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Rheumatism

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Rheumatism occurs in various forms. This is a disease that affects the joints, heart and other organs. In some families there is an innate tendency to disease of rheumatism. Doctors believe that rheumatism is a reaction to any part of body (eg, joints or heart) against streptococcal throat infection. If not treated immediately and properly, the attack can last for weeks or months. Furthermore, the disease tends to be repeated many times in
childhood whenever the child has streptococcal angina.

Sometimes the disease appears very sharp, high temperature. In other cases smolder for weeks and caused only a slight increase in temperature. For severe arthritis inflammation goes from one joint to another, they are swelling, redness and sore. In other cases, arthritis can be mild, with intermittent pain that appear sometimes in one, sometimes in another case. If the heart is severely affected child was apparently fallen, pale and appeared with him breath. In some cases, showing that the heart is affected by previous rheumatic attacks, which were so light that had passed unnoticed.
In other words, the manifestations of rheumatism is characterized by extraordinary diversity. Naturally, if the child you appear severe rheumatic symptoms, you should consult a doctor, but no less important is the examination of a child who has vague symptoms such as paleness, fatigue, a slight increase in temperature and mild joint pain.
Nowadays, there are several drugs that efficiently eradicate streptococcal infection and throat (ie outbreak) and accelerate the healing of rheumatic inflammation of joints or heart. As a result, pa this treatment is less likely to be affected heart valves in the first attack. But more importantly tons, that a child who has experienced a rheumatic fever, can usually be protected from others and consequently further damage the heart. The child must be continuously and regularly absolutely be under medical supervision and to take medicine (internal or injections) to prevent new streptococcal infection.
Joint pain and pain in growth. "In the past, was considered a natural growth in relation to children complained of pain in his legs and hands and no one is bothering them. When the facts that rheumatic pain may be very weak, doctors take into account that in all cases of limb pain. But sometimes parents think that rheumatism is the only cause of all pains in the limbs and unnecessary worry.
There are eg. leg pain caused by flat feet and weak ankles, which most often occur at the end of the day when the child is tired. There are children between the ages of two and five years who wake up crying and complaining of pain around the knee or in the calf. This only happens at night, but may be repeated for weeks. Usually it turns out that the cause is not rheumatism. Often believed that the cause is spasm of the calf muscle.
There are many causes of pain in hands and feet and in all individual cases, the physician should review and examine the child and decide
Noise in the heart. The words "heart noise" sound alarming to parents. You must understand that in most cases they do not mean anything serious. Generally speaking, there are three types of noises in the heart: acquired, congenital and functional (or "innocent").
More than acquired heart murmurs in children are the result of illness spent by rheumatism, which damages the heart valves, and consequently they may be deformed. Consequently, they do not open properly or do not close tightly, preventing the normal circulation. When the doctor found the child in the heart of noise, which previously did not exist, that on the one hand, may mean there is now an active rheumatic process. In this case there are other signs of inflammation: fever, rapid pulse, increased number of leukocytes in the blood and accelerated sludge blood. The doctor treats a child with this medication and keep him in bed to the disappearance of all signs of rheumatic inflammation even if it continued for months. On the other hand, if some time has no signs of active inflammatory process, noise may be due to old rabtsi remaining from the previous attack.
In before the child who had ringing in my heart, sometimes for years is treated as poluinvalid, forbade him to engage in sports or mobile games even when there were no signs of active rheumatic process. If changes in heart valves do not interfere with the normal heartbeat, the trend today is to allow the child who has completely passed the stage of active rheumatic process to gradually return to as much as possible in normal life (including games and sports not so difficult). There are two reasons for this. Muscles of the heart, unless they become inflamed, attached by living active. Moreover, even more important is to maintain the spirit of the child to not feel self-pity, not to feel hopeless case, differently from other children. Such a child, however, absolutely must regularly take medications that protect it from streptococcal infections.
Noise caused by congenital defect of the heart, usually found at birth or several months later (going to happen after several years). This noise is not usually caused by inflammation, but means that the heart was initially incorrectly formed. Important is not so much noise himself, and whether deformation prevents the normal heartbeat. If you interfere, the baby may be turning blue, breathing heavily or lagging in growth.
Infant or older child with congenital heart sound should be carefully studied by spetsilisti. Some severe congenital defects can be cured with surgery.
If a child with congenital noise satseto able to be active without turning blue or not much to gasp and grow normally to his emotional development is important not to be treated as invalid and be allowed to lead a normal life. It must be protected from infection and needs a lot of care during illness, but it also applies to all other children.
The term "functional" or "innocent" is incorrect and the noise is just that the child has a sound heart, which is not due to congenital malformation or rheumatism. These innocent murmurs are very common in early childhood. Until puberty they gradually disappear. Typically, the physician shall inform the parents about the noise, so if he is found later by another doctor, they can explain that it was even earlier.
Chorea. Chorea is a nervous disease in which appear hitch or flicker of various body parts, which can last for months. These movements may be strong or subtle. Contraction of facial muscles causes various grimaces. Arm can be raised now one, now in another direction. Shudder of the muscles of the body causes a slight lurch. With hands and fingers sick child perform coordinated movements. Handwriting of a child is upset, it starts to drop objects. Movements are made uneven (sometimes shortened to one, sometimes another muscle) and they do not resemble one another,
In some children with attacks of chorea occur simultaneously and vivid attacks of rheumatic fever with heart damage and joints. This causes many doctors to accept that chorea is simply a form of rheumatism. But other children had one or more attacks of chorea, without having had any signs of rheumatism. That's why some doctors believe that there are two separate types of chorea - rheumatic one, the other nerevmatichna.
Most attacks of chorea occur between 7 th year and early adolescence. In this age of frequent some other neurological manifestations such as twitching and general restlessness, and so often taken for chorea. A child with tic periodically perform the same movement, blink, cough, lift the arm, while movements in chorea are always different in different parts of the body. General restlessness is something else. This activity put the child who is constantly moving his chair, stamped her foot, plays with his hands, etc.
During the attack of chorea child becomes promiscuous. Easy to cry, laugh easily, explodes at the slightest occasion. To this should occur leniency because the child did that without asking. Sick of chorea child must be under medical supervision. After some time chorea disappears even if there have been several attacks. The child should be regularly reviewed and monitored not develop other manifestations of rheumatism. If these occur, they must be carefully treated.

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