Rheumatism a cikin yaro: bayyanar cututtuka, magani, yin rigakafi

A wannan labarin, za mu tattauna a daki-daki, yadda yaro bayyana rheumatism. Alamun jinsunan, musamman magani da bincike da kuma yin rigakafi - ne babban al'amurran da suka shafi da za a tattauna.

Nan da nan jawo hankali ga gaskiyar cewa rheumatism zai iya ci gaba a kowane zamani gaba daya. A cuta ne dauke da kwayar cutar da kuma rashin lafiyan yanayi. A iri-iri na asibiti manifestations saboda gaskiyar cewa rheumatism rinjayar ba wani musamman jiki, da kuma connective nama cewa shi ne ba a duk jikin mutane. La'akari da ãyõyin rheumatic zazzabi a cikin yara.

Mene ne wannan?

Za mu fara da labarin da manufar "rheumatism". Menene wannan cuta? Don haka ya kira mai kumburi cutar da ke shafar dukan jiki a lokaci guda (Ina nufin, shi ne tsarin). Asalin rheumatic zazzabi - wani dauke da kwayar cutar-rashin lafiyan. Ya na da wani sunan: Sokolowski cuta-Buyo.

An halin raunuka na connective nama cuta. Yafi shafa da connective nama na zuciya da jijiyoyin jini da kuma tsakiya m tsarin. Akwai ilimin kididdiga bayani, wanda ya nuna cewa mata mafi sau da yawa fama da wannan cuta - sau uku fiye da maza. Duk da haka, wannan bambanci vuya a adulthood.

Mene ne fasali na rheumatic zazzabi a cikin yara? Alamun da kuma lura da cuta a cikin shimfiɗar jariri, da kadan daban-daban. Wannan shi ne saboda gaskiyar cewa yara rheumatism yana da wasu peculiarities, kamar:

• mafi pronounced tsanani daga cikin zuciya da jijiyoyin jini tsarin.
• canje-canje a cikin sauran tsarin da kuma gabobin.
• yiwuwar mika mulki a kullum nau'i na cutar (yawan Yiwuwar yara ne sosai high).
• da ya faru na dakwai, komowan cutar.

A kullum form aka nuna kamar haka: bayan lura akwai wani dormant lokaci, amma bayan wani lokaci matsalar kõmo. Abin lura shi ne cewa da komawa da rheumatic zazzabi an lura a yara ne sosai na kowa.

Alamun rheumatic zazzabi a cikin yara 2 shekaru ko 10 ba bambanta da juna. Lura cewa yara su ne musamman mai saukin kamuwa da cuta daga bakwai zuwa goma sha biyar shekaru. Yara rheumatism fuskantar wani yawan rikitarwa, ciki har da zuciya da kuma gazawar. Rheumatism sau da yawa yana farawa wajen samar da bayan kamuwa da cuta. Wadannan sun hada da mulufi zazzabi, ciwon makogwaro da sauransu.

Sau da yawa sosai mayar da hankali gano a cikin zuciya da jijiyoyin jini tsarin. Rheumatic zazzabi ne na kowa a fadin duniya, musamman a matalauta kasashen, inda rates da cutar ne sosai high.

Mun dauki kusa look at bayyanar cututtuka da ganewar asali da cutar a cikin shimfiɗar jariri a, amma a yanzu ina so in jawo hankali ga Jones sharudda. Yana da muhimmanci a lura da cewa ya bambanta tsakanin manyan da kananan sharudda. Idan akwai akalla daya alama na farko category, shi ne isa ya gane asali cutar.

more sharudda	qananan sharudda
Carditis (lura a 70% na lokuta), polyarthritis (75%), erythema (10%), chorea (10%), da samuwar subcutaneous nodules (20%).	Fever, arthralgia, rheumatism anemneze, ta ƙara ESR ko CRP.

cututtuka

Mu yanzu la'akari daki-daki, ga cututtuka da rheumatic zazzabi a cikin yara. Kamar yadda aka ambata a baya, rheumatism iya halaka connective nama a mahara gabobin. Wannan zai iya bayyana da manyan yawan daban-daban manifestations da cutar. A duk ya dogara da tsari da kuma tsanani daga cikin tsari.

