Baby and Child Care
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
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.
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
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
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 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
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.