Fifth disease - Còigeamh Galar
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16-mìosan a dh'aois le Còigeamh Galar (Fifth disease) - Bidh an dà ghruaidhean a 'tionndadh dearg, mar gum biodh iad air an slaodadh, agus bidh brògan maculopapular a' nochdadh air a 'bhodhaig.
Erythema air an dà ghruaidhean.
References
Tha Fifth disease , ris an canar cuideachd erythema infectiosum, na ghalar bhìorasach air adhbhrachadh le parvovirus daonna B19. Tha e nas cumanta ann an cloinn, mar as trice a 'toirt buaidh air an fheadhainn eadar 4 agus 14 bliadhna a dh'aois. Bidh comharran gu tric a’ tòiseachadh le fiabhras tlàth, ceann goirt, amhach ghoirt, agus faireachdainnean coltach ris a’ chnatan mhòr. Faodaidh clann broth dearg sònraichte a leasachadh air an aghaidh coltach ri slapped cheeks , còmhla ri breab le pàtran air a’ bhodhaig, gàirdeanan agus casan. Ann an inbhich, tha pian co-phàirteach na ghearan cumanta, a dh’ fhaodadh nochdadh seachdainean às deidh a ’chiad ghalar. Gu sònraichte, is dòcha nach nochd timcheall air 20 gu 30% de dh’ inbhich le parvovirus B19 comharraidhean sam bith.
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.
Tha an cunnart a bhith a’ dol seachad parvovirus B19 bho mhàthair gu pàisde timcheall air 33%, le timcheall air 3% de bhoireannaich le galair a’ faighinn duilgheadasan nan leanaban. Nuair a gheibh am màthair an galar ro 20 seachdainean bho bhith trom le leanabh, bidh na cothroman air duilgheadasan leithid trioblaidean fala agus cruinneachadh lionn ann am bodhaig an leanaibh a’ dol am meud. Gus tòiseachadh air an galar seo a riaghladh, bu chòir dhuinn dèanamh cinnteach an robh an t-euslainteach a-riamh fosgailte do parvovirus le bhith a’ dèanamh deuchainn airson cuid de antibodies (IgM) . Mura h-eil an deuchainn a’ nochdadh foillseachadh san àm a dh’ fhalbh ach gu bheil e a’ nochdadh galar o chionn ghoirid, feumaidh an t-euslainteach sgrùdadh dlùth fhad ‘s a tha e trom, a’ toirt a-steach sganaidhean ultrasound cunbhalach gus sgrùdadh a dhèanamh airson cuid de chùisean slàinte pàisde.
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.
Bidh còigeamh galar (fifth disease) a’ tòiseachadh le fiabhras aig ìre ìosal, ceann goirt, broth, agus comharraidhean coltach ri fuachd, leithid sròn runny no stuffy. Bidh na comharraidhean sin a ‘dol seachad, agus an uairsin beagan làithean às deidh sin, nochdaidh am broth. Tha am broth soilleir dearg mar as trice a’ nochdadh air an aghaidh, gu sònraichte na gruaidhean. (mar sin an t-ainm "galar a' ghruaidh slapped"). A bharrachd air gruaidhean dearga, bidh clann gu tric a 'leasachadh breab dearg, lacy air a' chòrr den bhodhaig, leis na gàirdeanan àrda, an torso agus na casan mar na h-àiteachan as cumanta.
Mar as trice tha an galar tlàth, ach ann am boireannaich a tha trom le leanabh, tha galar anns a’ chiad tritheamh air a cheangal ri hydrops fetalis, ag adhbhrachadh abradh gun spionnadh.
○ làimhseachadh
Chan eil feum air làimhseachadh sònraichte oir mar as trice bidh e a’ fàs nas fheàrr thar ùine.