Pathogen rheumatism stimulates samar da wani abu da ake kira C-amsawa gina jiki. Shi ne wanda ya sa kumburi da kuma halakar da connective nama. Sa'an nan, a lura da cewa rheumatic zazzabi bai bayyana fita daga babu inda. A tsari na ci gaba farawa bayan kamuwa da cuta. Total kasaftawa uku siffofin da cutar, za mu magana game da su daga baya. A babban alama rheumatic zazzabi - wani m farko. Alamun sun hada da:

• mai kaifi karuwa a yanayin jiki.
• mai tsanani rauni.
• tabarbarewar kiwon lafiya.

Yanzu kowa na farko bayyanar cututtuka da aka jera. A matasa da yara (2 years) cututtuka na rheumatic zazzabi iya zama:

• irritability.
• tearfulness.
• barci cuta, da sauransu.

Kusa da su kuma za a hankali hade da sauran cututtuka da cewa faye hali wani nau'i na rheumatism. Rheumatic zazzabi a cikin yara, cututtuka da kuma magani wanda muka yi la'akari a cikin labarin, za a iya bayyana kanta a cikin hanyoyi daban-daban, amma kamar 85% na lokuta, cutar razana su zuciya da rikitarwa.

rarrabuwa

A total akwai uku siffofin da cutar:

• articular.
• zuciya;
• m.

Mun bayyana a cikin daki-daki, game da su kadan daga baya.

Shi ne ya kamata a lura da cewa bayyanar cututtuka na streptococcal rheumatic zazzabi a cikin yara ba su je kada a gane shi. A cuta ko da yaushe yana sakamakon a cikin nau'i na da rikitarwa ko rheumatism zama na kullum.

Alamun rheumatic zazzabi a cikin yara 10 matasa, shekaru da kuma su ne gaba daya indistinguishable. An gogaggen sana'a iya gane asali cutar a kowane mataki.

Rheumatic zazzabi yana da biyu bulan:

• aiki.
• m.

Wadanne ma'auni na cuta aiki? Wadannan sun hada da:

• mai tsanani daga cikin manifestations.
• canje-canje a cikin dakin gwaje-gwaje saka alama.

Bisa ga wannan, akwai uku digiri na rheumatism. Suna gabatar a tebur a kasa.

farko digiri	m Activity	A wannan mataki, sosai m asibiti da dakin gwaje-gwaje da ãyõyinMu.
na biyu digiri	matsakaici aiki	Na biyu digiri streptococcal rheumatic zazzabi a cikin yara, da bayyanar cututtuka da wanda aka riga fili ya bayyana, an sauƙi kamu. Wannan shi ne saboda cewa da asibiti, radiological da sauran alamun akwai riga bayyane.
uku digiri	matsakaicin aiki	Halayyar siffofin ne: zazzabi, rheumatic cututtukan zuciya da cututtuka, articular ciwo, kwatsam canje-canje a cikin dakin gwaje-gwaje sigogi da sauransu.

articular fom

Yanzu dubi bayyanar cututtuka na rheumatism a cikin yaro hadin gwiwa form. Bari mu fara da shugaban karamin adadin ilimin kididdiga bayanai. Jarirai da wuya fada cikin wannan rukuni. Kusan 20% na rheumatoid amosanin gabbai bayyana tsakanin zamanai na daya zuwa shekaru biyar. kuma kusan 80% - daga goma zuwa goma sha biyar shekaru.

Alamun rheumatic gidajen abinci a yara na iya bayyana kanta kamar haka:

• zazzabi.
• rauni.
• ciwon kai.
• hadin gwiwa zafi.
• redness da kuma kumburi daga cikin gidajen abinci da sauransu.

