Ta yaya Case na Cikakken Strep zai iya haifar da lalacewa ta Zuciya?
Cutar zuciya mai rheumatic wata cuta ce mai tsanani na rheumatic fever . Yana nufin lalacewa na kwakwalwa na zuciya wanda zai iya bunkasa shekaru bayan tarin zafi na rheumatic, wanda yakan haifar da rashin lafiya na zuciya idan aka bar shi ba tare da izini ba.
Cutar cutar rheumatic wani cututtukan ƙwayar cuta ne wanda zai iya ci gaba saboda sakamakon cutar strep wanda bai dace da shi ba ko kuma zazzabi .
Lokacin da wannan ya faru, tsarin na rigakafi ya amsa mummunan tare da ciwon kumburi na yau da kullum da kuma ajiyar kwanciyar ƙwayoyin allura a ciki da kewayen ɗakunan zuciya.
Rashin ƙwayar zafi shine mafi yawan yara a cikin yara da matasa. Kodayake kwayar strep ta zama sananne a Amurka, yawancin ciwon zazzabi yana dauke da raguwa ne mafi yawan kasashe.
Sanadin cututtuka na Rheumatic Heart
Tsari mai rheumatic mai tsanani zai iya haifar da kullun zuciya, ko dai a kan zuciya ( pericarditis ), a cikin zuciya ( endocarditis ), ko kuma ya shafi muscle zuciya ( myocarditis ).
A cikin mutanen da ke fama da endocarditis, amsawar mai kumburi zai iya haifar da lalacewa har zuwa ɗaya ko fiye na ɗakunan zuciya huɗu . Da zarar irin wannan lalacewar ya auku, yawanci yana damuwa a tsawon lokaci.
Rikicin zuciya na rheumatic yana shafar kusan rabin mutanen da suke da mummunan zafin jiki na rheumatic. Yawancin lokuta ana bincikar su shekaru 10 zuwa 20 bayan taron rheumatic.
Wadanda suke da ƙugiyoyi masu yawa sun fi girma.
Hanyar cutar cututtukan zuciya
Zuciyar zuciya mai rheumatic zai iya bayyana tare da rikitarwa daban-daban dangane da abin da alamar ta shafi kuma ta yaya hanya ta lalata.
Daga cikin mafi yawan al'amuran cututtuka na rheumatic:
- Magungunan kwakwalwa na ƙwayar cuta yana nufin ƙaddamar da ƙwayar allura a kan valve din. Kulluɗin motar ita ce bawul din da zai iya yaduwar jini daga hagu na hagu zuwa ventricle na hagu. Hadawa na alli na iya hana basar ta bude gaba daya ( mitral stenosis ) ko buɗewa a kowane lokaci. Wannan yana haifar da bashi, wanda ake kira " regurgitation mitral" .
- Cutar daji na kwari yana daya daga cikin abin da ƙwayar ƙwayoyin calcium take wucewa akan kwandon mai kwakwalwa wanda ke raba ventricle na hagu daga aorta. Wadannan adibas zasu iya haifar da ci gaba da tsarkewar ƙwayar cuta , ƙaddarar tsawa , ko duka biyu.
- Tricuspid regurgitation ya ƙunshi tuduspid valve raba da dama atrium daga hannun hagu ventricle. Yanayin da ya haɗa tare da cutar kwarji da / ko mitral.
- Jirgin da ake yi na shari'a , wanda ba daidai ba ne, kuma sau da yawa yawan zuciya ya haifar da raguwar jini, ya fi dacewa da haɗakar ƙwayar jini.
Yin maganin cututtukan cututtuka na Rheumatic Heart
A bayyane yake, hanya mafi kyau ta magance yanayin kamar cututtukan zuciya na rheumatic ita ce ta hana shi. Wannan yana buƙatar yin amfani da maganin maganin rigakafi don magance strep makogwaro ko kyakkan zazzabi, duka biyu suna haifar da kwayar cutar A streptococcal.
Da zarar mutum yana da ciwon rheumatic, yana da mahimmanci don hana abubuwan da zasu faru a nan gaba. Ga mutanen dake da alamun cutar cututtukan zuciya, za a iya amfani da kwayoyin maganin kwayoyin maganin kwayoyin maganin kwayoyin cutar . Don rage ƙumburi, aspirin, steroids, ko kuma marasa lafiya steroidal kwayoyi (NSAIDs) za'a iya tsara su.
Mutanen da suka fuskanci mummunar zafin jiki na rheumatic ya kamata su shawo kan gwajin jiki shekara-shekara don bincika yiwuwar zuciya ko wani mummunan zuciya.
Idan an gano shi tare da cututtukan zuciya na rheumatic, yana da muhimmanci a kula da yanayinka akai-akai tare da echocardiogram da sauran kayan aikin bincike. Yayinda matsalolin zuciya suna fama da damuwa a tsawon lokaci, waɗannan gwaje-gwaje na yau da kullum zasu iya taimakawa wajen ƙayyade idan kuma lokacin da ake buƙatar gyaran valve .
Lokacin yin gyare-gyaren maye gurbin yana da mahimmanci saboda cewa kana so ka yi aiki kafin rayuwar mutumin ya ragu sosai amma ba da wuri ba don haɗarin mutumin da yake rayuwa tsawon lokaci na bashi na wucin gadi kanta.
> Sources:
> Rothenbühler, M .; O'Sullivan, C .; Stortecky, S. et al. "Binciken Kulawa da Raunin Zuciyar Lafiya a Yankunan Ƙarshe: Tsarin Gudanarwa da Tattaunawa ta Meta tsakanin Yanayi da Matasan." Lancet Glob Lafiya. 2014; 2: e717. DOI: 10.1016 / S2214-109X (14) 70310-9.
> Watkins, D .; Johnson, C. Colquhoun, S. et al. "Duniya, Yankin Yanki, da Ƙasa na Ƙungiyar Rheumatic Heart Disease, 1990-2015." N Engl J Med . 2017; 377: 713. DOI: 10.1056 / NEJMoa1603693.
> Zühlke, L ;; Engel, M .; Karthikeyan, G. et al. "Abubuwa, Rarraba, da Gaps a cikin Sharuɗɗun Bayanai na Gaskiya a Rheumatic Heart Cutar: Rikicin Rheumatic Heart Disease Registry (nazarin karatun)." Eur Heart J. 2015; 36: 1115. DOI: 10.1093 / eurheartj / ehu449.