Rheumatic
fever is one of the most important types of acute rheumatism, which
most affect children as well as rheumatoid arthritis and systemic lupus
erythematosus, which is considered one of the chronic rheumatic
diseases, may also affect children. Number of children with arthritis is
small, when compared with adults.
But
attention should be paid when you hit the small, because the symptoms
may be milder than what is it when you hit big, even if symptoms joint
pain may not appear at all and the child may seem very ill with the
advent of high temperature and a rash that may appear with like infected
with a contagious disease. Parents
should realize that arthritis in children, although symptoms are simple
and light, but in reality it affects the whole body.
Some
types of arthritis that affects the child may affect the eyes may lead
to his blindness, and serious complications should be monitored and
addressed. When
healing the child from an acute attack, should limit his sports
activities and anticipation and prevention of injury affected joints any
cuts or bruises that could lead to a subsequent heart.
Should the full attention of the patient, and understand the nature and mechanism of the disease and treatments. Has proven to be granted child love and affection by parents or others plays an essential role for effective treatment. Just as arthritis affects adults, it also affects children even in the early years of age. So
the mother should pay attention to some of the symptoms suffered by the
child, such as pain and swollen joints and morning stiffness and high
temperature.
Rheumatic fever
The
rheumatic fever of the most important types of arthritis sharp, yet
they affect children at any age, they rarely occur in infants, but
appear more appear between the ages of five and fifteen, where
tonsillitis more frequent and severe and longer of the main reasons for
such a fever.
Where
secreted microbe nodal its own toxins, reacts with the immune system
and as a result of this interaction is concentrated in the heart and
nervous system, joints, skin, and start different symptoms depending on
where the infection, rheumatic fever remains a serious problem in
developing countries, including the Middle East. The
environmental and biological factors that play a role in the incidence
of rheumatic fever, appear to be important, because it linked the
occurrence and severity of sepsis lumpy.
Among
these factors, latitude, and altitude, humidity and economic factors of
poverty and deprivation and malnutrition and overcrowding, as happens
in the military barracks and sites closed, schools and large families in
small houses is the environmental factor largest in the occurrence of
this disease.
The
onslaught of acute rheumatic fever pretend warming with pain detailed
mobile ie they may begin detailed then move on to a detailed last after
the first detailed fully recovered during the days or weeks and rarely
proves pain in one joint was accompanied by bulge light in the affected
joint ,
knowing that the large joints of the Parties is the most injury and
rarely become inflamed several large joints at the same time, though
arthritis Say what complications or leaves behind distortions in the
affected joint, unlike rheumatoid arthritis.
It
is also the emergence of symptoms rash, this may not be always visible
rash, but when the child bathe with warm water, and it may appear rash
in all parts of the body, but it seems clear, either on the back, chest,
abdomen, hands, or feet. And this can be preceded symptoms of inflammation of the tonsils or recurring inflammation of the pharynx. fever considered rheumatic inflammatory disease occurs Kaaqpol late pharyngeal infection with germs Streptococcus group (a).
The
show painless nodules as small as a pea under the skin of the patient
unnoticed, and may appear by Streptococcus diets, and in a late stage of
the disease infected brain. The
show sudden movements is purposeful and is regularly involve the face,
tongue, hands, arms, shoulders, and increasingly these involuntary
movements emotional and disappear during sleep.
The patient complains of things fall out of his hand involuntarily. These symptoms are called small dance disease.
Based
diagnosis on the presence of two or more of the symptoms major
(inflammation of the heart muscle, arthritis, diabetes dance, rash, held
under the skin), or one of the symptoms major with two or more minor
symptoms (fever, pain in the joints, previous
infection rheumatic fever, high speed sedimentation and high anti-staph
which is called Banteay Stervto Lizin. (ASO) or some other
streptococcal antibodies or cardiac changes in planning.
In
laboratory tests the diagnosis of the disease can be high ESR and high
anti-staph (ASO) or some other streptococcal antibodies.
And
sometimes appears in the planning cardiac affect distance KPR, and
sometimes when we hear the revised attack, you may need to visual
inspection of the heart, to see whether the cardiac valves was hit or
not, and be injury, either expansion or narrowing or Petrspat. When
one is infected valves on the infected valve consists small clots that
may reach the brain and lead to clogged arteries, patient and develop a
neurological deficit of paralysis or other.
