Fivha Ye Rhumatic

Fivha ye rhumatic chirwere chinopisa chinogona kukura kana kurwadziwa kwemhino kana fivha tsvuku zvisina kurapwa zvakakwana. Kurwadziwa kwemhino nefivha tsvuku zvinokonzerwa nehutachiona nemabhakitiriya e streptococcus (strep-toe-KOK-us). Fivha ye rhumatic kazhinji inokanganisa vana vane makore mashanu kusvika gumi nemashanu. Asi vana vaduku nevakuru vanogona kuitorawo. Fivha ye rhumatic yakawanda munyika ye United States nedzimwe nyika dzakabudirira. Fivha ye rhumatic inogona kukonzera kukuvara kwemoyo kwenguva refu, kusanganisira matambudziko emahombekombe emoyo nekukundikana kwemoyo. Kurapa kunosanganisira mishonga yekuuraya mabhakitiriya e strep. Mishonga yakawanda inoshandiswa kurapa marwadzo uye kudzivirira matambudziko.

Zviratidzo zvefivha ye rhumatic kazhinji zvinovamba mushure memavhiki maviri kusvika mana mushure mehutachiona hwe strep throat. Zviratidzo izvi zvinokonzerwa nekuzvimba kwemoyo, majoini, ganda kana system ye central nervous. Zvingave nezviratidzo zvishoma kana zvizhinji. Zviratidzo zvinogona kuuya nekuenda kana kuchinja apo munhu ari kurwara nefivha ye rhumatic. Zviratidzo zvefivha ye rhumatic zvinosanganisira: Fivha. Kurwadziwa kwe majoini kana kuzvimba - kazhinji mazamu, makwati, magaro nemaoko. Majoini anogona kunzwa kupisa kana kurwadza. Kurwadziwa mujoini rimwe chete rinofamba kuenda kune rimwe joini. Kurwadziwa kwepfupa. Kushaya simba. Mabumps madiki, asingarwadzi pasi peganda. Rash yakati sandara kana yakakwirira zvishoma, isingarwadzi ine edge yakashata. Vamwe vanhu vane fivha ye rhumatic vanoita chirwere chinonzi Sydenham chorea. Zviratidzo zvechirwere ichi zvinosanganisira: Kufamba kwemuviri kusingadzoreki, kazhinji mumaoko, tsoka nechemberi. Kuchema kana kuseka zvisina kukodzera. Kurapa zvakanaka strep throat kunogona kudzivirira fivha ye rhumatic. Ita appointment nemunyanzvi wehutano kana chimwe chezviratidzo izvi zve strep throat chikaitika: Kurwadziwa kwepfupa kunouya kamwe kamwe. Kurwadziwa pakumera. Fivha. Kurwadziwa kwemusoro. Kurwadziwa kwemudumbu, kusvotwa nekurova.

Kurapa kurwadziwa kwemutsipa zvakakodzera kunogona kudzivirira fivha ye rhumatic. Rongai nguva nemunyanzvi wehutano kana chimwe chezviratidzo zvekurwadziwa kwemutsipa zvichiitika:

• Kurwadziwa kwemutsipa kunouya kamwe kamwe.
• Kurwadziwa pakumera.
• Fivha.
• Kurwadziwa kwemusoro.
• Kurwadziwa kwemudumbu, kusvotwa uye kurutsa.

Fivha ye rhumatic inogona kuitika mushure mehutachiona hwepaguro hunobva kubhakitiriya re streptococcus regroup A, rinozivikanwawo se strep bacteria. Bhakitiriya rinokonzera kurwadziwa kwepaguro uye fivha ye scarlet. Kuporeswa kwakashata kwehutachiona hwepaguro kana fivha ye scarlet kunokonzera fivha ye rhumatic.

Pane mukana mudiki wekuwana fivha ye rhumatic kana kurwadziwa kwepaguro kuchirapwa nekukurumidza neantibiotics. Zvakakosha kupedza mishonga yose.

Hutachiona hwe strep hwegurupo A hwepamoyo kana zvimwe zvikamu zvemuviri zvisingawanzoitika zvinokonzera fivha ye rhumatic.

Nzira iyo hutachiona hwe strep hunokonzera fivha ye rhumatic haina kujeka. Zvinogona kunge bhakitiriya rinonyengera sisitimu yemuviri yekudzivirira kuti irwise tishu dzakapfava. Izvi zvinowanzoitika mumoyo, majoini, ganda uye sisitimu yepakati yematumbu. Kuita kwakashata kwesisitimu yekudzivirira kunokonzera kuzvimba kwe majoini nematishu. Kuchema uku kunonzi kuzvimba.

