Cutar zafin jiki na da wahala mai tsanani wanda zai iya faruwa bayan kamuwa da cuta tare da kwayoyin streptococcus. Streptococcus yana haifar da cututtuka irin su strep makogwaro , furotin zazzabi da cellulitis . Idan ba a magance wadannan cututtuka ba, za su iya haifar da zafin jiki na rheumatic, wanda zai iya lalata zuciya, kwakwalwa, fata da kwakwalwa. Yawancin lokaci yana rinjayar yara - yawanci tsakanin shekaru 6 zuwa 15 - tun da ciwon cututtuka sun fi kowa a wannan rukuni.
Cutar cututtuka
Hanyoyin cututtuka na zafin jiki na rheumatic sun hada da:
- Fever
- Cutar ciwo
- Haɗin gwiwa (arthritis) - da farko a cikin gwiwoyi, yatsun kafa, idãnun hannu da wuyan hannu
- Haɗin haɗin gwiwa
- Skin nodules
- Hanciyar nama
- Rash on torso, makamai da ƙafafun da suka dubi zobe ko maciji kamar
- Cutar zuciya - zai iya haifar da rashin ƙarfi na numfashi ko zafi na kirji, amma mai yiwuwa bazai da alamun bayyanarta ba
- Sydenham chorea - raunin tsoka, juyayi na fuska, ƙafafu da hannu, wahala tare da motsin zuciyarmu
Dalilin
Risumatic zazzabi na faruwa game da makonni 3 bayan cutar da strep. Yana da wuya a Amurka amma yana na kowa a wasu sassa na kasashe masu tasowa. Yawanci yakan faru ne yayin da kamuwa da cututtuka ya ɓata.
Sanin asali
Babu gwajin jini mai sauƙi don gano asalin rheumatic fever. Idan likita da ake zargi cewa mutum yana da zazzabi na rheumatic, zane-zane zai dogara ne akan gwaje-gwajen da yawa da kuma ma'auni. Yawanci, mutum za a bincikarsa idan sun samu kamuwa da cututtuka na kwanan nan kuma su hadu da manyan manyan ka'idoji ko manyan manyan ka'idoji biyu.
Wadannan sun haɗa da:
Major
- Pain (arthritis) a cikin mahalli
- Zuciyar zuciya (carditis) - ƙayyade ta amfani da echocardiogram
- Nodules karkashin fata
- Hanyoyin da ke cikin sauri
- Rash
Ƙananan
- Fever
- Jubar da jini mara kyau (babban ESR ko wasu gwaje-gwaje na jar)
- Haɗin gwiwa
Jiyya
Ya kamata a kula da zafin jiki na rheumatic tare da maganin rigakafi. Bayan jiyya na farko, mutane da yawa sunyi amfani da maganin rigakafi don shekaru masu yawa don hana cutar daga maimaitawa.
Ana iya amfani da magungunan ƙwayoyi masu guba (kamar aspirin , ibuprofen da corticosteroids) don taimakawa wajen gudanar da alamar cututtuka.
Matsaloli
Cutar zuciya mai tsanani zai iya faruwa daga mummunan zafin jiki. Wannan na iya haɗawa da ƙwayar zuciya ta jiki (arrhythmias), lalata ƙwaƙwalwar zuciya (cututtuka ko ƙari), ƙurar ƙwayar zuciya (endocarditis ko pericarditis) da kuma rashin zuciya.
Sydenham chorea kuma ana iya la'akari da cewa cutar zazzabi ne, duk da cewa shi ma daya daga cikin bayyanar cututtuka. Ya ƙunshi canje-canje a cikin motsin zuciyarmu, jigilar hanzari da hannayensu, ƙafafu da fuska da kuma rauni na tsoka. Duk waɗannan sune alamun lalacewar cutar ta jiki, duk da haka lalacewar ba ta zama dindindin ba.
Yanayin Tsayi
Hanyar da ta fi dacewa don hana ciwon rheumatic shine a bi da duk wata cuta ta kowace cuta. Idan kai ko yaronka ana bincikar su tare da strep makogwaro, kyamarar zazzaɓi ko cellulitis, tabbatar da kayi amfani da dukkan maganin maganin rigakafi kamar yadda aka umarce su. Tuntuɓi mai bada sabis na kiwon lafiya nan da nan idan kana da alamun ko kuma damuwa game da zafin jiki na rheumatic.
Sources:
"Rheumatic Fever." National Library of Medicine 12 Jul 08. Cibiyoyin Kula da Lafiya na kasa. 15 Janairu 10.
"Cututtukan Rheumatic Heart / Rheumatic Fever." Ƙungiyar Zuciya ta Amurka 2010. 17 Janairu 10.