Tonu te mate i roto i ngā pakeke me ngā tamariki: take, tohu, maimoatanga

Ko te tūranga tino nui i roto i te maimoatanga o te mate onge whai he tātaritanga e taea ki te rerekëtanga ki te mate i te maha o te tahi atu disorders hauora. Ko te roa o tonu maimoatanga te mate, engari te waitohunga o tūroro i roto i te wā ki te kite i te mātanga, i roto i te nuinga o te wā pai.

Ko te hītori o te mate

Tuatahi ako e pā ana ki te mate i roto i 1897, whakawhetai ki tākuta George Steele. Ko i tenei wa o te mate o te râ i whakaaro ai he puka anake o kaikōiwi. Anake i roto i te 1971, whakaputaina Erik Bayuoters rangahau e te wehe i te mate i te maha o ngā raruraru ki ngā tohu rite.

whakaatu tatauranga Medical e mate kino onge taea rite māngai o te tane me te wahine. Heoi, tuku te nuinga o tūroro ki te tākuta ki te tohumate o te mate o Tonu ka riro he tātaritanga whakau - tamariki i raro i te 16 tau o te tau. Homai he taitamariki taua tau, i te nuinga o tūroro, he uaua tātaritanga no te mau metua tuatahi kite tohu o te tamaiti, he uaua ki te whakapono i roto i te oraraa o taua "tau" o te raruraru.

Ko te take o te mate

Mohoa noa nei, he mārama te etiology o te mate. Kua rahua, rangahau maha e hāngai ana te tāutu i te āhuatanga i whakapataritari a tonu mate i roto i ngā tamariki me ngā pakeke. E ai ki te whakapae te tikanga whakaaetia, te mate ko te hua o ngā pānga i runga i te tinana ranei hopuhopu māngai viral, engari taunakitanga ki te tautoko i tenei whakapae, kahore.

tamata Doctors ki te pāhono i te mate ki te hapū, te whakamahi o ngā rongoā, tae atu o hormones wahine, ahotea me ētahi atu āhuatanga. E ai ki etahi puna Tonu te mate e pā ana ki disorders autoimmune. Authentically whakamatauria reira anake e i roto i te wāhanga hohe o te mate āhuatanga e huringa i roto i te kukū o cytokines. Pea i roto i te rongoā i mua nei e taea ki te tautuhi i te take o te mate, reira whakangāwari ona tātaritanga, me te tere i te ora o te tūroro.

Tohu o te mate tonu i roto i ngā pakeke

Tonu te mate, he rite ki te maha o e pāngia e te maha o ngā āhuatanga i ētahi atu mate nei tohu:

• Puta Fever ka āhuatanga o Tonu mate e kirika, tūturu i roto i te maha o ngā mate hopuhopu, ratou inconstancy. I ngā wā, i pupuri te pāmahana i roto i te ra e i roto i te whānuitanga noa, engari e rua he ra, maranga ki 39 nga nekehanga, me te runga ake. I te taua wa kotahi-rima o tūroro e tukupu ana o tohu pāmahana, me te whakapai ake o te manawanui pai-oranga e kore e kitea, e tino fakafaingata'a'ia'i te tātaritanga.
• I te tihi o te tairanga pāmahana i roto i te manawanui whakakitea hūnga kiri, aroaro papules māwhero tongi ranei. Nuinga o ngā wā, he ohorere kei i runga i te kātua me topito proximal, iti maha - E whakaatu ana te pikitia he hunga ponana i runga i te mata. Ko tētahi-toru o tūroro ki ponana e whakatika i runga i te taupoki kiri, e ahu te nuinga i roto i te wāhanga o te waku me te kōpeketanga. huaina te tohumate taua te Koebner tītohunga. e kore e haere tahi te reira i nga wa katoa i te hikaka, apohia e, me tona kara māwhero rawa ha ma, me te hanga ngaro wā o tohu äta ki te manawanui. Doctors hanga he tātaritanga tika o te manawanui i ki kia i raro ki tirohanga e te pāmahana, whakahohetia faaiteraa o te hunga ponana. kia waiho te reira i te ua mahana te whakapanga o nga kakahu mahana ranei. faaiteraa mohiotia o te mate ko: alopecia, erythema nodosum, pakaruhanga toto petechial. Otiia i roto i te mahi, e onge taua tohu.