Duk da cewa lokuta ne da yawa, da pathogen ne har yanzu ba m. Lalle, rheumatism ne dauke da kwayar cutar a cikin yanayi. Wannan kamuwa da cuta rinjayar da mafi yawan Lymph nodes located in nasopharynx. Cututtuka dangantawa da da tarihi na angina, hakorin lalata, da ciwon kumburi.

Shi ne ya kamata a lura da cewa akwai da dama theories da cutar. Articular rheumatism a yara, cututtuka da kuma magani wanda mu tattauna a wannan labarin ne da rinjayen, shi ne wani dauke da kwayar cutar-rashin lafiyan hali. Wannan ne ya fi kowa ka'idar. Idan ka bi wannan ra'ayi, rheumatism - da sakamakon rashin lafiyan halayen a cikin mutane. Saboda shigar da cell rayuwa kayayyakin da kwayoyin cuta a cikin shiryawa zamani auku reconfiguration kwayoyin. Streptococci a cikin wannan hali zai iya sa aka ambata a sama bayyanar cututtuka na rheumatism.

Mun riga mun ambata cewa hanyar rheumatism ne sau da yawa canjawa wuri kafin wani cutar (kamar mulufi zazzabi). Duk da haka, wasu misalai za a iya ba:

• hypothermia.
• overexertion.

Mutane da yawa daga cikin alamomin nuna cewa ɓangare na CNS (tsakiya m tsarin) a cikin tsari. Wadannan cututtuka sun hada da:

• chorea.
• motor disturbances.
• shafi tunanin mutum da rashin lafiya.
• jijiya cututtuka, da sauransu.

Yana da muhimmanci a lura cewa duk da wadannan cututtuka ne sau da yawa tare da rheumatism. Nazarin ya nuna cewa reactivity na cerebral bawo aka rage muhimmanci. Yana iya gane gwani artisan ba tare da wahala. Me ya sa wannan magana? Yana mafi yawa ana hade tare da wani ƙara excitability na subcortical cibiyoyin, wanda rinjayar da dukan jiki.

zuciya siffar

Yanzu muna bayar da kadan more magana game da zuciya nau'i na rheumatism a cikin yaro, da bayyanar cututtuka da cutar. Nan da nan jawo hankali ga gaskiyar cewa zuciya matsaloli iya fara lokaci guda tare da articular nau'i na rheumatism, kazalika don bayyana hankali. Mai tsanani nau'i na rheumatism ne halin da cewa cardiac cuta cututtuka ne sosai jinkirin, wato, da cuta tasowa kada a gane shi.

Tun da farko mu ce cewa rarrabe rheumatism - kwatsam kuma m hari. Akwai kaifi sha raɗaɗin, da sauransu. Duk da haka, wasu yara na iya kai ƙarar kadan zafi a cikin gidajen abinci, gajiya. Ko da a cikin wannan harka, na iya ci gaba cardiac cuta. Don kauce wa tsanani sakamakon da sauri fara jiyya, je tare da shawara da gwani, ko da koken.

Rheumatic zuciya cuta a cikin yara, cututtuka da kuma magani wanda muka yi la'akari da dama a yanzu, ya kira rheumatic cututtukan zuciya. A can farko shi ne kusan ba ya bayyana kanta. Alamun iya sun hada da:

• gajiya.
• kin amincewa da wasanni;
• rashin so ga gudu.
• shortness na numfashi;
• zuciya palpitations.
• kodadde fata.

Mai tsananin form tare da dagagge zafin jiki, yawanci ba fiye da talatin da takwas da digiri. A general yanayin yaro a lokaci guda worsens kullum.

