সংজ্ঞা
Rheumatic fever is an inflammatory condition. It involves the connective tissue in the body. The most severe complication is rheumatic heart disease. This condition may permanently damage the heart valves. Valves control the flow of blood to and from the heart.
কারণসমূহ
Rheumatic fever is caused by group A Streptococcus pharyngitis, also known as strep throat. In this case, the body uses antibodies to fight the infection, but the antibodies also attack the heart.
ঝুঁকির কারণ
Factors that may increase your risk of rheumatic fever include:
- Having strep throat
- Prior case of rheumatic fever
- Age: 5 to 15 years old
লক্ষণ
Symptoms usually appear 2 to 4 weeks after a strep infection. They may include:
- Pain and swelling in large joints
- জ্বর
- দুর্বলতা
- পেশী aches
- নিঃশ্বাসের দুর্বলতা
- বুক ব্যাথা
- বমি বমি ভাব এবং বমি
- Hacking cough
- Circular rash
- Lumps under the skin
- Abnormal, sudden movements of arms and legs
রোগ নির্ণয়
The doctor will ask about your symptoms and medical history. A physical exam will be done. This will include a careful exam of your heart.
অন্যান্য পরীক্ষা অন্তর্ভুক্ত হতে পারে:
- Samples may be taken of your bodily fluids and tissues. This can be done with:
- রক্ত পরীক্ষা
- গলা সংস্কৃতি
- You may need to have pictures taken of your heart. This can be done with:
- ইকোকার্ডিওগ্রাম
- Chest x-rays
- You may need to have your heart activity measured. This can be done with an electrocardiogram.
চিকিৎসা
চিকিত্সার লক্ষ্যগুলি হল:
- Kill the strep bacteria
- Treat the inflammation caused by the rheumatic fever
- Treat any cardiac problems
- Prevent future cases of rheumatic fever
চিকিত্সা অন্তর্ভুক্ত হতে পারে:
ঔষধ
To treat the strep infection:
- Penicillin or other antibiotics such as erythromycin and azithromycin
- May be given by mouth or injection
To help with joint pain and swelling:
- Aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs)—only if advised by your doctor
- Corticosteroids may be used if NSAIDs are not effective or if there is inflammation of the heart
বিশ্রাম
In some cases, the inflammation can be severe. You may have to rest for a period of time.
প্রতিরোধ
It is important to treat strep throat with antibiotics right away. This will help prevent rheumatic fever. If you or your child has a sore throat and a fever that lasts more than 24 hours, contact your doctor.