Zvinhu zvinogona kuwedzera njodzi yefivha ye rheumatic zvinosanganisira:

• Genes. Vamwe vanhu vane gene rimwe kana kupfuura rinogona kuita kuti vave nemukana mukuru wekurwara fivha ye rheumatic.
• Rudzi rwakati rwemabhakitiriya e strep. Mamwe marudzi emabhakitiriya e strep ane mukana mukuru wekukonzera fivha ye rheumatic kupfuura mamwe.
• Zvinhu zvakatipoteredza. Kuwanda kwevanhu munzvimbo duku, kushaya kuchena, nezvimwe zvinhu zvinogona kuita kuti mabhakitiriya e strep aswededze nyore nyore pakati pevanhu vakawanda. Izvi zvinowedzera njodzi yefivha ye rheumatic.

Kuvimba kwemapfupa nemakwinya kunokonzerwa nechirwere chemafuta kunogona kutorwa mavhiki mashoma kusvika kune mwedzi yakati wandei. Kune vamwe vanhu, kuvimba kunokonzera matambudziko emangwana.

Rimwe dambudziko rechirwere chemafuta ndekukuvara kwemoyo kwenguva refu. Izvi zvinonzi chirwere chemwoyo chemafuta. Chirwere chemwoyo chemafuta kazhinji chinoitika makore kusvika kumakumi emakore mushure mechirwere chepakutanga.

Nekudaro, chirwere chakakomba chemafuta chinogona kutanga kukuvadza mavaire emoyo apo mwana achiri kuratidza zviratidzo zvehutachiona. Valve iri pakati pekamuri mbiri dzekuruboshwe dzemoyo ndiro rinowanzo kukanganiswa. Iyi valve inonzi mitral valve. Asi mamwe mavaire emoyo anogona kukanganiswawo.

Chirwere chemafuta chinogona kukonzera marudzi aya ekukuvara kwemoyo:

• Kuomarara kwevaire yemoyo, inonziwo valve stenosis. Mapepa evaire anova akakora kana kuti akaoma uye anogona kubatana pamwe chete. Izvi zvinoderedza kuyerera kweropa kuburikidza nevalve.
• Kuyerera kwepamusoro kweropa kuburikidza nevalve yemoyo. Izvi zvinonzi valve regurgitation. Zvinoitika kana mapepa evaire asingavhari zvakanaka.
• Kukuvara kune tishu yemoyo. Kuvimba kwetishu kubva kuchirwere chemafuta kunogona kusimbisa tishu yemoyo. Iyi kukuvara inogona kukanganisa kugona kwemoyo kubomba.
• Kukundikana kwemoyo. Kukuvara kwemoyo kubva kuchirwere chemafuta kunogona kukonzera kukundikana kwemoyo gare gare muhupenyu.
• Kurova kwemoyo kusina kururama. Kukuvara kumavaire emoyo kana kune dzimwe nzvimbo dzemoyo kunogona kutungamira pakurova kwemoyo kusina kururama uye kukurumidza kwazvo. Izvi zvinozivikanwawo se atrial fibrillation (AFib).

Nzira yakanakisa yekudzivirira fivha ye rhumatic ndeyekurapa zvirwere zve strep throat kana fivha ye scarlet nekukurumidza. Zvakakoshawo kupedza mishonga yose yakapihwa sezvakarayirwa.

Hapana bvunzo imwe chete yerheumatic fever. Kuongororwa kwe rheumatic fever kunobva pane nhoroondo yezvokurapa, bvunzo yemuviri uye mimwe mibairo yebvunzo.

Bvunzo dzerheumatic fever dzinosanganisira:

• Electrocardiogram (ECG kana EKG). Bvunzo iyi inoratidza kuti moyo uri kurova sei. Inogona kubatsira kuongorora kurova kwemoyo kusinganzwisisiki. Munyanzvi wehutano anogona kutarisa maitiro echiratidzo cheECG ekuratidza kuzvimba kwemoyo.
• Echocardiogram. Mafungu ezwi anoshandiswa kugadzira mifananidzo yemoyo uri kufamba. Echocardiogram inoratidza chimiro chemwoyo uye kuti ropa rinoyerera sei kuburikidza naro.

Bvunzo dzeropa. Bvunzo dzeropa dzinogona kuitwa kuti dziongorore zviratidzo zvekuzvimba mumuviri. Idzi bvunzo dzinosanganisira C-reactive protein (CRP) uye erythrocyte sedimentation rate (ESR), inonziwo sed rate.

Dzimwe nguva mabhakitiriya chaiwo e strep haachawanikwi muropa kana mune tishu dzemhino. Bvunzo imwe yeropa inogona kuitwa kutsvaga mapuroteni ane chekuita nema bacteria e strep. Aya mapuroteni anonzi antibodies.