Zuciya siffar rheumatism iya kai wa ga wasu rushewa daga cikin zuciya, gabatar a tebur a kasa.

endocarditis	take hakkin da ciki rufi na zuciya
myocarditis	sakandare
pericarditis	m
endopericarditis	duk uku

Duk wannan take kaiwa zuwa ga cigaban da cututtukan zuciya, da cewa shi ne, da kumburi tsari na cigaba da bawuloli. Yana da muhimmanci a san cewa farkon magani da kuma yarda da wajabta regimen - ne key zuwa farin ciki nan gaba. Mutane da yawa yara da suke fama da zuciya lahani, kai wani al'ada rayuwa (a cikin makaranta, rataye fita da abokai, da ziyartar kulake, kuma haka a). Idan yanayin da ake kaddamar, cutar daukan mai tsanani tsari, wanda rinjayar da alheri kamar haka:

• gaban Sistem sakulasan cuta.
• reshe busa.
• m shortness na numfashi;
• hanta kara girma.

Wani rarrabe mai tsanani nau'i na cutar - zobe-dimbin yawa rash a kan fata. Lokacin na farko da bayyanar cututtuka na gaggawa likita da hankali! Dace qaddamarwa magani - da damar domin a al'ada rayuwa na yaro, wanda ba za a rasa.

m fom

A wannan sashe na labarin, za mu kula da juyayi nau'i na rheumatism a yara. Alamun da kuma lura da cuta - Waɗannan su ne babban al'amurran da suka shafi cewa za mu rufe a wannan labarin.

A rarrabe da m nau'i na rheumatic zazzabi a cikin yara - chorea, asarar wasu kwakwalwa yankuna. Chorea tasowa sannu a hankali, cututtuka iya sun hada da:

• yanayi canje-canje.
• irritability.
• tearfulness.
• twitching na tsokoki (lura cewa wannan alama ne iya ci gaba, da kuma wasu iyaye zaton cewa yaro sa a fuska da kuma fitina, ko da ba tare da sanin gaskiya Jihar harkokin).
• rashin da'a.
• sakaci.
• canji na rubutun hannu.
• bayyanar slurred magana.
• flail Gait.

Amma ga rashin da'a da kuma rashin kula, ya kamata ka kuma sa wasu haske kan. A gaskiya, da yaro ne ba abin zargi ba. Yana da gaske ba za a iya daidai yadin da aka saka up su takalma, sau da yawa saukad da cokula masu yatsotsi, cokula, alkalama da sauran abubuwa. Kula da wadannan cututtuka. Mutane da yawa dame shi tare da gajiya ko rashin kula. A gaskiya, da yaro bukatar taimakon ku. Wadannan cututtuka zai bayyana a gare game da watanni uku. Biya ƙarin da hankali ga hali da kuma yanayin da yaro, don haka kamar yadda ba miss da hakkin lokacin da ya fara jiyya a lokacin.

The bushãra a cikin wannan cuta: zuciya rashin cin nasara tare da rheumatism m nau'i ne musamman rare. Idan ba mu da wata cũta ko wani wahala na zuciya da jijiyoyin jini tsarin, cutar auku sosai sauƙi. Idan ka lura a kalla wasu canje-canje a cikin hali na yaro - tuntuɓi mai likita.

Yanzu bari biya wasu da hankali hyperkinesia. Shi ne yanayin da ya zo zuwa ga tsawo da cutar. A wannan lokacin, wani mutum ne ko da yaushe a tashin (ya ba zai iya zama, tsaya ko kwanta). Akwai involuntary tsoka contractions cewa za su iya tsangwama tare da yaron a cikin yin amfani da abinci (rage tsokoki na harshe, lebe da sauransu). Sun kuma shafi sauran tsoka kungiyoyin, da wadannan cututtuka zai iya faruwa:

• m walƙiya.
• harshe protruding.
• grimacing.

