Sydenham chorea

Sydenham chorea ke lefu la motsamao le hlahang kamora ho tšoaetsoa ke libaktheria tse ling tse bitsoang sehlopha A streptococcus.

Sydenham chorea e bakoa ke tšoaetso ea baktheria e bitsoang sehlopha A streptococcus. Hona ke libaktheria tse bakang rheumatic fever (RF) le strep throat. Libaktheria tsa sehlopha sa streptococcus li ka sebetsana le karolo ea boko e bitsoang basal ganglia ho baka bothata bona. Basal ganglia ke sehlopha sa meaho e tebileng bokong. Li thusa ho laola motsamao, boemo le puo.

Sydenham chorea ke lets'oao le leholo la RF e matla. Motho eo ekaba o na le lefu lena hajoale kapa haufinyane. Sydenham chorea e kanna ea ba sesupo feela sa RF ho batho ba bang.

Sydenham chorea e etsahala hangata ho banana pele ho bohlankana, empa e ka bonoa ho bashanyana.

Sydenham chorea haholoholo e kenyelletsa ho sisinyeha ha matsoho, matsoho, lehetla, sefahleho, maoto le kutu. Metsamao ena e shebahala joalo ka litsenene, 'me e nyamela nakong ea boroko. Matšoao a mang a kenyeletsa:

• Liphetoho mongolong
• Ho lahleheloa ke taolo e ntle ea makoloi, haholo menoana le matsoho
• Ho lahleheloa ke taolo ea maikutlo, ka linako tse ling tsa ho lla kapa ho tšeha ho sa lokelang

Matšoao a RF a kanna a ba teng. Tsena li ka kenyelletsa feberu e phahameng, bothata ba pelo, bohloko ba manonyeletso kapa ho ruruha, makhopho a letlalo kapa makhopho a letlalo, le ho tsoa mali ka nko.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Ho tla botsoa lipotso tse qaqileng mabapi le matšoao.

Haeba ho belaelloa tšoaetso ea streptococcus, ho tla etsoa liteko ho netefatsa tšoaetso. Tsena li kenyelletsa:

• Swab ea 'metso
• Teko ea mali ea anti-DNAse B
• Teko ea mali ea Antistreptolysin O (ASO)

Liteko tse ling li ka kenyelletsa:

• Liteko tsa mali tse kang ESR, CBC
• MRI kapa CT scan ea boko

Lithibela-mafu li sebelisetsoa ho bolaea baktheria ea streptococcus. Mofani oa thepa a ka fana ka lithibela-mafu ho thibela tšoaetso ea RF nakong e tlang. Hona ho bitsoa lithibela-mafu, kapa lithibela-mafu (prophylaxis).

Ho sisinyeha ho matla kapa matšoao a maikutlo a ka hloka ho phekoloa ka meriana.

Sydenham chorea hangata e ea hlaka ka likhoeli tse 'maloa. Maemong a sa tloaelehang, mofuta o sa tloaelehang oa Sydenham chorea o ka qala hamorao bophelong.

Ha ho mathata a lebelletsoeng.

Bitsa mofani oa hau haeba ngoana oa hau a ba le metsamao e sa laoleheng kapa e tsoarang, haholo haeba ngoana a sa tsoa ba le 'metso.

Ela hloko ka hloko litletlebo tsa bana tsa 'metso le ho fumana kalafo ea kapele ho thibela RF e matla. Haeba ho na le nalane e matla ea lelapa ea RF, hlokomela haholo, hobane bana ba hau ba kanna ba ba le monyetla oa ho ba le ts'oaetso ena.

Motjeko oa St. Vitus; Chorea e nyane; Rheumatic chorea; Rheumatic fever - Sydenham chorea; Khohlela molaleng - Sydenham chorea; Streptococcal - Sydenham chorea; Streptococcus - Sydenham chorea

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Okun MS, Lang AE. Mathata a mang a motsamao. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 382.

Shulman ST, Jaggi P. Nonsuppurative poststreptococcal sequelae: rheumatic fever le glomerulonephritis. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 198.