• āhuatanga te wāhanga tuatahi o te Tonu mate e te ahua o te myalgia me arthralgia. I roto i tenei tahi kotahi anake te tuatahi pāngia. Neke atu i te wa, e hipokina te mate atu hononga, tango i te āhua o te polyarthritis. Matua pānga nga hononga turi, raparapa, ringa, hope, temporomandibular, metatarsophalangeal. Ko te āhuatanga o te mate, te angamaheni tino mo te nuinga o te wā, ko te whanaketanga o te rumati o te hononga iho interphalangeal distal o nga ringa. Ko tenei te mea taea ki tatou rerekëtanga o Tonu mate i rūmātiki, whero lupus pūnahanaha kaikōiwi ranei.
• I roto i te 65% o ngā take o te mate puta i runga i te whakamārama o te lymphadenopathy. nui haere tetahi hawhe o te tūroro taikiri waha. I te wa ano, i roto i ētahi wā, necrotizing lymphadenitis e huru.
• I te timatanga o te mate, korerotia tūroro i tohua tahunga i roto i te korokoro, i te mea tūturu.
• Hoki tonu te āhuatanga mate te me mau faaiteraa manawa-pūkahukahu pērā i pneumonitis iroiti, tamponade cardiac, vegetations valvular romahā mate syndrome.
• I roto i te tūroro ki disorders i tohua, me te ophthalmic. Tenei pokonga uaua, Ka nunumi e hōloa Corneal iridocyclitis Rīpene kanohi.

Tonu te mate i roto i ngā tamariki

He rerekē i ngā pakeke tohutanga o te mate i roto i ngā tamariki. Heoi, Tonu te taea te lubricated faaiteraa o mate i roto i ngā tamariki, ārahi ki tātaritanga roa me te maimoatanga whakaroa. I te tahi taime rumati i roto i te kōhungahunga arata'i ki hauātanga. Hei karo i tēnei, Me mātua ki te kia tino tahuri ki te huru tinana o te tamaiti. A ka faahiti nga tohu tuatahi o te mate ki te kaimahi mohio. Whakarewatia tonu te mate i roto i ngā tamariki ka taea e meinga he hua taikaha i roto i nga topito e rapua e wawaotanga hāparapara.

tātaritanga o te mate

Mai o ngā kahore tohu motuhake o te mate, he uaua tātaritanga. I roto i ia take, te rua tekau Tonu te tukinotia mate te rite te kirika o te natura unknown. I roto i ētahi wā, te tātaritanga he "sepsis". I reira i muri noa i te raupapa o ngā akoranga tutuki o therapy paturopi me te maha o atu tātari i tae mai tākuta ki te mutunga e ko te reira te mate o te pakeke tonu te. Treatment me te whakaauraki - te wā maimoatanga me te rapu utu te tirotiro tamau hauora. Ko te taua pā ki ngā tamariki.

I tātaritanga tuhia rite tohu rite kirika, pupuhi o hononga, te whakanui ake i te taikiri me mumura korokoro, me ētahi atu āhuatanga i whiwhi mā te whakamahi i echocardiography, computed tomography me te ultrasound. Whakahauanga me te whakamātautau toto e whakaatu ana ngā taumata o platelets me ma pūtau toto. āhuatanga o I Tonu mate mo te manawanui e heke i roto i te taumata o ngā pūtau toto whero. I roto i te tūroro pakeke, teitei pūmua C-urupare me te ferritin. Ko te kupu assays mō paturopi anti-karihi, me te tauwehe rheumatoid ko te tikanga kino.

Treatment i roto i murunga

kawea maimoatanga matatini, me te poua te atu i roto i te wāhanga hohe o te mate, ranei i roto i te murunga. I roto i te take tuatahi, whakamana te hātepe i roto i te fare ma'i, i roto i te tuarua - te farii i tūroro te maimoatanga tika, i outpatients ranei i roto i sanatoria me Haerea hauora. Treatment ngā rongoā, i tua, therapy mahi me te mirimiri.

Treatment i roto i te mate whakapeka

I roto i tūroro exacerbation tango NSAIDs, immunosuppressants, glucocorticoids. He roa tonu te rongoā. Tenei he aha e hiahia ana hoki ki te he horopeta nui o te manawanui e rua ki te manawanui me tona utuafare. Tonu te mate i roto i ngā pakeke me ngā tamariki - he mate nui, me te pā ana ki reira anake e taea e tika tātaritanga wā, me te maimoatanga whakaritea.

outlook

I muri i te maimoatanga, te momo ka taea e toru o te mate. Ko te pai o ratou - ora noa kitea i roto i te kotahi toru o tūroro ki te tātaritanga onge. Ko tētahi atu tetahi-toru o te tūroro i te puka paipa o te mate ia wā. Ko te kōwhiringa uaua tino - te mate ma'i i roto i te pakeke tonu te. Treatment, whakaora me te whakanohonoho i roto i tenei take e ngā kore therapy tuku iho anake, engari arthroplasty, tuku ki whakahoki te mate tahi ngaro.