ka ui tuatahi tō taote mō ngā mate korokoro strep tata nei, ka tirotiro i a koe mō ngā tohu āhuatanga o te mate rewhamatanga. Ka tirotirohia e rātou ō hononga mō te pupuhi me te ngawari, ka whakarongo ki tō ngakau mō ngā ngāwari, ka rapu i ngā pupuhi kiri, ngā pūtau rānei.

Ka hiahiatia pea ētahi whakamātautau hei tautoko i te whakatau:

• Ngā whakamātautau toto: Ka tirotirohia ēnei mō ngā tohu o te mate strep tata nei me te mumura i roto i tō tinana.
• Te whakatipu korokoro, te whakamātautau tere strep rānei: Hei kite mena kei te pā ki a koe te mate strep.
• Te electrocardiogram (ECG): Ka tuhia tēnei i te mahi hiko o tō ngakau hei tirotiro i ngā raruraru tere.
• Te echocardiogram: He ultrasound o tō ngakau e whakaatu ana i te pai o te mahi a ō waahanga ngakau.
• Te X-ray uma: Hei tirotiro i te nui o te ngakau, ngā huringa rānei.

Ka whakamahi tō taote i ngā tikanga hauora kua whakatūria e kiia ana ko ngā tikanga Jones hei awhina i te whakau i te whakatau. Ka rapu ēnei tikanga i ngā whakakotahitanga motuhake o ngā tohu me ngā hua whakamātautau he mea noa ki te mate rewhamatanga.

He aha te maimoatanga mō te mate rewhamatanga?

Ko te maimoatanga mō te mate rewhamatanga e aro ana ki te whakaiti i te mumura, te whakahaere i ngā tohu, me te ārai i ngā mate strep i muri mai. Ka hanga e tō taote he mahere maimoatanga e whakaatu ana i ngā wāhanga o tō tinana e pā ana, me te kaha o ō tohu.

Ko ngā maimoatanga matua ko:

• Ngā rongoā antibiotic: Hei whakakore i ngā huakita strep e toe ana me te ārai i ngā mate i muri mai.
• Ngā rongoā anti-mumura: Aspirin, corticosteroids rānei hei whakaiti i te mumura me te mamae i ō hononga me tō ngakau.
• Ngā rongoā ngakau: Ki te pā ki tō ngakau, ka hiahia pea koe ki ngā rongoā hei awhina i te mahi pai ake.
• Ngā rongoā mō ngā nekehanga kaore i te mana: Ki te pā ki a koe te Sydenham's chorea, ka taea e ngā rongoā motuhake te awhina i te whakahaere i ngā nekehanga.
• Te takoto moe: I te wa o te mate, ka awhina te okioki i tō tinana ki te ora me te whakaiti i te ahotea ki tō ngakau.

Ka tīmata te nuinga o te iwi ki te pai ake i roto i ngā wiki torutoru i muri i te tīmatanga o te maimoatanga. Heoi, ka hiahiatia pea te haere tonu o ētahi rongoā mō ngā marama, ngā tau rānei, ina koa ki te pā ki tō ngakau.

Ka tirotiro tata atu tō taote i a koe i te wa o te maimoatanga, ka taea te whakarereke i ngā rongoā i runga i tō whakautu. He mea nui ngā hui whai muri hei aroturuki i tō ora me te ārai i ngā raruraru.

Me pēhea te whakahaere i te mate rewhamatanga i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō ora me te whakahaere i ngā tohu. Ka mahi ēnei mahi tiaki kāinga me ō rongoā kua tohua hei awhina i a koe ki te pai ake.

Koinei ngā rautaki whai hua mō te whakahaere i ngā tohu i te kāinga:

• Whiwhi okioki nui: E hiahia ana tō tinana ki te okioki atu hei ora mai i te mumura, no reira kaua e whakama i te moe atu i te noa.
• Tangohia ngā rongoā penei i te mea kua tohua: Whakaritea ngā whakamahara ki te tango i ngā rongoā katoa penei i te mea kua tohua e tō taote, ahakoa ka tīmata te pai ake.
• Whakahaere i te mamae o ngā hononga: Tāpirihia ngā kāpeka wera ki ngā hononga mamae, kaua hoki e mahi i ngā mahi e whakaiti ana i te mamae.
• Noho makuku: Inu wai nui hei awhina i tō tinana ki te tukatuka i ngā rongoā me te whawhai ki te mumura.
• Kai kai hauora: Aro atu ki ngā kai whai hua i ngā huaora me ngā kohuke hei tautoko i te ora o tō pūnaha ārai mate.
• Aroturuki i ō tohu: Pupuri i te tuhi o ō ngā āhuatanga, me te whakamōhio wawe ki tō taote i ngā huringa.

Hangaia he taiao mārama, ngāwari i te kāinga ka taea e koe te okioki kaore he whakawehi. Ki te tiaki koe i te tamaiti he mate rewhamatanga, ko te pupuri i ngā mahi noa i te wa e taea ana ka hoatu te whakamarie hinengaro i te wa e ora ana.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui taote ka taea te awhina i te whakarite kia whiwhi koe i te whakatau tika me te maimoatanga tika. Ko te whai i ngā korero tika ka awhina i tō taote ki te mārama pai ake ki tō āhuatanga.

