Complications of heart
Childhood Diseases / / March 31, 2016
Rheumatism, Kawasaki disease
Why pediatric cardiologists are afraid colds and sore throats
cause of cardiovascular disorders in children - mostly "bad" heredity or congenital conditions.But there are two conditions that are fraught with complications is at the heart of the child.It rheumatism and Kawasaki disease.Especially dangerous are those that are difficult to diagnose: first symptoms indicate normal or acute respiratory disease SARS.
Acute rheumatic fever (rheumatic fever, a disease Solkoskogo-Buyo)
This disease is rare in children younger than 3 years.The most dangerous age - primary school, at least - the preschool.More common in girls.The occurrence of rheumatic fever and its relapses associated with streptococcal infection.It causes strep tonsillitis, pharyngitis, strep cervical lymphadenitis.That's why nedolechennaya angina can give complication on the heart.
How is it manifested? child suffered a severe sore throat or sore throat, or a complication of chronic streptococcal infection and seems to be cured.In fact, the disease has entered a "latent", the latent period, which can last from 1 to 3 weeks.Kid looks almost healthy, except that he sometimes fever.
At the end of the second period of illness comes the third: a rash, like a pale pink ring-shaped rash on the trunk, arms and legs.This means that the disease has already hit the heart, joints and nervous system.Complications can be of three types: rheumatic heart disease, rheumatoid arthritis and chorea.
Rheumatic heart disease affects the heart: it is an inflammation of all or individual layers of the heart wall.It is characterized by severe dyspnea, palpitations, and intermittent pain in the heart, the appearance of cough, frequent, arrhythmic pulse.If exertion in the child swollen legs, stomach volume increases.If you continue not to treat rheumatic heart disease, it can lead to acquired heart disease.
This rheumatic joints.In large and medium-sized joints, such as knee and ankle, there are severe pain, swelling, skin in the joint becomes red.Tiny hardly given every move.
How to prevent? best prevention is to increase immunity - hardening, the correct mode with alternating stress and rest, good nutrition.It is necessary to identify and treat acute and chronic infections.And even if the doctor suggests tonsillectomy - removal of the tonsils do not rush to give up.It tonsils are very often the "hotbed" of streptococcal infection and inflammation of these small bodies - chronic tonsillitis may one day develop into rheumatic fever.
Unlike rheumatism, often affects boys.About 80% of patients ill with the age of five years.The later treatment is started, the greater the likelihood that the damage to the heart and blood vessels to be serious.
How is it manifested? Until now, scientists argue that the cause of Kawasaki disease.Presumably it has an infectious origin.First there is fever: temperature may rise from 37.5 - 38.0 to 40.0 C. Such fluctuations in body temperature can be extended to 3 weeks.
child becomes excitable, his swollen throat and lymph nodes in the neck, there is a brightly colored rash of vaguely-defined spots of various sizes.Spot may coalesce and cover most of the body, and sometimes the face.Can develop photophobia, inflamed eyes, conjunctivitis begins.
Another disturbing symptom "strawberry tongue": it is covered with bloom, "coated", swollen and painful.Lips and mucous membrane of the mouth becomes dry, become bright red.Begins to redden the palms and soles of hands.Hands and feet may swell.The child is excited, but refuses to mobile games, as his joints lose flexibility and hurt.
A couple of weeks after the onset fever weakens.At the same time disappear rash and swelling of the lymph nodes, but it begins to peel off the skin around the nails on the hands and feet - this state resembles a snake molting.Knees, hips and ankle of the child may be sore and painful.However, soon all these unpleasant sensations disappear.
What remains?Invisible destruction, which carries Kawasaki disease of the cardiovascular system, the expansion of the coronary arteries.Subsequently, this can cause them to rupture and thrombosis, cause a heart attack.Contractile function of the heart and valves also suffer work - heart failure begins.
How to prevent? One of the treatment methods is that the child is administered high doses of intravenous gamma globulin.This protects the heart and blood vessels from irreversible damage.The earlier the administration of gamma globulin, the greater the chance to avoid complications.
Aspirin helps to ease fever, joint inflammation and pain, but also prevents the formation of blood clots.Constant control of the number of platelets in the blood, and if the level is much higher than normal, and prescribe stronger than aspirin, means "blood thinning".
After recovery, the child is still in a few years should be seen by a cardiologist.In most cases, the prognosis of the disease favorable Kawasaki.
reminder for parents
Kawasaki disease are children from 0 to 5 years old, children 7-15 years rheumatism.Kawasaki disease often affects boys, girls acute rheumatic fever.Both diseases start out as ordinary colds.It is important to notice and begin to treat them at an early stage.
especially careful should parents whose children suffer from frequent colds and infectious diseases, as well as those whose families have had instances of rheumatic fever and Kawasaki disease.
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