Njani i-Case of Strep Throat Inokubangela Ukulimala kwe-Heart Valve
Isifo senhliziyo yesifo se-Rheumatic isicholo esinzulu se- rheumatic fever . Ibhekisela kumonakalo ongenasiphelo wentliziyo ye-valve engahlakulela iminyaka emva kokuphelelwa ngumkhuhlane we-rheumatic, ngokuqhelekileyo ukukhokelela ekusileleni kwintliziyo xa ungashiywanga.
I-rheumatic fever yisifo esivuthayo esisigxina esingakwazi ukuhlawulela ngenxa yesifo esingenakulungeleka somnatha okanye umkhuhlane omnyama .
Xa oko kwenzeka, umzimba wamasosha uphendula ngokungaqhelekanga ukuvuvukala okungapheliyo kunye nokudibanisa ngokukhawuleza kwamakhadidi e-calcium kunye neenxa zonke kwiintsimbi zeentliziyo.
I-rheumatic fever ixhaphake kakhulu kubantwana nakwishumi elivisayo. Nangona i-strep throat iyinto eqhelekileyo eUnited States, i-rheumatic fever ithathwa njengeyinqabileyo kumazwe athile amaninzi.
Isizathu seRheumatic Heart Disease
I-rheumatic fever enamandla ingabangela ukuvutha kwentliziyo, mhlawumbi phezu kwentliziyo ( pericarditis ), ngaphakathi kwentliziyo ( endocarditis ), okanye iquka intliziyo yesisu ( myocarditis ).
Kubantu abafumana i-endocarditis, impendulo yokuvuvukala ingabangela umonakalo oqhubekayo omnye okanye ngaphezulu kweentsimbi ezine zenhliziyo . Xa lo hlobo lomonakalo lwenzeka, ludla ngokugqithisa ngokuhamba kwesikhathi.
Isifo senhliziyo yesifo se-Rheumatic sisichaphazela isiqingatha sabo bonke abantu ababenomkhuhlane we-rheumatic acute. Uninzi lweziganeko zifunyenwe iminyaka eyi-10 ukuya kwe-20 emva kwesiganeko se-rheumatic.
Abo baye baxhamla amaninzi bangengozini enkulu.
Ukubonakaliswa kwezifo zeRheumatic Heart
Isifo senhliziyo yesifo se-Rheumatic sichaza ngeengxaki ezahlukeneyo kuxhomekeke kwiphi ivalve echaphazelekayo kwaye yiphi indlela i-valve eyonakaliswe ngayo.
Phakathi kweendlela eziqhelekileyo zezifo zesifo senhliziyo:
- Isifo se-Mitral valve sibhekisela kwi-deposit excessively calcium kwi-valralum valve. I-valral valve yi-valve evumela ukuphuma kwegazi ukusuka kwi-atrium ekhohlo ukuya kwi-ventricle ekhohlo. Ukuqokelela kwe-calcium kunokuthintela i-valve ekuvuleni ngokupheleleyo ( mitral stenosis ) okanye ukuvula konke. Oku ekugqibeleni kukhokelela kwisivande esivuzayo, esibizwa ngokuba yi- mitral regurgitation .
- Isifo se- valorum ye-aortic enye apho i-deposit calcium excessively ichaphazela i-aortic valve eyahlula i-ventricle ekhohlo evela kwi-aorta. Ezi ntlawulo zingakhokelela ekuphuhliseni i- aortic stenosis , ukuvuselelwa kwe-aortic , okanye zombini.
- Ukuhlaziywa kwe-tricuspid kuquka i-valve ye-tricuspid ehlukanisa i-atrium elungileyo kwi-ventricle ekhohlo. Iimeko zihamba ngokuqhelekileyo kwi-aortic kunye / okanye kwi-valve valve disease.
- I-fibrillation ye-Atrial , isantya esingaqhelekanga kwaye esoloko esiphuthumayo intliziyo eyenziwa ngenxa yokunciphisa ukuhamba kwegazi, isoloko idibene ne-mitral stenosis.
Ukunyanga i-Rheumatic Heart Disease
Ngokucacileyo, indlela efanelekileyo yokujongana nemeko efana nesifo senhliziyo yesifo se-rheumatic kukukhusela. Oku kufuna ukusetyenziswa kakubi kwemithi elwa namachiza ukuphatha imfudu yomsiza okanye umfutho obomvu, zombini ezo zibangelwa yiqela le-bacterial streptococcal.
Xa umntu sele ene-rheumatic fever, kubalulekile ukukhusela iziganeko ezizayo. Kubantu abanobungqina bentliziyo yesifo se-rheumatic, unyango oluqhubekayo lwamachiza lunokusetyenziswa njengoluhlobo lweprophylactic (ukhuseleko) . Ukunciphisa ukuvuvukala, i-aspirin, i-steroids, okanye izidakamizwa ezingenayo i-non-steroidal ezivuthayo (i-NSAID) zinokumiselwa .
Abantu abaye bafumana i-rheumatic fever echaphazelekayo kufuneka bahlole uvavanyo lwangonyaka wonyaka ukuze bahlolisise intliziyo enokuthi bakrokre okanye nayiphi na into engavamile.
Ukuba ufunyanwe nesifo senhliziyo yesifo se-rheumatic, kubalulekile ukuba imeko yakho ihlolwe rhoqo kunye ne- echocardiogram kunye nezinye izixhobo zokuxilonga. Njengoko iingxaki zentliziyo ye-valve zihlala zibuhlungu ngaphezu kwexesha, ezi zivivinyo rhoqo ziyakunceda ukuba ngaba kwaye kufuneka nini ukuhlinzwa okwenzelwe i-valve .
Isikhathi sokuhlinzwa ngokubaluleka kubaluleke kakhulu ukuba ufuna ukuqhuba ukusebenza ngaphambi kokuba umgangatho wobomi uphelelwe ngamandla kodwa kungekudala ukubeka umngcipheko kumntu ohlala ixesha elide ixesha lokuphila kweviniki ngokwayo.
> Imithombo:
> Rothenbühler, M .; O'Sullivan, C .; Stortecky, S. et al. "Ukuqwalasela ngokusisigxina kwi-Rheumatic Heart Disease kwiiNgingqi eziphelileyo: UkuHlola okuSingqinisiso kunye ne-Meta-Analysis of Prevalence Among Children and Adolescents." Lancet Glob Health. 2014; 2: e717. INGXELO: 10.1016 / S2214-109X (14) 70310-9.
> Watkins, D .; Johnson, C; Colquhoun, S. et al. "I-Global, Regional and National Burden of Rheumatic Heart Disease, ngo-1990-2015." N Engl J Med . 2017; 377: 713. INGXELO: 10.1056 / NEJMoa1603693.
> Zühlke, L .; Engel, M .; IKarthikeyan, G. et al. "Iziganeko, iingxaki, kunye neZithuba kwiIngenelo eziSebenzayo eziSebenzayo kwiiRheumatic Heart Disease: iRegress Global Rheumatic Heart Registry (i-REEDY study)." I-Eur Heart J. 2015; 36: 1115. INGXELO: 10.1093 / eurheartj / ehu449.