Serious complications
But
the greatest danger lies impact left by this fever when infection in
your child's tonsils several times a year to affect the disease germs in
the kidneys or heart, where affected all sections of the heart and
enlarged heart due to inflammation may leave traces and permanent damage
to the heart or valves. And
must take into account that how much of a child at the age of flowers
shot in the heart valves, and often the reason is the neglect of parents
in the treatment of recurrent inflammation of tonsillitis or
pharyngitis at such a young age.
And
do not forget to get rid of bacterial foci in the tonsils or damaged
teeth have a major impact in the prevention of some of these diseases.
The
course of rheumatic fever varies greatly, and it is is possible to
predict the start of the disease and, in general, about 75% of the
attacks of rheumatic fever subsided within 6 weeks and 90% during the 12
weeks and less than 5% may take more than 6 months.
Treatment
varies depending on the stage where the disease is discovered Whenever
was diagnosed with the disease early when treatment was easier and
faster healing, and so we can avoid a surgical intervention for the
heart. The
comfort necessary until the disappearance of clinical symptoms, and
given to prevent infection of the tonsils and throat, long-acting
penicillin injections periodically and regularly.
For
the prevention of rheumatic fever must improve living conditions and
increase social good nutrition for children and reduce congestion
places, as happens in the closed sites, schools and large families
living in small houses.
The
adequate treatment for sepsis pharyngeal appropriate antibiotic will
prevent initial attacks of rheumatic fever, and if it detects the
disease properly and treated enough the spread of infection in the
community will stop and nodal disease and epidemiological decrease this
fever occurring in the community.
Thinning osteoporosis
The word osteoporosis (Rickets) to the lack of bone mineralization Taker or bone tissue growth, and hence bone becomes weak. Bone
changes can be observed in clinically the Ricketsafter several months of
vitamin D deficiency, may develop laminating infants in the case of
breastfeeding mothers with osteoporosis within two months. It
appears clear nearly the first year and during the second year of life,
while manifestations is a lack of vitamin D in late childhood are rare.
The clinical manifestations of severe and clear. A child injured, lazy and weak resistance and slow growth normal. Swells
the ends of the bones and bend the long bones and swells bony
cartilaginous joints and lead to the so-called 'costal beads or
Alrkhaddah, leads tightening the diaphragm on the rib cage to تثلم lower
Alawrab, which called cavity Harrison.
The rickets bones become fragile, as delayed Zaoralosinan be weak.
Be
clinical demonstrations Ricketsresulting from skeletal deformities and
fractures preparedness, weakness and lack of muscle toning as well as
developmental disorders. In
severe cases in the Rickets Alaose lack vitamin D can hypocalcaemia cause
Tkzza and when severe may be associated with bouts of spasm Throat, but
in infants and young children include appearances listlessness
(listlessness), agitation and crying with a lack of vitamin deep and
sweating and muscle weakness and when disease progresses the patient becomes unable to walk without assistance.
And
develops when the child Hump frontal (emergence bone front) wall and
flatten abnormal skull and Taatlin dome head (cranial Altubbs) and could
expand the Druze. And
promoted distortions in the pelvis and extremities if the disease is
not treated with an arched particularly common in the leg and the tibia
bone, the thigh, the radius and ulna.
In
osteomalacia (Osteomalacia) the mineralization bone mature does not
match the form bone and thus becomes the bone weak (osteomalacia mean
bone tender), a disease bone metabolic, and is characterized by
insufficient calcification marrow and which depends on the ratio of
incoming calcium and phosphorus and possibly a number of metabolites of
vitamin d. The manifestations of osteomalacia usually mild in adults. There
may be a pain in the bones and reluctantly above and muscle weakness,
particularly in the deltoid muscle and pelvic belt, talk a result gait StruttedSuch as walking duck.
As
demonstrated osteoporosis in the elderly is insidious and shows
stealth, has neglected structural distortions of the bones and
controlled demonstrations turmoil underlying the symptoms of the disease
that causes osteomalacia, for example, in Oz vitamin D in (celiac
disease adult type), some symptoms when they occur include pain Jasmi
diffuse tenderness marrow. A proximal muscle weakness that mimics weakness in muscle disorders and contribute in gait Almthadih.
Can pain and weakness that I stayed patient in a bed or chair. Most
girls infected doctor who Arajan were aged between 14 - 18 years old,
and some of them came in a wheelchair, not walking Asttaathen and had
their diets, fast food such as burgers, soft drink Hrabehn.