Lura cewa a lokacin barci duk hyperkinetic cututtuka bace. Bayan duk na sama bayyanar cututtuka za a iya samu a cikin binciken rage tsoka sautin. Babu musamman Nazarin da ake bukata a cikin tsanani siffofin, kamar yadda za a iya gani da ido tsirara. A yaro mai tsanani nau'i na cutar ba zai iya rike kansa ko zauna. Yawancin lokaci, bayyanar cututtuka wuce daga makonni uku zuwa watanni uku. Sai suka hankali ya kwanta. Tabbata ka tuna cewa dakwai, komowan cutar ne fairly na kowa (cin lokaci - game da shekara guda bayan da na karshe hali, wani lokacin yawa a baya).

Chorea iya dan kadan kara jiki zafin jiki (37.5 digiri). Iya bayyana kumburi da kuma zafi a cikin gidajen abinci.

dalilai

A wannan sashe na labarin, za mu yi kokarin bincika daki-daki, ga tambaya daga cikin Sanadin rheumatic zazzabi a cikin yara. Kamar yadda aka ambata a baya, ko da zamani magani ba zai iya bayar da wani daidai amsar wannan tambaya. Akwai da dama theories, da kuma gina a kan su, za mu iya cewa haddasawa iya zama da yawa dalilai.

factor	bayani
Kwanan nan, cututtuka	Wadannan sun hada da ARI, tonsillitis, Sikakken zazzabi, tonsillitis da sauransu. Yana da mahimmanci a lura cewa an lalace su ne daga rukuni na A streptococcus.Amma ya kamata a bayyana cewa kamuwa da cuta tare da kamuwa da cuta ba shine ainihin yanayin ci gaban rheumatism ba. Wannan yana buƙatar rashin aiki a cikin tsarin rigakafi. Sai kawai a wannan yanayin ya fara kai hari kan kwayoyin lafiya. Ana bayyana wannan a cikin lokuta lokacin da jiyya ya fara ba tare da izini ba (ko dai ba daidai ba ne).
Matsayi na biyu shi ne haɗin kai	A cikin yawan bincike da tambayoyin da aka gano an gano cewa nauyin haɗin kai yana taka muhimmiyar rawa wajen bunkasa rheumatism. An lura cewa wannan cuta sau da yawa yakan kasance a cikin 'yan mamaye guda.
Sake ci gaba da kamuwa da cutar streptococcal	A matsayinka na mulkin, streptococcus na dogon lokaci na iya zama a cikin nasopharynx, sakamakon sakamakon tsarin da ba a rigakafi ba. Sakamakon shine ci gaban rheumatism.
Bayanan sakandare	Duk da haka baƙon abu yana iya sauti, akwai wasu dalilai na biyu waɗanda zasu iya haifar da ciwon rheumatism a cikin yara. Wadannan sun hada da: hypothermia, overfatigue, abinci mara kyau. Yaya wannan zai shafi cigaban cutar? Duk abu mai sauki ne, waɗannan abubuwan suna da mummunan sakamako a kan tsarin yaduwar cutar. A sakamakon haka, yiwuwar mummunan zafin jiki na ƙaruwa sau da yawa.

Diagnostics

Mene ne rheumatism a cikin yara (bayyanar cututtuka, hotuna, dalilai da aka ba su a cikin labarin), yanzu, da fatan, m. Mun wuce ga ganewar cutar. Da farko, dole ne a ce duk wani mutum, daga iyayensa da malamansa ga likitan yara ko mai ilmin lissafi, zai iya ɗaukakar yaron da cutar.

Clinic na rheumatism a cikin yara (bayyanuwar asibiti) ya bambanta. Yana da muhimmanci a san ainihin ka'idodi:

• Carditis (wani nau'i na shi);
• Chorea (mun kula da wannan cuta a baya);
• Matsayin nodules a karkashin fata na yaro;
• Erythema;
• Polyarthritis;
• Kwanan nan canzawa kamuwa da streptococcal;
• Ra'ayin asiri.

