Fifth disease - Cúigiú Galar
☆ I dtorthaí 2022 Stiftung Warentest ón nGearmáin, ní raibh sástacht na dtomhaltóirí le ModelDerm ach beagán níos ísle ná mar a bhí le comhairliúchán teileamhíochaine íoctha.
16-mí d'aois le Cúigiú Galar (Fifth disease) ― Casann an dá leicne dearg, amhail is dá mba rud é go bhfuil siad slapáilte, agus feiceann gríos macúlapúla ar an gcorp.
Eiritime ar an dá leicne.
References
Is ionfhabhtú víreasach é Fifth disease , ar a dtugtar éiritime infectiosum freisin, de bharr parvaivíris B19 daonna. Tá sé níos forleithne i leanaí, go hiondúil a théann i bhfeidhm orthu siúd idir 4 agus 14 bliana d'aois. Is minic a thosaíonn na comharthaí le fiabhras éadrom, tinneas cinn, scornach tinn, agus mothúcháin cosúil le fliú. Féadfaidh páistí gríos dearg ar leith a fhorbairt ar an aghaidh cosúil le slapped cheeks , chomh maith le gríos patrúnaithe ar an gcorp, ar na lámha agus ar na cosa. I ndaoine fásta, is gearán coitianta é pian comhpháirteach, a d'fhéadfadh a bheith le feiceáil seachtainí tar éis an ionfhabhtaithe tosaigh. Go háirithe, d’fhéadfadh nach mbeadh aon chomharthaí ag thart ar 20 go 30% de dhaoine fásta atá ionfhabhtaithe le parvaivíreas B19.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
Tá thart ar 33% ar an mbaol parvovirus B19 a aistriú ó mháthair go leanbh, agus thart ar 3% de mhná ionfhabhtaithe ag fulaingt aimhréití ina leanaí. Nuair a fhaigheann an mháthair ionfhabhtaithe roimh 20 seachtaine ó thoircheas, méadaíonn an seans go dtarlóidh aimhréidh ar nós fadhbanna fola agus sreabhán i gcorp an linbh. Chun an galar seo a bhainistiú, ba cheart dúinn seiceáil an raibh an t-othar faoi lé parvaivíris riamh trí thástáil le haghaidh antasubstaintí áirithe (IgM) . Mura dtaispeánann an tástáil aon nochtadh san am atá caite ach go léiríonn sé ionfhabhtú le déanaí, ní mór monatóireacht dhlúth a dhéanamh ar an othar le linn toirchis, lena n-áirítear scanadh ultrafhuaime rialta chun seiceáil le haghaidh saincheisteanna sláinte leanaí áirithe.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
Tosaíonn cúigiú galar (fifth disease) le fiabhras de ghrád íseal, tinneas cinn, gríos, agus comharthaí slaghdáin, cosúil le srón runny nó stuffy. Gabhann na hairíonna seo, agus ansin cúpla lá ina dhiaidh sin, feictear an gríos. Is minic a bhíonn an gríos geal dearg ar an aghaidh, go háirithe ar na leicne. (mar sin an t-ainm "galar leicne slapped"). Chomh maith le leicne dearga, is minic a fhorbraíonn leanaí gríos dearg lása ar an gcuid eile den chorp, agus is iad na lámha uachtair, an torso agus na cosa na suíomhanna is coitianta.
Is gnách go mbíonn an galar éadrom, ach i mná torracha, tá ionfhabhtú sa chéad trimester nasctha le hidrops fetalis, rud a fhágann breith anabaí spontáineach.
○ Cóireáil
Níl aon chóireáil ar leith ag teastáil mar is gnách go bhfeabhsaítear é le himeacht ama.