I mua i tō hui, kohia ēnei korero nui:

• Te hītori mate tata nei: Tuhia ngā korokoro mamae, ngā kirika, ngā mate rānei tata nei i whiwhi koe i te marama kua pahure.
• Te raupapa tohu: Tuhia te wā i tīmata ai ia tohu me te āhua o te huringa i te wā.
• Ngā rongoā kei te tango nei: Mauria he rārangi o ngā rongoā, ngā taapiri, ngā huaora rānei kei te tango koe.
• Te hītori hauora whānau: Mōhio mena kei te whānau he mate rewhamatanga, he raruraru ngakau rānei.
• Ngā pātai hei ui: Tuhia ngā awangawanga, ngā pātai rānei e hiahia ana koe ki te kōrero ki tō taote.

Kia rite ki te whakaatu i ō tohu i roto i ngā kōrero, tae atu ki ngā hononga e mamae ana, te wā e kino ana te mamae, me te nekehanga rānei mai i tetahi hononga ki tetahi atu. Ki te pā ki a koe te kirika, tuhia te pāmahana teitei rawa i tuhia e koe me te wā i puta ai.

Mauria he mema whānau whakawhirinaki, he hoa rānei hei awhina i a koe ki te mahara ki ngā korero nui mai i te hui. Ka taea hoki e rātou te tuku tautoko me te awhina i te tautoko i tō tiaki ki te hiahiatia.

He aha te mea nui mō te mate rewhamatanga?

Ko te mate rewhamatanga he āhuatanga nui engari ka taea te ārai, ka puta ina kore e maimoatia ngā mate korokoro strep. Ko te mea nui hei mahara ko te maimoatanga antibiotic tika o te mate korokoro strep ka taea te ārai katoa i te puta mai o te mate rewhamatanga.

Ki te whiwhi koe i te mate rewhamatanga, he mea nui te maimoatanga wawe hei ārai i ngā raruraru roa, ina koa te kino o te ngakau. Ko te nuinga o te iwi e whiwhi ana i te maimoatanga tere, tika ka ora pai ka haere tonu ki te ora noa, hauora.

Ko te mea nui ko te kaua e wareware ki ngā tohu o te mate korokoro strep, kaua hoki e whakaaro ka ngaro noa iho. Ko te whiwhi i te tiaki hauora tika mō te mea ka rite ki te korokoro mamae noa ka taea te ārai i te āhuatanga nui atu.

Noho mataara ki te maimoatanga i ngā mate strep, whakaotihia ō whakamātautau antibiotic, kaua hoki e whakaroa ki te rapu awhina hauora ki te puta mai ngā tohu e awangawanga ana koe. Ko tō huarahi whakauru ki te tiaki hauora tō tiaki pai rawa atu ki te mate rewhamatanga.

Ngā pātai maha e ui ana mō te mate rewhamatanga

Ka taea te hoki mai o te mate rewhamatanga i muri i te maimoatanga?

Ae, ka taea te hoki mai o te mate rewhamatanga ki te whiwhi koe i tetahi atu mate korokoro strep kaore i te maimoatia. Koia te take e tango ana te tokomaha o te iwi kua whiwhi mate rewhamatanga i ngā rongoā antibiotic ia rā mō ngā tau hei ārai i ngā mate strep i muri mai. Ka kōrero tō taote mena he tika te ārai antibiotic roa mōu i runga i ō take morearea takitahi me te kaha o te pānga ki a koe.

He mate pāhoko te mate rewhamatanga?

Kāore te mate rewhamatanga anō he mate pāhoko, engari he tino pāhoko te mate korokoro strep e puta ai. Ka taea e koe te hora o ngā huakita strep ki ētahi atu mā te kōhutia, te taikina, te tutaki rānei i ngā taonga whaiaro. Kia tīmata koe i te maimoatanga antibiotic mō te mate korokoro strep, ka noho pea koe ki te kore e pāhoko i roto i ngā haora 24.

E hia te roa o te mate rewhamatanga?

Ko te wa ohorere o te mate rewhamatanga ka roa pea i te 6 ki te 12 wiki mā te maimoatanga tika. Heoi, ka mutu pea ētahi tohu penei i te mamae o ngā hononga i roto i ngā rā ki ngā wiki, i te wā ka roa pea ngā marama te ora o te mumura ngakau. Ka hiahia pea ētahi tangata ki te maimoatanga me te aroturuki tonu mō ngā tau, ina koa ki te pā ki tō ngakau.

Ka taea e ngā pakeke te whiwhi mate rewhamatanga?

Ahakoa ko te mate rewhamatanga he mea noa i ngā tamariki kei waenganui i te 5 ki te 15 tau, ka taea hoki e ngā pakeke te whiwhi. He iti te noa o ngā take pakeke engari ka taea te nui ake te kino ina puta. Ko ngā pakeke e noho ana i ngā āhuatanga tata, he pūnaha ārai mate ngoikore, te kore rānei o te uru atu ki te tiaki hauora pea he morearea nui.

Ka pā te mate rewhamatanga ki tō kaha ki te whakakori tinana, ki te takaro hākinakina rānei?

Ka whakawhirinaki tēnei ki te pā te mate rewhamatanga ki tō ngakau me te pai o tō ora. Ka hoki te nuinga o te iwi ki ngā mahi noa, tae atu ki ngā hākinakina, i muri i te ora katoa. Heoi, ki te whai koe i te kino o te waahanga ngakau, ka tūtohu pea tō taote kia kaua e mahi i ngā mahi kaha. Whiwhi whakaae hauora tonu i mua i te hoki ki ngā mahi tinana kaha i muri i te whiwhi mate rewhamatanga.