Idan yaron yana da akalla daya daga cikin alamun bayyanar, to, yana da gaggawa don ganin likita. Baya ga waɗannan sharudda, akwai wasu:

• Arthralgia;
• Fashin ciki;
• Yawan jini ya canza.

Don bincika ɗan jarrabawa da yin tambayar mai haƙuri. Don cikakkun ganewar asali, yana da muhimmanci don gudanar da bincike da yawa, wanda ya haɗa da rayukan X-ray, ECG, echocardiography.

Hakanan X-rayukan taimakawa wajen tabbatar da daidaitattun zuciya, ECG zai nuna damuwa na zuciya (idan wani), rubutun echocardiography ya ƙayyade ciwon zuciya.

Jiyya

Mun bincika ganewar asali da bayyanar cututtuka na rheumatism a cikin yara. Jiyya na cutar shine tambaya ta gaba. A wannan yanayin, ana buƙatar hanyar da aka dace. An umurci magani na rheumatism zuwa:

• Taimako na bayyanar cututtuka;
• Halin tasirin streptococcal flora.

Rheumatism a cikin yara (cututtuka, magani da kuma hoto wanda muke la'akari) ana bi da su a asibiti. Kula da gaskiyar cewa ana aiwatar da farfadowa har ma tare da tuhumar cutar.

Yaron ya buƙata:

• gado sauran , tare da sauka a hankali karuwa a cikin aiki aiki.
• Abinci mai kyau, cin abinci ya ƙunshi yawancin potassium;
• Ƙungiyar ta dace da ayyukan wasanni.

Magungunan magani yana dogara ne akan:

• Shirye-shiryen antibacterial;
• Hormonal;
• Anti-mai kumburi;
• Cibiyoyin bitamin;
• Shirye-shirye na potassium;
• Immunostimulants.

Duk waɗannan kwayoyi sun taimaka wajen yaki microflora pathogenic. A sakamakon haka, an cire tsarin kumburi da kuma rage alamar cututtuka na cutar. Yana da muhimmanci mu lura cewa magani zai iya samun wasu sakamako masu illa:

• Ci gaban ulcers;
• Gastric jini;
• Rarraba a cikin aiki na endocrine gland.

Rigakafin

Wannan ɓangaren yana mai da hankali ga rigakafin rheumatism a cikin yara. Yada matakan farko da na sakandare. A cikin akwati na farko, an biya hankali ga yadda yaron ya ci gaba:

• Hardening;
• Abincin abinci mai kyau;
• Wasanni;
• Yin gwagwarmaya tare da rukuni A streptococcus

Babban sakataren ya mayar da hankalin akan hana sake dawowa:

• "Bicilin 5" - 1.5 miliyan raka'a sau ɗaya kowace mako hudu zuwa makaranta;
• "Bicilin 5" tare da nau'i na kimanin miliyan 0.75 sau ɗaya a kowane mako biyu zuwa makarantun sakandare.

Lura cewa ana bada shawara don hana tsantsar kowace shekara, kowace wata. Lokacin da aka ba da shawarar shine shekaru biyar.

Hasashen

Yawancin iyaye mata sun iya magance wannan cutar ta hanyar tuntuɓar asibitin don taimakon likita a lokaci. Idan har ya kamata a kiyaye kiyayewar rheumatism, sake komawar bazaiyi barazanar rai ba. Muna da cikakken bayani game da rheumatism a yara, alamu, amsoshin. Mene ne aka ba da labarin?

Mun lura cewa rheumatic carditis a cikin kashi 25 cikin 100 na lokuta tare da ci gaba da cututtukan zuciya. Maimaitawar bayyanar ba ta da damar yin guje wa ɓarna. A sakamakon haka, saƙo na cardiosurgical wajibi ne. Sakamakon mutuwa na rashin ƙarfi na zuciya shine kimanin kashi 0.4%. Ya kamata a lura da cewa sakamakon cutar ya dogara ne da daidaitaccen lokaci da magani.