But
have been able to walk on their feet without help after about three
months of Cherbhen constantly milk and eating a healthy diet and
exposure to the sun and follow-up treatment course. So
patients are advised Minimizing frigate foods such as chili and
desserts dyed and canned drinks, especially carbonated as well as
stimulants such as tea and coffee. Are also advised to make a lot of milk and dairy products and fresh fruits and vegetables.
Diet
plays, especially in the period of growth an important role to achieve
the maximum bone density after adolescence, and will be an asset and a
good investment for the bones in old days. The calcium plays an important role in building strong bones and reduce the risk of this disease. It
was found that people who depend on food for snacks and eat small
amounts of fresh vegetables and calcium-rich dairy products, they become
more susceptible to the disease when they reach old age.
As
a result there has been on Arab societies from a sudden change in the
behavior and lifestyle of the people in addition to the marked change in
the quality of food, which has become largely similar to it in Western
countries spread Fast-food and soft drinks, sweets and chocolate, I
expect to increase osteoporosis in These communities are sudden and large. The
classification soft drinks devastating health of the fact that all the
material that makes these drinks are harmful, such as white sugar and
artificial sweeteners and chemical preservatives and carbon dioxide.
With
regard to the sugar white Fathtoa pack soft drinks about 8 teaspoons
sugar, and this sugar destroys vitamin B, which plays a major role in
improving digestion and absorption of food and cell proliferation, and
deficiency results in poor infrastructure and neuromuscular disorders,
headaches and feeling insomnia and anxiety, depression, boredom, In addition to harming tooth enamel and increase in weight.
The
carbon dioxide they contain soft drinks, it accelerates gastric
emptying of food towards the intestine, before the completion of stages
digested in the stomach and inhibits work yeast pepsin, which impedes
the process of digestion, so unlike what you know about that helps
digestion.
It
is strange that parents prevent their children from drinking tea and
coffee, and allow them to drink cola, note that the presence of caffeine
alone, is reason enough to deprive the children of the drinks, and that
the addition of caffeine leads to addiction to these drinks and the
difficulty of quitting.
Juvenile rheumatoid arthritis (child rheumatoid ):
Juvenile
rheumatoid arthritis (rheumatoid arthritis) is a disease or group of
diseases characterized by chronic inflammation of the membrane hinge. This
disease is divided into articular disease ever to start multi: where
infected small joints of the hands and the disease is divided into two
types: multi-negative arthritis rheumatoid factor (accounting for 20 -
30%) of all patients juvenile rheumatoid arthritis. The multi-arthritis rheumatoid factor positive Vickl (5 - 10% only). Disease
may begin the development of morning stiffness, swelling and loss of
movement gradually, or accidental arthritis develops suddenly with
swollen joints.
The
inflammation usually begins joints large, Kalrkptin and ankles, wrists,
elbows and the initial infection is often asymptomatic. Arthritis occurs in the spine, which is characterized by neck Ptibs and pain in about half the patients. The
disease has a start a few joints disease is characterized by
inflammation of the joint, which is determined by four or less joints,
and often become large joints and are asymmetrical.
The
disease is divided into two types: Type I affects (30% - 40) mainly
girls before the fourth and related test be positive Boddad cores 90% of
patients. The second type afflicts boys above the eighth, and a 10 - 15% of patients with juvenile rheumatoid arthritis. And there are often a family story. Some patients develop with the passage of time ankylosing spondylitis Model with lumbar spinal injury afternoon. Juvenile
rheumatoid disease with systemic start This disease is characterized by
manifestations outside articulated, especially fever usually in the
evening and a rash.
General Tips
*
Try eating large quantities of fresh green vegetables and calcium-rich
dairy products, where calcium deficiency leads to a feeling of numbness
and tingling around the mouth and fingertips.
*
Exposure to the sun regularly to get the vitamin D, where the presence
of this vitamin helps to absorb calcium and metabolized through the
intestines.
* Reducing stimuli, such as tea, coffee and soft drinks lead to increased calcium excretion in the urine.
* Preferably also reduce sweets dyed, canned juices, as well as from the frigate foods such as chili.
* Do not eat white bread, pastries, cakes and sweets and sugars, chocolate and fried foods, preferably less of milled rice.
* Prefer moderate exercise or light.
D. Zia Taj al-Din al-Hajj Hussein consultant rheumatic diseases
